THE USAID JALIN PROJECT Year 1 Annual Report
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THE USAID JALIN PROJECT Year 1 Annual Report This publication was produced by the USAID Jalin Project under Contract No. AID-497-C-17-00001at the request of the United States Agency for International Development. This document is made possible by the support of the American people through the United States Agency for International Development. Its contents are the sole responsibility of the author or authors and do not necessarily reflect the views of USAID or the U.S. Government. THE USAID JALIN PROJECT Year 1 Annual Report Program Title: The USAID Jalin Project Sponsoring USAID Office: USAID/Indonesia Contract Number: AID-497-C-17-00001 Contractor: DAI Global, LLC Date of Publication: January 14, 2019 Author: DAI, Global LLC USAID Jalin Project Year 1 Annual Report LIST OF ACRONYMS AIPI Akademi Ilmu Pengetahuan Indonesia (Indonesian Academy of Sciences) BAPPEDA Badan Perencanaan Pembangunan Daerah (Regional Development Planning Agency) BAPPENAS Badan Perencanaan Pembangunan Nasional (Ministry of National Development Planning) BPJS Badan Penyelenggara Jaminan Sosial (Social Insurance Administration Organization) CoP Community of Practice DAK Dana Alokasi Khusus (Special Allocation Fund) DE Developmental Evaluation DHO District Health Office EMAS Expanding Maternal and Newborn Survival EMNC Every Mother and Newborn Counts ESAS Evidence Summit Assessment and Scoping FMP Forum Media Peduli (Media Cares Forum) GERMAS Gerakan Masyarakat Hidup Sehat (Community Healthy Living Movement) GOI Government of Indonesia GP General Practitioner HKN Hari Kesehatan Nasional (National Health Day) HP Plus USAID Health Policy Plus IBI Ikatan Bidan Indonesia (Indonesian Midwives Association) J2SR Journey to Self-Reliance JKN Jaminan Kesehatan Nasional (National Health Insurance) KEMENDESA Kementerian Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi (Ministry of Village, Development of Disadvantaged Regions, and Transmigration) KEMKOMINFO Kementerian Komunikasi dan Informatika (Ministry of Communication and Informatics) KIA Kesehatan Ibu dan Anak (Maternal and Child Health) KM Knowledge Management MAB Multistakeholder Advisory Body MCH Maternal and Child Health MERLA Monitoring, Evaluation, Research, Learning, and Adaptation MNH Maternal and Newborn Health MOH Ministry of Health MOHA Ministry of Home Affairs MPDA Maternal and Perinatal Death Audit MPDN Maternal and Perinatal Death Notification MPDR Maternal and Perinatal Death Review MPDSR Maternal and Perinatal Death Surveillance and Response MSS Minimum Service Standards NIHRD National Institute of Health Research and Development NSPC Norms, Standards, Procedures, and Criteria PHO Provincial Health Office POGI Perkumpulan Obstetri dan Ginekologi Indonesia (Indonesian Obstetrics and Gynecology Association) PPJK Pusat Pembiayaan dan Jaminan Kesehatan (Center for Health Financing and Insurance) PUSKA-UI Pusat Penelitian Keluarga Sejahtera – Universitas Indonesia (Center for the Study of Family Welfare – University of Indonesia) PWI Persatuan Wartawan Indonesia (Indonesian Journalists Association) QI Quality Improvement USAID Jalin Project Year 1 Annual Report P 3/64 SDG Sustainable Development Goals SLRT Sistem Layanan dan Rujukan Terpadu untuk Perlindungan Sosial dan Penanggulangan Kemiskinan (Integrated Service and Referral System for Social Protection and Poverty Reduction) SOP Standard Operating Procedure SPM Standar Pelayanan Minimum (Minimum Service Standards) SUPD Direktorat Jenderal Bina Pembangunan Daerah (Directorate General of Regional Development) UGM Gajah Mada University UNFPA United Nations Population Fund UNICEF United Nations International Children’s Emergency Fund USAID United States Agency for International Development VASA Verbal and Social Autopsy VCA Value Chain Assessment WHO World Health Organization USAID Jalin Project Year 1 Annual Report P 4/64 TABLE OF CONTENTS Executive Summary .......................................................................................................... 6 Introduction ....................................................................................................................... 7 Activity Description ............................................................................................................................................ 7 Theory of Change ............................................................................................................................................... 9 Intermediate Outcomes .................................................................................................................................... 9 Overall Progress ............................................................................................................................................... 