Brief STBM Program of Plan Indonesia

by Eka Setiawan

WASH Program Manager – Country Office

THE “OLD” SANITATION APPROACH PLAN INDONESIA• Plan stay between 10-17 years in 1 (one) District), since 1969 • Since 2003, via Total Sanitation (subsidy approach)• Not involving Pokja AMPL• Spent up to 1,5 mill USD for 15,000 toilets construction benefitted to 45,000 people. However there are still 100,000 people who do not have access to toilets in the other 90 Plan’s village• The “old” result:

No ownership. Abandoned facilities

No behavior change

SANITATION “NEW” APPROACH PLAN INDONESIA• since 2007, via Community Led Total Sanitation (non - subsidy approach)• involving Pokja AMPL or Dinkes • Conducting integrated STBM approach www.stbm-indonesia.org• Achievement:

- 200 villages triggered- 150 ODF (70 is STBM)- 7 villages STBM (plus additional pillars ‘ternak’ / cattle’s waste)

• Next Target: 700 villages (in new Country Strategic Program)

KALIMANTAN

AUSTRALIA

PAPUA

SULAWESI MALUK

U

SUMATRA

BALI

INDIAN OCEAN

Pillar 4Pillar 5

Pillar 2Pillar 1

Pillar 3Pillar 2

SurabayaKebumen

Pillar 1Pillar 2

Grobogan

Pillar 1Pillar 2

Rembang

Pillar 2Pillar 4

Pillar 1

Dompu

STBMSoe

STBMKefa

Pillar 1Pillar 2

SikkaPillar 1Pillar 2

Lembata

Pillar 3Pillar 4Pillar 5

Pillar 3Pillar 4Pillar 5

AusAID

JNO

SIMAVI

Resources needed to scale up STBM

Dusun Champion

Dusun Champion

Dusun Champion

Village Facilitator (Team STBM Desa)

Team STBM Kecamatan

(Sub-District)

Pokja AMPL(District)

There is ‘STBM’ household card in every houses. Plan Indonesia will produce these. 1 Household = 1 card.Households Households Households

Dusun champion exist in every sub-villages. Together (village facilitator & champion) will fill the households card during the regular monitoring visit. And Village Facilitator may train dusun champion on how to fill the cards on his/her absence.

Village Facilitator (or the CLTS facilitator), will come regularly to each dusun for monitoring. During his/her visit, they will compile the household cards per-dusun and put them inside ‘Kartu Monitoring STBM Desa’.

Plan Indonesia & Team STBM Kecamatan (or sanitarian, etc). Once every two months will invite one/two village facilitator in all villages to conduct sub-district meeting. Team STBM Kecamatan will compile the ‘Kartu Monitoring Desa’ and put it inside ‘Kartu Monitoring STBM Kecamatan’ . Plan Indonesia & Team STBM Kecamatan will come to dusun/Desa if there is a problem occurs, to help Village Facilitator.

Plan Indonesia & Pokja AMPL Kabupaten will conduct regular meeting once every (3) three months at District Level. The participants will be all team STBM Kecamatan, PAMSIMAS, UN/NGOs, etc. During the meeting Pokja AMPL will fill ‘Kartu Monitoring STBM Kabupaten’

Source: Kepmenkes No 852 thn 2008

HOW TO ‘SCALE UP’ STBM IN PLAN INDONESIARoadshow STBM

Field Visit

Road Map STBM - Kabupaten

Road Show – ke Desa-Desa

Capacity Building

Training – Ke Tim Kecamatan

Village Interest Letter Training triggering CLTS

Promotion STBM

Pelatihan CLTS ke Fasilitator Desa/FD (5 hari)

Fasilitator Desa turun ke Dusun A melakukan pemicuan CLTS

FD Turun ke Dusun B melakukan pemicuan CLTS

Dusun seterusnya

Pemicuan (2 Jam)

Pelatihan (5 hari)

Kegiatan Monitoring / Assistance ke-1 (1 jam)

FD kembali ke Dusun A, atau ke KK, melakukan monitoring CLTS setelah pemicuan sekaligus Kampanye CTPS..

