SPR 2009_NTT Prov and Districts

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2009 STANDARD PROGRESS REPORT FOR 7 CP UNFPAINDONESIA PROVINCE AND DISTRICTS NTT

2009 S2009 STANDARDTANDARD PPROGRESSROGRESS RREPORTEPORTFORFOR UNFPA 7UNFPA 7THTH CPCPIINDONESIANDONESIADISTRICTSDISTRICTSANDAND PPROVINCESROVINCES

PROVINCE : EAST NUSA TENGGARADISTRICTS : MANGGARAI, WEST SUMBA, TTS,

KUPANG AND ALORPROVINCE MANAGER : DONIDISTRICT MANAGERS :

1. DONATUS MEAK2. YUBLINA PANDARANGGA3. NIKEN SAVITRI4. ELIZABETH K.M. BOLODADI5. MARCELL FERNANDEZ

DATE OF SUBMITTING: 25 JANUARY 2010

A. PURPOSE

Since year 2008, the Program Component has adopted changes asrecommended in the Mid Term Review process with the key indicatorsand necessary adjustments to the annual targets. The refinements arefocuses to the following;

The 7th Country Programme contributions to the UNDAF outcomes: a)

strengthening human development to achieve the MDGs; b) promotinggood governance; and c) protecting the vulnerable and reducingvulnerabilities which aligned with the Indonesia Governments MediumTerm Development Plan 2004 2009 (Rencana Pembangunan Jangka


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Term Development Plan 2004 2009 (Rencana Pembangunan Jangka


commodity security, and prevention and management of HIV-AIDS, atCentral and Sub-national which include efforts on advocacy and

contributions to support the development of RH policies and strategiesincluding Family Planning, ARH, STIs, and HIV-AIDS.

Output (R105): Increased capacity of lawmakers, decision makers,religious and community leaders, civil society and the media tomainstream issues relined to reproductive rights, reproductive health,adolescent reproductive health, STIs, HIV/AIDS and gender intopolicies.

The main strategies are by raising awareness and build the capacityof lawmakers, decision makers, religious and community leaders, civilsociety, youth and the media through advocacy and partnershipbuilding, orientations and trainings and information/experiencesharing.

RH-CP Outcome 2: Strengthened demand for high-quality,

integrated, client-oriented and gender-sensitive reproductive healthand adolescent reproductive health services and information.

Output (R301): Increased awareness and knowledge among women,men and vulnerable groups of issues relined to reproductive rights,reproductive health, adolescent reproductive health, STIs, HIV/AIDSand gender (incl. GBV).The main strategies are Support IEC/BCC programs, campaigns and

activities especially community-based programs on reproductivehealth, including family planning, ARH, STIs, HIV/AIDS and genderincluding IERH and prevention of GBV.


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and development through improved availability and increasedutilization data on population, reproductive health and adolescent

reproductive health, STIs including HIV/AIDS, gender and poverty.

Output 4.1 (P101):Improved availability and increased capability toutilize disaggregated data on population, reproductive health andadolescent reproductive health, STIs and HIV/AIDS, gender, povertyand enhanced understanding of planners, policy makers andparliamentarians on their linkages with development.The main strategies are the incorporation of population and

reproductive health data in DDA (district in figure), establish databaseforum and support capacity building, training planners and policymakers, training on data utilization.

Gender CP Outcome 5: Strengthened institutional mechanisms,socio-cultural values and practices to promote and protect the rights ofwomen and girls and to advance gender equity and equality.

Output 5.1(G.101): Enhanced capacity of Government, nongovernment organizations and civil society organizations, communityand the media to prevent and manage Gender Based Violence andother harmful practices based on the statutory, judiciary, customaryand religious texts relating to the rights of women and girls.

Districts focused Gender (G101) are Manggarai, Alor and West Sumba

district, whereas districts focus RH (R205) are Kupang and TTS

Please see Country Program Framework in 2008-2010 (attachment 1) and

the progress that was made in 2009 (attachment 2.file CPAP of


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C.RESOURCES

The total approved budget of all programme component for the year 2009 both for Province and districtare:

Output

ApprovalBudget inAWP 2009

(Total)

Approval Budget in AWP 2009

Province Kupang TTSWest

Sumba Manggarai Alor

R1012,008,162,

000641,855,000 298,787,40

0285,897,400 249,747,40

0264,187,40

0267,687,40

0

R2051,424,435,

000 500,465,000324,655,00

0 327,575,000 43,250,000 41,905,000186,585,00

0

R105619,345,

000 181,835,000 68,175,000 135,930,000 64,725,000 80,250,000 88,430,000

R301915,825,

000 127,300,000156,695,00

0 171,770,000173,470,00

0154,970,00

0131,620,00

0

P101568,520,

000107,360,000 74,360,000 94,355,000 102,970,00

098,320,000 91,155,000

G1011,006,555,

000 241,185,000 45,315,000 49,675,000225,775,00

0221,940,00

0222,665,00

0

Total6,542,842,

0001,800,000,0

00967,987,40

01,065,202,4

00859,937,40

0861,572,40

0988,142,40

0

726,982 200,000 107,554 118,356 95,549 95,730 109,794

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C. Section 2. Summary of 2009 Programme.

Section 2.1. Reproductive Health Services & Policy

Programme Component : Reproductive Health Services & PolicyProject IDs (use ATLAS code) : IDN7 R101 and IDN7 R205Implementing Agency / Partners : Bappeda NTT Province (PG0031)Other Implementing Partners : BKkbN Province, Provincial HealthOffice, Dinas Pendidikan Pemuda dan Olahraga.

2.1. a. Results of RH Services and Policy programme in 2009

In 2009, in order to strenghtened national program and sub-national pass by support program and operational to stabilize 3RH Commissions (TTS, West Sumba and Kupang district) and 5DACs in 5 districts with conduct meeting to strengthen duty, roleand function each commission in 5 districts, facilitatecommission to advocate RH, ARH, STIs and HIV-AIDS and CCS tolegislative and executive in Kupang, Alor and Manggarai,development on DAC Kupang and West Sumba action plan in2009-2014 and support secretariat and meeting IFPPD WestSumba, Kupang, Alor, TTS and Manggarai. Province AIDSCommision in NTT Province there are and enough get supportAPBN and APBD until not need fund support from UNFPA.

There are no RH Commission in NTT province, Manggarai and

Alor district because local government wants to more improvesupport commission that already exist like P/DAC, CCS, AdvocacyKIBBLAs team, DTPS, P2TP2A and Dewan Anak or LembagaPerlindungan Anak.


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strengthened with SK Bupati/Governor even Manggarai hasdeveloped CCS team work schedule in 2009 as furthermore

formulation from: RPJMN, NTT Provinces RPJMD, Manggaraidistricts RPJMD and Work schedule 2009, West Sumba has beendiscussed work schedule outline 2010-2014. UNFPA givessupport meetings to support work schedule and strategy of CCSteam in province and West Sumba, training RH Costing andforecasting, development forecasting availability ofcontraception commodity in 5 year, advocacy and peripheraladoption RH forecasting tools and costing into planning local (see

attachment 4 for overview of status of these three commissionsin the 5 districts and 1 provinces)

5 districts from 3 districs which targeted that is Kupang, TTS andAlor develope syllabus/draft of education syllabus andinformation ARH until applied at 38 schools (SMA19 schools, 1MAN school, SMK 3 schools and SMP 15 schools) by give supportfor mapping of implementation ARH status in local curricula,

collect and data analysis, ARH module printing (Kupang),meeting and 'workshop' for endorsement and new curriculumimplementation in school selected. The purpose is to know howto implement and integrate Adolescent Reproduction Health(ARH) education in school and get information as a means ofcorrect strategy determination in ARH Implementation in school.

Publication media for inform UNFPA intervention and support bypublish two of edition of newsletter in province with amount 250

excemplars each edition.

