Work Plan Implementation KINERJA’S EXPERIENCE IN

MSS in Health 16 www.kinerja.or.id

2. Work Plan Implementation

KINERJA MSS planning activities are carried out through the following stages: 1. Workshop on Improving MSS Understanding, and comparative study trip on the application of service standards in health: Workshops are held at the districtcity level, and are attended by all relevant stakeholders from all levels of government, health centers, and the community in order to increase understanding and awareness of the importance of MSS and other service standards. Where possible, local government staff also conduct a comparative study trip to other districtscities that are already effectively implementing MSS. 2. Review of MSS regulations at the districtcity level: The MSS team and District Health Office conduct a broad review of all MSS-related regulations in order to assess regulations that support or that hinder MSS implementation and target achievement. 4. Identification of MSS target achievements: The status of MSS targets and whether they are being achieved or not must be identified, both at health centers and at the districtcity levels. 5. Gap analysis and strategy development: The gaps between achievements and MSS targets are identified, analysed, and prioritised for action. Largest gaps are to be addressed first. Analysis is carried out through using ‘problem tree’ or ‘fishbone’ methods. An MSS strategy is then developed, complete with program activities, in order to address the problems and gaps identified. 6. Calculation of costs needed to achieve MSS targets: Following the development of priority targets and an MSS strategy, the funds needed to achieve MSS targets must be calculated. This process is referred to as ‘costing’. Costing is generally calculated in stages, generally in the medium-term of around three to five years. 7. Workshop on MSS costing integration: A workshop is held to disseminate the results of MSS costing calculations and to integrate the costing results into official regional planning and budgeting documents, including the Conducting a workshop of MSS costing calculation results by inviting various parties public examination and integrate the MSS costing results into Official and Regional planning and budgeting documents, such as the taskforce work plan and budget RKA, Public Financing Policies and Ceiling for Temporary Priority Funding KUA-PPAS, and general work plan Renja. These documents are then to be used as references for the drafting of the Health Departm ent’s Strategic Plan Renstra and the district ’s Regional Medium Term Development Plan RPJMD. 8. Monitoring and evaluation of MSS achievement: The MSS team and district health offices monitor the implementation of MSS program activities, periodically evaluate MSS achievements, and conduct reviews if implementation plans need altering. 9. Innovation and replication: Districts and cities that have completed the MSS Costing calculation stage can also adopt other good governance practices that will assist the implementation of MSS programs and support the achievement of targets. For example, MSS in Health 17 www.kinerja.or.id can expand MSS costing from pilot health centers to all health centers in the district; other district offices can adopt MSS costing and implementation methods; MSS indicators can be referred to as the basis for drafting the district’s Regional Medium Term Development Plan RPJMD; and public service standards can be adopted to support MSS target achievement.

3. Benefits of Developing an MSS Work Plan