UNFPA 6th COUNTRY PROGRAMME

The UNFPA UNITED NATIONS POPULATION FUND) has been a partner with the government of Indonesia since the early 1970s when it joined the World Bank as co-financier of the first population and health project.In subsequent country programmes (CPs), continued support to strengthen the provision of Family Planning information and serviceswas gradually expanded to many island provinces.

The sixth country programme will be in 43 districts in four provinces of Indonesia, Including West Java Province. Thematic criteria for selection include Maternal Health, Adolescents, STI & HIV/AIDS, and Gender Violence.

Programme Goals & Concepts

The goal of the 6th cycle program is to contribute in increasing human quality through improvement of reproductive health, balanced demography development, and gender equality and equity. In order to attain it the 6th cycle program is divided into 3 sub programs, they are sub program (1) RH. Reproduction Health, which consists of six projects, (2) PDS. Population & Development Strategy, which consists of three projects and (3) Advocacy, which consists of two projects.

 The following table indicate projects under each sub programme  

The following explains each project under the 6th cycle programme.  

 The Essential Reproductive Health location in West Java has been concentrated in thirteen (13) districts.  namely kota Cirebon, Kabupaten Cirebon, Kabupaten Kuningan, Kabupaten Indramayu, Kabupaten Ciamis, Kabupaten Majalengka, Kabupaten Garut, Kabupaten Bandung, Kabupaten Tasikmalaya, Kabupaten Purwakarta, Kabupaten Subang, Kabupaten Sumedang and Kota Bandung.

The criteria for selecting the project sites are mainly focused on several indicators, including a high rate of maternal mortality (MMR), a high rate of young aged first marriage and existing cases of STDs/STIs and HIV/AIDs infection rate and some other indicators related to RH issues.

There are nine inter-related outputs that will be pursued to achieve the goal and purposes of the RH Sub- Programmed. This project will contribute to output 4 of the sub-programme, which covers the integrations of a minimum initial service package into emergency medical services for refugees and internally displaced people. The Minimum initial Services Package (MISP) consist of :

          a. Clean delivery services

          b. Prevention and management of sexual violence

          c. Provision of contraceptives, and

          d. Prevention of HIV and STD infection

To achieve these four results of output 4, there will be a series of activities and sub activities that need to be undertaken but no activities in West Java (Aceh & North Sumatera), South East Sulawesi, NTT, East Java, Kalimantan, North Maluku, Maluku).

Recognizing the critical situation of ARH in Indonesia, the Purpose of the RH Sub-programme is : ‘To have contributed to increased utilization by women, men and adolescents of :

(a)  Quality RH Services

(b)  RH information and counseling services resulting in safer reproductive and sexual behavior

The present project is designed to deliver Output 7 of the Sub-Programme on RH as follows :

‘Awareness and understanding of ARH issues, including prevention of STIs and HIV/AIDS and unwanted pregnancies, increased among adolescent/youth, access to RH counseling and services improved for diverse groups of adolescents and youths through NGO ARH programmes’.

      The project will carry out all the 6 activities proposed in the Sub-programme-document. In addition to the advocacy activity aimed at creating supportive environment for this ARH project, the advocacy for adolescent/Youth RH concern in general will be implemented in the second project of the advocacy Sub-Programme, as part of efforts to advocate population and development, RH, and gender issues in comprehensive and co-ordinated manners.

          With regard to youth centre (YC), five new youth centers are envisioned to be largely funded by UNFPA in the first year and through cost sharing with the Local Government or private sector in the following year. Locations of the new youth centers will be determined later based on the needs assessment in line with proportional representation of high school campuses, tertiary school campuses and industrial establishment. Six youth centers established during the 5^th Country Programme will continue to receive partial funding. Details of their activities and funding activities will be discussed further with the executing and implementing agencies.

Location of youth centers in West Java

One of the nine outputs of the RH Sub-Programme that has direct link with the project is Output 9, which is to ensure RH/FP commodities readily available, accessible to people of all socio economic status. The component project will reflect attainment of Output 9 through a set of inter-related activities. The expected outcomes of the various activities are detailed in the logical framework (Annex 1).

An essence of this output 9 is to ensure that both poor and non-poor have capacity to access readily and affordably to reproductive health services and commodities. This output is intended to cover all types of users, those who need free services (public sector) with subsidized (social marketing) RH commodities (poor) and those who can afford to pay, in full or partially subsidized for services and commodities (non-poor). “Poor” consumers basically will be needing services and commodities through public sector, community-based distribution or cooperatives, or social marketing, while “noon-poor” will be strictly through pure private sectors or/and social marketing.

