NORTH MALUKU COMMUNITY REHABILITATION PROGRAM (NMCRP)

GRANT # 497-G-00-01-00038-00

FINAL REPORT: JULY 19, 2001 TO JULY 31, 2003

SUBMITTED TO OFDA

ON 30 OCTOBER 2003

BY: WORLD VISION, INC.

Contact:Asteria Rajino Disaster Management Team Leader Jl. Wahid Hasyim No. 33 Jakarta Pusat, Indonesia Tel: 62-21 327467 Fax: 62-21 2305708

Laura M. Grosso, Ph.D. World Vision, Inc. 34834 Weyerhaeuser Way South Federal Way, WA 98001 Tel: (202) 572-6344 Fax: (202) 547-4834 WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003

TABLE OF CONTENTS

I. EXECUTIVE SUMMARY...... 3 II. PROGRAM OVERVIEW...... 5 III. PROGRAM PERFORMANCE...... 7 A. Performance versus Objectives...... 7 B. Challenges and Lessons Learned...... 16 IV. RESOURCE USE / EXPENDITURES...... 17 V. ANNEXES...... 17

WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003

I. EXECUTIVE SUMMARY

World Vision, Inc. Date: 30 October 2003 Indonesia: Contacts: James Tumbuan, Country Director Jl. Wahid Hasyim No. 33 Asteria Rajino, Disaster Management Team Jakarta 10340 Team Leader Indonesia Laura M. Grosso, Ph.D., International Program Officer USA: Tel: 62 21 327467 / 202 572 6344 34834 Weyerhaeuser Way South Fax: 62 21 2305708 / 202 547 4834 Federal Way, WA 98001 E-Mail: [email protected] [email protected]

Program Title: North Maluku Community Rehabilitation Program Cooperative Agreement/Grant No: 497-G-00-01-00038-00 Country /Region (s): North Maluku (Ternate and North Maluku District), Indonesia Disaster/Hazard: Rehabilitation Time Period covered by this report: 19 July 2001 to 31 July 2003

The violence in North Maluku between Muslims and Christians that occurred three years ago has resulted in widespread destruction of the economic and agricultural infrastructure. To escape hostilities, families took immediate flight to safe areas, such as Tobelo (Christian safe area) and Ternate (Muslim safe area), having abandoned their household food stocks and material possessions. IDPs have been receiving emergency assistance in the form of food and non-food items since February 2000. IDPs have recently begun to return to their home areas. At first returnees were living in barracks, but now many of them are living in reconstructed houses assisted by the government or NGOs. World Vision, through the North Maluku Community Rehabilitation Program funded by USAID / OFDA, is able to assist the vulnerable population, while rebuilding and rehabilitating key infrastructure within the community.

The community rehabilitation program consists of three major projects: [1] the community rehabilitation infrastructure project, [2] the community health-training project, and [3] the fishing revitalization project. Initially, the first and third projects were located on Halmahera Island, in Tobelo, Galela, Kao and Malifut Sub-Districts. The community health-training project was implemented in Ternate. Due to the needs of returnees in other areas in North Maluku province, WV has expanded its operational areas to South Jailolo and Jailolo sub districts and Morotai Island, after receiving approval from the donor in the second phase of the program. Due to changes in the IDP situation in Ternate city and the need for health assistance in Halmahera Island, WV has requested to end the health-training project in Ternate and start a malaria prevention project in Kao and Malifut sub districts in Halmahera Island.

The community rehabilitation program was designed as a community-based program. Community members collectively identified their own rehabilitation needs. From community-identified needs, rehabilitation activities were planned and implemented. The program not only encouraged participation in the affected communities to engage in activities aimed to increase access to critical services or infrastructure, but it also allows resident community members and returning IDPs to work together to rehabilitate their community.

Program Goal: To strengthen indigenous efforts and capacity to resolve conflict and promote reconciliation

Objective 1: To increase access to critical services or infrastructure by facilitating the implementation of community identified rehabilitation projects. WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 Profile of Targeted Population: 22,500 vulnerable people (4,500 households) affected by the conflict in North Maluku.

During the program implementation, 212 community infrastructure projects were approved and implemented in Kao, Malifut, Tobelo / South Tobelo, Galela, South Jailolo, Jailolo sub districts and Morotai island. Out of the 212 projects, 139 projects have been completed.

WV achieved the objective by facilitating the implementation of 212 community infrastructure projects in Kao, Malifut, Tobelo/South Tobelo, Galela, South Jailolo, Jailolo sub-districts and Morotai island. These 212 projects have benefited approximately 4,866 families (22,714 persons) who live in the area. A total of 4,147 community members have voluntarily worked to build these infrastructure projects. As of August 2003, 139 (65.6 %) of the 212 projects were 100% completed, 38 projects (17.9%) were completed 61 to 99 % completed , 23 projects (10.8%) were 31 to 60 % completed, 6 projects (2.8%) were less than 30 % completed, and 6 new projects (2.8%) had not yet started. Objective 2: To increase access to hygiene supplies and understanding of critical health concerns, (such as ARI, diarrhea, malaria, and breastfeeding), by conducting health training sessions. Profile of Target Population: 500 mothers of children under five years old, who are living in IDP camps.

