NATIONAL POPULATION AND FAMILY PLANNING BOARD (BKKBN)
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ANNUAL REPORT 2010
FOREWORD
From Deputy for Training and Development

This Annual Report 2010 summarizes the activities of the NFPCB's International Training programs, collaboration and partnerships in the area of Population and Family Planning/Reproductive Health. In 2010, we continued to expand our International Training programs and collaboration. All our achievements were made possible through the hard work and concerted efforts not just of our staff but also of our many partners in the Population and Family Planning/Reproductive Health sectors. I am very grateful for the support and encouragement of the donor agencies and international community to the NFPCB as one of the Centers of Excellences in the field of Population and Family Planning/Reproductive Health.

In particular, I would like to extend my gratitude to UNFPA Indonesia and UNFPA Representatives at Gambia, Afghanistan, Iran, Pakistan, Democratic People Republic of Korea (DPRK), APRO - UNFPA Bangkok, JICA, Colombo Plan, USAID, Gates Foundation, Advance Family Planning (AFP), Johns Hopkins Bloomberg School of Public Health - Center for Communication Program (JHU - CCP) and Partners in Population and Development (PPD) for their encouragement and assistance in 2010. I hope the collaboration will continue in the future. I would also like to thank our colleagues from Asian and African countries for visiting and sharing your experiences in managing Population and Family Planning/Reproductive Health programs.

I would like to extend my deepest gratitude to DR. Dr. Sugiri Syarief, MPA, Chairperson of NFPCB for his continuous support and encouragement. I would also like to congratulate the team from the NFPCB International Trainingand Collaboration Center on their achievements in 2010 and I look forward, with them, to even higher achievement in the future.



Jakarta, March 2011

The Deputy for Training and Development, NFPCB
Dra. Kasmiyati, MSc

INTRODUCTION

Center for International Training and Collaboration is a division that coordinates and facilitates all of the programs of NFPCB relating to its counterparts abroad. The programs are international workshops or seminars, sending NFPCB officials/staffs to attend long term education, training or workshop abroad, and facilitating trainings, observation study tours and short visits for NFPCB's counterparts from other countries in Indonesia.


HIGH LEVEL VISIT

Gambian High Level Officials Visit

On November 1-2, 2010, the Gambian delegation from the Permanent Secretary Office of the Vice President of Gambia, Mr. Lamin Nyabally and from the Directorate of Population Affairs Gambia, Mr. Saikou JK Trawally visited NFPCB and other agencies in Indonesia to exchange experiences on the Population Program and Policies, Family Planning and Reproductive Health in Indonesia. In a more specific way, there were discussions about capacity building, census management, gender and woman empowerment. Mr. Nybally and Mr. Trawally met with the teams of the NFPCB, the Central Board of Statistic (BPS), and the Ministry of Women Empowerment and Child Protection. The Gambian delegation also had a discussion with representatives from NGOs, i.e. the Indonesia Planned Parenthood Association (IPPA) and the Institute of Demography, University of Indonesia.

Some issues that were raised during the discussion with the government representatives were the prospect to collaborate with NFPCB in efforts to increase Islamic religious leaders participation in Family Planning Program. The Gambian delegate was also interested in learning the management of the Indonesia Demographic and Health Survey and Family Income Generating Activities Program for women's empowerment. Issue that was raised during discussions with the Bureau of Statistics, Indonesia (BPS) was partnership in capacity building for conducting census and demographic and health survey. During the discussion with the Ministry of Women Empowerment and Child Protection, the Gambian delegate expressed their wish to exchange knowledge and experience in policy, gender-based budgeting and the development of gender analysis pathway tools.

On their visit to the Institute of Demography, University of Indonesia, the Gambian delegate expressed their intention to have a joint program for increasing the statistical skills of their staff in analyzing census and survey results and in preparing policy briefs based on the survey results. The Gambian delegate will also develop cooperation in capacity building for disaster management, Adolescent Reproductive Health (ARH), obstetric care and vistula with the IPPA. After the visit, the delegation will develop proposal related to the issues mentioned above as inputs for developing MoU between the two countries.


SHORT VISIT

Iranian Delegation Visit to Share and Exchange Views and Experiences on Adolescence Reproductive Health, Maternal Health and Family Planning Programs

On September 17, 2010, 7 representatives from the Iranian Ministry of Health and Medical Education visited NFPCB to exchange views and experiences in Adolescence Reproductive Health, Maternal Health and Family Planning programs. During the discussion, NFPCB presented the current policies and strategies to improve the accessibility and quality of the Family Planning programs. Among the policies are providing free contraceptive for all Family Planning acceptors in provinces that are relatively behind in the program achievement. Nationally the government provides free contraceptive means for pre prosperous Family Planning acceptors. Improving the quality of the service is done by improving the quality of the provider through trainings and peer review and by improving the service means and infrastructure

Besides, there were also discussions about IEC and services for Family Planning and Reproductive Health services for adolescents, strategy to increase the participation and shared responsibility of men in Family Planning; and strategy to prevent unwanted pregnancies and the incidence of high risk pregnancies to reduce maternal morbidity and mortality. The Chairperson of the NFPCB described that the Indonesian Government does not provide contraceptive services for those unmarried, including the adolescents. To reduce unwanted pregnancies among adolescents, education and information and counseling on Reproductive Health, as well as life skill education, are provided. The models used the most in Indonesia are peer educator and peer counselor through schools and out of schools. To enhance the participation of men in the Family Planning program is by forming groups of men who support the implementation of the Family Planning program and by making a male figure who has made himself an acceptor a champion.

Afghanistan Delegation Visit to Share and Exchange Views on Family Planning and Family Welfare Programs

Eight medical doctors from Afghanistan visited NFPCB to share and exchange views on Family Planning, Family Welfare programs and International Training program on December 17, 2010. A series of discussions were held with the Acting Deputy Chairperson for Family Planning and Reproductive Health; the Head of Advocacy, Information and Education Division; and also the Head of Overseas Training and International Collaboration Center.

Issues covered in the discussions include the philosophy, policy, and strategy of the Indonesian Family Planning Program and Adolescent Reproductive Program and Family Planning Program Advocacy and IEC programs to promote local governments' commitment and support to the program. At the end of the sessions, participants were informed about the NFPCB International Collaboration and Training Programs to identify possible cooperation in the near future.


INTERNATIONAL TRAINING AND OBSERVATION STUDY TOUR

The Training Course on Empowering Women through Social, Economic, and Cultural Intervention

The training course on Empowering Women through Social, Economic and Cultural Intervention was held on May 17-22, 2010 in Jakarta. This training program is a collaboration between the Government of Indonesia and the Colombo Plan in which NFPCB was appointed as an implementing agency. Ten participants attended the training, coming from 8 Colombo Plan member countries, i.e. Vietnam, Lao PDR, Bhutan, Afghanistan, Myanmar, Pakistan, Papua New Guinea and Sri Lanka. The training was designed to share the Indonesian experiences in empowering women through several activities at grass-roots levels which related with women participation in Family Planning and Reproductive Health programs. The training course combined class sessions (70%) and case study (30%).

In class sessions, NFPCB officials presented the philosophy, policy, strategy and main activities of Family Planning and women empowerment programs in Indonesia. Some of the topics are : 1) Population and Family Planning programs; 2) Women's empowerment policy and programs; 3) Women's empowerments activities at grass-roots levels; and 4) Relevant approaches and strategies for women's empowerment through social, economic and cultural intervention. For the case study, the participants visited Depok, a district in West Java Province, where they had the opportunity to observe and have a discussion with community volunteers and beneficiaries of some women's empowerment programs. At the end of the course, the participants developed and presented a plan of action to develop women's empowerment programs in their respective countries.

The Third Batch of the Third Country Training Program on Behavior Change Communication (BCC) in Family Planning/Reproductive Health: the Indonesian Experience

The third batch of the Third Country Training Program on Behavior Change Communication (BCC), was conducted from July 7 to August 5, 2010. This training was supported by the Government of Indonesia through NFPCB and the Government of Japan through the Japan International Cooperation Agency (JICA). The training was attended by 20 participants from 6 countries, i.e. Cambodia, Ethiopia, Kenya, Mozambique, Timor Leste and Yemen.

The objective of the training is to equip the participants with knowledge and skills in: developing Family Planning/Reproductive Health communication strategies and programs, conducting assessment and analysis of behavior problems in Family Planning/Reproductive Health; developing Family Planning/Reproductive Health communication strategy using ACADAE steps; and developing key messages using P-Process. The course comprises three parts: class sessions in Jakarta, field visit in West Java and Bali Provinces; and assignment to develop country level communication strategy. Topics discussed in class sessions include Family Planning/Reproductive Health Policies and Programs in Indonesia, communication strategy development using ACADAE tool, step by step exercises in using ACADAE tool, and message development using P-Process. The participants also presented their country Family Planning/Reproductive Health programs. During the field visit, the participants had the opportunity to learn first-hand experiences in managing and implementing Family Planning/Reproductive Health programs, including communication programs, at field level. At the last part of the training, the participants developed and presented their country level communication strategy.

