Sustainable Sanitation and Hygiene for Eastern

sehati / 1 sehati / 2 sehati / 3 SEHATI

Sustainable Sanitation and Hygiene for Eastern Indonesia

sehati / 4 sehati / 5 THE BOOK TEAM TABLE OF CONTENTS

Photography: Kahfy Yudha Wiansyah The Book Team 6 Nasrus Syukron Sabaruddin Table of Contents 7 Syaechu Aziz SEHATI Project: & North 8 Content: Sabaruddin About SEHATI 10 Nasrus Syukroni Syaechu Aziz Foreword: CEO of Plan International Indonesia 12

Expert Editor: Foreword: Head of BAPPEDA of North Lombok 13 Hanna Vanya Foreword: Head of Public Health Office of 14 Language Editor: Zulmahmudi CHAPTER 1: Triggering Behavior Change 15 CLTS Roadshow 16 Design & Layout: CLTS Triggering 20 Martin Dima CLTS Promotion 26 CLTS Monitoring 30 Examples of Houses Implementing 5 Pillars of CLTS 34

Plan International Indonesia CHAPTER 2: Efforts in the Provision of Cheap and High-Quality Sanitary Facilities 40 Gedung Menara Duta Lantai II Wing D, Sanitation Enterprises 42 Jln. HR. Rasuna Said Kav. B-9, CLTS Declaration 50 Jakarta Selatan 12910, Indonesia Telp.: (+6221) 522-9566 CHAPTER 3: Supporting Factors of Behavior Change 60 www.plan-international.or.id The National Water Supply and Environmental Sanitation Working Group 62 Inclusive Toilet 72 Monitoring Equality in CLTS 74 Waste Bank 78 Menstrual Hygiene Management 82 Profile of Champions 89

All rights reserved. SEHATI Team 96 No part of this publication may be reproduced without the prior permission of Yayasan Plan International Indonesia. sehati / 6 sehati / 7 Dompu Regency DOMPU SEHATI Location SEHATI Location & NORTH LOMBOK’S PROJECT SEHATI DATA OF SEHATI PROJECT 2019 PROVINCE 31 VILLAGES Villages in which pilot intervention is implemented

99 VILLAGES Villages in which replication is implemented 171.420 PEOPLE Woja Sub-district Dompu Sub-district Beneficiaries Replication in 4 villages Pilot in 3 villages SEHATI PROJECT: Replication in 2 villages 42.955 HOUSEHOLDS Benefited families Kempo Sub-district 1. Helping governments create access and utilization of Replication in 2 villages sanitary facilities sustainably in achieving universal access to sanitation in 2019. 21.495 HOUSEHOLDS (51%) Benefited families

2. Helping governments build the capacity in CLTS 23.570 CHILDREN Benefited girls management comprising planning and budgeting, supporting regulations, and monitoring framework. 25.666 CHILDREN Benefited boys

20 SCHOOLS Schools implementing MHM

34 VILLAGES Villages declaring CLTS

NORTH LOMBOK’S REALIZATION 61 VILLAGES Villages having budget for CLTS 4 GROUPS = 42 PEOPLE Pemenang Gangga Bayan – EARTHQUAKE IMPACT: Sanitation entrepreneurs Sub-district Sub-district Sub-district Replication Pilot in 3 villages Pilot in 5 villages 39 PEOPLE Trained MHM facilitators in 4 villages Replication Replication in 2 villages in 4 villages 46% 24% 19% 12% 1.228 youths Youth female participants

