NATIONAL FAMILY PLANNING COORDINATING BOARD (BKKBN)
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ANNUAL REPORT 2009
FOREWORD
From Deputy for Training and Development

It is my honor to present the Center for International Training and Collaboration 2009 Annual Report as the medium to convey to our stakeholders the report on the implementation of international training program, collaboration and partnership in the fields of Population and Family Planning/Reproductive Health (FP/RH) held by BKKBN during 2009.

In the past five years, BKKBN has worked hard to improve international training and collaboration on population and FP/RH. In so doing, BKKBN has received great support from international donors. Their support indicates not only their strong commitment on demographic, FP/RH issues but also their trust in BKKBN as one of the Centers of Excellence in the fields of Population and Family Planning/Reproductive Health in the world.

In this opportunity, I would like to extend my gratitude to BKKBN fellows from many countries for your visit to Indonesia to share experiences on the management of demographic and FP/RH programs. I must thank the donors and the international community for their support on training programs and observation study tours as they have provided technical assistance, funds as well as international training participants. I would also like to thank the UNFPA Indonesia and UNFPA of friendly nations in particular Iran, Ethiopia, Mongolia, Democratic People Republic of Korea (DPRK), APRO-UNFPA Bangkok, JICA and Partners in Population and Development (PPD) for their respectable collaboration in 2009. I wish for our collaboration to continue in the future.

I would like to extend my gratitude to the Chairperson of BKKBN DR. Dr. Sugiri Syarief, MPA for his continuing support as in giving the opportunities to hold international programs during the past years. Last but not least, allow me to extend my appreciation to BKKBN Center for International Training and Collaboration for their efforts in implementing various programs as reported in this annual report. Thank You



Jakarta, February 2010

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

INTRODUCTION

Center for International Training and Collaboration (CITC) is a unit of the National Family Planning Coordinating Board (NFPCB)/Badan Koordinasi Keluarga Berencana Nasional (BKKBN) which responsible for the implementation and management of international training program and international collaboration and partnership of BKKBN. Under the supervision of Deputy for Training and Development, during 2009 CITC successfully holding three observation study tours, five short visits, two international trainings and three high level visits of representatives from developed and developing countries. CITC also sent 22 BKKBN representatives as speakers on international forums and 74 BKKBN officials to participate in short-term and long term capacity building program overseas. In addition, CITC facilitated two international technical assistance activities and four activities in strengthening institutional relationships attended by BKKBN stakeholders. In order to summarize and extend the information on the implementation of these activities to its stakeholders and partners, BKKBN Center for International Training and Collaboration proudly presents its 2009 Annual Report.


OBSERVATION STUDY TOUR

Bangladesh and Indonesia Exchange Views and Experiences on the Role of Moslem Leader in Family Planning and Reproductive Health Program

The observation study tour was held from 9 to 16 August 2009 with eight Bangladesh religious leaders as participants. The objective of the study tour was to share views and experiences of Indonesian Government in strengthening the role of Moslem Leader and Faith-based Organization in Family Planning and Reproductive Health (FP/RH) program. During the visit, participants met and discussed about the role of Indonesian Moslem Leaders in Family Planning and Reproductive Health program with representatives from the Indonesian Government agencies (ie. BKKBN and the Ministry of Religious Affairs), Faith-based Organizations and prominent Moslem Leaders. In the discussion with BKKBN representatives, participants gained information related to the policy, management and implementation of Family Planning and Reproductive Health Program in Indonesia as well as the efforts to improve the involvement of Moslem leaders in the program. On the visit to the Ministry of Religious Affairs, participants were informed about the important role played by Moslem Leaders and Faith-based Organization in Family Planning program such as promoting small family norm through the pre wedding counseling namely "Keluarga Sakinah" program.

BKKBN also facilitated participants to have a direct communication and observation on the activities done by several Faith-based Organizations, namely Indonesia Council Ulama (MUI) and Nahdlatul Ulama (NU), in supporting Family Planning program. Participants were informed about the MUI supports to Family Planning Program in creating the quality and prosperous family in Indonesia. During the visit to Nahdlatul Ulama (NU), participants gained information about activities held by NU in supporting Family Planning Program. One of them is the Reproductive Health Education program through pre wedding counseling- the new program that has recently been launched by NU which is supported by BKKBN and UNFPA - Indonesia.

Participants also visited two Islamic boarding schools, namely Al-Azhar and Darun Najah, to observe how they implement the Adolescent Reproductive Health (ARH) Program. During the visit, participants were informed that ARH program is integrated in the subject of "Munakahat" (Biology) while pre wedding counseling is provided as the extracurricular activities. Moreover, these schools also provide subject concerning to women's health namely "Nisaiyah". These subjects aim to enhance adolescent knowledge on reproductive health.

Delegation of CPPCC Guangdong Provincial Committee and Indonesia Exchange Views and Experiences on Family Planning and Reproductive Health Program

The study was held from 15 to 17 November 2009 and attended by three representatives from Guangdong Provincial Committee of the Chinese People's Political Consultative Conference (CPPCC). The objective of the study tour was to share ideas and experiences in organizing and implementing the Population and Family Planning / Reproductive Health Program in the two countries, China and Indonesia. Participants exchanged experiences with BKKBN high and middle level officials on the issues, problems and barriers faced by BKKBN related to the implementation of population and family planning program in Indonesia. The issue of the family planning program decentralization in Indonesia dominated the discussion. Reviewing the achievements of Family Planning Program in both countries, various indicators showed that the Family Planning program in China has relatively more advance than in Indonesia. But participants recognized that this may have been attributable to the differences in the social economic and the government system between the two countries.

Participants then visited Yogyakarta Special Province, one of the provinces with the best Family Planning program performance in Indonesia. Participants discussed about the management of the program in Yogyakarta with BKKBN middle and senior level officials. To gain more experiences of the program, participants also visited the Family Planning/Reproductive Health Center. Moreover, participants were given the opportunity to visit the Parenting Center, a pilot project of family resilience program developed by BKKBN Yogyakarta Special Provincial Office. The project aims to provide quality services of child health and adolescent reproductive health as well as to empower family through the Family Income Generating Activity (UPPKS). During the visit to the Indonesian Planned Parenthood Association (IPPA), participants observed and had a dialogue with representatives from IPPA concerning to "a one stop services" on the adolescent reproductive health program.

Vietnam and Indonesia Exchange Views and Experiences on the Coordination and Implementation of Population Policy and Program

he observation study tour was held from 15 to 25 November 2009 with 10 senior officials of the Vietnam General Office for Population and Family Planning (GOPFP) as participants. In order to gain knowledge on the development and implementation of policies on population and development in Indonesia, participants had the opportunity to have a discussion with officials from different government and non-government institutions in Indonesia. The discussion focused on the issues of population covering the Indonesia's MDG's achievement; demographic dividend and government responses to population policy and program management. In term of programmatic, participants were also informed about population program which is directly linked with Family Planning, Transmigration, and Population Administration programs. While the quality aspect (i.e. health and education) is designed under the Human Resource Development (HRD) sector. Apart from that, participants also informed about the gender and woman empowerment program with emphasis on maternal and child health to improve reproductive health.

After the discussion, participants learned how Indonesian Government has placed population and development issues on its policy development, developed and formulated policy in response to population and development issues and encouraged related agencies to effectively employed the strategy, monitoring and evaluation system on the implementation of population and development policy in Indonesia.

Participants had the opportunity to visit the Kampung Improvement Project (KIP). The KIP is a project initiated by government and local community to improve the quality of life of the people in urban slum areas through the provision of clean water; sanitation; health facilities and education; while the community economic status were improved through the provision of micro credit. During the visit, participants also observed Integrated Services Post (Posyandu) as community participation covering health, family planning, and income generating activities.


SHORT VISIT

Afghanistan Delegation Visit BKKBN to Share and Exchange Views on Family Planning and Reproductive Health Programs

On January 14, 2009, four representatives from the Afghanistan Ministry of Health visited BKKBN to share and exchange views on family planning and reproductive health programs. This was part of a three months training on family planning and reproductive health (FP/RH) at the Faculty of Public Health, University of Indonesia.

In the short visit, participants met the BKKBN middle level officials to have a discussion on the implementation of Family Planning program in Indonesia. Participants learned the strategy employed by BKKBN in facing challenges during decentralization era. In response to the shift from centralized to decentralized paradigm, BKKBN redefined and reformulated its vision, mission and strategy. In addition, BKKBN has advocated the local governments to sustaining Family Planning program.

In this discussion, participants also gained information about the strategies employed by BKKBN to improve the quality of Family Planning services. One of them is by conducting medical training, pre-service and in-service, for health providers. Technically, the training was organized through the National Clinical Training Network in Reproductive Health (JNPK), Local Government Support Program (P2KS) and Primary District Clinical Training focused on IUD and implant insertion, vasectomy and tubectomy.