Study Tour for Government Officials of the Democratic People's Republic of Korea (DPRK) on Reproductive Health Commodity Security (RHCS)

Based on the MOU with the DPRK UNFPA Country Office, NFPCB has organized an observation study tour for 4 government officials from the Democratic People's Republic of Korea on September 26 - 30, 2010. The objective of this study tour is to share the Indonesian Government's experience in implementing the pull system of Logistic Management Information System (LMIS) of RH commodity.

During the visit, a discussion was held on NFPCB's policy in managing Family Planning services particularly the implementation of the pull system of contraceptive commodity; and the policy and the management of Family Planning services in general. Participants also had the opportunity to observe and discuss about the implementation of the pull system at each level of the pipeline through field visit to contraceptive commodity warehouse at central, province, municipality, and Service Delivery Point (SDP) levels.

The Training of Trainers on Reproductive Health Commodity Security (ToT on RHCS) for Multi Countries Officials

This training was a joint program between NFPCB, UNFPA Indonesia and Asia Pacific Regional Office (APRO) - UNFPA Bangkok. The training held in November 21 - December 1, 2010, was attended by 22 participants from 6 developing countries, namely; Bhutan, Lao PDR, Timor Leste, Mongolia, Myanmar and Yemen. Until present, the alumni of the Reproductive Health Commodity Security (RHCS) training have summed up to 116 people from 25 countries.

The general objective of the training is to strengthen Reproductive Health Commodity Security (RHCS) in developing countries. While the specific objectives are to improve the participants' knowledge and skills in RHCS concepts; in developing and implementing Strategic Pathway to RHCS (SPARHCS) approach; and in developing RHCS training program in their respective countries. Upon finishing the training, the participants are expected to become trainers or facilitators in their respected countries. They also supposed to develop networks with the Asia-Pacific region RHCS teams.

To achieve the above objectives, the participants were equipped with knowledge and skills on SPARHCS approach, key aspects in logistics management, and logistic management software (RHCS, CHANNEL, RH Costing and Forecasting). The participants also had a discussion with NFPCB officials regarding policy and contraceptive management; and the mechanism of the contraceptive distribution. At the end of the course, the participants developed a country level plan of action describing the population projection, TFR, CPR, and the contraceptives need.


CAPACITY BUILDING

The Leadership Training In Sustainable Development: the Population, Environment and Development Nexus

NFPCB has sent one senior staff from central office to participate in the Leadership Training in Sustainable Development: the Population, Environment and Development Nexus at the University of the Free State Bloemfontein, Province of Free State Republic of South Africa from April 15 to 23, 2010. The course was conducted for 30 participants from 6 countries, namely Indonesia, Nepal, Ghana, Gambia, Mozambique, Kenya and Provinces in South Africa, Pretoria and Malawi.

The main objective of the course is to enhance leadership and management capacity of the government and civil society in integrating population, development, and environment issues into policies and programs. It is hoped that they will establish policies and programs that promote sustainable development. Topics discussed in the training include; 1) Population, Environment, Development (PED) for Sustainable Development; 2) Environment and Development; 3) Population and Development; 4) Population and Environment; and 5) Competencies in Leadership Management. A field visit was also arranged for the participants.

Knowledge regarding PED nexus is useful to NFPCB, particularly with the enactment of the Law No. 52/2009 which extending the responsibility of NFPCB in managing Population and Family Planning program as an effort to achieve sustainable development.

International Workshop for Senior Officials on Population and Climate Change

The Head of NFPCB Gorontalo Provincial office attended the International Workshop for Senior Officials on Population and Climate Change from April 21 to 27, 2010 in Taicang City and Jiangsu Province, China.

his workshop is designed to deepen the general understanding on the inter-relations among population, development and climate change adaptation and mitigation, with special attention to raise the awareness of population's role in climate change. It is intended to improve the capacity of decision-makers in dealing with population factors in development and climate change, and to ensure population is integrated into development planning and climate change mitigation strategies.

The workshop emphasizes climate change as an issue of energy efficiency or industrial carbon emissions as well as an of population dynamics, poverty and gender equity. This workshop also provides a platform for China and other developing countries to share experiences on climate change adaptation and mitigation through an integrated approach.

At the workshop, participants presented a paper on the issues related to climate change in their respective country. The participant from Indonesia presented policies and strategies that are already established by the government regarding the climate change and global warming, i.e. illegal logging, reforestation, car emission, and environmental protection.

Further, the participant from Indonesia emphasized that population management through Family Planning programs has become part of the Indonesian government strategy in reducing population pressure and reducing global warming. Indonesia is currently still dealing with issues on high population growth, poverty, and high unemployment. In this regard, the government has committed to revitalize the Family Planning and Family Empowerment programs.

In the workshop participants also made field visits to local Rural Taicang that was arranged to observe Reproductive Health centers, low-carbon development facilities and green communities, as well as to have a better understanding of the socio-economic development and the livelihoods in rural China.

Observation Study Tour on Long-term Contraceptive Methods Program

Nanjing Population Program Training Center International has conducted a two days observation study tour for 32 senior West Java NFPCB officials in Beijing, China in April 2010. The objective of the study tour is to share the China's government experience on contraceptive supply management and implementation of long-term contraceptive methods. During the study tour, the delegate had the opportunity to visit pilot projects in increasing the utilization and management of long-term contraceptive methods. Lessons learned from this study tour will be implemented in West Java's Family Planning program. Today the effort to enhance the use of the long term contraceptive method, especially IUD, vasectomy and tubectomy, is among the important policies issued by NFPCB.

The Workshop on Leadership in Strategic Health Communication; Making A Difference in Infectious Diseases, HIV/AIDS, Reproductive Health and Good Governance

The Head of NFPCB West Java Province attended a workshop on the Leadership in Strategic Health Communication: Making a Difference in Infectious Diseases, HIV/AIDS, Reproductive Health and Good Governance in Baltimore, Maryland, USA. The workshop was held by the John Hopkins Center for Communication Programs (JHU-CCP) from June 6 to 25 2010 and attended by 33 participants from 16 countries in 3 different regions. The countries whichrepresented the Asia Region consist of Indonesia, India, Bangladesh, Vietnam, Egypt, and Jordan, and the Europe region was represented by Russia. While the countries represented the African region were Kenya, Ethiopia, Zambia, Nigeria, Tanzania, Mozambique, Madagascar, Mauritius and the Republic of South Africa.

The course incorporated some of the latest thinking on leadership development and applies them to strategic health communication planning that in the training is focused on tuberculosis and malaria, HIV/AIDS, Reproductive Health. The course has also been enhanced with state of the art knowledge and supplemented by three specialized tracks on current health issues and trends. In this regard, public health experts who are leaders in their respective fields facilitated the multi track sessions in this workshop.

Specifically, the workshop provided participants with knowledge and practice about how to 1) apply key leadership principle in designing strategic health communication program; 2) think strategically to design strategic communication program; 3) listen to the audience to develop participatory programs; 4) follow the P-process to build programs systematically; 5) enhance advocacy skills; 6) use multi media for messages that lead to behavior change; 7) build institutional capabilities to develop self sustaining program; 8) manage health communication project that respond's to people's need; 9) educate with entertainment to reach a broader audience; 10) improve interpersonal communication skills and face to face interactions; 11) strengthen community mobilization skill with grass roots communication; 12) emphasize informed choice in client centered counseling and materials; 13) develop a complete communication programs with SCOPE WEB, an interactive computer tool; 14) attract corporate and media support to leverage communication program cost; and 15) evaluate communication programs to improve future performance

At the end of the workshop, participants were able to explore the elements of effective behavior development communication and advocacy programs to create more competent and health literate societies.

The Training on Integrated Marketing Communication for Behavioral Impact (IMC/COMBI) in Health and Social Development

Two NFPCB officials, i.e. the Head of the NFPCB of Central Java and the Head of the Planning Division of NFPCB Central Office attended the training on Integrated Marketing Communication for Behavioral Impact (IMC/COMBI) in Health and Social Development from July 5 - 23 2010 in New York. The training was held by the Steinhardt School of Culture, Education & Human Development, New York University.

The goal of the training is to find effective ways to encourage new behaviors and achieve sustained behavioral in health and other social development programs. The three-weeks training covers six main topics: Communication and Behavioral Impact, Communication Techniques, Marketing Principles and Practices, Marketing Research and Program Evaluation, Advertising and Public Relations, Functions and Practices IMC/COMBI Practicum.

The workshop emphasized how the conventional IEC is only able to improve awareness and knowledge but have not been as successful in achieving behavioral results. Thus, Integrated Marketing Communication (IMC) offers a dynamic, proven approach to achieving behavioral results in health and other social development programs. To apply the COMBI Plan, the participants recommended the following steps, which conduct behavioral analysis and set specific behavioral objectives before determining steps for intervention. The community needs and cultural values should be taken into account in developing the plan. Over the past 10 years, the WHO has successfully applied the COMBI approach in many program in many countries, such as Mass drug administration for Lymphatic Filariasis elimination, Dengue, Leprosy, Tuberculosis, Malaria, HIV/AIDS, Exclusive breast-feeding.

