Selanjutnya
A.I.D.
A.I.D.
A.I.D.
A.I.D.
A.I.D.
PROJECT NO. 497-0327
LOAN NO. 497-Q-077
LOAN NO. 497-U-081
LOAN NO. 497-U-082
LOAN NO. 497-Q- 082A
0
AMENDMENT NO. 4 TO
LOAN AGREEMENT
BETWEEN
THE REPUBLIC OF INDONESIA
AND THE
UNITED STATES OF AMERICA
FOR
FAMILY PLANNING DEVELOPMENT AND SERVICES II
G
DATED: September 14, 1987
Dated: September 14, 1987
This AMENDMENT NO. 4, is entered into between the REPUBLIC OF
INDONESIA ("Borrower") and the UNITED STATES OF AMERICA, acting
through the AGENCY FOR INTERNATIONAL DEVELOPMENT ("A.I.D.").
WHEREAS, the Borrower and A.I.D. entered into a Family Planning
Development and Services II Project Loan Agreement designated as
A.I.D. Loan No. 497-Q-077, No. 497-U-081 and No. 497-U-082 on
June 17, 1983 which was amended on July 29, 1983, November 9, 1983,
and on February 6, 1984 ("Loan Agreement"), whereby A.I.D. agreed to
lend to the Borrower up to Fifteen Million Nine Hundred Thousand
United States ("U.S.") Dollars ($15,900,000) ("Loan"); and
WHEREAS, the Borrower and A.I.D. desire to amend the Loan
Agreement to increase the amount of the Loan by One Million Three
Hundred Thousand U.S. Dollars ($1,300,000), revise the Project
Assistance Completion Date and Amplified Project Description,
including Financial Plan, and to make other related changes;
NOW THEREFORE, the Borrower and A.I.D. hereby agree as follows:
1.
The first paragraph of Section 3.1. of the Loan Agreement 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 Loan to the Borrower
under the terms of this Agreement not to exceed Seventeen Million
- 2 -
Two Hundred Thousand United States ("U.S.") Dollars ($17,200,000)
("Loan").
The aggregate amount of disbursement under the Loan is
referred to as "Principal"."
2.
The Project Assistance Completion Date set forth in Sect]on
3.3.(a) of the Loan Agreement is revised to "December 31, 1992."
3.
Sections 6.2., 6.3., 6.4., and 6.S. of the Loan Agreement
are deleted and in lieu thereof is substituted the following Section
6. 2. :
"Section 6.2.
Prohibition on Abortion Related Activities.
None
of the funds under this Loan may be used to finance any costs
relating to (a) performance of abortion as a method of family
planning, (b) motivation or coercion of any person to undergo
abortion, (c) biomedical research which relates, in whole or in
part, to methods of, or the performance of, abortion as a method of
family planning, of (d) active promotion of abortion as a method of
family planning."
4.
Article 8, Disbursement, and Sections 8.1. and 8.2. of the
Loan Agreement are deleted and in lieu thereof is substituted the
following:
"Article 8.
Disbursement for Family Planning Projects.
SECTION 7.1.
(A)
Disbursement for Foreign Exchange Costs.
After satisfaction of conditions precedent, the Borrower may
obtain disbursements of funds under the Loan for the Foreign
- 3 -
Exchange Costs of goods or services required for the project in
accordance with the terms of this agreement by such of the following
methods as may be mutually agreed upon:
(1)
by submitting to A.I.D. with necessary supporting
documentation as prescribed in implementation letters (a)
requests for reimbursement for such goods or services or (b)
requests for A.I.D. to procure commodities or services on
Borrower's behalf for the project or (c) requests for A.I.D. to
issue letters of commitment for specified amounts directly to
one or more contractors or suppliers committing A.I.D. to pay
such contractors or suppliers for such goods or services.
SECTION 8.2.
Disbursements for Local Currency Costs.
(A) After satisfaction of conditions precedent, the Borrower may
obtain disbursements of funds under the Loan for local currency
costs required for the project in accordance with the terms of this
agreement by submitting to A.I.D., with necessary supporting
documentation as prescribed in project implementation letters,
requests to finance such costs.