Bangladesh Delegation Visit BKKBN to Share Views and Experiences on Family Planning Management Information System (MIS)

Sixteen participants from the Bangladesh Ministry of Health and Family Welfare visited BKKBN on 7 - 8 May 2009 to share views and experiences on Family Planning Management Information System (MIS) in Indonesia with BKKBN middle level officials. During the discussion participants were informed about the application, particularly about the current routine recording and reporting system developed by BKKBN to monitor the progress on the implementation of family planning program and services as well as the family empowerment and resilience programs at the local levels. Participants also learned the information technology (IT) that is currently applied in BKKBN recording and reporting system which provides the Chairperson of BKKBN a direct access to oversee the progress of the implementation of family planning services and family empowerment programs at the local levels.

Moreover, participants also obtained information concerning the procurement system and logistic management applied by BKKBN which enables all enterprises, local and international, to participate in the contraceptives bidding based on qualification standards maintained by the Indonesian Government. They also visited BKKBN warehouse in Jati Mekar, Bekasi in order to observe the contraceptive distribution system and the contraceptive storage standard applied by BKKBN.

Bangladesh Delegation Visit BKKBN to Share Views and Experiences on Family Planning and Reproductive Health Services

Seventeen participants from the Bangladesh Ministry of Health and Family Welfare visited BKKBN on 25 May 2009 to share views and experiences on family planning and reproductive health in particular the strategy implemented by BKKBN in the decentralization era. During the discussion participants obtained knowledge that the decentralization has affected the performance of the national FP program. In response, BKKBN has redefined and reformulated its vision, mission and strategy.

Participants were also informed about the development of family planning policies in Indonesia. There are three major family planning policies that have been developed namely population control during the 1970's until the mid 1980's, self-reliance between the mid 1980's and the early 1990's and improved access and quality care following on the 1994 ICPD. They all together have contributed to Indonesian fertility decline over the span of three decades. They have also - to certain extent - played a role in the social revolution in reproductive health in Indonesia. The last policy i.e. improving access to and quality of family planning services has employed the following strategies:

1. Help couples and individuals meet their reproductive goals by promoting optimum health, responsibility and family well-being and respecting all persons' rights to choose the number of children they want and the spacing and timing of their birth;

2. Prevent unwanted pregnancies and the incidence of high-risk pregnancies to reduce maternal morbidity and mortality;

3. Make quality family planning services affordable, acceptable and accessible to all who need and want them while maintaining confidentiality;

4. Improve the quality of family planning advice, information, education, communication, counseling and services;

5. Increase the participation and shared responsibility of men in the practice of family planning;

6. Promote breast-feeding to prolong birth spacing

Bangladesh Delegation Visit BKKBN to Exchange Views and Experiences in Developing Human Resources in Health

Five representatives from the Bangladesh Ministry of Health and Family Welfare participated in a short visit to BKKBN on 21 July 2009 to exchange experiences in the management of human resources of the Indonesian Family Planning Program. In this visit, participants met the BKKBN middle-level officials to discuss about the human resources family planning program in Indonesia, both of internal BKKBN and strategic partners. In addition, they also learned the strategy utilized by BKKBN to improve the quality of its human resources. BKKBN has made efforts to strengthen its relationship with its' stakeholders such as related government institutions, health offices at district levels, BKKBN Provincial Offices and Offices of Family Planning Management at district levels, and also private sectors such as pharmaceutical companies, private health providers, professional organizations, NGOs, CSO, Faith based organizations and associations of women empowerment. More importantly, BKKBN has implemented capacity building programs to improve the quality of its human resources and produce qualified and professional officials in the field of population, family planning and reproductive health. Those programs include degree program, short - term training (overseas/in-country/in house/outsourcing), Observation Study Tour (OST) (in country/overseas), contraceptive technology up to date, workshops and orientation.

Short Visit of the Asia-Pacific Rural and Agricultural Credit Association (APRACA) to Overview the Poverty Alleviation Programs in Indonesia

On 2nd August 2009, 12 participants from the Asia-Pacific Rural and Agricultural Credit Association (APRACA) visited BKKBN to share and exchange the experiences on the implementation of poverty alleviation programs developed by BKKBN. BKKBN officials elaborated the philosophy, policy and strategy of its poverty alleviation program named "Family Income Generating Activities" (UPPKS). This program is developed to enhance family and community awareness on the importance of improving family welfare. Under this program BKKBN facilitated groups of productive economic activities to get support from government in implementing the generated income activities. Through this activity BKKBN has contributed to poverty alleviation as those groups have women of less privileged or lower income families that are current users of contraception as their members. BKKBN also supports this program by providing those groups with training such as in business management and marketing techniques through BKKBN stakeholders and partners.


INTERNATIONAL TRAINING

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

This training is the second batch in period between years 2008 - 2010 supported by the Government of the Republic of Indonesia (GoI) and the Government of Japan through the Japan International Cooperation Agency (JICA). It was conducted from 13 October to 11 November 2009 attended by 20 trainers from 6 countries consisted of: Cambodia, Kenya, Yemen, Ethiopia, Mozambique and Timor Leste. The general objective of the training is to enable the participants to understand and to develop communication strategic planning, processes, and techniques in Family Planning/Reproductive Health, while this is further translated in a range of specific objectives. The specific objectives include to upgrade the participants' knowledge in formulating the Family Planning/Reproductive Health program policies, strategies, and approaches; to formulate the Family Planning/Reproductive Health Communication Strategy, particularly at district and grass-root levels; to describe steps and processes of Family Planning/Reproductive Health Communication Strategy by using Assessment, Communication Analysis, Design and Development, Action and Evaluation (ACADAE) tool approach and to develop Family Planning/Reproductive Health key massages using P-Process tool.

The course comprised three parts: class session implemented in Jakarta, field visit conducted in Yogyakarta and Bali and country assignment. During the class session, participants were informed about general introduction on Family Planning/Reproductive Health Policies and Program in Indonesia. In this opportunity, participants also presented their country program situations. The session continued by participants' observation on the implementation and the management of Family Planning/Reproductive Health program at the field level. At the last part of the training, some experts from BKKBN disseminated knowledge on ACADAE and the P-Process while participants were assigned to present their country assignments on communication strategy.

Training of Trainers on Reproductive Health Commodity Security (RHCS)

This training is a joint program between BKKBN, UNFPA - Indonesia and Asia Pacific Regional Office (APRO) - UNFPA Bangkok which was attended by 23 participants from 11 countries namely; Afghanistan, Iran, Myanmar, Mongolia, Timor Leste, Ethiopia, Madagascar, Congo D.R.C, D.P.R Korea, Sudan, and Indonesia. This activity was held from 16 to 25 November 2009 by CITC BKKBN. Until present, the alumni of the Reproductive Health Commodity Security (RHCS) training has summed up to 94 persons from 23 countries.

The objective of the training was to improve the knowledge and skill of the participants in developing the RHCS program in their respective countries. Participants were not only expected to become trainers or facilitators in their respected countries, but also they were supposed to exist at a wider level of the Asia-Pacific region. In this training, the participants were equipped with advanced technical skills on strategic pathways to RHCS, key aspects on dividing area in logistics management, mastering soft-wares on logistics management (RHCS, Logistics, Logistics Management Information System (LMIS), CHANNEL, Country Commodity Manager/CCM software, RH Costing, and Forecasting). BKKBN also facilitated the discussion between participants and BKKBN officials in order to improve participants' knowledge on the policy and contraceptive management; and the mechanism of the contraceptive devices distribution. At the end, participants outlined and presented the plan of action regarding contraceptive commodity security.


HIGH LEVEL VISIT

Pakistan High Level Delegation Visit Indonesia to Share Views on the Role of Moslem Leader on the Family Planning Program Implementation

On February 26-27, 2009, the delegation of Pakistan consisted of six senior officials from Secretariat Ministry of Population Welfare, Ministry for Population Welfare North West Frontier Province, Religious Scholar of Lahore, Religious Scholar of Kaothir, Senior Manager Operations of Green Star Social Marketing, and Pakistan District Population welfare visited BKKBN to exchange views and experiences in family planning program particularly the role of Moslem Leader in the family planning program implementation. Responding to that, BKKBN facilitated the discussion between participants and government representatives from BKKBN, Ministry of Health and National Development Planning Board. Apart from that the delegation also observed several Faith based Organizations namely Indonesia Council of Ulama (MUI), Nahdlatul Ulama (NU), family planning services delivery points at the Jakarta Islamic Hospital and the NGO namely Indonesia Planned Parenthood Association (IPPA).

