140220_DRAFT MOU Extension SURFAID_Final+Sumba (1)

8/12/2019 140220_DRAFT MOU Extension SURFAID_Final+Sumba (1)

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Draft as June 2013

MEMORANDUM OF UNDERSTANDING

BETWEEN

THE MINISTRY OF HEALTH OF

THE REPUBLIC OF INDONESIA

AND

SURFAID INTERNATIONAL

ON

PROMOTION OF COMMUNITY HEALTH AND DISASTER MANAGEMENT &

RESPONSE

Ministry of Health of the Republic of Indonesia, hereinafter referred to as MOH, and

SurfAid International, hereinafter referred to as SurfAid, hereinafter jointly referred to as

The Parties

NOTINGthat SurfAid is an international non!"o#ern$ental or"ani%ation &I'(O) that is non!

sectarian, non political and non!profit non!profit or"ani%ation *hose ai$ is to i$pro#e the

health, *ellbein" and self!reliance of people li#in" in isolated re"ions connected throu"h

surfin"+

ACKNOWLEDGING the fruitful cooperation bet*een the Parties *hich *as for$ed basedupon the Me$orandu$ of nderstandin" on Pro$otion of -o$$unity Health and .isaster

Mana"e$ent / Response, si"ned in 0a1arta on 'o#e$ber 23, 4525 that has been e6pired

DESIRING to continue the cooperation bet*een the Parties in the i$pro#e$ent of

co$$unity health status, especially related to pro$ote co$$unity health and disaster

$ana"e$ent / response pro"ra$s

PURSUANT TO the pre#ailin" la*s and re"ulations of the Republic of Indonesia andIndonesian (o#ern$ent policies and procedures concernin" international technical

cooperation

HAVE REACHED the follo*in" understandin"7

ARTICLE 1

OBJECTIVE OF COOPERATION


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Draft as June 2013

The objecti#e of this Me$orandu$ of nderstandin" &MO) is to continue co!operation

bet*een the Parties to7

a+ establish cooperation bet*een MOH and SurfAid in de#elopin" projects related to the

Pro$otion of -o$$unity Health and .isaster Mana"e$ent / Response *hich *ill

stren"then the capacity of e6istin" health deli#ery syste$ and the need of localco$$unities and,

b+ i$pro#e the health status, *elfare and self reliance of co$$unities in re$ote and

isolated areas *ith a lin1 to surfin"+

ARTICLE 2

SCOPE OF COOPERATION

The Parties a"ree to i$ple$ent pro"ra$s in *ith scope of cooperation concernin" the

Pro$otion of co$$unity health and disaster $ana"e$ent / response follo* the priorities

as deri#in" fro$ the health Millenniu$ .e#elop$ent (oals &M.() and (o#ern$ent of

Indonesia &(OIs) priorities in deli#erin" health ser#ices and Pro$1es priorities for health

pro$otion on7

&2) Mother and -hild Health

&4) 8ater and sanitation 9 -lean and healthy li#in" &PH:S)

&;) 'utrition

&:M)

ARTICLE 3

LOCATION OF ACTIVITIES

2+ The Parties a"ree to i$ple$ent pro"ra$s stated in Article 4 at7

&2) Pro#ince 8est Su$atra, .istrict Menta*ai Islands

&4) Pro#ince 'orth Su$atra, 'ias Islands ,

&;) Pro#ince .I Aceh, .istrict Sin"1il (until 2014)

&


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Draft as June 2013

areas or *here and local populations suffer fro$ diseases, $alnutrition and

disease outbrea1 threat, connected to SurfAid throu"h Surfin"+

4+ Any chan"e of location of acti#ities shall be a"reed in *ritin" by the Parties

ARTICLE 4

EECUTING AGENCY

or the i$ple$entation of this MO7

&2)+ MOH appoints the -enter of Health Pro$otion &hereinafter referred to as Pro$1es)+

&4)+ SurfAid International appoints SurfAid Representati#e Office in Indonesia &hereinafter

referred to as SurfAid Indonesia)+

ARTICLE !

