Village-level Advocacy to Revitalize Family Planning in a Decentralized Indonesia

Yeni Tri Herwanto, Dini Haryati, Sri Supiaty

Abstract


While Indonesia was once hailed as a Family Planning success story, progress has stalled over the past decade. IDHS 2012 showed the Modern Contraceptive Prevalence Rate is stable at 58%, the method mix is highly skewed towards short-acting contraceptive methods, despite their higher rates of discontinuation and the desire for longer-acting methods to limit births. Unmet need persists at 11.4%. One explanation for this halted progress is decentralization, which began in Indonesia in the early 2000s. In general, decentralization has caused a decrease in institutional support for FP programs at the district and village levels. The number of FP field officers has also decreased significantly. However, in 2012, the Indonesian House of Representatives passed the ―Village Law No. 6/2014‖ to ensure that the central government transfers development funds directly to villages in order to fulfill basic needs. In light of this law, it is important to conduct advocacy at the village

level to ensure that some of these village funds are used for reinvigorating FP programs.

In January 2015, Yayasan Cipta Cara Padu (YCCP) collaborated with 7 Districts Working Groups (Karanganyar, Lumajang, Tuban, Kediri, East Lombok, West Lombok and Sumbawa) began conducting advocacy among village policymakers with the goal of allocating village funds to support FP and revitalizing ―FP village team‖. This activity was conducted as part of Advance

Family Planning (AFP) and Improving Contraceptive Method Mix Project (ICMM).

This program shows that, in the era of decentralization, advocacy among village-level policymakers allocate village budget for community mobilization on FP, increase availability and quality of FP services. It also shows that, regulations and dedicated funding to local working groups such as these

can improve local buy-in and sustainability. 


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References


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Indonesia Ministry of Health. (2013). National Action Plan Family Planning Service 2014 - 2015. Jakarta: Ministry of Health.

Indonesia Statistic Center Board, Ministry of Health, & Population and Family Planning Board. (2012). Indonesia Demographic and Health Survey 2012. Jakarta: Population and Family Planning Board.

Johns Hopkins Bloomberg School of Public Health, & Bill & Melinda Gates Institute for Population and Reproductive Health. (2012). Advance Family Planning : An Evidence-Based Advocacy Initiative. In J. H. B. S. o. P. Health (Ed.). Baltimore: Jhons Hopkins Bloomberg School of Public Health.

Johns Hopkins Center for Communication Program. (2012). Improving Contraceptive Method Mix in Indonesia. Retrieved April 4, 2015, from http://ccp.jhu.edu/projects/improving-contraceptive-method- mix-indonesia/

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