Recommendation 10: Communications for development and to assist with
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xii
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xiii
Figure 3.1.3: Infant mortality rate IMR by province, Indonesia 2007 53
Figure 3.1.4: Under-five mortality rate U5MR by province, Indonesia 2007 53
Figure 3.1.5: Infant mortality rate IMR and provincial index of IMR disparity over time,
Indonesia 1991-2007
54 Figure 3.1.6: Under-five mortality rate U5MR and provincial index of U5MR disparity
over time, Indonesia 1991-2007
54 Figure 3.1.7: Infant mortality rate IMR by area, Indonesia 1997-2007
55 Figure 3.1.8: Under-five mortality rate U5MR by area, Indonesia 1997-2007
55 Figure 3.1.9: Infant mortality rate IMR by wealth quintile, Indonesia 2002-2007
55 Figure 3.1.10: Under-five mortality rate U5MR by wealth quintile, Indonesia 2002--2007
55 Figure 3.1.11: Causes of under-five deaths, Indonesia 2007
57 Figure 3.1.12: Immediate causes of maternal death: Obstetric complications,
Indonesia 2007
57 Figure 3.1.13:
Health coverage along the continuum of care, Indonesia 2007
58 Figure 3.1.14: Percentage of pregnant women receiving at least one antenatal care visit
from a skilled health provider by province, Indonesia 2007
59 Figure 3.1.15: Percentage of pregnant women receiving at least one antenatal care visit
from a skilled provider over time, Indonesia 1997-2007
60 Figure 3.1.16: Percentage of pregnant women receiving at least one antenatal care visit
from a skilled provider by area, Indonesia 1997-2007
60 Figure 3.1.17: Percentage of pregnant women receiving at least one antenatal care visit
from a skilled provider by wealth quintile, Indonesia 2007
60 Figure 3.1.18: Percentage of pregnant women receiving antenatal care visits by number
of visits, Indonesia 1997-2007
60 Figure 3.1.19: Percentage of pregnant women with four antenatal care visits ANC-4
by area, Indonesia 1997-2007
61 Figure 3.1.20: Percentage of assisted births, Indonesia 2002-2007
62 Figure 3.1.21: Percentage of births assisted by skilled providers most qualified persons,
Indonesia 2007
62 Figure 3.1.22: Percentage of women with children under age five who used trained health
personnel during their most recent delivery by area, Indonesia 2000-2008
63 Figure 3.1.23: Percentage of mothers with assisted childbirths, most recent birth by area
and type of assistance, Indonesia 2007
64 Figure 3.1.24: Percentage of births assisted by skilled providers, by wealth quintile,
Indonesia 2007
64 Figure 3.1.25: Percentage of mothers with assisted childbirths, most recent birth by
wealth quintile, Indonesia 2007
64 Figure 3.1.26: Percentage births by place of delivery, Indonesia 2002-2007
66 Figure 3.1.27: Percentage births by place of delivery and by area, Indonesia 2002-2007
66
Figure 3.1.28: Percentage of births by place of delivery and by wealth quintile,
Indonesia 2007
66 Figure 3.1.29: Percentage of post-partum women with postnatal care, Indonesia 2002-2007 67
Figure 3.1.30: Percentage of post-partum women with postnatal care by area,
Indonesia 2002-2007
67 Figure 3.1.31: Percentage of post-partum women with postnatal care by province,
Indonesia 2007
67 Figure 3.1.32: Percentage of post-partum women with postnatal care by wealth quintile,
Indonesia 2007
68 Figure 3.1.33: Percentage of children under five suffering from wasting, stunting and
underweight, Indonesia 2007
69 Figure 3.1.34: Percentage of children under five suffering from wasting, stunting and
underweight by area, Indonesia 2007
70 Figure 3.1.35: Percentage of children under five suffering from stunting, wasting and
underweight by sex, Indonesia 2007
70 Figure 3.1.36: Percentage of children under five suffering from stunting by expenditure
per capita per month, Indonesia 2007