887 youths Youth male participants Tanjung Sub-district Kayangan Sub-district 0% 20% 40% 60% 80% 100% DOMPU Pilot in 4 villages Pilot in 3 villages Replication 3 villages Replication in 4 villages 61.662 PEOPLE Adult female participants REGENCY 46% # of houses with improves toilets 24% # of houses with no toilet 60.522 PEOPLE Adult male participants Manggelewa Sub-district Pajo Sub-district +X·X6XEGLVWULFW 19% # of houses that use toilet of others (shared toilets) Pilot in 3 villages Pilot in 3 villages Pilot in 4 villages NORTH LOMBOK REGENCY Replication in 3 villages Replication # of houses with unimproved toilets 740 CHILDREN Benefited children from MHM activities 12% in 3 villages sehati / 8 sehati / 9 IMPROVED SEHATI ABOUT CATALYSER ENABLER SUPPORTER SUPPLIER DRIVER TARGET SANITATION POPULATION AND Consortium District Sub-District Sanitation Village HYGIENE partners government government enterpreneurs authorities, actors actors volunteers FACILITIES AND PRACTICES SEHATI (Sanitasi dan Higiene Berke- represented by the National Water main strategy of the project is to pro- lanjutan di Indonesia Bagian Timur; Supply and Environmental Sanita- mote and to strengthen governmen- in English: Sustainable Sanitation tion Working Group (in Indonesian: tal leadership striving for effective, and Hygiene for Eastern Indone- Kelompok Kerja Air Minum dan harmonious, and consistent collabo- sia) project is a partnership project Penyehatan Lingkungan, abbrevi- ration at all levels. In addition, other between Plan International Indone- ated as Pokja AMPL). Local CBOs stakeholders (such as, government Figure 1: Capacity Development Process sia and governments at all levels in and CSOs engaged in sanitation and private agencies, civilians and creating access and utilization of sector are also working as partners. community members) also play pivot- sustainable sanitary facilities accom- al roles in providing WASH services. panied by hygiene behavior change SEHATI project focuses on building For that reason, Plan International In- campaign, institutional strengthen- capacity of regional government at donesia provides capacity-building ing, advocacy, and governmental regency and Sub-district levels, and programs for civil society groups as Plan International acting as catalyz- access to sanitation and hygiene Tenggara in 2019-2023 as known as capacity building in managing CLTS in selected villages (in which pilot independent stakeholders who are er will straight away assist region- products and services. NTB Gemilang, i.e., Gemilang 3: re- programs. intervention is implemented) to con- capable of advocating the needs of al governments (enablers), which alizing healthy and smart West Nusa duct strategies of five pillars in CLTS their communities. in turn will assist Sub-district gov- SEHATI project contributes to SDGs Tenggara related to “Access accel- This project, which has lasted for in the entire regency. The intended ernments (supporters), which will No. 1 stating “End poverty in all its eration toward proper sanitation” 4.5 years since 2016, will finish in capacity building is the lobbying When the capacity is developed, and furthermore accompany local gov- forms everywhere,” No.3 stating and Gemilang 4: realizing clean and 2020 with funding from EKN (Em- and advocacy skills to ensure the key elements (plan, budget, and poli- ernments (drivers) to implement “Ensure healthy lives and promote sustainable West Nusa Tenggara in bassy Kingdom of Netherlands) budgeting and policy making which cy related to CLTS) are inputted in the CLTS in the villages to promote and the well-being at all ages,” and No. association with NTB Zero Waste–in and has received support from one support the acceleration of sanita- system and process, the local actors carry on with the healthy behaviors 6 stating “Ensure availability and which SEHATI has promoted and of the Netherlands’ NGOs, i.e., SI- tion and hygiene. will be able to replicate and scale up and habits. Simultaneously, Plan sustainable management of water facilitated Village Waste Bank man- MAVI. This project is located in two the CLTS in their respective regency International also promotes sanita- and sanitation for all.” aged by youths. regencies in West Nusa Tenggara Government is considered as the TJHOJmDBOUMZ 5IF QSPQPTFE NBJO BD- tion supply chain by assisting and Province: Dompu and North Lom- main actor and is fully responsible tors and capacity development pro- strengthening (when needed) the Moreover, this project contributes to bok. Main partner for this project for ensuring the provision of public cess are shown in the following sim- sanitation entrepreneurs (suppliers) the accomplishment of Medium-Term is governments of both regencies health services. Consequently, the QMJmFEnPXDIBSU to ensure adequate and affordable Development Plan of West Nusa sehati / 10 sehati / 11 PREFACE PREFACE

Adequate access to water and (MHM) campaigns and activities. has benefited us, people of North are heavily damaged). Despite sanitation is a human right. Girls are encouraged to learn Lombok Regency, especially in being affected by disaster, North Unfortunately, approximately about hygiene and healthy terms of local government capacity Lombok Regency, as stated in the 55 million people living in the behavior during menstrual period building, improving the capacity revision of Regional Medium-Term rural area don’t have access to from an early age. to coordinate and integrate across Development Plan 2016-2021, good sanitary facilities, and 34 local government working units and continues to aim to accomplish million people among them have Due to the positive support between regencies and villages, 100% access to sanitation in 2020 no sanitary facility in any form. of North Lombok Regency as well as community capacity and 100% CLTS in 2021. CLTS is Consequently, open defecation Government, Dompu Regency building in the efforts to achieve a pivotal component in the efforts rates and disease rates such as Government, Pokja AMPL team, CLTS (Community Led Total to increase the quality of public diarrhea are very high, especially and entrepreneurs engaged in Sanitation) performance targets. health and human resources of in the rural areas. sanitation sector, the SEHATI North Lombok Regency which Project has worked excellently. We consider that the is currently underdeveloped in Since 2016, Plan International The accomplishment of this implementation of SEHATI Project comparison to other regencies in Indonesia as humanitarian project are as follows: 3,500 has accomplished remarkable West Nusa Tenggara. organization engaged in the people having access to sanitary results and has a significant fulfillment of the human rights of facilities, 6,500 affordable high- impact on people of North Lombok We’d like to express our most children and youths, especially quality water closets produced Regency. Referring to CLTS first sincere gratitude for the constant girls and young women, promotes by 23 sanitation entrepreneurs, pillar’s indicators, access to support of SEHATI Project and Plan the development of supportive 21 villages declared as CLTS sanitary facilities has increased International Indonesia. I am hoping ecosystem for increasing the village, 20 schools having from 76% in 2016 to 86% in that this collaboration is getting quality of sanitation and hygiene implemented CLTS and MHM, and 2018. SEHATI Project has also stronger and better in the future. in North Lombok and Dompu adequate budgeting by regency affected community behavior Regencies. Through Sustainable governments for carrying out change manifested during a Sanitation and Hygiene for SEHATI Project. Assalamualaikum w.w. 7,0-magnitude earthquake hitting Eastern Indonesia (SEHATI), Plan North Lombok Regency resulting International Indonesia focuses We welcome and value the in damaged housing units and on government capacity building publication of SEHATI (Sustainable sanitary facilities. The first units in managing CLTS program and Sanitation and Hygiene for which local people attempt to expanding the coverage of families Eastern Indonesia) Project’s recover are sanitary facilities. implementing hygiene behavior. photobook which documents During post-disaster recovery, we Furthermore, Plan International the process of SEHATI Project are struggling in the rehabilitation Indonesia also encourages active Dini Widiastuti in either North Lombok Regency and recovery process where Heriyanto, SP involvement of women through CEO or other regencies. During its approximately 75,000 housing units Head of BAPPEDA Menstrual Hygiene Management Plan International Indonesia implementation, SEHATI Project are damaged (50,000 among those North Lombok Regency

