THE USAID JALIN PROJECT QUARTERLY REPORT, Q2 PROJECT …

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, Q2 PROJECT YEAR

2018

April – June 2018

USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018

THE USAID JALIN PROJECT

Quarterly Report, Q2 Project Year 2018

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: July 15, 2018

Author: DAI Global, LLC


TABLE OF CONTENTS

TABLE OF CONTENTS ................................................................................................................... 3

ACRONYMS ........................................................................................................................................... 4

Executive Summary ............................................................................................................................ 5 Highlights ............................................................................................................................................................ 5 Operations and Personnel ........................................................................................................................... 5 Planned Activities for Q3 Project Year 2018 ....................................................................................... 6

Progress Against Workplan ............................................................................................................. 7 Component 1: Partnership Process Managed to Generate, Implement, Evaluate, and

Scale Successful Local Solutions and Utilize Critical Evidence to Result in Sustainable

MNH Impact ...................................................................................................................................................... 7 Component 2: TA Deployed Effectively to Support Impact at Scale ......................................16 Component 3: Catalytic Financing Efficiently Disbursed to Support the Incubation and

Implementation of Local Solutions ........................................................................................................17

Performance Indicator Results .................................................................................................... 18

Jalin Indicator Performance Tracking Table Year 1 ............................................................ 19

Activity Location Data .................................................................................................................... 26

Resolution of Previous Problems ................................................................................................ 26

New Problems Encountered ......................................................................................................... 26

Other Notable Developments ...................................................................................................... 26

Proposed Solutions ........................................................................................................................... 27

Planned Activities for Q3 Project Year 2018 ......................................................................... 27

Success Stories ................................................................................................................................... 28

Photos .................................................................................................................................................... 28

ANNEXES ............................................................................................................................................ 29

Annex 1: Ringkasan Eksekutif ....................................................................................................... 29

Annex 2: Potential Districts Prioritized with KesGa for EMNC ..................................... 29

Annex 3: Moving the MAB Forward........................................................................................... 30

Annex 4: Media Coverage .............................................................................................................. 32 (DIRECT MENTION – USAID JALIN) .................................................................................................32 (NO DIRECT MENTION – USAID JALIN) .........................................................................................34


ACRONYMS

AIPI National Academy of Sciences

AmCham American Chamber of Commerce

BAPPENAS Ministry of Development and Planning

BRANY Biomedical Research Alliance of New York

COP Chief of Party

CSR Corporate Social Responsibility

DAI DAI Global Health, LLC

EMAS Expanding Maternal and Neonatal Survival

EMNC Every Mother and Newborn Counts

ESAS Evidence Summit Assessment and Scoping

HFG Health Finance and Governance

GUC Grants under Contract

IBI Indonesian Midwives Association

ICT Information and Communication Technology

IRB Institutional Review Board

KesGa Family Health Department

Litbangkes Research and Development Department

MAB Multistakeholder Advisory Body

MCSP Maternal and Child Survival Program

MERLA Monitoring, Evaluation, Research, Learning, and Adaptation

MESP Monitoring and Evaluation Support Project

MNH Maternal and Newborn Health

MOH Ministry of Health

ODK Open Data Kit

PACE Personal Advancement Career Enhancement

PERSI Private Hospital Association

POGI Indonesian Association of Obstetrics and Gynecology

PUSKA Center for Family Welfare at the University of Indonesia

SDG Sustainable Development Goals

SOP Standard Operating Procedures

SRS Sample Registration System

TAMIS Technical and Administrative Management Information System

UI University of Indonesia

USAID US Agency for International Development


EXECUTIVE SUMMARY1

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

the USAID Jalin Project (hereafter referred to as “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

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 2 of Project

Year 2018, and activities to be implemented in Quarter 3.

HIGHLIGHTS

• USAID approval of deliverables including the Year 1 Annual Work Plan, Staffing Plan, MERLA Plan,

and Data Management Plan.

• Successful Jalin Kick-off Event from May 22 to 23 that included 169 participants from national and

subnational government agencies, private sector firms, non-governmental organizations (NGO),

institutions of higher education, and media outfits.

• Evidence Summit Assessment and Scoping (ESAS) conducted to inform USAID and the Akademi

Ilmu Pengetahuan Indonesia (AIPI, Indonesian Academy of Sciences) on AIPI’s potential to serve as a

national MNH knowledge management hub.

• Second plenary Multistakeholder Advisory Body (MAB) meeting convened on 26 June to present

progress to date and determine how members could collectively activate their networks to support

Jalin and the MNH Movement in Indonesia.

• Establishment of 5 MAB technical working groups – Local Governance, Evidence-base &

Communication, Market-driven Approach, Quality of Care and Referrals, and Social Protection.

• Submission of the updated Every Mother and Newborn Counts data collection protocols to

Institutional Review Boards in the United States (U.S.) and Indonesia.

• Continued private sector engagement to pursue market-driven solutions.

• 13 persons affiliated with the University of Indonesia’s Center for Family Welfare trained in Open

Data Kit methodology and use.

• Progress against the USAID-instituted Correction Action Plan.

OPERATIONS AND PERSONNEL

• Kirsten Weeks approved as Chief of Party (COP) and mobilized July 3.

• Max Goldensohn provided support as Acting COP until July 5, 2018.

• Ongoing recruitment for Technical Director position.

• All Regional Managers hired, and all Regional Officers, Regional Administrative Officers, and Regional

Finance Officers contracted.

1 Bahasa Indonesia Version of the Executive Summary is included as Annex 1


• On April 16, the Jalin Jakarta permanent office completed fit-out and began operations.

• Regional Managers hired in target provinces.

PLANNED ACTIVITIES FOR Q3 PROJECT YEAR 2018

• Update Jalin communications materials to compellingly communicate how Jalin works and foster

deeper engagement.

• Update planning tools for partnership engagement and meetings to foster efficient communication

and prioritization of potential partnerships and co-creation opportunities.

• Refine partnership templates to efficiently engage the private sector.

• Conduct value-chain assessment of key health value chains to identify opportunities for intervention.

• Obtain Ministry of Health (MOH) approval of Jalin Year 1 Annual Work Plan and endorsement of

Jalin regional activities.

• Design, plan for, and conduct 3 (three) co-creation events (2 in Jakarta and 1 at the provincial level).

• Finalize and obtain USAID approval for the University of Indonesia (UI)-led Every Mother and

Newborn Counts (EMNC) survey in Banten and East Java.

• Conduct the third plenary MAB meeting.

• Formalize a partnership with the Indonesian Association of Obstetrics and Gynecology [Persatuan

Obstetri dan Ginekologi Indonesia (POGI)] and the Indonesian Midwives Association [Ikatan Bidan

Indonesia (IBI)] to provide technical support to Jalin and Jalin partners and participate in co-creation

events.

• Formalize partnership with Halodoc and IBI to improve quality with inputs from the Ministry of

Health

• Complete recruitment and onboarding of all Jakarta-based Jalin positions including the Technical

Director.

• Open and fully staff all Regional Offices.


PROGRESS AGAINST WORKPLAN

COMPONENT 1: PARTNERSHIP PROCESS MANAGED TO GENERATE, IMPLEMENT,

EVALUATE, AND SCALE SUCCESSFUL LOCAL SOLUTIONS AND UTILIZE CRITICAL

EVIDENCE TO RESULT IN SUSTAINABLE MNH IMPACT

Component 1.1: MNH Evidence Available and Compellingly Communicated

Activity 1.1.1 Conduct Every Mother and Newborn Counts Across Select Districts

Jalin prepared and submitted for IRB review and approval all of the EMNC documents to the UI

Institutional Review Board (IRB) on June 9, and to the Biomedical Research Alliance of New York

(BRANY) IRB on June 19. Jalin has received approval from the UI IRB and expects to receive approval

from the BRANY IRB by July 31, 2018. Jalin updated the updated the technical protocols for verbal and

social autopsies (VASA) based on the February 2018 Global Expert Consultation and updated the

questionnaire to be used for the EMNC activity with technical assistance from Dr. Henry Kalter, faculty

of Johns Hopkins University (and original developer of the methodology), and Dr. Emily Weaver,

consultant.

