2024: The FAR, Federal Acquisition Regulations - Part 25
Sun movement in indonesia brussels nutrition seminar
1. MINISTRY OF NATIONAL DEVELOPMENT PLANNING/
NATIONAL DEVELOPMENT PLANNING AGENCY (BAPPENAS)
SCALING UP NUTRITION (SUN)
MOVEMENT IN INDONESIA
Brussels, January 8, 2014
NINA SARDJUNANI
Deputy Minister for Human Resources and Cultural Affairs,
Ministry of National Development Planning/BAPPENAS
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2. I. Malnutrition in Indonesia: status,
causes and concerns
II. Towards scaling up nutrition in
Indonesia
III. Monitoring and evaluation
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OUTLINE
5. Indonesia’s Situation for number of
malnourished children
MillionofChildren
Prevalence data: RISKESDAS, 2013
Population: Pusdation Projected Population, 2011
6. Stunting is an issue in every province
Prevalence of stunting
40+
30-39
20-29
<20 Source: BKP/WFP using RISKESDAS 2007 data
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7. Rising inequities in stunting
Source: RISKESDAS 2007 & 2010
Reduction in stunting in
children in highest wealth quintile
Increase in stunting in
children in lowest wealth quintile
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8. Recent success in reversing the downward
trend in exclusive breastfeeding
Source: IDHS, 1994, 1997, 2002-3, 2007 and 2012
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9. What causes undernutrition in
Indonesia?
• Only 36% children 6-23 months
consume a “minimum acceptable
diet” (IDHS, 2012)
• 14% of children have suffered
diarrhea in the last 2 weeks (IDHS,
2012)
• 24% defecated in the open (JMP,
2013)
• 14% do not have access to an
improved water source (JMP, 2013)
• Only 42% children less than 6
months are exclusively breastfed
(IDHS, 2012)
• 12% are below the national poverty
line (SUSENAS, 2012)
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11. Bringing People Together
• Presidential Decree No. 42/2013
on National Movement to
Accelerate Nutrition Improvement
within the Framework of the First
1000 Days of Life
– Provide authority to the Coordinating
Ministry of People’s Welfare to
oversee the coordination of the SUN
Movement in Indonesia
– Identify coordinating structures to
convene multiple stakeholders and
sectors at national and sub national
level
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12. Coordinating Structure
TASK FORCE
(Coordinating Minister
of People’s Welfare)
Advisory Team
(Coordinating Minister of
People’s Welfare)
Technical Team
(Deputy Minister of Human
Resources Development &
Cultural Affairs- Bappenas)
Campaign
Advocacy
Training
Partnership
Planning &
Budgeting
Environmental,
Safety Health
Team of Experts
(Supporting Technical
Team)
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13. • Soft Launching by Coordinating Minister for People’s Welfare, attended
by Minister of National Development Planning, Minister of Health,
Minister for Woman Empowerment and Child Protection, and other
stakeholders from Central and Local level, September 19, 2012.
• Advocacy, Consultation, and Workshops have been held by
Government, Professional Organization (Nutritionist and Public Health
Society), UN Agencies, at national and sub-national level to galvanize
support for the movement. One of which is the National Workshop on
October 28, 2013 by Coordinating Minister for People’s Welfare.
• Grand Launching by the HE Susilo Bambang Yudhoyono, President of
the Republic of Indonesia, on October 31, 2013 during World Food Day
with theme “Optimalization of Local Recourses through Food
Diversification to Reach Food Self-sufficiency and Community Nutrition
Improvement”
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14. Use of various advocacy materials to disseminate information of
the national movement to accelerate nutrition improvement.
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15. Putting Policies in Place
• Policy Framework for the first 1,000 days
movement is the central policy document for
SUN movement. It identifies six nutrition
goals that cover stunting, wasting, over
weight, low-birth weight and exclusive
breastfeeding
• Guidelines for Program Planning is a
reference for stakeholders for planning and
budgeting as well as for implementing,
monitoring and evaluating the progress of
SUN movement
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16. • Food and Nutrition Action Plan 2011-2015 (National
& Provinces)
– Developed as a guideline and direction in
implementing food and nutrition development at
national, provincial, district levels, not only for
government but also for other related parties involved
in the food and nutrition improvement.
– All relevant ministries such as the ministry of health,
agriculture, industry, home affairs, education, religious
affairs, food and drug control, marine and fisheries,
and bappenas (developmen & planning agency) are
ready and are committed to act
– In progress: aligning indicators with SUN Policy
Framework (specific and sensitive nutrition
intervention)
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17. Major opportunities in Indonesia
• Extensive community network of cadres and posyandu to reach children
and women close to where they live
• Social protection platforms that target the most vulnerable children and
women are in the process of being scaled-up and can be designed in way
that impact more effectively on nutrition:
– PNPM (National Program for Community Empowerment) Generasi
and MCA Indonesia in 11 provinces, 64 districts, 499 sub-districts,
5206 villages
– PKH Prestasi (Conditional Cash Transfer)
– National Insurance Program coverage
• Thriving business sector which can contribute enormously, if harnessed
appropriately and in-line with government regulations to protect
children’s rights to breastfeed.