sehati / 12 sehati / 13 PREFACE

Chapter contains Escherichia coli (Research been consistently implemented in 1 of Basic Human Services/BHS: all villages in Dompu Regency. Up 2006). The other cause is the hygiene to mid-2019, there are 33 villages behavior issues of 47% of people, declared as CLTS village. CLTS i.e., defecating beside the rivers, rice BDUJWJUJFTIBWFBTJHOJmDBOUJNQBDUPO Triggering mFMET QPPMT ZBSET BOEBOZPUIFS target achievement of Water Supply areas with open air. Government has and Sanitation as formulated in Behavior conducted anticipative efforts through Regional Medium-Term Development a variety of management programs Plan 2021. Change focusing on drinking water supply and sanitation. One of the efforts is We welcome the publication collaboration with Plan International of SEHATI Project’s photobook Indonesia through SEHATI summarizing the process of CLTS (Sustainable Sanitation and Hygiene implementation in Dompu Regency for Eastern Indonesia) Project. for the past 3.5 years which is considered as learning experience In 2008, policy has been made in contributing to acceleration of CLTS the form of Decree of Indonesian achievement in Dompu Regency. Ministry of Public Health No. 852/ We’d like to thank and give awards Bismillahirrahmanirrahim. Menkes/SK/IX/2008 on National to Plan International Indonesia, Pokja Assalamualaikum w.w. Strategy for Community Led Total AMPL, Puskesmas, sanitarians, Sanitation (CLTS) – which is then village chiefs, cadres, champions National Strategy for Community augmented by Regulation of and all parties who are involved Led Total Sanitation (CLTS) is Indonesian Ministry of Public Health in the making of this photobook. I an integrated action to decrease No.3 Year 2014 on Community Led hope that this book can be utilized environmental-based contagious Total Sanitation (CLTS), and the by all parties involved during the disease rates, such as diarrhea, as stipulation of Regional Regulation of implementation of CLTS. well as to improve hygiene behavior Dompu Regency No. 08 Year 2012 and quality of life of Indonesian on Community Led Water Supply people. One of the environmental- and Environmental Sanitation as based diseases is outbreaks of government’s commitment to realize diarrhea in 2006 in 16 provinces with increased access to sustainable Case Fatality Rate (CFR) of 2.52; water supply and sanitation to it is a national outbreak resulting restrain environment-based diseases in 423 of 1,000 people of all ages and to improve the capacity of local being infected. One of the causes community, through habituation of Hj. Iris Juita Kristianti, SKM, M.Kes is 47.50% of water consumed hygiene and healthy living behavior. Head of Public Health Office by people nationwide at the time As a national program, CLTS has Dompu Regency sehati / 14 sehati / 15 LTS Roadshow is held on three admin- istrative levels, i.e., provincial, regional, and Sub-Sub-district levels. During this CLTS activity, material is presented through talk show and Cdiscussion which are attended by approximately 50 participants. The discussed topics are as follows: pol- Roadshow icymaking process for CLTS at regional, provincial, and national level, challenges in implementing Menstrual Hygiene Management (MHM), and experience as well as implementation strategy for CLTS practices. During a roadshow at province level, regional representatives have signed agreement letter to support the execution of CLTS through budgeting and policymaking to accel- erate access to sustainable sanitation. sehati / 16 sehati / 17 During a roadshow at regional lev- el, resources persons and champi- ons from other regions in which Five Pillars of CLTS are successfully im- plemented are invited to share their practical experiences during the im- plementation of CLTS pillars. At Sub- Sub-district level, Sub-Sub-district CLTS teams provides a forum for government and other key officers to discuss technical substances as well as what refrains each village from implementing CLTS.

sehati / 18 sehati / 19 During the execution of SEHATI Project, triggering is he conduct of CLTS aims at realizing inde- carried out at sub-village level and is facilitated by Vil- pendent hygiene and sanitary behavior of lage CLTS Facilitator Team that consists of cadres of In- CLTS community members in improving public tegrated Healthcare Center, volunteers, public figures, health; is carried out through participatory approach religious figures, as well as teachers and village mid- Twhich involves community members to analyze their cur- wives who are trained on triggering. They are constantly Triggering rent sanitary condition through a process called “Trig- assisted by sanitarians of Puskesmas. The family mem- gering.” Through this process, community members are bers who are participating in this activity are those who invited to think and act to break bad habits. Triggering haven’t applied any pillars of CLTS and those who have can also bring shame to respective community member already had water closets having not fulfilled the mini- and raise their awareness of the fact that sanitation is a mum sanitary requirements. Furthermore, these commu- communal problem affecting community members of all nity members select several people to be in charge of ages which needs to be solved cooperatively. monitoring the implementation of social contract signed by each household – known as natural leader. sehati / 20 sehati / 21 Triggering activity conducted at a sub-village in Mangge Asi Village, Dompu Sub-Sub-district. The activity is conducted a square in front of civilian residence facilitated by CLTS Team of Dompu Sub-Sub-district.