Disbursements by A.I.D. shall be in
reimbursement for goods or services required for the project or, if
advances of local currency are mutually agreed upon, disbursements
shall be made into a special account to ensure, inter alia, that
none of the funds provided by A.I.D. may be used to finance any of
the costs prohibited under Section 6.2. of this agreement.
- 4 -
(B)
Local currency advanced by A.I.D. to the Borrower may
thereafter be advanced by the Borrower to any other entity for
purposes of the project with the agreement of A.I.D. only if such
advances are also made into a special account or accounts to ensure
that such funds may not be used to finance any costs prohibited
under Section 6.2. of this agreement."
S.
A revised Annex I, Amplified Description of the Project, and
Financial Plan is attached as Annex I to this Amendment.
6.
Except as amended herein, the Loan Agreement is ratified,
confirmed and continued in full force and effect in accordance with
all of its terms.
IN WITNESS WHEREOF, the Republic of Indonesia and the United
States of America, each acting through its respective duly
authorized representative, have caused this Amendment No. 4 to be
signed in their names and delivered as of the date first written
above.
REPUBLIC OF INDONESIA
UNITED STATES OF AMERICA
Signed
Signed
Rusli Noor
Director General
for Foreign Economic Relations
Department of Foreign Affairs
ｾ｡ｶｩ､＠
N. - Merri,l
Director
USAID/Indonesia
-
....
'
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 69 percent of all married women
of reproductive age (ages 15-44 years) by December 1992.
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 selected
provinces;
2.
Development of urban family planning programs in major cities,
with special emphasis on utilization of the private sector and
cost-recovery activities;
3.
Improvement of voluntary sterilization services in selected
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 five Indonesian
fiscal years. Most USAID-supported activities will begin in April 1984
and continue through March 1989. However, each component has its own
implementation schedule. Some activities of specific components will
begin during the Indonesian fiscal year (IFY) April 1983 - March 1984.
Other activities, such as academic degree training, may continue up to
December 31, 1991.
- 2 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 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 which have been selected by the BKKBN and USAID: West Java,
Central Java, East Java, North Sumatra, South Sumatra, West Sumatra,
Lampung, Aceh, Riau, South Sulawesi, West Nusa Tenggara, East Nusa
Tenggara, and West Kalimantan. Some additional provinces may be selected
for pilot private sector activities described below.
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 will also, on a
contract basis starting in IFY 1987, support the salaries of paramedics
placed in villages for one year, provided BKKBN hires them the following
year.
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.
Commencing in IFY 1987, funds will also be provided to selected high
and low prevalence provinces to test cost recovery and fee-for-service
schemes as well as other innovative activities involving the private
sector.
2.
Urban Family Planning
Project grant and loan funds will be used to expand information
and services in the major cities in Indonesia where family planning
performance and contraceptive prevalence rates have been below the
national average. The cities to receive initial input under the project
are Jakarta, Surabaya, Bandung, Medan, Semarang, Palembang, Ujung
- 3 -
Pandang, Malang, Padang, Pontianak, and Surakarta (Solo). Jakarta will
receive priority attention and a larger share of funds because of its
size and low performance. Commencing in IFY 1988, experimentation with
other major 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; commerical advertising; technical
assistance for management and market research; equipment and supplies as
needed; and pilot tests of new techniques and approaches, including
studies on cost-benefits of various programs or services, trials of
fee-for-service arrangements 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.
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 Indonesian Association for Secure
Contraception (PKMI), and other institutions, to extend voluntary
sterilization (VS) 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. A phase one needs assessment will
lay out the requirements for upgrading 500 service facilities in
13 provinces initially selected. A phase two needs assessment will
review the 13 provinces to assure good geographic VS service coverage and
survey the other 14 provinces for upgrading requirements. An estimated
200 service facilities will be selected in phase two. Selection of
sub-districts will be based on the level of contraceptive prevalence, 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 ensure 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 400 hospitals and 300 clinics over a three year period,
USAID project funds will be used to renovate and equip these facilities
- 4 and provide training of physicians and paramedical personnel and
technical assistance where appropriate. AID funds will also be provided
to establish a national VS supervision and surveillance system and to
develop a private VS clinic network.
