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Strengthening Local Capacity

Jakarta Program Presentation. Strengthening Local Capacity. Kansas City April 16, 2008. 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.

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Strengthening Local Capacity

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  1. Jakarta Program Presentation Strengthening Local Capacity Kansas City April 16, 2008

  2. 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

  3. Part 3 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

  4. ECONOMIC CRISIS PROGRAM HISTORY: Title II programs from emergency to development • DAP (Development Assistance Program) • SENYUMproject • Focus on nutrition status of kids under five / Water and Sanitation improvements / Development of nutrition model • Food for Capacity building and marketing strategy • TAP (Transitional Activities Program) • Institutional feeding, maternal and child health, skill training • Food for work Emergency Food Distribution From Emergency To Development 1999 2000 2004 2008

  5. 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

  6. CAPACITY BUILDING: Community Process

  7. CAPACITY BUILDING: Actors • Individual level • Community level • District and Provincial Government level

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Punctual Emergency Shocks (OFDA funds) Government Nutrition Program • DAP (Development Assistant Program) SENYUMproject • Focus on nutrition status of kids under five / Watsan improvements / Development of nutrition model • Food Security • TAP (Transitional Activity Program) • Food for work, institutional feeding, maternal child health, skill training • Food Security Emergency Food Distribution ECONOMIC CRISIS From Emergency To Development NEW PROJECTS DEVELOPMENT HP3 (Healthy Places Prosperous People) Economical driven environment Improvement (2006-2009) Healthy Start Breastfeeding Promotion (2006-2008) 1999 2000 2004 2008 Government program leading health and nutrition efforts in Jakarta

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

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