Local government capacity in implementing STBM through demand creation, supply improvement and enabling environment increased. Baseline Local governments only focus on implementing one component of STBM (demand creation/CLTS) Target Local governments implement three components (demand, supply, enabling environment) comprehensively as reflected in the ministerial decree Achieved Within the five provinces targeted for TA support, sanitation entrepreneurs work in partnership with district governments. Enabling environment improved in all provinces. Includes improved monitoring, enhanced capacity and comprehensive planning and budgeting for all three STBM components. More effective STBM implementation at both district and provincial level. Baseline Appropriate monitoring system is not in place Low ODF achievement rate in villages where CLTS triggering takes place (< 20%) No trained sanitation entrepreneurs in all five provinces, except East Java Target Utilization of monitoring system; increase in number of villages triggered and in ODF achievement rate; sanitation entrepreneurs trained; active and mechanism for replication developed Achieved CLTS triggering scaled up from 5,335 villages to 7,433 villages in five provinces; ODF achievement rate increased from 20% in 2012 to 30% in 2015 and 1,945 sanitation entrepreneur candidates trained. The TA was carried out through a variety of methodological approaches, including: Consultative and participatory meetings with central and provincial stakeholders to develop the work plan of the STBM Secretariat and an intervention plan for the five provinces; Provision of 1-2 consultants in each province as provincial coordinators to work hand- with provincial governments in developing a work plan and intervention strategy;
guideline for STBM implementation which was developed based on the lessons of the TA. As of December 2015, 19 provinces and 85 districts had issued local regulations on STBM. Roadmap to accelerate STBM 2013-2015, MoH, 2013. Other products Training modules: Sanitation Entrepreneurship Training, WSP, 2014; 5 accredited classical training modules; 4 e-learning modules on STBM, MoH, 2013 Manuals: STBM Technical Implementation Manual, MoH, 2013; STBM verification book, MoH, 2013; M&E Guideline and starter kits, WSP, 2013; Sanitation Entrepreneurship Training, WSP, 2014 Printed advocacy materials: STBM Advocacy pocket book, WSP, 2012; 34 province sanitation profiles, WSP, 2015; Coffee table book on STBM, WSP, 2015 Advocacy videos: Plung jadi Plong, WSP, 2013; STBM Kaleidoscope, MoH, 2014; SURS program in Pacitan, KSAN, and STBM Coordination Meeting, WSP, 2013-2014. Learning Note: Scaling up Indonesia’s Rural Sanitation Mobile Monitoring System Nationally, WSP, 2014. Research: Hygiene and Sanitation Behavior, WSP, 2013; Managing the flow of monitoring information to improve rural sanitation in East Java, WSP, 2013; Rapid Need Assessment of PAMSIMAS’ Capacity Building, 2015; Advocacy and BCC tools developed by local government, including: STBM kaleidoscope in West Java; Kang Hebring in West Java. Intermediate Outcome 2: Local government capacity in implementing STBM through demand creation, supply improvement and enabling environment increased Table 3: Achievements against Intermediate Outcome 2 Baseline Targets Achievements Local government focuses on implementing a single component of STBM (demand creation / CLTS implementation) Local government implement all three components (demand, supply, enabling environment) as reflected in the ministerial decree Achieved Enactment of Minister of Health Regulation No.3/2014 on STBM and adoption of the district-wide approach provided clear guidance on the STBM demand-supply-enabling environment strategy and demarcation of roles, functions and expected outcomes for stakeholders at all levels. By December 2015: 85 districts and 19 provinces had issued local regulations to support STBM 3 districts and 1 city in East Java were verified as ODF Efforts to mainstream local government support and scale up STBM implementation had been promoted
Intermediate Outcome 3: More effective STBM implementation at provincial and district Level Table 6: Achievements against Intermediate Outcome 3 Baseline Targets Achievements Appropriate monitoring system is not in place, less effective triggering process (ODF rate below 20%), no sanitation entrepreneurs in the provinces, except in East Java Use of monitoring system, increase in number villages triggered, increase in ODF achievement rate, sanitations entrepreneur emerged and replicated Achieved According to STBM M&E data (), the five provinces achieved the following results: Before 2012, there were 5,335 triggered villages; from 2012 to 2015, 7,443 villages were triggered, an increase of 140%. In 2012, there were 720 verified ODF villages. By December 2015, there were an additional 2,370, an increase of 370%. The average ODF achievement rate in the triggered villages was 29%. Eight million people in the five WSP-supported provinces gained access to improved latrines from 2012 to 2015, of which 2.7 million were in 7,433 newly-triggered villages, 2.49 million were in 12,085 non-triggered villages, and 2.84 million were in 5,335 villages that had been triggered before 2012. 52 sanitation entrepreneur training courses in five provinces attended by 1,945 candidates, of whom 273 became active entrepreneurs selling 63,760 improved latrines worth IDR 90 billion (USD 7 million) since 2010. Improved monitoring The Government of Indonesia realized that the lack of reliable data on sanitation access and behavior was an obstacle to developing, implementing and mobilizing funding for a rural sanitation program. In 2009, under the previous TA, an SMS-based monitoring system was piloted in two districts in East Java. The pilot found that the progress towards ODF status and data on household access could be collected via SMS and stored in a database at district level. Encouraged by the pilot, the MoH decided to scale up, with support from the TA, to a nationwide monitoring system covering 34 provinces, for which robust server and hosting arrangements were
Annex 3 Structure of the Directorate General of Public Health of the Ministry of Health Annex 4: Behavior Change Communication Strategy Behavior Change Communication Strategy for Scaling Up Rural Sanitation Annex 5: STBM Monitoring Framework STBM PILLAR-1 MONITORING FRAMEWORK No. INDICATOR DATA SOURCE/Who REPORT FREQUENCY FORMS/ INSTRUMENTS REPORTING SYSTEM AND DATABASE Outcome indicator 1 Number and percentage of households using improved latrines Primary health centre staff (based on compilation of participatory community monitoring) Monthly Social mapping; latrine observation checklist, LB-1 recapitulation form CBTS web- and SMS-based monitoring 2 Number of villages in the district that are ODF, rechecked annually after ODF declaration ODF verification team Quarterly Linked to LB-1; ODF verification form; ODF recapitulation form CBTS web- and SMS-based monitoring Input and output indicators 1 Number and percentage of villages that have received CBTS intervention (either triggering or other demand promotion) Primary health centre staff (based on compilation of participatory community monitoring) Monthly CBTS village intervention recapitulation form CBTS web- and SMS-based monitoring