70 Figure 3.1.37: Percentage of children under five suffering from wasting by expenditure
per capita per month, Indonesia 2007
70 Figure 3.1.38: Percentage of children under five suffering from being underweight
by expenditure per capita per month, Indonesia 2007
70 Figure 3.1.39: Percentage of children under five who are underweight by province,
Indonesia 2007
71 Figure 3.1.40: Percentage of children under five with stunting by province, Indonesia 2007 71
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xiv
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xv
Figure 3.1.41: Percentage of children under five with wasting by province, Indonesia 2007 72 Figure 3.1.42: Incidence of low birthweight percentage, Indonesia 1992-2007
73 Figure 3.1.43: Percentage of infants with low birthweight by province, Indonesia 2007
73 Figure 3.1.44: Percentage of infants with low birthweight by area, sex, and expenditure
per capita, Indonesia 2007
73 Figure 3.1.45: Percentage of children under six months by exclusive breastfeeding or
bottle-feeding, Indonesia 2002-2007
75 Figure 3.1.46: Percentage of children who started breastfeeding within one hour of birth
over time, Indonesia 1997-2007
75 Figure 3.1.47: Percentage of pregnant women who receive iron tablets
≥90 tablets by province, Indonesia 2007
77 Figure 3.1.48: Percentage of pregnant women who receive iron tablets
≥90 tablets by area, Indonesia 1997-2007
77 Figure 3.1.49: Percentage of pregnant women who receive iron tablets
≥90 tablets by wealth quintile, Indonesia 2007
77 Figure 3.2.1: Percentage of households with sustainable access to clean water,
Indonesia 2001-2008
85 Figure 3.2.2: Percentage of households with sustainable access to clean water
by province, Indonesia 2008
85 Figure 3.2.3: Percentage of households with sustainable access to clean water by area,
Indonesia 2008
86 Figure 3.2.4: Index of disparity of access to clean water and sanitation, Indonesia
2000-2008
86 Figure 3.2.5: Percentage of households with sustainable access to adequate sanitation
pit latrines and septic tanks, Indonesia 2000-2008
87 Figure 3.2.6: Percentage of households with sustainable access to adequate sanitation
pit latrines and septic tanks by province, Indonesia 2008
88 Figure 3.2.7: Percentage of households with sustainable access to adequate sanitation
pit latrines and septic tanks by area, Indonesia 2000-2008
88 Figure 3.2.8: Projected changes in percentage of urban and rural populations,
Indonesia 1990-2015
90 Figure 3.2.9:
Slum areas in Indonesia, by hectare Ha over time, Indonesia 2004-2009
90 Figure 3.3.1: Cumulative AIDS cases reported over time, Indonesia 2000-2009
91 Figure 3.3.2:
HIV trends and projections in Indonesia, 1980-2025 92
Figure 3.3.3: Cumulative AIDS cases by age groups, Indonesia 2000-2009 95
Figure 3.4.1: Early childhood education, 3-6 years old attendance rate over time,
Indonesia 2001-2009
105 Figure 3.4.2: Net attendance in primary school, Indonesia 2000-2008
108 Figure 3.4.3: Net attendance rates in primary school by province, Indonesia 2008
108 Figure 3.4.4: Net attendance rates in primary school by sex, Indonesia 2000-2008
109 Figure 3.4.5: Net attendance rates in primary school by area, Indonesia 2000-2008
109 Figure 3.4.6: Net attendance rates in primary school and index of disparity,
Indonesia 2000-2008
109 Figure 3.4.7: Trend in early school leaving dropout rates from public primary schools,
over time, Indonesia 199900-200607
110 Figure 3.4.8: Public primary school early leaving dropout rates by province,
Indonesia 200607
111 Figure 3.4.9: Trend in transition rates from primary to junior secondary school,
Indonesia 200506-200809
111 Figure 3.4.10: Trend in net attendance rates, junior secondary school, Indonesia 2000-2008 112
