quarterly report, q1 project year 2019 - pdf server

This publication was produced by the USAID Jalin Project under Contract No. AID-497-C-17-00001at the request of the United States Agency for International Development. This document is made possible by the support of the American people through the United States

Agency for International Development. Its contents are the sole responsibility of the author or authors and do not necessarily reflect the

views of USAID or the U.S. Government.

THE USAID JALIN PROJECT Quarterly Report, Q1 PROJECT YEAR 2019

January-March 2019

USAID JALIN PROJECT QUARTERLY REPORT –JANUARY TO MARCH 2019 2

The USAID Jalin Project

Quarterly Report, January – March 2019

Program Title: The USAID Jalin Project

Sponsoring USAID Office: USAID/Indonesia

Contract Number: AID-497-C-17-00001

Contractor: DAI Global, LLC

Date of Submission: April 15, 2019

Author: DAI Global, LLC


TABLE OF CONTENTS

TABLE OF CONTENTS ......................................................................................................... 3 ACRONYMS & ABBREVIATIONS ........................................................................................ 5 EXECUTIVE SUMMARY......................................................................................................... 7

HIGHLIGHTS FROM Q1 PROJECT YEAR 2019 .............................................................. 7

OPERATIONAL AND PERSONNEL ................................................................................. 7

PLANNED ACTIVITIES FOR Q2 PROJECT YEAR 2019 ................................................ 8 KEY LESSONS LEARNED ...................................................................................................... 9 PROGRESS AGAINST WORKPLAN .................................................................................. 10

COMPONENT 1: PARTNERSHIP PROCESS MANAGED TO GENERATE,

IMPLEMENT, EVALUATE, AND SCALE SUCCESSFUL LOCAL SOLUTIONS AND

UTILIZE EVIDENCE TO RESULT IN SUSTAINABLE MNH IMPACT ...................... 10 SUB-COMPONENT 1.1: MNH EVIDENCE AVAILABLE AND COMPELLINGLY COMMUNICATED .. 10 SUB-COMPONENT 1.2: CONSTRUCTIVE AND INCLUSIVE PARTNERSHIP, SOLUTIONS AND

ADVOCACY DEVELOPED ............................................................................................................................................ 17 SUB-COMPONENT 1.3: IMPLEMENT, EVALUATE AND IDENTIFY OPPORTUNITIES TO SCALE

IMPLEMENTATION OF LOCAL SOLUTIONS ........................................................................................................ 24

COMPONENT 2: TECHNICAL ASSISTANCE DEPLOYED EFFECTIVELY FOR

LOCAL SOLUTIONS ........................................................................................................ 25 SUB-COMPONENT 2.1: PROVISION OF SPECIALIZED TECHNICAL ASSISTANCE FOR LOCAL

SOLUTIONS ....................................................................................................................................................................... 25 SUB-COMPONENT 2.2: PROVISION OF RESPONSIVE TECHNICAL ASSISTANCE TO THE

MINISTRY OF HEALTH (MOH) AND OTHER GOVERNMENT OF INDONESIA (GOI) ACTORS ...... 26

COMPONENT 3: CATALYTIC FINANCING EFFICIENTLY DISBURSED TO

SUPPORT THE INCUBATION AND IMPLEMENTATION OF LOCAL SOLUTIONS

.............................................................................................................................................. 27 MONITORING, EVALUATION, LEARNING, AND ADAPTATION .............................. 28

DEVELOPMENT EVALUATION ..................................................................................... 28

PERFORMANCE INDICATOR RESULTS ...................................................................... 28

Data Quality ........................................................................................................................ 29 USAID JALIN INDICATOR PERFORMANCE TRACKING TABLE (IPTT) – QUARTER

1 ............................................................................................................................................... 31 RESOLUTION OF PREVIOUS PROBLEMS ....................................................................... 35

OPERATIONAL ................................................................................................................. 35 Improving effectiveness and efficiency of USAID Jalin implementation ............................................................... 35 New key staff selected, approved and onboarded .................................................................................................... 35

TECHNICAL ...................................................................................................................... 36 Effective communication .................................................................................................................................................. 36 Defining and developing technical scopes of work ................................................................................................... 36

NEW PROBLEMS ENCOUNTERED ................................................................................... 36 OTHER NOTABLE DEVELOPMENTS ............................................................................... 36

Doing Jalin Differently ....................................................................................................................................................... 36 Strategic improvements to the MAB ............................................................................................................................ 37 MOH relationship improvements .................................................................................................................................. 37 Recommendations to discontinue Wave2 of EMNC ............................................................................................... 37

PLANNED ACTIVITIES FOR Q2 PROJECT YEAR 2019 .................................................. 37

OPERATIONAL ................................................................................................................. 37

TECHNICAL ...................................................................................................................... 37


TRAVEL .............................................................................................................................. 38 SUCCESS STORIES ............................................................................................................... 39 PHOTOS ................................................................................................................................. 39 Media and Publications .......................................................................................................... 39 ANNEXES ............................................................................................................................... 40

Annex 1: Ringkasan Eksekutif .................................................. Error! Bookmark not defined.

Annex 2. MNH Framework ............................................................................................... 42

Annex 2: Media and Publications list ................................................................................ 44


ACRONYMS & ABBREVIATIONS AIPI Akademi Ilmu Pengetahuan Indonesia (Indonesian Academy of Sciences)

AJI Aliansi Jurnalis Independen (Association of Independent Journalists)

Alfamart Sumber Alfaria Trijaya

AMP Audit Maternal Perinatal (Maternal Perinatal Audit)

ANC Antenatal care

BAPPEDA Badan Perencana Pembangunan Daerah (Regional Body for Planning and

Development

BPCR Birth Preparation and Complication Readiness

BPJS Badan Penyelenggara Jaminan Sosial (Indonesian Social Insurance Administration

Organization)

C-Section Caesarean Section

CAM Complexity Aware Monitoring

CHPM-UGM Center of Health Policy and Management at the University of Gadjah Mada

CoP Community of Practice

COP Chief of Party

CSO Civil Society Organization

DCOP Deputy Chief of Party

DE Developmental Evaluation

DG Director General

DHO District Health Office

DJSN Dewan Jaminan Sosial Nasional (National Social Security Council)

EMAS Expanding Maternal and Newborn Survival project

EMNC Every Mother and Newborn Counts

ESAS Evidence Summit Assessment and Scoping

FOPKIA Forum Peduli Kesehatan Ibu dan Anak (Maternal and Child Healthcare Forum)

GERAI KIA Gerai Kesehatan Ibu dan Anak (Maternal and Child Health Corner)

GOI Government of Indonesia

HOGSI impunan Obstetri dan Ginelokogi Sosial Indonesia (Indonesia Social Obstetric

Gynecology Society)

HPU Health Policy Unit

HR Human Resources

IBI Ikatan Bidan Indonesia (Indonesian Midwives Association)

IDAI Ikatan Dokter Anak Indonesia (Indonesia Pediatric Society)

IDI Ikatan Dokter Indonesia (Indonesian Doctors Association)

INA CBG Indonesia Case Based Groups

Indo HCF Indonesia Health Care Forum

IPE Inter-Professional Education

IPTT Indicator Performance Tracking Table

IT Information Technology

JKN Jaminan Kesehatan Nasional (Indonesian national health insurance system)

KIA Kesehatan Ibu dan Anak (maternal and child health)

KM Knowledge Management

M&E Monitoring and Evaluation

MAB Multi-stakeholder Advisory Board

MCH Maternal Child Health

MDN Maternal Death Notification

MELA Monitoring, Evaluation, Learning and Adaptation

MERLA Monitoring, Evaluation, Research, Learning and Adaptation

MKIA Motivator Kader Ibu dan Anak (Mother and Child Cadre Motivator)

MMR Maternal Mortality Ratio

MNH Maternal Newborn Health

MOH Ministry of Health

MOU Memorandum of Understanding

MPDSR Maternal Perinatal Death Surveillance and Response

MSS Minimum Service Standard

NIU National Intervention Unit


P2JK Pusat Pembiayaan dan Jaminan Kesehatan (Health Financing and Insurance

Center)

PEI Perhimpunan Entomologi Indonesia (Indonesian Entomology Association)

PERMENKES Ministry of Health Regulation

PHO Provincial Health Office

PI Performance Indicator

PIRS Performance Indicator Reference Sheet

PKBI Indonesia Family Planning Association

PKK Pemberdayaan Kesejahteraan Keluarga

POGI Perkumpulan Obstetri dan Ginekologi Indonesia (Indonesian Obstetrics and

Gynecology Association)

PoP Period of Performance

PPP Public Private Partnership

PPNI Persatuan Perawat Nasional Indonesia (Indonesian National Nurses Association)

PT Perseroan Terbatas

PUSKA-UI Pusat Penelitian Keluarga Sejahtera (Center for the Study of Family Welfare)

PWI Association of Journalists Indonesia

RF Results Framework

SDKI Indonesia Demographic Health Survey

SiCantik Sidoarjo Cegah Angka Kematian Ibu dan Anak (Sidoarjo Prevents Maternal and

Children Mortality Rate)

SiMANEIS Sidoarjo Maternal Neonatal Emergency SMS GATEWAY

SOP Standard Operating Procedure

SOW Scope of Work

STTA Short-Term Technical Assistance

TAMIS Technical and Administrative Management Information System

TBA Traditional Birth Attendant

ToC Theory of Change

TOR Terms of Reference

TWG Technical Working Group

UN United Nations

UNFPA United Nations Population Fund

UNICEF United Nations International Children’s Emergency Fund

USAID United States Agency for International Development

VASA Verbal and Social Autopsy

WHO World Health Organization


EXECUTIVE SUMMARY1

In September 2017, the United States Agency for International Development (USAID)/Indonesia

initiated the USAID Jalin Project (hereafter referred to as “USAID Jalin” or “the Project”), a five-year

activity contributing to the reduction of preventable maternal and newborn deaths, particularly

among the poorest and most vulnerable. Jalin - meaning “intertwined” in Bahasa Indonesia - weaves

together the Government of Indonesia (GOI), private sector, civil society, and other stakeholders to

use evidence to co-define, co-create, and co-finance sustainable and scalable local solutions to

capitalize on maternal and newborn health (MNH) opportunities.

This report contains a summary of activities implemented, and results achieved, in Quarter 1 of

Project Year 2, and activities to be implemented in Quarter 2. The activities described in this report

all contribute to the MNH movement.

HIGHLIGHTS FROM Q1 PROJECT YEAR 2019

• Implemented the ‘Every Mother and Newborn Counts’ (EMNC) activity in the Jember

district of East Java and Serang district of Banten by engaging Pusat Penelitian Keluarga

Sejahtera University of Indonesia (PUSKA-UI) to train 76 data collectors in newborn and

maternal verbal and social autopsy (VASA) tools. Data collection and was complete in

Banten at the end of March and will be completed by April in East Java.

• Facilitated Maternal and Perinatal Death Surveillance and Response (MPDSR) by supporting

regional orientation meetings on Maternal Death Notifications (MDN) and district staff’s

role as verifiers during the implementation of the MPDSR cycle.

• Finalized a MNH Framework to provide structure for further evidence synthesis and

prioritization.

• Based on the Evidence Summit Assessment and Scoping (ESAS) exercise and a rapid

assessment of the MNH knowledge management (KM) in Indonesia, USAID Jalin revised its

KM Strategy and began procuring support for KM activities, which will be implemented in

Q2.

• Agreed with the Ministry of Health (MOH) on the following five national priorities for

Project-support to the Ministry: 1) develop national mentoring framework; 2) form a

National Commission to accelerate the reduction of maternal-neonatal deaths; 3) pilot the

“Improvement of Maternal and Neonatal Health Services in the workplace” and “Eradication

of Pre-Eclampsia and Eclampsia” programs; 4) assess the implementation of individual/team

midwife practices; and 5) develop MOH regulations of the National Strategy for Reducing

Maternal and Neonatal Death.

• Celebrated the one-year anniversary of the Multi-stakeholder Advisory Board (MAB) by

reconfirming the commitment of USAID Jalin to use the platform for project direction.

• Commenced work supporting 22 local solutions in six focus regions.

• At the request of Pusat Pembiayaan dan Jaminan Kesehatan (P2JK - Health Financing and

Insurance Center), the Project developed a costing tool for the Minimum Service Standards

(MSS), which will be introduced in Q2.

OPERATIONAL AND PERSONNEL

• To improve the efficacy of USAID Jalin’s grant and procurement mechanisms, Senior

Implementation Specialist Gwen Appel provided in-person support to the Operations and

1 A translation of the Executive Summary is provided in Annex 1


Administration Unit in designing, competing, and implementing procurement and grant

mechanisms in support of critical technical activities.

• Selected, submitted for approval, and onboarded the following key personnel:

o Partnerships Director Mr. Soeriawidjaja started in January and Technical Director

Dr. Luna Mehrain was fielded in February. Both were selected and approved in Q4

of Year 1.

o Chief of Party (COP) Ella Hoxha was approved in February and fielded in March.

o Monitoring, Evaluation, Learning and Adaptation (MELA) Director Stuart Kenwood

was approved in March and will field in Q2.

PLANNED ACTIVITIES FOR Q2 PROJECT YEAR 2019

• Support dissemination of Evidence Summit results to national and regional stakeholders.

• Analyze and disseminate findings from Wave 1 of the EMNC Survey.

• Finalize Memoranda of Understanding (MOU) and mini MELA plans for local solutions in all

six regions.

• Provide technical assistance to the Badan Perencana Pembangunan Daerah (BAPPEDA -

Regional Body for Planning and Development) to develop their MNH program.

• To support effective and efficient management of the Project, in tandem with initiatives and

strategies instituted this quarter by the Acting COPs, USAID Jalin will improve the Project

Technical and Administrative Management Information System (TAMIS) and develop a

dashboard to communicate project progress more easily and visually.

• In Q2, USAID Jalin will continue to ramp-up priority procurements in support of the Year 2

Workplan. Specifically, procurements will be scoped, competed and awarded in support of

the Project’s KM efforts.