Between May 4 and 7, consultant Aurellio diPasquale trained 13 staff (9 women, 4 men) from the Center

for Family Welfare-University of Indonesia (PUSKA UI) and MOH (KesGa/Family Health and

Litbangkes/Research and Development) on Open Data Kit (ODK) systems and tools for data collection.

Previously when PUSKA conducted data collection for the Banten II study, the PUSKA team used paper-

based forms. Under EMNC, PUSKA will use internet-connected tablet-devices to facilitate real-time

data entry and data cleaning. The ODK training built the capacity of PUSKA to collect data using tablet

devices and improve efficiency of data collection for the EMNC work.

EMNC success is largely dependent upon significant coordination with the MOH, the provincial

governments, and PUSKA. As evidence of this coordination, Jalin worked with the Family Health

Department (KesGa) in MoH to short list potential districts across all target provinces (Annex 2 of this

report). Per agreement with KesGa, the final district selection will be decided in collaboration with the

Provincial and District Health Offices.

Next steps. Jalin developed and submitted a grant to USAID (approved in Quarter 3) to support PUSKA

as they conduct EMNC preparations. Data collection in Banten and East Java will be Quarter 3. Jalin is in

discussions with PUSKA to accelerate the second and third wave of data collection to inform Jalin co-

creation efforts.

Activity 1.1.2 Build knowledge management capacity for MNH with knowledge management

partners

From April 24 to May 4, Jalin facilitated the Evidence Summit Assessment and Scoping (ESAS) activity.

John Borrazzo, Deputy Director of the Office of Maternal and Child Health (USAID/Washington), Laurel

Hatt, staff seconded from Results for Development, and April Utami, a consultant who worked directly

with AIPI during the Evidence Summit, and Prateek Gupta and Dinda Hapsari from Jalin interviewed key

stakeholders associated with the Evidence Summit. The ESAS goals were to:


• Synthesize key lessons learned from the MNH Evidence Summit

• Looking to the future, recommend a framework to improve the use of evidence in MCH policy

and program decision making at all levels

• Advise USAID on the role it, primarily through Jalin, can play in support of key identified

stakeholders in this framework

The Evidence Summit, a 20-month activity financed by USAID/Indonesia and implemented by AIPI to

identify priority research gaps in MNH, ended in March 2018. The ESAS team completed data collection

on May 4 and presented initial findings to the USAID/Indonesia Mission on the same date.

Based on the internal ESAS team notes, Jalin shared with the USAID/Indonesia Mission the following

observations:

• The ESAS was very informative in identifying the need for Jalin to develop a broader knowledge

management strategy to engage partners other than AIPI to best address the needs of the

Ministry of Health and other key stakeholders in MNH.

• While AIPI can serve a role as a convener, it is not likely that AIPI has the capacity to address

the broad range of knowledge management needs for USAID/Indonesia-funded Jalin project in

specific, and the boarder KM needs for MNH in general.

Based on the preliminary findings from the ESAS, USAID/Indonesia and Jalin agreed to update the work

plan to expand partners for Jalin-facilitated knowledge management for MNH—these revisions have

already been reflected in the approved MERLA plan and the title of this section reflects this update.

Next Steps. The final output of the ESAS is a slide deck pending approval from John Borrazzo. Jalin

anticipates submitting the slide deck to USAID/Indonesia in July 2018. The ESAS was initially expected to

be completed in April 2018, however delays in deployment of the US-based members of the ESAS team

and feedback from the US based members after the field work beyond Jalin’s control led to delays

finalizing the report.

Going forward, the assessment team recommends scoping key knowledge management partners and

processes to facilitate the exchange of information to contribute to a MNH movement. Based on the

preliminary findings from the ESAS, USAID/Indonesia and Jalin agreed to conduct a Rapid Assessment

for potential knowledge management partners to inform a Jalin knowledge management strategy in the

next reporting period. Jalin will use findings from the rapid assessment to guide the selection of partners

for knowledge management for MNH. Other knowledge management partners, platforms, or

organizations may be able to provide specific services to meet the needs of Jalin stakeholders.

Concurrent with the Rapid Assessment, Jalin will refine a knowledge management strategy to contribute

to a MNH movement. The initial approved Jalin work plan indicated that findings from the ESAS would

contribute to a work plan for AIPI for knowledge management. As AIPI’s role in Jalin-facilitated

knowledge management is being reconsidered, the timelines and activities have been changed.

Activity 1.1.3 Synthesize evidence relevant to MNH from Indonesia (USAID MNH

portfolio, Jalin partnerships & solutions, Indonesian Government, etc.) and global sources


During this reporting period, Jalin synthesized recent key and/or USAID-funded MNH studies including

the EMAS evaluation, the EMAS Maternal and Neonatal Death Review, Banten II Study, the World Bank

Study on Private Sector Readiness in Maternal and Newborn Health Service Provision, and draft

documents from the Evidence Summit to provide insight on priority problems related to maternal and

newborn mortality in Indonesia. To confirm the initial conclusions, Jalin consulted on the evidence

synthesis findings with the USAID-funded Maternal and Child Survival Program and the University of

Indonesia. A narrative draft of the evidence synthesis has been submitted to USAID in May 2018. Key

points related to the Technical Focus Areas of Quality of Care and Referral were identified in this

evidence synthesis and served as the basis for the group discussions during day two of the Jalin launch.

Jalin has been consulting with the Communications Task Force of the MAB to improve our presentation

of the project, and the Communications Specialist, who joined on June 25, is moving this forward.

During this reporting period, Jalin developed MNH profiles and factsheets for the six project provinces

which have been used as communication materials during discussion.

Next Steps. Based on the information obtained from the ESAS, formal and informal discussion with

stakeholders, and feedback from partners (private and public sector) during initial partnership meetings,

Jalin is revising slide decks for each province in the next reporting period and updating the national slide

deck accordingly. Similarly, Jalin is conducting an internal review of materials to better understand what

evidence is most compelling with stakeholders as well as what evidence needs more clarification.

Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy

developed

Activity 1.2.1 Engage influential multi-stakeholder actors

By the end of this reporting period, Jalin has reached 70 stakeholders at the national and provincial

levels. The project onboarded the Regional Managers during this reporting period and expects to

increase the number of stakeholders reached in the next quarter due to provincial level activities.

Jalin continued to engage the Multi-Stakeholder Advisory Body (MAB) both individually and as a group.

From the MAB’s inception in March 2018, individual members have coordinated with the Jalin staff on

the MAB secretariat to connect Jalin to their existing network or to update Jalin on emergent

opportunities. For example, Prof. Akmal Taher and Vida Parady reported back to the MAB on their

experiences and lessons learned from the 2nd International Summit on Social and Behavior Change

organized by the Johns Hopkins University Center from Communications Programs in Bali. Meynar

Sihombing shared information from a USAID-led meeting on enterprise development and advances in

micro-enterprise legislation. Kemal Soeriawidjaja informed Jalin about a one-day training on Managing

Effective Partnership for Sustainable Development facilitated by a local organization named the

Partnership-ID in Jakarta. As a result of this, three of Jalin’s six Regional Managers joined the bi-monthly

training and three Regional Managers are now certified Partnerships Brokers. Hamid Abidin and Meynar

Sihombing informed Jalin about the upcoming Indonesian Filantropi Festival in November 2018 which can

be an opportunity for Jalin to connect philanthropists with health solution start-ups or enterprises.