This training is very useful for the NFPCB. Communication, especially regarding change of attitude and behavior is one of the keys to the success of the Family Planning program in Indonesia. Through this training the participants from the NFPCB acquired learning about new approached in mass communication techniques. This is obviously very beneficial for the program's development in the future, especially regarding the fact that the people's behavior is more complex.

SPECTRUM Training

Seven NFPCB officials from central and provincial levels attended Spectrum training from October 3 to 11, 2010 in Washington DC, USA. The aims of the training were to improve knowledge and skills in creating: population projection based on fertility, mortality, and migration data; projection of aspects of Family Planning programs and contraceptive methods; and projection of the impacts of Family Planning programs on social and economic development. This program was a joint funding between NFPCB and Advance Family Planning Program (AFP), Gates Foundation and Johns Hopkins University. This program is very important for NFPCB as advocacy and evidence based program planning have becoming more important. The NFPCB wishes to use the SPECTRUM program as the base of the program's planning and advocacy at the central as well as the local levels.

SPECTRUM is a computer-based model developed by USAID to analyze information on population and its components, and to make projections on the socio-economic impacts of population growth in the future. The package of policy models in the Spectrum program are Demography (DemProj), Family Planning (FamPlan), Benefit-Cost (BenCost), AIDS (AIDS Impact Model - AIM), Socioeconomic Impacts of High Fertility and Population Growth (RAPID), Adolescent Reproductive Health (NewGen), Prevention of mother-to-child transmission (PMTCT) and Resource Allocation (GOALS/Safe Motherhood). In this training, the participants learned three of the SPECTRUM policy models, namely Demography (DemProj), Family Planning (FamPlan) and Socioeconomic Impacts of High Fertility and Population Growth (RAPID).

The reasons for using policy models are to simulate policy dialogue, to provide a framework for understanding issues and evaluation options, to help stakeholders to set goals, to facilitate program planning and decision-making in order to address issues such as poverty, maternal mortality, unmet need of Family Planning, rapid population growth and environmental degradation, etc

Demographic projection (DemProj) is the basis for making population projections at central or regional level. Making population projection is useful for a variety of purposes, most commonly as a basis for planning and also for policy dialogue. Family Planning projection (FamPlan) provides a national Family Planning picture and the resources required to reach specific goals, based on national policies and data. Results of the Family Planning projections can be used for: 1) reducing unmet need for contraception; 2) achieving desired fertility; 3) reaching a goal for contraceptive prevalence; 4) reaching a goal for TFR and 5) restricting expenditures to a specified level. RAPID model aims to predict the social and economic consequences of high fertility and rapid population growth for sectors such as labor force, education, health, urbanization and agriculture. It provides projections that can be used as the basis of a policy presentation (RAPID Presentation) to convey key information to policy makers in order to stimulate policy dialogue about the importance of population factors to social and economic development.

With regard to SPECTRUM application in NFPCB, the participants noted that:

1. SPECTRUM is useful for developing plans and policies for future direction, for both Population and Family Planning programs;

2. SPECTRUM can also be used to calculate targets for Population and Family Planning programs at central and provincial levels. Calculation for district level, however, is still difficult due to unavailability of the required data.

3. SPECTRUM can be combined with the other management tool used by NFPCB, such as Balanced Score Card.

4. Knowledge and skills to use SPECTRUM will be shared through training for NFPCB staff at national and local levels, as well as for NFPCB partners

5. Data to be used in making projections with SPECTRUM should be valid and approved by all of the stakeholders and users, including NFPCB partners

To follow up of the training, NFPCB will gradually implement the SPECTRUM program throughout all provinces through the national training system implemented at the NFPCB.

Rapid Health Survey Training for Public Health Researchers

Ten NFPCB senior researchers participated in the Rapid Health Survey Training in Bangkok - Thailand from November 8 to 12, 2010. The training was attended by 21 fellows from 3 countries, Indonesia, China and Thailand. The objectives of the training are to address the need of rapid survey (description, etiology, cost-effectiveness); to understand the theory of sampling and rapid survey; and to acquire practical skill to do the field work for rapid survey and analyze data from rapid survey. The Rapid Health Survey will help NFPCB Official in monitoring program achievements which is hardly implemented during the decentralization era.

The methods used in the training course are lecture, discussion, exercise, as well as group discussion and group presentation on the following topics:

1. Research methods and issues: theoretical concepts on research method, survey, planning a rapid survey, sampling (SRS, cluster with PPS), measurement, instrument and policy issues

2. Statistical methods and issues for Rapid Survey: Point estimate/confident interval, design effect, odd ratio, etc.

3. Application: C Survey 2.0 program and survey data analysis using Strata program

At the end of the training, the participants were expected to understand the seven steps in conducting rapid survey, i.e.: 1) identifying health problems; 2) sample size and sampling methodology; 3) developing data collection design; 4) training the survey team; 5) collecting data in the field; 6) data management and data analysis; 7) interpreting and preparing report for presentation.

Following the training, the participants prepared a plan of action to develop a national guideline on Rapid Health Survey which will be disseminated through workshops and technical assistance to provincial researchers.

Strategic Planning Forum on Effective Leadership Strategies and Innovation on Family Planning

The Chairperson of NFPCB, Principal Secretary of NFPCB, Principal Inspector of NFPCB, Deputy Chairperson for Training and Development, Deputy for Family Welfare and Family Empowerment, the Head of NFPCB Central Java, South Sumatera, Nanggroe Aceh Darussalam, and North Sumatera Province attended the Strategic Planning Forum on Effective Leadership Strategies and Innovation on Family Planning workshop from November 8 to 13, 2010 in Manila, the Philippines.

As an organization that supports the learning organization approach, NFPCB has created a talent pool among its high performing executives to ensure a robust leadership pipeline and secure the organization's thrust to mobilize community participation in Family Planning. A shared need reflected in the development needs of high performing executives is the enhancement of their strategic thinking capabilities and leadership competencies. As they move up in the organization and assume more senior positions, they are more and more expected to see the whole picture, think about the organization differently, creatively and innovatively, and inspire and motivate the workforce to achieve desired organizational goals.

In response to this need, the 4 day intensive discussion between the top management of NFPCB and a number of management professors from the Asian Institute of Management (AIM) was very beneficial for the development of the NFPCB in the future. The program on Leadership and Innovation seeks to achieve the following objectives:

1. To provide participants with tools, frameworks and models for seeing the business differently, creatively, and innovatively in a constantly changing and globally competitive environment;

2. To enhance participants' awareness of their leadership capital and how they can more effectively leverage it to achieve organizational goals and objectives; and

3. To help the participants in identifying and assessing the critical business challenges now confronting them and translate them in terms of an embraceable cause.

Several important points from the workshop noted by the participants are: 1) Innovation is a pre requisite to become a leading institution; 2) Efforts related with innovation culture have to be developed continuously; 3) Innovation is a part and responsibility of leadership; 4) Team building is a strategic step in leadership; 5) Leadership is different with power, leadership is the expression calling from the conscience; 6) " To get extra ordinary things done" is one of the leadership model in this era.

Training of Trainers Course on Reproductive Health Commodity Security

The Head of International Collaboration of NFPCB and Senior Researcher of NFPCB participated in the Training of Trainers (ToT) Course on Reproductive Health Commodity Security (RHCS) in Mauritius from November 15 to 26, 2010. The ToT was organized by UNFPA in collaboration with USAID and the Mauritius Institute of Health (MIH). A total of 16 participants joined the training; they are from 10 different countries i.e. Indonesia, Mauritius, Egypt, Morocco, Lebanon, Azerbaijan, Kenya, Cameroon, Ethiopia and Madagascar.

The objectives of the ToT are to improve the knowledge and understanding of participants regarding RHCS, improving the ability of the participants in facilitating RHCS training program, and improving the quality of RHCS management in participating countries. The curriculum of ToT consists of class sessions with facilitators from UNFPA and USAID, Channel Software practicum, presentations by participants as teaching practice and visit to Reproductive Health and contraceptive commodity warehouses at the national and the Service Delivery Point (SDP) levels.

The topics covered in training course are: 1) Introduction to RHCS and Strategic Pathway to RHCS (SPARHCS); 2) Client-Centered Focus of RHCS; 3) Commodity Security and the Purpose of a Logistics System; 4) Logistics Terms and Formulas and Storage Guidelines; 5) Logistics Management Information Systems (LMIS); 6) Quantification of Health Commodities; 7) Procurement; 8) Overview of Commodity Management Software (Channel & Spectrum); 9) Channel Software Practicum; 10) Total Market Approach in the Context of RHCS; 11) Monitoring and Evaluation in the Context of RHCS; and 12) Policy and Advocacy.

Some of the key information shared in the training course are: products should be available where and when they are needed; consistent Information, Education and Communication (IEC) activities, well established service networks nationwide, integrated Health and FP program; adequate supplies at Health and FP service centers at all levels along with counseling and informed choice are needed to improve the quality of Reproductive Health commodity security system; some countries apply Contraceptive Commodity Security (CCS) rather than RHCS. The participants were also equipped with knowledge and skills for facilitating RHCS training in their home countries.