Collect and analize update data about IERH in 3 districts(Kupang, TTS and Alor) with each of them have 3 focuses


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o Facilitate supervision and monitoring to puskesmas that

conducted by district fasilitators (Kupang, TTS and West

Sumba). Comprehensive support for PHs to maximize IERH is given pass

by :o Training of Decision making Tool (ABPK) that given to 31

peoples (17 midwives-women, 4 FP field workers (PLKB)-men from Kupang and TTS (3 puskesmas), Alor and WestSumba (2 puskesmas) and Belu (midwive and PLKB from 4puskesmas.

o Training Contraceptives Technical Update (CTU) that given

to 15 midwives from 5 districts (Kupang, TTS, Alor, WestSumba and Manggarai, each district 3 midwives from 3selected puskesmas) that conducted cooperate with P2KSRSU WZ. Johanes Kupang, Provincial Health Office andDistrict Health Offices.

o Training of STIs and HIV-AIDS counselling is given to

Kupang and TTS (each district DHO 2 persons, 6 personsfrom puskesmas), totally 16 persons (5 men and 11women).

o Training about STIs and HIV-AIDS screening for puskesmas

laboratory in Manggarai are given to 6 nurses (4 men and2 women) from 3 puskesmas with resource persons arespecialist medical doctor from Manggarai Hospital.

o Meeting in Puskesmas to discuss work and action plan by

minilokakarya/mini workshop and support grant forselected puskesmas in Kupang and TTS.

o Seminar or socialization to school that conducted by 3

k i K


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sharing from APBN and attended by expert staff fromDepkes RI.

o Procurement for district hospital.o CEONCE training (for support EMOC service), if needed.

Audit Maternal Prenatal Implementation in Kupang and TTS.Meeting to assess, discuss and analysis of baby death case andmother bear and how improve system reference and caseprevention hereinafter.

Program Management, has been conducted pass by activities asfollows:

o Monitoring and Supervision to district/sub district/villages,

has been conducted as a mean to monitor of activityimplementation in the field by Implementing Partners andall give technical assistance by using RH and Gendermonitoring and evaluation tools.

o Coordination Meeting, has been conducted 4 times in 2009

(each district, except in Province only 3 times) that bent on

improve donation coordination and evaluation of aidprogram management UNFPA,

o Annual Workshop: Evaluation 2009 & Development of 2010

AWPs, has been implemented as a mean to produce annualwork schedule 2010 for reproduction health; populationand development strategy, and gender,

o Consultation to Province, has been conducted which

purpose: a). Report attainment and resistance inmanagement of donation aid program UNFPA in districtand b). Knowing and get information and stock purchasingreferring to manage management of donation aid programUNFPA h l


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Technical assistance for ARH intengation in the local curiculla in3 districts

Monitor the implementation and result of the programme(intervention)

Advocacy for replication2009 target:

1. Focal point at MONE identified and selected; guideline ofintergration of ARH in the local curruculla drafted andendorsed

2. Map the status in 21 districts, develop of tools for mapping3. Workshop ARH integration conducted in 3 districts: Kupang,

TTS and Alor ; selected schools to implemet the new curriculaidentified

4. M&E tools developed; data collection in selected schools anddistricts

5. Advocacy material developed; Meetings to policy makersimplemented

Activities in 2009:1. Mapping exercise by local partners in District & Subdistrict ;

using tools developed by Central.2. Analyze The Result of Mapping Exercise.3. Workshop Dissemination Guideline Integration of ARH in Local

Curriculla and the Result of Mapping Exercise.

The target has been ACHIEVED proven by:

Mapping status of ARH in the local curricula has beenconducted with result: information about integration ARHimplementation into curriculum.


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Coordination passes by

related sector has not yet

worked well in programdevelopment and ARHactivity in each institution.

Have not yet the of

monitoring tool andevaluation until have notyet can measure successrate of module ARHimplementation inselected schools.

Ability/teacher deftness in

submitting matter hasbeen very limited.

Develop commitment and

understanding from decision

makers that consist of: SchoolCommittee, Chief of Yayasan,Dinas Pendidikan, Headmaster,teachers and students torealize ARH Inclusion into licalcurricula in school and developPIK KRR.

Eliminate taboo in communitythat still prohibit discusssexuality openly to student.

Improved government support

pass by policy and budgetallocation acceptable to realizeARH inclusion in school.

Please see the results in a matrix of ARH Inclusion status mappedin attachment 5


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Provincial Programme Coordinating Unit NTT Province UNFPA2009 STANDARD PROGRESS REPORT FOR 7 CP UNFPA INDONESIA

PROVINCE AND DISTRICTS

13

Forecasting and RH Costingare not supported with

resident data, age group(ASFR) accurate.

Policy gives contraceptiveservice free for all acceptor inManggarai is burdened withby law (PERDA) that specifytariff for contraceptive servicefor IUD and Implant type.

Data Management andlogistic contraception devicehas not yet been good.

Membership of CCS team indistrict and province hasbased old SK Bupati before PPno.41 in 2007 implementationthat affect to change ofstructural position in related

sectors unless West Sumba. Guidance of commission

forming very limited untilcomplicate for district todesign and specify workschedule, role andcommission function.

Staffs that will follow training

in Jakarta about projection of5 year contraceptionavailability didnt have abilitythat it's enough for applied in

contraceptive planning andmanagement from historical

based (request bases andcompared to contraception deviceamount that sent Province in yearpreviously) to evidence based, isnot base data study and tendencyof community request.

Get support and budgetcommitment on one's partexecutive and legislative.

Make demography issue as themain issue in all process.


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Strengthening roles and function of district RH facilitators

Comprehensive supports to selected puskesmas

Regular review of the programme to identify progress as wellas bottlenecks, and provide immediate corrective action.

Advocacy2009 target:

1) M&E data collection in 9 selected districts: Tasikmalaya,Indramayu, Oki, Pontianak, Singkawang, Lombok Barat,Lombok Tengah, Kupang and TTS; Workshop implemented,

2) TOR RH facilitator developed; refresher training conducted;RH facilitator functioned: TA to selected puskesmasconducted; monitoring and Evaluation implemented

3) Puskesmas AWP developed; R&R mechanism established;Equipment and supplies for 3 selected PKM in 9 Districtsprovided; training for health providers on IERH implemented

4) Annual meeting for 21 districts on progress of IERH for PHOand DHO conducted in 2009; Desk review by the programme

manager at Dinkes in 21 district assisted by the RH facilitatorimplemented; Quarterly review at selected PKM in 9 districtsimplemented

5) Advocacy material developedActivities during 2009 :

Training for Nurse (Laboratory of Puskesmas) about STIs/RTIsand HIV-AIDS Screening for Puskesmas Pagal, Reo and Itengwith a purpose to improve knowledge and skill of laboratory

officer from 3 selected Puskesmases. The result: officer canconduct blood intake, result inspection, read off result. Follow-up Plan: field practice, proposal to equip laboratory mediumt d d i k f hi ti ti t i i d


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Health, Family planning, STIs Inspection and HIV earlydiagnosis. Whereas ARH are conducted outside building by

visit to schools.

Adolescent Care and Health Service (PKPR-PelayananKesehatan Peduli Remaja), reproduction health care for oldage are have not yet developed and there is no acceptablecounselling room in PHCs.

Some of PHCs even all PHC in Manggarai have not yet had

VCT service. VCT Service is only available at RSUD (districthospital)

Record-keeping and reporting are having not yet conductedoptimally.

Technical assistance by district RH facilitator continues walk.

The Public Health Centre (PHCs) goals attainment in districts whichwere as focus RH or IERH and EMOC Service (R205, Kupang andTTS, each 3 selected PHC):

Existing equipments limitation like reagent and other

equipment in VCT inspection and examination.

Has been existence of reference mechanism from PHC toRSUD SoE-TTS because of VCT service and equipments

available on there and human resources that trained eitherthat medical staff or medical roof and laboratory staffs unlessKupang district will be made reference directly to RSU JohanesKupang because RSD Naibonat-Kabupaten Kupang is new and


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Puskesmas under staffingtrained on how to develop

PKPR bases on Puskesmasand with support of serviceroom. Currently RH service foradolescent handled by BidangFamily Health that alsohandles Maternal-neonatalhealth and Family Planning.

Low its mechanism of datareporting in consequence ofquality record-keeping thatstill low.

Puskesmas in district which arefocus RH or IERH/EMOC service(R205, Kupang and TTS, each 3puskesmas):

Equipments availability likereagent and other equipment

in VCT examination are notacceptable.

Weaken its record-keepingand reporting system, one ofits constraints because of stilllack of health staff capabilitythat required specially handleR & R system.

General results in matrix for level of integration (at targeted 3Puskesmas) please see attachment 7.


