Strategic Approach to Institutionalize Capacity Building for Rural Sanitation in Ministry of Health Schools Curriculum in Indonesia DR. Sumihardi, SKM, M.Kes/ Rahmi Kasri
Ministry of Health Indonesia/ WSP-Indonesia
Overview • • •
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Name of session: Institutional Strengthening for Taking Sanitation to Scale Title of presentation: Strategic Approach to Institutionalize Capacity Building for Rural Sanitation in Ministry of Health Schools Curriculum in Indonesia Name of presenter with organisation details: DR. Sumihardi, SKM, M.Kes, Ministry of Health Indonesia- Head of Communication Forum for Environmental Health Polytechnics Schools; Rahmi Kasri, WSP Indonesia-Capacity Building Consultant email IDs:
[email protected],
[email protected]
Knowledge Sharing Forum What works at scale? Distilling critical success factors for scaling-up rural sanitation
Summary In Indonesia, access to rural sanitation has yet on-track. The average annual increasing of 3 percent might not be able to meet the 13.3 percent gaps by 2015. Government of Indonesia tries hard to accelerate the outcomes by strengthening capacity of related human resources, through among other inclusion of Community Based Total Sanitation (STBM) approach in the Environmental Health Curriculum in 9 public health schools in Indonesia, starting January 2014. This presentation will highlight strategy to create awareness and demand of health schools on STBM program, to link potential of the schools to meet the human resource needs of program’s users i.e. ministries, projects, and donors, and steps taken to institutionalize the program in the curriculum. A large demand has occurred for a nation-wide implementation by 2015 should the field implementation in 2014 be successful.
Knowledge Sharing Forum What works at scale? Distilling critical success factors for scaling-up rural sanitation
Spotlight on Indonesia Population: 244 million Rural: 50.4%, Urban: 49.6% Economic growth: 6.2% Poverty rate: 11% GDP/capita: $3,300
Access to Rural Sanitation: 42.30% (2013) Target 2015: 55,6% Open Defecation: 44 million Source: BPS, Quarter 3, 2013
Third Quarter of 2013: 13.3% MDG Gaps First quarter in 2013, average increasing access about 1%
Ministry of Health Towards 20,000 STBM Villages by 2014 Achievement 2013: 16,228 STBM villages, only 2,867 ODF villages
Demand
Enabling Environment
Supply
DEMAND
Best Practices
Action Needed
CLTS
Trained Facilitators
Mapping existing facilitators
Behaviour Change Communication
• Cultural approach, • Media approach.
Widespread adoption of current BCC materials.
SUPPLY
Best Practices
Action Needed
Sanitation Marketing
2000 sanitation entrepreneur in 20 provinces.
• Mapping active entrepreneurs, • Developing sanitation market and technology.
Micro Credit Facilitation
Partnership with local bank
Micro credit in 34 provinces.
ENABLING ENVIRONMENT
Best Practices
Action Needed
Regulation
Minister of Health Decree on STBM in 2008
Support from provinces’ and district’s level
Source of Fund
National and local budget
Expand partners, i.e CSR
Human Resource
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Standardize/Accredited Training Curriculum and Modules Insert to E.H School curriculum E-Learning
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Quality assurance and rewards Quality assurance and development Institutionalizing
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Sms and web-based Monev Knowledge management and Website
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Advancing to 5 pillars of STBM
Monev
STBM Goes to Health Polytechnic School (Poltekes) 15,000 sanitation personnel required to meet the MDGs Target Additional 18,000 to meet Post MDGs, full ODF by 2025
Potential • •
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STBM outcomes ≈ role of EH graduates. Poltekes mandates: to provide qualified sustainable services in education, research, and community services. 24 Poltekes in Indonesia, 1920 graduates/year. Poltekes have MoU with Community Health Centres for sanitation programs.
Challenges • •
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Interrupted link between programs (users) and Poltekes (human resources suppliers). Poltekes are not aware/ fully understand of on-going government initiatives outside their nature of academic work. Poltekes have been underutilized in implementing EH programs. Different approach in STBM implementation by local government i.e subsidy
Institutionalizing STBM in the School Curriculum 3 Options available: Create New Subject, Insert to Curriculum, Guest Lecturers
Gaining Inputs and Supports
Training for Lecturers
Inserting to Curriculum
Steps to insert new subjects/topics to an existing curriculum
Evaluation and Way Forward
Gaining Inputs and Supports • • •
Roadshow & Kick off meeting, Coordination among related departments (E.H & HR) Intensive introduction to Poltekes: Field Learning,
Training for Lecturers 1. Training Need Assessment
Sanitation HR capacity Study, 2012 Pre-Training Meeting.
Evaluation: implementation and competences. Pass: 1 credit point (counted as government officers’ performance point)
2. Development of Training Curriculum and Modules
3. Accreditation
Review Cur&Mod, target participants (3 subjects), gaining inputs from users.
Review&evaluation by PPSDM, min. 1 month.
5. Evaluation and Certification
4. Training Accredited training
Inserting to Curriculum
Disseminate inserting plan (after training)
Develop Syllabus, Learning Plan (RPP) and Implementation Plan (SAP)
Director Decree for Implementation
Develop Teaching Materials
Teaching process (Class study starts Feb, field work in May)
Communication Forum of E.H Department (Forkom Kesling): facilitate development of curriculum and teaching process. Support from provincial/District health office: provide back-stop, facilitate field work, guest lecturers, etc
Evaluation and Way Forwards • • • • •
Mid-Term Evaluation, plan in June 2014. First batch : 9 Poltekes in Indonesia Second batch of training engage the other 15 Poltekes. National implementation all 24 Poltekes, start January 2015. Engagement of E.H Graduates in STBM related programs/projects.
Key Success Factors Measures
Approaches
Institutional Measures
Intensive introduction of STBM to key stakeholders through various channels to create demand and obtain commitments. STBM Secretariat as the hub of coordination.
Policy Measures
Political will from national and local government, Modifying curriculum is authorized by the Director of Poltekes. Pusdiklatnakes of CHRD provides advisory, EH Communication Forum as facilitator of the process.
Supportive Measures
National Level: EH Directorate, CHR Bureau, EH Communication Forum, and STBM partners coordinated by STBM Secretariat. Provincial/District Level: Health Office
Financial Measures
Inception: EH Directorate with support from WSP and other partners, Implementation: Cost sharing from Poltekes, EH Directorate, HRD Bureau, provincial/district health office, with limited support from partners, such as WSP.
Recommendations • Quality assurance of teaching process and commitment to implement “the real” STBM (demand driven and behavior change), • Nation-wide implementation in 24 Poltekes by January 2015, • Leverage supports from other ministries and local government i.e. political will, financing, recruitment of graduates, etc. • Time series evaluation and improvement.
Knowledge Sharing Forum What works at scale? Distilling critical success factors for scaling-up rural sanitation
THANKS
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