Figure 3.4.11: Net attendance rate, junior secondary school by province, Indonesia 2008 112
Figure 3.4.12: Net attendance rate, junior secondary school by sex, Indonesia 2000-2008 113
Figure 3.4.13: Net attendance rate, junior secondary school by area, Indonesia 2000-2008
113
Figure 3.4.14: Trend over time and index of provincial disparity of gross attendance rates
for junior secondary school, Indonesia 2000-2008
114 Figure 3.4.15: Trend of early school leaving dropout rate for junior secondary school,
Indonesia 199900-200607
115 Figure 3.4.16: Early school leaving dropout rate by province, Indonesia 200607
116 Figure 3.4.17: Trend of youth literacy rate 15-24 years, Indonesia 2000-2007
117 Figure 3.4.18:
Youth literacy rate 15-24 years by province, Indonesia 2007
117 Figure 3.4.19: Adult literacy rate age 10+ years by sex, Indonesia 2000-2007
118
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xvi
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xvii
Figure 3.4.20: Adult literacy rate age 15+ years by area, Indonesia 2000-2008 118
Figure 3.4.21: MGP-BE good practice replication in non-target schools,
Indonesia 2008-2009
126 Figure 3.5.1: Percentage of children aged 0-59 months whose births have been
registered, Indonesia 2001-2007
129 Figure 3.5.2: Percentage of children aged 0-59 months who have birth certificates
by province, Indonesia 2007
129 Figure 3.5.3: Percentage of births registered by wealth quintile, Indonesia 2007
130 Figure 3.5.4: Percentage of births registered by area, Indonesia 2007
130 Figure 3.5.5: Reason for not registering birth by area, Indonesia 2007
131 Figure 3.5.6: Reason for not registering birth by wealth quintile, Indonesia 2007
132 Figure 3.5.7: Percentage of women 20-24 years old who were married or in union before
the age of 18, Indonesia 2000-2008
139 Figure 3.5.8: Percentage of women 20-24 years old who were married or in union before
the age of 18 by province, Indonesia 2008
139 Figure 3.5.9: Percentage of women 20-24 years old who were married or in union before
the age of 18 years by area, Indonesia 2000-2008
140 Figure 3.5.10: Working children aged 5-17 years, Indonesia 2004-2009 thousands
141 Figure 3.5.11: Labour force participation rates of children aged 10-17 years,
Indonesia 2004-2009
142 Figure 3.5.12: Percentage of children aged 5-17 years by type of activity and sex,
Indonesia 2009
143 Figure 3.5.13: Percentage of working children by age group and total work hours,
Indonesia 2009
143 Figure 3.5.14: Percentage of working children by industry and age group, Indonesia 2009 144
Figure 3.5.15: Percentage of working children aged 5-17 years by employment status,
Indonesia 2009
144 Figure 3.5.16: Percentage of working children aged 5-17 years by place of work,
Indonesia 2009
145 Figure 4.1.1: Transfer of power and authority under decentralisation
171 Figure 4.2.1: East Nusa Tenggara NTT location map
183 Figure 4.2.2: Population pyramid, NTT 2005
185 Figure 4.2.3: Percentage of population below the poverty line, NTT versus Indonesia
1999-2009
186 Figure 4.2.4: Percentage of poor population by district, NTT 2008
187 Figure 4.2.5: Trends in development indices, NTT 1999-2007
187 Figure 4.2.6: Percentage of children aged under five suffering from wasting, stunting
and underweight, NTT 2007
193 Figure 4.2.7: Percentage of children aged under five suffering from being underweight,
stunting or wasting, by rural versus urban area, NTT 2007
194 Figure 4.2.8: Trends in prevalence of moderately underweight and severely underweight
children, NTT 1989-2005
195 Figure 4.2.9: Trends in IMR and U5MR, NTT versus Indonesia, 1994-2007
202 Figure 4.2.10: Percentage of births attended by trained heath personnel, NTT 2000-2008
203 Figure 4.2.11: Percentage of children under age two who were immunised, NTT 1994-2007 207