WV successfully increased the access of 506 IDP families to hygiene supplies through the distribution of hygiene kits. Target beneficiaries included mothers with children under five years old, children between 9 to 12 years old and pregnant mothers. The hygiene kits consisted of bath soap, laundry soap, toothpaste, toothbrushes, shampoo, sanitary napkins, cotton buds, towels, mops, garbage baskets, coconut leaf rib brooms, nail cutters, and salicyl talc. From July 2001 to June 2002, WV targeted beneficiaries who lived in 34 IDP camps in Ternate. WV reduced the number of assisted camps to 20 in order to more effectiveky implement the second phase of the health program (August 2002 to February 2003). In addition, 20 sets of cleaning utensils were distributed in the assisted camps.

WV also conducted health-training sessions for target beneficiaries to improve their understanding of critical health concerns. From July 2001 to June 2002, this program benefited 506 mothers with children under five years old and children between 9 to 12 years old and also for approximately 300 children 9 to 12 years old in 34 IDP camps in Ternate. From August 2002 to February 2003, the program benefited 372 mothers with children under five years old, 46 pregnant mothers and 89 mothers who have children between 9-12 years old and also for approximately 200 children 9 to 12 years old in 18 IDP camps in Ternate.

Objective 3: To revitalize fishing activities in 60 crisis affected fishing communities by supplying appropriate fishing equipment inputs. Profile of Target Population: 60 crisis-affected fishing communities in northern Halmahera.

The objective was achieved by providing appropriate fishing equipment inputs for 61 crisis affected fishing groups in villages of Kao, Malifut, Galela, Tobelo, South Jailolo, Jailolo sub districts and Morotai Island. WV also provided training on fishery management for these groups to help them improve their fishing activities.

Revised health program Objective 1: Increased knowledge of prevention, early diagnosis and prompt treatment of malaria Profile of Target Population: 7,500 vulnerable families (1500 families) in Kao and Malifut sub-districts

During the program implementation, WV has enhanced the community knowledge of malaria through health education and health promotion activities in Kao and Malifut sub districts for 658 mothers of children under five, pregnant women, and other community members. In addition, World Vision also trained cadres on WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 malaria, and community members on Posyandus (health post for mothers and children at sub village level). An estimated 1,095 people in 30 villages of Kao and Malifut sub districts participated in these training activities. World Vision also disseminated information about ITNs (Insecticide Treated mosquito Nets) to 1,740 families. To further health promotion, World Vision strategically placed 2000 posters on malaria prevention, diagnosis and treatment in crowded places in the thirty villages. World Vision also distributed 100 sets of t-shirts, caps, stickers and pins with health messages about malaria, and 100 sets of books on malaria treatment to cadres.

Objective 2: Improved access to malaria prevention

WV has improved access to malaria prevention by successfully distributing 1,740 ITNs to 1,740 families in 30 villages of Kao and Malifut sub districts.

II. PROGRAM OVERVIEW

As outlined in the proposal, the goal of the North Maluku Community Rehabilitation Program (NMCRP) was to strengthen indigenous efforts and capacity to resolve conflict and promote reconciliation. The three objectives to achieve this goal are:

· Objective 1: To increase access to critical services or infrastructure by facilitating the implementation of community identified rehabilitation projects. · Objective 2: To increase access to hygiene supplies and understanding of critical health concerns, (such as ARI, diarrhea, malaria, and breastfeeding), by conducting health training sessions. · Objective 3: To revitalize fishing activities in 60 crisis affected fishing communities by supplying appropriate fishing equipment inputs.

The community rehabilitation program was designed as a community-based program. Therefore, the participation of community members played a crucial role in program success.

USAID/OFDA approved a no cost extension request on August 16, 2002 and the grant period was extended until February 2003. Incidents that created tension in the project communities of Tobelo, Tobelo Selatan, Galela sub-districts and several villages of North Morotai sub districts from July to September 2002, forced WV to postpone certain activities. The fasting month in November 2002 also slowed the progress of infrastructure projects in several villages. Due to these delays, WV requested a second no cost extension request. In this approved request, WV asked to not only [1] extend the project life to 31 July 2003 but also [2] terminate the health program in Ternate and move it to Kao and Malifut sub districts, to where most IDPs in Ternate were moving.