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focus to 3 selected Puskesmas:a)Data collection by DHO to map the status of Puskesmas

IERH (Pagal, Reo, Iteng) and data collection to RH PONEK(RSUD Ruteng, RS Cancar) bent on conduct mapping of RHstatus in Puskesmas (Pagal, Reo, Iteng) and EMOC inhospital (RSUD Ruteng and RS Cancar) by using RHMonitoring Tools that developed by Depkes RI and UNFPA.

b)Workshop to analyze the collected data and assess theneeds; agree on key action plan : Annual workshop toshare results and agree on follow-up action with a purpose

to disseminative result of IERH data collection inPuskesmas and hospital upon which analyse policyplanning, program intervention, evaluation and budgetallocation. Result and recommendation in order to healthservice provider can immediately equip facilities to realizeIERH service in Puskesmas and hospital. In other handQuestionnaire of RH Monitoring Tools can be madeguidance of record-keeping format development andreporting of RH care and program in Puskesmas andhospital. District Health Office (DHO) will periodical(quarterly) conduct monitoring and evaluation at the endof year by using RH Monitoring Tools that has beenavailable.

At the end of 2009, we can conclude that the target for 2009 was

PARTIALLY ACHIEVEDproven by: Update status RSUD 24/7 that can EMOC just are conducted

once in 2009.


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Constraints to achieve target and indicator:Resistance :

RH data management in Puskesmas

(PHCs) and hospital were have notyet developed well and reported onschedule to DHO.

Most data about logistic didnt note

well. Goals Indicator did not fill by

Puskesmas and RSUD.

Challenge :

Change attitude and

health staffs workculture business aceusual.

Develop data base

system that either onPuskesmas and RSUD.

2.1.d. Constraining and facilitating factors affectingimplementation

Constraints:

1) The unavailability of guidelines detailing the steps provincesand districts has to take to establish the Reproductive HealthCommissions has caused unfortunate delay.

2) Confusion among members of the RH Commissions aboutwhat role the RH Commission actually is supposed to fulfillcontinues to hamper the effectiveness of these commissions.

3) Although several RH and AIDS Commission have developedworkplans and Strategic Plans no evaluation of the quality ofthese plans has taken place making it difficult to say whetheror not the said-commissions are fully living up to theirpotential.


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programme. The scale of the interventions combined with thelimited financial and human resources made available further

hamper the progress foreseen by UNFPA and the PCM. If nochanges are made impact and sustainability of theprogramme are foreseen.

3) Guidelines, books, and printed version of IEC materials wererequested by most of the DPMs and PPM. The absence of arecord system that keeps track of what material has beendistributed to who and how many copies were distributed.

4) High turnover among staff from district and provincial health

offices has been hampering the progress of the programme. Itis unrealistic to think this will change anytime soon. Duringthe development phase of the programme this should betaken into consideration. This could mean that the focusshould shift from training of staff to supporting health officesin transforming their way of working through the introductionof mechanism and tools that would guarantee a moreconsistent way of working.

1) Commitment and support of areas leader like Bupati, WakilBupati and parliaments/DPRD have improved commitmentfrom all stakeholders in district to involve active overcomeissue of reproduction health, population and gender.

2) IERH Implementation in Puskesmas and Hospital/RSUD onlymaybe happens if existence of rule and motivationcontinuously from Head of DHO and Director of Hospital/RSUD

with support capacities, technical assistance and acceptablesupervise.

3) Demand creation only maybe realized if community haveawareness about the importance of reproduction health care


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2) Bappeda NTT Province cooperates with Provincial HealthOffice, BKkb Province and Bappeda Kupang, TTS, Alor,

Manggarai and West Sumba districts must to provide withguideline on how to organize, maintain and arrangecommission to implement RH, P/DAC and CCS program.

1) Assessment about RH, P/DAC, CCS team program, IERH andEMOC evaluation are recommended to take place at thebeginning of 2010.

2) Crystallization effort IERH protocol and SOP must be donecontinually to the whole health officer in Puskesmas and

RSUD.3) Government is expected bear PERDA about IERH

Implementation in Puskesmas and RS.4) Puskesmas, hospital and DHO are expected conduct

correction in comprehensive about IERH implementation thatcover components :

Information about IERH

IERH Program and service Pathway of IERH service

Management of IERH Data

IERH Logistics2) Develop and replicate VCT to all Puskesmas, equip facilities in

laboratory with medium standard in Puskesmas and hospitalinclude perform medicine antiretroviral for people with HIV.

3) Must be optimally monitoring tool and evaluation so it's canmeasure program success rate properly.

4) Must ability improvement/service provider deftness inpuskesmas, school, PLKB, etc passed by socialization, training

i i l C di i i i


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Section 2.2. Reproductive Health Demand Creation

Program Component : Reproductive Health DemandCreation

Project IDs (use INLAS code) : IDN7 R105 and IDN7 R301Implementing Agency / Partners : Bappeda NTT Province (PG0031)Other Implementing Partners : BKkbN Province, IFPPD Provinceand Districts DAC Dinas P & K BPPKB West Sumba Capil Kupang

P i i l P C di ti U it NTT P i UNFPA 22


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level, monitoring to sub district, IFPPD coordination meetingand FGD for evaluation on integration of RH and gender into

religious events and pre marriage counseling in 3 sub districtsin district level. FGD are only conducted in Alor and Manggarai(TTS and West Sumba werent conduct, Kupang wasnt plan).FGD are conducted by BPPKB that attended by 30 men and 15women pre marriage counselors from each sub district (AlorBarat Laut, Alor Barat Daya and Teluk Mutiara). In Manggaraithere were 15 participants per sub district in Satarmese, Pagaland Langke Rembong.

Facilitation of PERDA on HIV/AIDS in West Sumba, Kupang,Alor, Manggarai, and TTS district by IFPPD, DAC/ IFPPD, BadanKB dan Pemberdayaan Perempuan dan Dinas PendidikanPemuda dan Olahraga.

Facilitation of PERDA on GBV and protection of women in WestSumba.

RH & GBV advocacy to religious leaders in Province and TTS

district which conducted by Family Planning Board, DistrictHealth Office and IFPPD.

RH & GBV promotion through mass media.

Facilitation on PLKB (Family Planning Field Workers in Bahasa)& Midwife workshop in five district

Group meeting for evaluation of community awareness on RHand Gender in 5 districts, each district conducted in 3 subdistricts.

Workshop/training on RH and GBV Issues for Family PlanningField Workers & Midwives in Districts level,

RH & GBV promotion through women/youth group,

P i i l P C di ti U it NTT P i UNFPA 23


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expected output indicators in 2009:

Indicator 1.2.a. Minimum 5 biggest political partiesparticipating in 2009 GE, elected DPR/DPRD members inrelined Commissions and decision makers are provided withinformation on RH, population and gender issues.

2009 target:1) Elected DPRD Members, totally 135 persons (Alor-25, West

Sumba-25, Kupang-40 and TTS-45) are provided with

information on RH, population, gender and poverty issues ;2) Elected DPRD II, totally 150 persons have been advocated

about Cost Benefit Family Planning and Revitalization JKK teamby Province team ;

3) Decision makers and parliamentarians (65 persons totally, 35person in west Sumba and 30 person in Manggarai) have beenadvocated about implementation EMOC in Hospital and IERH inpublic health centres.

Activities were conducted:1) Advocacy about RHCS (Reproductive Health Commodity

Security) that executed by province (BKKBN Provinsi NTT) passby advocacy meeting with district stakeholders (EspeciallyLegislative and Executive) about cost benefit family planning andrevitalization CCS team in 5 district with results are : advocacy

only can be conducted in 3 districts from 5 districts that plannedthere are Alor, TTS and West Sumba until only reach can giveorientation to 100 peoples (TTS 35, Alor 35 and West Sumba 30)from the target is 150 peoples

Pro incial Programme Coordinating Unit NTT Pro ince UNFPA 24


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3) UNFPA gives support for sector in province can monitoringprogram to districts, IPs in district monitoring to sub district,

routine IFPPD meeting and coordination and FGD (Focus GroupDiscussion = Diskusi Kelompok Terarah) to evaluate RHintegration and gender in religious events and pre marriageconsultancy/counselling in district level (each 3 sub districts).

4) Lobbying or Roundtable that implemented by IFPPD TTS to DPRDcommissions leader to support and accommodate CCS programunder consideration and change of APBD 2009

5) To improve information spreading about RH, FP and Gender, that

also required to all DPRD TTSs member from 5 selected politicalparties then conducted workshop invitingly Resource personfrom NTT PAC (Provincial AIDS Commission).