As a follow up action, participants are expected to conduct RHCS training/workshops, establish RHCS network at all administrative levels and develop LMIS and applying RHCS software that suits the country's needs and conditions. Furthermore, the two participants from the NFPCB became members of the trainer team of RHCS which already existed at the NFPCB. The NFPCB RHCS trainer team is not only responsible for the RHCS training in Indonesia, but it also provides RHCS trainings for the Asia Pacific countries, as Indonesia is already appointed by UNFPA Asia Pacific Regional Office (APRO) to be one of the center of excellence of RHCS training.

Master Program in the Area of Applied Population Studies, Social Research, Management, and Population and Social Research in Australia and Thailand

To overcome the gap between the senior officers and the new staff, starting 2007 NFPCB regularly sends its staffs abroad to attend master education in population. The objectives of this program are to improve the knowledge of the newly graduates on the implementation of the Family Planning program at field level, as well as to contribute in improving the program implementation using the knowledge gained in the master courses. They also become the focal point for improving the programs implemented by their respective divisions.

In 2010 there were 14 NFPCB staffs graduated and obtained master degree from Flinders University and Mahidol University. In the same year, NFPCB has also sent another batch of six staff to take a master's degree at the Australian National University (1 person), Flinders University (2 persons), and Mahidol University (3 persons). All of them took population studies as their major course, with minor courses in various fields such as gender studies, communication, and public policy.


THE ROLES IN INTERNATIONAL FORUM

Workshop on Scaling Up High Impact FP/MNCH Best Practices in the Asia and the Middle East 2010

NFPCB sent four officials as part of the Indonesian delegation to participate at a workshop titled "Reconvening Bangkok: 2007 to 2010 Progress Made and Lessons Learned in Scaling Up Family Planning (FP) and Maternal and Child Health (MNCH) Best Practices in the Asia and Middle East (AME) Region" in Bangkok, Thailand, from March 6th - 12th, 2010. The workshop was attended by nearly 400 participants from Asian and Middle East countries. The aim of the workshop is to help Asian and Middle East countries in meeting the health needs of women and children in the efforts to achieve the Millennium Development Goals (MDGs), especially goals number 4 and 5. This event is a follow-up of the workshop conducted in 2007 in Bangkok, Thailand.

In this event, the Indonesian delegation presented 3 papers at the plenary session i.e.: 1) The Management of Active Third Labor Management; 2) The Result of Initiative for Maternal Mortality Program Assessment (IMMPACT) Implementation; and 3) Socialization of Zinc in the Management of Diarrhea. Besides there was also a presentation poster entitled "Contraceptive Commodity Security: Its struggling in the Era of Decentralization in Indonesia".

On the presentation poster the participants from the NFPCB illustrated the challenges being encountered by the Family Planning program in Indonesia, along with the authorization of the program since 2004. Among the challenges that faced are the discrepancy of the commitment of the local government, shown by the institution in the respective regions, funding provided by the regional government, and the lessening number of the program's field officers. Therefore the advocacy to the regional government is presently among the cores of the activities of NFPCB.

At the concurrent session of the Family Planning Plenary, NFPCB participated in discussion about Post Partum Intra Uterine Contraceptive Device (PPIUCD). In this session, the participants were reminded about five important procedures/factors in carrying out PPIUCD i.e.: 1) full counseling and screening; 2) readiness of maternity; 3) infection prevention; 4) insertion techniques; and 5) follow up and monitoring. The forum also highlighted the importance to respond to the prevailing myths about PPIUCD.

Commission on Population and Development (CPD) Meeting

The Chairperson of National Family Planning Coordinating Board (NFPCB) led the Delegation of Indonesia to attend the Commission on Population and Development (CPD) Annual Summit at the United Nations (UN) Headquarter in New York, USA from 12 to 16 April 2010. The delegation consisted of representatives from the Ministry of Foreign Affairs, the Ministry of Health. The subject of the summit in this year was health, morbidity, mortality and development. The summit was attended by 47 member countries including Indonesia, and 54 observer countries.

The gap in health and socioeconomic status of the people between countries as well as the condition within a country were discussed in meeting. Accordingly, there must be a continuous improvement of comprehensive basic health system to reach the poor community which living in slums and isolated areas.

According to the UN Secretary General report on the global health condition, 60 percent of mortality in the world was caused by Non-Communicable Diseases (NCDs). However, the ability, instrument and mechanism to overcome the matter at the global level are not yet satisfying. Therefore to gain more attention from the decision makers at the global as well as country levels, it is recommended to include NCDs in the MDGs' frame.

The health conditions of pregnant and postpartum women are not well improved. Between 1990 until the current time, the Maternal Mortality Rate (MMR) globally reduced 6 percent on which still far from the MDGs target. Meanwhile, Indonesia is predicted to reach the MDGs target, i.e. MMR 102 per 100,000 living birth in 2025, which is 10 years late. The policy and strategy breakthrough in Reproductive Health and Family Planning is needed to accelerate the target achievement. Three major strategies that are scientifically proven to be effective in reducing the MMR were highlighted during the event which include: 1) improving the access of the pregnant and postpartum women to skilled health providers; 2) improving the access and quality of Family Planning program; and 3) improving the access of the pregnant and postpartum women to emergency obstetric care to overcome premature pregnancy and labor complication.

In the intervention session, the Chairperson of the NFPCB presented the progress of Indonesia in implementing the Plan of Action International Conference on Population and Development (PoA ICPD) particularly related to health, among others are: 1) the decreasing Indonesia's mortality rate as the result of the improvement of the health facility; 2) polarization in epidemiology transition in Indonesia; 3) the challenges of high maternal mortality rate faced by Indonesia; and 4) the government of Indonesia' commitment to assure the access to the public health facilities and services, including Reproductive Health and Family Planning, as well as the fulfillment of nutrient, especially for the poor, through the social health assurance (Jamkesmas) and affordable rice price, improvement of infrastructure and health literacy among the community.

Women Deliver Conference

The Chairperson of NFPCB, Deputy Chairperson for Training, Research and Development, and the Director of Family Planning and Reproductive Health Research and Development Center attended the 2nd Women Deliver Conference from June 5th - 12th, 2010, in Washington DC., USA. While the women deliver conference, the Chairperson of the NFPCB also held a session with the delegation of the White Ribbon International, attended dinner/lunch meeting held by Gates Foundation, and attended the Ministerial Forum held specifically to discuss about the MDG 5 representing the Minister of Health of the Republic of Indonesia. The forum that was held by the UNFPA was intended to see how far the countries have implemented the road map on the effort to decrease the maternal and child mortality ratio (MDG4 dan MDG 5) that has been signed by a number of countries at the Ministerial Meeting in April 2010 in New York, USA.

At the women deliver meeting the Chairperson of NFPCB was one of the speakers in the session about Family Planning. He extended a paper on the current challenges of the Family Planning program in Indonesia.

Among the speech he said that during the era of new order, and after the establishment of NFPCB in 1970 the Indonesia's Family Planning Program was considered very successful as indicated the sharp increase of CPR, steady decrease of TFR and population growth in the country.

Despite the success, there are still some agenda to finish including narrowing the gap of achievement among provinces, increasing unmet need, low male participation, high infant and child mortality rate, and unacceptably high maternal mortality ratio. Improving access and quality of Family Planning and Reproductive Health services have been the main strategies to improve achievement and reduce provincial disparities. Note that the general policy of NFPCB has been to provide free contraceptives for the poor and for all couples in the lowest performing provinces, such as East Nusa Tenggara, Papua, and Maluku.

Entering the era of decentralization, the Family Planning program in the country has been facing strong challenges as indicated by weak local institutions for Family Planning, reduced number of personnel especially the number of field workers, insufficiency of local budget and commodity support. After vigorous advocacy programs and activities to prime stakeholders either at the central and local levels, there are window of opportunity for Family Planning revitalization as indicated by the issuance of Government Regulation No. 38 and 41 in 2007, the issuance of Law No. 39 in 2008 which includes the importance of Population Institution to deal with population issues in Indonesia. Furthermore, Law No.52/2009 mandates NFPCB to handle broader population issues in addition to Family Planning and change the acronym of NFPCB to become Badan Kependudukan dan Keluarga Berencana Nasional or National Population and Family Planning Board. The full statement is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html.

Meanwhile on the Ministerial Forum, the Chairperson stated that for Indonesia, goal no. 5 on reducing maternal mortality is the most challenging of all millennium development goals and is probably unable to be achieved the stated target in 2015.

One of strategic efforts done by Indonesia to achieve the MDGs has been the issuance of a Presidential Instruction (INPRES) No. 3 on April 21, 2010. This Presidential Instruction is basically addressed to all prime stakeholders and decision makers in the country from the central level up to districts and municipalities. The President instructs all Ministers, Non-Ministerial Government Institutions, Governors, Mayors, etc. to take necessary steps and actions to accelerate development programs which cover: 1) Pro-poor development programs; 2) "Justice for all" programs; and 3) Acceleration of the MDGs achievements.