The number of activities proposed in this project is to find out ways to increase access to RH commodities through public sector for poor clients and shift clients, who can afford, to private sector and social marketing. Also cost recovery mechanisms will be explored under this component project. All activities are in coordination with and complementary to the activities on RH/FP commodities of the USAID’s STARH programme to avoid overlapping of programme activities and re-enforcing each other programmers, including activities supported under European Commission (EC):

This  components project deals primarily with activities contained in the RH Sub-Programme output, “Increased access to information and effective preventive measures on STI and HIV/AIDS by groups with high-risk behavior through NGO initiatives”. The project will implement intervention activities in 4 provinces using an information, education, and communication (IEC) strategy in conjunction with skills building for condom use and management of sexually-transmitted infections (STI) among high-risk groups.

          In order to reach the goals, which focus more on prevention, the project has general strategies, i.e. :

1.     To raise awareness.

2.     To have repeated, effective contact with target groups such as through peer education.

3.     To provide the means of behavior change (condoms and STI treatment/referrals).

The project will use a target-group-focused approach because it is clear that sustainable operation of the activities and the outreach of programme will be best motivated by the target groups themselves. The project will support them until they are ready to be on their own.

The project will also see the target groups in away that diminish moralistic and judgmental attitudes among staff and relevant stakeholders, including the police, health service providers/officials, etc. The project team will treat the individual in the target groups as a whole person, encouraging the person to recognize and express his/her needs and treating the person in a fully ethical manner. Meeting the felt needs of the targets groups will encourage them to commit themselves to HIV prevention. The activities to raise their awareness will be done both within the target groups and in the community (through mass campaigns).

The activities of this component project will be aimed at reaching victims of violence against women with the legal, medical, social, and economic interventions they require; collecting and utilizing data on VAW to improve the design, implementation, and targeting of interventions to reduce and manage the consequences of VAW; and continuing to improve advocacy efforts to raise awareness about VAW, and create a policy environment that supports the elimination of VAW. Activities will be planned at the national level, as well as in community sites in the four provinces in which UNFPA is active, West Java, South Sumatera, West Kalimantan, and East Nusa Tenggara.

          Four partners agencies will be involved in the execution of this project, namely, PIKUL, Puan Amal Hayati, Rifka Annisa for provinces and community level activities; and Komnas Perempuan, for National level activities. The MOWE will serve as coordinating body for this project ensuring government commitment, intersectoral coordination and the creation of supportive environment for the elimination of VAW.

Executed by the ministry of Women’s Empowerment (MOWE), the project was to have contributed to the formulation and implementation of gender sensitive reproductive health and population policies and programmes in selected sectoral ministries and regional government agencies.

Basically, the project was to :

a.   secure political commitment and support from policy decision makers to integrate the pertinent gender issues in their respective policies and programme through sensitization and awareness raising based on existing information;

b.  equip programme planners with skills for incorporating these relevant elements in sectoral and regional programmes through structured training that combines both sensitization and the mechanism for gender integration in policy statements, programmes, and strategies; and

c.  develop corresponding monitoring and evaluation indicators that will track the progress in project implementation and asses the outcomes in terms of gender equality and welfare of men and women.

This component project will deal with activities to accomplish output no.2  : ‘Conducting policy research to improve knowledge and understanding of priority about population, gender and reproductive health issues through policy research, for the purpose of the development of relevant policy and programme planning.’

Purpose of the Policy Research Project :

(1)  To have contributed a package of information, knowledge and recommendations derived from policy research to provide alternative solutions to problems related to population, gender and reproductive health in Indonesia and specifically in UNFPA programme districts.

(2)   To raise awareness about critical population, development and reproductive health issues to promote support to key strategies and actions and to facilitate positive plan and actions about the issues.

Under the sixth Country Programme, UNFPA projects cover the administrative areas up to the district level. In this context, there is a need to support the implementation of the programme through the provision of relevant indicators at this level. These indicators, which are supposedly available at district level, are either not comprehensively compiled or unavailable at all. This component project is specifically designed to address this issue.

Indicators produced by this project will be used as general planning, monitoring, and evaluation indicators for other projects under the sixth Country Programme. The district authorities can also use these indicators for their policy making at the respective level. The indicators will be made available on annual basis. In addition, the provision of these indicators at district level will support the Result Based Management (RBM) approach to determine progress and results of programme implementation.