Kegiatan Monitoring/ Assistance ke-2 (1 Jam)

Kegiatan Monitoring /Assitance ke-3, dst… (1 Jam)

FD Kembali ke Dusun B, melakukan monitoring CLTS setelah pemicuan sekaligus kampanye CTPS…

Dusun seterusnya…

FD kembali ke Dusun A melakukan monitoring CLTS, sekaligus kampanye PAM RT

FD kembali ke Dusun B melakukan monitoring CLTS, sekaligus kampanye PAM RT

Dusun seterusnya…

FD kembali ke Dusun A melakukan monitoring CLTS, sekaligus kampanye Pilar STBM lainnya…

FD kembali ke Dusun B melakukan monitoring CLTS sekaligus kampanye pilar STBM lainnya…

Dusun seterusnya

Kecamatan STBM

Kabupaten STBM

How to do 5 pillars STBM at Plan?

5 days CLTS triggering training to Village Facilitator (but include information on whole pillar of STBM as additional)

Village Facilitator Triggering time (half-day) to Community #1

Follow-up #1 to Community #1

(insert IEC promotion to other pillar STBM)

Follow-up #2 to Community #1

(insert IEC promotion to other pillar STBM)

Follow-up #3 etc…..

Village Facilitator Triggering time (half-day) to Community #2

Follow-up #1 to Community #2

(insert IEC promotion to other pillar STBM)

Follow-up #2 to Community #2

(insert IEC promotion to other pillar STBM)

Follow-up #3 etc…..

Village Facilitator Triggering time (half-day) to Community #3, etc …..

Keys: Never mix-up CLTS triggering with others!

Definition of 5 Pillars STBM – concluded from local Pokja

1. Stop BABS Jenis Sarananya 1) Cemplung dengan tutup

2) Plensengan dengan tutup 3) Leher Angsa

Apakah Pemilik Rumah Menggunakan Jamban ? 1) Ya 2) Tidak

2. Cuci tangan Pakai Sabun (CTPS) Tersedianya Sarana Cuci Tangan A) Air 1) Ya

2) Tidak B) Sabun 1) Ya

2) Tidak C) Pesan CTPS 1) Ya

2) Tidak Apakah bisa mempraktekkan CTPS

1) Ya 2) Tidak

3. Pengolahan Air Minum (PAMRT) Kebiasaan KK dlm mengkonsumsi air minum

1) Direbus/ Dimasak 2) Ceramik Filter 3) Sodis 4) Lainya

Tempat/ wadah penyimpanan Air Minum di tutup 1) Ya 2) Tidak

4. Pengolahan Sampah Rumah Tangga Sampah Rumah Tangga Biasanya…. 1) Dijadikan Kompos 2) Dibuat Kerajinan 3) Tidak di Apakan 4) Di Timbun 5) Di Bakar5. Pengolahan Limbah Cair Rumah Tangga Air di Dapur atau Cucian Diapakan ? 1) Diresapkan ke lubang tanah 2) Dimanfaatkan Untuk Tanaman 3) Dibuang ke Saluran Air 4) Dibiarkan Menggenang

PILAR STBM

Jika pengolahan sampah memiliki salah satu dari opsi 1 atau 2 atau 4 atau 5Maka KK tersebut sudah Pilar-4

Jika pengolahan limbah cair memilih opsi 1 atau 2 atau 3Maka KK tersebut sudah Pilar-5

Jika jenis sarana adalah salah satu dari 3 opsi dan pemilik rumah menjawab 'ya', maka KK tersebut ODF (atau stop BABS)

Cara Monitor untuk di kompilasi ke Laporan dusun

Jika:Air = 'ya'danSabun = 'ya'danPesan CTPS = 'boleh 'ya' atau 'tidak'danPraktik = 'ya'Maka KK tersebut sudah CTPS

Jika,Kebiasaan KK memilih salah satu dari opsi 1 atau 2 atau 3danwadah minum terututup = 'ya'Maka KK tersebut sudah PAM-RT

Pillar #1: CLTS

CLTS Training to Village Facilitator

Triggering to Villages

Commitment to have latrine

Follow up, & Process building latrine by community (no subsidy)

Latrine constructed & used

100% Open Defecation Free Village’s Declaration

This may wait till all 5 pillars complete too…

Non-subsidy latrine resulted from CLTSAfter CLTSBefore CLTS

Non-subsidy latrine failure due to floodingin some of villages

Path specifically built to guide people with low vision to the latrine and hand-washing station (person with disability)

Pillar #2: Handwashing with soap

Pillar #3: SWTSS

Clean water storage for boiled drinking water

TIDAK AMAN! Penelitian WHO menyimpulkan 60% air yang telah di olah masih tidak sehat karena wadah penyimpanannya

kotor atau jari tangan kotor

GELAS HARUS SELALU BERSIH!