PROGRAM DIRECTION

&2)+ SurfAid Indonesia and Pro$1es shall prepare a Pro"ra$ .irection, containin" pro"ra$

focus, pro"ra$ scope, pro"ra$ fundin", the locations for pro"ra$ i$ple$entation,

$echanis$s of i$ple$entation, $onitorin" and e#aluation, reportin" and publication,

as *ell as conclusion+ The Pro"ra$ .irection shall constitute an inte"ral part of this

MO as an anne6+&4)+ All pro"ra$s to be i$ple$ented under this MO shall be in line *ith the national and

re"ional de#elop$ent strate"ies of MOH+

&;)+ The details of pro"ra$s shall be for$ulated in the Master Plan+

ARTICLE "

PLAN OF OPERATION

&2)+ SurfAid shall prepare and sub$it a Master Plan containin" o#erall three!year

pro"ra$s toMOHto "et appro#al+

&4)+ SurfAid, facilitated by MOH, $ay consult *ith Bocal (o#ern$ent and9or other related

a"encies in preparin" an Annual Action Plan containin" the o#erall annual action plan

of acti#ities+

&;)+ The Master Plan and Annual Action Plan shall be a"reed upon by the Parties+


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Draft as June 2013

ARTICLE #

OBLIGATIONS

2+ MOH shall7

a. acilitate the Bocal (o#ern$ent and SurfAid in for$ulatin" the Annual Action Plan

*hen reCuired+

b+ Monitor and to e#aluate the i$ple$entation of the pro"ra$ acti#ities described

*ithin this MO in cooperation *ith related Indonesian "o#ern$ent institutions+

c+ acilitate SurfAid Indonesia in arran"in" the #isa, *or1in" per$it, stay per$it,

entry and re!entry per$it for $a6i$u$ of ; &three) SurfAid Indonesia forei"n staff+

The issuance of per$its shall be in accordance *ith the pre#ailin" la*s and

re"ulations of the Republic of Indonesia+

d+ acilitate SurfAid in obtainin" custo$s and ta6 e6e$ption facilities in accordance

*ith the pre#ailin" Indonesian la*s and re"ulations+

e+ se the assistant strictly for the purpose and objecti#e of the Pro"ra$

f+ Re"ister the receipt of the financial assistance throu"h the -enter for International-ooperation, attention to the .irectorate of =#aluation, Accountin" and Settle$ent

of the Ministry of inance

"+ Reco"ni%e SurfAid in its capacity as a non!"o#ern$ental or"ani%ation+ or fundin"

of the pro"ra$s $entioned in this Me$orandu$ of nderstandin" SurfAid

depends on ;rd parties, includin" "o#ern$ents outside of Indonesia, foundations

and pri#ate donors+ SurfAidDs deli#ery capacity is dependent on these fundin"

arran"e$ents and SurfAid needs to co$ply *ith the reCuire$ents of its fundin"

contracts+

4+ SurfAid shall7

a+ -o$ply *ith all applicable la*s and re"ulations in Indonesia+

b+ I$ple$ent all pro"ra$s that ha#e been $utually a"reed under this MO+

c+ Pro#ide necessary fundin", eCuip$ent and facilities for the i$ple$entation of all

pro"ra$s, and pro#ide forei"n e6perts only if Indonesian e6perts are not a#ailable,

*ithin the fra$e*or1 of transfer of 1no*led"e and technolo"y to local staffs and


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Draft as June 2013

co$$unities in accordance *ith the pre#ailin" la*s and re"ulations of Republic of

Indonesia+

d+ Prioriti%e the use of locally $ade and en#iron$ental friendly products for all

eCuip$ent and $aterials used in the i$ple$entation of the pro"ra$ acti#ities+

e+ Pro#ide trainin" and technical assistance in the i$ple$entations of the pro"ra$s

*hich are focused on co$$unity and buildin" the capacity of hu$an resources as

*ell as the *elfare of the beneficiaries+

f+ Bi$it the nu$ber of forei"n staff in the $ana"e$ent structure as $any as ; &three)

persons+

"+ Ha#e a representati#e office in 0a1arta+

h+ ReCuire all forei"n hu$an po*er resources of SurfAid Indonesia to follo*

orientation held by the MOH+

i+ ReCuire all forei"n staff of SurfAid to co$ply *ith i$$i"ration re"ulations relatin"

to per$its and forei"ners $onitorin" procedure+

j+ Maintain IndonesiaDs "ood i$a"e in the International foru$ and refrain fro$

publishin" any ne"ati#e infor$ation that $ay da$a"e Indonesian reputation+

1+ -oordinate *ith the MOH re"ardin" any national or international publication on

