Jakarta Program Presentation Kansas City April 16, 2008

Strengthening Local Capacity

CONTEXT: Urbanization trends in Indonesia

• 240 million population in Indonesia• 42% living on < US$2/day (110 million people)

World Bank, Making the New Indonesia Work for the Poor, 2006

• 50% urban, 21 million slum dwellers• 90% of shallow wellwater in Jakarta infected

with e coli bacteria or heavy metals• 19% deaths of children under 5 due to diarrhea

(nationwide data)• Diarrhea one of the three major causes of

under five morbidity in Jakarta

PROBLEM IDENTIFICATION: Baseline Data

• 23.5% Stunting• 24% Underweight• Only 9.5% of

caregivers feed their children appropriately

• 12% of mothers practice correct hand washing

• 43.5% of mothers dispose of children’s feces in the open gutters

Part 3

PROGRAM HISTORY: Title II programs from emergency to development

Emergency

Food Distribution

Emergency

Food Distribution

EC

ON

OM

IC C

RIS

IS TAP (Transitional Activities Program)

Institutional feeding, maternal and child health, skill training• Food for work

DAP (Development Assistance Program)

SENYUM project

• Focus on nutrition status of kids under five / Water and Sanitation improvements / Development of nutrition model•Food for Capacity building and marketing strategy

1999 2000 2004 2008

From Emergency To Development

Sustainability of Impact

• As part of our development approach, Mercy Corps ensured that local leaders, such as government and community groups, were actively involved from the beginning

• Program meets local priorities/ fits local strategy

• USAID/FFP prioritization exercise, 2006 – no more Indonesia

• DAP concludes in September 2008

CAPACITY BUILDING: Community Process

CAPACITY BUILDING: Actors

• Individual level• Community level• District and Provincial

Government level

Key Data

# Municipalities 5

#Communities 42

# children (intensive nutrition program)

9,277

# health volunteers 487

Total Beneficiaries 91,832

Total catchment population 374,853

CAPACITY BUILDING INDIVIDUAL: Neighbors learn strategies

• Neighbors who have underweight children learned these new strategies through regular support group meetings.

• Mothers cook, share strategies and practice new behaviors.

• Children gain weight and become healthier in just 2 weeks.

CAPACITY BUILDING: Community support

• Community and family support is vital making sustainable change.

• 56% resources for projects (building health centers/ pathways, etc) from community contribution

• For example, communities have built hand washing stations so busy mothers can easily wash hands with soap.

CAPACITY BUILDING: Government level

• The Ministry of Health maintains a series of local health posts, largely targeted to children under five.

• These are staffed by health volunteers, who are respected and recognized in the community.

• Over the past few years, creating a Government Nutrition Program has been central to Ministry of Health strategy & included in budget.

CAPACITY BUILDING: Results at Government level

• 20 government health staff trained as child nutrition (Positive Deviance) trainers.

• 357 government staff/ volunteers trained by government trainers.

• 6 districts able to pilot and scale up the project using their own resources.

• Government trainers able to train other Provinces and International NGO staff.

CAPACITY BUILDING: Success story of Ibu Susi

• Before peer group activities there was no health center to serve one slum community.

• Four community health posts established.

• Posts staffed with health volunteers and supported by Ministry.

• 800 children able to get services from community health posts.

Government program leading health and nutrition efforts in Jakarta

Emergency Food Distribution

Emergency Food Distribution

Government Nutrition Program

Government Nutrition Program

EC

ON

OM

IC C

RIS

IS

TAP (Transitional Activity Program)• Food for work, institutional feeding, maternal child health, skill training• Food Security

DAP (Development Assistant Program) SENYUM project• Focus on nutrition status of kids under five / Watsan improvements / Development of nutrition model• Food Security

Punctual Emergency Shocks(OFDA funds)

Punctual Emergency Shocks(OFDA funds)

Healthy StartBreastfeeding

Promotion(2006-2008)

Healthy StartBreastfeeding

Promotion(2006-2008)

HP3(Healthy Places Prosperous People)

Economical driven environmentImprovement (2006-2009)

HP3(Healthy Places Prosperous People)

Economical driven environmentImprovement (2006-2009)

NEW PROJECTS DEVELOPMENT

1999 2000 2004 2008

From Emergency To Development

Action Center to End World Hunger – Opening in lower Manhattan in October 2008