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    2009 STANDARD PROGRESS REPORTFOR7TH CP UNFPA INDONESIADISTRICTSAND PROVINCES

    DISTRICT : INDRAMAYU

    PROVINCE : WESTJAVA

    DISTRICT MANAGERNAME : LINDA YULIANTINI

    PURPOSE

    1. To report on the progress achieved in 2009 as per the approved Country Programme Action Plan and

    Annual Work Plan.

    2. To accompany the Annual Workplan Monitoring Tool as a narrative and provide an assessment of

    progress made in achieving CP outputs, challenges faced and obstacles met.

    Section 1: Outcome and Output indictors reporting

    Please fill in the excel file to inform us about the progress that was made in 2009. If you dont have the

    information just write down Information not available. If for 2009 in your district you didnt work on

    this area just right down Not Applicable.

    Please follow the linkD Annex 2 for Indramayu districts.xls

    Section 2. Summary of 2009 Programme

    Summarize the main constraining and facilitating factors affecting implementation and the achievement

    of results. Identify key lessons learned in addressing constraints and taking advantage of facilitating

    factors.

    Output R101

    A. Results of programme in 2009

    1. ARH materials already integrated in several subjects study namely Biology, Religion (Agama

    Islam), Sport & Health (Penjaskes) and Counselling (BP/BK)) in 2 Senior High Schools

    (SMU 2 Indramayu & SMU 1 Kandanghaur).On December 2009, several related officials

    from Bappeda, Disdik, and & 7 teachers from SMU Kandanghaur have already trained inTasikmalaya district on implementation of ARH issues on syllabus for 7 materials namely

    Agama Islam, Bahasa Indonesia, Biologi, BP/BK, Penjaskes, Sosiologi, and Anthropologi).

    2. RH advocacy through RH commission & CCS team has played great importance role,

    especially in Family planning program; to boost the prevailing condition related to FP &

    RHCS in Indramayu district as well as blood bank service planned will be established on RS.

    MA Sentot. As one of achievements related to the advocacy gained the commitment from

    parliamentarian members to support all these things (for instance; parliamentarian members

    will request some budget to spare in APBD 2010 for blood bank establishment in RS. M.A

    Sentot).

    B. Constraints and obstacles faced in trying to achieving the annual targets

    1. Although the RH commission and CCS team Indramayu district already established shownby Bupatis decree and have a work plan that was created in 2007, but in 2009, only CCS

    team that has a workplan and implemented though it is not fully conducted, meanwhile, the

    RH commission activities do not fit with what has been planned in the previous year. This is

    because of the lack of commitment by members of the RH commission and weak leadership

    within the RH commission, so that a routine meeting of the commission RH routinely only

    conducted by support UNFPA only

    2. The unavailability of a National & Provincial RH Commission caused there is no any row

    model that can be used as guidelines in implementing the RH commission activities at the

    district level.

    3. Lack of Data on population & RH caused some simulation for planning RH district budget

    using RH costing software could not completed and optimized.

    1

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    C. Lessons learned and recommendations

    1. Needed some blue print for guidance, SOP and supporting document like IEC material for

    increasing the knowledge and understanding about RH Commission among RH Commission

    members.

    2. Regular advocacy to the parliamentarian members on Blood bank service in term of

    supporting equipments, FP budget allocated on APBD 2010.

    Output R105

    A. Results of programme in 2009

    1. The IFPPD Indramayu District established by Chairman of Indramayu House Representative

    Decree on 16 August 2008, decree number: 170/08/KP/DPRD/2008. All Indramayu House

    Representative Members in 2009 (50 person) become IFPPD members and they have

    commitment in giving support related to population, RH, and Gender issues in Indramayu

    district.

    2. Big achievement related to this output is the availability of HIV-AIDS local regulation no.

    8/2009 about HIV-AIDS prevention and care in Indramayu district.3. IFPPD succeed in conducting advocacy in term of Anggaran Dana Desa (ADD) for PIKKRR

    (Pusat Informasi & Konseling Kesehatan Reproduksi Remaja) related to ARH issues includes

    Budgeting for each villages in Indramayu district.