In early April 2018, the MAB Chair and Co-Chair requested that the MAB Secretariat host focused

discussions on Jalin’s theory of change which were held on May 11. Eleven members of the MAB

brainstormed potential roles for the MAB to develop an MNH movement and the MAB chose to


develop five task forces with the following foci: 1) quality of care/referral, 2) local governance, 3)

market-driven (solutions), 4) social protection, and 5) evidence-based and communications. Four of

those task-force groups have taken their first stab on the topics and shared their initial advice to Jalin on

the quarterly MAB meeting in June 26, 2018. The five Task-Forces were an initiative from the MAB as

the core team mapped their expertise against Jalin’s six technical focus areas, as well as a presentation of

Jalin’s evidence synthesis.

The MAB had a set of available evidence shared in the Inaugural Meeting by Jalin but also circulated to

the whole group some relevant studies or policy reference shared by individual members. In its first

core team meeting, the MAB was also kept abreast on the recent output of the 2018 MNH evidence

summit with Prof. Akmal, the co-chair, as its source person. Seven members heard about existing

evidence directly from the source-person when they participated in the Evidence Gaps Meeting with

JHPIEGO and PUSKA which contributed to the Kick-Off Co-creation and Partnerships event on May 22

and 22, 2018. Jalin will continue to improve MAB’s access to synthesized and/or publicized evidence

forward.

The Quarter 2 MAB meeting was hosted by the Chair, Sudibyo Markus at the Mercantile Athletic Club

Jakarta. Eight people from MAB or task-force groups, and three people from USAID Indonesia

participated in the half-day discussion. [Four invitees were out of town or overseas, 10 invitees had

other conflicting events or received last minute notifications at the minister-level; and three did not

RSVP]. The participation of members in specific events are captured in the table below.


Table 1: MAB Participation Across Events

No Name Insitutions 26 March 2018

MAB

Inaugural Meeting

11 May 2018

Core team

meeting

22-23 May 2018

Kick Off

Co-creation

& Partners

hips event

24 May 2018

Confirmed to join a

cancelled USAID event

at Budi Kemuliaan

11 June 2018

Local

Governance Task-Force

meeting

13 June 2018

Evidence-

based communications TF meeting

June 2018

Market-driven

approach TF

(continued virtual

discussion)

21 June 2018

Quality of Care & referral

TF meeting

26 June 2018

MAB

meeting Quarter

2 of 2018

1 Sudibyo Markus MAB Chair/ Muhammadiyah

V V V V V V

2 Akmal Taher MAB Co-Chair/ MoH-Health Services Improvement Special Advisor to the Minister

V V *

3 Arum Atmawikarta

SDGs Sekretariat V V V *

4 Gita Hastarika CSO: KELOLA V V V *

5 Hamid Abidin Filantropi Indonesia V V V V

6 Linda Hoemar Abidin

CSO: KELOLA V V **

7 Ikatri Meynar Sihombing

Microfinance Institutions

V V V V V V

8 Supriyatiningsih GKIA presidium V V V V

9 Vida Parady Independent PR & Communications Expert

V V V V

10 Kemal Soeriawidjaja

Sustainable Partnerships Consultant

V V V V

11 Maria R. Nindita Radyati

Center for Entrepreneurship, Change and Third Sector (CECT) Trisakti University

V V **

12 Irwan Julianto Health Communications Expert, Lecturer at MultiMedia Nusantara University

V V V V V

13 Donald Pardede MoH – Health Financing Special Advisor to the Minister

V V * *


14 Kuntjoro Adi Purjanto

Chairman of PERSI (Indonesian Hospital Associations)

V ** **

15 Natsir Nugroho PERSI - ARSANI – Association of Non-profit Hospitals

V V

16 Laksono Trisnantoro

PERSI Research & Development

V *

17 Anika Faisal BTPN Bank & Indonesia Business Coalition for Women Empowerment

* *

18 Tubagus Choesni

Coordinating Ministry of Human Resources & Culture

V

19 Samuel Pangerapan

Ministry of ICT V *

20 Puti Marzoeki World Bank – Senior Health Specialist

V * **

21 Grace Tahir Tahir Group V * **

22 Sylvia Sumarlin CEO PT. Xirka Silikon Digital Indonesia

* * **

23 Imam Prasodjo Social Sciences Expert

**

24 Alfatih Timur Fintech – KitaBisa.com

V *

25 Firmanzah Executive Program for Sustainable Partnership – Paramadina University

26 Ministry of Home Affair

To be confirmed V

27 Agus Samsudin Muhammadiyah Healthcare Management Oversight (Ketua MPKU – Interfaith Network)

V V V V

28 Siti Rahmah GKIA presidium V V V V V

Note:

V – Participated

* - Confirmed to participate but had short-noticed conflicting meetings OR representing respective Minister(s)/ Senior Management in other events

** - Out of town OR on overseas business trip(s)


Highlights from the Quarter 2 MAB meeting based on the three agreed functions of MAB were as follows:

Advice Following Q2 Meeting:

• The MAB needs to offer evidence-based, strategic actions to be harmonized with Jalin’s pathway to

market solutions, acknowledging that evidence is not limited to clinical MNH evidence only.

• The Task Forces need to meet with each other periodically for the cross-fertilization of ideas and

actionable recommendations to Jalin.

Potential Further Connections:

• Some MAB members are currently supporting Filantropi dan Bisnis Indonesia for Sustainable

Development Goals (SDGs) to map venture capital firms who have potential to support the country

actions for the SDGs; Maternal and newborn mortality is integral to the SDGs so the exercise can

be a good starting point for the appropriate Task-Force.

• Filantropi Indonesia has begun to suggest philanthropists to not merely give grants/ charity but to

embrace financing and long-term investments.

• The Indonesian Philanthropy Festival 2018 is a good market-place to connect the group of new

MNH-solution firms (including start-ups) to the Philanthropy sector, which has increasing concern

for public health.

Advocacy areas discussed:

• The MAB will narrow down and prioritize where its role as MNH advocate should be focused.

Specifically discussed were advocacy for tax incentives for companies contributing corporate social

responsibility (CSR) programs to support MNH issues; and advocacy for public awareness on the

quality accountability of healthcare providers based on their accreditation status via mass media

outlet(s).

• The MAB felt that because research on MNH and mortality issues has been done and re-done, MAB

should integrate this issue with evidence based on other critical issues such as stunting, supporting

local governance to meet the Minimum Standard of Services related to MNH, and frame a joint

concern on developing Indonesian human capital and promoting national competitiveness.

Annex 3 illustrates some reflections on lessons so far from the MAB and ideas to improve it moving

forward.

Provincial Steering Committees

Jalin hired six regional managers during this reporting period and they have begun conducting informal

inception meetings with diverse range of stakeholders in the six provinces. Each of the regional managers

have scanned existing platforms that can potentially serve as the local Steering Committees for Maternal

Newborn Health. Most of the areas identified Bappeda-led CSR for a, which are existing platform governed

by the regional government recognized by business and industry; MCH Motivators and CSOs-led fora;

Professional organizations-led fora (e.g. PENAKIB); Indonesian Chamber of Commerce or business

associations’ regional for a (e.g. APINDO, API, KADIN, etc.); and regional healthcare-led for a (e.g. regional

PERSI events).The regional team will further scan and consult with the provinces’ stakeholders before

affiliating specific platform to be linked with the national MAB.