KEY LESSONS LEARNED

Throughout the reporting period, USAID Jalin came to value the following project-wide lessons

learned:

• USAID Jalin needs a clear strategy and maternal and newborn health (MNH) objective for

engagements with external stakeholders in order to foster meaningful partnerships. This

includes taking care to research and understand the interests of potential partners and

identify any synergies with USAID Jalin’s MNH objectives.

• Since USAID Jalin’s ideas and interventions arise from the dynamic relationship between the

Project and its partners, a degree of agility and imagination is required on the part of the

Project to uncover and explore potential areas of collaboration.

• Working at the local level is the most productive way of identifying, and more importantly

understanding, problems and testing solutions. However, there needs to be an in-between

step whereby the problems are framed within the national context so that solutions created

at the local level can contribute to national policy-making.

• By taking a holistic view of local solutions, USAID Jalin aims to understand which elements of

a local solution can be applied to a particular location, as opposed to those elements that

can be used more broadly irrespective of local context.

• USAID Jalin needs to identify individuals who have both the passion and sincerity for MNH,

which can be nurtured and encouraged through connections to other like-minded people as

well as a national-level platform for policy discussion to further their leadership skills.

• USAID Jalin needs to be an active partner to the GOI by introducing evidence from local

situations in order to help policymakers shape and implement better policy.


PROGRESS AGAINST WORKPLAN

COMPONENT 1: PARTNERSHIP PROCESS MANAGED TO GENERATE,

IMPLEMENT, EVALUATE, AND SCALE SUCCESSFUL LOCAL SOLUTIONS AND

UTILIZE EVIDENCE TO RESULT IN SUSTAINABLE MNH IMPACT

SUB-COMPONENT 1.1: MNH EVIDENCE AVAILABLE AND COMPELLINGLY COMMUNICATED

Activity 1.1.1: Evidence Generation

Subactivity 1.1.1.A. Every Mother and Newborn Counts

‘Every Mother and Newborn Counts’ (EMNC) is a survey methodology implemented by USAID Jalin

to learn about the number and characteristics of maternal and newborn deaths. The survey focuses

on one district at a time using an integrated verbal and social autopsy (VASA) interview approach.

USAID Jalin is engaged in EMNC surveys in the Jember district of East Java and the Serang district of

Banten province. In Jember, data collection activities within the 31 targeted sub-districts began in

early February and has an estimated completion date of late April. Similarly, data collection began in

early January throughout all 29 targeted sub-districts in Serang and was completed at the end of

March. In support of the surveys, USAID Jalin held a number of training workshops for data

collectors.

On January 5-7, USAID Jalin trained 76 data collectors on neonate and maternal VASA tools in

Surabaya, East Java. Consistent with USAID Jalin’s approach of supporting local ownership and

capacity, most data collectors came from East Java. The workshop was led by the Pusat Penelitian

Keluarga Sejahtera University of Indonesia (PUSKA-UI) and assisted by researchers from the University

of Airlangga-Surabaya. For one session, representatives from the Ministry of Health (MOH), the

Provincial Health Office (PHO) of East Java and District Health Office (DHO) of Jember participated

to provide information about governmental maternal and newborn health (MNH) policies and

provide statistics on provincial and district MNH. The government representatives used this

opportunity to share experiences from previous verbal autopsies to support lessons learned.

USAID Jalin also hosted a training on March 4-6 for PUSKA-UI and MOH-Litbangkes representatives

using an InSilico Programming Expert. The objective of the training was to introduce the InSilico

algorithm as a means of EMNC data analysis. Using the InSilico algorithm, stakeholders are able to

generate a cause of death for each individual maternal and newborn case by focusing on the verbal

autopsy element of EMNC.

Throughout the quarter, USAID Jalin had conversations with the MOH, and evaluated the cost

effectiveness of the EMNC study. The MOH Director General (DG) of Public Health is not keen to

continue the EMNC as it is deemed both too expensive and potentially unresponsive to the MOH’s

need of continuous and representative data about maternal and newborn deaths across Indonesia,

and strengthening of their systems for collecting this information Based on the DG’s concerns,

USAID Jalin developed a technical brief that recommended to end the EMNC after the completion

of Wave 1 of the survey (Banten and East Java), which was submitted at the end of Q1.2

Subactivity 1.1.1.B. Maternal Perinatal Death Surveillance and Response

Maternal Perinatal Death Surveillance and Response (MPDSR) aims to avoid preventable maternal

and perinatal deaths by involving all stakeholders in the process of identifying causes of deaths and

taking action to prevent similar deaths in the future.3 MPDSR is a relatively new concept and builds

on earlier maternal death review processes. USAID Jalin supports the MOH in its efforts to establish

2 See Other Notable Developments section. 3 A foundation for effective MPDSR, and a key gap to its implementation in Indonesia, is collecting data on deaths. The

EMNC survey, conducted in collaboration with PUSKA-UI, is helping to address this gap.


a national MPDSR system in collaboration with other partners including the World Health

Organization (WHO), the United Nations Population Fund (UNFPA), the United Nations

International Children's Emergency Fund (UNICEF) and the Perkumpulan Obstetri dan Ginekologi

Indonesia (POGI - Indonesian Obstetrics and Gynecology Association). USAID Jalin will support the

MOH to pilot the full cycle of MPDSR in six target provinces.

The MPDSR cycle is composed of four steps:

1. Identification and notification on an ongoing basis. Identification of suspected

maternal and perinatal deaths in facilities (maternity and other wards) and communities,

followed by immediate notification (within 24 and 48 hours, respectively) to appropriate

authorities.

2. Review of maternal and perinatal deaths by local maternal and perinatal death

review committees. Examination of medical and nonmedical contributing factors that led

to the death; assessment to determine if death was avoidable; development of

recommendations for preventing future deaths; and immediate implementation of pertinent

recommendations.

3. Analysis and interpretation of aggregated findings from reviews. Reviews are made

at the district-level and reported to the national-level; priority recommendations for national

action are based on aggregated data.

4. Respond and response monitoring. Implementation of recommendations made by the

review committee and those based on aggregated data analyses. Actions can address

problems at the community, facility, or multi-sectoral levels. Monitoring and ensuring that

recommended actions are being adequately implemented.

As part of the first step of the cycle, a functioning server to house Maternal Death Notifications

(MDN) was established at the MOH as part of the Annual National Health Working Meeting

(Rakerkesnas) on February 11-14. To date, the six target provinces have been using the server to

report, in real-time, maternal deaths. On February 25, USAID Jalin was invited to a MOH meeting to

discuss the final format of the MPDSR guidelines. It was decided that the guidelines will include the

term “audit maternal perinatal” (AMP) to avoid confusion at the regional level. Furthermore, an

additional subtitle on surveillance and response was added to emphasize the continuous nature of

the MPDSR cycle. These guidelines will be attached to the official MOH regulation concerning the

MPDSR cycle.

Throughout the reporting period, USAID Jalin held MPDSR regional-level orientation meetings in

Deli Serdang (North Sumatra); Banten and Bogor districts (West Java); and Banyuwangi (East Java).

With the exception of Banten, which used its provincial budget funds, USAID Jalin funded – at the

request of the MOH – the orientation meetings. Similarly, USAID Jalin held an orientation meeting in

Surabaya – at the request of the East Java PHO – for Maternal and Child Health (MCH) program

managers. The meeting, held on March 8, focused on orienting program managers from 38 districts

and on their role as District Verifiers during the MDN implementation.

On March 12, USAID Jalin met with the East Java PHO, along with representatives from the

Surabaya and Malang POGI, Ikatan Dokter Anak Indonesia (IDAI - Indonesia Pediatric Society) and

Perkumpulan Obstetri dan Ginekologi Indonesia (HOGSI - Indonesia Social Obstetric Gynecology

Society) to strengthen collaboration with professional organizations in support of MPDSR

implementation. The participants agreed to strengthen the AMP Technical Working Group (TWG)

through increased participation by POGI Malang and IDAI. Selected new candidates for the TWG

will be announced in Q2 and the PHO will hold follow-up meetings next quarter to develop a clear

activity plan to support MPDSR implementation in East Java.

Finally, USAID Jalin facilitated a meeting on the MPDSR Policy Brief. The objective of the brief is to

state how national policy, including that driven by the Maternal Death Survey, should be adopted by

local and regional health offices. The primary issue of concern is the need to have consistent data in


inform the Indonesia Maternal Mortality Ratio. Currently both the Indonesia Demographic Health

Survey (SDKI) and the Inter-census Population Survey (Surpas) are used to calculate this important

figure.

Activity 1.1.2: Evidence Synthesis

While certain MNH evidence is available, it has not previously been synthesized in a way that is

clearly actionable or understood. During this reporting period USAID Jalin implemented two sub-

activities to address this.

Technical briefs for advocacy

To complement last quarter’s “Deep Dive” research into the priority areas of quality of care,

referrals and utilization of the Jaminan Kesehatan Nasional (JKN - Indonesian national health insurance

system), USAID Jalin produced seven technical briefs this reporting period. The objective of the

briefs was to develop actionable summaries to help USAID Jalin Regional Managers and their

partners further explore the root causes of the aforementioned priority areas within different

contexts. The briefs addressed the following topics: inequality; stillbirths in MNH; midwifery;

community empowerment; newborn care; a culture of quality within the MNH; and how to engage

the private sector more effectively. In the next quarter, these briefs will be adapted into advocacy

materials, guidelines for co-creation (where needed) and policy briefs to support MNH advocacy at

the national-level.

MNH framework development

Based on existing evidence, an MNH framework for Indonesia was developed to prioritize actions

addressing maternal and newborn mortality while also providing a structure for further evidence

synthesis and prioritization. During the reporting period, a total of 9 consultative meetings were

held involving 77 participants representing the MOH, WHO, UNFPA, Ikatan Bidan Indonesia (IBI -

Indonesian Midwives Association), Social Impact4 and USAID Jalin staff. The Project used detailed

feedback from each consultation to further refine the proposed MNH framework for Indonesia. The

framework was developed based on the Indonesian national MNH structure, relevant global

frameworks and inputs from these consultative meetings. On February 12, the GOI held its National

Health Meeting (Rakerkesnas) to start formulating action plans for the next planning cycle (2019 –

2025). USAID Jalin’s Senior Government Advisor attended the meeting and reported that the DG of

Public Health’s presentation on Indonesia’s national MNH strategy captured many of the Project’s

inputs and recommendations, especially regarding the National MNH Framework. This framework

is provided in Annex 2.

Activity 1.1.3: Mobilize Knowledge Management Strategy with Local Partners

During Year 1, USAID Jalin conducted an Evidence Summit Assessment and Scoping (ESAS) exercise

in addition to a rapid assessment of the MNH’s knowledge management initiatives (KM) in Indonesia.

The assessment methodology included stakeholder interviews and consultations, along with a

literature review. Based on the findings from the ESAS and Rapid Assessment, USAID Jalin revised its

KM strategy. USAID/Indonesia and the Project agreed to assess opportunities to collaborate with

additional KM partners at both the national and provincial levels. Recommendations incorporated

into the strategy include:

• Translating knowledge into policy and action;

• Improving MNH knowledge availability and access;

• Enhancing the KM Community of Practice (CoP) and support of an overall knowledge-

sharing culture; and

• Defining strategic areas of focus for KM activities.

4 Currently implementing a Developmental Evaluation of the USAID Jalin Project.


Adjustments were also made to USAID Jalin’s revised Monitoring, Evaluation Learning and

Adaptation Activity (MELA) Plan5 that reflect both findings from the rapid assessment and priority

KM topics for the future. During the last quarter, USAID Jalin’s KM activities focused on

procurement, developing scopes of work (SOW) as well as grant and contractual agreements to

solidify partnerships with its five partner KM organizations identified through the rapid assessment.

By the end of the reporting period, USAID Jalin reached agreements with each of the selected

partners regarding their roles and responsibilities, working arrangements as well as activities and

deliverables. Progress made during Q1 with each specific partnership is detailed in Table 1: KM

Procurement Tracker on the following page, along with related Q2 activities.

Also, during this quarter, the MOH and USAID Jalin authored an abstract entitled, Clinical Governance

Mentoring for Newborn Health in Indonesia, which will be presented at “The International Stillbirth

Alliance” in October 2019 in Madrid, Spain.

5 USAID Jalin’s revised MELA Plan was approved by USAID on March 14, 2019.


Table 1: Knowledge Management Procurement Tracker

Activity Status Partner

Needs Assessment of institutions capacity to use evidence in MNH policy advocacy

SOW: Finalized on March 19 RFA6: Finalized and released on March 20 Procurement Evaluation: Ongoing Grant Signing: Anticipated on/before April 12 Implementation PoP7: April-June 2019

CHPM UGM

Strengthening the Indonesia MNH CoP through the MNH network

SOW: Under development to be finalized on April 5 RFA: Under development; to be released on/before April 12 Grant signing: Anticipated on/before April 19 Implementation PoP: April-March 2019

CHPM UGM

Capacity building of the PHO and DHO to utilize MNH evidence in policy and program decisions

SOW: Under development to be finalized on April 15 RFA: Under development; to be released on/before April 19 Grant Signing: Anticipated on/before May 10 Implementation PoP: June-December 2019

TBD

Capacity building to use evidence in MNH policy development and advocacy for the medical and community health faculties in universities and/or institution in six USAID Jalin provinces

SOW: Under development to be finalized in Q2 RFA: To be issued and awarded during Y2 Q3 Implementation PoP: Y2 Q3 - Q4 (after USAID Jalin has completed Activity 1)

TBD

Evidence Summit results dissemination and discussion with national and provincial stakeholders

Engagement will take place during Q2 AIPI

Collection, documentation and dissemination of existing MNH good practices

SOW: Finalized on March 26 RFP: Finalized and released on March 27 Procurement Evaluation: April 9 Subcontract Signing: Anticipated on/before April 19 Implementation PoP: April-December 2019

BaKTI Foundation

Technical assistance focused on capacity building for MNH policy development.

