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3. Program Continuity
Initiatives already implemented by KINERJA in partner districts and health centers can only be sustainable with the full support of district governments. Changes already achieved through KINERJ
A’s governance-based approach are being continued through the allocation of district government budgetary
funds. This ensures that the changes at the health center level will remain in place, allowing the centers to become stimulants and places of learning for other health centers.
4. Scope of the Document
This document consists of 4 chapters. Chapter 1 presents the general approach of KINERJA, KINERJA’s
programs in the health sector, and KINERJA ’s governance principles as they relate to safe delivery and
IEBF. Chapter 2 describes KINERJA ’s experiences in supporting the inclusion of governance in safe
delivery and IEBF, and how KINERJA’s implementation phases occurred, from start to end. Chapter 4 contains recommendations for various
stakeholders on how to replicate KINERJA’s programs.
5. Recommendations
a For District Heads
KINERJA ’s governance approach – that is, supporting both the supply and demand sides – has
been proven to improve public service delivery in just two years of assistance. This approach can then be gradually replicated and expanded to all facilities in the health service in line with regional
budgets. Expansion and development requires a number of basic elements, including :
1. High level of commitment from District HeadMayor, legislative assembly, and District Health Office
; 2.
An assistance period of 2-3 years for establishing and assisting MSFs ;
3. Creative innovations and incentive systems for service providers and recipients
; 4.
Strong coordination and monitoring between district health offices and community health centers ;
5. Strong leadership by governments and the private sector in providing breastfeeding rooms,
facilities and counselors in workplaces and public places ;
6. Strong contribution by local media, community health ambassadors, and MSFs to consistently
and voluntarily oversee campaigns on safe delivery and IEBF.
b For Future Implementing Organizations
IOs conducting advocacy on public service delivery can play a significant role in improving services and strengthening local policy. Through KINERJA
’s participatory approach, IOs are able to accelerate and enrich the health care improvement process in their region through working closely with district health
Ringkasan Tata Kelola Persalinan Aman, Inisiasi Menyusu Dini dan ASI Eksklusif
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offices, health centers, and other stakeholders. The adoption and implementation of materials already developed by KINERJA is ane option that has
been proven to make positive changes in a period of just 1 to 2 years of assistance. The key to success of the
KINERJA’s 2-year implementation was due to 1 strengthening of IO personnel using KINERJA’s governance approach, ensuring sustainability during the implementation process, particularly if reinforced
by universities, training institutions, and local champions; and 2 choosing community movements already rooted and active in the community
.
c For Education and Training Institutions
Training institutions and universities are recommended to incorporate KINERJA ’s governance approach
into their curricula and training materials, alongside a strong gender perspective, in order to enhance the knowledge and skills of health officers
.
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