Healthy Food Market Project: Lessons Learned

INSPAI Workshop, Bali, 8 November 2011

Healthy Food Market Pilot Projects Implementation

2008 - 2011

Best Practices and Lessons from

FAST FACTS ON HFM PILOTS

• Implemented by MOH and WHO Indonesia



• Implemented by MOH and WHO Indonesia• Funded by the EU



• Implemented by MOH and WHO Indonesia• Funded by the EU• Started in 2008 until 2010, with one year extension in

2011



• Implemented by MOH and WHO Indonesia• Funded by the EU• Started in 2008 until 2010, with one year extension in

2011• Piloted in 10 locations, in 9 provinces



• Implemented by MOH and WHO Indonesia• Funded by the EU• Started in 2008 until 2010, with one year extension in 2011• Piloted in 10 locations, in 9 provinces

• Cover 4 components: 1) Coordination, 2) Capacity building, 3) Minor construction, and 4) Awareness raising



OUTPUTS OF COMPONENT #1 “COORDINATION”



Established inter-sectoral HFM task force at the local level to maintain the project and initiate replication



Pekalongan inter-sectoral meeting, at Mayor’s office, 2 March 2011

Established inter-sectoral HFM task force at the local level to maintain the project and initiate replication


Socialised HFM workplan to Mayor and local inter sectoral agencies to secure support for the project initiative



Central and local governments are bringing limited funds to support daily operation and sustain the project initiative





In Payakumbuh, Mayor included HFM activities to be complemented by the city’s budget and supported comparative study to Sragen and Jakarta.






In Muara Enim, Mayor replicated PHAST activities to the existing markets in the city






In Muara Enim, Mayor replicated PHAST activities to the existing markets


In Metro, Mayor supported Task Force to conduct comparative study to good traditional markets Jakarta and Sragen








In Yogyakarta, HFM Management training and PHAST training have been replicated at the provincial level involving 2 districts, Sleman and Bantul.







And also Mayor supported Task Force to conduct comparative study to good traditional markets Jakarta and Sragen


In Bontang, Mayor is trying to replicate the radio initiative to the other two existing mark









And also Mayor supported Task Force to conduct comparative study to good traditional markets Jakarta and Sragen

In Bontang, Mayor is trying to replicate the radio initiative to the other two existing mark




OUTPUTS OF COMPONENT #2 “CAPACITY BUILDING”



Module for TOT HFM Management is available.

A simplified version to be used by local stakeholders is also available as public resources.



More than one hundred (100) modules were distributed to the participants of National Workshop on Developing Stakeholders’ Initiatives to Accelearate Replication of HFM, organised by HAKLI (Association of Environmental Health Specialist) on 26 September 2011. The participants came from local government of Indonesia, relevant Ministries, Corporates, and Universities.







More than one hundred (100) modules were distributed to the participants of National Workshop on Developing Stakeholders’ Initiatives to Accelearate Replication of HFM, organised by HAKLI (Association of Environmental Health Specialist) on 26 September 2011. The participants came from local government of Indonesia, relevant Ministries, Corporates, and Universities.

Module can also be obtained from WHO Indonesia (PHE Unit- ext 941) and Environmental Health Unit Directorate of MOH



116 Master Trainers at the provincial level were trained on HFM Management during the period of 2009/2010.

300 people from district and market stakeholders were trained on HFM Management in 2010.



Module and kit for PHAST (Participatory Hygiene and Sanitation Transformation) Training and PHAST implementation are available.

300 market facilitators from district stakeholders and market community received training on PHAST methodology and implementation.



Module and kit for PHAST (Participatory Hygiene and Sanitation Transformation) Training and PHAST implementation are available.

300 market facilitators from district stakeholders and market community received training on PHAST methodology and implementation.

More than 100 modules have been distributed at HAKLI National Workshop (above) and also available in WHO and MOH for public reference.



300 market community comprised vendors and market cleaners receive training on market cleaning and food safety.

A traning was jointly conducted by WHO-FAO.


OUTPUTS OF COMPONENT #3 “MINOR CONSTRUCTION”



Conducted minor physical improvement on sanitation and hygiene.




Payakumbuh: Construction of public toilets in the market, construction of handwashing facilities, upgrading water facilities, and adding grill cover to the existing open drainage system.





Metro: Expansion of water supply, construction of waste water treatment plant, construction of toilets and septic tanks, construction of solid waste disposal facility.





Metro: Expansion of water supply, construction of waste water treatment plant, construction of toilets and septic tanks, construction of solid waste disposal facility. .

Cibubur: Increasing the level of flooring in the market to avoid flood, construction of hand washing facilities, improvement of air circulation, construction of toilets.




Pekalongan: Rehabilitation of meat section, rehabilitation of toilet and septic tank, construction of handwashing facilities.




Pekalongan: Rehabilitation of meat section, rehabilitation of toilet and septic tank, construction of handwashing facilities. .

Sragen: Construction of hand washing facilities and septic tank.






Gunung Kidul: Construction of hand washing facilities, construction of chicken zone, construction of solid and liquid waste disposal . .