sehati / 22 sehati / 23 Triggering practice at several sub-villages in Karamabura Stills from triggering practice, training participants, who are Village, Dompu Sub-Sub-district. This is a part of activities mostly sanitarians originated from all Puskesmas in Dompu facilitated by SEHATI at initial phase, capacity building for Regency, facilitate village plenary session attended by CLTS Team of the Sub-Sub-district. government and people of Karamabura Village. sehati / 24 sehati / 25 LTS is promoted via various media, such as CLTS Flipchart, CLTS’ Five Pillars Poster in Local Language, or using me- dia owned by local Public Health Office. Promotion is CLTS Cusually carried out after triggering activities, so it’s con- sidered as post-triggering follow up activity. Promotion Utilization of media is one CLTS promotion is conducted simultaneously with vari- of the key successes in ous activities conducted in the village, e.g., Posyandu’s promoting CLTS in the activities, village meetings, after Friday Prayer, and at community. Captivating any other agreed assembly events. Promotion is also media will increase carried out during social contract monitoring, improve- community members’ interest and are effective ment monitoring or during house visits where cadres can in supporting behavior pass on CLTS messages while monitoring. change in association with CLTS’ Five Pillars. sehati / 26 sehati / 27 sehati / 28 sehati / 29 n June and December every year, SEHATI Project CLTS conducts two monitoring activities, i.e., household monitoring and capacity monitoring. Household monitoring, known as Sanitary Inspection, is carried out Monitoring Iin each household of pilot areas in North Lombok and Dompu by village cadres with support from sanitarians, whereas capacity monitoring is conducted at region- al, Sub-Sub-district, and village levels targeting Public Health Office, Pokja AMPL of regencies, Pokja AMPL of Sub-Sub-districts, Local Government, and especially Sanitation Entrepreneurs.

sehati / 30 sehati / 31 80% of the cadres monitoring households’ CLTS are wom- en. They carry out household monitoring during breaks of chores. Not only conducting interviews, observing, and checking on questionnaires, these women also promotes CLTS depending on the condition of the household. For example, related to Pillar 2, they promote how to wash hands properly to children and adults while explaining the critical times for handwashing with soap.

sehati / 32 sehati / 33 LTS’ Five-Pillar-House is a house that boasts facilities and family members con- forming to five pillars of CLTS, i.e., to stop Examples open defecation, to wash hands with soap, to boil wa- Cter and to process food before consumption, to manage household solid waste, and to manage household liquid of Houses waste. These facilities are utilized sustainably, are able to be accessed by all family members at any time, are in hygienic conditions and maintained. Moreover, all family Implementing members have adequate knowledge, i.e., to know and to put into practice how to wash hands with soaps properly, Five Pillars to be aware of the critical times of handwashing, to know how to process water and food as well as the impact of unprocessed water and food. Last but not least, the of CLTS house should accommodate the needs of family members with special needs (when necessary). sehati / 34 sehati / 35 CLTS’ Five-Pillar-House can be adopted by everyone of any socioeconomic status, either rich and financially capable or poor and underprivileged families. In some villages, Five-Pillar-Houses are owned by underprivi- leged households because they are aware of benefits that CLTS brings to the families. Being implemented in houses sheltering family members with disabilities, they can fulfill the criteria of CLTS’ five-pillar-house because of their awareness of healthy lifestyle. Five-pillar-house is also not associated with the house structure; can be applied to semi-permanent, permanent stone, and per- manent stilt houses.

One of the cadres in Nusa Jaya Village, Baiq Mahnep, carrying out her duties as CLTS cadre, i.e., monitoring households in the entire village. sehati / 36 sehati / 37 sehati / 38 sehati / 39 Chapter 2

Efforts in the Provision of Affordable High-Quality Sanitary Facilities

sehati / 40 sehati / 41 Up until this point, sanitation enterprise groups in Dompu have collaborated with various parties, such as companies’ CSR for citizens around mining sites in Dompu, Local Gov- ernment’s package deal program of toilets for underprivi- leged families funded by village fund, collaborated with Re- gional Working Units funded by APBD (Local Government Budget) II, package deal of toilets for people with disabili- UJFTGVOEFECZJOEJWJEVBMTBOEDPNQBOJFT BOEXBUFSmMUFSJO collaboration with NAZAVA of Cimahi. The products are not only offered in Dompu Regency, but also in adjacent regen- cies, such as Regency. Sanitation enterprise groups egarding this strategy, Pokja AMPL and in North Lombok consist of youths, young men and women Yayasan Plan International through SEHATI in general, so that they’re known as WUSAN Karang Taru- Project have conducted a series of activ- na (Youth Led Sanitation Enterprise). There are two groups ities: networking event for entrepreneurs, comparative which remain active during post-earthquake in July-August Sanitation Rstudy, training, and assistance during initial stages. last year, one group is located in Senaru Village consisting Currently, there are 30 entrepreneurs and 4 business of 8 members and the other is located in Pendua Village groups running. They are found in various locations in consisting of 12 members. Enterprises North Lombok Regency and Dompu Regency. Products and services offered are as follows, child size water closets, adult size water closets, water filter, package deal of affordable sanitary toilets, package deal of toi- lets in disaster areas (uncemented wall in North Lom- bok), package deal of toilets for people with disabilities, and sanitary toilet installation service.

sehati / 42 sehati / 43 Bung Julkarnain, one of the sanitation entrepreneurs in Sukadamai Village, Manggelewa Sub-district, cheerfully working on concrete tube production. Working with his subordinates, he has produced thousands of concrete tubes to be bought by local people for septic tanks, water wells installed in houses, places of worship, and other public places. sehati / 44 sehati / 45 With motto “competitive quality, unrivaled price,” water closets produced by Tuget Karya group have been certified by SNI (Indonesian National Standard) for its proven quality.