Some issues that raised during the discussion with government representatives were strategies implemented by BKKBN in invigorating Moslem leaders and institutions in Family Planning program, strategies to improve maternal and child health implemented in the decentralization era and the national development planning process as well as integration of population into national development framework in Indonesia.

During the visit to Indonesia Council of Ulama, the most interested topic was the direct involvement of Ulama particularly their contributions to synergize population policy which in line with BKKBN purpose, to create a happy and prosperous family. While during the observation in Nahdatul Ulama (NU), participants gained information about Reproductive Health Education program focused on pre wedding counseling. Meanwhile, participants overviewed and discussed the provision of Family Planning/Reproductive Health services on their visit to Jakarta Islamic Hospital. Lastly, the issue of "a one stop services" on adolescent reproductive health program was subject to the discussion between participants and representatives from IPPA

High Level Visit of Russian Delegation to BKKBN

Three Russian delegations from the Embassy of the Russian Federation, the Public Chamber of the Russian Federation and the Russian Academy of Business visited BKKBN on 23 September 2009. They discussed and shared experiences with the Chairperson of BKKBN about Population and Family Planning Program in Indonesia. Both parties agreed that population need to be carefully managed in order to prepare a better quality population and a highly competitive human resources. In the discussion, it was concluded that past and current population condition should be treated as a fundamental consideration for a comprehensive national planning development to take place and it should not be forgotten that socio and economic developmental schemes must always refer to the nature of complex population dynamic existed in each country.

High Level Visit of Bangladesh Delegation to BKKBN

On October 26, 2009, senior official from Ministry of Health Bangladesh visited BKKBN to have a discussion and experience exchange concerning the implementation of Family Planning policy and program in Indonesia. The discussion focused on the international training in the area of Family Planning/Reproductive Health; the management information system of the Family Planning program and logistics management of the Family Planning program provided by BKKBN.

During the observation, participants were informed about a range of international training programs offered by BKKBN in the area of Family Planning / Reproductive Health and a new recording and reporting system which was supported by an up to date information technology system. It was explained that by having this system, the Chairperson of BKKBN could have a direct access to review the progress of family planning services and family empowerment programs up to the field level. A part from that, participants also obtained information about procurement system and logistics management adopted by BKKBN which enabling international enterprises participate on the contraceptives bidding process based on the standards issued by Indonesian Government.


CAPACITY BUILDING FOR OFFICIALS/STAFFS OF THE NATIONAL FAMILY PLANNING COORDINATING BOARD

Training in Supply Chain Management Course

BKKBN has sent three officers from Central office to participate in Supply Chain Management training conducted from 16 to 25 March, 2009 at Eastern and Southern African Management Institute (ESAMI) Head Quarters in Arusha, Tanzania. The course was attended by 34 participants from 13 countries consisted of Botswana, Lesotho, Denmark, Ethiopia, Ghana, Kenya, Nepal, Namibia, Nigeria, Uganda, Zambia, Zimbabwe and Indonesia.

The objective of the course was to improve participants understanding concerning to the basic supply chain management and forecasting, quantification and procurement of contraceptives for Family Planning/Reproductive Health program. The lesson learned gained from the course was improved knowledge about the Logistic Systems; Logistics Management Information System (LMIS); the Stock Status Assessment; Maximum - Minimum Inventory Control System; and Contraceptive Storage, Quantification and Procurement Planning. The material and lesson learned given from the training were appropriately utilized by the BKKBN to advance the management of contraceptives storage and distribution system in Indonesia.

The Workshop on Procurement and Inventory Management System (CHANNEL) and Reproductive Health Costing

Two participants from BKKBN together with three other participants from UNFPA Indonesia and Minister of Health participated in the Workshop on Procurement and Inventory Management System (CHANNEL) continued by the Reproductive Health Costing Training held from 18 - 22 May 2009 in Bangkok, Thailand. These activities were sponsored by the United Nation Population Funds (UNFPA) and attended by 24 participants from 12 (twelve) different countries namely; Indonesia, Nepal, Pakistan, Sri Lanka, Timor Leste, Philippines, Lao PDR, Mongolia, Afghanistan, Bhutan, Myanmar and Bangladesh. The objective of the training is to improve and strengthen Reproductive Health Commodity Security (RHCS) in Asia Pacific Countries.

During the training, participants discussed several subjects as follows; 1) The Strategic Pathway to Reproductive Health Commodity Security (SPRHCS) as a tool to help countries develop and implement strategies to secure essential supplies for family planning and reproductive health programs; 2) Logistic Management : How to Manage FP/RH commodity Manually and Using CHANNEL software; 3) Projection and Forecasting: Population, TFR, CPR, and Contraceptives; and 4) RH Costing : How to estimate commodity in Quantity and Currency. In addition, the workshop also covered UNFPA Procurement subjects and CHANNEL - the logistics management software which is designed to manage the flow of commodity in the warehouse; the flow Family Planning/Reproductive Health c ommodities to avoid stock out of commodity, to update data and information of commodities and to monitor the pipeline efficiently. Participants who have attended the training were appointed by BKKBN to improve the logistics management of contraceptives in Indonesia as well as to be the facilitator on the international and national training on reproductive health commodity security.

The Leadership in Strategic Health Communication Workshop at John Hopkins University Center

Two BKKBN officials attended the Workshop of Leadership in Strategic Health Communication for communication program. Those who were sent were officials in charge in the IEC and Advocacy programs. Since demand creation is the core business of BKKBN in the family planning program in Indonesia, it is necessary to improve the knowledge, skills and experience of the officers in IEC and Advocacy programs.

The workshop was held by the John Hopkins Center for Communication Programs (JHU-CCP) conducting in Sheraton Hotel - Columbia City Baltimore - USA, started from 31 May to 19 June 2009 and attended by 33 participants from 16 countries from 3 different regions. The countries representing Asian Region consisted of Indonesia, India, Bangladesh, Vietnam; Middle East Region were represented by Egypt and Jordan; African regions were represented by Kenya, Ethiopia, Zambia, Nigeria, Tanzania, Mozambique, Madagascar, Mauritius and Republic South Africa , while Russia was the only country attended on behalf of European region.

Under the guidance of international communication health experts, participants explored the elements of effective behavior development communication and advocacy programs to create a more competent and health literate societies. Beside that, the core communication curriculum has been enhanced with state of the art knowledge and supplemented by three specialized tracks on current health issues and trends. The public health experts who are leaders in their respective fields facilitated the multi track sessions in this workshop.

The 40th Summer Seminar on Population: Workshop on Communicating with Policy Makers about Population and Health Research, East West Center

BKKBN appointed a senior researcher to attend a summer seminar in Hawaii - USA from 2 June - 2 July 2009 which was conducted by East-West Center entitled Communicating with Policy Makers about Population and Health Research. The seminar was attended by 48 participants of researchers and program managers working in the field of Population and Health from 14 countries namely: Indonesia, China, India, Pakistan, Philippine, Nepal, Taiwan, Vietnam, Nigeria, Kenya, Uganda, Tanzania, USA and Malaysia.

The seminar covered 10 (ten) substances; 1) Knowledge management: finding and sharing information; 2) The research to policy process; 3) Elements of a communication strategy; 4) Identifying key research findings and policy implications; 5) Writing a policy memorandum and giving a policy briefing; 6) Communicating with policymakers through the media; 7) Writing a fact sheet and giving an information briefing; 8) Case study: United States foreign assistance for reproductive health; 9) Making presentation with power point and 10) Preparing and giving a policy presentation. The goal of workshop was to improve participant's abilities on how policymakers were convinced about the research findings through knowledge management and communication strategies.

During the seminar, participants were enlightened that the finding and sharing information were ways for researchers to translate research results in understandable and acceptable formats to policymakers. Therefore, in this seminar, each participant has to prepare a presentation contained with a problem identification, detail solutions and descriptions on how policymakers could play their role to achieve a certain goal. This presentation also required participants to formulate rational and efficient budget expenditure on program to solve the problem. In addition to that, some policy recommendations such as policy memorandum, policy brief and fact sheets were usually helpful to convince policy makers.

Training on Population Studies, Thailand

Four BKKBN officials attended the training on Population Studies from 9 September - 4 November 2009 in Thailand. The training was held by the Institute for Population and Social Research (IPSR), Mahidol University, Thailand and participated by 8 (eight) BKKBN officials from Indonesia and 16 (sixteen) graduate students from Indonesia, Afghanistan, Bangladesh, Ghana, Laos, Myanmar, Vietnam, Thailand and Philippine.