In order to accelerate the achievement of MDGs, the President has instructed to develop supporting actions, namely: 1) Development of national road map for acceleration of MDGs achievements; 2) Development of action plan manual for acceleration of MDGs achievement at local areas; and 3) Increase of MDGs financing through central and local budgets as well as through public private partnership.

With regards to achieving MDG 5, that is reducing maternal mortality, the President instruction specifies specific action plans, i.e. 1) Improving health services to mothers; 2) Allocating strategic health personnel to health facilities particularly at health centers as well as districts and municipalities hospitals; 3) Paying more attention to the provision of strategic health personnel to health facilities in remote and border areas, islands as well as areas suffering from severe health problems; 4) Improving access and quality of Family Planning services particularly to reduce unmet need and unwanted pregnancy as well as to narrow disparities of achievement among areas. The full statement is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html.

Meeting of WHO Collaboration Centers in MPS/RHR Area, WHO, SEARO

The Director of the Family Planning and Reproductive Health Research and Development Center, DR. Ida Bagus Permana, MSc represented and spoke up for NFPCB at a meeting held by the WHO Collaboration Center in Making Pregnancy Safer/Reproductive Health Research (MPS/RHR) area in New Delhi, India, on July 6th - 7th, 2010. The objectives of the meeting were: 1) to review the WHO Collaborating Centre's work; 2) to provide regional perspectives on MNH/RH area; and 3) to explore possible collaboration with WHO Collaboration Centers (WHO - CCs). At the occasion, it was stated about a number of activities at 16 WHO research collaborating center on Family Planning/Reproductive Health in Indonesia. The 16 WHO research collaborating center are spread at 16 universities in Indonesia. There were various activities, such as research on improvement of new contraceptive device (male contraceptive device) and marketing surveillance survey.

The 2010 Joint Annual Meeting of the American Society of Pharmacognosy and the Phytochemical Society of North America

NFPCB has sent a senior researcher, from the faculty Dr. Bambang Prajogo from the Faculty of Pharmacy, Department of Pharmacognosy and Phytochemistry, University of Airlangga, as a speaker at the 2010 Joint Annual Meeting of the American Society of Pharmacognosy and the Phytochemical Society of North America from July 9th to 15th, 2010.

At the meeting Dr. Bambang Prajogo extended about the progress of clinical research phase one on male contraceptive developed from Justicia Gendarussa. This research is a collaboration between NFPCB and Airlangga University. It is known that Justicia gendarussa burm. F used to decrease male fertility through prevention of spermatozoa penetration mechanism. The progress is now entering the clinical phase two. The success of the improvement of the contraceptive mode will be a great help on the improvement of the participation of men in the Family Planning program.

International Conference on Sustainable Community Development (ICOSCD)

One NFPCB researcher participated and presented a paper at the International Conference on Sustainable Community Development (ICOSCD) 2010, held on July 19th - 23rd, 2010 in Kuala Lumpur, Malaysia. The theme of the conference is "Harnessing in Human and Social Capital Growth towards Community Regeneration". The conference was hosted by Institute for Social Science Studies, University Putra Malaysia. The main purpose of the conference is to discuss issues on sustainable community development, particularly rural community development. In addition, this conference aimed at enhancing network and collaboration among researchers in the area of sustainable community development.

The paper presented by NFPCB participant, DR. Rina Herartri, entitled "The Role of Village Community Organization in Implementing Family Planning Programs: Case Studies in 4 Provinces in Indonesia". This paper is based on a study conducted by the Prosperous Family and Women's Empowerment Research and Development Center in North Sumatera, East Kalimantan, South Sulawesi and West Nusa Tenggara in 2008.

Technical as well as philosophical issues emerged as factors that affecting the performance of Village Family Planning Management Assistant (PPKBD). Structured training, tailored to the needs of each organization, along with adequate technical supports are essential towards the improvement of the PPKBD's performance. In addition, PPKBD volunteers are expected to be able to serve as a role model of "small, happy, and prosperous families", the goal that has been promoted by the Indonesian Family Planning Programme. The full paper is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html.

Global Consultation on South-South Cooperation

The Director of Center for International Training and Collaboration of NFPCB, Mr. Eddy Hasmi attended the Global Consultation on South-South Cooperation in the area of Population, Reproductive Health and Family Planning on July 27th - 28th, 2010 in Bangkok, Thailand, with support from UNFPA Indonesia.

The meeting was attended by representatives from UNFPA Eastern Europe and Central Asia Regional Office (EECARO), Africa Regional Office (ARO), Latin America and Caribbean Regional Office (LACRO), Arab States Regional Office (ASRO), Asia Pacific Regional Office (APRO), UNFPA Head Quarter, UNFPA Global Partners i.e.: Bolivia Better Aid, United Nations Development Programme (UNDP), Technical Cooperation among Development Countries (TCDC), Asian Forum of Parliamentarians on Population and Development (AFPPD), New Partnership for Africa's Development (NEPAD), Partners in Population and Development (PPD), United Nations Children's Fund (UNICEF) United Nations Educational, Scientific and Cultural Organization (UNESCO); UNFPA Regional South-South Cooperation (SSC) Partners i.e.: Caucasus Social Marketing Association (CSMA) Georgia, East European Institute for Reproductive Health Romania, the Parliamentarian Commission for Social Protection, Health and Family Moldova, Center for African Studies Kenya, Ecole N ationale Superieure de Statistique et d'Economie Appliqué (ENSEA) Cote d'Ivoire, Sonke Gender Justice Network South Africa, El Instituto Nacional de Salud Publica (INSP) Mexico, Prisma Peru, Ministry of Foreign Affairs Brazil, Central Agency for Public Mobilization and Statistics (CAPMAS) Egypt, National Office for the Family and Population (ONFP) Tunisia, Thailand International Development Cooperation, National Family Planning Coordinating Board (NFPCB) Indonesia, National Population and Family Planning Commission (NPFPC) China, Directorate of Census Operations India, International Council on Management of Population Programmes (ICOMP) Malaysia, UNFPA Country Office of Brazil, China, Djibouti, India, Iraq, Lao PDR, Nigeria, Myanmar, Tajikistan, Thailand, Turkey and Zambia.

The meeting was focused on the effort to find the same view and strategy in developing the South-South Cooperation (SSC) on population, Family Planning and Reproductive Health in the future. The strategy is developed referring to the lesson learned from a number of activities in a number of countries. In this meeting the participants discussed about issues related to SSC in different regions and countries besides modalities, challenges, opportunities and the role of UNFPA in global, regional as well as country level to strengthen the SSC. The results of the survey undertaken to gauge UNFPA's engagement in SSC as a modality for strengthening the technical, program and operational capacity was also presented.

During this session the Director of Center for International Trainingand Collaboration, NFPCB expressed Indonesia's view about the South-South Cooperation in the area of population, Family Planning and Reproductive Health and Indonesia's experience in implementing the South-South Cooperation. He also emphasized the need to further take advantage of the regional potentialities/strength for building a comprehensive technical support network based on SSC alliances by : 1) Designing a comprehensive policy framework for the development of South-South cooperation at national level; 2) Formulating institutional framework to support the integrated coordination; 3) Identifying potential advantages as well as priority areas of cooperation within the Indonesia Technical Cooperation Program (ITCP); and d) Exploring potential sources of sustainable funding for the implementation of ITCP. The full statement is shown http://www.itp-bkkbn.org/pulin/004_population_data_information.html

Some burning issues that came up during the meeting among others are even though almost all countries had participated in SSC activities, the activities were largely still on an ad hoc basis. In the APRO region, only Thailand and China reported that SSC was part of three agendas, i.e.: National Agenda, United Nations Development Assistance Framework (UNDAF) and UNFPA Country Program. Most of the Capacity Development (CD) is still focusing on individual level (training, observation study tour or workshop) not the institution or the system level. The monitoring and evaluation system of the follow up activities both from provider and recipient country is very weak, therefore the impact as well as the sustainability and accountability of the program are questionable. All of these burning issues will become the major concern of UNFPA in developing the strategy of strengthening the South-South Cooperation.

The 4th International Conference on Reproductive Health and Social Science Research (ICRH-SSR) 2010

In order to improve the quality of its human resources, National Family Planning Coordinating Board (NFPCB) of Indonesia has sent three staffs to attend the 4th International Conference on Reproductive Health and Social Science Research (ICRH-SSR) on August 5th - 7th, 2010 in Thailand. The conference was organized by the Institute for Population and Social Research (IPSR) Mahidol University, and the Population and Social Research Development Foundation.