The target has been ACHIEVEDproven by

Advocacy about IERH, EMOC, BEONC/CEONC service and GBV

prevention and orientation about reproduction health,demography/population and gender have been submitted tomore than 5 biggest parties before 2009 GE (For exampleManggarai had been conduct to 8 political parties).

DPRD Manggarai active involves in development Draft

RANPERDA HIV and AIDS Prevention.

Already existence of draft of RANPERDA Perlindungan Anak and

Perempuan (Women and Child protection) in West Sumba

PERDA about HIV-AIDS prevention and management and PERDAabout ARH in TTS district.

Provincial Programme Coordinating Unit NTT Province UNFPA 25


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policy in area.

Several of PERDAs that produced still

less maximal socialized to community.

gender are very determinedby political party platform.

1.2.b. Relevant Commission in local parliament and relevantgovernment agencies in the district and province levelsreceived orientation on guidelines for formulating PERDA onHIV/AIDS and Trafficking.

2009 target:1) 85 persons totality (Alor -> 25, Kupang -> 25, West Sumba ->

35) from DPRD and relevant government agencies are providedwith orientation about PERDA HIV/AIDS and Trafficking ;

2) Drafting RANPERDA HIV/AIDS in 4 districts (Alor, Manggarai,Kupang and TTS);

3) Drafting RANPERDA Women and Child Protection in West Sumbadistrict ;

4) ARH Curricula on PERDA regulation in Kupang district.Activities were conducted:

1) Facilitation of PERDA on HIV/AIDS in West Sumba, Kupang, Alor,Manggarai, and TTS that conducted by IFPPD, KPAD, Badan KBand Pemberdayaan Perempuan and Dinas Pendidikan Pemudaand Olahraga. For TTS has been ratified PERDA about HIV-AIDSon March 2009 nevertheless are not yet conduct socializationuntil to village level because of fund limitation

2) Facilitation of PERDA on GBV and Women protection in West

Sumba. Draft of RANPERDA has been discussed in small teammeeting (10 people) from parliament forum after conductedpublic hearing was on 22 Decembers 2009 last and will becontinued in accordance with council mechanism that apply to



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RANPERDA HIV and AIDSprevention wasnt haveenough the science of STIsdisease, HIV and AIDS.

Legislative team wasnthaving enough referencenewest law (Undang-undang)about health service.

straightening of law.

This PERDA can be applied

or run with budget supportfrom Local Government.

HIV and AIDS Issue can bemade equal with other issueof mother and baby death orcase.

1.2.c. In least 25 religious leaders in each district and allmarriage counselors in sub-district level received trainingon how to communicate RH, FP and gender relined issues totheir followers and/or prospective couples.

2009 target:1. Totality 74 Religious and community leader (Alor 35, TTS 24,

Province 15) and 92 marriage counsellors (Alor 28, Manggarai25, TTS 24, Province 15) received training on how tocommunicate RH, FP and gender relined issues to theirfollowers and/or prospective;

2. Socializations to community by religious leader 16 times inManggarai district;

3. Socializations to community by marriage counsellors (2persons) in 3 sub districts (Manggarai district).

Activities were conducted:1. RH & GBV advocacy to religious leaders in Province and TTS

district which conducted by Family Planning Board, District



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AIDS and gender, until to all candidate of pre marriage couplesready to become couples that have family that planned with

expected pregnancy and every birth planned.

The target has been ACHIEVED proven by: all pre marriagecounsellors get training about reproduction health (Maternal-neonatal health, FP, ARH, STIs and HIV-AIDS) and Gender issues.

Constraints to achieve target and indicator:Resistance :

Not all religious leaders willbecome RH and gender focalpoint at religious eventsbecause still its minim theirknowledge about RH andgender.

Pre marriage counsellors whenconduct orientation to pre

marriage couples didnt havesIEC media or visualisation toolto explain RH and Gender.

Counselling or orientationparticipants/couples have veryminim education and only canunderstand local languagewhereas counsellors weredifficulty explains medicalterms into understandablevernacular participant in premarriage courses.

Challenge :

Community in NTT haveconcept of tradition (likeManggarai have concept ataone or insider for menfolk andata peang or outsider forwoman clan) until effort toovercome 4 Too Terlalu( Toounder age, too overage, too

much, too excessively) will getchallenge where Manggaraipeople tendency to continueboy searching in its successor).

Most society in NTT werentrich and indigent until accessto health care that provided bygoverment (Polindes, Pustu,Puskesmas and RSUD). Moststill trust with Dukun untilmany delivery care wereconducted by Dukun at home.



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28

materials distributed thin promote RH/FP especially IERHand prevention of GBV.

2009 target:1. Adaptation of standard IEC materials (2000 leaflets) for local use

by BKKBN Province ;2. Airing TV PSA (developed by Central) in provincial level 4 times ;3. Talk Show in Local radio, totally 46 time (West Sumba 10,

Kupang 12 and TTS 24);4. PSA on RH and GBV through local radio in West Sumba (4

months), Manggarai (12 months) and TTS (4 months).Activities were conducted:1) RH & GBV promotion through mass media with :

a. Development IEC matter on RH and Gender 1 unit ballyhooabout NTT Governor Program was made in level province.

b. Talk show about FP and RH in TVRI are only conductedonce in province whereas in radio local (Province in RRItwice, West Sumba conducts 10 times talk show accordingto target in 2009 with radio Maraga FM 107.7, TTS isconducted 24 times according to goals in 2 local radios(RSPD SoE and Radio Gana FM), Manggarai 12 times withlocal guest speaker that have competence in the field ofreproduction health, Family planning and GBV preventionand Policy in local government plan (Bappeda).

c. PSA on RH, FP, ARH and gender issue pass by local radio,

also to promote IERH and gender service conductsManggarai was conducted for 4 month from goals 12month, West Sumba are conducted 4 quarters, everyquarter 30 days with broadcasting frequency 4 times one



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29

will never conducted.

Factors that influence attainment indicator and goals:Resistance :

Broadcasting of advertisement about

public service that conducted lessthan targets that planned caused bydelay of matter development byBKKBN Central and Province.

Some local radios like Radio Be Smart103,8 FMs start experience ofproblem broadcasting until someschedule talk show must be re-schedule.

Challenge :

Matter of public serviceadvertisements havedeveloped in Indonesianuntil rather complicatefor society in kampong

that not comprehendadvertisement messagein Indonesian.

Indicator 2.2. The number of men, women and young peopleintended activities promoting RH/FP especially IERH and

prevention of GBV.

2009 target:1. 100 Family planning field workers & midwives were trained on

RH and Gender issues;2. 240 young people, 135 (men and women), 25 cadres and 155

community leaders intended activities promoting RH/FPespecially IERH and prevention of GBV (Alor 210 persons,Manggarai 30 persons);

3. 125 parents intended orientation on ARH and HIV/AIDS(Kupang);



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30

and GBV prevention. Participants were asked dig actual issuesin each area and hereinafter develop strategy, program and

intervention activity (Manggarai 20 peoples).4. RH & GBV promotion through women/youth group consist of :a. Orientation for cadres on RH, GBV Prevention and

Provided services in West Sumba (3 community groupsin Wanakaka and Lamboya by medical provider andPPKB in village level);

b. Promotion about RH, FP and GBV for community whomorganize by Community empowerment group

(Wanokaka, Lamboya and Kota Sub districts, WestSumba district) in village level;

c. Coordination meeting with Camat, Village leader,religious and community leader, PKK about RH, FP, GBVin Public Health Center's area (Puskesmas Pu'u Weri andKabukarudi, West Sumba) and TTS district.

d. Orientation on ARH and HIV/AIDS for parents on selectedarea in village and weekend meeting on ARH andHIV/AIDS in School (Kupang district).

e. Community Meeting with Youth on Adolescents in villagelevel and Community Meeting about STIs, RH and genderwith Youth of Masjid and Church in 3 Sub district (AlorBarin Laut, Alor Barin daya, Teluk Mutiara ) in Alordistrict.

f. Community Meeting with Young People and Pasangan

Usia Subur (PUS) and Wanita Usia Subur (WUS) on IERHServices, ARH, STIs, HIV/AIDS and the prevention of GBVin Manggarai District and Sub District (Kec. Cibal &Reok) it has been conducted 6 times in Senior and Junior



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PNPM Program has been conducted with followed (Manggarai35 peoples (17 men and 18 women) from 2 sub districts (Cibal

and Wae Rii). This activity bent on improves knowledge andparticipant understanding that consist of: sub districtfacilitators of PNPM, Sub districts and villages PKK team,PLKB/PKB, Midwife, Karang Taruna, UPPKS group, and BPD inorder to can integrate RH and gender issues into PNPMprogram. Resource person were came from WidyaswaraBKKBN province and local resource person. The result:participants can identified problems of reproduction health

(Maternal-neonatal health, FP, RH, ARH, STIs and HIV/AIDS)and Gender (GBV and Trafficking) in each region to proposepass by PNPM program and participant can make programproposal RH and Gender prevention that focused at effort :Promotion (IEC), Curative (Service), community developmentand empowerment.