The training subject covered an introduction to demography, mortality, fertility, family formation and dissolution, population aging, migration and urbanization. Lesson learned from the training were the fundamental concepts and perspectives in the study of human populations concerning the size, structure and distribution as well as techniques of demographic analysis; the basic demographic methods to reveal the significant aspects of the composition and population dynamics.

Human Resources Management for Development Organizations (HRM-DO)

Five Indonesian participants from BKKBN Central office and South Sulawesi Provincial Office were sent to attend the Training Course on Human Resources Management for Development Organizations, in the Philippine, 21 - 25 September 2009. The objectives of the training were to define the role of Human Resource in organization development, to identify key elements of Human Resources (HR) capacity building program and to propose an organizational change program to support HR initiatives.

Lesson learned acquired by the participants in this training course was improved knowledge towards the Change Plan Strategies; Internal Communications and Advocacy for the Stakeholders (Local Government, National Government Institutions, Political Parties, NGOs, etc), Human Resources Personnel Preparation, Regulations System of Human Resource Development, the Development of Inter-Department Ad-Hoc Team (transition team) and Budget Allocating Arrangement. This knowledge and expertise were highly useful for the improvement of BKKBN policy and strategies to strengthen the program implementation in the era of decentralization in Indonesia.

Observation Study Tour on Reproductive Health and Family Planning Quality of Care

Seven senior officials of BKKBN from central and provincial level attended the observation study tour about the Quality of Care in Reproductive Health and Family Planning Program from 27 October to 4 November 2009 in China. The aim of the study was to improve the family planning program personnel knowledge and skill in the area of policy making, strategy and operational mechanism related to the Family Planning/Reproductive Health Quality of Care Programs. The study tour was funded by Asian Development Bank /DHS-2 Project. During the study visit, participants have an opportunity to discuss issues on population and development with representatives from National Population and Family Planning Commission in Beijing, China Center for Contraceptive Supply and Development, China Family Planning Association (CFPA), China Population and Research Center, Nanjing College for Population Program Management, Shanghai Institute of Planned Parenthood Research (Integrated Sexual and Reproductive Health Counseling Project) and Nanjing City Level Century Family Planning/Reproductive Health. Moreover, participants also visited Shidai Family Planning/Reproductive Health services in Wujiang.

The lesson learned obtained from the participants were (1) "One Child Policy" - The Government's policy promoting only one child in a family. Except for rural areas if the first child is a girl, the family allow to have last second child; (2) The strategy implemented in China had derived from family planning to reproductive health, from population control to health promotion while quality of family planning services was Improved through the availability of inform choice and inform consent. Moreover, the government developed IEC and promoted contraceptive use for adolescent and the unmarried couples and also legalized abortion practice; (3) The success stories of Family Planning/Reproductive Health program in china were the reinforcement of Population and Family Planning Law, the services of Family Planning Clinic which was separated from Ministry of Health, the integration of decentralization system with public policy provision from central government, good leadership, the improvement of quality of care in family planning program, reward system and model development.

Training of the Regional Capacity Development for Behavior Change Communication

BKKBN appointed senior officer from IEC and Advocacy Division to attend the regional training held by Japanese Organization for International Cooperation in Family Planning (JOICFP) in collaboration with UNFPA Asia and the Pacific Regional Office, Tokyo - Japan on 26 - 30 October 2009. The training was attended by 28 participants from 16 countries in Asia and Pacific Region. The objective of the training was to share experience on the implementation of Behavior Change Communication (BCC) for increasing male participation in Reproductive Health program and to provide skills to check the communication balance of BCC interventions

At the end, the participants were expected to acquire: 1) skills to check the logicality of existing BCC strategies/interventions; 2) skills to check communication balance of the BCC interventions; 3) skills to undertake total review of existing and lacking media tools and 4) skills to undertake the individual review of existing media tools.

Lesson learned encapsulated from the training were (1) BCC was a cross-cutting issue that should be integrated in reproductive health, population, and gender since the concept of BCC supersedes the concept of IEC as the later was characterized as a tool or any other publication materials. Therefore, the BCC interventions should consider the existing policies, socio-cultural environment, health-system, and community participation; and (2) There were several difficulties involved in the BCC interventions which among others included: socio-cultural diversity including religion, political instability, policy, budget, media, tools, sender, receiver (destination), message, channel, etc. Thus, it was important to identify prominent difficulty (ies) in BCC intervention so that each program managers understood clearly the problem/difficulty faced.

The OST on Adolescent Reproductive Health and HIV/AIDS Prevention Strategies in Asia Center for Population and Community Development

BKKBN sent six officials to participate in the Observation and Study Tour on Adolescence Reproductive Health and HIV/AIDS Prevention Strategies at Asian Center and Community Development, Bangkok, Thailand from 30 November to 4 December 2009. The aim of the study was to learn the success story of Thailand in handling the adolescent reproductive health related to HIV /AIDS prevention.

During the study tour, the participants visited NGOs, School and Government Institutions and attended some activities which closely related HIV/AIDS prevention such as UNESCO Project on Adolescent Reproductive Health, World AIDS Day Activities at Mah Boon Krong (MBK) and Lumpini Park, Training on HIV/AIDS prevention for factory workers at Navanakhon Industrial Park, the activities of Reproductive Health Unit at King Chulalongkong Hospital, reviewing the overall Thailand Statistic concerning Adolescent Reproductive Health at the Department of Reproductive Health and the Health Promotion Center Region and Sex Education in Metropolitan Administration School in Bangkok

Some lessons learned reported by the participants were listed below:

1. The strong Government's commitment on Adolescent Reproductive Health Program related HIV/AIDS Prevention Strategy in all related institutions is the prerequisite for the success of the program

2. Mass campaign of condom with dual protection, as contraception and HIV/AIDS prevention tool, was strategic

3. Recruitment, capacity building and rewarding system of volunteer (NGOs) in the implementation of family planning and adolescent reproductive health program were highly valuable to some extent

4. It was important to develop curriculum and materials about adolescent reproductive health in educational institution and it needs to be accompanied with master training.

5. It was necessary to expand partnership with some large factories in a way to improve the quality of life especially in male participation to prevent HIV/AIDS

6. It should be wisely considered about how to promote interesting games and media in delivering information on adolescent reproductive health and HIV/AIDS

7. Adolescent needs to be embraced and empowered about their reproductive health, including how to protect them from HIV/AIDS transmission

8. Economic empowerment through banking system for instance, has to be taken into account once HIV/AIDS program was designed since it was heavily associated with sustainable economic power of people living with HIV particularly those resided in rural areas.

The Short Course Training on Research Methodology and Demography, at the Institute for Population and Social Research (IPSR), Mahidol University

Eight researchers from BKKBN Central and Provincial offices and two researchers from Diponegoro University and Airlangga University were attending the training on Research Methodology and Demography. This course was held by Institute for Population and Social Research (IPSR), Salaya, Thailand, from 14 to 23 December 2009.

The topics discussed in this study tour were:.1) Demographic and RH Data; 2) Searching information from the internet, the library search; 3) IPSR and campus tour; 4) Gender lens for Research in RH; 5) Group work: proposal development; 6) Research methodology: Survey research and sampling techniques; 7) Respondent driven sampling (RDS) technique was to access hidden population; 8) Qualitative approach in Demographic and RH Research; 9) Kanchanaburi Demography Surveillance System (KDSS) 10) Visit to RH Division, Department of Health, Ministry of Public Health (MOPH); 11) Knowledge management from research to policy and 12) the Presentation of proposals.

Participants gained valuable insights from the training, particularly an improved knowledge on the substances and latest methodologies of research in the area of population, reproductive health and family planning. The issue concerning the knowledge management was relatively a new subject for the participants, thus it received high attention from participants. The knowledge and experience are useful for BKKBN to improve the quality of both its research and its researchers.

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

In order to improve the quality of its human resources, BKKBN has sent some staffs to take a master degree at the Australian University (2 officers), Flinders University (26 officers) and Mahidol University (3 officers). They took their major courses in the field of population studies with gender, communication and public policy as minor ones.

In 2009, seventeen persons have already graduated their master program at Flinders University and Australian National University. They then were assigned to participate in the internship program conducted in 9 BKKBN Provincial Offices under the DHS-2 Project. The output of this program was to improve the knowledge of fresh graduated students on current family planning program as well as to give constructive inputs to respected BKKBN Provincial Office based on their expertise in population. In addition, some graduated officers were also actively involved in writing and analyzing the Provincial Profile of the Indonesia Demographic Health Survey 2007. Several of them were assigned and actively involved as co facilitator in some training for international participants conducted by Center for International Training and Program. Currently, some of them heavily concerned and involved in the revitalization of family planning program which is implemented by BKKBN. They also become the focal point of their division in strengthening the program implemented.