CARA: DICUCI BERSIH, DAN DI JEMUR DIBAWAH MATAHARI SAMPAI KERING

CERET/TEKO HARUS SELALU BERSIH!

CARA: DICUCI DAN DIJEMUR SETIAP 3-7 HARI SEKALI

CUCI TANGAN DENGAN SABUN !

CARA: CUCI TANGAN SEBELUM MAKAN, SETELAH B.A.B

Lanjutan Pilar 3: Apakah jika sudah di-treatment akan aman?

Pillar #4: Solidwaste HH

Kompos, timbun, atau bakar di lubang

Remember: there is no Dinas Kebersihan in most of rural villages

Pillar #5: Waste Water

Soakaway pitTo plantation

JUST INFO: RESOURCES AT PROJECT LEVEL (DONOR FUNDED)

Pokja AMPL Kabupaten

Tim STBM Kecamatan

Tim STBM Desa

Dusun Dusun

5-10 officials

2 officials per sub-district

(100 orang)

2 CLTS village facilitator per-village

(600 orang)

3 natural leader per sub-village Soe District (172 villages) Kefamenanu District (160 villages)

Project Managerbased in soe/kefa

M&E Officerbased in soe/kefa

Handwashing/Safe WaterSpecialist(1 person)

CLTS Team Leader

(2 persons)

CLTS Sub-District Officers

(8 persons)

Handwashing/Safe WaterSpecialist(1 person)

CLTS Team Leader

(2 persons)

CLTS Sub-District Officers

(7 persons)

Hygiene Officers

(4 person)

Hygiene Officers

(4 person)

Project Admin/Finance Officer Soe

Cashier Soe (additional)

Project Admin/Finance Officer Kefa

Cashier Kefa (additional)

Assistant/OS Area Admin/Finance (additional) - based in Kupang

Staffs of Plan Indonesia Civil Society & Govt

Info: Sanitation Marketing after “demand creation community” The community able to create the closet themselves (independent) without any-subsidy from Plan. 1 Closet average of IDR 30.000.- (or 4$). Grobogan Study

Workshop/training on Closet improvement, in community (majority: private local artisan entrepreneurs)

Budget planning (from community) on how to make low-cost-closet. Most of them paid it with Banana’s fruit, rice, etc. And exchange it to the existing Koperasi/ Microfinance

Training on making low-cost-toilet

Finishing closet, and stock for production (gotong royong)

Closet ready for distribution (or sell)

Children are playing game called “Snake and Ladder” as a FUN way to educate children in regard of Hygiene Practices

The Decline of Diarrhea Cases in Lembata

91% Diarrhea Reduction

63% Diarrhea Reduction

The Decline of Diarrhea Cases in TTS District: `

In average, diarrhea cases in 2012 was 27.31% lower than they were in 2011. The decline of diarrhea cases is due to STBM intervention led by local health center and District Health Agency, which started at the beginning of 2011. The intervention involves the promotion to the community to adopt 5-pillars of hygiene behavior(Data collected from Sub-district Health Center in Polen, Kie, and Amsel)

Kec / Subdistrict 2010 2011

Decline in percentage

KIE 1,058 722 31.76%

AMSEL 338 298 11.83%

Polen 548 393 28.28%

Total 1,944 1,413 27.31%Kecamatan/Kec. = Sub-district

Kec. / Sub-district 2010 2011 Decline in

percentage BIKOMI UTARA 47 29 38.30% MUSI 49 47 4.08% BIBOKI UTARA 345 218 36.81% NOEMUTI 59 35 40.68% Total 500 329 34.20%

The Decline of Diarrhea Cases in TTU District: ` In average, diarrhea cases in

2012 was 34.20 % lower than they were in 2011. The decline of diarrhea cases is due to STBM intervention led by local health center and District Health Agency, which started at the beginning of 2011. The intervention involves the promotion to the community to adopt 5-pillars of hygiene behavior(Data collected from Sub-district Health Center in Napan, Lurasik, Oelneke)