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How Kinerja began working
Kinerja provides technical assistance to improve local health governance from two sides – supply
service providers and demand service users. This requires the support and commitment of a range of different regional stakeholders.
1. Commitment of District Head, parliament, and other stakeholders
Kinerja began providing assistance on MSS in the health sector by holding awareness raising workshops. These workshops aimed to increase the understanding of key local stakeholders
on the importance of MSS. Participants included the district headmayor and members of the local parliament. Comparative study trips were then held for government staff
– staff were invited to visit another districtcity that was already effectively implementing MSS in the field of
maternal and child health. These visits often included the district head, the regional secretary, members of parliament, and the head of the district health office, as well as community
representatives. Some districts that were visited were Probolinggo City, East Java; Sragen, Central Java; and Klaten, Central Java.
Following the workshops and comparative study trips, the participating stakeholders demonstrated improved awareness and understanding on MSS and other service standards.
The participants were then better able to advocate to the district’s decision makers on health MSS.
The next step was the establishment of the district health MSS team.
2. Structure
At the districtcity level, Kinerja began the program by recruiting staff with experience in public service, called LPSS Local Public Service Specialist. One LPSS is located in each of
Kinerja’s partner districtscities. Their main task is to coordinate the program with the district government, MSFs, Kinerja’s consultants, and implementing organisations. LPSS are also
responsible for overseeing program implementation quality.
LPSS and Kinerja’s consultants provided assistance to district governments at all stages of MSS planning and implementation. Kinerja recruited MSS consultants in each province, all of
whom received extra training.
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Periodically, specialists from the Kinerja National Office in Jakarta also support MSS activities, especially during large and important events such as workshops on integrating
MSS into district planning and budgeting documents. LPSS always coordinate with the district health offices and the MSS team. The MSS team
is made up of the head of the district health office or a senior district health office staffmember, the heads of Kinerja’s partner health centers, the district planning body, the
organisation division, the finance division, and non-governmental institutions.
3. Work plan development