THE ROLES IN INTERNATIONAL FORUM

Commission on Population and Development Meeting

The Chairperson of BKKBN, the Acting Deputy for Training and Development of BKKBN, Director of International Training and Collaboration of BKKBN and one national senior journalist attended the Commission on Population and Development (CPD) meeting from 29 March to 3 April 2009 in New York. The CPD meeting focused on the contribution of the Program of Action of the International Conference on Population and Development to the internationally agreed development goals, including the Millennium Development Goals.

During the meeting, most participants from developed and developing countries highlighted the importance of overcoming the population issues for the achievement of the MDGs which included population growth, reproductive health, maternal mortality and treatment of children, infectious diseases including HIV / AIDS, education, migration, environment and human rights. This forum noted that population as a driving force of development could lead to disaster when a sharp increase on population growth took place without the development of productivity. Therefore, sustained international cooperation is still required. In regard to this, some developed countries (for example Japan) have reemphasized its commitment to continue assisting developing countries, particularly African countries and Asia. During the discussion, participants also affirmed that the issue of human rights and gender equity and equality were essential keys to achieve several goals stated in the MDGs.

In this meeting, Indonesia has made interventions in the issue of population that went beyond national boundary since the problem per see was multi-dimensional. Thus, Indonesia recommended developing countries to control their fertility level by organizing family planning program. Currently, Indonesia is confronting a wide range of challenges in implementing reproductive health programs, particularly family planning. Data showed that since 1997 the Total Fertility Rate (TFR) in Indonesia was practically stagnant. The level of contraceptive use also showed no significant increase at 60.3 percents in 2003 to 61.4 percents in 2007. Therefore, Indonesia has put its efforts to systematically revitalize the family planning program. International cooperation and support for this purpose are obviously necessary. Indonesia also conveyed an appeal to UN to urge donor countries to implement an alternative financing scheme on family planning program through the provision of debt swaps.

In this opportunity, Indonesia also discussed the progress that has been made after fifteen years of the Cairo Conference in order to accelerate MDGs achievement. In regard to this, Indonesia has been implementing various policies and activities, including provision of basic needs; improved nutrition and the development of social security system which was part of efforts to alleviate poverty; providing health and family planning services focusing on expanding access and quality services, community empowerment and maintaining economic growth and economic stability. Meanwhile, in an attempt to improve maternal and child health, the health continuum of care framework is in its progress. As a result, it was worth mentioning that economic growth was estimated to give a positive indication for the following period between 2015 and 2025. During this phase, Indonesia will enjoy the benefits of demographic dividend facilitated by an increased trend of population in the productive ages and the downward trend of non-productive age population. This condition will allow a favorable economic growth to occur, if Indonesian human development index accordingly increases. Therefore, the Government of Indonesia has developed human resource development program called the Human Capital Formation in the long-term development plan 2005-2025 of which the activities focused on poverty alleviation, improving the health quality of mothers and children, education, gender equity and equality, women e mpowerment, better nutritional status and youth empowerment.

South- South Cooperation (SSC) Strategies for Population and Development

On May 13 - 15, 2009, the Director of Maternal and Child Survival, BKKBN attended the South- South Cooperation (SSC) Strategies for Population and Development meeting in Taichang, Shanghai, China. This forum discussed about: New Challenges and Opportunities for Population and Development, New Ways of SSC in Advancing Population and Development, Advancing SSC for Population and Development, SSC: Effective Driving Force for Development and PPD Member States Challenges in Population and Development and the SSC Strategies.

Apart from that, the PPD Goals for the years 2008 - 2011 were also discussed covering the issues on strengthening the collaboration within SSC; strengthening the capacity of the system, institutions and individuals; strengthening partnership and networking; improving reproductive health services; leverage the existing resources; strengthening the PPD organization.

The forum also highlighted the PPD New Working Strategy which consisted of advocacy, increasing capacity building, transferring the experience, expertise and technology and improving the monitoring and surveillance system. Concerning these strategies, the efforts would concentrate on the integration between ICPD and MDGs, the integration between reproductive health and HIV/AIDS programs, reposition of the family planning program, reproductive health promotion and the SSC resource mobilization campaign. Meanwhile, PPD also highlighted regional studies implemented in Africa, Asia and the Saudi Arabia region with priority to the goals of ICPD and MDGs particularly those related to training and research at institutions within these developing regions. The results, PPD has been able to develop plans for capacity building; institutional and resource capacity building within the context of ICPD and MDGs achievements. In this forum, PPD also stressed the need of human resource capacity improvement as the foundation of SSC.

The South Asian Association for Regional Co-operation (SAARC) Parliamentarians Conference on "Advocacy to Achieve Universal Access to Reproductive Health Services and Commodity Security

On July 28 -30, 2009, by the funding support from UNFPA BKKBN has sent one middle level officer to attend the South Asian Association for Regional Co-operation (SAARC) Parliamentarians Conference on "Advocacy to Achieve Universal Access to Reproductive Health Services and Commodity Security", in Kathmandu, Nepal.

The conference was opened by Right Honorable Dr. Ram Baran Yadav, President of Democratic Federal Republic of Nepal on the 28th July 2009 in Kathmandu. Forty-six parliamentarians-some of whom were ministers, policy makers and media professionals from the South Asian Association for Regional Co-operation (SAARC) countries agreed on the 10-points declaration also expressing commitment to advocate greater awareness and stronger commitment to achieving the Millennium Development Goals (MDGs) on significantly reducing maternal mortality ratio set by the United Nations.

During the three days conference, the delegates from different countries also had opportunities to share their experiences and lessons learned from success and failures while working in the field of reproductive health and take inspiration from the success stories of other countries. The SAARC nations also prepared and presented short-term individual action plans which they committed to continue in the future to improve reproductive health services and commodity security. The conference concluded with the Kathmandu Declaration reiterating and committing to improve the health of women, men and young people. The declaration committed "Ensuring every pregnancy wanted, every birth saved, every new born healthy: no woman should die giving life".

Asian Hospital Management Conference

BKKBN has funded a senior manager from Wonosobo District General Hospital, Central Java to participate as a speaker in the Asian Hospital Management Conference, in Ho Chi Minh City, Vietnam, from 12 to 16 August 2009. This international conference was a favorable forum enabling senior managers from all around Asia to meet each other and exchange ideas about current issues on the Hospital Management annually. This event was attended by 721 participants from 25 different countries representing 288 hospitals in Asia. Several experts representing Universities, Hospital Associations, and Health Care Institutions from Asia, United States of America and France were also participated in this international conference.

In this international conference, the Indonesian representative had the opportunity to present a research proposal entitled "Outpatient Program of Tubal Occlusion Laparoscopy under Local Anesthesia (LOTAL) at a District Hospital in Indonesia" which was nominated as one of the candidate for the Award of Hospital Management Asia (AHMA) in the category of Community Service Project.

Asian Hospital Management Conference

BKKBN has funded a senior manager from Wonosobo District General Hospital, Central Java to participate as a speaker in the Asian Hospital Management Conference, in Ho Chi Minh City, Vietnam, from 12 to 16 August 2009. This international conference was a favorable forum enabling senior managers from all around Asia to meet each other and exchange ideas about current issues on the Hospital Management annually. This event was attended by 721 participants from 25 different countries representing 288 hospitals in Asia. Several experts representing Universities, Hospital Associations, and Health Care Institutions from Asia, United States of America and France were also participated in this international conference.

In this international conference, the Indonesian representative had the opportunity to present a research proposal entitled "Outpatient Program of Tubal Occlusion Laparoscopy under Local Anesthesia (LOTAL) at a District Hospital in Indonesia" which was nominated as one of the candidate for the Award of Hospital Management Asia (AHMA) in the category of Community Service Project.

The Inter Parliamentarian Forum on Maternal Health and Rights

The Chairperson of BKKBN was attended and delivered a speech in the Inter Parliamentarian Forum on Maternal Health and Rights meeting conducted on 13th August 2009 in Bali, Indonesia. It was attended by 95 participants representing members of parliament and government officials from 12 countries: Bangladesh, Cool Island, Cambodia, India, Indonesia, Philippines, Laos, Papua Nugini, Solomon Island, Pakistan, Thailand and Timor Leste. The meeting converged to strengthen the role of parliamentarian in improving maternal health and rights. The forum was financially supported by United Nation Population Fund (UNFPA) and International Council on Management of Population Program (ICOMP).

The conference urged participants to develop national action plans prioritizing maternal health issues. How to reduce a high number of women dying during pregnancy and childbirth, how to inspire parliamentarians to put maternal health problems at a top priority rather than political business and how to implement the selected plans once they returned to their home countries were agenda set in this forum. During the consultation, the participants reviewed facts, figures and arguments that would be used in promoting maternal health in a national setting with Ministry of Health and more importantly, Ministry of Finance.