Indonesia initiated by SurfAid Indonesia+

l+ :e responsible for all reasonable e6penses pre#iously a"reed in *ritin" accordin"

to SurfAid Indonesia accountin" procedures for orientation, $onitorin" ande#aluation of the project conducted by MOH to"ether *ith related institutions+

$+ -onsult and coordinate *ith the MOH and Bocal (o#ern$ent as *ell as related

institution to ensure a s$ooth pro"ra$ i$ple$entation+

n+ Sub$it annual pro"ress reports to MOH throu"h Pro$1es and if dee$ed

necesarry any additional reports+

o+ Appropriately place the MOH lo"o on e#ery pro"ra$ board, annual report and all

type of publication+

ARTICLE $

LIMITATION ON THE ACTIVITIES OF SURFAID INDONESIAAND ITS PERSONNEL

&2)+ SurfAid assures that its acti#ities and staff assi"ned in their official status under this

MO, shall7

a+ Obser#e, respect and co$ply *ith the la*s and re"ulations, as *ell as policies of

the (o#ern$ent of the Republic of Indonesia+

b+ :e in line *ith Indonesian national interest+


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c+ Respect the inte"rity, political freedo$ and so#erei"nty of the nitary State of the

Republic of Indonesia and refrain fro$ supportin" any separatist $o#e$ents+

d+ Respect the custo$s, traditions, culture, reli"ions, and beliefs of the local

co$$unity+

e+ Refrain fro$ in#ol#in" in any intelli"ence9clandestine acti#ities+

f+ Refrain fro$ en"a"in" in any political and co$$ercial acti#ities+

"+ Refrain fro$ conductin" any reli"ious and or belief propa"ation that potentially

sabota"e the reli"ious har$ony stability condition in Indonesia+

h+ Refrain fro$ conductin" funds raisin" acti#ities fro$ indi#iduals or local

or"ani%ations in Indonesia to support its pro"ra$s and acti#ities+

i. 'ot usin" the facilities of (o#ern$ent Institutions and Bocal (o#ern$ent for

acti#ities other than appro#ed under this MO+

j+ Refrain fro$ doin" acti#ities other than appro#ed under this MO

&4)+ Any #iolation of the abo#e pro#isions $ay result in the re#ocation of the per$its of the

concerned person and or acti#ities and other $easures reCuired by the pre#ailin" la*s

and re"ulations of the Republic of Indonesia as *ell as Indonesian (o#ern$ent

Policies+

ARTICLE %STATUS OF EUIPMENT AND MATERIALS SUPPORTER

&2)+ =Cuip$ent and $aterials pro#ided9purchased by the SurfAid to support the

i$ple$entation of the pro"ra$ shall be used solely for the purpose of the

i$ple$entation of the pro"ra$+

&4)+ =Cuip$ent held9purchased and placed by SurfAid durin" the pro"ra$ are o*ned by

the .onor after the e6piration of the fundin" for SurfAid, .onor *ith SurfAid Indonesia

and Ministry of Health *ill re#ie* the status of the eCuip$ent, in accordance *ith the

.onor contract+

&;)+ If there is a chan"e of purpose and or abolition of the eCuip$ent and $aterials before

co$pletion of the pro"ra$, then it shall be discussed *ith and appro#ed by MOH+

&


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Draft as June 2013

&4)+ Such a$end$ent or re#ision shall co$e into force on the date as $ay be deter$ined

by the Parties+

ARTICLE 14

ENTRY INTO FORCE; DURATION AND TERMINATION

&2)+ This MO shall enter into force on the date of its si"nin", shall be effecti#e for a period

of three years, and $ay be e6tended by $utual *ritten consent of the Parties+

&4)+ =ither party $ay ter$inate this MO at any ti$e by sendin" a *ritten notification to the

other Party at least ? &si6) $onths prior to the intended date of ter$ination+

&;)+ In the e#ent that this MO is ter$inated, the SurfAid Indonesia shall co$plete on!"oin"

acti#ities under this MO no later than ; &three) $onths after the ter$ination date,

unless the Parties decide other*ise+

IN WITNESS WHEREOF, the undersi"ned, ha#e si"ned this MO+

MADEin duplicate at 0a1arta on the day of in the year in Indonesian

and =n"lish lan"ua"es, both of the te6t bein" eCually authentic+ In case of any di#er"ence

of interpretation, the Indonesian te6ts shall pre#ail+

MINISTRY OF HEALTH OF

THE REPUBLIC OF INDONESIA

8,< L(- S< S5(*+-.=+(; MM

H08 ./ +0 C0)+0, ./ H0+ P,.9.+(.)