Objective 1. In certain areas most of the community infrastructure was destroyed due to the violence in North Maluku in 1999/2000. Through the community infrastructure rehabilitation program, WV assisted community members in identifying their infrastructure needs and helped them to identify projects to resolve infrastructure deficiencies. After reviewing the submitted proposals and selecting projects according to the community’s top priority needs, WV assisted the communities by supplying materials needed for the requested projects. WV developed a monitoring system to ensure that community rehabilitation projects are managed and implemented effectively and efficiently.

WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 Objective 2 Initially, the community health training in Ternate was planned to focus on 500 IDP mothers of children under-five. In the implementation, WV also included mothers of children between 9 and 12 years old and also conducted the health training for the 9 to 12 year old children. Starting in mid August 2003, WV included pregnant women who still lived in camps into the health-training project and reduced the number of camps served to 20 IDPs camps to implement the program effectively. The changes were implemented upon receipt of OFDA approval.

The health-training project was conducted only for the IDP mothers who still lived in camps. WV did not assist mothers who periodically returned to their pre-conflict homes.

In the past, Ternate hosted the area’s highest concentration of IDPs. Over the last year and a half, the IDP numbers have reduced gradually. In the last few months of the project, the number of IDPs fell drastically, particularly of those living in the IDP camps. Currently, most of the IDPs staying in the camps come from Tobelo town. These IDPs left Ternate in February 2003 through Government of Indonesia repatriation assistance. Therefore, there was no longer the need for health assistance to the IDPs living in camps in Ternate. As a result, WV requested to end health assistance in Ternate after February 28, 2003.

On the other hand, it was found that there was an increase in the incidence of malaria in all sub-districts of North Maluku District. Currently, all sub-districts are confirmed as malaria endemic areas1. Data from The Monitoring Report of Passive Case Detection Malaria from the Government of Indonesia Ministry of Health at district level indicate that in the first quarter of 2002, the annual malaria rate in Kao and Malifut sub-districts were the third and fourth highest rates of the province. Salimuli (Galela sub-district) and Jailolo sub-district had the two highest rates.

Considering these facts, WV requested to revise the initial health program by initiating a malaria prevention program in Kao and Malifut sub-districts, which have been WV operational areas since 2000. The aim of the program is to enhance knowledge of community members on prevention, early diagnosis and prompt treatment of malaria. The community members were encouraged to apply this knowledge to their daily lives and thereby reducing the malaria prevalence in the target areas.

WV planned to assist 1,500 vulnerable families, both returnees and local communities with monthly health education activities and a one-time distribution of mosquito nets, with one net given to each family. Beneficiary selection prioritized families with children under-5 years of age. To be able to train all beneficiaries properly and to have a sustainable program, WV selected health cadres to be trained and equipped to train the community on malaria prevention. Together with the cadres, WV staff conducted health education activities. WV also trained community leaders, shopkeepers and others who hold important roles related to malaria prevention. These community figures are expected to be able to encourage community members to partic ipate in malaria prevention activities. In implementing the program, WV worked closely with the Ministry of Health at the district and sub-district levels to ensure program sustainability.

WV started the program preparation in Kao and Malifut sub districts in March 2003 after closing the health program in Ternate at the end of February 2003.

Objective 3 The fishing revitalization inputs were initially targeted towards crisis-affected community members in Northern Halmahera. Target beneficiaries were all members of the community, who have traditionally been fishermen, but lost their livelihoods due to the crisis in North Maluku. The reason World Vision

1 Information from Ministry of Health at district level in Ternate WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 limited the program to community members who were traditionally fishermen is because the program focus was on the revitalization rather than expansion of fishing activities.

In implementing all of the activities, WV worked closely with the government, as well as with other international NGOs and local NGOs to avoid program overlapping. Through ongoing World Vision programs funded by other donors in Tobelo, Kao, Galela, Malifut, South Jailolo, Jailolo sub-districts and Morotai Island, WV has encouraged the communities to develop self-help groups. The capacity of these self-help groups has been built, in part, through the community infrastructure rehabilitation program. III. PROGRAM PERFORMANCE

A. Performance versus Objectives

In implementing the program, WV worked in approximately 94 villages in Tobelo, Galela, Kao, Malifut, South Jailolo, Jailolo sub-districts and Morotai island, which were divided into three zones: zone one for Galela and Tobelo sub-districts, zone two for Malifut, South Jailolo and Jailolo sub-districts, and zone three for three sub districts of Morotai island for the community infrastructure rehabilitation and fishing revitalization projects. While for the health training program, WV worked in 34 camps in Ternate until June 2002 in Ternate city. Since WV was waiting for donor’s approval on the request of program extension, this health-training program was closed in June 2002. Activities in Ternate restarted in August 2002 after receiving donor approval. To have more effective program, WV implemented the health- training program only in 18 camps in Ternate city. The program in Ternate was closed in February 2003 and was adapted into a more specific health program on malaria prevention in Kao and Malifut sub districts.