Initiated discussions with the MOH on this activity in Q1. Determine whether the HPU is still the appropriate unit to meet the objectives of the activity in Q2.

HPU within the MOH8

Incorporate and share MNH evidence

SOW: Under development to be finalized on April 15 RFA: Under development; to be released on/before April 25 Implementation PoP: May-December 2019

INDO HCF - Potential partner

6 RFA refers to the Request for Award. 7 PoP refers to the activity’s period of performance. 8 The MOH encouraged the participation of, and leadership from, the HPU in this effort.


Activity 1.1.4: Communication and Dissemination

Progress was made this quarter about increasing awareness of MNH issues throughout Indonesia.

USAID Jalin’s efforts to advocate for public and private sector participation as well as media and civil

society organization (CSO) mobilization are documented below.

Produce an array of communication materials to compellingly communicate MNH evidence to different

target audiences

USAID Jalin developed a variety of communications materials including slides and posters that

present evidence and knowledge on MNH in an easy-to-read format. USAID Jalin recognizes that

numbers without context are ineffective in motivating an audience to understand the reality behind

them. The visual representation of these key statistics and figures is also important for effective

communication. Numbers must be easily digestible and clear, both in terms of what they represent

and how they feed into the wider story. For example, while the number of maternal deaths may

seem small when compared to Indonesia’s large population, they illicit a much more startling

reaction when presented as the number of mother and newborn deaths per day or hour. USAID

Jalin is in the process of producing communications materials to support the implementation of local

solutions (see Sub-Component 1.3) throughout its target regions. For example, in Banten the

Project created banners, vests for midwives and educational handbooks in support of the Kesehatan

Ibu dan Anak (Gerai KIA) activity.

Figure 1: Examples of Infographics on MNH created by USAID Jalin

Provide technical assistance to the Health Promotion Directorate

USAID Jalin is providing comprehensive technical assistance to Promkes, the MOH’s Health

Promotion Unit (HPU), to support them in building their approach to advocacy and stakeholder

engagement. USAID Jalin’s Partnership Unit is providing support to develop guidelines for

partnerships with corporations. Additionally, USAID Jalin’s Communication Unit engaged a social

and behavior change communication expert to support the Directorate in creating a national social

and behavior change communication strategy to address barriers mothers face when seeking to

adopt healthy behavior. The national strategy will also help healthcare providers improve their

services. Finally, USAID Jalin’s National Implementation Unit (NIU) is providing technical assistance

on the concept of behavior change through strategic communication.


Engage a public relations agency and key influencer to develop an MNH campaign

Despite the multitude of movements and programs, there has been insufficient public attention on

MNH issues. A 2018 Nielsen awareness and perception survey of MNH, which surveyed 1,353

respondents in 19 cities, found that most do not consider MNH as a top health concern. In

response, USAID Jalin launched the Jalin Suara Buat Ibu dan Bayi (“Weaving a Voice of Mother and

Newborn”) campaign, which aims to raise awareness of this issue by mobilizing media outlets and

CSOs to advocate for mothers and newborns to receive better care. The campaign involves a

variety of stakeholders to emphasize that the message of preventable maternal and newborn

mortality is a universal responsibility. USAID/Indonesia recently redirected the campaign to be a part

of the MOH program and as such the Project is reworking the campaign so that it aligns with the

Ministry’s objectives.

Engaging two major journalist associations to equip media outlets with knowledge on MNH

To ensure that the Project is reaching the most journalists and not favoring one group, USAID Jalin

works with both the Aliansi Jurnalis Independen (AJI - Independent Journalists Association) and the

Persatuan Wartawan Indonesia (PWI - Association of Journalists Indonesia). This reporting period,

USAID Jalin worked with an independent media institute to create an inclusive training for

journalists from six provinces. The objective of the training was to strengthen journalists’ capacity

to understand and utilize MNH data in news stories.

Social Media

This quarter, the Project’s continued social media presence was limited to LinkedIn. Monthly

content is planned one month in advance and is relevant to external events. For example, USAID

Jalin’s Valentine’s Day post in February was about family love whereas the post in March highlighted

International Women’s Day. While the Project highlights media coverage on LinkedIn, most

engagement come from factoids and infographics created in-house.

East Java facilitates collaboration between media and District Health Office in Malang

The Malang district identified quality improvement in antenatal care (ANC), early detection and

pregnancy monitoring as one of their local solutions. To support the district in its efforts, USAID

Jalin’s East Java Unit facilitated a partnership between the DHO in Malang and two media outlets;

Times Online and Radio Kanjuruhan. These partnerships have resulted in a commitment from all

parties for public advocacy to encourage and empower mothers to understand the importance of

ANC and leading a healthy lifestyle.

Galvanize support from media in North Sumatra

The Forum Media Peduli Kesehatan Ibu dan Anak (Media Cares for MNH forum) was formed in North

Sumatra in December 2018 and is facilitated by USAID Jalin’s regional office in Medan. The formation

came as a response to the lack of awareness on the high rate of maternal and newborn deaths in the

province. The forum was initiated by journalists from various platforms (print, television, and online),

social media influencers and ministry spokespeople who realized that the public will pay more

attention to MNH if the issue is regularly raised in the media. Through this forum, media outlets can

routinely highlight MNH stories, which are often drowned-out by other health issues. The forum

includes journalists from several top tier media houses including Kompas, Waspada, Televisi

Republik Indonesia (TVRI), Radio Republik Indonesia (RRI), Medan Pos and Analisa.


SUB-COMPONENT 1.2: CONSTRUCTIVE AND INCLUSIVE PARTNERSHIP, SOLUTIONS AND

ADVOCACY DEVELOPED

Activity 1.2.1: Define and/or Update Problem Statements for Co-creation Efforts

Activity 1.2.2: Identify and Engage Key Stakeholders to Participate in Design and/or

Investment in Local Solutions

Activities to define problem statements that will guide USAID Jalin’s interventions continued this

reporting period. Problem statements are the foundation of the Project’s co-creation process. A

problem statement is a concise description of an issue to be addressed or a condition to be

improved. Problem statements are used to inform local solutions. Table 2 on the following page lists

problem statements and local solutions by regions that have been initiated to-date.


Table 2: Problem Statement and Local Solution(s), by Region

Region/District Problem Statement Proposed Local Solution Partners Stage of

Development9 Status and Next Steps

(2019 Q2)

Banteen and Tangerang Regent (Sukamulya, Jayanti, Tigaraksa, Mauk, and Mekarbaru Districts)

Inadequate MNH knowledge related to the utilization of MCH book

Alfamart stores to increase knowledge of pregnant women and increase access to national health coverage (JKN)

Alfamart, PHO Banten, Forum Peduli Kesehatan Ibu dan Anak (Fopkia - MNH Care Forum)

Implementation

MOU signed by USAID Jalin on February 13, 2019 and Alfamart on March 11, 2019.

Banten and Lebak District

Inadequate access to MNH care due to geographic and socio-cultural barriers in Lebak

Strengthening "Jamilah" program PHO, Jamilah program in Bojong Manik, Village Planning, private transportation actors, PPNI, DHO, DPMD, PT KIAT Mahesa

Solution Co-creation

Engagement with potential private sector (ASTRA) for ambulance feeder

East Java and Kabupaten Malang

Low quality of integrated ANC for early detection of high-risk pregnancy in Malang

Strengthening the pregnancy registration and monitoring system (SUTERA EMAS)

DHO, professional organization, Kominfo, DPPKB


Finalize the MOU document

East Java and Kabupaten Sidoarjo

Inadequate referral mechanism due to multiple communication platforms which are not synchronized (often leading to multiple referrals)

Strengthen the utilization of the current IT system for referral care by integrating the current referral system platform (SiManeis) with a platform for risk detection and pregnancy monitoring (SiCantik)

Academia, Local Government of Sidoarjo (Planning unit and DHO, Kominfo, Health facilities (public and private), CSO (Fatayat NU), Radio of Sidoarjo, Indonesian Midwives Association



East Java and Kabupaten Jember

Low levels of health care provider compliance with ANC and PNC SOPs leading to high maternal mortality rates

Quality improvement in ANC and PNC provision: 1) Develop quality indicators for ANC; 2) Initiate (or strengthen) the clinical accountability mechanism through external and internal audit for quality of service; and 3) Develop media and education methods for community on MCH issues.

Indonesia railway, CSO (Fatayat NU), Mitra Tani, Health facilities (public and private), Professional organization



Central Java Boyolali/Semerang

Limited access to quality MNH services among female factory workers, leading to

Integrating MNH services into factory clinics

Boyolali, DHO, Indonesian Midwives Association, Pan Brothers, Tbk, IBI Boyolali, Palang

Development

Letter of intent is signed

9 Stages of Development are: 1) Problem Definition; 2) Stakeholder Analysis & Engagement; 3) Solution Co-creation; 4) Prioritization Assessment; 5) Solution Co-Investment; 6) Solution

Implementation; 7) Learning, Reflect and Adapt; 8) End; and 9) Scale.


high maternal mortality among the factory workers

Merah Indonesia (Indonesia Redcross) Boyolali, POGI Surakarta, Menpower Office of Boyolali, Ikatan Dokter Indonesia (IDI/Indonesian Doctors Association) Boyolali. Semarang, DHO Kota Semarang; POGI Semarang; IDI Kota Semarang; Disnaker Kota Semarang; Disdalduk (Population Control Office) Kota Semarang; IBI Kota Semarang; PMI Kota Semarang; FMM KIA Semarang; PT. Sandang Asia Maju Abadi

Central Java Lack of human resource competency and facility readiness in emergency response, pre-referral patient stabilization, and risk detection

Improving the risk detection of the main causes of maternal mortality during ANC (PE/E Eradication)

DHO Kabupaten Boyolali, POGI Surakarta; IDI Boyolali, Fakultas Kesehatan Universitas Negeri Solo (Medical Faculty of Solo State University), RSUD Moewardi (District Hospital), Kemenag (Regilious Office) Boyolali, Disnaker Boyolali, IBI Boyolali, Dispermades (Village Community Empowerment Office of Boyolali District)


Module is being finalized. MOU, mini MELA and implementation plan are being developed

Central Java Sub-optimal implementation of community-based MNH programs

Public-private partnerships to address community-based MNH

Brebes -DHO Kabupaten Brebes, POGI Semarang, FMM KIA Brebes, Dispermasdes Brebes, RS Dera Asyifa, dan PT.Charoend Phokpand Grobogan - DHO Kabupaten Grobogan, POGI Semarang, FMM KIA Grobogan, Dispermades Grobogan

Early stage Solution co-creation

West Java Minimum attention from industrial sectors on MNH issues

MNH services, including health education in factory settings

DHO, Union, Pt Changshin, Indonesian Midwives Association


Implementation plan and mini MELA is being developed. MoU is being drafted.


West Java Traditional Birth Attendants (TBA) are still active and preferred by many mothers due to geographical challenge and cultural issues

Improving partnerships between TBA and midwives to improve access to appropriate health services

DHO, FMM, IBI, DPMD Solution Co-creation

Implementation plan and mini MELA is being developed SoW for STTA is being developed

West Java Multiple referrals for high-risk pregnant women and newborns in Bogor city and Bogor district

Development of cross-border Refferal (Rujukan lintas batas) for Bogor Raya

Health facilities (public and private) from 3 districts, PHO, District government, Local government (province and district), private sector (Bayer, Semen Cibinong, GoodYear)


SOW for STTA is developed and waiting for approval

North Sumatra Inadequate financial support and social accountability for an optimal P4K (BPCR) implementation

Advocate and facilitate village fund allocation for BPCR revitalization in Langkat through Bupati Decree

Local government, CSO Solution Co-creation

STTA is on board and engaged in continuous discussion and involvement in Langkat government meetings about their strategic plan development

Engage CSO and citizen oversight on community-based MNH through MCH forums at the sub-district level and the MCH working group at the district level

Local government, CSO Solution Co-creation

North Sumatra Sub-optimal pregnancy monitoring and registration at the community-level

Strengthen community health workers' provision of community-based pregnancy registration, monitoring activities, and birth companionship

DHO, PHO, University of North Sumatra


STTA on board for formative assessment, curriculum and module development for CHW and engaged in continuous discussions with the Langkat government

Inter-Professional Education program for improving the quality of community-based MNH (BPCR)

DHO, PHO, University of North Sumatra


MOU with USU is drafted and being reviewed by USU. STTA is on board for the formative assessment, curriculum and module development for CHW (1 STTA for both CHW and IPE).

North Sumatra Pregnant mothers have inadequate knowledge in birth planning leading to first

Developing/ tailoring MNH campaigns to raise public awareness on their roles in BPCR in particular, and saving mother and newborn, in general

PHO, DHO, PKK, TP, Dinas Komunikasi Diskominfo, MUI, PGI, Paguyuban Putra Jawa Kelahiran Sumatra (Pujakesuma), and Forum


Identifying suitable content, and developing strategy for MNH campaign in intervention area


and second delays in seeking care10

Media Peduli Kesejahteraan Ibu dan Anak (FMP-KIA)

North Sumatra

Poor access by midwives and clinics to financial support for purchasing standardized medical equipment, medicines and training

Develop a financial scheme for private midwives and clinics so that they can meet the requirements for medical equipment and medicine supplies for service

Bank of SUMUT, IBI, OJK Solution Co-creation

Letter of Intent is signed and STTA is required

Develop business model for IBI training center to improve their capacity in MNH training provision

To be identified Solution Co-creation

STTA is required and SOW is being discussed with IBI

North Sumatra Lack of awareness on MNH issues (self-rights, services, JKN, self-assessments, etc.)