Activity 1.2.2 Define Problem Statements for Co-Creation Efforts

Jalin updated the rapid evidence synthesis of recent evidence to identify key problems. This was used as part

of the stakeholder materials at the launch event. The evidence synthesis and prioritized problems were also


validated in conversations with implementers and researchers from PUSKA and JHPIEGO based on their

recent evidence. Jalin also shared these key problem areas with the MAB Core Group meeting. Based on

this discussion, the MAB formed key subcommittees (described previously in this report). The three initial

problems Jalin identified for refinement as part of co-creation efforts are:

• Improving referral effectiveness to prevent maternal deaths

Maternal death review in EMAS affiliated hospitals recorded that referral-related factors were contributed to

39% of maternal death cases – with 87% of those was related to inadequate treatment prior to referring, and

46% was due to prolonged transportation to hospitals. Saving maternal and newborn lives will depend heavily

on quality of care at delivery and immediate post-delivery care, in addition to effective management of

referred maternal emergencies.

• Improving Quality of Care to prevent maternal and newborn deaths in facilities

Sixty-five percent of maternal deaths in Banten II study occur in facilities, indicating important deficiencies in

quality of care. Improving QOC within and across facilities is a first priority. Given EMAS and Banten

evidence – particular attention should be given to ANC and post-partum hemorrhage.

• Improving JKN maternal and newborn health linkages and impacts (incorporating leveraging the private sector to

address quality)

Low coverage of JKN-PBI and high rate of OOP indicate a problem in JKN implementation, particularly for

improving health outcomes (through access) for the poor and vulnerable.

Co-Definition at the Jalin Launch. Given the breadth of participants and potential need for more specific

knowledge of the JKN, Jalin prioritized the first two areas (referrals and quality of care) for further

refinement and discussion at day 2 of the Jalin Launch. Across the two areas further refinement of aspects of

each problem area are included below as a part of ongoing problem definition for co-creation efforts.

Improving referral effectiveness to prevent maternal deaths

• Potential discrimination of referrals among BPJS holders and non-holders;

• Family mindset, parents’ knowledge and culture often delay or hinder bringing pregnant women to clinics or health points;

• Lack of communication – both between patients and providers as well as within families.

• Need for early detection of pregnant women

• Readiness of health facilities and medics – establishing and following standard operating procedures (SOP).

• Need for incentive model to increase motivation for health professionals to work in remote areas.

Improving Quality of Care to prevent maternal and newborn deaths in facilities

• Limited awareness at community level of services available and rights to access quality services to increase demand for better overall quality and service from health facilities;

• Quality is not only a gap at hospitals, but other primary health facilities need to improve quality as well (e.g. PONED, Puskesmas);

• Need for skills improvements across health provider cadres;

• Need for clear SOPs;

• Influence local government to set policies on standard health provision in the localities.

Value Chain Assessment. Using the rapid evidence synthesis of recent evidence as a basis to prioritize

market-driven engagement, Jalin selected four value chains for further assessment (also in discussions with

USAID) based on their anticipated potential to respond to the defined priorities as well as potential for

engaging commercial actors beyond the health sector alone for whole-of-market solutions.

• Referral systems as directly linked to Improving Referral Effectiveness;

• Blood supply as suggested by USAID and directly linked to Improving Quality of Care in facilities;


• Relevant transportation services as directly linked to Improving Referral Effectiveness and Strengthening the

Continuum of Quality of Care; and

• JKN payment system (including consideration of out-of-pocket costs) to Improve JKN maternal and newborn

health linkages and impacts.

Next steps. Jalin will work through the Value Chain Assessment over the next quarter to further define

choke points to develop market-driven solutions. In addition, Jalin will continue with stakeholder

engagement and evidence review to further define problems to local context for co-creation efforts.

Activity 1.2.3 Deploy Co-creation approaches; and Activity 1.2.4 Prioritize partnerships, solutions,

advocacy for impact

Jalin has and will continue to identify opportunities for linkages and co-creation. Jalin’s approach to co-

creation includes both meetings with large groups of stakeholders to encourage discussion (such as the Kick-

Off event) and small sessions where potential partners and Jalin staff (and often USAID staff) meet to share

ideas and come up with shared solutions to perceived problems. These shared ideas include the basic

elements for useful co-creation: an expected impact on MNH and mortality, scalability of proposed

innovation; and shared resource allocation to ensure sustainability. Jalin utilizes a continuous process for

entering into co-creation discussions with stakeholders to lead to potential partnerships and solutions.

This quarter, Jalin continued to explore existing programs and business interests of diverse stakeholders.

Out of more than two-dozen organizations, Jalin has entered the co-creation phase with STI and Halodoc in

this reporting period. Based on previous interactions, STI has assumed interests in engaging new

partnerships and access to more financing options for improved business model, as well as better coverage

across Indonesia. Likewise, Halodoc’s interests are increasing transaction volume and improving customer

satisfaction. They are interested in piloting increased access for midwives to regular and emergency obstetric

medicines and supplies (approved by GoI regulations) where reductions in mortality are high and in

proximity to optimum support from Halodoc Jakarta. Jalin will continue to engage stakeholders at the

national and provincial levels to identify more opportunities for co-creation.

Based on the partnerships discussions, potential co-defined problems have been developed and listed in table

2 along with the associated technical focus areas. This will guide internal technical review by Jalin of the co-

creation process.

Table 2: Potential Partnerships on Measles Chart Actoss Technical Focus Areas, Women’s Equality, and that are Market-Driven

Co-defined Problem/ Solution

&

Entities engaged in Potential Partnerships

Qu

ality

of

Care

Refe

rral S

yst

em

Lo

cal G

overn

an

ce

Fin

an

cia

l P

rote

cti

on

(JK

N)

Reach

ing t

he P

oo

rest

an

d

Mo

st V

uln

era

ble

Evid

en

ce U

tilizati

on

Wo

men

s E

qu

ality

to

Su

pp

ort

th

e 4

Pilla

rs o

f

Safe

Mo

therh

oo

d*

Mark

et-

Dri

ven

Timely (and safe) delivery of (GoI allowed) medicines and

supplies within the authorized services of Indonesian single-

practitioner midwives.

Entities: Halodoc, Indonesian Midwives Association (IBI),

Go-jek, Pharmacies, Pharmaceutical principles, and

consultation with KESGA.

• • • • • •


Timely midwives’ consultation with obstetrician/gynecologist

to manage pregnancy (and post-partum) complications

within the authorized services of Indonesian single-

practitioner midwives.

Entities: Halodoc, Indonesian Midwives Association (IBI),

Obstetricians/ POGI members, and consultation with

KESGA.

To be explored: BPJS-Kesehatan (to be explored), STI, 119

national emergency call-center.

• • • • • • •

Expanding the coverage of Sijari Emas Referral system

support and SMS Bunda services in Indonesia with improved

business model and investment proposition for sustainable

growth and financing.

Entities: STI, Business Development Services Provider, Regional

Health Offices, and consultation with KesGa

• • • • • • •

Next Steps. Over the next quarter Jalin will seek to formalize the partnerships described above as well as

continue to further co-creation efforts. In addition to Jakarta-based partnerships development activities, over

the next quarter Jalin will continue to roll out implementation to the provinces to facilitate regional co-

design processes to increase awareness about MNH challenges, generate consensus on viable solutions, and

create shared value that inspires co-ownership of and co-investment in maternal and newborn health

services.

