Voice of Children and Community for Rights to Health (SAHABAT)

Organization(s)

Wahana Visi Indonesia

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Basic Project Information

Wahana Visi used a comprehensive set of social accountability approaches to push for citizen engagement and policy change to improve maternal, newborn, and child health and nutrition.

Problem Type

Project Summary

Objectives

Help transform the government system on maternal, newborn, and child health and nutrition (MNCHN)

  • Improve policies on MNCHN at national level, in two provinces, and in five districts/municipalities
  • Enhance civil society capacity to address MNCHN issues
  • Enhance community capacity to claim MNCHN rights and advocate within government planning meetings
  • Increase awareness of Wahana Visi Indonesia as a credible organization on MNCHN issues

Summary

Wahana Visi used its Community Voice and Action (CVA) approach to promote broad-based improvements in the design and implementation of MNCHN policies. The CVA model, which World Vision has used around the world, is a comprehensive community advocacy and accountability approach that incorporates multiple social accountability methodologies. The SAHABAT project drew on many of these and included the following:

  • Training village-level facilitators
  • Educating citizens and local community leaders about their rights and existing MNCHN policies
  • Citizen service monitoring and comparing performance with established service standards
  • A community scorecard and interface meeting between service users and providers
  • Dialogue with district-level policymakers

In some areas, communities also used these mechanisms to push for improvements in education services as part of the government’s “Child Friendly City” initiative.

Use of Information Communication Technology

Yes – Community radio was used in some localities

Scale

1,700 individuals across 27 villages

Target Population

Integrated Health Service Post (Posyandu) service providers and users
Results

Results Methodology

Self-reported results - External evaluation to be conducted in 2015

Indicators Used

  • Percentage of government's budget for MNCHN
  • Number of district development plans with detailed strategy for MNCHN improvement    

Reported Results

  • More women engaged in development planning meetings at the village as well as sub-district level
  • Increased citizen-service provider dialogue on service quality
  • New MNCNH regulations drafted
  • Increased local government budget allocation for integrated health service posts
  • A new integrated health service post established in an area far from existing ones
  • More midwives assigned to villages in need and actively engaged in integrated health service posts
  • Improved effectiveness of working group to oversee and improve upon integrated health post effectiveness
  • Increased political involvement of village facilitators, including some becoming members of regional and local legislatures or heads of villages
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