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Periodically, specialists from the Kinerja National Office in Jakarta also support MSS activities, especially during large and important events such as workshops on integrating
MSS into district planning and budgeting documents. LPSS always coordinate with the district health offices and the MSS team. The MSS team
is made up of the head of the district health office or a senior district health office staffmember, the heads of Kinerja’s partner health centers, the district planning body, the
organisation division, the finance division, and non-governmental institutions.
3. Work plan development
Once the MSS team is established, the team works together with the district health office and LPSS to draft the work plan and implementation time table for each stage of
activities. Work plans and time tables are developed both for the health center level and the districtcity level. The work plan should ideally align with the district planning and
budgeting cycle so that when MSS costings are finalised, they can be directly integrated into district planning and budgeting.
Kinerja’s MSS assistance process is as follows. Activities are implemented within a one year period, in alignment with the district government budget schedule.
4. Workshop held on the topic of improving MSS understanding and awareness. Comparative study trip to a district with MSS programs carried out.
5. Regulations and laws relating to health MSS reviewed at the provincial and districtcity levels.
6. MSS targets and achievement statuses identified. 7. Gaps between targets and actual achievements analysed. Gaps are given
priority status based on how large they are. Strategies to close the gaps are developed.
8. Costs calculated for the funds needed to close the gaps between targets and actual achievements.
9. MSS targets and costs incorporated into both district and health center planning and budget documents.
10. Monitoring of outcomes during implementation, and evaluation at the end of each financial year.
11. Replication of health MSS to all health centers in the districtcity.
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Work Process
1. Roles of each Stakeholder
All stakeholders work together in planning and implementing MSS, but each stakeholder nonetheless plays a specific role.
• Consultants andor implementing organizations IOs are responsible for conducting workshops and training that increases knowledge and develops skills relating to calculating
needs costing to achieve MSS targets. Consultants and IOs also assist the government teams with developing the costing itself.
• The MSS Team, made up of government staff, calculates MSS costing needs and prepares technical recommendations to be submitted to government decision makers. The team also
advocates for incorporating MSS into regional planning documents. • Head of Departments and District HeadsMayors are responsible for following up on technical
recommendations that advocate for the integration of MSS costing calculations into official regional planning documents. They also should allocate budgetary funds to finance activities
that will lead to the meeting of MSS targets. • The Budget Team and the Regional Parliament are required to approve the proposed MSS
budget allocation after ensuring it aligns with the results of the analysis and calculation process. The Budget Team and Regional Parliament should also play a role in overseeing the
implementation of the MSS program and its use of funds. • The MSS Team, together with multi-stakeholder forums and CSOs, carry out policy advocacy
and monitor MSS implementation and achievements to ensure the sustainable improvement and development of public services.
• Multi-stakeholder forums MSFs should engage the MSS Team and work with them during both the costing calculation phase and the implementation monitoring phase to ensure that
MSS targets are met. • At the health centre level and the district government level, staff are responsible for
implementing MSS programs, monitoring implementation, and ensuring complaints and feedback are passed on and acted on by decision-makers.
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2. Work Plan Implementation