In the end of 2009, we can conclude thin the target for 2009 wasPARTIALLY ACHIEVED proven by:

IEC Distribution and Community development/empowerment

were not conducted during in 2009. Activity in drop from AWP2009 because conducted reprogram in accordance with Centralrecommendation. Community empowerment had been reprogramand recommendation to cooperate with PNPM Mandiri program.

Difficulty for manage and accomodate schedule with resourcepersons to conduct Training on need assessments and developproposal on RH, FP, and gender related issue for PNPM that onlycan be executed in West Sumba and Manggarai.



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32

Still the limited fund that

budgeted in APBD to extend

effort promotes RH, ARH, FP,GBV, STIs and HIV-AIDS issues.

and must be done passed bylocal custom approach.

2.2.d. Recommendations and Lessons Learned:

Lessons Learned:

Entrance (entry point) activitys implementation pass by: PartiesStructure (Head of Party), Church Structure (Family Commissionin Keuskupan), Traditional Structure (Old Golo = Head of Kampong),and Head of Dinas Pendidikan.

Comitment of policy maker either executive and legislative insupporting UNFPA program. For example formed and berfungsinyaDAC, CCS, IFPPD, Data base forum in district and province related toactivity implementation on RH issue (STIs and HIV-AIDS, ARH, FPand Gender. Existence of support of partner fund in West Sumba ashigh as Rp. 75 .000.000.



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Recommendation:

Support to develop IEC matter (RH and Gender topic) in vernacularof Manggarai is to understood by society in kampong.

Reinforcement of community leader capacities (old golo) mustcontinue conducted.

Still the need of improvement advocacy to all decision and policymaker determinant to getting the fund support and policy from local

government specifically for parliamentarian and new legislative inaccordance with result of 2009 GE and implementation PP no. 41 in2007.

FP Program implementation must strenghtened in anticipatingseveral things that is limitation of contraception device levyingneed that coordinated by SKPD BKB KS must reckoned in changeAPBD, must existence of review need of contraception device

availability for mapped and need of contraception device user andFP program implementing specially contraception device giving touser must minimized from administration deviation.



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g g2009 STANDARD PROGRESS REPORT FOR 7 CP UNFPA INDONESIA


34

proposed. To achieve the implementation of availability ofdata, the reprinting of DDA in hardcopy and publication in soft

file as well as the integration of DDA data into regionalgovernment's website are proposed.

Training on data utilization for sectors' planners at provinceand districts level is proposed to achieve the target of 75% ofidentified planners trained on data utilization. In provincelevel, the training itself will be trained by central trainerswhile in district level; the trainers will be from provincial leveltrainers.

2.3.b. Assessment of progress made in achieving CP outputP101

The following summaries describe the progress towards theexpected output indicators in 2009:

Indicator 4.1.a: Sub-national Statistical Year Book(Province/District in Figures/DDA) in each district andprovince incorporated disaggregated data on population,reproductive health, adolescent reproductive health, STIsincluding HIV/AIDS, gender, and poverty and is available forplanning and program implementation.

2009 target is 1 province and 5 districts incorporated 75% of

identified indicators of disaggregated data on their Statistical YearBook.

Activities were conducted in 2009:



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with Keputusan Bupati Manggarai Nomor : HK/200/2008 and 4other district and NTT province). Pass by this Data base Forum

has been formulated indicator-indicator data base ofdemography/population, reproduction health and gender forentered into District/province in figure.

4) Support publication & dissemination of national and sub nationaldatabase (Integration of DDA into Pemda/Bappeda's website,Additional printing, Publication in softcopy-CDROM,Dissemination of DDA); publication DDA Manggarai in 2009 in theform of printing 50 books and 100 CD DDA Manggarai in 2009.

5) Coordination Meeting with mass media and radio in Alor district.

The target has been PARTIALLY ACHIEVEDproven by:

Has been produced DDA Manggarai that load indicator-indicator

demography, reproduction health and gender. UNFPA supportspublication DDA Manggarai in the form of printing 50 books and100 CD.

Activity desiminasi Daerah Dalam Angka was only conducted inTTS and Alor (West Sumba, Kupang, Manggarai and Provinsi werenot conduct).

Part of data that presented DDA in 2009 is data in 2005-2007

specifically for West Sumba, Manggarai and Kupang that havenot yet innovated until has not yet expressed district datacondition has experienced of unfoldment with other district.

Indicator that packed into DDA less than target that will be

agreed on and must be review about various of conducive



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calculation and language) andupdate data correction.

Institution of data providernot gives data in timely.

information value as a means ofhelps decision making.

Data settlement andmanagement in dataproviders/sectors with supportof provider head of institution.

Indicator 4.1.b: Relevant Proportion of identified planners,policy makers and parliamentarians knowledgeable on thelinkages between population, reproductive health, genderand development.

2009 target are:1) Information material focused on enhancing understanding the

linkages between PDS, RH, gender and development finalized;2) 75% of identified planners, policy makers and 50%

parliamentarians trained in understanding the linkages betweenpopulation RH, gender & development.

Activities were conducted:

1) Training to improve the quality of data on RH, Population andGender for programmer/statistical personnel at localgovernment institution or other government personnel inprovince and 5 districts. Matters that trained namelyconcerning concept, indicator and formulas as the samemanner as loaded in Training Module about Preparation onPopulation, Reproductive Health and Gender data.

The target has been PARTIALLY ACHIEVEDproven by: Activities that implemented above just followed less than goals

(75%) echelon functionary III and IV and 50% not planner staff



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2009 STANDARD PROGRESS REPORT FOR 7 CP UNFPA INDONESIAPROVINCE AND DISTRICTS

Indicator 4.1.c: Proportion of identified planners and policy

makers in each district and province trained in utilizingavailable data for sub-national development plans (RencanaStrategis Daerah & Rencana Kerja Pemerintah Daerah).

2009 target is 75% of identified planners and policy makerstrained on utilizing available data for sub-national developmentplans (Rencana Strategis Daerah & Rencana Kerja PemerintahDaerah)

Activities were conducted in 2009:1) Training on data utilization for planners and policy makers in

province and 5 districts. Training about the usage of data forplanner and policy maker in province and 5 sub-provinces.Participant indigenous to institution : Bappeda, Dinkes, BKB & PP,KPAD, RSUD, On duty Pendidikan, PPA Polres, On duty Sosial andNakertrans, BPMPD, Binsos. Matter that trained cover:

Understanding of demography data utilization like source ofdemography data, amount, one swampy forest andpopulation characteristic and component of resident change.

Understanding of data utilization labour like concept oflabour, concept of unemployment and unemployment halfand employment indicator.

Understanding of health data utilization reproduction like

indicator of reproduction health. Understanding of education data utilization like obliged

learning to 9 year, blind eradication letter.

U d t di f d t tili ti d lik d l t



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Much maker functionary and policytakers busy with duty of officeroutine.

demography formulas,reproduction health andgender.

2.3.c. Recommendations and Lessons Learned:

Lessons Learned:

Support UNFPA to improve data availability as the same manner

as loaded in District/Province in figure. Data base Forum has bore commitment and become container

with all institutions to discuss several of resistances in producing



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Training for policy maker determinant must improved continueduntil have ability in utilization and development planning.



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Section 2.4. GENDER

Program Component : GenderProject IDs (use INLAS code) : IDN7 G101Implementing Agency / Partners : Bappeda NTT Province (PG0031)Other Implementing Partners : Bappeda districts (Kupang, TTS,Alor, Manggarai, and West Sumba).

2.4. a. Results of Gender in 2009

Highlights of the year are overviewed by the following: Activities in this output are aimed to support local

government efforts in reduce/manage GBV cases throughseveral activities: improve capacity of law enforcementsector, health sector, and non faith based organization inmanaging GBV, support improvement of Report andRecording system in GBV, develop local regulation inprevention/managing GBV, establish and strengthen

networking system in prevention/management GBV at 5service points or P2TP2A, integration of gender instrumentinto local planning and budgeting process and also promotegender - friendly socio cultural environment.