The conference aimed at disseminating the results of research in Reproductive Health and social sciences conducted by researchers and graduate students. The event was attended by 24 participants from six Asian countries i.e.: Indonesia, Thailand, Myanmar, Vietnam, Laos, and Afghanistan. NFPCB staff presented three papers at the forum; 1) Postpartum Contraceptive Use in Indonesia: Recent Patterns and Determinants; 2) Female Sterilization among Cesarean Section Women (A Mapping of Social Demographic) ; and 3) Factors Influencing Adolescent Sexual Behavior in Indonesia 2007. The full paper is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html

UN General Assembly Related to Millennium Development Goals Summit

The Chairperson of National Family Planning Coordinating Board (NFPCB), Deputy Chairperson for Training, Research and Development, and Director of Center for International Training and Collaboration attended the United Nations (UN) General Assembly related to Millennium Development Goals Summit in UN Headquarters, New York, United States of America on September 20 - 22, 2010. The Conference was attended by all of UN member countries. Approximately 70 Presidents/ Head of the States were present to represent their countries. Meanwhile, the others were represented by the Minister-leveled Officials.

The Indonesian delegation members consisted of the representatives of Vice President Office; The Ministry of Foreign Affairs; The Ministry of Health; The Ministry of National Development Planning/Bappenas; The Ministry of Women's Empowerment and Children's Protection; The Ministry of Environment; Unit President, Supervision and Control of Development (UKP4); and the Special Envoy of President for Millennium Development Goals (MDGs) were led by the Minister of Foreign Affairs, with the alternates consisting of The Minister of National Development Planning/The Head of Bappenas, the Special Envoy of President for MDGs and The Chairperson of National Family Planning Coordinating Board.

The assembly agenda comprises plenary sessions, a statement of each country, and roundtable discussions with 5 topics: 1) Addressing the Challenges of Poverty; 2) Hunger and Gender Equality; 3) Meeting the Goals of Health and Education; 4) Promoting Sustainable Development; 5) Addressing Emerging Issues and Evolving Approaches; and 6) Addressing the Special Needs of the Most Vulnerable. The objective of the assembly was to work through the progress of MDGs achievements in UN member countries, the challenges, the aims of future policies and programs, and reinforcing international collaboration. Despitefully, there were also more than 80 other side events.

The assembly's final document ratified by the member countries clearly sent a message that all of the countries still kept their firm commitment to achieve MDGs targets. The UN Secretary General also expressed a message on what should be done in 2015, after the deadline to achieve MDGs.

In this event, the UN Secretary General also launched "A Global Strategy for Women's and Children's Health". The Minister of National Development Planning/The Head of Bappenas expressed a statement about the condition of women's and children's health in Indonesia, the challenges, as well as the policies and programs developed by the government. The Minister explained that one of the strategic steps done by the Indonesian government in accelerating MDGs' achievement, particularly MDG 5, was the issuance of Presidential Instruction No. 3 on April 21st, 2010 which stipulates that all related stakeholders and policy makers to take all the necessary steps to accelerate the achievement of development programs, including MDGs. The Presidential Instruction underlined that it is needed to: 1) improve the quality of health services for women; 2) to assign medical personnel to the primary health center, particularly in regencies/municipalities; 3) to improve the health care facilities in the remote and isolated areas; and 4) to increase the accessibility and quality of Family Planning services to reduce unmet need and unwanted pregnancy.

In the whole, the Conference held in New York had discussed efforts to strengthen the commitment of each Country to perform MDGs' Agreement by developing the policies and programs which were really cost-effective. Despitefully, it urged the Developed Countries to accomplish their promise more and more for global funding matters in MDGs' programs.

The 55th Executive Committee Meeting of ICOMP

The Chairperson of NFPCB attended the 55th Executive Committee Meeting of International Council on Management of Population Programmes (ICOMP) on September 23rd, 2010 in Taicang City, China. The aim of the meeting is to evaluate the activities conducted by the organization in 2009-2010 and to discuss about the direction of the program's development in 2011. He recalled that since the last two years, the Government of Indonesia did not receive any information on ICOMP activities, except some Newsletters. He also expressed the need to strengthen collaboration in implementing the International Conference on Population and Development (ICPD) agenda and to achieve the Millenium Development Goals (MDGs).

The Regional Seminar for NGOs Capacity Building in Population and Reproductive Health for South-South Cooperation

Chairperson of National Family Planning Coordinating Board (NFPCB) was invited to be the speaker at the International Seminar for South-South Cooperation on NGO Capacity Building in Population and Reproductive Health was held in Taicang City, China on September 23 - 25, 2010. At this meeting, Indonesia also sent the Head of NFPCB Central Sulawesi Province, Dra. Djuwartini as participant. The two-day seminar brought all together over 30 participants, among them are representatives of NGOs from Asia, Africa and Latin America, senior officials from international organizations such as Partners in Population and Development (PPD) and International Council on Management of Population Programmes (ICOMP) as well as senior government officials and experts in population and Family Planning.

This seminar was co-sponsored by the National Population and Family Planning Commission (NPFPC) and International Council on Management of Population Programmes (ICOMP). It was aimed at providing a platform for NGOs to discuss and share views for future directions. Major discussions held in the seminar were focused on capacity building, partnership between Governments and NGOs, resource mobilization, sexual Reproductive Health and rights, technologies, youth, and knowledge sharing. Experts from Asia and Africa also shared regional practices in implementing the ICPD agenda. Globally, NGOs are playing an increasingly important role in development programs especially in the field of population, Family Planning and Reproductive Health. Through their hard work, dedication, commitment and with their professional competency and integrity, NGOs have contributed to the attainment of the ICPD goals and MDGs.

In his statement, the Chairperson of NFPCB extended the experience in the cooperation between the government and NGOs in developing the Family Planning program in Indonesia. DR. Sugiri Syarief highlighted the opportunities as well as challenges for government and NGOs collaboration. He also expressed the Indonesian views on the importance of NGOs role in implementing the national development programs, including in Population, Reproductive Health, Family Planning and women's empowerment programs. The Indonesian government has established and strengthened platforms for dialogue and partnerships with NGOs in policy and law formulation, program development and implementation. The full statement is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html

International Symposium on Population and Development Theme: Reproductive Health and Women Development

Deputy Chairperson for Family Welfare and Family Empowerment, the Director of Family Planning and Reproductive Health Research and Development Center, and member of the Parliament's Commission IX was invited by the Government of China, Partners in Population and Development (PPD) and International Council on Management of Population Programmes (ICOMP) to attend The International Symposium on Population and Development on September 27th - 28th , 2010.

The meeting was to discuss about and to exchange experiences between the participants from different participant countries in the women empowering program in Population and Development program. In the meeting the Head of Family Planning and Reproductive Health Research and Development Center presented paper on the women empowering program in Family Planning and Reproductive Health program in Indonesia titled "Promoting Women Development by Improving Health Service Delivery: The Indonesian Experiences". The paper ranged from the current status of maternal health; policy, program and strategy; as well as the society participation. It also illustrates some example of women participation activities toward the maternal health program in grass root level. He also emphasized that women development and maternal health program is connected to one another. On the one side, the maternal health which is attributed by the maternal mortality is an essential indicator of women development. On the other hand, the maternal health program requires the full participation of community including women.

The current figure of maternal health is still a challenge for Indonesia. MDGs 5 is the most lag behind achievement that experienced by Indonesia. Therefore the Government of Indonesia strives to improve healthcare services for women. Further, the success of the maternal health program in Indonesia also very much contributed by the participation of Non Government Organization (NGOs), Civil Society Organizations (CSOs) including women organization, and community as well as religious leaders. Many NGOs and CSOs including those are the women organization and faith based organizations have been a front-runners in innovative approaches for issues related to women's health, reproduction and Family Planning in Indonesia. The full paper is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html

Trilateral Meeting with the Theme: Urbanization and Social Policies on Public Service Provision and Integration

Deputy Chairperson for Family Welfare and Family Empowerment, the Director of Family Planning and Reproductive Health Research and Development Center, and member of the Parliament's Commission IX attended Public Service Provision and Social Cohesion in the Context of Urbanization Perspectives of Trilateral Cooperation in China Training Center for Reproductive Health and Family Care on September 29, 2010.

The workshop aimed at providing a platform to exchange information, knowledge and experience between China, Indonesia and Germany in managing urbanization. In addition, the workshop will explore strategies and solutions to tackle issues such as social integration and resource mobilization. Discussions were focused on social policies on public service provision and integration, and measures for promoting social cohesion by providing basic public services. The workshop also developed proposals on the future direction of the trilateral cooperation.

The Director of Family Planning and Reproductive Health Research Center presented as a speaker in this meeting. He described about Indonesia's experience in providing the social service means for the urban people especially the impoverished and those dwell slum area. He also emphasized that China and Indonesia should place more emphasis on the equal provision of basic public services. The Indonesian Government is now committed to expand collaboration between private and public sectors in providing public services and to establish a public service network covering both urban and rural areas. The meeting was ended with a field visit to Taicang Migrant Population Services.