sehati / 46 sehati / 47 sehati / 48 sehati / 49 s stated in Regulation of Indonesian Min- istry of Public Health No. 3 Year 2014 on Community Led Total Sanitation (CLTS) Ar- CLTS ticle 8, that (1) Community members who have success- Afully achieved total sanitation or one of the pillars in CLTS practice according to Verification Team’s assessment, Declaration can make a declaration of successful CLTS implementa- tion. (2) Verification Team as stated in Act (1) is estab- lished by Local Government and consists of Local Gov- Over the course of 3.5 years (2016- cated villages, have been declared ernment officials and community members. Verification 2019) SEHATI Project’s implemen- as CLTS village. Among those, 34 vil- process is a series of assessment activities performed by tation in two regencies (Dompu and lages are located in Dompu and North team to ensure community behavior change taking place North Lombok), 42 villages have been Lombok Regencies. In 2019, Dom- in an area, either at village, Sub-district, or regional level. verified and 37 among those villages, pu Regency earns its achievement Verification refers to indicators issued by Indonesian Min- both SEHATI pilot villages and repli- for declaring an entire Sub-district, istry of Public Health. sehati / 50 sehati / 51 Regent H. Bambang that is Pajo Sub-district, as CLTS declaration is usually followed up Yasin (HBY) presenting Sub-district. CLTS declaration is by rewarding session, as in North CLTS Village certificate to considered as a recognition for local Lombok Regency presenting water Village Chief Dorotangga. people’s achievements in behav- filter as reward for underprivileged At this event, guests are ior change. For that reason, almost families (who have relentlessly im- invited to tour the village to witness positive change all CLTS Village Declaration events plemented 5 pillars of CLTS), in vil- brought about by the CLTS are attended by respective regent lages having achieved its status as implementation. to present certificates themselves CLTS Village. to the respective awardee. CLTS sehati / 52 sehati / 53 For the sustainability of community and family be- havior changes that have taken place, some villages having declared their status as CLTS Village have is- sued Village Regulation that regulates and ensures: promotional and monitoring efforts to be carried out periodically, functional CLTS institution in villag- es (CLTS Village or Sub-district Teams) to carry on with CLTS activities, and CLTS intervention program and budgeting. The same roles must be fulfilled at regional and Sub-district levels. Pokja AMPL plays an important role in promoting policymaking and Regent of North Lombok, budgeting process for CLTS intervention, conduct- Dr. H. Najmul Akhyar ing innovative program to integrate CLTS with other presenting CLTS Village programs, facilitating and supporting sanitation en- certificate to Pendua, Teniga, and Gondang terprise activities, waste bank innovation, and most Villages who have managed importantly, ensuring quality of communication and to become CLTS Village. coordination across programs.

sehati / 54 sehati / 55 sehati / 56 sehati / 57 Dompu has managed to encourage its 34 villages to achieve their status as CLTS village. During celebratory events, Regent presents awards to CLTS actors, such as cadres, sanitation entrepreneurs, village chiefs, sanitarians, facilitators, CLTS team members with great performance and contribution in Gerakan Sanitasi Tanggung Jawab Bersama (SANTABE, in English: Communal Responsibility for Sanitation Movement).

sehati / 58 sehati / 59 Chapter 3

Supporting Factors for Behavior Change

sehati / 60 sehati / 61 During the implementation of SEHATI Project, support- Pokja AMPL also acts as a facilitator during trainings ing factors for behavior change are established through of formulation of Village Government Budget that funds initial socialization by Pokja AMPL of West Nusa Teng- CLTS at village level, advocating budgeting and policy- gara Province to key stakeholders (Regent, Vice-regent, making by local government and involving community Regional Secretary, Head of BAPPEDA, Head of Public members to support the sustainability of CLTS in the vil- )FBMUI0GmDF PGUXPSFHFODJFT %PNQVBOE/PSUI-PN- lages. Up until this point, 100% villages in Dompu and bok, which is later followed by proposal from Regents North Lombok have allocated budget for CLTS and 80% and Speakers of Regional People’s Representative among those villages have stipulated Village Regulation Council of both regencies discussing budgeting and pol- regarding CLTS’ sustainability. Other policies include icymaking for CLTS replication. Then, Pokja AMPL con- Circular Letter issued by Regent of North Lombok regard- ducts advocacy campaign to ensure the incorporation of ing CLTS monitoring budgeting, Circular Letter issued CLTS into the Regional Medium-Term Development Plan CZ)FBEPG&EVDBUJPO0GmDFSFHBSEJOH.).CVEHFUJOH in 2016-2021. using School Operational Aid funds (in Indonesian: Ban- tuan Operasional Sekolah, abbreviated as BOS), School One of activities carried out at the initial stages of the Health Unit and MHM’s integration in Dompu. project is training or refreshing the main duties and functions of Pokja AMPL which are mostly related to An exemplary innovation has been carried out in Dompu Enabling Environment, such as facilitating policymak- Regency where Sub-district CLTS Team that operates ing, budgeting, and coordination across working units. informally and works outside Pokja AMPL’s coordina- After training, Pokja AMPL acts as policymaker which tion system is now formalized and becomes Sub-district is responsible for making new regulations, such as Re- Pokja AMPL Team that operates under the auspices of gent’s Regulation regarding CLTS in North Lombok, Regency Pokja AMPL. With the new structure, Sub-dis- Regent’s Decree in Dompu, Circular Letter of Regent trict Pokja AMPL has budget for monitoring and coordi- of North Lombok and Dompu regarding Activities Syn- nation meeting funded by APBD II. Another interesting chronization, and village and regency funds for access fact about Dompu is Pokja AMPL manages to attract EHATI Project is a partnership between Yayasan acceleration of sanitation. One of sanitation develop- participation of companies to allocate their CSR funds Plan International Indonesia (YPII) and gov- ment documents produced by Pokja AMPL is a road- for sanitation and clean water sector, as happened in ernment at all levels in creating access and map of CLTS for the next five years. Huu Sub-district, they collaborate with CSR of a mining utilization to sustainable sanitary facilities accompanied by company to build basic hygienic toilets for underpriv- Shygienic behavior change campaign, institutional strength- ileged families, involving sanitation enterprise groups Pokja AMPL ening, advocacy, and government capacity building in acting as implementing partners. managing CLTS programs. The main focus of SEHATI proj- ect is regional government capacity building, in this case, Water Supply and Environmental Sanitation Working Group (in Indonesian: Kelompok Kerja Air Minum dan Penyehatan Lingkungan, abbreviated as Pokja AMPL). When govern- ment’s (in this case, Pokja AMPL) capacity is increased and its key elements (plan, budget, and policy related to CLTS) are inputted into the system and process, CLTS will natu- rally replicate and scale up its implementation in the entire regency, both Dompu and North Lombok.