BKKBN will fund payments for physicians and staff, medicines and
supplies, and operating costs of newly-created facilities over a five
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 120 persons
to complete the master's degree and 12 persons to complete doctoral
degrees in the United States; (2) enable approximately 166 persons to
obtain bachelor's degrees, 72 persons to complete master's degrees and
1 person to complete a doctoral degree in Indonesia; (3) develop a
distance learning program for family planning fieldworkers; (4) conduct
technical training for paramedic and family planning fieldworkers;
(5) plan for new schools of public health, including identification of
faculty members requiring additional academic training and specifications
of library and other reference requirements; and (6) improve the
personnel manpower management system at BKKBN.
AID project funds will be provided for academic training and related
support costs in the U.S. and in Indonesia; air fares for short term
international training; technical assistance for the BKKBN's Center for
Education and Training and for the development of new schools of public
health; books and equipment for library development at the public health
schools; developmental costs of the distance learning program and
personnel manpower system; and computerization of overseas and in-country
training management systems. BKKBN will provide funds for salaries and
family separation allowances of persons in training, air fares for
long-term overseas training participants, staff to manage the overseas
and in-country training systems, routine recurrent costs such as postage,
telexing, telephoning, photocopying, and production of an orientation
booklet for each participant. A prime goal of this assistance is to
institutionalize BKKBN's capacity to manage independently in-country and
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 all provincial BKKBN
offices, in headquarters offices, and in selected training and research
institutions. Two needs assessments, expected to be completed by late
1983 and early 1988, will form the basis for a detailed plan for
determining specifications, procurement, installation, and utilization of
- 5 -
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 software/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
among bio-medical, operations and policy research as well as a number of
institutional development activities. It is anticipated that the project
will support 40 research and development studies, national contraceptive
prevalence surveys in 1987 and 1990, 18 seminars and workshops on special
population research and research methodology-related topics, and short
and long term technical assistance. The BKKBN will fund staff time,
facilities, and some research and development activities under the
project. AID will fund local costs, technical assistance, and some US
commodities (library materials, and a computer).
II.
Evaluation
Ongoing evaluations will analyze the costs and benefits of
alternative subcomponent activities, both public and private, in order to
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. Independent measures of contraceptive
prevalence will be obtained from national contraceptive prevalence
surveys to be conducted in 1987 and 1990. BKKBN and USAID will conduct
external evaluations of each project component, according to the
following estimated schedule: Training - June-December, 1986; Village
Family Planning - January-March, 1988; Modern Management Technology January-March, 1988; Research - February-April 1988; Voluntary
Sterilization - April-June 1988; Urban - September-December 1988. In
addition, an overall project review will be scheduled when most
components have utilized their funding.
III. Financial Plan
While overall responsibility rests with BKKBN, the project will
delegate substantial responsibility to provincial, urban, and othe r
private sector implementors. Local costs expenditures will be made
- 6 pursuant to annual plans mutually agreed to in Project Implementation
Letters (PILs) and Project Implementation Orders (PIOs). All A. I . D.
funding under the project will follow A.I.D. regulations. Disbursement
will be handled in compliance with the Joint Decree of the Minister of
Finance and the Minister of State for National Development Planning/
Chairman of Bappenas No . 48/KMK.012/1987 dated January 27, 1987, based
Kep.004/Ket/I/1987
on details to be determined between USAID and the GOI. Disbursement
procedures for various project activities, consistent with the details
determined between USAID and the GOI above, will be agreed upon by PIL.
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 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.
- 7 Attachment l(a)
FAMILY PLANNING DEVELOPMENT AND SERVICES II
PROJECT INPUTS
(US$.OOO's)
I
Total FY 87
I
Obligations
G.O.I. I Grant
Loan
FY83-86
Obligations
Grant
Loan
Component
I
Total FY 83-87
I
Obligation
G.O.I. I Grant
Loan
I.
Village Family Planning
299
5,755
38,692
1,000
-
4,000
II.