• Parent’s desire for their children to do well at school – parents are our
most important ally but need to understand how important nutrition is in
early life.
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18. Critical components for SUN scale-up
• Leadership and champions for nutrition, starting from the
highest political level, to help raise public awareness and protect
funding allocations.
• Effective coordination of nutrition actions with strong political
support to coordinate efforts among key sectors and stakeholder
groups at national and subnational level.
• Nutrition on goals and targets are in included in national
development plans and sector-specific strategies and plans
• Laws, regulations and standards in place and enforced at
national and subnational level to protect the rights of children
and women to good nutrition.
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19. Critical components for SUN scale-up
• Build capacity of provincial and district governments to deliver
nutrition services
• Assign clear accountabilities for each stakeholder in all relevant
sector and at all levels.
• Collect nutrition-relevant data at regular intervals to track
progress, identify needs and improve accountability.
• Support civil society groups to generate and disseminate data
at subnational level to make the undernutrition problem visible
and to improve the coverage and quality of service delivery.
• Protect nutrition funding in national and subnational budgets
and mobilise alternative sources of funding.
• Ensure effective mechanisms to reach community members
including network of motivated and skilled community based
workers.
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21. Monitoring & Evaluation Framework
(IMPACT Level)
• M&E and information system to monitor progress:
• Basic Health Research (Riskesdas)- every 3 years
• IDHS/SDKI – every 5 years
• Social Economic Survey/Susenas)- annually (core)/3 years
(specific)
• Nutrition Indicators Collected (Impact Level):
– In line with the WHA global nutrition targets
• U-5 Stunting (Riskesdas)
• U-5 Wasting (Riskesdas)
• U-5 Over Weight (Riskesdas)
• Low Birth Weight (Riskesdas/IDHS)
• 0-6 months Exclusive Breastfeeding (Riskesdas/IDHS)
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22. • Nutrition Indicators Collected:
– Nutrition Specific
• 4+ food groups 6-23 months (IDHS)
• Children 3 IYCF 6-23 months (IDHS)
• Zinc treatment (IDHS)
• 4+ ANC for pregnant mother (Riskesdas/IDHS)
• Deworming (IDHS)
• Vitamin A (Riskesdas/IDHS)
• Iron Folate Supplementation (Riskesdas/IDHS)
• Presence of Iodized Salt in HH (Riskesdas)
Monitoring & Evaluation
Framework
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23. • Nutrition Indicators (cont.):
– Nutrition Sensitive
• Access improved water %pop (IDHS)
• Access improved sanitation %pop (IDHS)
• Access to primary school enrollment (SUSENAS)
• Un-met need for family planning (IDHS)
• Birth Rate (IDHS)
• % births attended by SBA (IDHS)
• Poverty Rate- %pop living below poverty line (SUSENAS)
Monitoring & Evaluation
Framework
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24. • Growth Monitoring (monthly)
• Twice a year Vitamin A
Supplementation for 6-59
months (February and August)
• Exclusive breastfeeding
(monthly)
• Pilot: Twice a year height
measurement during Vitamin
A Supplementation on
February and August
Routine Data Collected-Nutrition
(Community Level)
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25. Monitoring & Evaluation
Mechanism
• Identification of the results showing progress of implementation of
each activity using agreed progress indicators;
• Conduct monitoring and evaluation using available mechanism to
collect data on key program indicators;
• Monitoring of results for output and outcome indicators through
data/report collected from supervision, survey or special study
developed to monitor and evaluate the outcome of the movement.
• At Central Level, a monitoring and evaluation team will be
established using existing structures and it will be supervised by the
technical team which is under the oversight of Bappenas.
• At Sub-National level, similarly, such an M&E team will be
established using existing structures and it will be supervised by the
technical team which is under the oversight of Bappeda.
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26. • Results related to Inputs and Process indicators will be collected
every semester (twice a year), while results of outputs and
outcomes related to nutrition specific and sensitive interventions
will be gathered either annually or every three years.
• At national level, the Chairman of the Task Force will report
implementation progress of the Movement to the President on a
regular basis that is, at least once a year or at any time if necessary.
• At sub-national level, the governor, regent/mayor will report
progress of implementation of the Movement in their respective
areas to the Chairman of the Task Force with a copy to the Minister
of Home Affairs ior at regular intervals of at least once a year or at
any time if necessary.
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Monitoring & Evaluation
Mechanism