sehati / 62 sehati / 63 Secretary of Regional Development Planning Agency and R&D of Dompu, Mr. Jufri, ST, MT is the vanguard of the establishment of excellent coordination between Pokja AMPL of Dompu and entrepreneurs, not only at regional level, but also at Sub- district and village levels. sehati / 64 sehati / 65 One of the capacity building activities in improving quality of CLTS management for local government is trainings on CLTS budgeting using village funds and allocating village financial resources.

sehati / 66 sehati / 67 Activity Management Team of Dompu Regency and other participants. Led by Mas Azhar, ST (fifth from the right), their outstanding contribution has ensured the success of all activities in the program. sehati / 68 sehati / 69 Workshop on roadmap-making for CLTS of Dompu Regency. Roadmap is formulated by all components and representatives from regencies, Sub-districts, villages, CBOs, NGOs, etc. sehati / 70 sehati / 71 EHATI Project has always highlighted inclu- One of the committed villages in North Lombok is Pen- sivity in its CLTS implementation and has dua Village in which three families of people with disabil- given trainings on inclusive CLTS to gov- ities has been given convenient access to adequate and ernment officials and sanitation entrepreneurs. There has comfortable sanitary facilities. A mother of two in Sentul Inclusive Sbeen a positive impact after this training, i.e., increased Bawah Sub-village, Husniwati, now owns toilet equipped awareness and sensitivity of the fact that people with spe- with handrail for easy access to sanitation day and night. cial needs or disabilities also need convenient access to Not only Husniwati, but Government of Pendua Village also Toilets sanitary facilities. Now, several village officials in Dompu helps Rusedin and his wife, Nurisah. Rusedin is suffering and North Lombok has paid special attention to vulnera- from low vision, a condition in which one’s visual acuity is ble groups, people with disabilities, and senior citizens poor, so that he has to be careful when walking. Village regarding access to sanitation. Village government has government doesn’t only build toilet, but also provides wa- allocated funds to sanitary facilities for people with dis- ter from waterworks and installs pipeline, water reservoir, abilities, in collaboration with sanitation entrepreneurs as wheelchair ramp, and handrail made of bamboo to guide designer and contractor. Rusedin to his toilet.

sehati / 72 sehati / 73 onitoring gender equality in CLTS en- ables government staffs and CLTS enthusiasts to scrutinize and monitor gender relations in CLTS implementation in a partici- Monitoring Mpatory manner. Monitoring also aims at promoting as- piration and gender equality by providing opportunity for women and men to discuss gender relations and to Gender determine changes.

Monitoring gender equality in CLTS has been conducted Equality in four villages in Dompu Regency: Sawe Village, Woko Village, Dorebara Village, and Rasabou Village. Moni- in CLTS toring in these four villages are facilitated by Regency and Sub-district Pokja AMPL which previously attended Training of Facilitator (ToF). Monitoring involves woman group and man group consisting of youths, middle-aged and senior citizens.

sehati / 74 sehati / 75 Participants of Monitoring Gender Equality in CLTS in Sawe Village, Huu Sub-district, Dompu consisting of not only women, but also men; not only adults, but also young women and men. The purpose of this monitoring is to observe the comparison between men and women’s roles in CLTS objectively. This activity is facilitated by members of FORMASI (Forum Masyarakat Peduli Sanitasi, in English: Sanitation Community Forum) in Dompu Regency.

sehati / 76 sehati / 77 Waste bank is a relatively new activity initiated by individuals and groups in the past few years being aware of unmanaged waste, aiming at managing and utilizing waste materials as addi- tional source of income. This method has been proved to reduce the volume of waste signifi- cantly, especially inorganic waste.

nmanaged waste will result in vari- ous environmental and health prob- Waste lems. Therefore, safe household waste management is one of the pillars in CLTS Ustrategy which suggests that waste management Bank shouldn’t be imposed on government, but it is ex- pected to be dealt with independently by house- holds and community members. Managing waste independently will bring benefits to all. There have been many waste banks established to date as a means to promote independent waste man- agement both in urban and rural areas.

