Selanjutnya

A.I.D. PROJECT NO. 497-0327
A.I.D. LOAN NO . 497-Q-077
and
LOAN NO. 497-U-081

AMENDMENT NO. 1 TO

LOAN AGREEMENT

BETWEENJHE

REPUBLIC OF INDONESIA

AND THE

UNITED srATES OF AMERICA

FOR

FAMILY PLANNING DEVELOPMENT AND SERVICES II


DATED: Julv 29, 1983

_______________________
NMLセ@

Dated: July 29, 1983

This AMENDMENT NO. 1 is entered into between the REPUBLIC OF
INDONESIA ("Borrower") and the UNITED STATES OF AMERICA, acting
through the AGENCY FOR IN'rERNATIONAL DEVELOPMENT ("A. I. D."):
WHEREAS, the Borrower and A.I.D. entered into a Family Planning
Development and Services II Loan Agreement, designated as A.I.D.
Loan No. 497-Q-077 and No. 497-U-081 on June 17, 1983 ("Loan
Agreement"), whereby A.I.D. agreed to lend to the Borrower up to
Five Million Five Hundred Thousand United States ("U.S.") Dollars
(S5,500,000)

("Loan");

WHEREAS, the Borrower and A.I.D. desire to amend the Loan

Agreement to add an additional S3,900,000 to the Loan;
NOW THEREFORE, the Borrower and A.I.D. hereby agree as follows:
1.

The first paragraph of Section 3.1 is revised to read as

follows:
"Section 3.1.

The Loan.

To assist the Borrower to meet the

costs of carrying out the Project, A.I.D., pursuant to the Foreign
Assistance Act of 1961, as amended, agrees to lend the Borrower
under the terms of this Agreement not to exceed Nine Million Four
Hundred Thousand United States (U.S.) Dollars (S9,400,000)
("Loan").

The aggregate amount of disbursements under the Loan is


referred to as "Principal"."
2.

A revised amplified project description and financial plan

is attached as Annex I to this Amendment.
3.

Except as hereinabove expressly amended, the Loan Agreement

is ratified, confirmed and continued in full force and effect in
accordance with all of its terms.
IN WITNESS WHEREOF, the Borrower and the United States of
America, each acting through its respective duly authorized
representative, have caused this Amendment No. 1 to be signed in
their names and delivered as of the day and year first above written.

REPUBLIC OF INDONESIA


UNITED STA'rES OF AMERICA

Signed

Signed

Atmono Suryo M.A.
Director General
for Foreign Economic Relations
Department of Foreign Affairs

William P. Fuller
Director
USAID/Indonesia

ANNEX I
AMPLIFIED DESCRIPTION OF THE PROJECT (AS AMENDED)
I.

General Project Description


The purpose of the Project is to assist the Government of
Indonesia in its efforts to increase the prevalence of contraceptive
use through the national family planning program to 58% of all
married women of reproductive age (ages 15-44 years) by March 1987.
Grant and loan funds will be used to support the national
family planning program through six inter-related project
components. The six components are:
1. Expansion of village family planning services in 13
priority provinces;
2. Development of urban family planning programs in the 10
largest cities, with special emphasis on utilization of the
private sector and cost-recovery activities;
3. Extension of voluntary sterilization services in 12
priority provinces;
4. Management and institutional improvement through training;
5
Management and institutional improvement through the
introduction of modern management technologies; and
6. Research and development support to measure program

progress, test new ways of delivering information and
services, and strengthen monitoring and supervision of
program operations.
The National Family Planning Coordinating Board (BKKBN), the
Indonesian agency responsible for coordinating all family planning
and population programs and activities, will be the implementing
agency for all components under this project.
Project implementation will be concentrated in three Indonesian
fiscal years. Most USAID-supported activities will begin in April
1984 and continue through March 1987. However, each component has
its own implementation schedule.
Some activities of specific
components will begin during the Indonesian fiscal year April 1983 March 1984. Other activities, such as academic degree training,
will continue up to December 31, 1989.
A more detailed description of each project component together
with the responsibilities of USAID and the GOI follows:
1.