Urban Family Planning
600
3,150
14,173
3,500
-
3,000
3,582
-
11,716
4,300
-
1,580
III. Voluntary Sterilization
IV.
Training
250
6,395
684
1,400
1,300
300
V.
Modern Management Technology
869
600
104
500
-
120
VI.
Research and Development
1,900
-
1,497
1,000
-
1,000
7,500
15,900
66,866
I 11,700
I
1,300
10,000
TOTAL:
I
I
I
I
I
I
I
I
I
I
I
I
1,299
5,755
4,100
3,150
7,882
-
1,650
7,695
1,369
600
2,900
-
I 19,200
I
17,200
I
I Total:
G.O.I. I (AID+GOI)
I 49,746
I
17,173 I 24,423
I
13,296 I 21,178
I
984 I 10,329
I
2,193
224 I
I
5,397
2,497 I
------------II
42,692
76,866
I 113,266
I
Attachment l(b)
FAMILY PLANNING DEVELOPMENT AND SERVICES
SUMMARY OF GOI/AID COMMITTED INPUTS BY PROJECT COMPONENTS
(US$.OOO's)
USAID OBLIGATIONS TO DATE
GRANT
LOAN
FX
LC
FX
I LC
Component
Village Family Planning
Ｈｾ｡
ｮ＠
ｾ＠
Family Planning
900
2,400
1, 700
3,087
4,795
550
1,100
1,100
269
700
2,200
8,236
10, 964
...
Voluntary Sterilization
Training
Modern Management Technology
Research and Development
TOTAL:
1ﾷ rｾ＠
ｾ＠
399
.,
,
- I
I
- I
I
- I
I
5,245 I
I
- I
I
- I
I
5,245
TOTAL
5,755 I
3,150
2,450
600
11, 955
7,054
I
I 7,250
I
I 7,882
I
I 9,345
I
I 1, 969
I
I 2,900
I
36,400
GOI
LC
TOTAL
42,692
49,746
17,173
24,423
13' 296
21,178
984
10,329
224
2,193
2,497
5,397
76,866
133,266
A.I.D.
A.I.D.
A.I.D.
A.I.D.
PROJECT NO. 497-0327
LOAN NO. 497-Q-077
LOAN NO. 497-U-081
LOAN NO. 497-U-082
LOAN NO. 497-Q- 082A
0
AMENDMENT NO. 4 TO
LOAN AGREEMENT
BETWEEN
THE REPUBLIC OF INDONESIA
AND THE
UNITED STATES OF AMERICA
FOR
FAMILY PLANNING DEVELOPMENT AND SERVICES II
G
DATED: September 14, 1987
Dated: September 14, 1987
This AMENDMENT NO. 4, is entered into between the REPUBLIC OF
INDONESIA ("Borrower") and the UNITED STATES OF AMERICA, acting
through the AGENCY FOR INTERNATIONAL DEVELOPMENT ("A.I.D.").
WHEREAS, the Borrower and A.I.D. entered into a Family Planning
Development and Services II Project Loan Agreement designated as
A.I.D. Loan No. 497-Q-077, No. 497-U-081 and No. 497-U-082 on
June 17, 1983 which was amended on July 29, 1983, November 9, 1983,
and on February 6, 1984 ("Loan Agreement"), whereby A.I.D. agreed to
lend to the Borrower up to Fifteen Million Nine Hundred Thousand
United States ("U.S.") Dollars ($15,900,000) ("Loan"); and
WHEREAS, the Borrower and A.I.D. desire to amend the Loan
Agreement to increase the amount of the Loan by One Million Three
Hundred Thousand U.S. Dollars ($1,300,000), revise the Project
Assistance Completion Date and Amplified Project Description,
including Financial Plan, and to make other related changes;
NOW THEREFORE, the Borrower and A.I.D. hereby agree as follows:
1.
The first paragraph of Section 3.1. of the Loan Agreement 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 Loan to the Borrower
under the terms of this Agreement not to exceed Seventeen Million
- 2 -
Two Hundred Thousand United States ("U.S.") Dollars ($17,200,000)
("Loan").