In implementing those projects, WV used the PLA (Participatory Learning for Action) approach, which encourages the community to be actively involved in every step of the program. Through the PLA approach, WV established good relationships with communities in the operational areas and with the village leaders and community leaders in many conflict-affected villages in the three zones.

GOAL: To strengthen indigenous efforts and capacity to resolve conflict and promote reconciliation

Objective 1: To increase access to critical services or infrastructure by facilitating the implementation of community identified rehabilitation projects. Output 1.1. Improved community infrastructure or services

Monitoring by activities: 1. Hire and train community rehabilitation motivators / monitors 2. Hire technical support, as needed 3. Through socialization activities, encourage the assessment of community needs, regarding services and infrastructures, by community members or specialists (i.e. civil/water/sewage engineers). 4. Assist in the assessment and identification of community needs. 5. Implement approved projects.

Accomplishments from July 2001 to July 2003 Explanations 1. During the program implementation, 212 community — The approved community infrastructure infrastructure rehabilitation projects were approved and projects were scattered in 84 villages WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 implemented. Below is the detail type of projects and number of Kao, Malifut, Galela, Tobelo, South of people benefited: Jailolo, Jailolo sub districts and Morotai

# of # of # of people benefited Finished Island. No Type of Projects project worker HH Person Male Female Project 1 Construction of Health Post 6 155 524 1376 688 688 1 — Materials needed for these 2 Renovation of Health Post 2 45 176 914 470 444 1 3 Construction of Public Latrine 120 2184 1905 9141 4645 4496 88 infrastructure projects were purchased 4 Construction of Public Latrine & well 35 609 609 2704 1359 1345 23 in Surabaya, Tobelo and Morotai. The 5 Renovation of Public Latrine 7 243 222 1243 627 616 2 6 Construction of well 7 75 30 346 175 171 4 material from Surabaya was received 7 Renovation of well 3 75 75 367 185 182 1 8 Construction of Public washing place 1 11 11 48 23 25 1 at the WV warehouse in Tobelo in 9 Construction of Traditional Market 5 145 277 1546 772 774 2 December 2002. 10 Reconstruction of Traditional Market 1 25 347 1522 685 837 0 11 Construction of Water Tank 12 262 462 1826 927 899 7 — World Vision also assisted the 12 Construction of Community Center 2 75 153 731 347 384 1 13 Renovation of Community Center 2 50 50 183 74 109 2 communities in transporting local 14 Construction of small bridge 5 97 0 402 208 194 4 15 Construction of drainage 1 25 25 113 68 45 1 material to the project sites. 16 Water Pump 3 71 0 252 120 132 1 TOTAL 212 4147 4866 22714 11373 11341 139

2. Below chart describes the progress of community infrastructure projects: — During the program implementation, WV encouraged communities to Progress of Community Infrastructure Projects complete the projects. Several 160 139 meetings were conducted 140 simultaneously with the communities, 120 100 where projects did not show results to

80 discuss about the causes, find solutions 60 and re-schedule the project 38 40 23 implementation. Number of projects 6 6 20 — In some communities where projects 0 Finished 61 - 99 % 31 - 60 % 1 - 30 % 0% did not make any progress the (100%) community was consulted to transfer Progress in % the project to another community or

change the type of project. This was done in some places, with the consensus of the communities involved. — The table showed that 6 projects have not had any progress yet. These projects were new projects that were approved in the last month of the program period to replace some cancelled project. The material distribution finished before the end of the program but the community has not started the work yet. — Detailed data about these infrastructure projects are available in Annex 1.

3. WV also cleaned 296 wells from October 2001 until March — The activities benefited 1809 2002. households (4045 males and 3852 females).

Objective 2: To increase access to hygiene supplies and understanding of critical health concerns (such as ARI, diarrhea, malaria, and breastfeeding)

WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 Output 2.1. Improved hygiene supply utilization Monitoring by activities: 1. Identify camps to be targeted 2. Distribute Hygiene Kits

Accomplishments from July 2001 to February 2003 Explanations nd 1. Monthly distribution of hygiene kits for approximately 506 — In the beginning of the 2 period of the mothers. From November 2001 to June 2002, assistance program, WV identified 20 camps to be focused on 34 IDPs camps. From August 2002 to February assisted. Because of a repatriation 2003, WV focused on only 18 camps. process for IDPs living in the two