Facilitate comprehensive MNH education campaign throughout provinces

To be identified Solution Co-creation

STTA is on board to develop MNH campaign strategy Provincial MNH movement as Governor's program is being developed

South Sulawesi and Bulukumba District

In 2017, about 60% of maternal deaths were due to hemorrhaging in health facilities

Increase collaboration between Family Welfare Movement (PKK) provincial and district level, DHO, PHO, District Hospital and Indonesian Red Cross (PMI) to support post-partum services in health facilities ex. blood supply

Family Welfare Movement (PKK) provincial and district level, DHO, PHO, District Hospital and Indonesian Red Cross (PMI)


A core team consists of local multiple stakeholders has been officially approved by Bupati to lead the local solution on blood donation. This team will lead the development of project design.

South Sulawesi and Bone District

Lack of knowledge on safe pregnancy and delivery among pregnant mothers

Village midwives’ outreach to provide educational sessions on safe delivery for women in Bone District - "Bola Asseddingngeng" (Pregnant Moms Class)

DHO, Professional Organization, Kalla Foundation


Kalla Foundation has approved the budget proposal from DHO of Bone. DHO of Bone is developing the detail of activities and its MELA plan.

South Sulawesi and Pangkep District

Lack of access to transportation complicated by geography (archipelago) prevents mothers and

Developing SOP for floating ambulance operation in islands area in Pangkep District

HO, DHO, Professional Organizations (IDI, IDAI, POGI, IBI, PPNI, PEI)


A STTA has been recruited and is working with health professional organizations (IDI,

10 The three delays framework indicates that delays in: 1) the decision to seek care; 2) reaching care; and 3) receiving adequate health care lead to poor maternal health outcomes, including

mortality.


newborns from seeking services at health facilities

POGI, IBI, IDAI, PPNI) to construct the SOP


Technical Assistance in Support of MOH Priorities

As the MOH is the Project’s key national-level, discussion of MOH and national-level priorities are

included in addition to local solutions. Throughout the quarter, multiple meetings were held

between the MOH and USAID Jalin representatives to discuss, among other items, the Project’s

Annual Workplan well as MOH national priorities related to MNH. As a result, five national

priorities were submitted for review during the National Health Meeting held on February 11-14.

The priorities were subsequently approved by the DG of Public Health during a meeting held on

March 8 and are as follows:

1. Develop a National Mentoring Framework to improve quality care. This activity will be

led by the MOH, with USAID Jalin facilitating strategic development using concept notes and

dialogues with mentors from various MNH projects like Budi Kemuliaan Hospital and

Muhammadiyah Hospital Network, both of which benefited from the USAID-funded

Expanding Maternal Newborn Survival (EMAS) project, as well as the UNICEF Neonatology

Unit and the IDAI.

2. Form a National Commission to accelerate the reduction of Maternal-Neonatal

Death. Based on a recommendation from the ESAS exercise, USAID Jalin recognized the

need to support and facilitate a national commission tasked with reducing the number of

maternal and newborn deaths in Indonesia. The Project, through the MAB, will support

advocacy for the creation of a national commission.

3. National pilot of two regionally-identified local solutions: “improvement of maternal

and neonatal health services in the workplace” and “eradication of pre-eclampsia

and eclampsia.” Progress is being made in the Central Java Region regarding these two

local solutions; so much so that the MOH expressed an interest in testing the approaches

on the national level. On April 8, MOH and USAID Jalin will give a presentation to the

Health Directorates, along with representatives from Kesga, USAID/Indonesia, MAB, and the

United Nations (UN) on the two local solutions to promote their piloting in different

locations.

4. Assessment of the implementation of individual and team midwife practices. Per the

recent Constitutional Amendment No.4, 2019, all deliveries should be attended by more

than one trained practitioner. The MOH needs to assess the roles and responsibilities of

midwives as related to this decree in both the prenatal and birthing stages. The eventual

outcome of this assessment will inform national policy.

5. MOH regulation on the implementation of national strategy for reducing maternal

and newborn death (Integrated National Action Plan for Maternal and Neonatal

Mortality Reduction). The UNFPA is in process of drafting the, Integrated National Action

Plan for Maternal and Neonatal Mortality Reduction, which is a priority for the MOH. When

completed, the Project will participate in the review process before piloting the strategy in

USAID-Jalin supported regions.

National Intervention Unit

The NIU is responsible for effective collaboration amongst USAID Jalin, USAID/Indonesia, the MOH,

and other GOI and non-GOI institutions to support the achievement of the Government’s goal of

reducing maternal and newborn mortality. Specific tasks include strengthening coordination within

the MOH - particularly with the Family Health, Health Services, and Health Promotion Directorates

- and ensuring that USAID Jalin contributes to MOH and PHO strategies and interventions. The NIU

has established close coordination with the MOH, particularly with the Public Health DG, which is

housed within the Family Health Directorate. The MOH’s Dr. Nida Rohmawatia, in coordination

with USAID Jalin, hosted a visit by USAID/Indonesia’s Deputy Mission Director to Sidoardjo District

Hospital. The purpose of this visit was to observe the continuation of maternal and newborn care

best practices that began under the USAID-funded EMAS project. These best practices are now

being expanded upon through USAID Jalin’s activities of using the information technology (IT) SMS

Gateway for emergency obstetric and newborn referral system - Sidoarjo Maternal Neonatal


Emergency SMS GATEWAY (SiMANEIS), along with registration of pregnant women using the

application Sidoarjo Cegah Angka Kematian Ibu dan Anak (SiCantik).

Multi-stakeholder Advisory Body

On March 26, USAID Jalin facilitated the fourth meeting of the MAB. Attendees, including the

Deputy Director of USAID/Indonesia’s Health Office, marked the one-year anniversary of MAB’s

establishment by reconfirming the Project’s commitment of utilizing this important platform for

program direction. Participants agreed that USAID Jalin needs to escalate its efforts to strategically

and effectively engage the MAB. The Project will adopt all of the Developmental Evaluation’s (DE)

recommendations that focus on the following five areas: MELA plan performance indicators;

strengthening the USAID Jalin Secretariat embedded with the MOH; improving communication with

the MAB; enhancing the structure and effectiveness of MAB quarterly meetings; and connecting the

MAB to all USAID Jalin Units. The fourth quarterly meeting proved especially successful after having

adopted a more efficient format whereby the Chair and Co-Chair presided over the meeting

allowing for the MAB to assert ownership over the initiative.

Currently, the MAB does not demonstrate a clear understanding of USAID Jalin’s strategy, approach,

or priorities as articulated during the March meeting. To address this, the Project will be more

systematically engaged with the MAB to strengthen the relationship. Specific areas of collaboration

between USAID Jalin and the MAB were developed during the fourth quarterly meeting and are as

follows:

• USAID Jalin will seek advice from the MAB on how to create public movement around

MNH issues.

• USAID Jalin will capitalize on its strong relationships with the MAB to engage its members in

specific initiatives.

• USAID Jalin will include MAB members in project activities at both the national and regional

levels.

• USAID Jalin will strengthen existing knowledge sharing and information management

platforms in the provinces and will link these platforms with the MAB.

To facilitate increased and sustained engagement with the MAB, USAID Jalin will discuss the

expansion of MAB membership with the Chair and Co-Chair to replace those who have decided to

withdraw from the MAB. USAID/Indonesia and the Project will accompany the Chair and Co-Chair

in approaching individual members, particularly those who have been neither active nor attended

previous meetings, to confirm their interest and commitment in the MAB. Finally, USAID Jalin will

regard the MAB as an independent body and, as such, will not engage MAB members as consultants.

SUB-COMPONENT 1.3: IMPLEMENT, EVALUATE AND IDENTIFY OPPORTUNITIES TO SCALE

IMPLEMENTATION OF LOCAL SOLUTIONS

As local solutions move forward, USAID Jalin’s role is primarily that of facilitator and relationship

broker, rather than that of funder or implementer. Details on the Project’s progress during this

quarter are provided below.

Activity 1.3.1: Implement and Test Local Solutions

Banten – Gerai KIA

Gerai KIA launched on March 2 and is currently being tested in the following five sub-districts:

Sukamulya, Jayanti, Mauk, Mekarbaru and Tigaraksa. Gerai KIA is an innovative program involving

government, civil society and private enterprises aimed at improving the quality of antenatal care for

pregnant women. It is managed in partnership with the Tangerang District, Forum Peduli Kesehatan

Ibu dan Anak (FOPKIA - Mother and Child Healthcare Forum), private sector Perseroan Terbatas (PT)

Sumber Alfaria Trijaya (Alfamart) and USAID Jalin. As part of the testing phase, orientations are being

held for midwives and Motivator Kader Ibu dan Anak (MKIA - Mother and Child Cadre Motivator)

using field simulations. Based on the success of Gerai KIA, USAID Jalin is hopeful that the process


can be replicated outside of convenience stores to factories and traditional marketplaces.

Furthermore, with a regional partner like Alfamart, Gerai KIA has potential to expand outside of the

Tangerang district.

Activity 1.3.2: Monitoring ongoing activities

Banten – Gerai KIA

Gerai KIA activities will be monitored on a monthly basis using instruments of observation jointly

developed by the Tangerang District DHO, FOPKIA, Alfamart, and USAID Jalin. The first bi-weekly

coordination and monthly monitoring meetings with the local team began at the end of March.

Activity 1.3.3: Learn and Adapt for scale and Impact

No corresponding activities carried out this quarter.

COMPONENT 2: TECHNICAL ASSISTANCE DEPLOYED EFFECTIVELY FOR

LOCAL SOLUTIONS

SUB-COMPONENT 2.1: PROVISION OF SPECIALIZED TECHNICAL ASSISTANCE FOR LOCAL

SOLUTIONS

MNH Advisors act as consultants that technical assistance. All have been onboarded in North

Sumatra and West Java this quarter. The MNH Advisors will provide direction in local solutions

development and support advocacy related to local stakeholders. Additional technical assistance will

be provided in order to strengthen referral systems in South Sulawesi and West Java. Finally, there

will be technical assistance for community-based MNH initiatives in North Sumatra, which will

include village fund allocations as well as developing content and strategy for local MNH campaigns

and establishing a student health internship program for the Birth Preparation Complication

Readiness (BPCR) activity.

USAID Jalin’s North Sumatra Unit deployed three advisors to provide short-term technical STTA in

early March. The following is a break-down of their respective assignments:

1. Public Health Policy Expert - The consultant was tasked with reviewing relevant national

and subnational laws/regulations related to development funding for MNH, such as the

Village Fund, Germas, and stunting prevention. Furthermore, the consultant worked with

provincial and district government officials to draft a Peraturan Bupati (district-level decree),

which requires the use of Village Funds for MNH and supports the P4K Inovasi program in

Langkat.

2. Module Development Specialist – The consultant worked closely with USAID Jalin’s P4K

Innovasi partners, PHO, DHO and four health-related faculties of the University of North

Sumatra to design and support a roadmap for the Inter-Professional Education (IPE). The

IPE seeks to improve access to MNH continuum care through a strengthened community

involving midwives, students and cadres.

3. Communication Specialist – The consultant is developing USAID Jalin’s North Sumatra

communication strategy. The strategy will include design, pitch, and communication

materials for target audiences (i.e. opinion pieces, press releases, and infographics).

This quarter, USAID Jalin provided technical support for local solutions in the Pangkep District in

South Sulawesi. An STTA was recruited in March to coordinate technical support to adapt standard

operating procedures (SOP) for floating ambulances. It is anticipated that the SOP will be used at the

provincial level as well as for other districts with floating ambulances. The consultant is working with

a small team of representatives from health professional organizations including: Ikatan Dokter

Indonesia (IDI - Indonesian Doctors Association), POGI, IDAI, IBI, Persatuan Perawat Nasional


Indonesia (PPNI – Indonesian National Nurses Association) and Perhimpunan Entomologi Indonesia (PEI

– Indonesian Entomology Association). An action plan has been drafted and the first consultation

meeting successfully brought all relevant health professional organizations together.

SUB-COMPONENT 2.2: PROVISION OF RESPONSIVE TECHNICAL ASSISTANCE TO THE

MINISTRY OF HEALTH (MOH) AND OTHER GOVERNMENT OF INDONESIA (GOI) ACTORS

This reporting period, USAID Jalin provided technical assistance in support of national government

programs. The Project assisted with the MDN server migration from POGI to the MOH’s

Information Center (Pusdatin).

Jalin Secretariat Embedded at MOH Office

At the request of the MOH, the Project started the process of establishing a Secretariat within the

Ministry. A Secretariat will allow for weekly updates on project priorities and increased engagement

with the MOH on priority issues. This quarter, USAID Jalin worked with the MOH to establish an

embedded team within the Ministry’s office. The USAID Jalin Secretariat is led by Pancho Kaslam,

and seeks to facilitate increased collaboration, communication, and coordination between the

Project and MOH. The physical presence of the Secretariat is within the Ashymatma building at the

MOH. Candidates for administrative staff to work with Dr. Kaslam have been selected following

interviews. The hired candidates will begin work in early April.

Minimum Service Standards

Minimum Service Standards (MSS) are defined by Local Government Law no 23 in 2014. In 2018, a

national government regulation (Peraturang Permerinta) was passed to enforce implementation of the

MSS. The launch is planned for late April 2019 in Bali and will expand to the entirety of Indonesia by

the end of the year. The purpose of the MSS is to improve services in the following six sectors:

health, education, work, housing, social service, and community protection. MNH is included as part

of the health sector. The MSS define the type and quality of services that need to be provided. Each

citizen is entitled to receive all MSS sectors. In the health sector, local governments are required to

provide a minimum of 12 health services through the DHOs. Examples include services related to

the following: antenatal care (ANC), delivery care, newborn care, under-age-5 health services

(provided by community health volunteers), school health services11,screening and geriatric services,

hypertension, diabetes mellitus, tuberculosis, and HIV. These priority areas ensure that services

address the full human lifecycle. The Central Government will use compliance with the MSS as

performance indicators of local government.