The aggregate amount of disbursement under the Loan is
referred to as "Principal"."
2.
The Project Assistance Completion Date set forth in Sect]on
3.3.(a) of the Loan Agreement is revised to "December 31, 1992."
3.
Sections 6.2., 6.3., 6.4., and 6.S. of the Loan Agreement
are deleted and in lieu thereof is substituted the following Section
6. 2. :
"Section 6.2.
Prohibition on Abortion Related Activities.
None
of the funds under this Loan may be used to finance any costs
relating to (a) performance of abortion as a method of family
planning, (b) motivation or coercion of any person to undergo
abortion, (c) biomedical research which relates, in whole or in
part, to methods of, or the performance of, abortion as a method of
family planning, of (d) active promotion of abortion as a method of
family planning."
4.
Article 8, Disbursement, and Sections 8.1. and 8.2. of the
Loan Agreement are deleted and in lieu thereof is substituted the
following:
"Article 8.
Disbursement for Family Planning Projects.
SECTION 7.1.
(A)
Disbursement for Foreign Exchange Costs.
After satisfaction of conditions precedent, the Borrower may
obtain disbursements of funds under the Loan for the Foreign
- 3 -
Exchange Costs of goods or services required for the project in
accordance with the terms of this agreement by such of the following
methods as may be mutually agreed upon:
(1)
by submitting to A.I.D. with necessary supporting
documentation as prescribed in implementation letters (a)
requests for reimbursement for such goods or services or (b)
requests for A.I.D. to procure commodities or services on
Borrower's behalf for the project or (c) requests for A.I.D. to
issue letters of commitment for specified amounts directly to
one or more contractors or suppliers committing A.I.D. to pay
such contractors or suppliers for such goods or services.
SECTION 8.2.
Disbursements for Local Currency Costs.
(A) After satisfaction of conditions precedent, the Borrower may
obtain disbursements of funds under the Loan for local currency
costs required for the project in accordance with the terms of this
agreement by submitting to A.I.D., with necessary supporting
documentation as prescribed in project implementation letters,
requests to finance such costs.
Disbursements by A.I.D. shall be in
reimbursement for goods or services required for the project or, if
advances of local currency are mutually agreed upon, disbursements
shall be made into a special account to ensure, inter alia, that
none of the funds provided by A.I.D. may be used to finance any of
the costs prohibited under Section 6.2. of this agreement.
- 4 -
(B)
Local currency advanced by A.I.D. to the Borrower may
thereafter be advanced by the Borrower to any other entity for
purposes of the project with the agreement of A.I.D. only if such
advances are also made into a special account or accounts to ensure
that such funds may not be used to finance any costs prohibited
under Section 6.2. of this agreement."
S.
A revised Annex I, Amplified Description of the Project, and
Financial Plan is attached as Annex I to this Amendment.
6.
Except as amended herein, the Loan Agreement is ratified,
confirmed and continued in full force and effect in accordance with
all of its terms.
IN WITNESS WHEREOF, the Republic of Indonesia and the United
States of America, each acting through its respective duly
authorized representative, have caused this Amendment No. 4 to be
signed in their names and delivered as of the date first written
above.
REPUBLIC OF INDONESIA
UNITED STATES OF AMERICA
Signed
Signed
Rusli Noor
Director General
for Foreign Economic Relations
Department of Foreign Affairs
ｾ｡ｶｩ､＠
N. - Merri,l
Director
USAID/Indonesia
-
....
'
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 69 percent of all married women
of reproductive age (ages 15-44 years) by December 1992.
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 selected
provinces;
2.
Development of urban family planning programs in major cities,
with special emphasis on utilization of the private sector and
cost-recovery activities;
3.
Improvement of voluntary sterilization services in selected
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 five Indonesian
fiscal years. Most USAID-supported activities will begin in April 1984
and continue through March 1989. However, each component has its own
implementation schedule. Some activities of specific components will
begin during the Indonesian fiscal year (IFY) April 1983 - March 1984.
Other activities, such as academic degree training, may continue up to
December 31, 1991.
