Consolidation programme health / policy analysis and formulation in the health sector (PAF)

Programme description

Title: Consolidation programme health / policy analysis and formulation in the health sector (PAF)
Commissioned by: German Federal Ministry for Economic Cooperation and Development (BMZ)
Country: Indonesia
Lead executing agency: Indonesian Ministry of Health (MoH)
Overall term: 2010 to 2012

Context

In the course of the last decade, Indonesia has achieved some remarkable improvements in the health sector. However, social and epidemiological changes present new, locally specific challenges to which the country's health policies must adapt.

Objective

The country's health policy guidelines are better adapted to accommodate the requirements of a decentralised health system.

Approach

The consolidation programme PAF provides advice to its partners on the formulation of policies, and it promotes reforms in the health sector. In doing so, the programme takes a multilevel approach:

• At the national level, PAF provides technical assistance to the Ministry of Health and other institutions involved in health policy formulation.

• In the province of Nusa Tenggara Barat, the programme is supporting the use of instruments that were developed as part of earlier health projects and which can now be integrated into policy formulation.

• PAF supports the sustained exchange of information and experiences between actors at the different policy levels.

In adherence to the principles of the Paris Declaration, the contributions made by the consolidation programme are harmonised with those of other development partners involved in the sector, in particular with the Australian Government. The Australian Agency for International Development, AusAID, is a co-financer of the programme.

Results achieved so far

• In government-level dialogue forums, the results of three studies looking at minimum standards for the public health sector and the cost of service provision, have been fed into the policy making process.
• With the support of the programme, various partners have produced strategic policy papers that are now being used for the development of new health legislation. All of these policy papers are in line with national gender guidelines.
• In Nusa Tenggara Barat, all the primary health services and hospitals, and most of the villages now carry out a systematic reporting of deaths. The information collected is used in policy making at all levels.
• More than 150 instruments have been developed, tested and applied. Three of these - 'Human Resource Information Systems', 'District Health Accounts', and 'Community Empowerment' - are now in use in more than 80 % of health institutions in Nusa Tenggara Barat.
• Three training programmes for health information experts and personnel managers have been developed and launched, in collaboration with Gadjah Mada University (UGM) Yogyakarta.