To ensure that local governments provide adequate resources like health work forces, equipment,

consumables and funding, the MOH’s Pusat Pembiayaan dan Jaminan Kesehatan (P2JK - Health

Financing and Insurance Centre) requested USAID Jalin’s support in the development of a MSS

costing tool. The tool was finalized at the end of December 2018. This tool forecasts required

budget allocations for districts and provinces for the coming fiscal year. In February 2019, the

Ministry of Health Regulation (PERMENKES) launched new regulations to ensure that the costing

tool includes paid services. The second version of the costing tool was completed in March and will

be launched in April. USAID Jalin will support its implementation focusing on MNH related services.

JKN Roadmap

The JKN increased health care utilization, particularly related to MNH service, by removing financial

barriers at health facilities. JKN implementation was guided by the JKN Roadmap, which began in

2013 and ends 2019. Throughout its implementation, there were several challenges related to the

content of the roadmap. Based on studies and JKN stakeholder findings, these issues need to be

addressed in a new roadmap that must include the following: JKN benefits; Dewan Jaminan Sosial

11 School health services reference when Puskesmas staff visit schools to provide health information, measure body high

and weight and provide immunization.


Nasional (DJSN-National Social Security Council) regulation; tariffs based on economic values; unit

costs based on hospital type; tariff equity among government and private facilities; improvements to

DJSN and Badan Penyelenggara Jaminan Sosial (BPJS) - Indonesian Social Insurance Administration

Organization) governance; the use of data and information systems; as well the enforcement of

mandatory memberships. At the beginning of 2019, DJSN asked USAID Jalin to support the

development of the new roadmap. Since then, several meetings were held to specify the approach.

As such, the Project anticipates signing a MOU with the DJSN very soon.

Prospective Payments (Capitation and Indonesia Case Based Groups/INA CBGs)

JKN adopted a prospective payment system. While this holds many advantages for the patient and

insurer, it shifts financial risks from the client to the health facilities, which can lead to a reduced

quality of services. In order to address challenges with the Indonesia Case Based Groups (INA CBG)

system, a strategic MNH purchasing TWG was formed in 2018. The TWG includes representatives

from the MOH (P2JK and KESGA), USAID/Indonesia, the Health Policy Plus project and the World

Bank. USAID Jalin was previously asked to conduct an analysis of BPJS claims, which will begin in

April 2019.

Collaboration with ThinkWell

The 2019 DSJN Dashboard raised concerns regarding the quality of MNH care at the primary health

care level based on the rates of caesarean section (C-Section) which were more than 15 percent.

High rates of C-Sections are not associated with reductions in maternal and newborn mortality

rates12 and there are disparities by socio-economic status of those who accessed C-Sections

according to the 2012 Demographic and Health Survey. The JKN could reverse this trend and

incentivizing better quality of care by compensating only those C-Sections conducted for medical

reasons.

USAID Jalin commenced the early stages of its cooperation with ThinkWell this quarter. They are

currently designing a strategic purchasing pilot in partnership with BPJS and the MOH that will

improve the JKN value proposition for private midwives. Further, this will link with quality

improvement of family planning and MNH services. ThinkWell will invite USAID Jalin to participate

in the design process (commencing May 2019), which will provide the Project with further

information on how to best contribute and participate in the pilot.

Support to BAPPEDA for MNH Program Development

The government of the Bone District in South Sulawesi, most notably the Badan Perencana

Pembangunan Daerah (BAPPEDA - Regional Body for Planning and Development), expressed a need

for support in creating an MNH program. While the MNH program has been written into their

Medium-Term Development Plan, the local government faces challenges from the Heads of Villages,

who claim they are unable to incorporate MNH activities under village fund planning. Therefore,

BAPPEDA requested USAID Jalin’s support to design MNH programs at both the district and village

levels. The Project will also support local villages to expedite the improvement of MCH under the

village fund program. Technical support will be executed in Q2 2019.

COMPONENT 3: CATALYTIC FINANCING EFFICIENTLY DISBURSED TO

SUPPORT THE INCUBATION AND IMPLEMENTATION OF LOCAL SOLUTIONS

Ensuring the potential for catalytic financing has been an ongoing part of USAID Jalin’s partnership

process. However, to date the Project has not deployed any catalytic financing.

12 Figures are provided by the WHO Statement on Caesarean Section Rates, available here:

https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=DC05AAE4D81E82F12AFC

6AB15BB49608?sequence=1

https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=DC05AAE4D81E82F12AFC6AB15BB49608?sequence=1

https://apps.who.int/iris/bitstream/handle/10665/161442/WHO_RHR_15.02_eng.pdf;jsessionid=DC05AAE4D81E82F12AFC6AB15BB49608?sequence=1


MONITORING, EVALUATION, LEARNING, AND ADAPTATION

DEVELOPMENT EVALUATION

During the quarter, USAID Jalin worked closely with Developmental Evaluation (DE) to strengthen

the Project’s stakeholder engagement, revise the Project’s Monitoring, Evaluation, Learning, and

Adaptation (MELA) plan, and develop new evaluation questions. In January, DE conducted

stakeholder analysis workshops with USAID Jalin’s regional teams in Banten, South Sulawesi, and

West Java as well as key informant interviews with potential stakeholders. The Project received the

DE’s stakeholder analysis report on January 3, and in February met with DE to discuss how best to

utilize its findings and recommendations. On March 5, DE conducted a capacity building workshop

with USAID Jalin’s Partnerships and Technical Units on how to best use its stakeholder database,

GIS map, network map, and Mentimeter Software in its engagement strategy. The Project anticipates

integrating DE into a partnership planning session with regional staff in early April.

In January, DE assisted USAID Jalin’s Acting MELA Director to revise its MELA Plan based on

USAID/Indonesia feedback. In February, DE facilitated a meeting between USAID/Indonesia and the

Project to discuss revisions and go over the DE’s written technical narrative and graphics. DE’s

technical inputs included emergent learning, adaptive management, monitoring assumptions, USAID’s

Journey to Self-Reliance, and complexity-aware monitoring (CAM).

In March, USAID/Indonesia, the Ministry of Health (MOH), the Project, and DE finalized three new

evaluation question for the DE. These include assessing the balance of core operating principles in

locally-generated solutions; the extent to which the Project’s SOW meets the MOH’s Maternal

Newborn Health (MNH) needs; and adaptive management. USAID Jalin and DE agreed to assess the

following solutions sequentially before considering others: Kesehatan Ibu dan Anak (Gerai KIA -

Alfamart) in Banten; P4K Inovasi in North Sumatra; and MNH in the Work Place in Central Java.

At the end of the quarter, DE assisted USAID Jalin with the MAB. DE reviewed a draft terms of

reference (TOR) for the MAB on March 25, providing feedback based on its findings and

recommendations from its second evaluation question. DE also presented its progress and findings

at the MAB’s fourth quarterly meeting on March 26. The MAB Chair requested the DE’s continued

assistance as it navigates internal reforms.

USAID Jalin began planning its inaugural quarterly “Pause and Reflect” sessions, which will be held in

April. These sessions will be conducted at both the Project’s national and regional offices, with the

goal of capturing, and learning from, challenges and successes experienced throughout the quarter.

Moving forward, this activity will coincide with the development of the quarterly report so that

findings and actionable recommendation can be incorporated.

PERFORMANCE INDICATOR RESULTS

During Q1, USAID Jalin worked with both the DE and USAID/Indonesia to finalize the Year 2

update to the USAID Jalin MELA Plan. On March 14, the Project received final approval from

USAID/Indonesia. Although approval was received late in the quarter, this report includes the new

quarterly indicators as stated in the updated plan.

The approved update is a revision to Jalin’s Monitoring, Evaluation, Research, Learning and

Adaptation (MERLA) Plan, which was approved in June 2018. This update, which removes research

as an element, incorporates lessons learned from the first year of the Project’s implementation; an

updated Results Framework (RF) and Theory of Change (ToC), as well as indicators reflecting the

Year 2 Workplan. The updated plan realigns and consolidates USAID Jalin indicators to address the

updated RF by including 24 indicators that are directly aligned to the Project’s new intermediate

outcomes and topline results.

https://nam03.safelinks.protection.outlook.com/?url=https%3A%2F%2Farcg.is%2F1DS0Lz0&data=01%7C01%7CRayne_Loken%40dai.com%7Ce850b8574cc5436b1c4c08d6bc9bdca2%7C7107113de20b4c20a4ce553cabbf686d%7C0&sdata=jLeJyJivf%2FE3cCaYCeHGJIS5Vn2hzfF%2B2KWwbMN2FhM%3D&reserved=0

https://nam03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdodi.kumu.io%2Fusaid-jalin-stakeholders&data=01%7C01%7CRayne_Loken%40dai.com%7Ce850b8574cc5436b1c4c08d6bc9bdca2%7C7107113de20b4c20a4ce553cabbf686d%7C0&sdata=2tFlvoftzn5Fwgi3%2Byg6cyfKGIySY5aVs2Z9XTFzU7w%3D&reserved=0


The corresponding Performance Indicator (PI) Table was approved by USAID on March 14.

Performance Indicator Reference Sheets (PIRS) and targets were included in the approved Year 2

MELA Plan. This quarter, USAID Jalin is reporting on nine quarterly indicators, of which key updates

are presented below.

New and existing MNH evidence is synthesized and compellingly communicated through KM and

communication platforms to the public and private sector for further action.

• A.5: Number of MNH evidence products disseminated – This quarter, USAID Jalin disseminated

48 unique evidence products. A total of 35 percent of the products produced were

presentations by partners and disseminated during USAID Jalin-sponsored events. Another

21 percent of products are factsheets that showcase regional MNH contexts. These 48

unique evidence products have been shared 83 times this quarter.

Multiple actors, both individuals and groups, use MNH evidence to strengthen policies/ programs and

products/services to improve MNH outcomes.

• B.6: Number of instances where the MAB effectively guided USAID Jalin’s vision and strategy - There

is no update on this indicator this quarter.

• B.7: Number of MAB members participating in USAID Jalin-related activities – A total of 9 MAB

members participated in USAID Jalin-related activities. These members provided either

short term technical assistance STTA to the Project or served as a resource/advisor. Five of

the nine members participated in more than one event this quarter.

• B.8/ D.R. 4.2.2: Number of civil society organizations (CSO) receiving USG assistance engaged in

advocacy interventions – Three CSOs engaged in advocacy interventions this quarter. Forum

Masyarakat Madani (FMM) and Peduli KIA (Peduli CSO) in Central Java participated in village

budget advocacy work in Brebes district. In North Sumatra, FMM worked on budgeting and

regulation advocacy to support the implementation of the P4K Innovation. Also, in North

Sumatra, the Pemberdayaan Kesejahteraan Keluarga (PKK- Family Welfare Movement Team)

is supporting an advocacy and awareness raising intervention for a Governor-backed MNH

initiative.

Co-created solutions developed based on evidence involving broad stakeholders to improve MNH outcomes.

• C.2: See ‘Data Quality’ section below

• C.3: Number of stakeholders involved in co-creating solutions to improve MNH outcomes – A total

of 476 stakeholders participated in co-creation activities this quarter, of which 31 percent

were from West Java, 23 percent from East Java and 18 percent from Central Java. In total,

70 percent of stakeholders are from the public sector, whereas the remaining 30 percent

are from the private sector.

Partnerships support the implementation of solutions with detailed measurable plans

• D.1: Number of partnerships implementing local solutions with mini-MELAs in place – While no

partnerships can be counted for this indicator this quarter, in Banten the MOU for Gerai

KIA was signed and USAID Jalin is currently finalizing the mini MELA plan.

Solutions tested for plausible MNH results and potential for scale

• E.1: See ‘Data Quality’ section below

• E.2/ STIR-10 (a and b): See ‘Data Quality’ section below

Data Quality

USAID Jalin is required to report on the following three indicators (listed below) as of this quarterly

reporting period. The Project has been able to fully disseminate and institutionalize the knowledge

required to successfully and compliantly report against certain new and revised indicators. However,

it will not be completed until the next reporting cycle. As USAID Jalin does not currently have

complete confidence in the data recorded against these indicators, the Program will report a “TBD”


and retroactively report all progress for Q1, along with progress achieved in Q2, during the

following reporting period.

