Project: Citizen Voice and Action for Government Accountability and Improved Services in Indonesia
Country: Indonesia
Sector: Governance and Health
Executing Agency: Yayasan Wahana Visi Indonesia
Grant Amount: US$ 950,000
Closing Date: October, 2018

Challenge

In the last decades, there has been noticeable, although slow, progress achieved on improving health outcomes in Indonesia. Life expectancy has been extended and child mortality has fallen considerably. However, there remains substantial challenges to improve health results across the board. Maternal mortality rates remain stubbornly high and there has been limited progress on reducing neonatal mortality. In general, Indonesia compares poorly with other countries in the region on a number of health and nutrition indicators.

Significantly bottlenecks and capacity constraints exist, undermining the quality and effectiveness of service delivery in the health sector. Local authorities at the village district lack the necessary knowledge and capacity to formulate and implement coherent development programs to address citizen needs. Resources are not effectively allocated and health service providers, such as midwives, are not trained properly to offer adequate healthcare. Citizens face challenges in accessing information to monitor the quality and timeliness of service provision.

Solution

Yayasan Wahana Visi is an organization with extensive experience working on children issues at the community level that has received a grant from GPSA to improve maternal, newborn and child health outcomes through improvements in governance and service delivery in selected disadvantaged areas in Indonesia. This will be done by implementing four components that are geared towards: 1) simplifying and disseminating key budget and service delivery information to citizens; 2) deepening citizens’ understanding of budgets, policies, and rights; 3) enhancing citizen engagement with local authorities and developing performance criteria for health services; and 4) strengthening advocacy to mobilize citizens and public opinion for increased government responsiveness to citizens’ needs.  

Expected Results

It is expected that the grant will help Yayasan Wahana Visi achieve the following results:

  1. An increase in the number of midwives working at the village level. There will be at least one midwife in every village.

  2. Simplified and relevant information on maternal newborn and child health budgets and services will be produced and made available to citizens at the local level. Dissemination will also use social media to reach a broader audience.

  3. 120 village facilitators will be trained to assist target communities in monitoring services and engaging with local authorities.

  4. Around 6000 community members and local authorities will participate in education activities to deepen their understanding of health policies and entitlements, budget, and services standards.

  5. An increased number of citizens will take part in community meetings with local officials, influencing decision-making on health issues at the local level.

  6. Citizens and service providers will establish mutual agreements to monitor service standards.

  7. Information generated will be used to influence budget allocation and improve health services.

Lessons Learned

The grant is at its early stages and lessons will be added as they become available. However, the design of this grant benefits from the lessons learned from the Citizen Voice and Accountability (CVA) methodology that has been previously and extensively used by Yayasan Wahana Visi to effectively engage with local government authorities. 

Citizen Voice and Action Newsletter, April 2016

Year: 
2013
Country(s): 
Indonesia
Sector: 
Health