NGO Forum and Experience-Sharing Meeting on South- South Cooperation: Accelerating Progress toward International Conference on Population and Development (ICPD) and the Millennium Development Goals

NFPA and the government of Thailand organized the NGO forum and experience-sharing meeting on South-South Cooperation in Thailand on 15 September 2009. More than 60 participants from 16 countries came together to suggest action to accelerate the achievement of the ICPD objectives and Millennium Development Goals (MDGs) in the Asia Pacific Region. The Director of the Center for Research and Development of Family Planning and Reproductive Health, BKKBN attended that meeting as the member country of South-South Cooperation.

During the meeting, the NGOs, civil society representatives, members of parliament, representative UN agencies and donors discussed and identified critical sexual and reproductive health and right (SRHR) issues affecting the region and possible ways forward. Mr. Harry S. Jooseery, the Executive Director of PPD, portrayed about PPD's 15- years experiences and firmly proclaimed South-South Cooperation as an established model to accelerate the ICPD and MDGs

The Asia-Pacific High Level Forum on ICPD at 15: Accelerating Progress toward International Conference on Population and Development (ICPD) and the Millennium Development Goals

On 14 - 17 September, 2009, Principal Secretary of BKKBN and Deputy of Family Planning/Reproductive Health attended the Asia-Pacific High Level Forum on ICPD at 15: Accelerating Progress toward International Conference on Population and Development (ICPD) and the Millennium Development Goals in Bangkok, Thailand. Year of 2009 is marked as the 15th Anniversary since the adoption of the Landmark Program of Action of the International Conference on Population and Development (ICPD), adopted at Cairo in September 1994. ESCAP and UNFPA are organizing the forum.

The high-level forum was attended by 130 participants, including ministers, senior officials and civil society representatives from nearly 30 countries and areas in Asia and the Pacific. Key topics discussed at the forum included 'Ensuring Universal Access to Reproductive Health Services'; Creating an Enabling Environment for Gender Equity and Equality; Population Aging: Implications for Development; and International Migration and Development'.

The forum intended to assist countries in the region to identify major impediments to the achievements of the ICPD goals and agreed ways to accelerate the progress -- the pursuit of the 20-years ICPD Program of Action being considered as a central effort to eradicate poverty and achieve sustainable and inclusive social and economic development. This forum also highlighted the comprehensive and farsighted ICPD document which placed individual human being at the very heart of the development process.

The Commemoration of the 15th Anniversary of the International Conference on Population and Development

On October 12, 2009, the Chairperson of BKKBN, the Principal Secretary of BKKBN, Principal Inspector of BKKBN and Director of International Training and Collaboration of BKKBN participated in the Commemoration of the 15th Anniversary of the International Conference on Population and Development in New York.

In the meeting, Indonesia highlighted significant progress that has been achieved during fifteen years after the Cairo Conference. Currently, Indonesia has been experiencing a sharp reduction in the number of people live under the poverty line. However, Indonesia still stressed on the need for decisive action to help women in regard to safe motherhood issue as about 9,800 women die each year due to pregnancy and delivery complications. In response to this situation, maternal health program focusing on the improvement of cost effective access and the availability of quality maternal health services was continually improved. Cross-sector and cross-program cooperation have also been strengthened along with empowering families and communities, improving planning coordination and activities to ensure safer pregnancy and child survival. This program was done by consistently performing advocacy, fund raising and program management through surveillance, monitoring and evaluation. In the implementation of family planning program, some progresses have been made. Contraceptives are continuously more accessible by a large number of reproductive age couples. Total fertility rate is nearly approaching fertility at a replacement level. Infant mortality is showing a declining trend in most provinces. Maternal Mortality Ratio in 2007 was at 228 per 100.000 live births, experienced a reduction from that in 2003 (307 per 100. 000 live births).

However, efforts to achieve reproductive health goals are being hindered by the spread of HIV/AIDS. Indonesia is entering a concentrated epidemic of which the spread of HIV has reached 5 percents cases in population. Exploring various ways and means to combat HIV/AIDS in a comprehensive manner thus is a must. Both male and female condoms are made easily accessible, more life-saving drugs are provided in various health care settings, the number of voluntary counseling and testing services increased, measures to prevent mother-to-child HIV transmission have been appropriately adopted. The number of HIV/AIDS, however, remains high even it shows on one hand a better case surveillance. Thus, more efforts need to be done and Indonesia initiative in establishing Partners on Population and Development: the South-South Collaboration has been very helpful in terms of capacity building, alternative fund raising and technical expertise from the international donor community.

Lastly, in this forum Indonesia underscored three principles in implementing the ICPD Program of Action. They were commitment was demanding from various levels; the Program of Action would only be implemented if sufficient human and financial resources were mobilized for that purpose and national institutional capacities must be strengthened through a diversity of mixed partnerships.

International Conference and Annual Board Meeting of Partners in Population and Development

On 17 - 21 October 2009, Indonesian Delegation consisted of Deputy for Training and Development of BKKBN, Deputy of Family Welfare and Empowerment of Family of BKKBN, Deputy of Family Information and Program Coordination of BKKBN and senior officer from Center for International Training and Collaboration attended the International Conference and Annual Board Meeting of Partners in Population and Development, in Beijing, China.

There were four main programs held during the visit which were XIV Annual Board Meeting of Partners in Population Development (PPD) consisting the Partners Country Coordinator meeting and Partners Board Members meeting; 5th Asia Pacific Conference on Reproductive and Sexual Health and Rights; and International Council on Management Population (ICOMP) Annual Meeting.

- Partners Country Coordinator (PCC) Meeting

The meeting was conducted on 17 October 2009 and attended by almost all country members. The meeting focused on several agenda and those were (1) Report of the activities implementation coordinated by the PPD Secretariat until early October 2009 (2) Improving communication among the member of PCC through partnership and networking (3) the structure of South-South Cooperation supporting system to gain support from countries and (4) PPD Communication Strategy.

Several points came into line in this forum were that all member should document the results of activities that were considered to be successful. In regard to scholarships:, each member state will provide scholarship support of Reproductive Health and disseminate information to member countries of the PPD. Towards obstacles in communication occurred between the members of PCC resulting a weak coordination among PCC, PPD as a coordinating body was asked to provide the means required to ensure smooth communication, coordination, sharing of experience among countries of PCC members.

The meeting also agreed, in the upcoming PCC meeting that each member state should discuss the activities which were oriented to the work plan of each country, therefore the PCC meeting agenda should be formulated based on these frameworks. It was also urged that each country member of the South-South Cooperation forms a National Task Force (NTF). The NTF Plan of Action thus needed to be clarified comprehensively when it seemed less relevant to the duties and responsibilities of the members. Furthermore, PPD was expected to provide basic facilities of communication between the central secretariat among PCC, and other stakeholders.

- Partners Board Members (PBM) Meeting

The meeting was held on 19 October 2009, chaired by the Union Ministry of Health and Family Welfare of India, Ghulam Nabi Azad, accompanied by the Minister of National Population and Family Planning Commission, China, Dr. Li Bin and Executive Director of PPD, Harry S. Jooseery. All 24 member countries of PPD attended this meeting. The meeting focused on several agenda: (1) discussing and preparing Minutes of the XIV Executive Committee Meeting, Beijing, China 2009, (2) Report of the PPD Activities by PPD Secretary, (3) Financial Reports,(4) Report of the PPD Secretariat Activities, Bangladesh and (5) Reports of the Executive Director.

The forum concluded that all activities coordinated by PPD both nationally and internationally reflected the PPD dynamic enthusiasm on the development of population programs. The most successful workshop conducted by PPD secretariat during year 2009 was two workshops conducted in Nairobi. The workshop concerned about capacity building and policies dialogue with the Parliament about the important issues on reproductive health and HIV/AIDS in achieving the ICPD goals and MDGs.

This forum also noted that Vietnam now officially became the 25th member state of the PPD. Meanwhile, Tanzania would follow in 2010. In the next PPD meeting Indonesia was honored to host and organize the XV Annual Board Meeting which will be held on November 2010.

- The International Council on Management of Population (ICOMP) Meeting

On 20-21 October 2009, the Indonesian Delegation also attended the International Council on Management of Population (ICOMP) Meeting. Several points discussed in the forum were the activities implemented by ICOMP in year 2006 to 2009 and plan of activities year 2010. In this opportunity, Indonesia reported that the cooperation implemented by ICOMP in Indonesia only existed in year 2006 in the form of study visit from Malaysia and India, researches, and participation in ICOMP International Seminars. Since 2007, Indonesia then rarely received information related to activities implemented by ICOMP. Indonesia also highlighted the need to revitalize family planning program. The political changes from centralized to decentralization system of government in Indonesia brought essential influence on policies and strategies for family planning programs. Therefore, to anticipate this new strategic environment, the program needs to be revitalized in order to fulfill the needs of local governments. Joining activities in terms of joint research in the field of management, capacity building or developing a generic module in institutional capacity, and consolidation meeting as a forum to exchange views and experiences among member countries were then expected to be fruitful.

