Public Services Findings at the Government Level

ACCESS Phase II Impact Evaluation Page 29 participatory planning and budgeting and then service delivery, as shown in the following breakdown 30 : • 1,731 regulations on participatory planning and budgeting • 419 regulations related to improving public services • 63 regulations related to the local economy • 54 regulations related to community led environmental management • 52 regulations related to social justice Government response to village plans and budgets were less visible. Local governments have made substantial changes in improving the regulatory enviroment for participatory planning and budgeting as well as provided financial support for CSOs to replicate participatory planning and budgeting in many districts and villages. However, the AKATIGA study did not find this was accompanied by significant changes in local government’s own planning and budgeting practices, especially the Musrenbangkab process, to give greater weight to citizens’ demands in funding decisions. One reason may be some of the CSO have focused more on empowering citizens rather than advocacy to address weaknesses in the current planning and budgeting system and another reason is the complexity of the system including the political economy which means change is very slow.

3.2.1. Public Services

Governments have been responsive to citizen demands in the health and education sectors. As illustrated by the examples in Box 6, a number of agreements have been struck that adddress service delivery. This has been at the level of individual Puskesmas, hospitals and individual villages and a few examples of comprehensive change at the district level. For example, in Takalar Local Regulation Perda No. 112 on Public Services provides for free education and standards of education services while in Bantaeng a Perda on Public Service Delivery was issued. Box 6: Government Responses in the Public Service Area • In Takalar, the District Health Department received criticism from the Board of Health related to healthcare service delivery which led to improved services in hospitals and Puskesmas. Cadre who joined the villagekelurahan Board of Health signed a Memorandum of Understanding on Puskesmas basic services. As a result, service hours at the Puskesmas were implemented according to regulations 8.00 – 12.00am. • In Central Lombok, the CSO, Berugak Desa, successfully encouraged governments to increase the quota of Jamkesmas and Jamkesda recipients and improve health services through engagement with Central Lombok District Government Health and Education Departments and DPRD Local Legislative Council. • In Dompu, CSOs initiated establishment of cadre‐run community complaint centre to work with government on health services including availability of information on different types of drugs and services covered by various social health insurance Jamkesmas and JakkadJamkesda. These changes resulted from an agreement between LPMP a partner CSO, ACCESS, Department of Health and Dompu General Hospital signed in June 2012. • The Bantaeng government’s involvement in ACCESS led to policies to waive costs for citizens for services in midwifery, pustu public health sub‐centres, polindes community birthing centres, poskesdes village health posts, puskesmas community health centres and class 3 care in the local general hospital. The Bantaeng District Government issued Local Regulation Perda No. 1 of 2012 on Public Services to encourage improvements in services. A CSO YasKO then sought to increase citizens’ knowledge on their rights to healthcare services by establishing Pusat Pengaduan Pelayanan Publik ‐P4 Public Service Complaints Centre, as a platform for citizens to submit complaints on healthcare service 30 ACCESS Phase II Six Monthly Report October 2012 – March 2013 ACCESS Phase II Impact Evaluation Page 30 issues. At the district level, YasKO and its networks departments and DPRD participated in encouraging changes in public services in Bantaeng. • In 2011, citizens in Baruga village in Bantaeng complained about cuts initiated by the principal to teachers’ honorary incentives at an elementary school. One of the teachers complained to the Pusat Pengaduan Pelayanan Publik Public Service Complaints Centre who monitored the pathway of the complaint through to the Department of Education. The principal was sanctioned and transferred to a school in a remote area. • In Buton, the establishment of Kelompok Orang Tua Murid parents group has encouraged transparency in management of BOS Bantuan Operasi Sekolah funds to schools. Source: Field Reports, AKATIGA, October 2012.

3.2.2. Local Economic Development