No. Items Ration Unit Distributed Qty camps, the total number of camps

Distribution period: November 2001 to June 2002 assisted by WV was 18 camps in 1 Bath Soap 120 gr 5 pcs 15,180 Ternate city. 2 Laundry Soap 210 gr 5 pcs 15,180 — The hygiene kit ration and total 3 Tooth Paste 190 gr 3 tube 9,108 distributed quantities are described in 4 Shampoo 200 ml 2 bottle 6,072 the table to the left. 5 Sanitary Napkins 2 pack of 10 6,072 — The hygiene kits were only distributed 6 Cotton Bud 2 sachet 6,072 to the training participants. Distribution period: August 2002 to February 2003 — During the second period of health A Monthly distribution training activities, WV also provided 1 Bath Soap 80 gr 8 pcs 20,240 2 Laundry Soap 210 gr 6 pcs 15,180 bimonthly distribution of toothbrushes. 3 Tooth Paste 120 gr 3 tube 7,590 The items were distributed in 4 Shampoo 200 ml 2 bottle 5,060 December 2002 and February 2003. 5 Sanitary Napkins 2 pack of 10 5,060 — A detailed report of the commodities B Bi-monthly distribution distributed and the number of recipients 1 Tooth Brush 5 pcs 5,060 are available in Annex 2. — The team conducted a survey in May 2002 to understand the utilization of the hygiene kits. A total of 466 beneficiaries were interviewed and 99.57 % of them stated that they used the hygiene kits assistance. 3. WV conducted a one-time distribution of hygiene kits to — The ration of the hygiene kit and total the same beneficiaries in December 2002. distributed quantities described in the Distributed No. Items Ration Unit left table. Qty Period: Nov 2001 to Jun 2002 — A detailed report of the commodities

1 Tooth Brush 5 pcs 2,530 distributed and the number of recipients 2 Nail cutter 1 pcs 506 are available in Annex 2. 3 Big Towel 4 set 2,024 4 Basket for garbage 1 pcs 506

5 Salicyl Talc 2 box 1004 Period: Aug 2002 to Feb 2003

1 Towel (medium size) 5 pcs 2,530 2 Mop 3 pcs 1,518

3 Salicyl Talc* 1 box 540 4 Garbage basket 1 pcs 506

5 Nail Cutter 1 pcs 506 6 Coconut leaf rib broom (sapu lidi) 2 pcs 1,012 Note: * 34 boxes of salicyl talc were donated to one IDP camp in Kalumpang village. 4. WV conducted a one-time distribution of cleaning utensils — Each camp received a package to 20 camps in Ternate in February 2003. (This is to consisting of: 10 brooms, 3 mops, 2 support the cleaning camp activities mentioned in point 9 – sticks for mops, 2 mops, 2 toilet WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 section Output 2.2.) brushes, 5 scrapes, 2 shovels, 2 dust pans, 5 hoes, and 2 bottles of cleaning materials. No. Items Ration Unit Distributed Qty 1 Coconal leaf rib broom (sapu lidi) 5 pcs 100 — Out of a total 20 distributed packages, 2 Black Coconut Fibre (sapu ijuk) 5 pcs 100 there were two packages that not 4 Mop 3 pcs 62 distributed to camps that WV 5 Stick for mop 2 pcs 40 6 Doormat 2 pcs 40 continuously assisted during the 7 Toilet brush 2 pcs 40 program. One package was distributed 8 Bathroom brush 2 pcs 40 to a camp, which closed since IDPs 9 Rake (garukan) 5 pcs 100 returned to their original villages. A 10 Shovel (skop) 2 pcs 40 11 Dust Pan (serok) 2 pcs 40 second package was distributed as a 12 Hoe 5 pcs 100 donation in February 2003 to another 13 Carbol 2 btl of 1l 40 IDP camp in Kalumpang village. — A detailed report of the commodities distributed and the number of recipients are availa ble in Annex 2. Detailed list of camps assisted is available in Annex 3. Output 2.2. Improved awareness of critical health concerns Monitoring by activities: 1. Hire health staff 2. Train health staff 3. Identify camps to be targeted 4. Conduct health training activities for beneficiaries