sehati / 78 sehati / 79 Waste enthusiasts in Dompu and North Lombok looking happy and smiling at their customers. Tons of plastic waste are “transformed” into money in the form of savings book.

sehati / 80 sehati / 81 enstrual Hygiene Management (MHM) is an important aspect Menstrual of women’s health, both young women and girls. However, MHM is often taken Mfor granted in the community, especially commu- Moreover, challenges in community also lie in social Hygiene nity in low-income areas. It has been proven that norm, traditional beliefs and practices, and the ex- poor access to water and sanitation as well as in- isting stigma regarding menstruation considered as adequate hygiene education affect education lev- taboo. In Indonesian culture, for example, women Management el, health, and women’s dignity. Poor access to and girls who are in their period are considered as information services regarding menstruation and unclean and are systematically not involved in daily availability of sanitary napkins makes it difficult activities, such as education, works, and traditional for women to manage their menstrual health. or religious practices.

sehati / 82 sehati / 83 sehati / 84 sehati / 85 For that reason, Plan International through SEHATI Project conducts MHM campaign for students in 20 elementary schools in North Lombok and Dompu which also involves teachers, principals, school board members, village cadres and volunteers, sanitarians, parents, and policymakers at re- gency, Sub-district, and village levels. During the 3.5 years of SEHATI Project Implementation, 2,800 male and female students have received relevant information regarding men- struation, 20 schools have built MHM-friendly sanitary facil- Teachers and students actively ities, 40 facilitators have been trained on MHM. Nowadays, participating in promoting MHM menstruation is no longer considered as taboo. Plan Inter- (Menstrual Hygiene Management. School provides MHM-friendly toilets, so that national has also produced various types of media for pro- female students can implement MHM’s motion, such as, menstrual cycle, comics, and menstruation routine at school comfortably. guidebook for teachers and parents.

sehati / 86 sehati / 87 Champion Profile

sehati / 88 sehati / 89 DR. H. NAJMUL AKHYAR from Village Government Budget villages and has proven the total san- DRS. H. BAMBANG M. YASIN A. RAHIM H.M. ALI, S.SOS Regent of North Lombok 2019 for monitoring Household CLTS itary behavior change in the commu- Regent of Dompu Sub-district Chief of Pajo to obtain data and identify the extent nity. During post-earthquake, Mr. Na- Regent has paid significant attention of access and sanitary facility owner- jmul visits one of the SEHATI’s target Regent of Dompu has been supportive with policies This Sub-district chief is well-known for his sanitary to access acceleration to sanitation ship and CLTS five-pillar-behavior in villages with Governor of West Nusa regarding Water Supply and Environmental Sanita- impromptu visits to target villages submitted for for people of North Lombok. Poli- North Lombok a year after the event Tenggara, i.e., Teniga Village. He UJPO%VSJOHIJTUFSNPGPGmDF NBOZTUSBUFHJDSFHVMB- CLTS Village campaign, as well as for creating Fri- cies made are as follows: Regent’s of earthquake. himself has witnessed that two days tions are formulated to advocate CLTS’ sustainability, day Prayer’s sermon materials related to CLTS. An- Regulation regarding CLTS, Circu- after earthquake, all families start such as Regional AMPL’s Regulation No 8 Year 2012 other interesting fact is that he constantly encour- lar Letter regarding Synchronization Regent also gives recognition to SE- using their toilets normally. People and Advice Letter issued for village chiefs regarding ages each village chief to allocate budget for CLTS between Village Government Budget HATI Project by Plan International hope that no more family members budgeting water supply and sanitation using village during Village Government Work Plan verification and Regional Government Budget II Indonesia for having facilitated CLTS practice open defecation despite funds. According to goals of Regional Medium-Term in the Sub-district. At this point, Pajo Sub-district is to accelerate access to sanitation, campaign to community members emergency situation of disaster. Ac- Development Plan, 81 villages in Dompu Regency are ready to be awarded as the first CLTS Sub-district and Circular Letter that recommends regarding total sanitary behavior cording to the Regent, that’s one of to achieve their status as CLTS Village. of West Nusa Tenggara Province. all village chiefs to allocate budget improvement. He also visits several behavior changes that arise. sehati / 90 sehati / 91 JUFRI, ST, MT Secretary of Regional Development Planning and R&D Agencies Dompu Regency