S5,/A(8 I)8.)0*(

A))0 W5(>+*

C.5)+,- D(,07+., ./ S5,/A(8 I)8.)0*(


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Draft as June 2013

PROGRAM DIRECTION ?Y0, 2'13:2'1"@

ON

PROMOTION OF COMMUNITY HEALTH AND DISASTER MANAGEMENT &

RESPONSE

I< ACTIVITIES

Acti#ities that *ill be conducted in the ne6t ; years7 &for details see Matri6 Master Plan)

1< P,.,9 M.+0, )8 C(8 H0+ : EHOWU

a+ Objecti#eI$pro#in" $aternal and child health status in Hiliduho Sub .istrict, 'ias

Indu1 .istrict

b+ Outco$e7

Outco$e 2+ I$pro#in" Posyandu le#el in each of the 2; #illa"es of Hiliduho sub!

district

Outco$e 4+ I$pro#ed co$$unity 1no*led"e and practi#es on M-H and sanitation

Outco$e ;+ =ffecti#e Pus1es$as support for basic M-H acti#ities at Posyandu

c+ Main acti#ities7

&2) Posyandu 1aders selection in 2; #illa"es

&4) -oachin" and trainin" for selected 1aders

&;) acilitatin" Posyandu i$ple$entation re"ularly

&aderDs .ay in for$ of co$petition+

&22) isit a$on" outstandin" 1aders inside or outside 'ias+

&24) .ocu$entary #ideo $a1in" for Posyandu acti#ities

&2;) ideo screenin" for health $essa"es in co$$unity

&2


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Draft as June 2013

&2?) Procure$ent I=- $aterials for P>>, -o$$unity leader, Reli"ious leader and

T:A

&2@) ocused "rup special tas1for$+

&2G) Re"ular coo1in" class

&2F) illa"e $eetin" to en"a"e *ater facilities constuction in e#ery #illa"e

&45) 8ater facilities construction by co$$unity+ Pelatihan 1onstru1si air bersih

&42) =stablishin" *ater co$$ittee

&44) acilitatin" health staff trainin"

&4;) acilitatin" establish$ent Po1janal

&4ader .ayJ celebration in for$ of co$petition

o isit a$on" outstandin" 1aders fro$ inside or outside 'ias+

o ; $e$bers of each "roup9#illa"e as the M-H $essa"ers consists of P>>,

-o$$unity leader, Reli"ious leader, illa"e "o#ern$ent, and T:A

o =stablish 2 focused "roup to support the M-H ser#ices in each #illa"e+

o Pre"nant *o$en has safety deli#ery plan

o -lean *ater a#ailability supportin" M-H acti#itiy in 2; #illa"es in Hiliduho

subdistrict

o =stablish$ent 2 *ater co$$itte in each #illa"e

o 8ell!trained Pus1es$as staff to support M-H

o

-onductin Po1janal Posyandu $eetin" at district and sub!district le#el $ini$u$t*o ti$es a year+

e+ Schedule &date of acti#ities)7 4F 0une 4524 K ;5 'o#e$ber 452IA &>IA boo1) ! 2555

! :u1u pencatatan Posyandi&record boo1s)

! 42

! Plan" Posyandu &Posyandusi"n)

! 42

! Alat per$ainan edu1atif &AP=) ! 42

2 $id*i#e 1it for each $id*i#e

< Posyandu able to funds their operational cost independently

-onductin" 2 >aderDs .ay celebration in for$ of co$petition+

2 #isit a$on"st outstandin" 1aders #isit

; $e$bers in each "roup9#illa"e as M-H $essa"er that is ca$es fro$ P>>,-o$$unity leader, Reli"ious leader, illa"e "o#ern$ent, and Traditional birth

attendant

2 focused "roup to support M-H in e#ery #illa"e+

G5L pre"nant *o$en has safety deli#ery plannin"9 rencana 1esehatan 1eluar"a

&R>>)