Accomplishments from July 2001 to February 2003 Explanations 1. Cadres trainings were conducted to 36 cadres. — 31 cadres were trained in October 2001. In January 2002, another training was conducted for 33 cadres. — During the second period of the health program, WV conducted monthly refresher trainings to equip the cadres in helping WV to facilitate the health education sessions. — The cadres are also expected to be able to share the health messages to their surrounding communities in daily life. — The refresher trainings were facilitated by the Provincial Health Department from the Ternate Municipality. — Another creative activity to give the health messages for cadres was through a quiz competition. In January 2003, 36 cadres from 18 camps in Ternate participated in this event. 2. Health education activities were conducted in different — Beneficiaries targeted until June 2002 ways. One of them was through movies. Movies were were 506 mothers with children under shown in cycles during the whole period of the health- five and children between 9 to 12 years training program for IDPs in Ternate city. old, who lived in 34 IDP camps in Ternate city. Starting in August 2002, WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 WV targeted 372 mothers with children under five years old, 46 pregnant mothers and 89 mothers who have children between 9 to 12 years old living in 18 IDP camps. — A short health education introduction was given before the film. Afterwards, a small quiz was given by which prizes could be won. — Posters with health messages related to the health topic discussed that month were distributed to each camp to support the health education activities. 3. Topics of the health education activities were: · WV team prepared Information, a. Exclusive breastfeeding and supplementary feeding Education and Communication (IEC) b. Immunization practices materials to facilitate the health c. Vitamin A education activities. d. Dia rrhea · Other supporting materials, such as e. ARI & pneumonia calendars and posters, were developed. f. Food for the family In the year of 2002, WV distributed g. High risk pregnancy calendars, which contained health h. The use and the advantages of iodized salt. education pictures and messages, to i. Sanitation and personal hygiene; focus on proper 506 beneficiaries and 50 of these disposal of waste and garbage calendars to government agencies. j. Malaria Posters with health education messages k. Metode Terpadu Balita Sakit / Integrated on pregnancy and giving birth were management to detect and cure infant sicknesses in developed; 68 were distributed to 34 rural areas IDP camps. l. Dengue Hemorrhagic Fever 4. Health education through radio spots. · The topics of the radio spots were the same as the training topics in the particular month in the camps. · Different radio health education messages were repeated twelve times a day from January to March 2002 and again from October 2002 until February 2003. · This activity was made together with the Governmental Health Department of Ternate Municipality. 5. Health education through advertisement in newspapers · The topics are the same as the training topics. · Different health education advertisements ran in one of Ternate’s newspapers every week until June 2002. 6. Health education through a radio talk show. · This activity started in September 2002 and come to a halt in February 2003. The topics of the talk show were the same as the training topics of that particular week in the camps. · This activity was organized with WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 Provincial Health Department (MoH) of Ternate Municipality, Radio Hikmah, and WVI and was facilitated by the MoH of Ternate Municipality. · Health facilitators encouraged the IDPs in the camps to listen to the talk show. · One session of radio talk show in December 2002 was cancelled since there was no facilitator from the MoH available to facilitate this event (because of the fasting month). In January and February 2003, the activity continued monthly. 7. As part of the health education session on malaria, WV · A total of 1012 mosquito nets were distributed mosquito nets to the selected IDP families in distributed to 506 beneficiaries in the camps. One beneficiary household received two March and April 2002. During the mosquito nets. second period of the health program, WV did not distribute mosquito nets again since new IDP families in the targeted camps had received mosquito nets from a local NGO. · Before and during the distribution, the mothers learned how to impregnate the mosquito nets and how to keep to all the necessary safety precautions while impregnating mosquito nets. · A survey to learn on the usage of the mosquito nets was conducted in May 2002. A total of 466 beneficiaries were interviewed. 94.42 % Of them used the distributed mosquito nets in their seeping place. 8. Health education for children with 9 to 12 years of age. · Besides the health education sessions, Around 300 children involved in the activity. the children were also encouraged to make saving pots, as a means to learn the basic principle of saving money. · A tooth brushing competition was held in which 230 children participated in 18 camps in Ternate in December 2002. 9. Another activity conducted to support the health education · In March 2002, cleaning camps sessions was a particularly session on the importance of a activities were conducted in 34 camps. healthy environment. Together with the IDPs the camp 65 Garbage drums were distributed to was thoroughly cleaned. support the cleaning activities. A total of 527 mothers and 299 children participated in these activities. · Starting in October 2003, every Friday cleaning activities were made in the camps together with the IDPs in light of the Jumat Bersih; a nation wide activity on Friday morning. · The activities targeted not only mothers WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 and children but also other people in the camps. 10. Drawing competition for children between 6 to 12 years · The participants came from 5 local old, as part of the National Health Day in November elementary schools and 2 IDP schools, 2001. as well as from 15 IDP camps. 11. Participation in the National Immunization Day on · WV has provided seven vaccine cold September 9, 2002. storage boxes that will be used in Puskesmas Kalumpang and Puskesmas Kota Ternate. · WV also distributed ten banners sharing health messages to support the National Immunization Day. 12. Several BCC (Behavioral Changes in Community) · The respondents were mothers with surveys were conducted in mid-October 2001, mid-June children aged 0 until 23 months. 2002, and mid-February 2003. · The aim of the survey conducted in October 2001 was to find on which health topic the community lacks knowledge. The health education for the mothers focused on these identified topics. · Survey in October 2001 could not be used as baseline information to be compared with the June 2002 survey, since some data collected in October was not valid. Therefore, rather than for evaluation purpose, the aim of the June 2002 survey was to [1] learn behavior of mothers who have children under two years old (beneficiaries of the WV program) and [2] also provide baseline information to determine subsequent and adequate activities for future programs. · Survey conducted in February 2003 was meant to see the behavioral changes and knowledge of mothers who received assistance during program implementation. However, it is quite difficult to compare the results with the June survey since not all beneficiaries of the first period program were the same as in the second period of the health program in Ternate. 13. Project closing event in Ternate. · The result of BCC surveys was presented in this meeting by Dr. Ronald Gunawan. · WV invited the representatives of the Health Department of Ternate Municipality to learn from the BCC findings and to have discussions on how these findings can be followed-up by WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 the Health Department.. · Representatives of beneficiaries and cadres from 18 camps attended the event.