Village Family Planning


Grant and loan funds will be used to assist the BKKBN to
increase the number of fully-functioning village and sub-village

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family planning posts and to strengthen their information and
service capacity. Efforts will be made to expand services in
low-performing areas which have potential for growth.
Special focus
will be on thirteen priority provinces selected by the BKKBN and
USAID. The majority of villages and sub-villages in the provinces
of West Java, Central Java, East Java, North Sumatra, West Sumatra,
Lampung, South Sulawesi, and West Nusa Tenggara will be provided
with high quality information and services. For the administratively and topographically more difficult provinces of South
Sumatra, East Nusa Tenggara, Aceh, Riau, and West Kalimantan the
expected village and sub-village coverage in each province will be
50% of the total.
The program will include: strengthening or expanding the number
of village or sub-village service points; education and training;
pilot testing of new techniques or approaches; information and

motivation services; strengthening management, logistics, and
reporting capabilities; equipment and supplies; essential operating
costs; supervision and consultation support. An annual plan
incorporating these elements will be developed for each province,
tailored to the specific needs of that province, and agreed to by
BKKBN and USAID.
BKKBN will provide supporting staff salaries,
facilities, contraceptives, operating and supervisory costs,
materials and supplies, training courses and workshops, and
information services. AID funds will be provided for limited
commodity procurement and local cost financing for training,
workshops, and specific family planning programs.
AID funds will permit greater attention to areas of low
prevalence as well as more intensive activity in the outer islands;
including decentralized activities and local program initiatives.
2.

Urban Family Planning

Project loan funds will be used to expand information and

services in the ten largest cities in Indonesia where family
planning performance and contraceptive prevalence rates have been
below the national average. The ten cities are Jakarta, Surabaya,
Bandung, Medan, Semarang, Palembang, Ujung Pandang, Malang, Padang,
and Surakarta (Solo). Jakarta will receive priority attention and a
larger share of funds because of its size and low performance.
Experimentation with a few selected cities near the ten largest
cities will also be undertaken.
The program will include the development and expansion of both
public and private clinic and service networks; experiments with
fee-for-service techniques; training of physicians and midwives; new
approaches to the distribution and sale of contraceptives; expanded
information and education campaigns; technical assistance for
management and market research; equipment and supplies as needed;
and pilot tests of new techniques and approaches, including studies
on costs-benefits of various programs or services, trials of fee for
service arrangments and the expansion of private clinic networks.
An annual plan will be developed for each city, according to its
specific requirements, and agreed to by BKKBN and A.I.D.


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3 -

BKKBN will provide funds for staff salaries, facilities,
program contraceptives, operating and supervisory costs, materials
and supplies, training courses and workshops, and information
services. AID funds will be provided for technical assistance and
local cost financing for training, and specific urban family
planning programs which are designed throughout the life of the
project.
3.

Voluntary Sterilization

Project grant funds will enable the BKKBN, in collaboration
with the Ministry of Health, the private Association for Secure
Contraception (PKMI), and other institutions, to extend voluntary
sterilization services to provincial and regency (kabupaten) level
hospitals and sub-district (kecamatan) clinics in areas of high

contraceptive prevalence, and where demand for more permanent
methods of family planning is growing steadily. Hospitals and
clinics will be upgraded in regencies and sub-districts in Jakarta,
and in the three largest Java provinces following a needs assessment
funded by the project. Priority Outer Island provinces will also
have hospitals and clinics upgraded.
Selection of sub-districts
will be based on the level of contraceptive prevalance, the
potential demand for voluntary sterilization, and the degree of
support from provincial and sub-district officials and informal
leaders. Facilities in both hospitals and clinics will provide
information and a full range of contraceptives to insure each family
planning acceptor can make an informed choice. All voluntary
sterilization programs under this project will be in full compliance
with A.I.D. Population Policy Determination No.3 (PD-3).
Comprehensive family planning centers including voluntary
sterilization facilities will be established in approximately 173
hospitals and 346 clinics over a three year period. USAID project
funds will be used to renovate and equip these facilities and
provide training of physicians and paramedical personnel and
technical assistance where appropriate.
BKKBN will fund payments for physicians and staff, medicines
and supplies, and operating costs of newly-created facilities over a
three year period. AID funds will be provided for the local
currency and foreign exchange financing of commodities related to
the upgrading of sterilization facilities. USAID and BKKBN will
agree on annual plans for specific activities under this component.
4.

Training

Grant and loan funds will (1) enable approximately 65 persons
to complete the master's degree, and 16 persons to complete doctoral
degrees in the United States; (2) enable approximately 90 persons to
complete master's degrees and 14 persons to complete doctoral
degrees in Indonesia; (3) develop and adapt at least eight
specialized in-service training programs and a special program of
management development training; (4) develop two population and
ecology institutes; (5) plan for new schools of public health,
including identification of faculty members requiring additional

- 4 academic training and specifications of library and other reference
requirements.
AID project funds will be provided for academic training and
related support costs in the U.S. and in Indonesia; technical
assistance for the BKKBN's Center for Education and Training, the
development of new schools of public health, and books and equipment
for library development at the public health schools.
BKKBN will
provide funds for salaries of persons in training, and air fares for
long-term participants. A prime goal of this assistance is to
institutionalize BKKBN's capacity to manage independently overseas
training of its personnel.
5.