1. C.2: # of potential solutions or advocacy initiatives identified as a result of co-creation and

informed by evidence

2. E.1: # of solutions tested for potential for scale and MNH plausibility

3. E.2/ STIR-10 (a and b): # of innovations supported through USG assistance


USAID JALIN INDICATOR PERFORMANCE TRACKING TABLE (IPTT) – QUARTER 1

Jalin #

USAID # Indicators Type Data Disaggregated Sources of data Y2 Target

Q1 Q2 Q3 Q4 Total

Goal: Contribute to national goals to reduce maternal and newborn mortality and provide catalytic support to improve essential maternal and newborn services reaching the poorest and most vulnerable

A. New and existing MNH evidence is synthesized and compellingly communicated through knowledge management and communication platforms to the public and private sector for action A.1 % of public aware of maternal

and newborn mortality issues in Indonesia

Outcome Sex; age group; marital status; social economic class

Nielsen public perception survey

12%

--

A.2 % of public who perceive that maternal and newborn mortalities are an urgent issue in Indonesia

Outcome Sex; age group; marital status; social economic class

Nielsen public perception survey

46%

--

A.3 % of key system actors who perceive the MNH issues targeted by Jalin as priority issues

Outcome Type of actor; sex Survey 40%

--

A.4 X of Y key system actors who perceive the quality of Jalin’s evidence synthesis products to be of high quality (qualitative indicator -CAM – stakeholder feedback)

Outcome Type of actor; sex KIIs 15 of 25

--

A.5 # of MNH evidence products disseminated

Output Province; type of evidence product; technical focus area; type of event where disseminated

Jalin evidence product dissemination tracker

84 48

A.6 STIR-12 # of peer-reviewed scientific publications resulting from USG support to research and implementation programs

Output N/A Journal/magazine/conference documents where article published

1

--

B. Multiple actors, both individually and as groups, use MNH evidence to strengthen policies/ programs and products/services to improve MNH outcomes


Jalin #


Q1 Q2 Q3 Q4 Total

B.1 % of GoI staff who have a broader knowledge base as a result of Jalin work

Outcome Province; type of actor KIIs 40% --

B.2 % of GoI staff who can more effectively implement policy and/or programs as a result of Jalin work

Outcome Province; specific policies/ programs; Technical Assistance provided; type of actor

KIIs 30%

--

B.3 # of policy and/or programs improvements made as a result of Jalin work

Outcome Policy vs. program KIIs 1 --

B.4 Score on Jalin’s Organizational Capacity Assessment Tool for data driven decision-making for program, product and/or system improvements

Outcome Sector; sex Jalin’s Organizational Capacity Assessment Tool

Average score of 60

--

B.5 % of Jalin TAs provided to stakeholders that receive positive feedback

Outcome Province; technical focus area; multi-stakeholder type

Survey of TA recipients

85% --

B.6 # of instances where the MAB effectively guided Jalin’s vision and strategy

Output N/A Jaln MAB tracker combined with minutes of meetings (MoM) and MAB reports

5 0

B.7 # of MAB members participating in Jalin-related activities

Output Province; sector; level of participation

MAB member tracker combined with minutes of meetings (MoM) including attendance lists, event agendas and photos,

12 9

B.8

DR.4.2-2 # of civil society organizations (CSOs) receiving USG assistance engaged in advocacy interventions

Output Province; technical focus area Jalin Stakeholder Tracker

6 3


Jalin #


Q1 Q2 Q3 Q4 Total

C. Co-created solutions developed based on evidence involving broad stakeholders to improve MNH outcomes

C.1 # of problems defined via problem-driven approach and root cause analysis and informed by evidence

Output Province; technical focus area Jalin evidence product dissemination tracker; Event and workshops documentation incl. minutes of meetings and after event reports

18

--

C.2 # of potential solutions or advocacy initiatives identified as a result of co-creation and informed by evidence

Output Province; technical focus area Jalin evidence product dissemination tracker; Jalin solutions master file incl. minutes of meetings and after-action reports

24

TBD

C.3 # of stakeholders involved in co-creating solutions to improve MNH outcomes

Output Technical focus area; public vs. private; new vs. existing; sector

Stakeholder Tracker

90 476

C.4 HL -1 # of Universal Health Coverage (UHC) areas supported by USG investment

Output UHC category Minutes of meetings

2 --

D. Partnerships support the implementation of solutions with detailed measurable plans

D.1 # of partnerships implementing local solutions with mini-MELAs in place

Output Province; technical focus area; public, private or public-private partnerships

Partnership documentation

6 0

E. Solutions tested for plausible MNH results and potential for scale

E.1 # of solutions tested for potential for scale and MNH plausibility

Output Province; technical focus area Solutions testing results

18 TBD


Jalin #


Q1 Q2 Q3 Q4 Total

E.2 STIR-10 (a and b)

# of innovations supported through USG assistance

Output Province; technical focus area; new this period vs. ongoing this period

Minutes of meetings, terms of reference (TOR), after event reports and/or technical assistance (TA) reports

12 TBD

F. Improved public and private investment13 in evidence-based policies, programs, or products/ services responsive to priority MNH needs

F.1 STIR-11 # of innovations supported through USG assistance with demonstrated uptake by the public and/or private sector

Outcome Province; technical focus area; new vs. improvement

Minutes of meetings, before and after comparisons of budgets, and/or before and after comparisons of gov’t regulations

12

--

F.2 USD value, or USD value equivalent, of new investment in evidence-based policies, programs, products, services or strategies responsive to priority MNH needs

Outcome Province; public vs. private vs. philanthropic; technical focus area; area of investment; USD cash vs. in-kind; Jalin’s role; new vs. existing source

Partnership documents or Jalin grant documents if through catalytic funding

TBD

--

G. New actors invest to improves MNH outcomes

G.1 # of actors investing in Jalin facilitated/ promoted solutions to improve MNH outcomes

Outcome Province; public vs. private vs. philanthropic; sector; technical focus area; new vs. existing; type of investment; area of investment

Partnership documents or Jalin grant documents if through catalytic funding

60

--


RESOLUTION OF PREVIOUS PROBLEMS

OPERATIONAL

Improving effectiveness and efficiency of USAID Jalin implementation

Throughout the past year, USAID Jalin has struggled to identify grant and procurement mechanisms

that allow for engagement with organizations and partners capable of providing critical technical and

operational services. This quarter, USAID Jalin continued building on past successes by working with

Senior Implementation Specialist, Gwen Appel in designing, competing, and implementing

procurement and grant mechanisms to support critical technical activities. USAID Jalin began to reap

the benefits of this work as it laid groundwork for the MNH campaign being implemented by a

consortium of public relations and advocacy firms. The Project also continued implementation and

data collection as part of the PUSKA-led EMNC survey.

This quarter, USAID Jalin also designed and developed systems to improve the overall effectiveness

and efficiency of project implementation and operations. Using a combination of DAI systems and

tools, the Project’s Operations and Technical Units worked with the Senior Implementation

Specialist and Associate Health Practice Specialist, Aissata Traore, to design a suite of tools to

support more effective collaboration between the units. These tools helped support improved,

increased, and effective communication with USAID/Indonesia, Project partners, and GOI

counterparts. In the coming quarter, USAID Jalin will continue to build on its suite of project tools.

New key staff selected, approved and onboarded

Since the corrective action period in the Spring of 2018, DAI has been recruiting a new Technical

Director for USAID Jalin. Dr. Luna Mehrain was identified and the Project received approval for her

candidacy in early December 2018. Dr. Mehrain arrived at post this quarter, starting work with the

team in Jakarta on February 15, 2019. Also, in December 2018, UASID Jalin identified and received

approval for Kemal Soeriawidjaja to assume the Partnerships Director position, which had been

vacant since Fall 2018. Mr. Soeriawidjaja assume his position on January 14, 2019. Chief of Party

Kirsten Weeks resigned at the end of 2018, and DAI underwent a thorough search for a new COP

candidate. On February 13, 2019, the Project received USAID approval, and Ms. Hoxha arrived in

country to begin her role as COP on March 5, 2019. In February 2019, the Project also identified

and submitted for approval Mr. Stuart Kenwood as the new MELA Director. The Project received

approval for Mr. Kenwood on March 28, and he will arrive in country to assume his role mid-May

2019.

In the event of staff vacancies, USAID Jalin acted quickly to identify qualified short-term staff to fill

project functions. Susan Scribner assumed the role of acting COP in January. Similarly, Beth Elson

served as acting Technical Director and then acting COP in February, and Erika Dunmire and Rayne

Loken both temporarily filled the critical role of acting MELA Director.14 At the end of April 2019,

Deputy Chief of Party (DCOP) Chris Felley resigned. DAI has started recruiting to fill this position

and expects to have a new candidate in place by the end of Q2. While this position is vacant, USAID

Jalin mobilized, early in Q2, Johannes Kleinhans as acting DCOP. Though challenging to identify staff

with the requisite skills, experience and knowledge to best serve the Project, USAID Jalin has acted

quickly to recruit, identify and mobilize staff to fill these critical functions.

14 Rayne Loken will remain in Jakarta through May until the new permanent MELA Director is fielded.


TECHNICAL

Effective communication

The nature of USAID Jalin’s highly technical, and often clinical, subject areas has made effective

information exchange to external audiences especially challenging. Due to the large number of

stakeholders with whom USAID Jalin engages, it is critical for the Project to create targeted and

tailored communication. In past quarters, USAID Jalin has faced challenges in deploying such effective

communication. To address these challenges, this quarter USAID Jalin ramped up its work with its

consortium of public relations and advocacy firms. The Project worked with these firms to lay the

groundwork for a national-level public relations campaign on MNH in the workplace. With the

support of communications experts, USAID Jalin began making improvements in addressing these

communications challenges.

Defining and developing technical scopes of work

Ensuring that technical assistance is targeted, effective, and responsive USAID Jalin relies on well-

developed and defined SOW. This quarter, USAID Jalin took steps to further define and develop

technical SOWs by engaging working groups to provide input. Furthermore, the Project is refining

its short-term technical assistance STTA roster in order to quickly reach out to experts when

support needed and preemptively identify gaps.

NEW PROBLEMS ENCOUNTERED No new problems were identified this quarter. USAID Jalin continued to work to improve

problems identified in earlier quarters.

OTHER NOTABLE DEVELOPMENTS

Doing Jalin Differently

During year 1, the Project took an opportunistic approach to partnerships and delegated co-creation

to the regional teams. This was effective for generating ideas and building local ownership –

including that among USAID Jalin staff - but left the Project without a unified vision for technical

priorities or a common understanding of how local solutions move through a development and

implementation process. To bring staff and activities into a coherent framework, the Acting COPs

in January and February instituted a period to pause and reset, referred to as Doing Jalin Differently.

The goal of the reset was to shift the Project into a more proactive and deliberate mindset and

ensure that project resources, both staff and financial, were working in harmony toward project

objectives. Key changes fell into three areas: better alignment with the contract, increased focus on

accelerating impact, and internal changes to leadership and management processes.

The increased focus on accelerating impact resulted in several Project innovations during Q1. This

innovations included the following: categorizing feasibility and potential impact of proposed local

solutions using prioritization criteria; creating five internal working groups (quality improvement,

referral systems, community MNH, MNH in the workplace and national MOH support) to facilitate

collaboration on specific solutions; ensuring all local solutions are grounded in national level

frameworks or policies; and creating space to define solutions at the national level. Ongoing work in

Q2 will define the process for catalytic financing; explore opportunities for public and private sector

co-financing; and bring increased innovation, engagement, and technical rigor to defining plans for

implementation, scale and sustainability with clearly defined roles and responsibilities.

USAID Jalin is submitting with this Quarterly Report, as a separate document, an update of its

workplan activities that are better aligned with the contract and with the Doing Jalin Differently

exercise. These are presented in the attached Work Plan Matrix.


Strategic improvements to the MAB

USAID Jalin will hold a meeting with the old and new MAB leadership to discuss lessons learned and

to agree on the immediate next steps in terms of preparation for the forthcoming quarterly meeting.

The Project and MAB will also discuss how they can better coordinate activities; address issues

raised by the outgoing leadership; hire additional support for the MAB Secretariat; and strategically

plan for the next year. In addition, USAID Jalin will address all issues raised by the MAB in writing

and in a presentation that will be shared with the MAB prior to, and during, the next quarterly

meeting.

MOH relationship improvements

The recruitment of the Senior Government Advisor, the establishment of the Secretariat at the

MOH and the establishment of the internal NIU within USAID Jalin have contributed greatly to the

improved relationship between the MOH and the Project. The Project and USAID/Indonesia are in a

unique position to respond to the priorities of the MOH and to link project activities to the

Ministry’s agenda.

Recommendations to discontinue Wave 2 of EMNC.

As previously described, Wave 1 of EMNC implementation commenced in Banten and East Java in

2018 and data collection will be completed in April 2019. In late March, the Project submitted a

recommendation to USAID/Indonesia to complete Wave 1 as planned but not to progress with

Wave 2 or 3. This recommendation was based the following concerns:

• EMNC was initiated under the assumption that the data would inform the initial MPDSR.

Currently, there is no link between the two data collection systems.

• EMNC is a retrospective study and as such will not establish continuous data collection and

system strengthening.

• EMNC is costly as the assessments in each district cost about $1million.

• Wave 2, and subsequently Wave 3, data is anticipated to occur late in the Project lifecycle,

making it unlikely that the collected data will influence programmatic and systematic decision

making.

USAID agreed with the Project’s suggestion and provided Technical Direction on April 2, 2019

limiting the EMNC to Wave 1 of data collection.

PLANNED ACTIVITIES FOR Q2 PROJECT YEAR 2019

OPERATIONAL

• Update and improve the Project’s Technical and Administrative Management Information

System (TAMIS) and develop a dashboard to improve communication of real time project

activity implementation, including visual summaries of progress.

• Continue to recruit and hire staff on the Operation and Administrative Unit per the Annual

Workplan; the creation of the USAID Jalin Secretariat at the MOH; and to replace vacancies

created by staff turnover (i.e. Knowledge Management Specialist and new Regional

Implementation Director).

• Scope, compete and award procurement in support of the Project’s KM plan.

• Draft an Annual Program Statement in support of the catalytic financing component.

TECHNICAL

• Support dissemination of Evidence Summit results to national and regional stakeholders.

• Analyze and Disseminate findings from Wave 1 of the EMNC Survey.

• Finalize MOU and mini MELA plans for local solutions in all six regions.

• Support the BAPPEDA with technical assistance to develop their MNH program.


• Support effective and efficient management of the Project, in tandem with initiatives and

strategies instituted this quarter by the Acting COPs, USAID Jalin will improve the Project

TAMIS and work to develop a dashboard to communicate project progress easily and

visually.

• In Q2, USAID Jalin will continue to ramp-up priority procurements in support of the Year 2

workplan. Specifically, procurements will be scoped, competed and awarded in support of

the Project’s KM efforts.

• Adapt technical briefs into advocacy materials and guidelines for co-creation and policy

briefs to support MNH advocacy at the national level.

TRAVEL

Name/ Title or Role Approximate Travel

Dates SOW Deliverables

Rayne Loken, Acting MELA Director

March 23 – May 30, 2019

Provide coverage in overseeing and leading USAID Jalin’s MELA-related activities while the Project awaits approval and onboarding of a long-term MELA Director

Reviewed mini-MELAs and Theories of Change; Create tools to support the roll out of M&E systems to all project staff; Finalized grants and subcontracts with KM Partners; Finalized QI Learning Workshop and Learning plan; Contribute to Quarterly Report; Create handover memo to new long-term MELA

Gwen Appel, Senior Implementation Specialist

April 1 - 16, 2019

Early June, 2019

Work with the USAID Jalin team to ensure that high priority grant and procurement requests for proposals are issued, received proposals are reviewed and awards are compliantly made.

KM Needs Assessment grant award; RFPs/RFAs for other KM activities and communications activities; Write Consultant Report

Johan Kleinhans, Acting DCOP

April 1 – June 30, 2019 Provide leadership and oversight to Financial, Administrative and Operations aspects of the project until a long-term DCOP can be identified and fielded.