P2TP2A or Forum KBG there are and formed in Manggarai withstructure support/membership, duty and function, operationalfund sources and work schedule clearly in handling GBV,

woman and child protection. P2TP2A Alor stills in course ofstructure, function and duty discussion that decanted in draftSK Bupati about P2TP2A.


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GBV/VAW.

Provision of technical assistance for R&R system chain from sub-

district to national level works. Strengthen multi sector working mechanism and coordination

for GBV at district and sub district level.2009 target:1) 6 Puskesmas (2 in each district), 3 community based center (one

in each district), 6 Polsek (2 in each district) in 3 selecteddistricts.

2) 3 district R&R system and 1 provincial R&R system in place.

Activities were conducted in 2009:1) Support improvement of Report and Recording system in GBV

(Province and 3 selected districts) include are Workshop:Evaluation of R&R system implementation for GBV casesmanagement in 5 districts, Duplication of R&R forms in each GBVservice providers at sub district Abal & Abad (Alor), Kec.Cibal,Kec. Reok & district (Manggarai) and 2 sub districts (WestSumba); Manggarai are followed by 40 officer people PuskesmasPagal and Puskesmas Reo, Service VER is struck from expense(Manggarai).

2) Improvement capacity of law enforcement sector in managingGBV in 3 selected districts with support training for POLRES &POLSEK: how to provide services with gender & victimsperspective, code of conduct, service mechanism, referralsystem and R&R system; Manggarai are followed by 32 peoples

from Polsek Cibal and Reok are added with 3 peoples from PPAPolres Manggarai,3) Support in house training for GBV service provider Alor,

Manggarai West Sumba and Kupang each at 2 puskesmas;


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of conduct, recording & reporting system internally & externally)& how to do information dissemination using the Domestic

Violence Module) in Alor, Manggarai and West Sumba;Involvement Hakim Adat (Forum Lonto Leok) & PKK for GBVprevention /management at Manggarai district with workshopand training; that has been followed 20 peoples traditional judgethat indigenous to sub district Reok and Cibal are added with 2tradition leaders in Manggarai;

5) Establish and strengthen networking system inprevention/management GBV at 5 service points or P2TP2A in all

districts include are network regular meeting for P2TP2A,Technical assistance: facilitate establishment & operational ofP2TP2A and implementation of its SOP in 5 districts, Round tablediscussion: Network establishment and development of workplan for GBV prevention/management at province level, networkmeeting for GBV service providers at district level, Regularmeeting of the POKJA PKTP at sub district level (Evaluation, SOP,referral mechanism and R&R), monitoring from district to 2 sub

districts (data collection to all GBV service providers using GBVchecklist) in 3 selected districts and workshop: build commitmentfor GBV prevention and management in Alor and West Sumba;Working this P2TP2A team will be ratified with SK BupatiManggarai.

6) Technical assistance from district PKK to sub district (Cibal andReok) unworkable is ineffective because of the still low capacity

of its capacities the District PKK in Manggarai on issues aboutGBV, record-keeping and reporting, referral mechanism, andethic code service for GBV victim/survivors.

7) Duplication of R&R forms in each GBV service providers at


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Still lack of coordinationmeeting and networking GBVhandling.

Still lack of support from theinstitution it self, nodedicated of facilities(special room forexamination/care), nobudget to support .(freetreatment? Free VER?..freemeal and daily substance

support while living in ashelter? Or budget for payingpsycholog??) and policewoman for Polsek andPuskesmas.

GBV victim/survivors is notan exception to impose feeat the government health

facilities, as mandated byPERDAExistence of PERDAthat impose tariff for allhospital visitor or Puskesmasuntil GBV victim/survivorshas been noted as the publicpatient that is obliged tocollected expense.

Existence tradition judge inGBV case solution has beenquestioned by some ofunattached society that

Develop Change the attitude ofcommunity so they are moreopenness for will tell its case tohealth staffs and police that giveservice in discussing and reportingcases of DV.

Change paradigm, values andbehaviour of people/women andmen over a life that trapped bypatriarchyal culture that limit therole of man and woman in

expressing their life. Develop system to handling GBV

permanent within that length.

Change medical and health staffparadigm and police and NGO tomanage GBV service for victim butnot only limited themselves inproviding to at physical

infrastructure (hardware) like serviceroom and other medical equipments,while neglecting werent at thesoftware settlement requirement likesystem, mechanism, attitude andbehaviour serve.

Improve the Develop positive imageof tradition judges as a non bias and

victims oriented judgetradition andcommunity leaders that share helpsociety from several of come frormin GBV case solution.


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functioning in provinces and districts related sectors workplans and local budget.

Key strategies are:

Capacity building focused on increase ability of Bappeda, staffof planning unit of related sectors, GBV working group/forum,Local Committee of Budgeting to advocate for additionalproportion of the budget for GBV/VAW management in sectorsplanning, budgeting, monitoring and evaluation.

Advocacy for policy making of the management of GBV/VAW to

policy makers and parliamentarians (Commission ofSocial/Health/Welfare, Committee of Budget) at district level.

2009 target:1) GBV Forum or working group in 5 districts and 1 province are

established and supported with structure/membership, rolesand functions, source of operational budget, and work plan.

2) 3 districts action plan & SOP on GBV prevention/ managementdeveloped.

3) 1 draft provincial PERDA on trafficking;4) 1 draft district PERDA on GBV prevention/management drafted;

Activities were conducted in 2009:1) Research, public dialogue to collect inputs for drafting Local

Regulation in Alor district with seminar: Endorsement &presentation of PERDA DV/KDRT Alor to all relevant sector and

formulate follow up action;2) Integration of gender instrument into local planning andbudgeting process with facilitate workshop: Integration of GBVprevention & management into sectors work plan in TTS Alor


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developed SOP on GBV care and prevention, TOR alsoproduces government commitment to provide secretariat

office P2TP2A Manggarai and allocation APBD Manggarai in2010 as high as Rp. 50.000.000,- (five tenth million).5) Workshop: Understanding Gender Responsive Budgeting for

Local Planning at Manggarai District. Participants have beenable to conduct analysis gender and compile Planning andBudgeting that responsive Gender for health sector, education,communication and information, public work, planning, foodplants, industry, and employment. Approach as used in conduct

analysis gender and budget planning that responsive genderuse PROBA (Problem Based Approach) analyzer. This activitywas followed by 30 participants (21 men and 9 women) enteredfrom DPRD Manggarai district.

6) Advocacy to Parliaments (DPRD Manggarai), have commit toproduce PERDA Perlindungan Perempuan and Anak KorbanKekerasan. This RANPERDAs academic script has been madeby Women Empowerment board and legislative team of DPRD

Manggarai. In other hand also, DPRD Manggarai commit forallocate budget that stem from Pos Bantuan Bupati for gendersupport in Manggarai.

The target has been PARTIALLY ACHIEVEDproven by:

GBV Forum or that recognized with P2TP2A that has been

formed in Manggarai (district and sub district level) with

structure support/membership, duty and function, operationalfund sources and work schedule.

Action plan and SOP about handling and prevention GBV have


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with woman womenclanrather than men andwomen. Gender has not yet

understands andimplements at all of government agency andnon government.

Pattern of The budgetingand planning system is notbase on disaggregateddata, capacity of the

planners to analyse data isalso very limited not tomention the availability ofdata too. that not relied oninformation about data(statistic gender).

awareness of policy and decisionmakers on the benefit andimportancy of having a gender

responsive budget in achievinggender equality in the developmentprograms.

Improve participation and bravery ofwoman clan to involve active incourse of development planningbegin at village, sub district anddistrict pass by forum of Musrenbang

(Development planning Deliberation).

2.4.c. Recommendations and Lessons Learned:Lessons Learned:

Religious and culture approach by make religious, traditionaland community leaders as focal-point gender.

Approach pass by community the authorized one DPRD by

building formal and non-formal communication, conductadvocacy people to people.

Develop cooperation and networking with community group


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Support to GBV networking and technical capacitiesreinforcement must be done periodically.