Gunung Kidul: Construction of hand washing facilities, construction of chicken zone, construction of solid and liquid waste disposal .

Malang: construction of clean water supplies and construction of hand washing facilities. .




Gianyar: Reconstruction of meat vendor stalls, installation and rehabilitation of water and sanitation facilities, including clean water, waste water treatment system, hand washing and equipment washing facilities.





Mataram: Construction of hand washing facilities and septic tank.





Mataram: Construction of hand washing facilities and septic tank.

Bontang: Construction of hand washing facilities and septic tank.



Procured food safety kit, hygiene and sanitation supplies and distributed to pilots.


OUTPUTS OF COMPONENT #4 “AWARENESS RAISING”



Risk awareness and risk management was conducted for 400 vendors using PHAST methodology.



Thirty (30) market facilitators who have received training on PHAST facilitated 400 vendors per market to -Identify what are the risk behaviors vs safe behaviors-Identify different mode of disease transmission, particularly for AI, food borne disease, and water borne disease-Make community plan to stop the spread of the disease by way of community involvement and individual awareness.

Risk awareness and risk management was conducted for 400 vendors using PHAST methodology.



Developed radioloand as a primary communication and information tool in the market.




Role of Radioland: -Medium for information dissemination , sharing of best practises, and case studies.-Tools for agent of change . Radioland staff is informal leaders who works to inspire and create change of behaviors of the market community.-Platform for discussion for market community for problem solving in the effort to improve environment and support safe behaviors.




Quick facts on community radioland: -By the community, for the community philosophy-Located within the community that it serves-Uses speaker instead of frequency. That’s why it’s called land radio-A non-profit initiative. Income is generated only to support the radioland mission: healthier market, healthier community-Organic organisation. No one-size-fits-all institutional arrangement-Operational hours follow the market’s

- An existing radioland is on air 24/7




“I used to be a very shyperson.I do not like public speaking.I did not know how to operate computer. I am only a simple vendor.But now I am a broadcaster in our Radio Land, and I reallyenjoy it.”

(Sutikno, Malang, Porridge vendor)




“Some vendors used toonly wear an undershirtin the market, now they wearproper clothes.”

Radioland Cibubur




“Before, vendors always leave behind their garbage at the stalls or leave them scattered in front of it. Now, more and more vendors collect them in plastic bags before I come to pick them up.”

Radioland Mataram




Flickr: Rolling Okie

“We tried everything we can to stop public urination in the market. Nothing worked. It finally stopped when we started to place ‘flower offerings’ on the floor.Local people here believe that some places are spiritual and flower offerings are one way to honor the spirits”

Radioland Gunung Kidul




A facebook forum has been created for all radioland in 10 locations to communicate with each other



Produced and distributed IEC Materials as easy reference on healthy market

Indonesia has over 15,000 markets.

What’s next?


EXIT STRATEGY


• A letter from the Minister of Health has been sent to all 33 Governors of Indonesia requesting Governor to replicate at least one (1) Healthy Food Market in each district/municipality

EXIT STRATEGY



• A coordination meeting at the DG level has been conducted between MOH and Ministry of Trade to discuss HFM

EXIT STRATEGY




• A National Committee for Market Revitalisation has been formed under Ministry of Trade. A specific budget line has been put for it

EXIT STRATEGY





• MOH as a leading sector for HFM, is a partner agency to support Committee with skill and information materials

EXIT STRATEGY






• All guidelines and manuals will be updated and make available for government

EXIT STRATEGY






• All guidelines and manuals will be updated and make available for government• Support for non-governmental efforts for development of HFM, such as initiative put

forward by HAKLI and Danamon Care Foundation will be continued– Support can be done by way of sharing of experience, manuals, documents, etc

EXIT STRATEGY








• In 2012, MOH will replicate 10 pilots using national budget. The pilot locations were chosen from the Ministry of Trade’s Market Revitalisation location

EXIT STRATEGY








• In 2012, MOH will replicate 10 pilots using national budget. The pilot locations were chosen from the Ministry of Trade’s Market Revitalisation location

• Collaboration is also being pursued with Ministry of Sea and Fisheries on Healthy Fish Market.

WHAT HAVE WE LEARNED?

1. Empower market manager for implementing HFM Guideline as written in Ministerial Decree 519/2008




2. Conduct spesific training for market management and market workers, such as cleaner and vendor on HFM management,





3. Open interaction and formalised cooperation with the local stakeholders and market community from Year 1 of project implementation.






4. Improved capacity building activities with clearer action plan and proper follow-ups on the part of the participants.






4. Improved capacity building activities with clearer action plan and proper follow-ups on the part of the participants.

5. Create an interactive platform as a Knowledge Management tool for healthy market and market revitalisation reference in Indonesia.


REMAINING ACTIVITIES

• Monitoring and Evaluation

• Construction finalisation

• PHAST completion


OUR PARTNERS


Local Governments:

Non Governments Organisation

Private sector CSR

Other UN sister agency


“The greatest use of life is to spend it

for something that will outlast it.”~ William James

Healthy Food Market Project: Lessons Learned

Health & Medicine

Transcript of Healthy Food Market Project: Lessons Learned