    4. IFPPD also succeed in advocating to the chairman and secretary of DPRD to include

    Population, RH, Gender issues into DPRD local magazine namely ISWARA (Informasi

    Suara Wakil Rakyat).

    5. IFPPD succeed in advocating DPRD members especially Komisi B for adding puskesmas

    PONED based implementation.

    B. Constraints, obstacles and opportunities

    1. All members from Indramayu House of Representative from 45 person become 50 person

    already joined in IFPPD Indramayu District. It could be great potential and opportunity inRH, Population and Gender legislation policy in Indramayu District.

    2. Although some legislative candidates from several political parties in Indramayu had shown

    their intended to brought RH & HIV-AIDS issues in the campaign on March 2009, their were

    no assurance for the word that they had said.

    3. RH & HIV-AIDS could be come sexy issues on legislative campaign in years 2009 at

    Indramayu District. This issue was so close with recent Indramayu situation and become

    sensitive issues because RH & HIV-AIDS issues could be decrease local government image

    that already built as good governance whose care with their people in health & moral.

    4. The limited budget from APBD for several activities such as BP4 orientation to premarital

    couple done by marriage counsellor.

    C. Lessons learned and recommendations1. Appropriate IEC material needed for supporting advocacy activities to the House of

    Representative Members, political parties and stakeholders.

    2. Intensive advocacy activities needed for sustainability and fully functioned Indramayu CSS

    and RH Teams. Local district budget (APBD) should allocated for operational Indramayu

    CSS Team and RH commision to support their function & operational and to support the

    respective issues dealing with Pop, RH, and Gender in Indramayu district.

    Link for R105 achievements Indicator 2.1a achievements 2009_Indramayu District.xls

    Output R301

    A. Results of programme in 2009

    1. Increasing HIV-AIDS & ARH, awareness among youth had conducted by Indramayu Family

    Planning agencies and Indramayu District AIDS commission through development of IEC

    2

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    materials (leaflet, Posters, Baligho) distribute to the NGOs and stakeholders/relating partners

    to promote & socialize ARH & HIV-AIDS issues, as well as Talk show on RH, FP, and

    Gender aired on Radio Kijang Kencana through channel 91. 10 FM, and Cikamanca through

    102, 9 FM.

    2. RH & Gender promotion through Community meetings (done by PLKB & Bidan) at

    village/dusun in 10 sub-districts in Indramayu involved 300 person (M: 77, F: 123).

    3. Though community development is hold in 2009, and it is only support of PNPM training for

    related facilitators it gives understanding and awareness to boost the population, RH, gender

    issues in sub-district in Indramayu, it seems to be one of effective ways and hoped that these

    facilitators could implemented in the field.

    B. Constraints and obstacles faced in trying to achieving the annual targets

    1. Not enough ARH, RH and HIV-AIDS IEC material for youth, low risk group and high risk

    group to support dissemination activities and community empowerment activities.

    2. The IEC materials as mentioned at number 1 should be based on their characteristics and

    needs in order the out school adolescents & school adolescents can know the exact

    information without getting misunderstanding perception among them, so we have to choose

    what is the appropriate materials on the right place for the right targets.

    C. Lessons learned and recommendations

    1. Appropriate ARH, RH and HIV-AIDS IEC material for youth, low risk group and high risk

    group needed to support dissemination effectiveness.

    2. Though the community empowerment is finished but it is hoped that it can run well

    continuously and should be monitor and evaluate routinely by local government as one of

    sustainability project.

    Link for R301 achievements Indicator 2a. Involvement of LSMs civil society_Indramayu

    District.xls

    Output R205

    A. Results of programme in 2009

    1. Related with STI, HIV-AIDS prevention, 5 puskesmas (Puskesmas Sukra, Kandanghaur,

    Karangampel, Losarang, Margadadi) which participated in UNFPA-WHO SPP (TPHA/Rapid

    Test) since in the 2007 had exposed their achievement in dissemination activities in district

    level. These 5 puskesmas already had simple laboratorium for STI screening test, in 2009 we

    supported 3 IERH selected puskesmas (Kandanghaur, Margadadi, Karangampel) for the

    operational lab and give grant support on AWP for capacity building, strengthen networking,

    and activities implementation at Puskesmas level.