In this forum, Indonesia proposed several activities in year 2010 and they included :

1. Capacity building related to training of data analysis and methodology of population; IEC strategy for population, reproductive health, family planning and gender program and utilization of demographic data for advocacy purposes; especially at the district level

2. Developing and updating data resources, information, policies, and population programs among member countries

3. Operational Research with suitable topics according to the needs of the country funded by the ICOMP. Each member country has the right to submit a proposal and ICOMP has the right to review the feasibility of the study and change the proposal. The research must be in the form of operational research so that each member country will be able to gain a lesson learned from this activity.

- The 5th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR)

Apart from the above meetings, the delegation participated in the 5th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR) which was held from 18 to 20 October 2009 in Beijing, China. This conference provided opportunities for all stakeholders to exchange experience and discuss strategies in the reproductive health field in Asian Pacific countries which further received attention from the international community and facilitated the attainment of MDGs in the Asia and Pacific Region on schedule.

Several issues were underlined and it included reproductive health and rights, gender equity and equality and women empowerment, youth, aging population, migrants, climate change, HIV/AIDS and lastly resource and partnerships.

In the area of reproductive health and rights, the forum emphasized several points of which Governments should fully recognize sexual and reproductive rights through effective education, policies and services supported by adequate budgets. This recommendation required greater commitments to comprehensive family planning and health education and services as forum agreed that this was the most effective way to achieve the ICPD and MDG 5B targets of universal access to reproductive health by 2015.

In the area of gender equity and equality and women empowerment, the forum shown up that Governments and civil society organizations were interlinked and they need to increase their efforts to promote gender equity and equality through laws and policies of protecting women's sexual and reproductive health and rights; to eliminate all forms of violence, trafficking and exploitation of women, girls and children and to establish the necessary foundations of gender equity and equality and women empowerment by creating new and more socially productive roles for men.

In the area of youth, the forum recognized the distinctive content of the Youth Declaration made by the youth participants to this conference and support its full implementation. The integration of these urged Governments to provide universal access to non-judgmental and respectful sexual and reproductive health services including counseling.

In the area of aging population, the forum accentuated several points that though the populations of the Asia Pacific region were becoming older, they were still productive in essence that older people continued to make productive contributions to their families and communities and be major cares of members of their own and younger generation. Governments have responsibilities to establish effective social welfare systems and would do well to promote self reliance of older persons by facilitating their continued participation in a full range of economic and social activities. Society in general also needs to respect the continuing sexual health needs and rights of older people, including appropriate health services.

In the area of migrants, the forum highlighted that in a region of massive internal and international migration there were numerous ways in which the sexual and reproductive needs and rights of migrants were ignored or violated. Trafficking was frequently connected to sexual exploitation. Governments have attempted to control the worst aspects of this trade, but much more needs to be done. There was a need for a stronger international cooperation and national action to protect migrants, including establishing a well designed program addressing the sexual and reproductive health needs of all migrants, especially those displaced by conflicts and natural disasters. In this context, civil society organizations played a crucial role in advocacy and services of vulnerable people.

In the area of climate change, the forum called attention to the complex linkages between population, resource consumption and the environmental concerns exemplified in current international discussions of climate change. These were justifiably commanding attention of governments and sparking debates about steps to be taken for prevention and amelioration of environmental degradation. Nations should remember that rights based on reproductive and sexual health services could make a crucial and direct contribution to sustainable development and welfare in the face of environmental challenges from climate change.

In the area of HIV/AIDS, all forum members urged governments to link HIV/AIDS interventions more effectively within established program of primary health care and comprehensive reproductive health services as a means to strengthen efforts to prevent the transmission of HIV. Effective programs must specifically address mother to child transmission of the virus and ensure that all people living with the virus have access to appropriate life extending medications, free from stigma and discrimination.

In the area of resource and partnership, the forum recognized the impact of global economic crisis to the achievement of the MDGs. Despite this economic difficulty situation, forum urged governments and donors to increase their official development assistance to create and support strong and sustainable reproductive and sexual health program. In addition, this forum strongly urged rapid response by civil society, parliamentarians, governments, donors and young people to implement action on the unfinished agenda of the ICPD to achieve universal access to reproductive health by 2015.

The High Level United Nations Conference on South-South Cooperation

BKKBN has sent two middle rank officers from BKKBN Central and Provincial Office to participate in the High Level United Nations Conference on South-South Cooperation, from 1 to 3 December 2009 in Nairobi, Kenya. In this forum, Mr. Harry S Jooseery (Representative PPD) conveyed his support on the need of the family planning programs reposition to improve maternal and child health and urged greater attention to problems of population and reproductive health.

The Ambassador of Indonesia for Kenya also had the opportunity to deliver the statement noting the Indonesia's role as a prime-mover for South-South Cooperation amongst countries in Asia, the Pacific and especially in Africa including particularly its role in the area population, reproductive health/family planning.

He explained, in regards to its role in South-South Cooperation, Indonesia has implemented various training and educating programs for tens of thousands of participants in the area of investment, agriculture, microfinance, women empowerment, family planning, renewable energies, fish aqua culture, governance and disaster risk management. Indonesia also provided tertiary scholarships and exchange training programs in those areas while at the regional level, Indonesia through ASEAN has also implemented various activities particularly in disaster reduction management and early warning systems. At the intra regional level, Indonesia with South Africa has launched the New Asian-African Strategic Partnership (NAASP) in 2005, serving as a framework to bridge between Asia and Africa covering political solidarity, economic cooperation and socio-cultural relations. In regard to attaining the MDGs, Indonesia has also given special attention to population related issues and activities. Along with the Partners in Population and Development (PPD), Indonesia continued to play an active role to promote capacity building and training in the area of population, reproductive health/family planning so that every person might benefit from equal opportunity and development. Lastly, Indonesia reemphasized its commitment to the initiatives so that South-South Cooperation at the regional and global level could contribute optimally to fostering self reliance and collective self reliance of the South.


TECHNICAL ASSISTANCE AND PROGRAM DEVELOPMENT

Technical Assistance by Gary L. Lewis and Harry Purnomo for Supporting the Revitalization of the Family Planning Program in Indonesia

Gary L. Lewis and Harry Purnomo have provided technical assistance for National Family Planning Coordinating Board in year 2009. The consultancy or technical assistance provided objective inputs on the revitalization of the family planning program in Indonesia. It was intended to guide the process of change needed to re-strengthen the program. It also become the last part of a series consultations aimed to develop implementation strategies constructed based on the first two consultancies done by Terence H. Hull, Henry Mosley, Muhadjir Darwin and Sukamdi, to be used to stimulate the planning process for revitalizing the program.

The proposed strategies were focused on several important issues, those were strategies related to the roles of the private sector in Family Planning/Reproductive Health, the technical support for decentralization, the National Communication Strategy, the capacity building to address decentralization and priorities in Family Planning/Reproductive Health, program to improve the quality of Family Planning/ Reproductive Health Care, program aimed to ensure the equity in accessing and using the Reproductive Health/Family Planning Services, the efforts on preventing High Risk Pregnancies and in balancing the Contraceptive Method Mix. Detailed information concerning these strategies could be accessed at Center for International Training and Collaboration BKKBN' website at www.itp-bkkbn.org

Technical Assistance by Professor Terence H. Hull and Dr Wendy Hartanto Providing National and Provincial Fertility Adjusted based on the Indonesia Demographic Health Survey 2002/2 and 2007

The Indonesian Government, in this case the National Development Planning Agency (Bappenas), National Family Planning Coordinating Board and Statistics Indonesia (BPS) have made an initiative to review the national and provincial fertility level in Indonesia. Among the attempt that has been implemented was the adjustment of the National and Provincial Fertility by international and national experts Professor Terence H. Hull of Australian National University and Dr Wendy Hartanto of Statistics Indonesia. This technical assistance was a follow up activity constructed based on the result study of the Revitalization of Family Planning in Indonesia for BKKBN and UNFPA in 2008. The study identified that the some women in the household lists of Indonesia Demographic Health Survey 2002/2 and 2007 were missing and caused an overestimation of fertility rate in period between 2002/3 and 2007. Therefore, the fertility adjustment deemed necessary to be done.