Figure 4.2.12: Trends in access to clean water, NTT versus Total Indonesia 2000-2008 207
Figure 4.2.13: Trends in the proportion of households with sustainable access to adequate
sanitation ventilated pit latrine and septic tank, NTT, 2000-2008
208 Figure 4.3.1: Map of Papua Province
227 Figure 4.3.2:
HDI, GDI, GEM over time, Papua 1999-2007
230 Figure 4.3.3:
HDI in selected districts, Papua 2004-2007
230 Figure 4.3.4:
Cumulative reported deaths from HIV and AIDS, Papua 2000-2009
233 Figure 4.4.1: Map of Aceh
267 Table 4.4.1:
Education budget, Aceh 2002-2009
270 Figure 4.4.2: Flow of funds in Aceh
270 Figure 4.4.3: Percentage of population below the poverty line, Indonesia and Aceh
1999-2009
272 Figure 4.4.4 and 4.4.5: Percentage of population below the poverty line by area 1999-2009
and by district 2008, Aceh
273 Figure 4.4.6:
Human development indicators, Aceh 1999-2007
274
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xviii
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xix
Figure 4.4.7: Attendance rates among children aged 4-6 years in early childhood
education institutions, Aceh 2003-2007
276 Figure 4.4.8: Net attendance rates for primary school, Indonesia and Aceh 2003-2008
276 Figure 4.4.9: Net attendance rates for primary school by sex, Aceh 2003-2008
276 Figure 4.4.10: Primary school early leaving rates, Aceh 1999-2007
277 Figure 4.4.11: Transition rates to junior secondary school, Aceh 1999-2007
277 Figure 4.4.12: Primary school repeat rate, Indonesia and Aceh 2000-2008
278 Figure 4.4.13: Net attendance rate for junior secondary school
278 Figure 4.4.14: Gender disparities in junior secondary school participation
278 Figure 4.4.15: Trend of junior secondary school early school leaving rate, Aceh 1999-2007 279
Figure 4.4.16: Transition rate to senior secondary school, Aceh 1999-2007 279
Figure 4.4.17: Trend in repeat rates for junior secondary school, Indonesia and Aceh
2000-2009
280 Figure 4.4.18: Net attendance rate of senior secondary school, Aceh 2003-2008
280 Figure 4.4.19: Gross and net senior secondary school attendance rates by sex, Aceh
2003-2008
280 Figure 4.4.20: Type of schools in Banda Aceh and Aceh Timur, 2009
283 Figure 4.5.1:
Central Java map
306 Figure 4.5.2:
Projected population pyramid, Central Java 2009
307 Figure 4.5.3: Percentage of households living below the national poverty line, Indonesia
and Central Java 1999-2009
308 Figure 4.5.4:
Percentage of population below the poverty line by area, Central Java 1999-2009
308 Figure 4.5.5:
Human development index HDI, gender development index GDI, and gender empowerment measure GEM, Central Java 1999-2007
309 Figure 5.8.1: Weaknesses in the development planning process - Inadequate attention
to the needs, priorities and voices of women and children
365
EXECUTIVE SUMMARY
Within the overall context of Indonesia, this Situation Analysis for Children Report aims to identify, analyse, and explore the available data on the trends and patterns in the major
problems affecting children and women in Indonesia over the past decade 2000-2010. It also aims to explore policy initiatives, innovations, and challenges in responding to these problems
in the new decentralised governance structures of Indonesia and to provide recommendations for policy makers and practitioners at the national and sub-national levels.
The Situation Analysis comprises five sections: 1 Introduction, 2 Socio-political, Economic and Demographic Context, 3 Analysis of National Indicators on the Situation of Children and
Women 4 Children and Decentralization with a subsection on Voices of Children and 5 Policy Recommendations.
Section 4 focuses on four very different provinces, namely Aceh, Papua, Central Java and East Nusa Tenggara. For each, an in-depth analysis is conducted on one relevant sector or issue.