255 *ater facilities in 2; #illa"es in Hiliduho!subdistrict

2 *ell!trained *ater co$$ittee in each #illa"e

8ell trained Pus1es$as staff to support M-H acti#ities in each #illa#e77


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Draft as June 2013

T-0 ./ +,()() B*0()0 E)8()0

a+ AP' ! @ people

b+ Mana"e$ent Posyandu ! 45 people

c+ Mana"e$en Pus1es$as ! 45 people

4 Po1janal Posyandu $eetin" in district and subdistrict

j+ :ud"et7 =sti$ated for ; years I.R 4,34


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Draft as June 2013

o 3 *ater facilities constructed in 2F ha$lets in South Pa"ai and South Sipora sub!

district+

o 2 *ater co$$itte established9re!acti#ated in each #illa"e

o ;35 latrines constructed

o Hand *ashin" ca$pain" conducted for @@< household in the tra"et area

o Mini$u$ ; 1aders selected and *ell!trained in each Posyandu+

o Sessions9trainin" for .in1es9Pus1es$as staff conducted e#ery year+

o Po1janal Posyandu $eetin" conducted at district and sub!district le#el $ini$u$ 4

ti$es a year+

o Sessions9trainin" for A"riculture .epart$ent field staff conducted e#ery year to

assist nutrition "arden pro"ra$ in co$$unity

o 2 nutrition "arden in each ha$lets and < s$all!scale chic1en far$in" created in

2< ha$lets in South Pa"ai sub!district

o 'utrition "arden de$ontrated by Pus1es$as

e+ Schedule &date of acti#ities)7

2 April 4524 K ;2 March 4523 in South Pa"ai sub!district

2 April 4524 K ;2 March 452< in South Sipora sub!district

f+ Tar"et "roup7 $others and children under fi#e, husbands, $other in la*, reli"ious

leader, co$$unity leaders, $id*i#es, health staff Pus1es$as, 1aders, Po1janal,

Po1ja Posyandu

"+ Bocation7 + 2< ha$lets in South Pa"ai sub!district, Menta*ai Islands Pro#ince and 3

ha$lets in South Sipora sub!district, Menta*ai Islands Pro#ince

h+ nit9Bocal Partner7 Palan" Merah Indonesia for *ater facilities construction

i+ Success indicators7 3 *ater facilities constructed in 2F ha$lets in South Pa"ai and South Sipora sub!

district

2 *ater co$$ittee in each #illa"e+

;35 latrine constructed in di in 2F ha$lets in South Pa"ai and South Sipora sub!

district

@@< HH e6posed by hand*ashin" facilities ca$pai"n

Mini$u$ ; 1aders selected and *ell trained in each Posyandu

4 trainin" for .in1es9Pus1es$as staff e#ery year+


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Draft as June 2013

Mini$al 4 Po1janal Posyandu $eetin" conducted e#ery year at district and sub!

district le#el

4 trainin" conducted e#ery year for A"riculture staff to assist nutrition "arden

pro"ra$ in the co$$unity

2 nutrition "arden and < s$all!scale chic1en far$in" created in 2< ha$lets in

South Pa"ai sub!district

2 nutrition "arden in Pus1es$as South Pa"ai beca$e nutrition

$odel9de$onstration

j. :ud"et7 =sti$ated for ; years I.R @,;5


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Draft as June 2013

F+ -onductin" trainin" on Phsicolo"ist post disaster for .in>es9Pus1es$as, :P:.

and Ti$ P:

25+ acilitatin" *or1shop on prioriti%in" health and physicolo"y in the .istrict

.isaster Mana"e$ent Plan colaborated *ith .inas >esehatan

22+ Identifyin" "ood or"ani%ation, to establish for$al net*or1 and e6ecute

co$$unication strate"y durin" disaster+

24+ acilitatin"9establish for$al net*or1 on disaster to share "ood practices+

2;+ I$ple$ent e#acuation drill for syste$9facilities testin"

d+ Outputs7

o Roadsho* of disaster $ana"e$ent $o#ie conducted t*ice a year in each

#illa"e9ha$let

o .isaster $ana"e$ent tea$ &.M tea$) established in each #illa"e9ha$let

o .isaster $ana"e$ent trainin" for .M tea$ conducted in 4G #illa"es9ha$lets

o I=- $aterials on disaster ris1 a*areness de#eloped and printed

o Radio pro"ra$ on disaster $ana"e$ent aired in ; districts

o .isaster $ana"e$ent plan de#eloped in each #illa"e9ha$let

o .isaster $iti"ation project i$ple$ented in each #illa"e9ha$let

o

Trainin" for school teachers on ready school concept conductedo Trainin" on physicolo"y post disaster conducted for .in1es 9Pus1es$as, :P:.