Through this activity, they calculated an adjusted estimation for national total fertility rate of 2.4 for Indonesia Demographic Health Survey 2002/3 and 2.3 for Indonesia Demographic Health Survey 2007. They also reviewed all the data for provinces and had further checked the methodology to obtain provincial level estimates in population projections for planning and monitoring. The results indicated that many of the interpretations of fertility had changed in the last ten years and it demanded an adjustment. It pointed to the need for a greater investment in the maintenance of a proper sampling frame for the Indonesia Demographic Health Survey and other sample surveys in Indonesia. Fertility was on the right track to meet the replacement level goal in 2010, and there was no indication that the national fertility rates would rebound in the near future. The provinces with recent fertility increase were either at relatively subject to tempo and other cohort effects, or they were poor and simply isolated particularly in Eastern parts of Indonesia where logistic and personnel problems have not been met by good policies. The researchers indicated that there was a very specific need for investment in logistics and direct service provision in some provinces. Detailed information concerning this activity could be accessed at Center for International Training and Collaboration BKKBN' website at www.itp-bkkbn.org


INSTITUTIONAL RELATIONSHIP

Bilateral Meeting of Indonesia and Colombo Plan in South-South Technical Cooperation

On 6-7 April 2009, Indonesia and Colombo Plan was conducted a bilateral meeting in Colombo, Sri Langka. The Head Bureau for Technical Cooperation of Overseas, State Secretariat was leaded the Delegation of Indonesia in the Bilateral Meeting. The delegation of Indonesia consisted of representatives from the Directorate of Technical Cooperation and Directorate Social Culture and Developing Country, Ministry of Foreign Affairs and Head Division for International Training and Collaboration, BKKBN.

The aim of the bilateral meeting was to discuss the details of joint collaboration program in South-South Technical program for 2010. The two-day agenda discussed about the cooperation in the domain of social economics, which included four training program proposals. These were (1) Training on local economic development: An integrated framework for delivering poverty alleviation initiatives; (2) Training on poverty reduction: community development program; (3) Training course on empowering women through social, economic and cultural intervention and (4) Training on operational management of micro finance for the developing member country of the Colombo Plan.

At the end of the meeting, Colombo Plan secretariat also proposed to the Government of the Indonesia to consider the grant contribution to fund the programs on public administration and environment and requested the Indonesian Official to be placed as the second men at the Colombo Plan Secretariat.

Following this meeting, the Government of Indonesia and the Colombo Plan has signed the Minutes of Meeting concerning "the Third Country Training Program on Empowering Women through Social, Economic and Cultural Intervention" in Jakarta on 3rd December 2009. Based on the minutes of meeting, Colombo Plan collaborated with BKKBN and the State Secretariat of Indonesia would conduct a Training Course on Empowering Women through social, economic and cultural intervention in Indonesia, on 17 - 22 May 2010.

International Program Advisory Committee (IPAC) Meeting

BKKBN and Partners in Population and Development (PPD) organized two - days meeting in Bali attended by 21 participants from Nigeria, Pakistan, Thailand, United States of America, Switzerland, Bangladesh and Indonesia. Indonesia delegation consisted of representatives from Ministry of Health, State Secretariat Ministry, BKKBN and Damandiri Foundation. DR.Dr. Sugiri Syarif M.PA, Chairperson of BKKBN officially opened the meeting.

The objective of the meeting was to discuss about the PPD's position in present economic downturn. At the opening session, Executive Director of PPD highlighted key factors that need to be considered in the economic crises and its impact on South-South Program. These factors included 1) the current financial economic downturn and its impact on the South; 2) population growth; 3) Resource Mobilization and 4) Capacity Building. Mr. Jooseery highlighted the impact of the present global economic downturn on Resource Mobilization has lead to the continuous fall in Official Development Assistance (ODA). Regarding the Population growth factor, he pledged that emerging countries from the South (including India, China, Brazil, South Africa, Thailand and Indonesia) played a key role in providing RH commodities to other countries and accordingly PPD would be advocating and facilitating the process. Following the Resource Mobilization factor, Mr. Jooseery noted the need for the organization to reach out new donor agencies in order to diversify its sources funding. Mr. Jooseery insisted on the need to strengthen member countries capabilities at individually institutional and system levels while recognizing PPD Partner Institutions' efforts and their contribution to promote research and training programs in Population and Family Planning/Reproductive Health in line with the achievements of MDGs and ICPD goals. Finally, he called participants to the IPAC meeting to focus on mechanism and strategies that aimed to reposition PPD within the national, regional and the international context.

In this forum, PPD Permanent Observer to the United Nations, Mr. Jyoti Singh, highlighted future program and priority areas of PPD. He recommended PPD to focus on few issues, those were:

- There was an urgent need for PPD to attract donor agencies

- Translating, adapting and integrating PPD Generic Modules into partner institutions existing curricula and training programs

- Documenting best practices in member countries

- Repositioning population and development programs

- Developing adapted strategies to mobilize fund

The Dissemination of Generic Training Modules on Population, Reproductive Health and Gender

On February 22, 2009, Center for International Training and Collaboration had conducted the dissemination of Generic Modules on Population, Reproductive Health and Gender developed by the Partners in Population and Development (PPD). The dissemination was attended by 35 participants representing six BKKBN Provincial Training centers and 2 training divisions of BKKBN central office.

The participants comprised of head of the BKKBN provincial training center and trainers from BKKBN central office and provincial office. Some important issues noticed during the discussion as follows:

1. Contents and length of training. The contents of module were substantial but too broad. The length of training was not applicable because it was too long. Typically, the duration of training was in between 5 - 7 days. As the core or main reference, participants suggested PPD to materialize the references and send to country members of PPD particularly to Indonesia/BKKBN.

2. The book references were instrumental but took time to obtain or to access.

3. The generic module was too theoretically loaded. Particularly to gender issue, participants were eager to insert this issue into the curriculum since gender mainstreaming in development including in the area of family planning was successfully implemented in Indonesia where majority of its people was Muslims.

At the end of the meeting, BKKBN provincial Training centers agreed to follow up the following activities:

1. Disseminate generic modules to relevant stakeholders in their respective provinces

2. Establish working team of trainers

3. Develop specific training based on the generic modules as piloting. BKKBN Training Centers would also incorporate the module partially into their trainings

4. Advocate local government to allocate budget to support the training

Prior to the dissemination period, CITC has translated generic modules from English to Indonesian version. To meet the efficiency and effectiveness of training, BKKBN developed a curriculum which consists of four modules as a training package by selecting important parts in each module.

The Discussion on the Enrichment and Field-Testing of "Family Planning/Reproductive Health, Gender: Islamic Perspectives" Book

Since 2008, BKKBN and UNFPA Indonesia, supported by UNFPA Iran and UNFPA Bangladesh had initiated to develop the IEC Module, entitled : "Family Planning/Reproductive Health, Gender: Islamic Perspective". The formulation of the book was conducted jointly with the authors from Indonesia, Bangladesh and Iran.

Following the formulation of the draft of the book, the Indonesian Team, Mr. Cholil Nafis, Indonesia Council of Ulama, Dr. Wan Nedra Komarudin, Nahdatul Ulama, Dr. Yurika Maryanti, Mr. Furqan la Faried, Ulama and the Director of Family Resilience, BKKBN, Ms. Martha Ismail, Assistant Representative of UNFPA Indonesia, were invited by UNFPA Bangladesh to came to Bangladesh for the enrichment and field-testing of the book. The activity aimed to gather some inputs from Bangladesh Religious Leaders towards the draft. The discussion conducted on 31 October to 6 November 2009 with UNFPA funding support. Currently, the draft is being finalized by the team and will be published soon.


LIST OF PUBLICATIONS
  1. International Training Program (Printed Material)
  2. Indonesian Family Planning/Reproductive Health Program: Shifting From Demographic Targets To Reproductive Rights (Printed Material)
  3. Country Report, The Implementation of International Conference on Population and Development Programme of Action in Achieving Millenium Development Goals, Indonesia Experience (Printed Material)
  4. Country Report to Commemorate 15 Yares ICPD (Printed Material)
  5. Revitalization of Family Planning in Indonesia, A Strategy for Empirically Based Implementation (Printed Material)



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FOREWORD
INTRODUCTION
OBSERVATION STUDY TOUR
SHORT VISIT
INTERNATIONAL TRAINING
HIGH LEVEL VISIT
CAPACITY BUILDING FOR OFFICIALS/STAFFS OF THE NATIONAL FAMILY PLANNING COORDINATING BOARD (BKKBN)
THE ROLES IN INTERNATIONAL FORUM
TECHNICAL ASSISTANCE AND PROGRAM DEVELOPMENT
INSTITUTIONAL RELATIONSHIP
LIST OF PUBLICATIONS


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