VILLAGE FAMILY PLANNING/MOTHER-CHILD WELFARE

The project, to be implemented by BKKBN and the Ministry of Health (MOH), will: (1) introduce village nutrition services and (2) help BKKBN improve village nutrition services, encourage community management of nutrition surveillance and education, and increase food-purchasing income and efficient use of food by rural families. See subprojects 01 and 02. Amendment of 8/14/86 extends the project to 5/30/90 to design and field test a replicable service delivery model for Indonesia"s KB/Kes (integrated family planning/health) program. (1) To achieve greater village-level impact (especially on child health), service delivery at the health post (PosYandu) level will be upgraded through R&D focused on: optimal health post size (smaller, sub-desa level posts will be tried); the roles of village health administrators and village organizations; ways to improve the effectiveness of kaders (village health volunteers), e.g., better supervision and incentives, and to improve village-level training generally; villagers" demand for various health services; development of an information, education, and communication program; improving the weight recording card; health post self-financing (especially through P2K, a village credit program); a plan for transferring post management and financing to villagers; and improved service integration. (2) R&D will also be conducted to redesign the supervision system for the KB/Kes program in general (and the PosYandu in particular) and to develop a KB/Kes monitoring system. (3) An MOH-BKKBN Integrated Task Force will establish the project"s research agenda, assess policy options, and facilitate consensus among top MOH and BKKBN officials as to nationwide KB/Kes replication; activities will include research seminars, dissemination of research results, program reviews, interministerial meetings, and studies of means to institutionalize the Task Force. (4) Large-scale (i.e., kabupaten-level) demonstration projects will be conducted as a first step toward nationwide replication. (PD-AAU-214)