Project Deliverables (Quarterly report, VAT report, other financial reports)

Stuart Kenwood, MELA Director

May 13, 2019 Mobilization N/A

Tanja Lumba, TAMIS Administrator

May 2019 TAMIS update and Dashboard development

Updated TAMIS and USAID Jalin Dashboard

Ella Hoxha, Chief of Party

June, 2019 Travel to DAI Bethesda for Orientation N/A

DCOP June, 2019 Mobilization N/A

Omair Azam, EMNC Expert for EMNC finalization

Late May, 2019 EMNC Wave 1 Analysis EMNC Wave 1 Analysis

Philip Setel, Civil Registration and Vital Statistics Expert

June or July, 2019 Dissemination of EMNC findings Dissemination report

TBD Technical Assistance National Policy Development

June 2019 Support to implementation of MOH five national priorities

Action Plan for USAID Jalin support to these priorities in Year 2

TBD Technical Assistance Documenting Jalin

June 2019 Support the team to document the USAID Jalin story

Action Plan for the document preparation and delivery of select products


SUCCESS STORIES

The USAID Jalin Q1 Success Story will be submitted in a separate file for ease of reading.

PHOTOS

USAID Jalin has provided a link to a google drive with photos for USAID use.

Media and Publications

USAID Jalin has provided a matrix of Media and Publications in Annex 3.


ANNEXES Annex 1. RINGKASAN EKSEKUTIF

RINGKASAN EKSEKUTIF

Pada bulan September 2017, USAID Indonesia memprakarsai Proyek USAID Jalin (selanjutnya disebut

"Jalin") sebuah kegiatan lima tahun yang berkontribusi untuk mengurangi kematian ibu dan bayi baru

lahir yang dapat dicegah, khususnya di kelompok yang miskin dan rentan. Jalin, sesuai maknanya,

berperan menjalin Pemerintah Indonesia, sektor swasta, masyarakat sipil, dan pemangku kepentingan

lainnya dalam menggunakan bukti untuk secara bersama-sama menentukan, menciptakan, dan

membiayai solusi lokal yang berkelanjutan dan dapat diperluas cakupannya untuk meningkatkan

kesehatan ibu dan bayi baru lahir (KIB).

Laporan ini berisi ringkasan kegiatan yang diimplementasikan dan hasil yang dicapai selama Triwulan 1

2019, dan rencana kegiatan yang akan dilaksanakan pada Triwulan 2, 2019. Semua kegiatan yang

dijelaskan dalam laporan ini berkontribusi pada gerakan peningkatan KIB.

CAPAIAN TRIWULAN 1 TAHUN 2019

• Melaksanakan kegiatan Every Mother and Newborn Counts (EMNC) di Kabupaten Jember, Jawa

Barat dan Kabupaten Serang, Banten dengan melibatkan Pusat Penelitian Keluarga Sejahtera

Universitas Indonesia (PUSKA-UI) untuk melatih 76 enumerator dalam menggunakan alat

otopsi verbal dan sosial (verbal and social autopsy/VASA) ibu dan bayi baru lahir. Pengumpulan

data telah dilaksanakan dan berakhir di Banten pada akhir bulan Maret sementara untuk Jawa

Timur akan dilaksanakan dan berakhir pada bulan April.

• Melakukan fasilitasi Maternal and Perinatal Death Surveillance and Response (MPDSR) dengan

mendukung rapat orientasi daerah mengenai Notifikasi Kematian Ibu dan peran petugas

daerah untuk melakukan verifikasi selama pelaksanaan siklus MPDSR.

• Melakukan finalisasi kerangka KIB untuk menyediakan struktur bagi sintesis dan pemilihan

bukti lebih lanjut.

• Dengan mengacu pada Evidence Summit Assessment and Scoping (ESAS) dan kajian cepat

terhadap pengelolaan pengetahuan (knowledge management/KM) KIB di Indonesia, USAID

Jalin merevisi strategi KM dan mulai melakukan formalisasi kerjasama dengan sebagian Mitra

untuk kegiatan KM di triwulan 1, dan pelaksanaan kegiatannya pada Triwulan 2.

• Membuat kesepakatan dengan Kementerian Kesehatan (Kemenkes) mengenai lima prioritas

nasional untuk mendukung proyek kementerian: 1) pengambangan kerangka mentoring

nasional; 2) pembentukan Komisi Nasional untuk mempercepat penurunan kematian ibu dan

bayi baru lahir; 3) melakukan uji coba program “Peningkatan Layanan Kesehatan Ibu dan Bayi

Baru Lahir di tempat kerja” dan “Penghapusan Pre-Eclampsia dan Eclampsia”; 4) melakukan

kajian pelaksanaan praktek bidan perorangan/kelompok; dan 5) mengembangkan peraturan

Menteri Kesehatan mengenai Strategi Nasional untuk Penurunan Kematian Ibu dan Bayi Baru

Lahir.

• Mengadakan pertemuan dalam rangka satu tahun Dewan Penasehat Multi-Pemangku

Kepentingan Jalin (Multistakeholder Advisory Board/MAB) dengan mengkonfirmasi ulang

komitmen USAID Jalin dalam menggunakan platform ini sebagai pemberi arahan proyek.

• Melaksanakan dukungan implementasi 22 solusi lokal di enam area prioritas.

• Berdasarkan permintaan dari Pusat Pembiayaan dan Jaminan Kesehatan (P2JK), Proyek ini

mengembangkan alat penghitungan biaya untuk Standar Layanan Minimum (SLM) yang akan

diperkenalkan di Q2.


OPERASIONAL DAN PERSONIL

• Untuk meningkatkan efektifitas mekanisme hibah dan pengadaan USAID Jalin, Ahli Pelaksana

Senior Gwen Appel menyediakan dukungan langsung ke Unit Operasi dan Administrasi dalam

melakukan perencanaan, lelang dan melaksanakan mekanisme pengadaan dan hibah untuk

mendukung kegiatan teknis utama

• Melakukan pemilihan dan orientasi personil-personil utama berikut:

o Direktur Kemitraan Bpk. Soeriawidjaja mulai bulan Januari dan Direktur Teknis Dr.

Luna Mehrain yang ditugaskan di bulan Februari. Keduanya dipilih dan disetujui di

Q4 Tahun I.

o Chief of Party (COP) Ella Hoxha disetujui di bulan Februari dan ditugaskan di bulan

Maret

o Direktur MELA Stuart Kenwood disetujui di bulan Maret dan akan ditugaskan di Q2.

RENCANA AKTIVITAS UNTUK Q2 PROYEK TAHUN 2019

• Mendukung diseminasi hasil Evidence Summit dengan pemangku kepentingan nasional dan

daerah.

• Melakukan analisis dan diseminasi temuan dari Gelombang I Survei EMNC.

• Melakukan finalisasi Nota Kesepahaman (MOU) dan rencana untuk Pengawasan, Evaluasi,

Pembelajaran dan Adaptasi (Monitoring, Evaluation, Learning and Adaptation/MELA Plan) untuk

solusi lokal di keenam daerah.

• Mendukung Badan Perencana Pembangunan Daerah (BAPPEDA) lewat bantuan teknis untuk

mengembangkan program KIB mereka.

• Untuk mendukung efektifitas dan efisiensi pengelolaan Proyek, sekaligus juga inisiatif dan

strategi yang dilembagakan di triwulan ini oleh COP Pelaksana, USAID Jalin akan

memperkuat Sistem Informasi Manajemen Teknis dan Administratif (Technical and

Administrative Management Information System/TAMIS) dengan mengembangkan dashboard

untuk mengkomunikasikan kemajuan proyek secara lebih mudah dan tervisualisasi.

• Pada Q2, USAID Jalin akan terus meningkatkan pengadaan prioritas untuk mendukung

rencana kerja Tahun 2. Secara khusus, pengadaan akan dinilai, dilelang dan diberikan untuk

mendukung upaya dan pelaksanaan kegiatan KM.


Annex 2. MNH Framework


Annex 3: Media and Publications list

Title Source Province Date of

Publication Link to File

1 Dinkes Jatim: Semoga Tahun 2019 Angka Kematian Ibu dan Bayi Baru Lahir Menurun

timesindonesia.co.id

East Java 15-Jan-19 https://www.timesindonesia.co.id/read/196533/20190115/112712/dinkes-jatim-semoga-tahun-2019-angka-kematian-ibu-dan-banyi-baru-lahir-menurun/

2 Pemkab Jember Target Turunkan Jumlah Kematian Ibu dan Bayi 50 Persen di 2019

timesbanyuwangi.com

East Java 30-Jan-19 https://www.timesbanyuwangi.com/berita/60349/pemkab-jember-target-turunkan-jumlah-kematian-ibu-dan-bayi-50-persen-di-2019

3 Dinkes Jember Targetkan 50% Penurunan AKI Dan AKB Di Jember 2019

RRI East Java 30-Jan-19 http://rri.co.id/jember/post/berita/629914/kesehatan/dinkes_jember_targetkan_50_penurunan_aki_dan_akb_di_jember_2019.html

4 Pemkab Jember Target Turunkan Jumlah Kematian Ibu dan Bayi 50 Persen di 2019


East Java 30-Jan-19 https://www.timesindonesia.co.id/read/198712/20190130/215834/pemkab-jember-target-turunkan-jumlah-kematian-ibu-dan-bayi-50-persen-di-2019/

5 Dinkes Siap Buka Gerai KIA di 5 Wilayah Kecamatan

Dinkes Kab Tangerang

Banten 30-Jan-19 http://dinkes.tangerangkab.go.id/2019/01/30/dinkes-siap-buka-gerai-kia-di-5-wilayah-kecamatan/

6 Turunkan AKI-AKB, Pemkab Jember Gandeng Ormas dan Pengusaha


East Java 1-Feb-19 https://www.timesindonesia.co.id/read/198967/20190201/175128/turunkan-akiakb-pemkab-jember-gandeng-ormas-dan-pengusaha/

7 Angka Kematian Ibu dan Bayi di Sidoarjo Mampu Ditekan

harianbhirawa.com

East Java 12-Feb-19 http://harianbhirawa.com/angka-kematian-ibu-dan-bayi-di-sidoarjo-mampu-ditekan/

8 Radio tweet Radio Suara Sidoarjo

East Java 12-Feb-19 https://twitter.com/suara_sidoarjo/status/1095249343026581505?s=17

9 Kampanyekan Kesehatan Ibu Anak, Ketua TP PKK Provsu Ajak Semua Elemen Bersinergi

Humas Prov Sumut

North Sumatra

12-Feb-19 http://humas.sumutprov.go.id/kampanyekan-kesehatan-ibu-anak-ketua-tp-pkk-provsu-ajak-semua-elemen-bersinergi/

10 Ketua TP PKK Sumut Ajak Semua Elemen Bersinergi Kampanyekan Kesehatan Ibu Anak,

RRI North Sumatra

12-Feb-19 http://rri.co.id/medan/post/berita/635357/daerah/ketua_tp_pkk_sumut_ajak_semua_elemen_bersinergi_kampanyekan_kesehatan_ibu_anak.html

http://dinkes.tangerangkab.go.id/2019/01/30/dinkes-siap-buka-gerai-kia-di-5-wilayah-kecamatan/

http://dinkes.tangerangkab.go.id/2019/01/30/dinkes-siap-buka-gerai-kia-di-5-wilayah-kecamatan/

http://rri.co.id/medan/post/berita/635357/daerah/ketua_tp_pkk_sumut_ajak_semua_elemen_bersinergi_kampanyekan_kesehatan_ibu_anak.html

http://rri.co.id/medan/post/berita/635357/daerah/ketua_tp_pkk_sumut_ajak_semua_elemen_bersinergi_kampanyekan_kesehatan_ibu_anak.html




11 Kampanyekan Kesehatan Ibu Anak, Ketua TP PKK Provsu Ajak Semua Elemen Bersinergi

medanbisnisdaily.com

North Sumatra

12-Feb-19 http://www.medanbisnisdaily.com/m/news/online/read/2019/02/12/66155/kampanyekan_kesehatan_ibu_anak_ketua_tp_pkk_provsu_ajak_semua_elemen_bersinergi/

12 Bahaya Korupsi Bisa Membahayakan Kelahiran Ibu dan Anak

metrolangkat.com

North Sumatra

12-Feb-19 https://www.metrolangkat-binjai.com/2019/02/bahaya-korupsi-bisa-membahayakan.html

13 PKK Provsu Ajak Semua Elemen Bersinergi

sentralberita.com

North Sumatra

12-Feb-19 https://sentralberita.com/2019/02/pkk-provsu-ajak-semua-elemen-bersinergi/

14 Gandeng USAID, Pemkab Sidoarjo Serius Turunkan Angka Kematian Ibu dan Bayi


East Java 13-Feb-19 https://www.timesindonesia.co.id/read/200508/20190213/002610/gandeng-usaid-pemkab-sidoarjo-serius-turunkan-angka-kematian-ibu-dan-bayi/

15 Selamatkan Ibu dan Bayi Baru Lahir, Pemkab Tangerang, Alfamart dan FOPKIA Luncurkan Gerai KIA

depokpos.com Banten 13-Feb-19 https://www.depokpos.com/arsip/2019/02/selamatkan-ibu-dan-bayi-baru-lahir-pemkab-tangerang-alfamart-dan-fopkia-luncurkan-gerai-kia/

16 Angka Kematian Ibu di Banten Tinggi, Dinkes Kabupaten Tangerang Lakukan Ini

suaranusantara.com

Banten 13-Feb-19 https://suaranusantara.com/2019/02/13/angka-kematian-ibu-di-banten-tinggi-dinkes-kabupaten-tangerang-lakukan-ini/

17 5 Gerai KIA Siap Diluncurkan di Kabupaten Tangerang

kabar6.com Banten 13-Feb-19 https://kabar6.com/5-gerai-kia-siap-diluncurkan-di-kabupaten-tangerang/