Change only maybe happens if head will change inconsequence, awareness and the science of Gender andGender Base Violence (GBV) are must given to thosegovernment begin at Bupati, Wakil Bupati, Sekertaris Daerah,Assistant of Bupati, expect staffs, Head of related sectors,Head and parliament member, NGO, religious and traditionalleader and women figures. In other hand also society of grass

root (grass root) must get the science of Gender and GBVbecause of they are victim form by tradition and culturestructure that diffraction gender.

Advocacy to planner and policy maker to get commitment and

support policy and budget about GBV management andprevention, especially for district focused non-gender (Kupangand TTS). They need local government supporting; Training on

GBV management and prevention for health staff in selectedpuskesmas.

Technical support to improve Record and Reporting system

from GBV service providers.


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3. In order to UNFPA program closing in 2010, then Bappeda,NPCU, UNFPA are required to monitor pickings that has been

reached in the field like utilization community empowermentgroup, implementation of IERH service in 3 selectedpuskesmas in each district.

4. Enhance coordination and knowledge on GBV issues(respectively on : rape, sexual harrasment and domesticviolence) for GBV service points.a. Meeting to enhance coordination and knowledge on GBV

issues for GBV service points at district level service points

(UPPA, Lonto Leok, RSUD)b. Meeting to enhance coordination and knowledge on GBV

issues for GBV service points at subdistrict level servicepoints (POLSEK, PUSKESMAS, APARAT KECAMATAN,TOKOH ADAT)

5. Workshop on Development of GBV Related Activities to beProposed to Musrembangkab

2. Media monitoringHave you been able to monitor media reporting on UNFPA related issues?

In Provincial level : Yes/No (if yes, please fill in attached form) Yes.Please follow the link .

In districts level

Kupang :Timor Tengah Selatan :Alor :Manggarai :



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Section 4: Trainings and workshops all components:

1. How many people were trained for each output? (if not available just write down NA)

OutputDistrict/Provinc

eIndicator

Planned tobe trained

Actually trained

Male Female Total

R101 West SumbaMechanism to promote RH, HIV-AIDSand CCS are functioning in 6 provincesand all districts

5 1 4 5

R101 TTS 42 21 21 42

R101 KUPANGWorkshop hasil pengumpulan statusdata KRR di sekolah

20 12 8 20

R101 KUPANGWorkshop endorsement of the newcurricula & identication of school forimplementation of the new curricula

20 12 8 20

R101 ProvinveTraining for RH costing and 5 yearwork plan forecasting for CCS (Jakarta)

1 1 0 1

R101 ProvinveTraining on Adoption of RH costingtools into local planning

23 11 9 20

R101 Provinve RHCS International Training-PPM NTT 1 1 0 1

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R301 West Sumba

The number of men, women, andyoung people attendance activitiespromoting RH/FP especially IERH andprevention of GBV

20 6 14 20

R301 TTS 20 11 9 20

R301 KUPANG

Training on RH and Gender isues forFamily Planning Field workers &midwise at district level

23 9 14 23

R105 West Sumba - - - - -

R105 TTS 48 22 26 48

R105 KUPANG

Counselor Training about RH issues,FP

and Gender for religious leader andtraditional leaders 24 8 16 24

R105 KUPANGCounselor Training about RH issues,FPand Gender for marriage counselor

24 24 12 24

R105 ProvinveTOT for religious or community leaderabout RH (Keuskupan, GMIT Sinode).

20 10 9 19

R105 Provinve TOT for marriage counselors 15 11 4 15

R205 West Sumba - - - - -

R205 TTS 20 8 12 20

R205 KUPANG APN training 24 0 24 24

R205 KUPANG Training ABPK 6 0 6 6

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R205 KUPANG Training Konselor IMS-HIV/AIDS 5 1 4 5

R205 KUPANGTraining Refrehing PKRE u RHFasilitator

4 0 4 4

R205 Provinve

Training at province: Decision MakingTools counseling (ABPK) for the 3selected Puskesmas in Kupang, TTSand Alor (Puskesmas + Villagemidwives) 4 persons from districts andBelu

35 14 8 32

R205 ProvinveTraining: Counseling on STIs and HIV-AIDS for Puskesmas midwifes of districtKupang and TTS.

16 5 11 16

R205 ProvinveTraining: Contraceptives TechicalUpdate (CTU) for district Kupang, TTS,Alor, Sumba Barat, and Manggarai.

15 0 15 15

R205 ProvinveOrganize refresher Training for districtRH facilitators from the 3 selecteddistricts

13 4 9 13

R205 Belu

Training on Normal Delivery Assistance(APN) for 20 midwives from 5 sub-district (Lasiolat, Rainhat, KakulukMesakh, Tasifeto Timur, Lamaknen) atP2KS Province

12 0 12 12

R205 Belu

Training for Puskesmas staff on

Delivery Planning and ComplicationPrevention Programme (P4K)/ PuskAtapupu, Wedomu, Weluli, Haekesak,Aululik, Dualasi, Haliwen and DHO

16 0 16 16

R205 BeluTraining for DHO staff on Monitoringand supervision of implementation theP4K programme

5 2 3 5

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P101 West Sumba

Sub national statiscal year book ineach district and province incorporateddisaggregated data on population, RH,ARH, STIs including HIV-HIV,gender,and poverty, and is available, forplanning and program.

15 5 10 15

P101 West Sumba

Proportion of indentified planners andpolicy, makers in each district andprovince trained utilizing availabledata for sub national developmentplans (rencana kerja strategis daerah& Rencana kerja pemerintah daerah)

28 18 10 28

P101 TTS 50 32 18 50

P101 KUPANG

Training to improve the quality of dataon RH, Population and Gender forprogrammer/statistical personnel atlocal government institution or othergovernment personnel

20 12 8 20

P101 KUPANGTraining on data utilization for plannersfrom related sectorals

20 11 9 20

P101 Provinve Training on data utilization for sectors'planners in province level 27 21 6 27

G101 West Sumba

The, three service points (medical, lawenforcement, shelter, psycho-socialassistance) in 18 priority sub districts)are functioning in deliver anintegrated-minimum standardassistance to victims/survivors of GBV.

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1. Tranning for police (PPA), 2 times

Quartal 2 30 27 2 29

Quartal 3 30 1 30 31

2. Trainning for puskesmas, 2 times

Quartal 2 40 6 28 34

Quartal 3 40 11 29 40

3. Trainning for PKK, 2 times

Quartal 2 30 30 30

Quartal 3 30 8 22 30

G101 TTS 43 23 20 43

G101 KUPANG NA

G101 ProvinveCapacity building on trafficking to judges in

NTT province and 5 district in NTT25 17 4 21

G101 ProvinveTraining for Journalist ( Forum Wartawan

Perduli Gender )25 19 6 25

G101 Belu Provinve

Training on GBV Counselling for puskesmas

and to prepare puskesmas in providing GBVservices (Puskesmas =2 prs, village midwive=1

prs and DHO staff) ( 4 days training)

19 5 14 19

2. How many workshops/trainings/meetings were held in 2009

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Output Area Workshops TrainingsCoordination

meetingsTotal

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R101

Province 4 3 3 8

WestSumba 2 1 2 5

TTS2

12 5

Kupang 2 Na 5 7

Manggarai

Alor

R301

Province 5 0 0 5

WestSumba 0 1 4 5

TTS 0 1 0 1

Kupang Na 1 Na 1

Manggarai

Alor

R105

Province 0 2 4 6

WestSumba 0 0 4 4

TTS 1 2 0 3

Kupang Na 2 Na 2Manggarai

Alor

R205 Province 1 4 1 6

R205 Belu Province 1 4 3 8

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R205

WestSumba 0 1 6 7

TTS

1 3 (inprovinsi

NTT)

0 4

Kupang 1 4 Na 5

Manggarai

Alor

P101

Province 1 1 3 5

WestSumba 0 2 4 6

TTS 1 2 4 7

Kupang Na 2 2 4

Manggarai

Alor

G101 Province 1 2 2 5

G101 Belu Province 1 1 1 4

G101

WestSumba 2 3 0 5

TTS 2 0 0 2

Kupang 1 Na 2 3

Manggarai

Alor

Programme Management (such as Province 6

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quarterly coordination meeting withBappeda and PPMs

Belu 1

West Sumba 4

TTS 4Kupang 6

Manggarai

Alor

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SECTION 4. Financial implementation and Implementing rate alloutput in 2009

Implementation rate all program components are varied acrossthe 21 Districts and 6 Province, ranging from ..% to % (seeattachment 3 for reference).

