Rights-Based Family Planning Strategy – Indonesia

The Family Planning program in Indonesia has been promoted as a success story. Prior to the introduction of the family planning programme in the 1970s, the total fertility rate (TFR) was 5.6. Over the subsequent period, the adoption of family planning services and changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels. During this period, the contraceptive prevalence increased to 61.9 percent. However, progress has stalled over the last two decades.

The London Summit on Family Planning was held in 2012 to revitalize family planning commitments by countries to addressing unmet need for contraception. As a follow up of FP2020 Summit and its commitment, an FP2020 Country Committee was established in Indonesia. The Committee is co-chaired by BKKBN, UNFPA and formerly USAID, which has been more recently replaced by Canada. A working group on Rights-Based Family Planning Strategy and a working group on Rights and Empowerment were established to develop the rights based family planning strategy.

The strategy provides a rights based programming framework and an operational Pembangunan Nasional Jangka Menengah/RPJMN). It should serve as an operational guide for all stakeholders in Indonesia for implementation of the family planning programme.

The effort to develop the strategy was led by the National Planning Agency, involving the National Population and Family Planning Agency (BKKBN) and Ministry of Health, as well as various other related institutions.

The family planning programme efforts under the RPJMN are linked to government strategic directions, in which the Ministry of Health and BKKBN are the two main lead institutions. These efforts are based on the following principles: access to quality services, equity in access that ensures the needs of vulnerable population are met, transparency and accountability, and gender and cultural sensitivity.

This strategy document aims to comprehensively address the various facets and determinants of the family planning programme, and provides details of the priorities and steps involved for timely and effective implementation of the programme to achieve its goals.

The document outlines four strategic areas of focus: sustaining equitable and high-quality family planning service delivery in public and private sectors; increasing demand for modern methods of contraception; enhancing stewardship at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming, and supporting innovations and operations research for improving efficiency and effectiveness of programmes through South-South Cooperation. The rights-based approach used in this strategy means that the strategic steps described in the document aim to ensure that human rights principles are met; thus providing the necessary access to family planning and reproductive health services and information for a healthy and safe reproductive life.

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Rencana Biaya Pelaksanaan Tahun 2017-2019 (Costed Implementation Plan) Indonesia

Strategi Nasional Keluarga Berencana berbasis Hak (2017-2019) dikembangkan dengan mengintegrasikan rencana-rencana pemerintah yang sudah ada, dengan tujuan untuk mempercepat pencapaian tujuan pembangunan nasional termasuk target FP2020 di Indonesia. Untuk menerapkan strategi ini, sebuah road map (peta jalan) dikembangkan dengan menguraikan kegiatan-kegiatan/intervensi yang efektif, efisien dan dapat ditindaklanjuti selama tiga tahun ke depan (2017-2019). Laporan ini menyajikan hasil perhitungan biaya yang dilakukan pada awal tahun 2017 yang bertujuan untuk memperikirakan kebutuhan sumber daya untuk peta jalan tersebut.

Sumber daya yang termasuk dalam kajian ini terbagi menjadi beberapa kelompok utama, yaitu 1).komoditas dan persediaan kontrasepsi yang dibutuhkan untuk mencapai tingkat prevalensi kontrasepsi sebesar 66% pada tahun 2019, 2). biaya pelayanan, dan 3). sumber daya yang dibutuhkan untuk mengimplementasikan intervensi dan kegiatan yang dijabarkan pada peta jalan (pertemuan, lokakarya pelatihan, KIE/KPP, dan kegiatan pemantauan dan pengawasan). Data biaya ini dikumpulkan selama tahun 2016 melalui wawancara dan diskusi dengan dengan FP2020 Indonesia Country Committee, Tim Kordinasi Nasional RFP, serta para ahli terkait dari Bappenas, BKKBN dan Kementrian Kesehatan, UNFPA dan USAID di Jakarta.

Kebutuhan komoditas kontrasepsi diproyeksikan mulai tahun 2017 sampai tahun 2019 dengan menggunakan model proyeksi FP2020, yang dimodifikasi untuk mencerminkan keadaan yang spesifik bagi Indonesia. Intervensi dan kegiatan spesisfik yang terdapat di road map dihitung dengan menggunakan metodoloogi penetapan biaya berbasis aktivitas. Total biaya untuk rencana selama 3 tahun diperkirakan sebesar 12,3 Trilliun Rupiah atau 910 juta US Dollar dengan nilai tukar 13.500 Rupiah/ US Dollar. Dua pertiga dari biaya tersebut diproyeksikan untuk meningkatkan pelayanan, sekitar 13% untuk menciptakan permintaan, 10% untuk tata kelola yang lebih baik dan sekitar 1% untuk berbagi pengetahuan.

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