Activity 1.2.5 Build local capacity to use a facilitative/co-creation approach

Jalin is internalizing an approach to link shared ideas based on evidence and domestic resources as opposed

to the traditional donor/grants-driven projects that are directed to pre-specified activities. The approach

brings together people and organizations from different sectors (national and local government, corporations

and foundations, for-profit, NGO, and public health providers) to use evidence to prioritize critical

problems, share ideas, and identify promising local solutions, and co-invest the necessary resources (financial,

technical, political) to execute at scale. This is a different way of doing USAID health programming in

Indonesia and is taking some adjusting for partners to understand. Jalin has learned from recent coordination

meetings with the Family Health Directorate of the MOH that it is essential to sensitize key staff at multiple

levels and different government bodies and units within those government bodies on the new approaches

and partnerships being explored by this project. As noted above – improving Jalin’s communication of what

we are trying to do, and how we are trying to accomplish MNH change in Indonesia will be a continued

priority for the next quarter – as we engage and foster capacity to use facilitative/co-creation approaches.

COMPONENT 2: TA DEPLOYED EFFECTIVELY TO SUPPORT IMPACT AT SCALE

Jalin continued to identify and meet with the Indonesian Government and other stakeholders to learn more

about and begin developing plans that will include a range of technical assistance based on needs assessment,

capacity gaps, and discrete partnership activities.

Jalin will support the Ministry of Home Affairs and Ministry of Health to implement the Health Minimum

Service Standard. After a series of discussion with both ministries, Jalin has identified two potential areas for

technical assistance.


Ministry of Home Affairs:

• MOHA expects Jalin to provide technical assistance to engage and strengthen multi stakeholders’ role

(including CSO, media and local parliament) at sub national level in managing health MSS

• Currently, Jalin awaits Letter of Interest and Technical Proposal from MOHA’s Directorate General of

Regional Development and hopes to finalize the scope of work by the end of July.

Ministry of Health:

• MoH proposed JALIN support the costing application of health minimum service standard, especially for

indicators related to MNH.

• Jalin has received a letter of interest, in a form of a request and TA Technical Proposal from MOH and is

in discussions with MoH to finalize the scope. It is expected that the agreement on the proposal will be

finalized by mid July 2018.

COMPONENT 3: CATALYTIC FINANCING EFFICIENTLY DISBURSED TO SUPPORT THE

INCUBATION AND IMPLEMENTATION OF LOCAL SOLUTIONS

Ensuring the potential for catalytic financing has been part of our partnership process, to-date, Jalin has noe

deployed any catalytic financing.


PERFORMANCE INDICATOR RESULTS

The performance indicator table was approved by USAID on June 7. Performance indicator reference sheets

and targets were included in the approved MERLA Plan. Key updates from the Work Plan indicators are

below.

Component 1: Partnership process managed to generate, implement, evaluate, and scale

successful local solutions and utilize critical evidence to result in sustainable MNH impact


Activity 1.1.3 Synthesize MNH evidence from Indonesia (USAID MNH portfolio, Jalin partnerships &

solutions)

• Indicator 1.1.3.a.: MNH Evidence Disseminated at one event: The Kick-Off Co-Creation event.

• Indicator 1.1.3.b.: Evidence Synthesized from Evidence Summit, Banten 2, other fora is Ongoing,

following the Kick-Off event. The next update is scheduled for December 2018.

• Indicator 1.1.3.c: MNH Evidence slide deck prepared by a Jalin short term consultant (Pamela Putney) is

still Available. The MNH Provincial Profiles are in process. Three have been completed (Banten, West

Java and North Sumatra) and the final three will be completed in the next quarter.

• The ESAS was completed and incorporated in a proposed Knowledge Management Strategy, with an

associated budget estimate. This Knowledge Management Strategy was submitted to USAID on June 6.

USAID has requested a rapid assessment/consultation with key stakeholders to determine roles in the

implementation of the strategy. This consultation will begin in July and continue through August 2018.

Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy developed

Activity 1.2.1 Engage influential multi-stakeholder actors for MNH through partnership (includes

MAB, targeted outreach, and identification of provincial participants for co-creation workshops).

• Indicator 1.2.1.a: The MAB is formally constituted with 25 members from the public and private sector,

and the media. The MAB has also created 5 task forces. The full MAB met on June 26 and two task

forces have already met (Governance and Communications).

• The Partnerships team has conducted meetings with a range of potential private sector partners and two

(see above) have agreed informally to co-created solutions to specific MNH issues (STI and HaloDoc).

Regional managers have begun meetings with a wide range of potential partners.

• Indicator 1.2.1.b: Three events held to share co-creation approaches and seek innovative ideas. The

Launch is the only official co-creation event, but there are a series of meetings with partners to further

the overall co-creation agenda including (STI, HaloDoc, Tanoto Foundation, Icon+, TeleCTG, POGI, IBI,

Ernst and Young, the Kalla Foundation, and Patamar Capital.

Components 2 and 3

There are no quantitative updates for Components 2 and 3.

19


JALIN INDICATOR PERFORMANCE TRACKING TABLE YEAR 1

Jalin # USAID # Indicators Type Data Disaggregated Sources of data

(BL; annually)

Target

Y1

Baseline Q1 Q2 Q3 Q4

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

High

Level

(HL)-1

Maternal Mortality Ratio Impact Age National Data

Sources

HL-1.1 Maternal Mortality as

reported in EMNC

Studies

Impact Age and District EMNC Studies

HL- 2 Neonatal Mortality Rate Impact Sex National Data

Sources

HL-2.1 Neonatal Mortality as

reported in the EMNC

Studies

Impact Sex and District EMNC Studies

MNH Movement Takes Hold

Behaviors and Processes Evolve Across Health Systems

HL-3 STIR-11 Number of innovations

supported through USG

assistance with

demonstrated uptake by

the public and/or private

sector

Outcome Sector; Technical Focus

Area; Province

Program

Documents

0 0 0 0

USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 20

Component 1: Partnership process managed to generate, implement, evaluate, and scale successful local solutions and utilize critical evidence to result in

sustainable MNH impact


1.1. STIR-12 Number of peer-

reviewed scientific

publications resulting

from USG support to

research and

implementation

programs

Outcome Journal

Publication

0 0 0 0

Activity 1.1.1 Conduct EMNC activity across selected districts

1.1.1.a EMNC Activity

conducted

Milestone Province, District Program

Documents.

2.5 0 0 0

1.1.1.b EMNC results reported

and communicated

Milestone Province, District,

media type

Program

Documents.

Yes 0 0 0

Activity 1.1.2 Build Knowledge Management capacity for MNH (knowledge management partners)

1.1.2.a Assessment of AIPI

Evidence Summit Milestone Assessment

Report

Yes 0 No Field Work

Completed;

Report Being

Finalized

1.1.2.b MNH KM Strategy in

Place (updated every 24

months)

Milestone KM Strategy Yes 0 No No

Activity 1.1.3 Synthesize MNH evidence from Indonesia (USAID MNH portfolio, Jalin partnerships & solutions, GOI, etc.)

1.1.3.a MNH evidence

disseminated (Op Eds,

peer-review articles

Output Publication or Event

Type; Technical Focus

Area; Province

Program

Documents

8 0 0 1 (Launch;

Dissemination

Event)


submitted for

publication, policy briefs

published, evidence

dissemination events

held) (Note 1.1 is a

subset of 1.1.3.a)

1.1.3.b Synthesize latest MNH

Evidence from Evidence

Summit, GOI evidence,

Jalin lessons (see

component 1.2); other

USAID MNH partners.

Goes into annual report

and slide deck of

Evidence Driven

Communications

Materials updated semi-

annually.