    2. To increase knowledge and capacity of midwife, health workers and medical staff include

    related stakeholders in handling HIV-AIDS, a capacity building had conducted by District

    Health Office and District AIDS Commision, 30 service providers from 29 puskesmas, 30related stakeholders including NGOs. After the workshop all participants have agreement on

    referral system on VCT service.

    3. There is agreement on VCT referral clinic will be set up on Puskesmas Karangampel &

    Kandanghaur.

    B. Constraints and obstacles faced in trying to achieving the annual targets

    1. Lacks of commitment between Indramayu decision maker and policy caused STI, HIV-AIDS

    care and prevention programme that had supported by various stakeholders (included

    UNFPA) could not run as sustainability programme. For instance, we have assist

    establishment simple lab for STIs in several puskesmas (Sukra, Losarang, Indramayu,

    Karangampel) but there are no operational supports (local budget) for this activity.

    3

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    2. Although we had trained health workers from puskesmas to implement Adolescent Friendly

    Health Service and Adolescent Friendly Health Service Facilitator already established but

    their functions are not maximized in related puskesmas. It happened because there is no

    special rooms in puskesmas to conduct counselling activities for the youth whose come to

    puskesmas (Puskesmas Karangampel is one exception).

    3. Lack of capacity at Puskesmas & DHO in failing IERH R/R system including STIs and HIV-

    AIDS.

    4. Counselling activities consume a lot of time when pusk has limited in giving counselling

    service since they have lack of human resource in handling many patients who visit to pusk.

    C. Lessons learned and recommendations

    1. Need advocacy support for implementing IERH in puskesmas. Advocacy should aim to

    decision maker related to this issue.

    2. Appropriate IEC materials should cover communities (youth, low risk & high risk group)

    awareness and demand for use IERH services in puskesmas when they need.

    3. Failing IERH R/R system should be strengthened in Puskesmas and DHO since data is one of

    the crucial things for both planning and implementing the programs.

    Link for R205 achievements Indicator 3.1a. Names of Puskesmas offering IERH and

    VCT_Indramayu District.xls

    Output P101

    A. Results of programme in 2009

    1. Training and workshop had conducted to planner, data section management staff from

    several district agencies and BPS officers in order to incorporate Population, RH and Gender

    in Indramayu Dalam Angka (IDA) 2009. Seven indicators had included in year 2009

    publishing, they are Number of fertile age couples by wifes age, Number and percentage of

    poor family by district in Indramayu regency 2008, Number of prisoners keep in jail based on

    criminal acted that related to violence against women and children year 2005-2008 (Polres

    version), Additional of prisoners based on courts decision related to violence against womenand children year 2005-2008 (Polres version), Number of Maternal Mortality cases based on

    area and deaths time in Indramayu district year 2008, Number of Maternal Mortality cases

    based on age group and deaths time in Indramayu district year 2008, as well as, Number of

    Infant Mortality cases based on area and deaths time in Indramayu district year 2008.

    2. In year 2009, database Forum in RH, Population and Gender had run and functioned as

    coordination forum in gathering and synchronized Population, RH and Gender datas in

    Indramayu District. This forum led and conducted by BPS as responsible party who is

    collected, managed and analyzed the appropriate data that would incorporated in Indramayu

    Dalam Angka.

    B. Constraints and obstacles faced in trying to achieving the annual targets

    1. Data still become sensitive issue for some OPD (Government Agencies) whether they alreadyhave the data. The data still could not publish or incorporated in Indramayu Dalam Angka

    (IDA) because it will decrease local government image and achievement.