1. Aceh: Examining Aceh is useful not only for understanding the vulnerabilities children and women face and how children respond in a context of complex emergencies, but also
for appreciating how large scale interventions to rebuild the province have contributed to enhanced social development. Prior to the tsunami, many education facilities were
destroyed as a result of the conflict between the Free Aceh Movement GAM and the Government of Indonesia GoI, a situation which was aggravated by the earthquake
and tsunami. This rendered it dificult to guarantee access to education. However, in the framework of tsunami relief and investment, large scale interventions in the education
sector were made following the signature of the peace agreement between the conflict parties in 2005. As a result, the education situation in the province has vastly improved,
albeit unevenly at district level. This provides many lessons in policy innovation and identifies the continued challenges for improving disparities in access and quality to
education in the province.
2. Central Java: Compared to other provinces, Central Java has on average a higher standard of living, but its large population, urban and rural poverty mean there are considerable
inter-district and inter-income group disparities in terms of child welfare. Rural poverty in the district contributes to the migration of children to urban areas, some of which
have ended up living in the streets. The study of children living in the streets, their vulnerabilities, and the policy responses to the problem highlight a number of issues in
child special protection. They also describe through the pilot of the Child-friendly City of Surakarta how multi-sectoral responses under decentralization have required consistent
commitment of the district government to prioritising children in policy formulation, budgeting, and the establishment of a Bureau of Child Protection. All of this has been based
on the political will and the commitment of the municipality leadership and support from the provincial level to improve child rights and welfare.
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xx
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xxi
3. East Nusa Tenggara NTT: The long dry season and absence of a large natural resource base mean that the area is prone to drought, food shortages and other challenges to
improving child welfare. The institutions delivering public services are in various stages of development and the capacity of personnel to deliver services in such a difficult context
is uneven. Examining the case study of malnutrition and health in NTT is appropriate given the economic difficulties, low education levels, customary nutrition practices, and
poor access to health services which are prevalent in the province. It also highlights the challenges under decentralization of improving child welfare in the province.
4. Papua: Despite being rich in natural resources, this province faces enormous challenges with limited human capital and a poor human development index. Papua also suffers from
a high prevalence of HIV and AIDS HIV prevalence: 2.4 per cent compared to a national prevalence of 0.2 per cent and is classiied as experiencing a generalised epidemic in HIV
and AIDS. This has been exacerbated by migration, resistance to protective measures in sex practices, and difficulties in changing behaviour due to low education and awareness
levels. Papua provides an example of the challenges in combating HIV and AIDS under decentralization and special autonomy in an economically underdeveloped area and in
terms of social welfare and infrastructure services in Indonesia.
The Situation Analysis demonstrates that the situation of children and women has been improving. For some indicators Indonesia is on track to reach the MDGs by 2015 at the national
level for example in the case of universal primary education. However, the analysis also highlights that despite these improvements there are many disparities, such as geographic,
economic, gender or income group discrepancies, requiring further urgent attention of the Government and its development partners. In particular, the Situation Analysis highlights the
need 1 to reduce non-income poverty Sections 2 and 3, 2 to redress socio-economic and regional disparities Sections 2 and 3, 3 to improve the uneven capacity to deliver services at
the district and provincial level, and 4 to better incorporate the needs and voices of children and women into local level decision-making Section 4.
The evidence presented in this Situation Analysis suggests that some of Indonesia’s most vulnerable groups continue to live in dire poverty, with poor access to education, health
services, social protection, as well as safe and secure living environments Sections 2 and 3. However, it also shows, that there are government platforms where these issues are prioritised
and can be further integrated in development planning, for example the Government of Indonesia’s international commitments, the RPJMN and the National Team for Accelerating
Poverty Reduction. UNICEF and other UN agencies also have a mandate to support the GoI in this regard.