- 2 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 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 which have been selected by the BKKBN and USAID: West Java,
Central Java, East Java, North Sumatra, South Sumatra, West Sumatra,
Lampung, Aceh, Riau, South Sulawesi, West Nusa Tenggara, East Nusa
Tenggara, and West Kalimantan. Some additional provinces may be selected
for pilot private sector activities described below.
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 will also, on a
contract basis starting in IFY 1987, support the salaries of paramedics
placed in villages for one year, provided BKKBN hires them the following
year.
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.
Commencing in IFY 1987, funds will also be provided to selected high
and low prevalence provinces to test cost recovery and fee-for-service
schemes as well as other innovative activities involving the private
sector.
2.
Urban Family Planning
Project grant and loan funds will be used to expand information
and services in the major cities in Indonesia where family planning
performance and contraceptive prevalence rates have been below the
national average. The cities to receive initial input under the project
are Jakarta, Surabaya, Bandung, Medan, Semarang, Palembang, Ujung
- 3 -
Pandang, Malang, Padang, Pontianak, and Surakarta (Solo). Jakarta will
receive priority attention and a larger share of funds because of its
size and low performance. Commencing in IFY 1988, experimentation with
other major 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; commerical advertising; technical
assistance for management and market research; equipment and supplies as
needed; and pilot tests of new techniques and approaches, including
studies on cost-benefits of various programs or services, trials of
fee-for-service arrangements 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.
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 Indonesian Association for Secure
Contraception (PKMI), and other institutions, to extend voluntary
sterilization (VS) 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. A phase one needs assessment will
lay out the requirements for upgrading 500 service facilities in
13 provinces initially selected. A phase two needs assessment will
review the 13 provinces to assure good geographic VS service coverage and
survey the other 14 provinces for upgrading requirements. An estimated
200 service facilities will be selected in phase two. Selection of
sub-districts will be based on the level of contraceptive prevalence, 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 ensure 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 400 hospitals and 300 clinics over a three year period,
USAID project funds will be used to renovate and equip these facilities
- 4 and provide training of physicians and paramedical personnel and
technical assistance where appropriate. AID funds will also be provided
to establish a national VS supervision and surveillance system and to
develop a private VS clinic network.
BKKBN will fund payments for physicians and staff, medicines and
supplies, and operating costs of newly-created facilities over a five
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 120 persons
to complete the master's degree and 12 persons to complete doctoral
degrees in the United States; (2) enable approximately 166 persons to
obtain bachelor's degrees, 72 persons to complete master's degrees and
1 person to complete a doctoral degree in Indonesia; (3) develop a
distance learning program for family planning fieldworkers; (4) conduct
technical training for paramedic and family planning fieldworkers;
(5) plan for new schools of public health, including identification of
faculty members requiring additional academic training and specifications
of library and other reference requirements; and (6) improve the
personnel manpower management system at BKKBN.
AID project funds will be provided for academic training and related
support costs in the U.S. and in Indonesia; air fares for short term
international training; technical assistance for the BKKBN's Center for
Education and Training and for the development of new schools of public
health; books and equipment for library development at the public health
schools; developmental costs of the distance learning program and
personnel manpower system; and computerization of overseas and in-country
training management systems. BKKBN will provide funds for salaries and
family separation allowances of persons in training, air fares for
long-term overseas training participants, staff to manage the overseas
and in-country training systems, routine recurrent costs such as postage,
telexing, telephoning, photocopying, and production of an orientation
booklet for each participant. A prime goal of this assistance is to
institutionalize BKKBN's capacity to manage independently in-country and
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 all provincial BKKBN
offices, in headquarters offices, and in selected training and research
institutions. Two needs assessments, expected to be completed by late
1983 and early 1988, will form the basis for a detailed plan for
determining specifications, procurement, installation, and utilization of
- 5 -
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 software/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
among bio-medical, operations and policy research as well as a number of
institutional development activities. It is anticipated that the project
will support 40 research and development studies, national contraceptive
prevalence surveys in 1987 and 1990, 18 seminars and workshops on special
population research and research methodology-related topics, and short
and long term technical assistance. The BKKBN will fund staff time,
facilities, and some research and development activities under the
project. AID will fund local costs, technical assistance, and some US
commodities (library materials, and a computer).