    2. Different purpose and perception in identifying Population, RH and Gender datas between

    local government agencies made Database Forum becomes debating forum between local

    government agencies. BPS as leader and leading sector in collecting and managing the data

    could not synchronize this differences because they do not equipped with significant rule and

    authorization.

    3. Low commitment among Database Forum members caused the attendance of forum members

    is very low, their presence depute to staff who do not have the competence to attend this

    forum. So the target groups and result unmaximized.

    4. Lack of awareness from planners in utilizing the exact data on Pop, RH, and gender.

    4

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    C. Lessons learned and recommendations

    1. High level advocacy needed for improving Indramayu Dalam Angka (IDA) especially how to

    incorporate sensitive data that local government already had.

    2. Advocacy to the head district government agencies (OPD) is required to emphasize

    the importance of the existence of the forum data, so they can charge those who have

    the competence to undertake this activity.3. Regular Advocacy needed for gaining support and commitment from policy and decisionmakers, in order the existence of Data Base Forum as one of forum for discussing lots of

    things dealing with the datas could be strengthened though UNFPA project will be finished in

    2010.

    Link for P101 achievements Indicator 4.1.a for P101_Indramayu District.xls

    Output G101

    A. Results of programme in 2009

    1. PUAN Amal Hayati Assakienah as Woman Crisis Center becomes important player in GBV

    issues in Indramayu. They already built a networking with voluntary system in 4 sub-districtsin Indramayu (sub-district Karangampel, Bangodua, Losarang and Gabuswetan-known as

    District Lodger). The volunteers in each sub-district act as watch dog in GBV issues that

    happened in their sub-district. They need to record the case and report it to PUAN Amal

    Hayati Assakienah (beside they try to involved as problem solver). The volunteers came from

    various backgrounds (education, profession, etc). To equip them with knowledge and

    capacity as watch dog and PUAN Amal Hayati Sakienah reporter in GBV issues, technical

    assistance and regular meeting PUAN Amal Hayati Assakienah staff and volunteers had

    conducted. In order side this activity also used to monitor and motivate all volunteers, and

    keep them on the track.

    2. PUAN Amal Hayati Assakienah as Woman Crisis Center in years 2009 already assisted 62GBV cases; victims reffered to Pusk/hospital as 7, Religious Court (Pengadilan Agama) as

    20, referred to police as 5, referred to Pengadilan Negeri as 1, victims who have mediation as

    29 and based on shelter as 11, with the total as 62. PUAN Amal Hayati As-Sakienah also

    functioned as shelter for GBV victims; they gave subsidy for survivor and medical assistant.

    Report and recording for GBV cases still crucial factor since their no database could

    represent all GBV case in Indramayu. To improve this Report and recording system a

    workshop had conducted to 35 person in district level whose came from Bappeda, Depag,

    PKK, Disdik, Dinkes, BPPKB, MUI, BPS, KPPI (DPRD), KPA, LBH UNWIR, FKPP, RS

    Bhayangkara, IDI, FKBMI, Forkim, As-Sakienah, and IFPPD.

    3. One of big achievements dealing with this output is the availability of Raperda PencegahanPerlindungan dan Pemulihan Perempuan & Anak sebagai Korban Tindak Kekerasan &

    Ekploitasi di Kabupaten Indramayu, in collaboration between IFPPD Indramayu & BPPKB

    Bidand Pemberdayaan Perempuan. It has been discussed by Bagian Hukum Setda Indramayudistrict and related agencies.

    4. Program coordination meeting also play great importance role in facilitating and coordinating

    many things dealing with program implementation, hence the commitment from Executing

    Agencies is needed in order program implementation can be well conducted.

    B. Constraints and obstacles faced in trying to achieving the annual targets

    1. Local government commitment in establishing centralist report and recording for managing

    GBV case doubted since they have not conducted it seriously (still do not have

    comprehensive GBV victims database).

    2. Lack of IEC materials (Gender) available to support GBV advocacy and dissemination

    activities to policy and decision makers, religious leaders and community.