and .M Tea$ staff

o 8or1shop conducted on prioriti%in" health and phsycolo"y in .istrict .isaster

Mana"e$ent Plan collaboratin" *ith .in>es

o (ood or"ani%ation identified to create for$al net*or1 and i$ple$ent

co$$unication strate"y that can fulfill the needs durin" disaster9e$er"ency

o or$al net*or1 for co$$unication on "ood practices sharin" established

o .rills9si$ulation i$ple$ented for syste$ and facilities testin"+

e+ Schedule &date of acti#ities)7 2 0une 4522 K ;2 May 452< &; years)

f+ Tar"et "roup7 fa$ilies, co$$unities, .istrict Health Office9Pus1es$as staf, :P:.+

"+ Bocation7 + 4G ha$lets9#illa"es in Menta*ai Islands, 8est Su$atra Pro#ince :anya1

Island, Sin"1il .istrict, Aceh Pro#ince and Telo Islands, South 'ias .istrict, 'orth

Su$atra Pro#ince+


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Draft as June 2013

h+ nit9Bocal Partner7 -risis -enter ni#ersity of Indonesia for trainin" .in1es staff on

Psycolo"ist for =$er"ency

i+ Success indicators7 4 round roadsho* e#ery year on disaster $ana"e$ent $o#ie di 4G

#illa"es9ha$lets

Mini$u$ ; trainin" on .isaster Mana"e$ent for .M tea$ in 4G #illa"es9ha$lets

; jenis $ateri 1esadaran sosial resi1o bencana di produ1si dan atau

didistribusi1an

Radio pro"ra$ on disaster $ana"e$ent aired in ; districts

2 .M tea$ established in each #illa"e9ha$let

.isaster Mana"e$ent Plan established in each #illa"e9ha$let

2 disaster $iti"ation project i$ple$ented in each #illa"e9ha$let

All teachers in 2; schools participated on Ready School concept trainin"+

Mini$u$ 4 .in1es9Pus1es$as staff, :P:. and .M tea$ participatin" in a

trainin" on phsycolo"ical post disaster+

;5 officials in#ol#ed in prioritisin" health and phsycolo"y in .istrict .isaster

Mana"e$ent Plan collaboratin" *ith .inas >esehatan

2 for$al net*or1 for co$$unication on "ood practice sharin"

2 ti$e drill9e#acuation si$ulation for syste$ and facilities testin"+

j+ :ud"et7 =sti$ated for ; years I.R 2,4;;,;;@,4F2+;4 &Subject to chan"e due to=6chan"e Rate)

4< P,.,9 M,( F,00 M0)+=( : MFM

a+ Objecti#eto reduce $orbidity and $ortality on $alaria in the tar"et coo$unity+

b+ Outco$e7

Outco$e 27 .ecrease the incidence of $alaria in tar"et co$$unities

Outco$e 47 =stablish$ent of Pos Malaria .esa in tar"et co$$unitiesOutco$e ;7 Increase the 1no*led"e and s1ills of Health .epart$ent staffs in

$ana"in" $alaria pro"ra$s+

c+ Main acti#ities7

2+ -onductin" >AP Sur#ey on $alaria in tar"eted area

4+ -onductin" Parasite test


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Draft as June 2013

;+ =stablishin" Pos Malaria .esa &Pos$aldes)

AP sur#ey in each ha$let i$ple$ented

o Parasite test identified

o Pos$aldes *ell functioned in each #illa"e

o Trainin" for Pos$aldes 1aders conducted

o Pre"nant *o$en slept under insectiside $alaria net

o Pre"nant *o$en free fro$ $alaria

o Technical trainin" for .in1es staff conducted

e+ Schedule &date of acti#ities)7 2 0anuary 452; K ;2 .ece$ber 452?

f+ Tar"et "roup7 fa$ilies in the co$$unity, 1aders, Pus1es$as

"+ Bocation7 first phase 4 #illa"es7 Mala1opa &4 ha$lets) South Pa"ai sub!district and