Milestone Technical Focus Areas Program

Document

Yes 0 No Yes

1.1.3.c MNH evidence slide

deck available (updated

semi-annually based on

synthesis) for use in co-

creation, design, and TA

Milestone Technical Focus Areas Program

Documents

Yes 0 No Draft Being

Updated

Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy developed

1.2 Partnerships

implementing solutions

or advocacy

Output District; Technical

Focus Area Solution

Program

Documents

0 0 0 0


Activity 1.2.1 Engage influential multistakeholder actors for MNH through Partnership (includes MAB, targeted outreach, and identification of provincial participants for co-creation

workshops).

1.2.1.a New multistakeholder

actors engaged and

participating in

partnerships process

Output District, Sector

represented (e.g. civil

society, private or

public sector, etc.);

Individuals (by sex) vs

Organizations/Entities

Program

Documents

225 0 70

1.2.1.b Events and targeted

outreach held to share

evidence (Activity

1.1.3) and engage

multistakeholder actors

Output Partnership

Engagement Type (e.g.

MAB, targeted

outreach, provincial

outreach), Sector

represented (e.g. civil

society, private or

public sector, etc.),

Individuals (by sex) vs

Organizations/Entities

10 0 1 2

Activity 1.2.2 Define problem statements for co-creation efforts

1.2.2.a Problem statements

defined

Milestone Province; Technical

Focus Area

Program

Documents

12 0 0 0

Activity 1.2.3 Deploy co-creation approaches to develop evidence-driven solutions and advocacy (inclusive of targeted partnerships as well as workshop model)

1.2.3.a Co-creation events

held

Output Province Program

Documents

8 0 0 0

1.2.3.b Co-creation design

sessions via targeted

partnerships and

outreach

Output Technical Focus Area Program

Documents

5 0 0 0


1.2.3.c Solutions or advocacy

initiatives identified as a

result of co-creation

events or targeted

outreach

Output Technical Focus Area;

Province

Program

Documents

5 0 0 0

Activity 1.2.4 Prioritize partnerships, solutions, advocacy for impact

1.2.4.a STIR-10 (a

and b)

Number of innovations

(solutions) supported

through USG assistance

Output Province; Technical

Focus Area(s);

New/Ongoing; Type of

USG Support

Program

Documents

6 0 0 0

1.2.4.b Partnerships receiving

local funding beyond

Jalin

Outcome Province; Technical

Focus Area(s); Type of

Organization Receiving

Support; Type of

Organization Providing

Support (GOI, private

Sector); Proportion of

non-Jalin Support

Implementation

Plans

0 0 0 0

1.2.4.c DR.4.2-2 Number of civil society

organizations (CSOs)

receiving USG

assistance engaged in

advocacy interventions

Output Province; Technical

Focus Area(s);

Program

Documents

4 0 0 0

Activity 1.2.5 Build local capacity to use a facilitative/co-creation approach

1.2.5.a MAB meetings held

quarterly Milestone Date of Event, Sex of

Participants; Sector

Represented

MAB Meeting

Agenda and

Minutes

4 0 1 1

Activity 1.2.6 Monitor and learn from local partnerships, solutions, and advocacy


1.2.6.a Partnerships

implementing local

solutions with Mini-

MELAs** and Technical

Assistance plans in

place.

Output Geographic Zone (e.g.

Province or District),

and Technical Focus

Area(s)

Implementation

Plans

6 0 0 0

1.2.6.b Number of local

solutions/innovations

documented with a

pathway for scale and

sustainability.



and Technical Focus

Area(s)

Program

Documents

0 0 0 0

Activity 1.2.7 Package local solutions for adaptation/replication, investment, and scale (won’t start until year 2)

1.2.7.a Number of local

solutions/innovations

packaged with how-to

guides, or mentoring

plans to ease

adaptation/replication

and scale.



and Technical Focus

Area(s)

Program

Documents

0 0 0 0

Component 2: TA deployed effectively to support impact at scale

Activity 2.1 Provision of specialized TA for local solutions; and Activity 2.2 Provision of responsive TA to the GOI

2.1.a; 2.2.a Number of technical

assistance requests

(from: partnership

plans, grants, GOI

support requests, etc.)

fulfilled by Jalin



Technical Focus Area;

Multistakeholder Type

(Private Sector, GOI,

CSO, etc.)

Program

Documents

8 0 0 0

2.1.b; 2.2.b; USAID

Health

Leadership

-1

Number of Universal

Health Coverage

(UHC) areas supported

by USG investment

Output UHC Category

(essential health

services; quality;

financial protection);

Program

Documents

3 0 0 0


Activity 2.3 Monitor TA with feedback survey

2.3.a

Percentage of TA with

positive feedback




Multi-stakeholder

Type (Private Sector,

GOI, CSO, etc.)

Feedback

Survey

85% 0 0 0

Component 3: Catalytic financing efficiently disbursed to support the incubation and implementation of local solutions

3.1 Total value of USG

GUC provided




Multi-stakeholder


GOI, CSO, etc.)

Grant

Agreements and

Reports

Discuss

with

USAID

0 0

Activity 3.1 Jalin provides catalytic financing to local solutions in a timely manner

3.1.a Number of grants for

catalytic financing

provided




Multi-stakeholder


GOI, CSO, etc.)

Grant

Agreements and

Reports

Discuss

with

USAID

0 0

Activity 3.2 Jalin funding is provided in a timely manner

3.2.a

Percentage of local

solutions requiring

GUC funding where

funds disbursed in a

timely manner




Multi-stakeholder


GOI, CSO, etc.)

Grant Financial

Monitoring

100% 0 NA NA

26


ACTIVITY LOCATION DATA

No Provinces Address Geolocation Status

1 North Sumatera Regus Medan

Jalan Imam Bonjol 9, Forum Nine 9th Floor, Petisah Tengah,

Medan Petisah, Medan City, North Sumatra 20236

3°35'12.6"N 98°40'27.6"E Temporary

2 Banten Dinas Kesehatan Provinsi Banten

Jalan Syeh Nawawi Al Bantani, Kawasan Pusat Pemerintahan

Provinsi Banten, Curug, Sukajaya, Curug, Kota Serang,

Banten 42171

6°10'18.3"S 106°09'30.4"E Temporary

3 West Java Jl. Terusan Karang Tineung No.60 – Bandung, Jawa Barat

40163 6°52'59.9"S 107°35'10.6"E Permanent

4 Central Java PMI Jawa Tengah

Jl. Arum Sari Rt. 11 Rw. 02 Sambiroto, Tembalang, Kota

Semarang, Jawa Tengah

7°01'47.9"S 110°27'18.8"E Temporary

5 East Java Regus Surabaya

Sinarmas Land level 12a room number 1379 Jl Pemuda 60-

80, Surabaya

7°15'54.3"S 112°44'48.9"E Temporary

6 South Sulawesi Gedung Tribun Timur, Lantai 3, Jl. Cendrawasih No. 430,

Makassar, Sulsel 90134 5°10'25.3"S 119°24'31.9"E Permanent

RESOLUTION OF PREVIOUS PROBLEMS

During the previous quarter, USAID sent DAI a letter regarding performance issues. The letter identified

five areas of concern: Quality of Deliverables, Schedule of Deliverables, Management – Responsiveness,

Management – Program Management, Management – Management of Key Personnel. DAI responded with a

Corrective Action Plan to address each of these areas including finding a new COP, Kirsten Weeks, and

recruiting for a new Technical Director. All remaining outstanding deliverables – MERLA Plan,

Communication/Dissemination Plan, and Data Management Plan – were approved. The Correction Action

Plan period is complete, and USAID indicated satisfaction over DAI’s response from Jalin in Indonesia and

support from DAI’s Home Office. DAI continues to conduct weekly check-in meetings in Jakarta and

monthly calls from the Home Office with USAID.

