4
Examples of Kinerja-supported Good Practices
1. Community-led Breastfeeding Campaigns, Makassar City, South Sulawesi
Beginning with awareness raising activities, various groups came together to carry out campaigns on the importance of exclusive breastfeeding, including community forums, health volunteers, the Indonesian
Midwives Association, the Fathers who Support Breastfeeding group, Aisyiyah, and citizen journalists. Duri g the ele ratio of Makassar Cit s a i ersar , the groups a paig ed together o the
importance of immediate and exclusive br eastfeedi g. The groups ere supported Ki erja s NGO
partner, Kinerja staff, and the community multi-stakeholder forum. The formal and non-formal advocacy and awareness raising activities culminated in the development of
a District Head Decree to support exclusive breastfeeding. Prior to the Kinerja program, the mayor had already campaigned on the First 1000 Days of Life movement that also covered the importance of
exclusive breastfeeding. After the District Head Decree on exclusive breastfeeding came into law, it was followed up with the
development of an easily-understandable module to be used by breastfeeding activists.
2. Immediate Initiation of Breastfeeding in South Singkawang Community Health Center, Singkawang City, West Kalimantan
Since wor ki g ith Ki erja a d Ki erja s NGO part er i West Kali a ta , PKBI, the o
u it feels more empowered to request their healthcare rights.
o Families of patients protest to the head midwife
if mothers are not assisted to immediately breastfeed their baby after delivery.
o Demand for pregnancy classes has increased
significantly. In 2011, there were no classes at all, yet by 2012, 26 classes were held and another 28
in 2013. o
In many places, pregnancy classes are facilitated by health volunteers and other mothers, reducing
dependency on midwiveshealth workers. o
Requests for counseling from breastfeeding counselors have increased.
o Exclusive breastfeeding rates in Singkawang City have increased. In 2011, when Kinerja began
working in the region, the percentage of babies being exclusively breastfed was only 22.2.
26 28
5 10
15 20
25 30
2011 2012
2013
Number of pregnancy classes, South Singkawang 2011-13
5 Exclusive breastfeeding rates rose to 38.1 after 1 year of
Ki erja s assistance 2012, and rose again to 48.7 in 2013.
o All childbirths assisted by health workers are required to include immediate breastfeeding in
Community Health Centers in South Singkawang. o
Local policies have been reformed as a result of community and multi-stakeholder forum advocacy.
o The District health Office and partner Community Health Centers were supported to apply
aspects of good governance into their services, including public participation, transparency and accountability through innovation, incentives, and sanctions.
o Patient service flowcharts which illustrate how, where and from whom patients receive
healthcare are now displayed at community health centers in easily-understandable language. o
Service providershealth workers understand and are capable of carrying out tasks in accordance with national standards and technical SOPs.
o Multi-stakeholder forums function as forums for public participation in planning processes,
resource prioritization, and monitoring service quality. o
Complaint management systems now include multi-stakeholder forums and service users. o
National Minimum Service Standards are used as a goal on which healthcare performance indicators are based.
3. Fathers who Care about Breastfeeding, Makassar City, South Sulawesi
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