    5

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    C. Lessons learned and recommendations

    1. Advocacy activities should conduct to policy and decision makers so they could change their

    perspective in handling GBV issue in Indramayu District.

    2. Advocacy activities should conduct to support local regulation (perda) endorsement on

    rehabilitation and care for women and children violence victims; it is still on bargaining

    position whether it will be executive or legislative initiative.

    3. Puan As Sakienah (WCC) as GBV focal point in handling GBV victims in Indramayu should

    be more active to handle GBV cases though no more supported by UNFPA anymore due to

    they are the only one NGO in Indramayu that concern on GBV issues.

    4. Puan As Sakienah must have exit strategy and create sustainability dealing with this project

    since UNFPA project CP 7 will end on 2010.

    Link for G101 achievementsIndicator 5.1a achievements 2009_Indramayu District.xls

    Section 3: Monitoring

    1. Summarize what knowledge and insights you have gained from monitoring activities conducted in thecourse of the year and assess how this knowledge was used to improve project performance (keep it short

    and to the point).

    1. Bappeda have to create comprehensive monitoring tools (such questionare) and executed it in

    the field so Bappeda as major responsible party know how far UNFPA project contribute in

    district programme related with RH, Population and Gender.

    2. Bappeda have to take others Implementing Partners to monitor activities since many issues

    and suggestion for UNFPA project carried out by beneficiaries on the field and Bappeda only

    answer it in general (not focus).

    2. Specifically mention how the community empowerment programme was monitored: what have you

    and the local BKKBN office done to monitor the implementation and progress of this. Also mention any

    other programmes in your district that might have some overlap with the community empowermentprogramme

    1. No activities that support Community empowerment project in 2009

    3. Media monitoring

    Have you been able to monitor media reporting on UNFPA related issues?

    Yes/No (if yes, please fill in attached form) Yes.

    Please follow the linkIndicator 2.1a achievements 2009_Indramayu District.xls

    Section 4: Trainings and workshops all components:

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

    Output Indicator

    Planned to be

    trained Actually trained

    Male Female Total

    R101 1.1.b: Inclusion of

    ARH into local

    curriculum at

    secondary school (SMP

    & SMU) in 9 district.

    With target for 2008:

    At least 1 school for 3

    10 persons (Bappeda:

    1, Disdik: 2, schools

    teachers from & study

    topic from SMU 1

    Kandanghaur: 7

    Indramayu District.

    7 3 10

    6

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    district (Indramayu,

    Tasikmalaya and West

    Lombok) include ARH

    Issues in local

    curriculum.

    1.1.c: Commision on

    Reproductive Health

    amd HIV-AIDS

    established and

    functioning.

    With target for 2008:

    At least 3 PAC/RH

    Commissions at

    Province level and 2 at

    District level have been

    established and

    functioning

    N/A

    R301 2.1.a: % of women,

    men, youth and

    vulnerable groups

    aware and

    knowledgeable of

    issues related to

    reproductive health,

    adolescent reproductive

    health, STIs, HIV-

    AIDS and gender.

    With target for 2008:

    190 youth in subdistrict

    increase their

    knowledge and skill in

    disseminate ARH, RH,

    HIV-AIDS to

    community

    150 youth from 10

    sub-district in

    Indramayu (Sukra,

    Anjatan, Gabuswetan,

    Kandanghaur,

    Losarang, Indramayu,

    Karangampel, Sliyeg,

    Bangodua, Tukdana)

    aware on RH & ARH

    issues.

    150

    2.1.b: Number of

    villages implementing

    community

    empowerment.

    With target for 2008:

    Increase minimal 1

    village per province

    N/A

    R105 1.2.a: Increased % of

    knowledgeable

    lawmakers, decision

    makers, religious and

    community leaders,

    civil society,

    organization and themedia on reproductive

    health, adolescent

    N/A

    (50 parliamentarian

    members participated

    in RH, Gender issues

    dissemination, 36

    persons-(candidateparliamentarian

    members)-from

    7

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    reproductive health,

    STIs, HIV-AIDS,

    gender and population

    and development

    linkages.