NEW PROBLEMS ENCOUNTERED

Jalin continues to work with MOH, notably KesGa, and through GOI bureaucratic processes to obtain full

acknowledgement of Project national and subnational plans, activities, and personnel. Without formal MOH

support, Jalin cannot obtain Ministry of Interior concurrence for expatriate staff and therefore cannot help

them with a range of legal and administrative tasks including but not limited to obtaining work and living

permits, receiving household effects, and opening personal bank accounts.

OTHER NOTABLE DEVELOPMENTS

At the end of the reporting period local elections took place in all Jalin provinces. While Jalin is tracking

election results and what they may portend for local politics, the Project is confident that its activities are

outside of the political fray and sufficiently non-political. Jalin’s national and subnational staff are experienced

to develop and execute strategies within changing political environments.

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight

SLehman

Highlight


27

PROPOSED SOLUTIONS

Jalin will build upon what is working to continue to mitigate and resolve challenges as they emerge. A key

priority for the next quarter is improving our communications with external stakeholders to better present

Jalin as a partner sharing evidence and successfully engaging with partners to develop local solutions.

Establishing strong, mutually beneficial relations with GOI and other partners and counterparts will help

minimize negative perceptions of or misunderstandings about Jalin.

PLANNED ACTIVITIES FOR Q3 PROJECT YEAR 2018

Operational

• Continue to hire staff (Technical Director, Jakarta local staff, Regional staff).

• Establish regional operations in targeted provinces.

• Internet Technology support to establish server and systems in Jakarta and all regional offices.

• Field Accounting System training.

Technical

• Undertake Media Engagement Plan and Social Media Plan;

• EMNC data collection of Wave 1;

• Preparation for Wave II EMNC data collection;

• Development of the Jalin Knowledge Management Strategy;

• 3rd MAB meeting;

• Value Chain Analysis;

• Continued stakeholder engagement that will lead to co-creation, partnerships, and solutions;

• Support to POGI event;

• Agreement with POGI for technical assistance in Provinces;

• Establishment of Blanket Purchase Agreement-style agreements for BDS and Media Support;

following issuance and responses to requests for proposals;

• Finalize first Co-creation Solution agreements; and

• Orientation for grantees for EMNC study, waves and eventual Knowledge Management partners.

Travel

Travel needs will evolve over the quarter. Jalin will submit travel requests in advance and in close

coordination with USAID. The table below illustrates current travel for the next quarter.

Consultant Purpose Timing

Kirsten Weeks, COP Mobilization July 2018

Chris Felley, DCOP Visa trip to Singapore July 2018

Emily Weaver/ Henry Kalter VASA training/field testing for EMNC

activity

July 2018

Slobodan Zivkovic, DAI Bethesda IT Support July-August 2018 (approximately 4

weeks)

David Anderson – Value Chain

Assessment Specialist

Lead Value Chain Assessment and Health

Finance systems specialist

July – August 2018, and possibly

September 2018

Omair Azam and Philip Setel Support for EMNC efforts July 2018

Prateek Gupta, MERLA Director Visa trip to Singapore August 2018


28

Susan Scribner, DAI Bethesda Management visit July 2018

Ed Crowley, DAI Bethesda FAS Accounting System set up and training August-September 2018

(approximately 4 weeks)

Tanja Lumba, DAI Bethesda TAMIS customization and training September 2018

Chris LeGrand, DAI Bethesda Management visit September 2018

SUCCESS STORIES

Per guidance from the USAID DOCS team, Success Stories should be about outcomes and not process. Jalin

is in the early stage of implementation and all of our experience to date is about process. Jalin requests a

technical direction from USAID to reflect conversations with USAID and the DOC team so that success

stories will be included in subsequent quarterly reports, but to date any success story would be about

process and not meet USAID requirements.

PHOTOS

Photos will be submitted in a separate zip file for USAID use.


29

ANNEXES

ANNEX 1: RINGKASAN EKSEKUTIF

ANNEX 2: POTENTIAL DISTRICTS PRIORITIZED WITH KESGA FOR

EMNC

Province City/District Population

2018

Maternal deaths (2016 routine data)

Neonatal deaths

MoH Reported Political Commitment

Sample Registration System (SRS)

Stunting intervention area

West Java Karawang 2,127,791 61 169 Yes Yes Yes

West Java Cirebon 2,255,734 47 197 Yes Yes Yes

West Java Cianjur 2,369,312 34 126 Yes Yes Yes

Central Java Semarang 930,727 14 89 Yes Yes No

Central Java Sukoharjo 899,412 12 65 Yes Yes No

Central Java Brebes 1,892,006 54 312 Yes Yes Yes

East Java Ponorogo

933,286 12 145 Yes Yes No

East Java Bondowoso

803,969 20 133 Yes Yes Yes

East Java Pasuruan

1,650,412 23 151 Yes Yes No

Sumatera Utara Karo

382,444 7 12 Yes Yes No

Sumatera Utara

Serdang Bedagai

646,999 7 40 Yes Yes No

Sumatera Utara Asahan

728,448 17 24 Yes Yes No

Sulawesi Selatan Bone

782,686 12 84 Yes Yes No

Sulawesi Selatan Jeneponto

390,756 8 58 Yes Yes No

Sulawesi Selatan Gowa

744,502 18 82 Yes Yes No

Banten Kabupaten Serang

1,530,761 59 146 Yes Yes No

Banten Kabupaten Pandeglang

1,254,460 38 201 Yes Yes Yes


30

ANNEX 3: MOVING THE MAB FORWARD

The primary function of the MAB is to advise, connect, and advocate. To some extent, this is

happening between quarterly meetings as noted earlier in the report, however this can be

improved. The quarterly meetings themselves can be improved as well to foster greater

engagement and impact. Immediately after the June quarterly meeting, the Jalin secretariat had

virtual discussions and input from the chair, co-chair, some members and USAID about improving

participation and moving forward.

Quarterly Meeting Improvements

• Prior to every Quarterly meeting Jalin will come to consensus with the Chair and Co-Chair for

the proposed objective of each meeting with desired outcomes around the MAB’s role of

advising, connecting, and advocacy. We have tried to get on the same page with the chair and

co-chair by meeting them prior to the recent quarterly meeting but will provide more structure

to these conversations. Jalin's leadership (COP or other SMT member) and MAB secretariat should ideally co-moderate every MAB meeting with chair and co-chair.

Stewardship of achieving the objective lies with co-moderator from Jalin.

• Every meeting should start with update on actual operations of Jalin and the notable output/

progress at the national level and at the regional level. Moving beyond the theory of change to

not just the theory, but recent evidence and the actual what and how of Jalin progress. Jalin

should also share bottlenecks with the membership to seek their counsel and advocacy to move

things forward.

• Jalin will further explore remote participation for invitees who are hindered from attending

meetings(s) in person (e.g. via skype, webinar, etc.).

Beyond Quarterly Meetings

• Work with the co-chair to host some of the MAB Task Force work at the Ministry of Health to

optimize participation MoH participation.

• Continue to engage MAB membership beyond quarterly meetings to leverage their core

expertise. For example, Jalin plans to request Samuel Pangerapan from the ICT Ministry to host discussions for potential ICT-related partnerships solutions at his office and invite other IT

expert members of MAB and technical experts from the Ministry of Health and the private

sector.

