Risk Management Communications and Knowledge Management

27 Planning of activities and budgets is undertaken by the implementing partners and reviewed by the planning budgeting officer who reviews how budgets are allocated across the program, if serious issues are detected in proportionality, or activities are clearly not cost effective, then these are raised with the senior management and the implementing partner to make the necessary changes to the work plan and allocation of resources. Robust systems and procedures in place to monitor and manage VfM during implementation The ISP applies the Commonwealth Procurement Rules to ensure we encourage competition in the procurement of goods and services to deliver VfM. During implementation of major high value, complex activities, the ISP holds regular management and progress meetings with partners or contractors to review budgets, activity progress, and manage risks which threaten VfM. These meetings are aligned with technical reviews, which are managed by the PTS, TD or technical advisors. The combination of these management and technical reviews provides a systematic approach to managing VfM during implementation. Furthermore, the ME team conduct regular monitoring of activity progress to gather data on implementation. The AIPHSS program is a modality, which for relatively small scale funding and the provision of technical assistance is providing support for high level policy development and the development of tools and guidelines that are adopted and applied at a national level. This approach is demonstrating a high level of sustainability because all activities are part of large scale reforms and systemic change that government is leading but cannot implement quickly due to system bottlenecks. The catalytic effect of AIPHSS by targeting system bottlenecks is emerging as a key strength of the implementation model.

4.1.6 Risk Management

The ISP has been completing a monthly risk register. This provides the ISP with the opportunity to liaise with DFAT on immediate and short term risks to implementation. Regular SMT meetings, technical review meetings and operational meeting all regularly review, monitor and manage risks at multiple levels. Furthermore the ISP TL meets regularly with the DFAT to discuss program progress and alerting them to areas of emerging risks and the approaches being taken to mitigate the risk. The updated risk register is provided in Annex 5.

4.1.7 Communications and Knowledge Management

In this reporting period the ISP has continued with the bi-monthly bulletins, monthly e-newsletters, and monthly information on upcoming events. The AIPHSS website has been updated following feedback from various sources including DFAT. The website will focus on improving AIPHSS ’s professional image and sharing program information targeting primarily MoH, DFAT, academia, the health community, other donors and the general public as secondary audiences. Other achievements in this reporting period include:  Technical briefs produced for the new decentralisation legislation UU 232014 and its implication for the health sector; minimum service standards; and the implication of the revised regional referral system.  A compilation of 29 policy notes on the national health insurance scheme was produced and published as a compendium disseminated through various events media e.g. workshop, conference as well as through website and e-news. These are listed in Annex 3. Development of a Knowledge Management Strategy: To further advance the knowledge management KM of AIPHSS a consultant was recruited to prepare a KM strategy. This has been finalised and the executive summary is presented in Annex 6. The strategy aims to contribute to the AIPHSS end-of-program outcomes by a defining how to improve internal and external knowledge sharing, communications and learning; and b outlining the use of strategic communications and sharing approaches to better engage with stakeholders and partners at the national and sub-district levels. 28 Specific knowledge management objectives are to: 1. Produce, use and disseminate knowledge products through a range of learning events. This is to improve program performance and influence the uptake of knowledge captured through AIPHSS activities, and to improve health sector policy and systems strengthening. 2. Facilitate knowledge sharing between AIPHSS program managers, technical teams, and stakeholders at the national and sub-national levels. 3. Better leverage existing AIPHSS communication tools and approaches to highlight the work by AIPHSS and DFAT on health systems strengthening in Indonesia. Undertaking Dissemination and Uptake Forums  Policy Dialogue Series: The first policy dialogue meeting was specifically requested by the SG who wanted to focus on Pharmaceutical Policy in the Era of National Health Insurance. A multi stakeholder dialogue facilitated by the TD was conducted in May 2015. The dialogue was very well received and led to several agreements and the need for further smaller dialogues to address the implementation of the recommendations. 18  Internal DFAT seminar-March 2015: This seminar was chaired by DFAT to share AIPHSS progress with DFAT senior management and other DFAT programs AIPMNH, HIV, and AIPD and included other development partners such as USAID, WHO and UNICEF.  2nd Indonesian Health Economics Association Congress InaHEA April 2015: The InaHEA conference was aimed at facilitating exchange of evidence to improve policies in health systems reform in Indonesia. AIPHSS partially funded this as well as provide an information sharing booth for AIPHSS knowledge products. Documentation of this conference is available on www.aiphss.org.  National Dissemination Seminar on Law 23 year 2014-June to July 2015: The seminar was aimed at dissemination of the law in relation to national and subnational health systems. This seminar was hosted by Local Government NTT and chaired by MoH Secretary General. This one day seminar was actively participated by MoH from Central level echelon 1, Provincial and District Health Office in NTT, Head of Districts, AIPMNH, DFAT as well as Papua.

4.2 Implementation Progress against the Annual Plan