KINERJA Experience in Safe Delivery and Immediate Exclusive Breastfeeding15

Safe Delivery and Immediate exclusive Breastfeeding 7 www.kinerja.or.id EXECUTIVE SUMMARY Objectives and Successes of KINERJA 1. Primary Objective of the USAID-KINERJA Program The primary objective of the USAID-KINERJA program is to assist regional governments in improving governance in public services provision in Indonesia. KINERJA works in 24 districtscities in 5 provinces:1 Aceh province Aceh Singkil, Southeast Aceh, Bener Meriah, Simeulue, and Banda Aceh City; 2 East Java province Probolinggo City, Probolinggo District, Bondowoso, Jember, and Tulungagung; 3 South Sulawesi province Barru, Bulukumba, Luwu, North Luwu, and Makassar City; 4 West Kalimantan province Bengkayang, Melawi, Sambas, Sekadau, and Singkawang City; and 5 Papua province Mimika, Jayawijaya, Jayapura District, and Jayapura City . In order to assist district governments to improve public service provision, KINERJA strengthens both the community the demand side and service providers the supply side. The community, in particular mothers and families, become more aware of their rights to receive services from public health facilities and how to submit complaints. On the supply side, community health centers known in Indonesian as puskesmas are strengthened through a governance approach based on the principles of public participation, transparency, accountability, and responsiveness. KINERJA ’s interventions focus on improving three pillars of management: program management, service management, and puskesmas management. This means that the improved community understanding of their rights to safe delivery and immediat e exclusive breastfeeding IEBF are in alignment with the health centers’ preparedness to fulfill these rights . Strengthening the community and the health centers is conducted primarily by KINERJA ’s implementing organizations IOs, who are local NGOs and CSOs provided with grants through a transparent and accountable selection process. KINERJA conducted organizational capacity building before the IOs began implementing KINERJA’s program.