More specifically, analysis in Section 2 clearly illustrates the improvements in economic growth and poverty reduction over time in Indonesia. However, it also explains that overall poverty
reduction has not been accompanied by equitable social outcomes, with social disparity and inequality being evident between provinces, urban and rural areas, gender and socio-economic
groups. Analysis in Section 3 demonstrates that with regard to a range of indicators of child and women’s welfare it is very important to enhance policy attention towards pro-poor growth
and improving human development, as well as achieving MDGs with equity. The need of tapping into the current “demographic window” through strengthened systems of governance
and public administration is also noted. Due attention is given to MDGs in that the analysis presented is centred on children and
women, but at the same time inter-related analysis of the situation of child protection is also considered. In addition, whilst presenting a large number of indicators that correspond to data
aggregated at national level, whenever possible the discussion also focuses on evidence of the profound and multiple disparities and inequalities which characterize Indonesia today.
The section on child protection, or special protection as it is known in Indonesia, is distinct from the first three sections in that it relies less on indicators and aggregate quantitative data
for the whole country due to data insufficiencies and more on in-depth case studies including quantitative data as well as qualitative data. This analytical approach attempts to best capture
and illustrate the challenges and contradictions that accompany the incipient construction of child protection in Indonesia. Whilst this section is divided into five distinct units, it is
important to underline that these five components of the analysis are deeply interrelated; outcomes in one area may affect changes in others. Each part of the analysis also identifies the
major changes in policies and initiatives which have been undertaken in relation to the themes of this section, although the discussion is not exhaustive given the rapidly changing policy
and regulatory environment in Indonesia. Reference to these changes is made in relation to decentralization, while they are further discussed in the sub-national analysis of Section 4.
Section 4 builds on some of the challenges identified in Section 2 with regard to decentralization. These include namely: 1 building the uneven capacity of the district and
provincial level arms of the Government to be able to design and administer local-level policies and regulations, 2 improving the quality and performance of the civil service at the
sub-national level, 3 the complexities of designing and passing necessary regulations etc. at the provincial and district level to support policies and programmes, and 4 ensuring the
even spread of quality of service delivery and assistance. It aims to examine the sub-national context from different perspectives through the four case studies, as mentioned above. These
serve as examples of the policy innovations and constraints under decentralization in relation to the resources available and institutional capacity to deliver services and the particular
vulnerabilities prevalent in different provinces. These are not exhaustive sectoral reviews but rather aim to elucidate the views of decision-makers and practitioners on issues affecting
children’s rights and welfare.
Section 4.6, focuses on the Voices of Children and demonstrates that young people do not experience health, educational and other problems in isolation, nor do they seek out ways
of linking these things together. They rather experience them in a single context as a multi- dimensional series of life encounters. It focuses on a positive approach to adolescent and
child development through sharing children’s narratives and stories. These demonstrate the importance of looking at development from a child and adolescent perspective.
THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 xxii
SECTION 1:
INTRODUCTION
The Situation Analysis ends in Section 5 with the below key ten recommendations provided in summary.
Recommendation 1. Harmonising the national and local level legal framework. Recommendation 2. Mainstreaming the Indonesian Child Protection Law and other
legislation related to child rights and welfare and promoting compliance in national and local regulations, guidelines, and policies.
Recommendation 3. Improving evidence-based policing making: Reducing data deficiencies. Recommendation 4. Improving evidenced-based policy making and monitoring:
Strengthening knowledge management, data collection and analysis systems at the national and local level.
Recommendation 5. Improving evidenced-based policy making: Producing biennial thematic SITAN of women and children and other key public documents.
Recommendation 6. Establishing a comprehensive National Child Special Protection System to uphold and monitor child rights and welfare as mandated by the Indonesian Child
Protection Law.
Recommendation 7. Promoting equitable development for women and children: Targeting interventions on worst performers to improve poverty reduction, pro-poor growth, and MDGs
with equity.
Recommendation 8. Strengthening the decentralised system through local level capacity building and support in development planning processes: improving consultative planning
processes, regulations, policy formulation, programme design, and service delivery to be pro- child and pro-women.
Recommendation 9. Advocating the scale up specific sectoral interventions to improve child rights and welfare and reduce inequity.
Recommendation 10. Communications for development to assist with knowledge building and behavioural change to support other targeted interventions and improve the situation of
women and children in Indonesia.
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THE SITUATION OF CHILDREN AND WOMEN IN INDONESIA 2000-2010 3