Tai1a1o &; ha$lets) 'orth Pa"ai sub!district, Menta*ai Islands .istrict+

h+ nit9Bocal Partner7 '9A

i+ Success indicators7

>AP sur#ey in each ha$let in the be"innin" and end of the pro"ra$

255L blood test identified

2 Pos$aldes *ell functioned in each #illa"e

Mini$u$ 4 1aders participatin" in Pos$aldes trainin" e#ery year

255L pre"nant *o$en in tar"et area slept under insecticide $alaria net

35L pre"nante *o$en free fro$ $alaria

2 technical trainin" for .in1es staff in e#ery pro"ra$ phase

j+ :ud"et7 =sti$ated for ; years I.R + ?55,555,555 &Subject to chan"e due to=6chan"e Rate)

!< P,.,9 M.+0, )8 C(8 H0+ : SIMBO


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Draft as June 2013

a+ Objecti#e7 I$pro#in" $aternal and child health status in Parado Sub .istrict, :i$a

.istrict

b+ Outco$e7

Outco$e 2+ Posyandu in each of the 3 #illa"es of Parado sub!districtOutco$e 4+ I$pro#ed co$$unity 1no*led"e and practi#es on M-H and sanitation

Outco$e ;+ =ffecti#e Pus1es$as support for basic M-H acti#ities at Posyandu

c+ Main acti#ities7

2+ Posyandu 1aders selection in 3 #illa"es

4+ -oachin" and trainin" for selected 1aders

;+ acilitatin" Posyandu i$ple$entation re"ularly

>, Reli"ious leader, -o$$unity leader and T:A to be an healhty

$essa"ers

2;+ -onductin" *or1hop and trainin" for P>>, -o$$unity leader, Reli"ious leader

dan T:A

2>, -o$$unity leader, Reli"ious leader and

T:A

23+ ocused "rup special tas1for$+

2?+ Re"ular coo1in" class

2@+ illa"e $eetin" to en"a"e *ater facilities constuction in e#ery #illa"e

2G+ 8ater facilitiies constuction trainin"

2F+ 8ater facilities construction by co$$unity+

45+ =stablishin" *ater co$$ittee

d+ Outputs7

o I$pro#e 2< Posyandu le#el in Parado sub!district

o 3 1aders selected, acti#e and *ell trained in each Posyandu+


19/26

Draft as June 2013

o :asic Posyandu eCuip$ent is a#ailable and $id*i#e!1it for e#ery $id*i#e+

o Posyandu is able to independenly fundriase for Posyandu operational cost+





o -lean *ater a#ailability supportin" M-H acti#itiy in 3 #illa"es in Parado

subdistrict

o =stablish$ent 2 *ater co$$itte in each #illa"e+

e+ Schedule &date of acti#ities)7 2 Septe$ber 452; K ;2 Au"ust 452?

f+ Tar"et "roup7 $others and children under fi#e, husbands, $other in la*, reli"ious

leader, co$$unity leaders, $id*i#es, health staff Pus1es$as, 1aders+

"+ Bocation7 Pro#ince 8est 'usa Ten""ara, .istrict :i$a, Sub!district Parado7 all

#illa"es &3 #illa"es)

h+ nit9Bocal Partner7 BP4.=R &under confir$ation)


2< Posyandu le#el7

P.*-)85 L00 B*0()0 E)8()0

Prata$a 5 5

Madya 24 5

Purna$a 4 25

Mandiri 5 , Reli"ious leader, -o$$unity leader and T:A to be an healhty

$essa"ers

2;+ -onductin" *or1hop and trainin" for P>>, -o$$unity leader, Reli"ious leader

dan T:A

2>, -o$$unity leader, Reli"ious leader and

T:A

23+ ocused "rup special tas1for$+

2?+ Re"ular coo1in" class

2@+ illa"e $eetin" to en"a"e *ater facilities constuction in e#ery #illa"e

2G+ 8ater facilitiies constuction trainin"