18 Ketua TPP-PKK Ajak Semua Elemen Bersinergi

Harian Analisa North Sumatra

13-Feb-19 http://harian.analisadaily.com/assets/e-paper/2019-02-13/files/mobile/4.jpg

19 USAID-Jalin Gelar Workshop Kampanye Kesehatan Ibu dan Bayi Baru Lahir

suaratani.com North Sumatra

13-Feb-19 https://suaratani.com/news/headlinenews/usaid-jalin-gelar-workshop-kampanye-kesehatan-ibu-dan-bayi-baru-lahir

20 Tekan Angka Kematian Ibu dan Anak

tangerangekspres.co.id

Banten 14-Feb-19 https://www.tangerangekspres.co.id/2019/02/14/tekan-angka-kematian-ibu-dan-anak/

21 Pemkab Tangerang Luncurkan Gerai KIA Pada Lima Kecamatan

jurnalsumatra.com

Banten 14-Feb-19 http://jurnalsumatra.com/pemkab-tangerang-luncurkan-gerai-kia-pada-lima-kecamatan/

22 Pemkab Tangerang Luncurkan Gerai KIA Pada Lima Kecamatan

banten.antaranews.com

Banten 14-Feb-19 https://banten.antaranews.com/berita/35071/pemkab-tangerang-luncurkan-gerai-kia-pada-lima-kecamatan

https://www.metrolangkat-binjai.com/2019/02/bahaya-korupsi-bisa-membahayakan.html

https://www.timesindonesia.co.id/read/200508/20190213/002610/gandeng-usaid-pemkab-sidoarjo-serius-turunkan-angka-kematian-ibu-dan-bayi/

https://www.timesindonesia.co.id/read/200508/20190213/002610/gandeng-usaid-pemkab-sidoarjo-serius-turunkan-angka-kematian-ibu-dan-bayi/

https://www.depokpos.com/arsip/2019/02/selamatkan-ibu-dan-bayi-baru-lahir-pemkab-tangerang-alfamart-dan-fopkia-luncurkan-gerai-kia/

https://www.depokpos.com/arsip/2019/02/selamatkan-ibu-dan-bayi-baru-lahir-pemkab-tangerang-alfamart-dan-fopkia-luncurkan-gerai-kia/

http://harian.analisadaily.com/assets/e-paper/2019-02-13/files/mobile/4.jpg

https://www.tangerangekspres.co.id/2019/02/14/tekan-angka-kematian-ibu-dan-anak/

http://jurnalsumatra.com/pemkab-tangerang-luncurkan-gerai-kia-pada-lima-kecamatan/




23 Pemkab Tangerang luncurkan gerai KIA di lima kecamatan

antaranews.com

Banten 14-Feb-19 https://www.antaranews.com/berita/798176/pemkab-tangerang-luncurkan-gerai-kia-di-lima-kecamatan

24 Pemkab Tangerang bersama Fopkia, Alfanart Luncurkan Gerai KIA

detakbanten.com

Banten 14-Feb-19 https://www.detakbanten.com/today/12947-pemkab-tangerang-bersama-fopkia-alfanart-luncurkan-gerai-kia

25 Pemkab Tangerang, Alfamart dan FOPKIA Luncurkan Gerai KIA

ebisnis.co.id Banten 14-Feb-19 https://www.ebisnis.id/2019/02/14/pemkab-tangerang-alfamart-dan-fopkia-luncurkan-gerai-kia/

26 BUPATI SUKABUMI; Program Kesehatan Menjadi Skala Prioritas Dalam Mewujudkan Kab. Sukabumi Yang Lebih Baik

sukabumi.go.id West Java 14-Feb-19 https://sukabumikab.go.id/portal/berita-daerah/2206/profil/sejarah-kabupaten-sukabumi.html

27 Gandeng Alfamart dan FOPKIA, Pemkab Tangerang Luncurkan Gerai Kesehatan Ibu dan Anak

suaranusantara.com

Banten 2-Mar-19 https://suaranusantara.com/2019/03/02/gandeng-alfamart-dan-fopkia-pemkab-tangerang-luncurkan-gerai-kesehatan-ibu-dan-anak/

28 Pemkab Tangerang Gandeng Alfamart dan FOPKIA Luncurkan Gerai Kesehatan Ibu dan Anak

bantennews.co.id

Banten 2-Mar-19 https://www.bantennews.co.id/pemkab-tangerang-gandeng-alfamart-dan-fopkia-luncurkan-gerai-kesehatan-ibu-dan-anak/

29 Pemkab Tangerang Resmikan Gerai KIA

tangerangonline.id

Banten 2-Mar-19 https://tangerangonline.id/2019/03/02/50248/


depokpos.com Banten 3-Mar-19 https://www.depokpos.com/arsip/2019/03/pemkab-tangerang-gandeng-alfamart-dan-fopkia-luncurkan-gerai-kesehatan-ibu-dan-anak/

31 Angka Kematian Ibu dan Bayi di Kabupaten Tangerang Masih Tinggi

kabar6.com Banten 3-Mar-19 https://kabar6.com/angka-kematian-ibu-dan-bayi-di-kabupaten-tangerang-masih-tinggi/


ebisnis.co.id Banten 4-Mar-19 https://www.ebisnis.id/2019/03/04/pemkab-tangerang-gandeng-alfamart-dan-fopkia-luncurkan-gerai-kia/

33 Angka Kematian Ibu dan Bayi Di Kab Tangerang Tinggi, Ini Kata Kadinkes

nonstopnews.id

Banten 4-Mar-19 https://www.nonstopnews.id/post/angka-kematian-ibu-dan-bayi-di-kab-tangerang-tinggi-ini-kata-kadinkes

https://www.antaranews.com/berita/798176/pemkab-tangerang-luncurkan-gerai-kia-di-lima-kecamatan

https://www.antaranews.com/berita/798176/pemkab-tangerang-luncurkan-gerai-kia-di-lima-kecamatan

https://www.detakbanten.com/today/12947-pemkab-tangerang-bersama-fopkia-alfanart-luncurkan-gerai-kia

https://www.detakbanten.com/today/12947-pemkab-tangerang-bersama-fopkia-alfanart-luncurkan-gerai-kia

https://www.ebisnis.id/2019/02/14/pemkab-tangerang-alfamart-dan-fopkia-luncurkan-gerai-kia/

https://sukabumikab.go.id/portal/berita-daerah/2206/profil/sejarah-kabupaten-sukabumi.html

https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.depokpos.com%2Farsip%2F2019%2F03%2Fpemkab-tangerang-gandeng-alfamart-dan-fopkia-luncurkan-gerai-kesehatan-ibu-dan-anak%2F&data=01%7C01%7CChandni_Vasandani%40dai.com%7C10d7d86223414121aa2f08d6a048d707%7C7107113de20b4c20a4ce553cabbf686d%7C0&sdata=NF9ls%2Burb0cOpknDEkF7xxHeju7SNeligFUOsZthJUo%3D&reserved=0

https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.depokpos.com%2Farsip%2F2019%2F03%2Fpemkab-tangerang-gandeng-alfamart-dan-fopkia-luncurkan-gerai-kesehatan-ibu-dan-anak%2F&data=01%7C01%7CChandni_Vasandani%40dai.com%7C10d7d86223414121aa2f08d6a048d707%7C7107113de20b4c20a4ce553cabbf686d%7C0&sdata=NF9ls%2Burb0cOpknDEkF7xxHeju7SNeligFUOsZthJUo%3D&reserved=0




34 Kadinkes Jember : Angka Kematian Ibu dan Bayi Cenderung Semakin Menurun

lensarakyat.com

East Java 12-Mar-19 http://lensarakyat.com/2019/03/kadinkes-jember-angka-kematian-ibu-dan-bayi-cenderung-semakin-menurun/

35 Angka Kematian Ibu dan Bayi di Jember, Tertinggi se Jatim

suaratimurnews.com

East Java 12-Mar-19 http://suaratimurnews.com/angka-kematian-ibu-dan-bayi-di-jember-tertinggi-se-jatim/

36 Dinkes Jember Terus Tekan Penurunan Angka Kematian Ibu dan Bayi di Kabupaten Jember

shareindonesia.id

East Java 12-Mar-19 http://www.shareindonesia.id/2019/03/dinkes-jember-terus-tekan-penurunan.html?m=1

37 Dinkes Jember Terus Tekan AKIB suaraindonesia-news.com

East Java 12-Mar-19 https://suaraindonesia-news.com/dinkes-jember-terus-tekan-akib/

38 RS Wafa Husada Lakukan Skrening Kesehatan Ibu Hamil di Desa Olak Alek Blitar

timesjatim.com

East Java 16-Mar-19 https://www.timesjatim.com/berita/67086/rs-wafa-husada-lakukan-skrening-kesehatan-ibu-hamil-di-desa-olak-alek-blitar

39 Peduli Kesehatan Masyarakat Wava Husada

jatim.tribunnews.com

East Java 16-Mar-19 https://www.malangsatu.net/2019/03/peduli-kesehatan-masyarakat-wava-husada.html

40 IDI dan USAID Jalin Rancang SOP Ambulans Laut

ujungjari.com South Sulawesi

21-Mar-19 https://www.ujungjari.com/2019/03/21/idi-dan-usaid-jalin-rancang-sop-ambulans-laut/

41 Khofifah Indar Parawansa Minta Dukungan USAID untuk 10 Daerah Termiskin di Jatim

tribunnews.com

East Java 21-Mar-19 http://jatim.tribunnews.com/amp/2019/03/21/khofifah-indar-parawansa-minta-dukungan-usaid-untuk-10-daerah-termiskin-di-jatim?page=3

42 IDI Sulselbar-USAID Bahas Pedoman Penggunaan Ambulans Laut di Pangkep

makassar.tribunnews.com

South Sulawesi

22-Mar-19 http://makassar.tribunnews.com/2019/03/22/idi-sulselbar-usaid-bahas-pedoman-penggunaan-ambulans-laut-di-pangkep

43 Ingin Bayi Lahir Sehat, Ini Saran Kepala DKP Malang pada Ibu Hamil


East Java 25-Mar-19 https://www.timesindonesia.co.id/read/206901/20190325/151412/ingin-bayi-lahir-sehat-ini-saran-kepala-dkp-malang-pada-ibu-hamil/

44 Wagub Sumut Optimis Kesehatan Masyarakat Meningkat

sumutprov.go.id

North Sumatra

26-Mar-19 http://www.sumutprov.go.id/berita-lainnya/3486-wagub-sumut-optimis-kesehatan-masyarakat-meningkat

http://lensarakyat.com/2019/03/kadinkes-jember-angka-kematian-ibu-dan-bayi-cenderung-semakin-menurun/

http://lensarakyat.com/2019/03/kadinkes-jember-angka-kematian-ibu-dan-bayi-cenderung-semakin-menurun/

http://suaratimurnews.com/angka-kematian-ibu-dan-bayi-di-jember-tertinggi-se-jatim/

http://www.shareindonesia.id/2019/03/dinkes-jember-terus-tekan-penurunan.html?m=1

https://suaraindonesia-news.com/dinkes-jember-terus-tekan-akib/

https://www.timesjatim.com/berita/67086/rs-wafa-husada-lakukan-skrening-kesehatan-ibu-hamil-di-desa-olak-alek-blitar

https://www.timesjatim.com/berita/67086/rs-wafa-husada-lakukan-skrening-kesehatan-ibu-hamil-di-desa-olak-alek-blitar

https://www.malangsatu.net/2019/03/peduli-kesehatan-masyarakat-wava-husada.html

https://www.ujungjari.com/2019/03/21/idi-dan-usaid-jalin-rancang-sop-ambulans-laut/

http://jatim.tribunnews.com/amp/2019/03/21/khofifah-indar-parawansa-minta-dukungan-usaid-untuk-10-daerah-termiskin-di-jatim?page=3

http://jatim.tribunnews.com/amp/2019/03/21/khofifah-indar-parawansa-minta-dukungan-usaid-untuk-10-daerah-termiskin-di-jatim?page=3

http://makassar.tribunnews.com/2019/03/22/idi-sulselbar-usaid-bahas-pedoman-penggunaan-ambulans-laut-di-pangkep

http://makassar.tribunnews.com/2019/03/22/idi-sulselbar-usaid-bahas-pedoman-penggunaan-ambulans-laut-di-pangkep

https://www.timesindonesia.co.id/read/206901/20190325/151412/ingin-bayi-lahir-sehat-ini-saran-kepala-dkp-malang-pada-ibu-hamil/

https://www.timesindonesia.co.id/read/206901/20190325/151412/ingin-bayi-lahir-sehat-ini-saran-kepala-dkp-malang-pada-ibu-hamil/

http://www.sumutprov.go.id/berita-lainnya/3486-wagub-sumut-optimis-kesehatan-masyarakat-meningkat

http://www.sumutprov.go.id/berita-lainnya/3486-wagub-sumut-optimis-kesehatan-masyarakat-meningkat




45 Angka Kematian Ibu dan Bayi di Kabupaten Jember Turun


East Java 26-Mar-19 https://www.timesindonesia.co.id/read/207195/20190326/234453/angka-kematian-ibu-dan-bayi-di-kabupaten-jember-turun/

46 Several Tips During Pregnancy by DKP Malang


East Java 26-Mar-19 https://www.timesindonesia.co.id/read/207164/20190326/223431/several-tips-during-pregnancy-by-dkp-malang/

https://www.timesindonesia.co.id/read/207195/20190326/234453/angka-kematian-ibu-dan-bayi-di-kabupaten-jember-turun/

https://www.timesindonesia.co.id/read/207195/20190326/234453/angka-kematian-ibu-dan-bayi-di-kabupaten-jember-turun/

https://www.timesindonesia.co.id/read/207164/20190326/223431/several-tips-during-pregnancy-by-dkp-malang/

https://www.timesindonesia.co.id/read/207164/20190326/223431/several-tips-during-pregnancy-by-dkp-malang/

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