Modern Management Technology

Project grant and loan funds will be used to assist the BKKBN
develop computer and word processing capabilities in sixteen
provincial BKKBN offices, in headquarters offices, and in selected
training and research institutions. A needs assessment, expected to
be completed by late 1983, will form the basis for a detailed plan
for determining specifications, procurement, installation, and
utilization of computer and word processing hardware, software, and
related training of professional and secretarial staff.
BKKBN will
fund maintenance and operational expenses involved in installing and
maintaining this data processing capability. AID funds will permit
the acquisition of additional sofware/hardware needed for BKKBN as
well as permit expansion in training and provision of technical
assistance.
6.

Research and Development

Project grant funds for research and development will be
divided between bio-medical research and operations and social
science research.
It is anticipated that the project will support
twenty-five research and development studies, a nationwide 1985
intercensal survey, twelve seminars and workshops on special
population research methodology-related topics, and 32 consultations
on research project design and review. The BKKBN will fund in the
form of staff time and facilities research and development
activities under the project. AID will fund local costs and
technical assistance to support such research.
II.

Evaluation

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project will be evaluated periodically in accordance with
A.I.D. evaluation procedures. A major evaluation scheduled for 1984
will be conducted by a team composed of persons from BKKBN,
AID/Washington, USAID, and a private or academic institution. The
team will include expertise in financial and economic assessment.

The evaluations will analyze the costs and benefits of alternative
subcomponent activities, both public and private, in order to

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strengthen program effectiveness and guide program design. For
this, the BKKBN will continue to maintain and make available
recurring and development costs, acceptor rates, and other data from
on-going and pilot programs.
BKKBN's monthly service statistics system will provide the
basis for regular reviews of program performance. Other regular
reporting and sampling systems of the BKKBN will provide additional
information for monitoring program performance.
BKKBN and USAID
will conduct an ad hoc assessment of voluntary sterilization
progress in mid-1986 with external assistance; and in early 1987,
USAID and BKKBN again with external assistance, will evaluate the
impact of project-funded village family planning, urban family
planning, and research and development inputs.
III.

Financial Plan

While overall responsibility rests with BKKBN, the project will
delegate substantial responsibility to provincial, urban, and other
implementors. Local costs expenditures will be made pursuant to
annual plans mutually agreed to in Project Implementation Letters
(PILs) and Project Implementation Orders (PIOs). The BKKBN/USAID
Financial Procedures Manual titled "Pedoman Prosedur Kerja Bantuan
USAID" will be used as the basis for disbursement and reimbursement
procedures and will apply for both Loan and Grant funds. All A.I.D.
funding under the project will follow A.I.D. regulations.
Additional information on specific financial and procurement
procedures will be supplied in PIL's.
An illustrative financial plan is attached as Attachment I to
Annex I. Changes among line items may be made to the plan by mutual
agreement between representatives of the parties named in the text
of the Agreement or their additional authorized signers without
formal amendment to the Agreement. However, changes among line
items can be made only if such changes do not cause (1) A.I.D. 's
contribution to exceed the amount specified in the text of the
Agreement, or (2) the Borrower/Grantee's contribution to be less
than the amount specified in the Agreement.

Attachment I (a)
FAMILY Pll\NNIN3 DEVEI.OPMEm' AND

PROJECI'ED PROJEcr INPl1l'S R{ fiセ@
(USS 000 's)

1983

セces@

YFAR OF O.ELIGATION

1984*

1985*

GRANT

ImN

GO!

162

2,500

12,481

633

1,155

12,481

-

2,500

4,282

-

-

Voluntary Sterilization 1,636

-

3 , 426

1,458

-

3,900

233

Ivbdern Management
Technology

569

500

ResearCh & Development

633
3,000

Village Family Planning
Urban Family Planning

Training

Total

ImN

GO!

104

1,500

13,730

44,746

4 , 710

-

1,500

5,181

18,173

-

3,768

488

-

4,522

15,298

125

2,345

223

125

-

228

7,179

-

150

-

52

150

-

52

1,473

-

483

634

-

483

633

-

531

3,397

9,400

20,905

3,000

3,500

21,717

1,500

3,000

24,244

90,266

GRANI'

.IDI\N

GO!

GRANI'

*Future obligations are subject to B1e availability of funds and mutual agreement of the parties to

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Attaclunent 1 (b)
FAMILY PIJ\NNIOO DE.VEI.DPMENI' AND S!:RVICES
aJMMl\RY OF GOI/AID C'CM.fiTI'ED INPUrS BY PROJEcr