Immediate Exclusive Breastfeeding KINERJA

Ringkasan Tata Kelola Persalinan Aman, Inisiasi Menyusu Dini dan ASI Eksklusif 17 www.kinerja.or.id management. The next phase involved holding district-level consultations for all KINERJA partner regions. These consultations were in the form of Focus Group Discussions FGD. Consultations were held at the District Health Offices or District Planning Offices, with participants consisting of health office staff, heads of community health centers, midwives, community health volunteers, community organizations working on health issues, professional health workers’ organizations, media, and religious figures, traditional figures, and women. The meetings explored priority maternal and child health issues, including breastfeeding and safe delivery, and identified the community health centers that would be assisted by KINERJA during the initial phase. The health centers chosen were based on three indicators: health centers that needed service improvements, that were isolated, or that were providing adequate services. Informal discussions in KINERJA ’s partner districts were also held. Members of the media, government, legislature, and professional organizations were invited to attend in order to obtain a true idea of the condition of KINERJA ’s partner districts. This information was analysed alongside secondary data related to social, economic, education, and health conditions in the partner districts. KINERJA staff and IOs worked as initiators, motivators, and facilitators to approach and gain the support of the legislatures, Local Planning Bodies, and decision-makers at the District Health Offices, as well as community leaders and professional organizations. The MSFs later emerged from these efforts. The main indicator that measured the commitment of district governments was their willingness to allocate a portion of the district budget to support KINERJA ’s program. The funds allocated are used for activities that support public participation in health care delivery. This creates feelings of local ownership over the programs and encourages sustainability.

2. Working Arrangements

The main duty of Kinerja’s local staff – called Local Public Service Specialists – is to coordinate the program at the district level, and to facilitate IOs to be able to optimally conduct activities with the health office, MSFs, and regional government. LPSS, together with IOs, are responsible for program achievement at the district level. IOs work at both the district and health center levels, in addition to assisting the community and MSFs in their advocacy and supervision efforts. KINERJA conducted regular IO capacity building, so as to ensure adequate capability in providing technical assistance for KINERJA ’s partner districts. For strengthening the supply side on safe delivery, KINERJA worked to empower local champions with health backgrounds to support the work of IOs in