Some important demographic indicators, such as birth and death rates, and maternal mortality rate, will be calculated applying indirect methods. The rest of the required indicators will be developed using data available at various government organizations such as BKKBN, MOH, BPS, and Ministry of National Education. The construction of life table for district level will start in 2002 with the Susenas data. However, life-table for 2001 will be produced at province level using 2000 Census and 2001 Susenas data.

The Sub-Programme output-3 has distinct links with the project. It aims at developing database on key population, Family Planning/Reproductive Health, and gender data to compute the indicators for planning, monitoring and policy making at district levels. Therefore, this component project will reflect this output through the constituent activities that will lead to the attainment of the objectively verifiable indicators (OVIs). However, after further review of the sub-programme, obtaining and processing the data on quarterly basis were found not feasible. Furthermore, it was also decided to obtain and process the data that are required for the production of the indicators given in Annex 1. These indicators have been developed, discussed and finalized with the concerned ministries. The indicators will also be used as a tool for overall programme planning, monitoring, evaluation, and policymaking.

Sound and rational district level planning depends largely on the availability, accessibility and adequate analysis of data. With the availability of the 2000 census data, district level, sex disaggregated, population information in published form can provide benchmarks on some key indicators for programme implementation. However, this information is limited to population in general and will not be available in the subsequent years for monitoring and evaluation. In order to obtain the required indicators annually, district level data and large surveys such as SUSENAS will be used. This project will also contribute to building up data processing and analyses capacity at District level.

           UNFPA’s Sixth Country Programme has recognized the need for various advocacy initiatives including capacity building. The purpose of Advocacy Sub-programme is : ‘to have contributed to increased political and community support at national and local levels for population, RH and gender concerns, particularly: Adolescent Reproductive Health, HIV/AIDS, gender equality and equity, including the elimination of gender based violence. The advocacy Sub-programme proposes the following outputs to contribute to the attainment of the Purposes of the Sub-programme :

 Output 1    : Capacity of relevant Government agencies and NGOs in planning and conducting advocacy on population, gender and RH issues strengthened.

 Output 2 :  Understanding of  broader issues of population, environment, gender and RH, particularly ARH, HIV/AIDS, male involvement and VAW increased among national and local leaders, including parliamentarians, decision makers, community and religious leaders.

 Output 3   :   Knowledge and understanding of media producers and journalist at the national and  local levels increased for addressing population and environment, gender, and RH, including, ARH, HIV/AIDS, male involvement and prevention of gender based violence.

           To achieve the above outputs, UNFPA is preparing two component projects. The current component project aims to realize the first output of the Advocacy Sub-programme through capacity building activities. The main activities of the project are (a) training on advocacy for population and development, RH, and gender for relevant staff of Government and NGOs, and (b) development of advocacy plans by these potential advocates. The trainees will be expected to apply their acquired knowledge and skills by carrying out their advocacy plans aimed at decision makers and media at the national and local levels in the second Advocacy projects. The second project concentrates on Outputs 2 and 3. Hence, the achievement of the first project will contribute to delivery of Outputs 2 and 3 of the Sub-programme.

Strategies of this component project are guided by several key factors:

(a)  advocacy as every specialized area

(b)  unique characteristics of advocates such as willingness and commitment to take an unpopular stand on controversial issues and to fight for human rights on behalf of marginalized groups of society

(c)  limited capacity on PDS-RH Advocacy in Indonesia as it is a new field

(d)  An intensive capacity building exercise required to enhance advocacy activities.

In light of these factors, the project focuses on the capacity building of a small group of appropriate personnel of government agencies and NGOs through training and development of advocacy plan using the UNFPA-CST advocacy module. The module is considered to be most appropriate training material as it has been successfully pre-tested in several countries. A practical step-by-step guide on advocacy of PDS, RH, and Gender will be compiled on the basis of training module and the existing guide produced in different countries. The training module will cover both advocacy in line with the UNFPA’s mandate and the local concerns.

          Both component projects under the Advocacy Sub-programme are highly inter-related. The first component project will help to strengthen the knowledge and skills of selected staff of Gos and NGOs at the central, provincial and district levels on systematic planning and conducting advocacy. These trained staff will help to conduct the advocacy activities planned under the second component project.

UNFPA 6th CYCLE PROJECT COVERAGE AREA 2002

PPM West Java Province Ahmad Idjaz

idjaz@plasa.com Tel.022-2514062, 0818642390, Fax.022-2510731