2F+ 8ater facilities construction by co$$unity+45+ =stablishin" *ater co$$ittee

42+ -onductin" >AP Sur#ey on $alaria in tar"eted area

44+ -onductin" Parasite test

4;+ =stablishin" Pos Malaria .esa &Pos$aldes), if appropriate *ith "o#ern$ent

Malaria pro"ra$ plan+

4


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Draft as June 2013





o -lean *ater a#ailability supportin" M-H acti#itiy in 3 #illa"es in 2 subdistrict

o =stablish$ent 2 *ater co$$itte in each #illa"e

o >AP sur#ey in each ha$let i$ple$ented

o Parasite test identified

o Pos$aldes *ell functioned in each #illa"e

o Trainin" for Pos$aldes 1aders conducted

o Pre"nant *o$en slept under insectiside $alaria net

o Pre"nant *o$en free fro$ $alaria

o Technical trainin" for .in1es staff conducted

e+ Schedule &date of acti#ities)7 ear 452< &period is not yet identified)

f+ Tar"et "roup7 $others and children under fi#e, husbands, $other in la*,

reli"ious leader, co$$unity leaders, $id*i#es, health staff Pus1es$as, 1aders,

co$$unities+

"+ Bocation7 Pro#ince 8est 'usa Ten""ara, Su$ba Island, 4 sub!districts+

h+ nit9Bocal Partner7 '9A


Posyandu le#el i$pro#ed in 4 sub!districts, Su$ba Island

Mini$u$ 3 acti#e and trained Posyandu 1aders

'u$bers of anthropo$etry tools and basic Posyandu eCuip$ent is a#ailable in

each Posyandu

2 $id*i#e 1it for each $id*i#e

< Posyandu able to funds their operational cost independently

; $e$bers in each "roup9#illa"e as M-H $essa"er that is ca$es fro$ P>>,

reli"ious leader, co$$unity leader, #illa"e "o#ern$ent, and traditional birth

attendant

2 focused "roup to support M-H in e#ery #illa"e+


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Draft as June 2013

G5L pre"nant *o$en has safety deli#ery plannin"9 rencana 1esehatan 1eluar"a

&R>>)

8ater facilities in 4 subdistricts, Su$ba Island+

2 *ell!trained *ater co$$ittee in each #illa"e+

>AP sur#ey in each ha$let in the be"innin" and end of the pro"ra$

255L blood test identified

2 Pos$aldes *ell functioned in each #illa"e

Mini$u$ 4 1aders participatin" in Pos$aldes trainin" e#ery year

255L pre"nant *o$en in tar"et area slept under insecticide $alaria net

35L pre"nante *o$en free fro$ $alaria

2 technical trainin" for .in1es staff in e#ery pro"ra$ phase

j+ :ud"et7 =sti$ated for ; years I.R ?+555+555+555 &Subject to chan"e

due to =6chan"e Rate)

II< MECHANISM OF IMPLEMENTATION

a+ The pro"ra$ *ill carried out in the close coordination *ith the appropriate

pro#incial ser#ices in a co$ple$entary $anner to the reali%ation of such ser#ices+

b+ SurfAid *ill consult *ith MOH and the respecti#e rele#ant "o#ern$entdepart$ent in the plannin" and preparation of ne* pro"ra$ and acti#ities to

ensure that pro"ra$ and acti#ities are in accordance *ith the de#elop$ent

strate"y, policy and priority of the .istrict, Pro#incial or 'ational de#elop$ent

plan+

c+ In order to a#oid duplication of efforts and o#erlap *ith si$ilar acti#ities or

inter#entions, SurfAidshall coordinate its effort *ith other actors of assistance

in the concerned fields of e6pertise and the tar"et area+

d+ Analysis of needs and for$ulation of acti#ities *ill be discussed and $utually

a"reed by MOH and SurfAid+

e+ The MOH and SurfAidunderstand that each acti#ity *ill be i$ple$ented usin" a

co$$unity based approach in#ol#in" the tar"ets "roup of the pro"ra$s+

III< REPORTING

2+ SurfAid Indonesia *ill prepare the annual pro"ress report to be sub$itted to

Pro$1es cc!ed -enter for International -ooperation, local "o#ern$ent and

pro#incial "o#ern$ent+ The content of the report *ill co#er7


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Draft as June 2013

2) Acti#ities and achie#e$ent of the co$pleted and on"oin" project and

pro"ra$s

4) -ontinuation and e#aluation of the co$pleted and on"oin" projects and

pro"ra$s

;) inancial report, re"ardin" e6penditures for the pro"ra$s and projects

includin" eCuip$ent and e6pert e6penses

Documents

140220_DRAFT MOU Extension SURFAID_Final+Sumba (1)