Before submitting please check whether you have attached all the requiredattachments.

Comment of adequacy of Program Activities and LessonsLearned.

Year four implementations of the services and policy component are ina way heading to long term investment promising excellent progressboth with the strengthened capacity of organizations as well as forprogram improvement it self. Replications started being made by other

province-districts outside the 7th

CP coverage area on the RHCommissions, P/DAC and CCS team establishment.

Guidance of commissions forming is very limited until make districtdifficult in designing and specify work schedule, role and commissionfunction. As a consequence commissions forming experiences of delayfrom expected time. Must be optimally monitoring tool and evaluationso it's can measure program success rate properly. Some similar

commissions that have been formed (example in West Sumba) thathave role equality and function from this commission, for example:Maternal Health Team, KIBBLA, District Health Council, DTPS.


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better harmonized with various of funds, resources and support thatalready exist from APBN, APBD and other donors.

Still many problems and other constraints that still must corrected andimproved. Low its mechanism of data reporting in consequence ofrecord-keeping quality that still low. Low its capacities supervisetechnical and supervise from province/district and the limited fundsupport APBD in implementation of RH program.

Some challenges must be anticipated in 2010 in implementation base

study, evaluation and program study in 2009. Time adjustmentbetween IFPPDs member in running duty and function and existenceof membership commutation in institute DPRD from result of 2009 GEuntil will influence sustainability and parliament commitment tocontinue program and policy in area. Enfoldment of some new districtsas in Kupang, West Sumba and Manggarai districts complicate BPS inconducting data. Attitude and culture are closed society to solve indoorviolence case doorstep and Patrilineal culture that permission men folk

power is compared to woman.

Handling GBV has been seen as separate program or addition job notas mainstreaming in all health care and law. Network in service andGBV handling still develop record and reporting system according toformat of each donor/institute and only will give handling GBV data toeach donor until make Women Empowerment Boards role morecomplicate province and district as clearing house. Enforcement lawand justice (judge, attorney, lawyer and police) up to district or subdistricts have not yet had good knowledge about UU PKDRT, UU PA.and Trafficking until tend to still use KUHAP


O C S C S

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FUTURE WORKPLAN

The adjustments of all programme component outcomes, outputs,strategies and targets and the updated CPAP Planning and TrackingTool (see excel attachment).

List of priority actions for the following year in attachment 8

ATTACHMENTS

Attachment 1: Country Program Framework in 2008-2010Attachment 2: Update CPAP of ANNEX 2 the CPAP Planning and TrackingToolsAttachment 3: Table lmplementing rate and expenditure all outputAttachment 4 : Progress of RH Commicion, CCS team and DACAttachment 5: The results in a matrix of ARH Inclusion status mappedAttachment 6: Overall the status throughout the 7th Country ProgrammeareasAttachment 7 : General results in matrix for level of integration (at targeted 3

Puskesmas)Attachment 8 : FUTURE WORKPLAN IN 2010



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Attachment 1: Country Program Framework in 2008-2010

NO OUTCOME OUTPUT Indicator before MTRRecommendation.

Indicator of MTRRecommendation.

1. RH- CP Outcome 1:An improved policyenvironment andcommitment to promotereproductive rights andcomprehensive, high-quality, gender-sensitivereproductive health andadolescent reproductivehealth information andservices at national andsub national levels

Output 1.1 (R.101):National guidelines andsub national strategies onReproductive Health,Adolescent ReproductiveHealth (ARH), SexuallyTransmitted Infections(STIs) and HIV/AIDS aredeveloped to ensureaccess of these servicesirrespective of maritalstatus, gender, age and

sexual orientation

Indicator 1.1.a:National guidelines on ARHdeveloped and adopted in 3provinces (West Kalimantan,West Java, NTB).

With target for 2008:National guidelines on ARHadopted in province/Districtdevelopment planning.

Indicator 1.1.a:National guidelines on ARHdeveloped and adopted in 3provinces (West Kalimantan,West Java, NTB).

With target for 2009:- Nationals guideline

on ARH endorsed andprinting.

- ARH guidelineendorsed by governor;

Printed guideline anddistributed. The ARHguideline adopted in 3provinces: west java,west Kalimantan and NTB

Indicator 1.1.b:Development of guideline forinclusion of ARH into localcurricula.

With target for 2009:

- Focal point at MONEidentified and selected;guideline of integration ofARH in the local curriculadrafted and endorsed,

- Map the status in 21districts, develop of toolsfor mapping,

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- Workshop ARHintegration conducted in9 districts: OKI,Tasikmalaya, Kupang,TTS, Alor, LombokTengah, Lombok Barat,Pontianak, andSingkawang; selectedschools to implement thenew curricula identified.

- M&E tools developed;data collection in selectedschools and districts,

- Advocacy materialdeveloped and Meetingsto policy makersimplemented.

Indicator 1.1.c:Commission on ReproductiveHealth and HIV AIDSestablished and functioning.

With target for 2008:At least 3 PAC/RHCommissions at Provincelevel and 2 at District levelhave been established andfunctioning.

Indicator 1.1.c:Mechanism to promoteReproductive Health, HIVAIDS and CCS arefunctioning in 6 provincesand 16 districts.

With target for 2009:- Focal point in Ministry

of people's welfareidentified and agreed;

new structure and TOR,initial WP finalized andagreed; Docs NRHCendorsed,

- Focalpoint/role/mechanism forRH commission, CCS andHIV AIDS commission

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indentified, agreed andsensitized; Clear TOR andWP endorsed;'mechanism functioned,

- TOR and WP agreed;5 years contraceptiveforecasting developed in21 districts; advocacystrategy and materialsdeveloped in 21 districts;advocacy to relevanttarget groupsimplemented

Indicator 1.1e:Nationals HIV/AIDS strategicplan on children and youth in

place.

With target for 2008:Strategic plans in place.

Not entry in 2009-2010

2 RH- CP Outcome 3:Increased access to high-quality, integrated, client-oriented and gender-sensitive reproductivehealth and ARH servicesand information.

Output 3.1 (R.205):Strengthened maternaland neonatal care, withfocus to emergencyobstetric care, andincreased availability ofyouth-friendly RHinformation and services,

including those focusingon STIs and HIV/AIDS.

COMPONENT MATERNAL & NEONATAL CARE

Indicator 3.1.a:At least 3 Puskesmas perdistrict providing IntegratedEssential RH information andservice.

With target for 2008:

At least 2 Puskesmas Modelon IERH per Districtestablished.

Indicator 3.1.a:At least 3 Puskesmas in 9selected districts provideIERH services and VCTservices for respectivepuskesmas are identified.

With target for 2009:- M&E data collection

in 9 selected districts:Tasikmalaya, Indramayu,Oki, Pontianak,Singkawang, LombokBarat, Lombok Tengah,

Indicator 3.1.b:Ten Puskesmas in threeselected districts(Tasikmalaya, Indramayuand Pontianak)

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implementing STIs and FPguidelines.

With target for 2008:Increased number of womencounseled for STDs/HIVprevention.

Kupang and TTS.- Workshop

implemented- TOR RH facilitator

developed; refreshertraining conducted; RHfacilitator functioned: TAto selected puskesmasconducted; monitoringand Evaluationimplemented.

- Puskesmas AWPdeveloped; R&Rmechanism established;Equipment and suppliesfor 3 selected PKM in 9Districts provided;training for healthproviders on IERHimplemented.

- Advocacy materialdeveloped.

Indicator 3.1.d:At least 1 Puskesmas withbeds per district providingEmergency Obstetric Care(Expected to offer 24-hourservice).

With target for 2008:2 Puskesmas PONED di Kab.Indramayu, Tasikmalaya,Aceh Besar, Aceh Barat.

Indicator 3.1.e.At least 1 hospital perdistrict providing 24 hourservice comprehensiveEmergency ObstetricNeonatal Care (CEONC).

With target for 2008:Established and strengthenCEONC Team in 14 districtshospital.

Indicator 3.1.b:Updates on the status 24/7EMOC of district hospitalsare made availabel byannually.

With target for 2009:- Tools used; datacollection updated in alldistricts ;

- Review implementedin all districts;

- CEONC training forselected (based on

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Output 3.2. ( UNJP inBelu)Reduced maternalmorbidity and mortalitydue to obstetriccomplications. (Berkurangnya angkakesakitan dan kematianibu akibat komplikasiobstetric)

SPR 2009_NTT Prov and Districts

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