• Manage the format of task-forces to be concise and action-oriented. This includes better

engagement and preparation for MAB meetings beyond the quarterly meeting. Overall

accountability for the MAB lies within the partnerships team, however it is crucial that all

specialists across Jalin take ownership of the agenda of task-force progress and quarterly

meetings relevant to their expertise.

• Explore expanding MAB participation from the private sector to further Jalin’s market-driven

agenda. Also explore with the Chair and Co-Chair succession guidance to be more focused on

the private sector for the second year of the MAB. This will facilitate smoother leadership

transition and broader engagement.


31

• Further reflection on the MAB and measuring its effectiveness in collaboration with the DE

partner. Currently the indicator is quarterly meeting participation which does not reflect the

role of the MAB or off-quarterly meeting inputs, which are potentially more key to Jalin’s

success.

• Refine expectations for what is reasonable given the pro bono nature of the Jalin MAB and the

members other commitments. There has been some feedback from MAB members seeking

more participation, but other members have indicated an understanding of a more limited

quarterly commitment.


32

ANNEX 4: MEDIA COVERAGE

(DIRECT MENTION – USAID JALIN)

Printing Media Involving Local Level to Reduce the Maternal Mortality Rate KOMPAS, May 24, 2018:


33

Online Media

In One Hour, Indonesia Lost Two Mothers and 8 Newborns Tribunnews, May 23, 2018 http://m.tribunnews.com/nasional/2018/05/23/dalam-satu-jam-indonesia-kehilangan-dua-ibu-dan-8-bayi-baru-lahir In One Hour, 2 Mothers and 8 Newborn Died on Post Birth Viva, May 23, 2018 https://www.viva.co.id/gaya-hidup/kesehatan-intim/1039285-dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran Ministry of Health and USAID Commitment on Reducing the Maternal and Newborn Mortality Through 'JALIN' President Post, May 23, 2018. https://presidentpost.id/2018/05/23/kemenkes-ri-dan-usaid-komitmen-tekan-kematian-ibu-dan-bayi-baru-lahir-melalui-jalin/ Ministry of Health Highlight that the Maternal and Newborn Mortality Cases Still High President Post, May 23, 2018. https://presidentpost.id/2018/05/23/kemenkes-garis-bawahi-kasus-kematian-ibu-dan-bayi-baru-melahirkan-masih-tinggi/ Indonesian and US Government Partnership to Reduce Maternal and Newborn Mortality ANTV Klik, May 23, 2018. https://newsplus.antvklik.com/news/kolaborasi-indonesia-dan-amerika Reducing the Maternal and Neonatal Mortality Rate through Partnership Majalah CSR, May 23, 2018. http://majalahcsr.id/tekan-angka-kematian-ibu-melahirkan-dan-neonatal-dengan-bermitra/ Ministry of Health's Solution to Reduce Maternal and Newborn Mortality Rate Pop Mama, May 24, 2018 https://www.popmama.com/pregnancy/birth/novyagrina/solusi-kemenkes-untuk-kurangi-angka-kematian-ibu-dan-bayi-baru-lahir

http://m.tribunnews.com/nasional/2018/05/23/dalam-satu-jam-indonesia-kehilangan-dua-ibu-dan-8-bayi-baru-lahir

http://m.tribunnews.com/nasional/2018/05/23/dalam-satu-jam-indonesia-kehilangan-dua-ibu-dan-8-bayi-baru-lahir

https://www.viva.co.id/gaya-hidup/kesehatan-intim/1039285-dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran

https://www.viva.co.id/gaya-hidup/kesehatan-intim/1039285-dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran

https://presidentpost.id/2018/05/23/kemenkes-ri-dan-usaid-komitmen-tekan-kematian-ibu-dan-bayi-baru-lahir-melalui-jalin/

https://presidentpost.id/2018/05/23/kemenkes-ri-dan-usaid-komitmen-tekan-kematian-ibu-dan-bayi-baru-lahir-melalui-jalin/

https://presidentpost.id/2018/05/23/kemenkes-garis-bawahi-kasus-kematian-ibu-dan-bayi-baru-melahirkan-masih-tinggi/

https://presidentpost.id/2018/05/23/kemenkes-garis-bawahi-kasus-kematian-ibu-dan-bayi-baru-melahirkan-masih-tinggi/

https://newsplus.antvklik.com/news/kolaborasi-indonesia-dan-amerika

http://majalahcsr.id/tekan-angka-kematian-ibu-melahirkan-dan-neonatal-dengan-bermitra/

https://www.popmama.com/pregnancy/birth/novyagrina/solusi-kemenkes-untuk-kurangi-angka-kematian-ibu-dan-bayi-baru-lahir

https://www.popmama.com/pregnancy/birth/novyagrina/solusi-kemenkes-untuk-kurangi-angka-kematian-ibu-dan-bayi-baru-lahir


34

Ministry of Health and USAID Commitment in Reducing the Maternal and Newborn Mortality Rate Senior, May 23, 2018. http://senior.id/2018/05/23/komitmen-kemenkes-ri-dan-usaid-tekan-kematian-ibu-dan-bayi-baru-lahir/ Addressing the Maternal and Newborn Mortality Focuses on 6 Regions Harian Nasional, May 23, 2018. http://www.harnas.co/2018/05/23/penanganan-kematian-ibu-dan-bayi-fokus-di-6-daerah

Maternal and Neonatal Mortality Facts in Indonesia Inilah, May 23, 2018 https://m.inilah.com/news/detail/2457659/fakta-kematian-ibu-dan-neonatal-di-indonesia Maternal and Neonatal Mortality Facts in Indonesia Financehighlights, May 24, 2018 http://www.financehighlights.com/fakta-kematian-ibu-dan-neonatal-di-indonesia/

In One Hour, 2 Mothers and 8 Newborns Deaths in the Postpartum Financehighlights, May 24, 2018 https://keponews.com/dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran/

(NO DIRECT MENTION – USAID JALIN)

Online Media Indonesia's Maternal and Newborn Mortality Rate, the Top 10 Countries in the World Media Indonesia, May 24, 2018. http://mediaindonesia.com/read/detail/162637-angka-kematian-ibu-dan-bayi-indonesia-10-negara-tertinggi-di-dunia Indonesia in the Top 10 Neonatal Mortality in the World Lampung Post, May 24, 2018 https://lampungpost.id/pemdidikan/indonesia-masuk-10-besar-kematian-neonatus-tertinggi/ Indonesia in the Top 10 Neonatal Mortality in the World Kedaulatan Rakyat Jogja, May 24, 2018. http://krjogja.com/web/news/read/67132/RI_Masuk_10_Besar_Neonatal_Tertinggi_di_Dunia

http://senior.id/2018/05/23/komitmen-kemenkes-ri-dan-usaid-tekan-kematian-ibu-dan-bayi-baru-lahir/

http://www.harnas.co/2018/05/23/penanganan-kematian-ibu-dan-bayi-fokus-di-6-daerah

https://m.inilah.com/news/detail/2457659/fakta-kematian-ibu-dan-neonatal-di-indonesia

http://www.financehighlights.com/fakta-kematian-ibu-dan-neonatal-di-indonesia/

https://keponews.com/dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran/

http://mediaindonesia.com/read/detail/162637-angka-kematian-ibu-dan-bayi-indonesia-10-negara-tertinggi-di-dunia

http://mediaindonesia.com/read/detail/162637-angka-kematian-ibu-dan-bayi-indonesia-10-negara-tertinggi-di-dunia

https://lampungpost.id/pemdidikan/indonesia-masuk-10-besar-kematian-neonatus-tertinggi/

http://krjogja.com/web/news/read/67132/RI_Masuk_10_Besar_Neonatal_Tertinggi_di_Dunia