    With target for 2008:

    45 Indramayu

    Parliamentarian

    Member; 10 Indramayu

    SKPD Head; 15

    Religious leaders (Head

    Pondok Pesantren);

    several big party in

    Indramayu

    participated on RH &

    HIV-AIDS

    discussion).

    R205 3.1.a: At least 3

    puskesmas per district

    providing integrated

    essensial RHinformation and service

    3 IERH pusk:

    Kandanghaur,

    Margadadi, Karang

    ampel

    3.1.b: Ten Puskesmas

    in three selected districs

    (Tasikmalaya,

    Indramayu and

    Pontianak)

    implementing STIs and

    FP guidelines

    N/A

    3.1.c: At least two

    puskesmas in seven

    districs (Lombok Barat,

    Lombok Timor,Pontianak,

    Singkawang, Sambas,

    Tasikmalaya and

    Indramayu) providing

    youth friendly RH

    services

    3 IERH pusk:

    Kandanghaur,

    Margadadi, Karang

    ampel

    3.1.d: At least 1

    puskesmas with beds

    per districts providing

    Emergency Obstetic

    Care (Expected to offer

    24-hour service)

    N/A

    3.1.f: At least 1 HIV

    Voluntary Counseling

    and Testing site

    established in seven

    district

    N/A

    3.1.g: Contraceptive

    Commodity Security

    (CCS) mechanism

    established at 21

    districts

    N/A

    P101 4.1.a: Sub-national N/A

    8

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    Statistical Year Book

    (Province/District in

    Figures, DDA) in each

    district and province

    incorporated

    disaggregated data on

    population,

    reproductive health,

    adolescent reproductive

    health, STIs including

    HIV/AIDS, gender, and

    poverty and is available

    for planning and

    program

    implementation

    4.1.b: Proportion of

    identified planners,

    policy makers andparliamentarians

    knowledgeable on the

    linkages between

    population,

    reproductive health,

    gender and

    development.

    N/A

    4.1.c. Proportion of

    identified planners and

    policy makers in each

    district and province

    trained in utilizingavailable data for sub-

    national development

    plans (Rencana

    Strategis Daerah &

    Rencana Kerja

    Pemerintah Daerah)

    20 people

    participated on

    Improve The Quality

    of Data RH,

    Population andGender in Indramayu

    District Sectors

    Training

    24 persons

    participated on

    Training on data

    utilization for

    planners from related

    sectors

    14

    18

    6

    6

    20

    24

    G101 5.1.a: Five service

    points (medical, law-

    enforcement or

    shelter/psycho-social

    assistance) in each

    district capable of

    delivering

    comprehensive

    assistance to victims of

    GBV

    N/A

    5.1.b:National and sub-national strategies and

    work plans (includingmonitoring and

    evaluation mechanism)

    N/A

    9

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    at each district and

    province in place to

    reduce GBV occurrence

    5.1.c:At least once amonth an article/public

    statement ( by

    Government, NGOs or

    civil society

    members/organizations

    ) published/aired on the

    rights of women and

    girls, prevention of

    GBV and other harmful

    practices in each

    district and province

    N/A

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

    Workshop

    s

    Training

    s

    Coordinationmeetings Total

    R101 4 1 9 14

    R301 1 1 2 4

    R105 5 3 8

    R205 2 6 8

    P101 1 2 2 5

    G101 5 1 6

    Programme Management (such as

    quarterly coordination meeting with

    Bappeda and PPMs

    7 7

    SECTION 4. Financial implementation

    Output Budget Expenses

    Implementation

    Rate

    R101

    105,710,000 97,995,000 93%

    R301 107,030,000 105,680,000 99%

    R105 161,932,000 157,582,000 97%

    R205 136,160,000 136,160,000 100%P101 81,165,000 80,765,000 100%G101 212,322,850 198,648,400 94%

    10

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    Total 804,319,850 776,830,400 97%

    All attachment had attached.

    11