Revised health activities – started in March 2003 Objective 1. Increased knowledge of prevention, early diagnosis and prompt treatment of malaria Monitoring by activities: 1. Develop training modules on prevention, early diagnosis and prompt treatment of malaria for health cadres & community 2. Develop and replicate malaria related Information, Education, Communication materials 3. Support DOH & Health Center in conducting training for health cadres, shopkeepers, and community leaders. 4. Support DOH & health center in supervision of Village Health Worker in conducting training for communities 5. Distribute malaria related Information, Education, Communication materials Accomplishments from March 2003 to July 2003 Explanations 1. Training for posyandu (health post for mother and children · A total of 75 cadres participated in the under five at sub village level) cadres conducted in March to training. June 2003. · The training was designed to equip the cadres in disseminating information about malaria to the people in their villages. 2. Production and distribution of IEC materials. · 2,000 sets of posters were distributed to beneficiaries, health posts, basic schools, junior high schools, senior high schools, local government at sub district level (muspika), ministry of education at district level and small shops in all WV operational areas (not only Kao and Malifut sub districts). · The team also developed radio show to deliver information about malaria. The radio show was delivered through the national radio in Ternate started from June until the mid of July 2003. · 209 books for cadres produced and distributed. · In developing the IEC materials, WV always coordinated with the Health Departments at different levels (province, district and sub district level). 3. Training for 27 shopkeepers from 13 villages of Kao sub · A one-day-training for shop owners district was conducted in June 2003. was held as many shops sell malaria treatment without prescription. 4. From May 2003 to July 2003, a total of 1,095 persons · The training participants included participated in community malaria awareness trainings . mothers and community leaders. Objective 2. Improved access to malaria prevention Monitoring by activities: 1. Distribute ITNs

WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 Accomplishments from March 2003 to July 2003 Explanations 1. A total of 1,740 ITNs was distributed to 1,740 families in · The beneficiaries were grateful for the 30 villages of Kao and Malifut sub districts. The beneficiaries assistance and they are using the nets families are consisted of 8,264 persons, which included 2,218 in their homes. children under five and 195 pregnant women. · Commodity report for the distribution of ITNs is available in Annex 6.

Objective 3: To revitalize fishing activities in 60 crisis affected fishing communities by supplying appropriate fishing equipment inputs.

Output 3.1. Increased fishing activity. Monitoring by activities: 1. Hire (if necessary) and train WV staff. 2. Through socialization activities, encourage communities to assess their needs for critical fishing equipment inputs. 3. Assist communities in the assessment and identification of fishing equipment needs. 4. Develop a commodity package, based on the identified needs. 5. Procure fishing equipment. 6. Distribute fishing equipment to fishing communities. Accomplishments from July 2001 to July 2003 Explanations 1. A total of 61 fishing groups in Kao, Malifut, Tobelo, Galela, · WV team started fishing assistance South Jailolo, and Jailolo sub districts and Morotai Island were with 5 fishing groups as a pilot project. identified during the program implementation. Through this pilot project, WV was able # of # of Groups' Members No Sub District to identify the trends in community Villages Groups HH Male Female requests and needs on a wider scale. 1 Galela 11 11 228 653 601 2 Tobelo 6 6 157 364 332 · Together with the fishing groups, WV 3 Malifut 8 9 146 327 335 identified the fishery input needs. 4 Kao 7 7 88 231 200 Then, the fishing groups submitted a 5 South Jailolo 9 9 116 237 203 proposal to request their fishery input 6 Jailolo 1 1 15 42 34 7 South Morotai 7 7 145 219 190 needs. 8 North Morotai 7 7 195 398 330 · Detailed list of fishing groups is