Facilities and Family Care Services Center to observe and have discussion directly with people and community who managed the program as well as beneficiaries to see the benefits and constraints which they faced in running the programs. Full statement is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html

Asian Population Association Conference

The Asian Population Association (APA) Conference was held in New Delhi, India on November 16 - 20 2010. One staff of NFPCB presented a poster titled "Millennium Development Goal Five (MDG 5) on Maternal Health in Indonesia, 2007". The poster was developed based on the 2007 Indonesian Demographic and Health Survey by selecting two maternal health indicators, namely Skilled Birth Attendants (SBAs) and fertility, measured by the mean number of Children Ever Born (CEB). Based on the analysis, the poster concluded: 1) rural women in Indonesia have a statistically significant lower chance of having deliveries attended by Skilled Birth Attendance (SBAs) compared to their urban counterparts; 2) women's desired number of children has the strongest influence on the higher mean of Child Ever Born (CEB) in rural areas and a delay in women's age at first marriage has been the primary factor in the smaller CEB in urban areas.

Some of the questions asked regarding the poster were the achievement of Indonesia in meeting MDG 5 and the role of government programs in reducing the discrepancy between maternal health's achievement in urban and rural areas. Further research and collaboration with other countries were recommended to accelerate the achievement of the MDG 5.

Further, the papers presented in the conference revealed that the Asian countries share similar challenges in meeting the MDG 5, such as unwanted pregnancy among unmarried women that leads to unsafe abortion due to limited access to Family Planning services. Many of the Family Planning programs in Asian countries restrict their services to unmarried couples.

High Level Family Planning Consultation Meeting

Chairperson of National Family Planning Coordinating Board (NFPCB), DR. dr. Sugiri Syarief, MPA and Deputy Chairperson for Training and Development, Dra. Kasmiyati, MSc. attended the High Level Family Planning Consultation Meeting held by the Asia Pacific Regional Office (APRO) of UNFPA and International Council on Management of Population Programmes (ICOMP) in Bangkok, Thailand on December 8 - 10, 2010.

At the meeting the Chairperson of NFPCB made a statement on the current policy and strategies of the government Family Planning program. This statement is a response to Dr. Adrian C. Hayes's paper titled "the Status of Family Planning and Reproductive Health in Indonesia 2010". With regard to unmeet need for Family Planning services, Dr. Sugiri explained that the policy to provide free contraceptive devices for the disadvantaged is continued. He also mentioned the Family Planning services are included in the Health Services Assurance for the disadvantaged families. In areas with very high unmet need and very low contraceptive prevalence rate (CPR), the government provides free contraceptive devices to all couples (not only to the disadvantaged). These include Papua, West Papua, Maluku, North Maluku, Nanggroe Aceh Darussalam, East Nusa Tenggara and West Nusa Tenggara provinces.

In line with the Presidential Instruction No. 1-2010, the government will improve the Family Planning infrastructures and service provision in 23,500 government and private clinics throughout Indonesia until 2014. Dr. Sugiri also described NFPCB strategies for increasing the use of long term contraceptive methods. One of the NFPCB strategies for 2011 is training on Intra Uterine Device (IUD) and implant insertion and removal for approximately 35,000 midwives and 10,000 general practitioners. Upon finishing the training, the participants will receive IUD kits. Training on male and female sterilization will also be provided for 2,000 general practitioners. These training programs are expected to improve the quality of post-partum contraceptive services provided by midwives and sterilization services provided by the teaching hospitals.

In his concluding remark, Dr. Sugiri highlighted the current role of NFPCB central office as a think-tank organization, developing policies and providing technical assistance to district/municipal governments. To be able to perform this role, NFPCB need to continuously improve its human resources capacities.

Consultative Meeting on Networking among Partners Institutions: Progress and Challenges

National Family Planning Coordinating Board (NFPCB) assigned the Head Division for International Training, Dr. Sunarto Siswoharyanto, to attend the Consultative Meeting on Networking among Partners Institutions: Progress and Challenges, organized by Partners in Population and Development (PPD) in collaboration of China Training Center (CTC) of Reproductive Health and Family Care which was held on December 17-18, 2010 in Taichang, China. This consultative meeting was attended by 25 principles of partner insitutions from 13 member countries, i.e. Bangladesh, China, Egypt, India, Indonesia, Ghana, Mexico, Morocco, Kenya, Senegal, South Africa, Thailand, Tunisia and Uganda.

The aims of meeting are to facilitate experience sharing among partner institutions on the application of the generic modules for the training on population, Family Planning, Reproductive Health and gender yang that has been developed by PPD, success stories and constraints in the integration process, identification of opportunities and challenges, and to develop an Action Plan for reinforcing the partner institutions network in the next two years

In this event, Mr. Harry, the Executive Director of PPD, underlined the importance of capacity development as the centerpiece of all development cooperation and the focus of all development activities. This has also been the central value of PPD in its efforts to facilitate South-South Cooperation. He stressed that the networking of the PPD partner institutions is unique and shall be taken into full play to promote the capacity building in population and development. Meanwhile, Mr. Hu Hongtao, Director-General, the Department of International Cooperation, National Population and Family Planning Commission (NPFPC) of China, stated in his opening speech that China attaches great importance to South-South Cooperation in population and development. China devoted itself to various initiatives that PPD has made in the documentation of the best practices, development of training modules and networking of the partners institutions. He also stressed that both capacity building and experience sharing are important components for South-South Cooperation.

During the two-days meeting, it had been widely acknowledged that the four generic modules provided international perspective, useful reference, comprehensive framework and guideline for training curricula development. However, constraints such as insufficient financial investment, shortage of human resources and the absent of best practice were also heavily mentioned. In this opportunity, Dr. Sunarto presented paper about the Indonesian experience in integrating the PPD generic modules into the Family Planning Program. The integration was carried out through the national training programs on population issues at national and provincial levels.


TECHNICAL ASSISTANCE AND PROGRAM DEVELOPMENT

Advance Family Planning (AFP) Program Technical Assistance for Organizational Development of NFPCB

The Gates Foundation and the John Hopkins University through the AFP program helps the development of the organization of National Family Planning Coordinating Board by hiring 2 consultants (international as well as domestic). This technical assistance is related to the change of the role and function of NFPCB by the issuing of the presidential decree Number 62/2009 regarding NFPCB organization. Under this decree NFPCB is a National Population and Family Planning Board. Besides handling the Family Planning matters, the institution of NFPCB will also handle the population policy. The consultants' recommendation is an advantage to NFPCB in conducting the reorganization according to the existing mandate and referring to the modern management approach.

USAID Technical Assistance for Optimizing the Utilization of Data from the Indonesia Demographic and Health Survey (IDHS) 2007

The technical assistance from USAID through Macro, Inc. is an implementation of the agreement in 2009. In 2010 further utilization of IDHS 2007 had been conducted. The project consists of two main activities: 1) capacity building in data analysis and utilization; and 2) understanding and using data for program planning and monitoring.

For capacity building in data analysis and utilization, 33 teams of researchers from the provincial level were established. Each provincial team consisted of three researchers, i.e. from the Provincial National Family Planning Coordinating Board office, the Provincial Health Office, and the Provincial Center for Population Study or other institute at the university. A training program on analysis and utilization of large survey data for program and policy purposes was provided for these teams of provincial level researchers, along with researchers at the national level from NFPCB, Ministry of Health, Central Board of Statistics, Indonesian Science Institution, Institute of Demography-University of Indonesia, and Population Study Center, Gadjah Mada University.

The training was held in two locations. University of Indonesia was responsible for one workshop for participants from provinces in western Indonesia, and Gadjah Mada University was responsible for the second workshop for participants from provinces in eastern Indonesia. Following the workshop, the provincial teams were responsible for analyzing IDHS data and preparing provincial snapshots and provincial policy briefs. Currently, 33 provincial teams have prepared snapshots which summarize the population, Family Planning, and health information. The snapshots were mostly in the form of graphic presentation and comparison of provincial and national data. These snapshots will be used throughout the project.

The second main activity is to implement half-day seminar at national level. The aim of the meeting was to increase the understanding and utilization of IDHS data for program planning, monitoring, and implementation. The national seminar presented the current situation and challenges related to population, Family Planning, and health to high-level government officials and other stakeholders. The seminar also provided information from the IDHS and other sources for the purpose of identifying problem areas and programs that need to be strengthened. The seminar was conducted by the University of Indonesia in collaboration with NFPCB and Ministry of Health. Around 150 participants were invited to the seminar.

Celebration of World Population Day

K4Health, National Family Planning Coordinating Board (NFPCB) and UNFPA sponsored a World Population Day (WPD) commencement event on July 28th, 2010. The event was attended by representatives from the Ministry of Health, NFPCB, Parliament, local and international NGOs, journalists, and the private sector. This was a forum for discussion on knowledge management needs, adolescent Reproductive Health and Family Planning education, community empowerment, and the development of relevant materials and advocacy tools.

World Population Day 2010 was focused on the importance of data - including the 2010 Population Census - for development and policy making. "With quality data we can better track and make greater progress to achieve the Millennium Development Goals, and promote and protect the dignity and human rights of all people," explained Thoraya Ahmed Obaid, Executive Director of the UNFPA.