Man who is colloquially called Bang Jeff is an important figure in structural change of Pokja AMPL in Dompu Re- ERNAWATI gency. Through his innovation, the informal and voluntary CLTS Cadre of Gondang Village Sub-district CLTS Team transforms into Sub-district Pok- ja AMPL Team operating under the auspices of Regency Ms. Ernawati is one of best health cadres in Gondang Pokja AMPL. Working as second-in-command in Regional DEWI LAILA MAHLIGAI PUTRI, S.ST,M.KES Village, Kayangan Sub-district. With her fellow cadres, Development Planning and R&D Agencies, he has been Head of Pokja AMPL she contributes to the success of CLTS five pillars im- engaged in sanitation sector since 2016, when he was Dompu Sub-district plementation in the village, bringing the village to attain appointed as Head of Social-Cultural Division of Regional CLTS status in 2017. Having attended trainings provided MUJAKIR, SKM Development Planning and R&D Agencies in Dompu. For Being the one and only female leader of by SEHATI Project, she has now become CLTS’ resource Head of Pokja AMPL him, CLTS is a solution to stunting problems and can help Sub-district Pokja AMPL, it doesn’t stop her person performing duties, such as data collection, trig- Woja Sub-district increase life expectancy. As an important figure of Regen- from motivating villages in Dompu to attain gering, promotion, and monitoring. cy Pokja AMPL, Bang Jeff plays a role in the stipulation of CLTS status. On January 17, 2018, she man- Uncle Jack (as he is called) is an excellent Regent’s Decree regarding allocation of village funds to aged to declare Doro Tangga Village as CLTS Serving as health cadres for six years, one of her favorite orator. He manages to trigger his target toilet construction for underprivileged families. Bang Jeff Village. Collaborating with Sub-district Leader tasks is conducting CLTS household monitoring occurred villages to attain CLTS status with the fo- also manages to advocate CLTS Coordination Meeting as of Dompu and their team, she currently is run- semi-annually. For her, gathering and interacting with cus on community empowerment and par- recurring agenda of Dompu Regency funded by APBD II. ning a campaign to ensure that every village other cadres during monitoring season is fun, especially ticipation. He has demonstrated that CLTS Moreover, he also has a role in raising all parties’ aware- in Dompu Sub-district can earn CLTS status when the cadres immediately understand how to execute is an effective and efficient approach to ness of five-pillar healthy and hygienic behavior change, despite the toughest challenge being popula- their jobs, so that data collection process can be finished accomplish village in which people imple- so that environmental based disease rates is drastically tion density of urban Sub-district. in timely manner. ments hygienic and healthy lifestyle declining in Dompu Regency. sehati / 92 sehati / 93 YUNI KURNIATI MAESARAH MUHAMMAD ABU AGUS SALIM TOHIRUDDIN Secretary of Regional Development Chief of Pendua Village Planning Agency North Lombok Regency SITI SUMARNI North Lombok Regency Chief of Ranggo Village, Giving him title as champion is not a wrong decision Pajo Sub-district, Dompu Yuni plays a role in integrating indicators of CLTS BGUFSBMMEVFUPBHSFBUEFBMPG$-54mWFQJMMBSJOOP- into Regional Medium-Term Development Plan and vations that he has created. Due to his works, Pen- Sumarni is the first female village chief of Ranggo. During her Strategic Planning of North Lombok Regency as well dua Village has become one of the villages known as fourth year of office, CLTS becomes prioritized program to be as in policy synchronization between regency and the village that is highly-committed in implementing SYAIFUL implemented in Ranggo Village. Funds allocated to CLTS in villages to ensure the funds for CLTS at village and $-54 mWF QJMMBST BOE BT UIF WJMMBHF UIBU BUUBJOT JUT Chief of Dorebara Village, her village is Rp 592,000,000.00 are used for toilet construc- regency levels. Due to her contribution, one of the CLTS status in North Lombok. In addition to his dil- Dompu Sub-district tion for underprivileged families, drainage and waterworks, positive impacts manifested is the emergence of igence in visiting households and observing his cit- waste management, and cadre operational expenses. Waste massive and intensified movements and attempts to izens practicing CLTS, he also manages to slip the After reading advise letter from the re- as public enemy is now transformed into source of additional attain CLTS at regency and village levels. Moreover, CLTS’ messages during Friday Prayer sermon, gent, 150 units of water closet for people income for people of Ranggo Village. Sumarni provides plat- in the past 3 years, village chiefs has paid atten- recitation assembly, and other village activities. Inno- of Dorebara Village are allocated through forms for youths and kids to innovate and help resolve waste tion and significantly contributed to sanitation sector vative programs originated from Pendua Village are village funds. In addition, CLTS is also problems, such as English Course paid using waste and with the focus on behavior change and access to Waste Bank, and Sanitation for Underprivileged Fam- implemented as a strategy to cope with Youth Community to accommodate those who are interested sustainable facilities, including access for people ilies and People with Disabilities. Besides, during his stunting problem where he and his team in learning about waste management. Furthermore, Govern- with disabilities. Her experiences in managing CLTS UFSNPGPGmDF BMPUPGUPJMFUVOJUTBSFCVJMUGPSVOEFS- manages to bring Dorebara Village out of ment of Ranggo Village is committed to keep promoting the programs enable her to become resource person privileged families and people with disabilities. Now, the red zone. innovation of youths in CLTS programs. bringing her to national level. 100% of his citizens have access to sanitary toilets. sehati / 94 sehati / 95 SEHATI TEAM

SEHATI Team: Sabaruddin, Syaechu Aziz, Nasrus Syukroni, Irfan Ariyanto, Ali Munir, Mujahidin, Muhammad Fauzi, Silvia Devina, James Ballo, Herlina, Samuel Apsalon Niap, and Hanna Vanya.

SEHATI Team interacting and coordinating with SIMAVI Team: Paul van Assen, Asken Sinaga, Catur Adinugroho, Angelina Mustafa, Edwin Mangande, Indah Aritonang.

Samuel Silvia Devina Hanna Vanya James Ballo Herlina Apsalon Niap sehati / 96 sehati / 97 sehati / 98 sehati / 99 Yayasan Plan International Indonesia Menara Duta Building 2nd Floor Wing D, Jln. HR. Rasuna Said Kav. B-9, South Jakarta 12910, Indonesia Phone: (+6221) 522-9566 www.plan-international.or.id