Kinerja’s Achievements in MSS Planning and Budgeting for

MSS in Health 5 www.kinerja.or.id

3. Kinerja’s Achievements in MSS Planning and Budgeting for

Health Kinerja’s non-MSS health programs at the district level focus on maternal and child health, with a focus on safe delivery and immediate exclusive breastfeeding. In MSS for health, Kinerja’s assistance with planning and budgeting has resulted a number of key achievements along the length of the cycle: Some examples of achievements at the drafting stage: a More districts are able to complete MSS planning and budgeting after being supported for just six months. The planning and budgeting process includes revamping data collection system for health MSS baseline calculation, analyzing MSS achievement gaps and their causes, identifying and prioritizing programs, and calculating resources needed to achieve MSS targets MSS costing. b Some district governments have successfully integrated MSS costing results into the regional planning and budgeting. This achievement means that the district administration uses MSS to develop their plans and budgets. Some examples of achievements at the implementation stage: a Some Kinerja-supported districts, such as Bener Meriah, Aceh Singkil, Jember, Singkawang and Bulukumba, have integrated MSS costing results into the district planning and budgeting. Singkawang incorporated the MSS costing results into the strategic plan of the District Health Office’s Regional Medium Term Development Plan RPJMD 2013-2018. Jember used the MSS costing results to allocate more than 79 billion Rupiah US5.7 million in the Public Financing Policies and Ceiling for Temporary Priority Funding KUA-PPAS 2014. The budget was used to finance health programs that aimed to meet key MSS targets. b Makassar City issued a Mayoral Regulation on the Implementation of Minimum Service Standards MSS for Health. The regulation includes sections on annual targets and program priorities which support the achievements of indicators and deadlines of health MSS for 2015. The targets and programs were established by the district health office, MSF, and Kinerja through referring to the MSS costing results. MSS in Health 6 www.kinerja.or.id Recommendations for Local Government Managers Kinerja-supported MSS planning and budgeting programs have brought concrete results and changes to a number of districts throughout Indonesia. Kinerja encourages district administration managers, particularly those from areas with limited budgets and big gaps in health care, to learn from the project’s experiences. Kinerja hopes these leaders will learn about health MSS costing and integration of the MSS costing results into planning and budgeting documents. Learning from the project’s experiences, Kinerja would like to make the following recommendations: a Strong commitment from local government leaders district headmayor, district parliament, district secretary, and head of district health office is essential for the implementation of MSS in health. b Policies on public service provision should refer to MSS indicators in order for clear and easy measurement of achievements and outputs. c Civil society organizationsCSOs and community multi-stakeholder forums MSFs must be involved in health governance programs. d Existing staff, organizational structures, and local resources, such as Health Committees and universities should be empowered and used. It is not necessary to create new working groups. e Coordination among the district technical offices such as the district health office and other relevant local government agencies should be improved. f Performance indicators should be developed and program success should be measured. g Local government agencies can adopt Kinerja’s approaches and tools as supporting instruments to improve public services. Recommendations for Implementing Organisations Kinerja’s implementing organisations IOs and consultants are experienced in assisting district governments and community represenattives with MSS planning and budgeting for health. They are invaluable local assets. With this in mind, the project makes the following recommendations for IOs and consultants who will continue working on MSS in health: a To integrate good governance principles and involve the community in all activities and programs. b To focus on achieving results, rather than fulfilling activity schedules and meeting the required number of participants. c To provide stimulating advice and assistance, rather than acting as an employee. d To use Kinerja’s modules to improve capacities of IOs, local governments, and the community. e To increase capacity by working with other IOs and universities. MSS in Health 7 www.kinerja.or.id Recommendations for Education and Training Institutions Government owned-education and training institutions are strategically positioned to build the skills of government staff. They have significant influence on government staff ’s capacities because they provide them with regular trainings. Therefore, Kinerja recommends that training intuitions to adopt the project’s approach and good practices in their curriculum and trainings. Kinerja particularly recommends: a involving citizens in the implementation of good governance, as citizens are the users of public services. b focusing more on improving skills rather than increasing knowledge. c adopting the modules, innovations, and good practices developed by Kinerja, other donors, relevant technical ministries, and the Ministry of State for Administrative Reform. d conducting regular trainings on public service provision, and exercising possibilities to work with other organizations IOs, consultants, and local government agencies that have been innovative in public service improvements. MSS in Health 8 www.kinerja.or.id

CHAPTER 2 KINERJA