One highlight of the WPD event in Indonesia - a discussion about recent social network mapping activities - demonstrated how data can be used to influence Family Planning policy making. Net mapping activities, using the Net-Map Toolbox methodology, were carried out in two districts and highlighted communication patterns and bottlenecks in the Family Planning budget planning mechanism. These activities resulted in several recommendations: simplification of the bottom-up district planning process, refinement of the link between reporting and budget planning processes, development of an integrated planning process, and strengthening of advocacy and data analysis skills of Family Planning officials at the district level. These recommendations will become part of a six-month K4Health strategy to create an Indonesian E-toolkit focusing on: media advocacy, integration of FP within the larger context of population, health, and environment (PHE), and knowledge management approaches

K4Health Reproductive Health Indonesia E Toolkit

USAID through the Johns Hopkins Bloomberg School of Public Health - Center for Communication Programs, Indonesia assists Indonesia to develop the E Toolkit specially for the population, Reproductive Health and Family Planning programs. NFPCB is the main partner of this project, beside the other stakeholders of population, Reproductive Health and Family Planning programs in Indonesia.

The E Toolkit is a collection of selected information resources in a broad range of health topics for health policy makers, program managers and health workers in providing health services such as Family Planning, Reproductive Health, HIV/AIDS, child health, as well as population and environment. This Toolkit has already been used in a number of developing countries to obtain accurate and current information to be conveyed to their clients in the Family Planning program services. Several countries in Sub-Saharan Africa, Asia, Middle East and Latin America have also conducted need assessment for health information. By using information compiled in the toolkit, K4Health together with partners will build local capacity and promote the exchange of knowledge while creating a sense of ownership to ensure sustainability of the program in these specific countries.

K4Health Reproductive Health Indonesia E Toolkit is an effective tool to compile and share information from various stakeholders. This media can also have links to websites for further information. The format was ready to use for Indonesia, but the local contents were still being discussed, defined and developed by the local working groups. The template is in Bahasa Indonesia and the limit on the content format has been broadened to accommodate the use of interactive media such as video, etc.

Experts in the respective fields have joined together in the Indonesian Technical Working Group (TWG) in preparing this toolkit. By using a collaborative web-based instrument that has been compiled from the K4Health Toolkit Application, the Indonesian (TWG) has developed the on line toolkit. The topic currently included in the K4Health Reproductive Health Indonesia E Toolkit is adolescent Reproductive Health, with policy makers, program managers and providers of adolescent Reproductive Health as the main target audiences.

The soft launching of the K4Health Indonesia E Toolkit was held in December 21, 2010 and will be followed by a wider publication using video conference at the Central Office of National Population and Family Planning Board in January 13, 2011. Detailed information on K4Health Reproductive Health Indonesia E Toolkit is available at http://www.k4health.org/indonesia.
UNFPA 8th Country Program for the Period of 2011 - 2015

On 2010 the UNFPA and the government of Indonesia implemented the finalization of preparation of round 8 of UNFPA program in Indonesia (2011-2015). The UNFPA programs in Indonesia are coordinated by the Ministry of National Development Planning/National Development Planning Agency.

Regarding the population program, especially Family Planning, round 8 of the UNFPA program is focused on 14 priority activities, namely.

1. Facilitation on the translation of the Government Law No. 52 of 2009 concerning Population Development and Family Development.

2. Facilitation on the translation of the Government Law No. 52 of 2009 concerning Population Development and Family Development.

3. Advocacy to revise government/local governments policies and regulations that are unsupportive to Family Planning program;

4. Development of a community-based model in reducing unmet need for Family Planning services in several districts;

5. Facilitating the development of the contraceptive commodity security mechanism in several districts;

6. Development of religion-based ARH information centers in several districts;

7. Development of IEC/BCC-based Information and Communication Technology (ICT) for ARH programs;

8. Development South-South Cooperation, particularly on the Reproductive Health Commodity Security (RHCS), the role of religious leaders, community participation, and advocacy/BCC;

9. Facilitation to translate of the concept of the Family Planning Program revitalization into programs and activities;

10. Development of evidence-based advocacy and BCC strategy for the Family Planning and ARH programs in several districts;

11. Advocacy to religious leaders and the media (including traditional media);

12. Facilitation to amend/revise the Law No. 1 / 1974 regarding the legal minimum age of marriage for men and women;

13. Preparation of the lesson learned after 20 years of implementation of the ICPD PoA; and

14. Facilitation to prepare the grand design of the population policies in line with the new role of NFPCB as the National Population and Family Planning Board.


INSTITUTIONAL RELATIONSHIP

Three-Lateral Meeting among NFPCB, Indonesia; Ministry of Population Welfare, Pakistan; and UNFPA

On October 27, 2010, the officials from the Ministry of Population Welfare, Pakistan and The National Family Planning Coordinating Board (NFPCB), Indonesia, agreed to strengthen the collaboration between both parties in the areas of contraceptive commodity security and improving the human capacity of the management of the Family Planning program. The agreement was stated in the minutes of meeting. Both parties request their respective UNFPA country office to support the collaboration which will be developed based on the long term commitment.

Several issues discussed during the meeting are: 1) developing mechanism of contraception commodity trade exchange between Indonesia and Pakistan; 2) capacity building on Reproductive Health commodity security (RHCS) for the management of Family Planning program of Pakistan and 3) sharing experiences with the government of Pakistan on the role of Moslem leaders and Moslem faith based organizations in population, Reproductive Health and Family Planning programs in Indonesia.

On this meeting, the Ministry of Population Welfare, Pakistan and NFPCB have approved three stages in formalizing the collaboration. These are: 1) conducting feasibility study on contraceptive commodity security supply of Pakistan and international trading; 2) exchanging high level visit and technical assistance to formulate the plan of action of the collaboration; 3) signing the collaboration agreement. The Ministry of Population Welfare, Pakistan and NFPCB, Indonesia requested both UNFPA in Pakistan and in Indonesia to actively support the achievement of the three stages. The agreement is expected to be signed by October 2011.


INTERNATIONAL CONFERENCE

The 15th Annual Board Meeting of Partners in Population and Development and the International Conference on Promoting Family Planning and Maternal Health for Poverty Alleviation

The 14th Annual Board Meeting of Partners in Population and Development in Beijing, China, in 2009 appointed the National Family Planning Coordinating Board (NFPCB) to host the 15th Annual Board Meeting of Partners in Population and Development. This board meeting was held in Yogyakarta, Indonesia, in 2010.

Along with the meeting, Partners in Population and Development (PPD) and the Government of Indonesia (NFPCB) supported by UNFPA Indonesia organized an international conference, i.e. "The International Conference on Promoting Family Planning and Maternal Health for Poverty Alleviation" on October 26-28, 2010.

The aims of conference are to identify and discuss the progress of current population programs, while also providing input to the Board Members to develop a global population policy direction for the future. Officially opened by the Vice President of the Republic of Indonesia, the conference was attended by around 300 participants some of them are ministers, members of the PPD, as well as representatives of international organizations. In his speech, the Vice President of Indonesia underlined the importance of this meeting for strengthening the South-South Cooperation, especially in supporting the achievement of MDGs 4 and 5. The Vice President also called the attention of the developed countries to provide support to assist developing countries in the field of Maternal Health and Family Planning through Official Development Assistance (ODA).

The consensus reached in the Board Member Meeting and the International Conference was composed in the "Yogyakarta Declaration" which is expected to serve as guidance for the direction of the global population policy. The Yogyakarta Declaration is shown in http://www.itp-bkkbn.org/pulin/004_population_data_information.html. The Board meeting also agreed that the next board meeting in 2011 will be held in South Africa.


LIST OF PUBLICATIONS
  1. Changing Brass Into Gold (Printed Material)
  2. Serving the task of humanity (Printed Material)
  3. The Indonesian Council of Ulama's Fatwa on Population, Reproductive Health and Family Planning (Printed Material)
  4. Socio-Economic and Demographic Determinats of Maternal Health Care Utilization in Indonesia (Printed Material)
  5. Determinants of Unintended Pregnancy in Indonesia (Printed Material)
  6. Return of Fertility after Discontinuing Reversible Contraceptive Methods in Indonesia (Printed Material)
  7. Contraceptive Use Patern Among Married Women in Indonesia (Printed Material)
  8. MILLENIUM DEVELOPMENT GOAL FIVE ON MATERNAL HEALTH IN INDONESIA, 2007: How does the Progress toward Skilled Birth Attendance (SBAs) Go So Far? Printed Material)
  9. MILLENIUM DEVELOPMENT GOAL FIVE ON MATERNAL HEALTH IN INDONESIA, 2007: How does the Progress toward Fertility Go So Far? (Printed Material)



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FOREWORD
INTRODUCTION
HIGH LEVEL VISIT
SHORT VISIT
INTERNATIONAL TRAINING AND OBSERVATION STUDY TOUR
CAPACITY BUILDING
THE ROLES IN INTERNATIONAL FORUM
TECHNICAL ASSISTANCE AND PROGRAM DEVELOPMENT
INSTITUTIONAL RELATIONSHIP
INTERNATIONAL CONFERENCE
LIST OF PUBLICATIONS
QUESTIONARE ON ANNUAL REPORT 2010


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