10 Year 1 Progress ............................................................................................................. 14 Summary ............................................................................................................................................................. 14 Component 1: Partnership Process Managed to Generate, Implement, Evaluate, and Scale Successful Local Solutions and Utilize Critical Evidence to Result in Sustainable MNH Impact 14 Component 2: Technical Assistance Deployed Effectively to Support Impact at Scale .................. 22 Component 3: Catalytic Financing Efficiently Disbursed to Support the Incubation and Implementation of Local Solutions ............................................................................................................... 25 Project Management ........................................................................................................................................ 26 Social Impact and the Developmental Evaluation ..................................................................................... 27 Lessons Learned ............................................................................................................ 28 Appendix 1: Results Framework ................................................................................ 29 Appendix 2: Problem Statements............................................................................... 30 Appendix 3: Indicator Table ........................................................................................ 31 Appendix 4: Value Chain Assessment – Executive Summary ............................... 38 Appendix 5: Rapid Synthesis of Recent Maternal and Neonatal Mortality Evidence in Indonesia - Summary ............................................................................... 45 Appendix 6: Evidence Synthesis Framework ........................................................... 48 Appendix 7: MNH Perception Survey Results ........................................................ 50 Appendix 8: EMNC Schedule – Wave 1 ................................................................... 51 Appendix 9: Media Coverage ...................................................................................... 52 Appendix 10: Activity Location .................................................................................. 64 USAID Jalin Project Year 1 Annual Report P 5/64 EXECUTIVE SUMMARY In September 2017, the United States Agency for International Development (USAID)/Indonesia initiated the USAID Jalin Project (hereafter referred to as “Jalin” or “the Project”), a five-year activity contributing to the reduction of preventable maternal and newborn deaths, particularly among the poorest and most vulnerable. Jalin—meaning “intertwined” in Bahasa Indonesia—weaves together Government of Indonesia (GOI), private sector, civil society, and other stakeholders to use evidence to co-define, co-create, and co-finance sustainable and scalable local solutions to improve maternal and newborn health (MNH). This report contains a summary of activities implemented and results achieved during Work Plan Year 1—January to December 2018. It is organized in three parts: an activity overview, a summary of progress toward objectives, and lessons learned. This report details Jalin’s progress toward achievement of expected results and presents successes and challenges. In Year 1, Jalin established physical office presence in Jakarta and in six provinces, hired and trained 70 staff members, and launched activities in 8 provinces (see Appendix 10 for details). Jalin also made significant strides towards collaborative implementation: for example, the project published or held events around 275 evidence-dissemination activities, engaged 196 entities in partnership activities, developed 65 tailored problem statements, and held 39 co-creation design sessions. Jalin is designed with a clear sequencing and layering of activities, such that year 1 focused primarily on Component 1: Partnership Process Managed to Generate, Implement, Evaluate, and Scale Successful Local Solutions and Utilize Critical Evidence to Result in Sustainable MNH Impact. As year 1 concludes, activities under Component 2: Technical Assistance Deployed Effectively to Support Impact at Scale have also begun implementation. Preparation to Evidence Generate Synthesis Evidence Year 1: Opportunistic Implementation Evidence Learning from Dissemination Local Solutions / Partnerships Partnership / Solution Simultaneous Definition Problem with Co- Definition and Investment Partner Engagement USAID Jalin Project Year 1 Annual Report P 6/64 INTRODUCTION Activity Description The USAID Jalin Project, initiated in September 2017 through a contract