9 South West Morotai 3 4 95 160 166 provided in Annex 5. TOTAL 59 61 1185 2631 2391

2. The distribution of fishing kits was conducted to 61 fishing · The first period of fishing kits community groups in 59 villages of Kao, Malifut, Gale la, distribution was conducted from Tobelo, South Jailolo, Jailolo sub districts and Morotai Island. December 2001 to April 2002 for 31 fishing groups. The distribution continued after receiving donor approval to expand the program operational areas and add the number of fishing groups assisted. Another fishing kits distribution for 30 fishing groups was conducted in January - March 2003. · The kits are designed to fit the specific needs and requests of each individual fishing community. · Instead of doing the procurement WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 process in Surabaya, WV preferred to purchase all items of fishing kits in Manado for effectiveness and efficiency. · Commodity report for the fishing kits is provided in Annex 4. 3. More than 70 % of the 61 fishing groups were trained on · The two-day training was provided to fishery management. empower the fishing communities groups. · The first 31 fishing groups were trained after they received fishing kits. The team found that providing training after the distribution was neither effective nor appropriate. In addition, it was quite difficult to set the training schedule with the communities. Therefore, not all 30 fishing groups received the fishery management training. Learning from this experience, the team conducted training for the next 30 fishing groups before distributing the kits. The fishing kits were not distributed until all fishing groups were trained on how to set up a community fishing business.

B. Challenges and Lessons Learned a. Because of the Participatory Learning and Action (PLA) survey, World Vision has developed a positive relationship with the communities in the program operational areas. These relationships have formed a solid foundation for the program. b. The community appreciated the PLA approach. Most communities participated actively and enthusiastically in the PLA survey. The survey has given WV staff deeper understanding in the dynamics of the community. During the program implementation, WV also had chance to share the PLA approach with other INGOs working in North Maluku province. c. The community infrastructure rehabilitation program is not a fast program; community healing needs time. WV was also not give any incentive to the community so it was difficult for WV to pressure the community when they worked slowly. The team has arranged several meetings with community members to discuss their problems and encouraged communities to solve the problems. New commitment had been made for community working groups to be able to finish their projects. Strong communication and negotiation skills are needed to conduct this process. Some trainings were arranged to enhance staff capacity in communication and negotiation to motivate the communities. d. Some incidents in Tobelo and Galela sub districts that happened in July and August 2002 have increased tensions among communities. Some people from certain villages have moved to other villages. This situation has impacted the progress of community infrastructure rehabilitation and fishing revitalization projects, especially in Tobelo and Galela sub districts. Some projects were delayed, some building materials were looted, some fishing kit items distributed were lost, and the trainings for fishing communities were delayed. However, the situation was calm in September 2003 though an incident did WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003 occur in North Morotai in mid-September. All activities among communities have slowly gone back to normal. e. The repatriation process significantly increased in September 2002 since the government has seriously facilitated the process by providing some assistance for the returnees: full housing assistance, funds for local materials and labour, and other allowance for maximum five members of family. This rapid repatriation process has had positive impact in building trust among the community members. f. The coverage area of zone II, which includes South Jailolo and Jailolo sub districts, is very large. The size of the zone delayed program implementation. To solve the problem, World vision established another office in Sidangoli. This will reduce the travel, costs and staff fatigue. It also increased the opportunity for program success. g. Some distribution of construction materials for the infrastructure projects have been delayed due to natural problems, such as the high waves in North Morotai and bad road in several villages in South Jailolo sub district because of the rain. The team had to wait until the condition returned to normal to continue the activities. This condition also hampered the monitoring process. h. A positive relationship with the local government has to be maintained consistently. Good government relationships are vital to the operation of the program. i. The distribution of mosquito nets was delayed due to permission problem faced by the supplier since the mosquito nets were imported from another country. As a result, WV decided to cancel the procurement through this supplier and looked for another supplier in Indonesia. j. The North Maluku Community Rehabilitation Program was implemented together with other programs under one big project, called North Maluku Rehabilitation Project. Strong monitoring and coordination systems are highly needed to be able to implement several different programs appropriately and provide proper assistance to the communities.

IV. RESOURCE USE / EXPENDITURES

The financial report for the reporting period will be provided separately as per USAID financial reporting guidelines.

V. ANNEXES

Annex 1. List of Community Infrastructure Rehabilitation Projects

"Progress of Infrastr Project.zip"

Annex 2. Commodity Report of the Hygiene Kits

QRP.0203.HK.zip 0207-QRP-OFDA-NM 0302-QRP-OFDA-NM RP-Health.zip RP-Health.zip

Annex 3. List of IDP camps assisted

"List of IDP camps.zip" WORLD VISION INDONESIA NMCRP FINAL REPORT: July 19, 2001 to July 31, 2003

Annex 4. Commodity Report of the Fishing Kits

QRP.0203.FK.zip 0204-CSR-OFDA-NM 0303-QRP-NMRP-OF RP-FK.zip DA-FK.zip

Annex 5. List of Fishing Kits projects

"List of fishing groups.zip"

Annex 6. Consolidated Commodity Report of the mosquito nets (ITNs)

07-08.2003-CSR-NM RP-OFDA-Health.zip

Annex 7. Photographs

Photographs.zip