Civil Society Alliance Building for Improved Health for Children and Women

Indonesia, June 12 2012 Prepared by: Asteria T Aritonang

Mapping

Method • Self-answered Questionnaires • Distributed during the quarterly meeting

of Maternal and Child Health movement – on Feb 2012

Outcomes 16 Institutions (White Ribbon Alliance for Safe Motherhood,

Action Contre la Faim, CARE, CIDA – BASICS (Better Approaches to Service Provision through Increased Capacities in Sulawesi), Helen Keller, Save the Children, National Planned Parenthood, World Vision, Midwives association, Nurse association, Perinatal association, Community Health association, some local NGOs) have filled the questionnaires explained about their programs towards maternal, child health and nutrition.

Selection of participants for stakeholder All institutions that have regularly meet from June 2010 (have

regular quarterly meeting) Challenges Only few NGOs that work in all 33 Provinces Some NGOs only works at the provincial level (in less

populated province) – whilst the regional autonomy at the district level

Lack of coordination between Government and NGOs Short period of NGO’s program (+/- 3 years per project)

Key issues identified

Lack of ownership towards UN Global Strategy on Woman’s and Children’s Health – the Commissioner has not conducted any meeting with related ministries, such as Ministry of Health

10 Recommendations of “Keeping Promises, Measuring Result” document have not been clearly disseminated to relevant ministries in charge

Agreed workplan

Better information for better results

1) Vital events: By 2015, all countries have taken significant steps to establish a system for registration of births, deaths and causes of death, and have well-functioning health information systems that combine data from facilities, administrative sources and surveys.

Indonesia does not have a national registration system of birth and death, and cause of death. The Health research and development institution has tried to start the trial. The 2007 Indonesian Demographic and Health Survey was the survey to measure the maternal and child health. The 2007 Basic Health Research can determine the pattern of causes of infant mortality.

Currently, the Government of Indonesia is finalizing the Health Information System that can link from district – province – and national.

Link with Ministry of Home Affairs, Statistic Bureau, etc

Better information for better results

2) Health indicators: By 2012, the same 11 indicators on reproductive, maternal and child health, disaggregated for gender and other equity considerations, are being used for the purpose of monitoring progress towards the goals of the Global Strategy.

All indicators have been regularly monitored in program reporting and through survey as MDGs indicators, exception for:

antiretroviral prophylaxis among HIV-positive pregnant women to prevent vertical transmission of HIV, and antiretroviral therapy for women who are treatment-eligible (Not Specific)

Better information for better results

3) Innovation: By 2015, all countries have integrated the use of Information and Communication Technologies in their national health information systems and health infrastructure.

Some projects have developed the ICT in information system: : sms gate way, e learning dll

Better tracking of resources for women’s and children’s health

4) Resource tracking: By 2015, all 74 countries where 98% of maternal and child deaths take place are tracking and reporting, at a minimum, two aggregate resource indicators: (i) total health expenditure by financing source, per capita; and (ii) total reproductive, maternal, newborn and child health expenditure by financing source, per capita. This recommendations can be done, the National

Health Account and District Health Account have been conducted.

Better tracking of resources for women’s and children’s health

5) Country compacts: By 2012, in order to facilitate resource tracking, “compacts” between country governments and all major development partners are in place that require reporting, based on a format to be agreed in each country, on externally funded expenditures and predictable commitments.

The National Development Planning Body and Ministry of Finance have the important role

Foreign Grant must be registered

Better tracking of resources for women’s and children’s health

6) Reaching women and children: By 2015, all governments have the capacity to regularly review health spending (including spending on reproductive, maternal, newborn and child health) and to relate spending to commitments, human rights, gender and other equity goals and results.

Better oversight of results and resources: nationally and globally

7) National oversight: By 2012, all countries have established national accountability mechanisms that are transparent, that are inclusive of all stakeholders, and that recommend remedial action, as required.

8) Transparency: By 2013, all stakeholders are publicly sharing information on commitments, resources provided and results achieved annually, at both national and international levels.

9) Reporting aid for women’s and children’s health: By 2012, development partners request the OECD-DAC to agree on how to improve the Creditor Reporting System so that it can capture, in a timely manner, all reproductive, maternal, newborn and child health spending by development partners. In the interim, development partners and the OECD implement a simple method for reporting such expenditure.

10)Global oversight: Starting in 2012 and ending in 2015, an independent ‘‘Expert Review Group’’ is reporting regularly to the United Nations Secretary-General on the results and resources related to the Global Strategy and on progress in implementing this Commission’s recommendations.

Meeting with Government & NGOs that have put their pledge for EWEC – August 2011 & May 2012

1st meeting on EWEC, August 16 2011

Initiated by: World Vision & Special Envoy for President on MDGs

Participated by: MoH, MoFA, Family Planning Body, Universities, WHO, UNFPA, UNICEF, CARE, Plan, Save the Children, World Vision, National Planned Parenthood

Association, Pediatrician Association, Medical Doctor Association, Nurse Association, Midwives Association, etc

2nd meeting on EWEC, May 24, 2012

Initiated by: World Vision Participated by: MoH, MoFA, Special Envoy for President on MDGs,

National Development Planning Body, WHO, UNFPA, UNICEF, Save the Children, Helen Keller, Child Fund, National Planned Parenthood

Association, Community Empowerment Association, etc

Building synergies

Synergies with related efforts (UN H4 high burden country initiative, Scaling up Nutrition Country frameworks, parliamentary efforts etc) Maintain coordination with WHO, UNICEF, UNFPA

& Ministry of Health – July 2012

Anticipated challenges In the implementation of jointly developed

workplans Leadership transition in Ministry of Health and

H4+ Lack of information from headquarters of

international NGOs towards their pledge and support to EWEC and SUN

Next steps

1. Audience meeting with Commissioner of Information & Accountability Commission – Minister of Foreign Affairs – July 2012

2. Join the Regional Meeting in Sri Lanka – July 2012 to finalize the Road Map

3. Coordination Meeting prior to UN General Assembly – August & September 2012

4. Media engagement – to raise awareness towards EWEC and SUN – August & September 2012

Civil Society Alliance Building for Improved Health for Children and WomenMapping Diapositive numéro 3Diapositive numéro 4Diapositive numéro 5Better information for better resultsBetter information for better resultsDiapositive numéro 8Diapositive numéro 9Better information for better resultsBetter tracking of resources for women’s and children’s healthBetter tracking of resources for women’s and children’s healthBetter tracking of resources for women’s and children’s healthBetter oversight of results and resources: nationally and globallyDiapositive numéro 15Diapositive numéro 16Building synergiesAnticipated challengesNext steps