II.
Evaluation
Ongoing evaluations will analyze the costs and benefits of
alternative subcomponent activities, both public and private, in order to
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. Independent measures of contraceptive
prevalence will be obtained from national contraceptive prevalence
surveys to be conducted in 1987 and 1990. BKKBN and USAID will conduct
external evaluations of each project component, according to the
following estimated schedule: Training - June-December, 1986; Village
Family Planning - January-March, 1988; Modern Management Technology January-March, 1988; Research - February-April 1988; Voluntary
Sterilization - April-June 1988; Urban - September-December 1988. In
addition, an overall project review will be scheduled when most
components have utilized their funding.
III. Financial Plan
While overall responsibility rests with BKKBN, the project will
delegate substantial responsibility to provincial, urban, and othe r
private sector implementors. Local costs expenditures will be made
- 6 pursuant to annual plans mutually agreed to in Project Implementation
Letters (PILs) and Project Implementation Orders (PIOs). All A. I . D.
funding under the project will follow A.I.D. regulations. Disbursement
will be handled in compliance with the Joint Decree of the Minister of
Finance and the Minister of State for National Development Planning/
Chairman of Bappenas No . 48/KMK.012/1987 dated January 27, 1987, based
Kep.004/Ket/I/1987
on details to be determined between USAID and the GOI. Disbursement
procedures for various project activities, consistent with the details
determined between USAID and the GOI above, will be agreed upon by PIL.
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 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.
- 7 Attachment l(a)
FAMILY PLANNING DEVELOPMENT AND SERVICES II
PROJECT INPUTS
(US$.OOO's)
I
Total FY 87
I
Obligations
G.O.I. I Grant
Loan
FY83-86
Obligations
Grant
Loan
Component
I
Total FY 83-87
I
Obligation
G.O.I. I Grant
Loan
I.
Village Family Planning
299
5,755
38,692
1,000
-
4,000
II.
Urban Family Planning
600
3,150
14,173
3,500
-
3,000
3,582
-
11,716
4,300
-
1,580
III. Voluntary Sterilization
IV.
Training
250
6,395
684
1,400
1,300
300
V.
Modern Management Technology
869
600
104
500
-
120
VI.
Research and Development
1,900
-
1,497
1,000
-
1,000
7,500
15,900
66,866
I 11,700
I
1,300
10,000
TOTAL:
I
I
I
I
I
I
I
I
I
I
I
I
1,299
5,755
4,100
3,150
7,882
-
1,650
7,695
1,369
600
2,900
-
I 19,200
I
17,200
I
I Total:
G.O.I. I (AID+GOI)
I 49,746
I
17,173 I 24,423
I
13,296 I 21,178
I
984 I 10,329
I
2,193
224 I
I
5,397
2,497 I
------------II
42,692
76,866
I 113,266
I
Attachment l(b)
FAMILY PLANNING DEVELOPMENT AND SERVICES
SUMMARY OF GOI/AID COMMITTED INPUTS BY PROJECT COMPONENTS
(US$.OOO's)
USAID OBLIGATIONS TO DATE
GRANT
LOAN
FX
LC
FX
I LC
Component
Village Family Planning
Ｈｾ｡
ｮ＠
ｾ＠
Family Planning
900
2,400
1, 700
3,087
4,795
550
1,100
1,100
269
700
2,200
8,236
10, 964
...
Voluntary Sterilization
Training
Modern Management Technology
Research and Development
TOTAL:
1ﾷ rｾ＠
ｾ＠
399
.,
,
- I
I
- I
I
- I
I
5,245 I
I
- I
I
- I
I
5,245
TOTAL
5,755 I
3,150
2,450
600
11, 955
7,054
I
I 7,250
I
I 7,882
I
I 9,345
I
I 1, 969
I
I 2,900
I
36,400
GOI
LC
TOTAL
42,692
49,746
17,173
24,423
13' 296
21,178
984
10,329
224
2,193
2,497
5,397
76,866
133,266