“COMMUNITY PARTICIPATION IN

REPRODUCTIVE HEALTH

AN INDONESIAN EXPERIENCE”

Presented By:-

DR.P.P.SINGH

Ex. Medical Superintendent cum Consultant Pathologist. HRH & SDN

Hospital Delhi

Ex. Director India population Project Delhi.

INTRODUCTION IINDONESIA IS KNOWN TO HAVE SUCCESFUL

IN SOME ASPECT OF NATIONAL DEVELOPMENT, SPECIALY IN STABELISATION OF POPULATION THROUGH R H PROGRAMME.

INTERNATIONAL AGENCIES LIKE UNFPA,WHO. & WORLD BANK HAVE RECOGNISED ITS SUCCESS STORY.

TODAY INDONESIA IS A ROLE MODEL FOR DEVELOPING COUNTRIES

THE KEY OF SUCCESS IS ONLY THROUGH

“COMMUNITY PARTICEPATION & WOMEN EMPORMENT”

Social profile

Total population – 205 Million

With many different Ethnic groups & Languages

National Language – Bhsa Indonesia.

4rth Largest Population of the World.

87.0% Muslim.

9.7% Christian.

1.1% Buddhist.

1.8%Hindu (in BALI 85%)

0.04% Others.

NATIONAL PHILOSOPHY(PANCHASILA)

Belief in one supreme GOD

Just and Civilized Humanity

The Unity of Indonesia

Democracy led by wisdom of Deliberations amongst

Representatives.

Social justice for the whole Indonesian People.

Table – I.

S.No.

Indices INDIA INDONESIA

1 Total Population >100,89,37000 21,20,92000

2 GDP 1501 3038

3 Life Expectancy Male-59.8yrsFemale- 62.7yrs

Male-63.4yrsFemale-67.4yrs

4 Crude Birth Rate 28.3 24.3

5 Crude Death Rate 9.0 7.5

6 Total Fertility Rate 3.1 2.2

7 Infant Mortality Rate 72 32

8 Child Mortality Rate Male-90Female- 99

Male-61Female- 49

9 Total Health Expenditure

110- 5.1%of GDP 54- 2.7%of GDP

10 Literacy Rate 64.3% 91.3%

11 Status of Polio Highest No. of cases amongst 10 countries in the world where still Polio cases are being detected.

Polio Free.

12 Maternal Mortality Rate(per 100,000 live births)

430 290

13 Women Average Age of Marriage

19.6yrs 21yrs

ORGANISATION BEHIND ALL THIS SUCCESS IS B.K.K.AB.N.

(NATIONAL FAMILY PLANING COORDINATION BOARD)

1975

Family Welfare Co-ordination Department

National Level BKKBNCentral Office

Directly under the Control of President

GOVERNEOR

District LevelBKKBNDistrictLevel

BHUPATI

District HospitalSUB DISTRICT

CAMAT

Comm. Mat. Centre

PHC

Village Centre

Comm. Midwife

Village

OR

Sub. Village

Vill. Head

F.P. Field – 1Supervisor

F.P.FieldWorker (20 )

REPORT

RE

PO

RT

REPORT

BKKBNProvincialOffice

Provincial Level

SERVICE DELIVERY REFERRAL SYSTEM

HEALTH PRIVATECENTRE CLINIC

DISTRICT HOSPITAL

HEALTH CENTRE

FPFW POSYANDU

(INTEGRATED POST)

KADAR (Volunteer)

MIS (Management information system) of National Family Welfare programme is very effective. Every month reports are not only being collected & forwarded to National level but also discussed at every level. Recently this has been computerized from level to national level. Format of report is of 84 columns. Families are categorized into five groups according to socioeconomic status.1. Pre –Prosperous Family2. Pre –Prosperous Family Stage I3. Prosperous Family Stage II4. Prosperous Family Stage III5. Prosperous Family Stage III Plus

COMMUNITY PARTICPATION.

VOLUNTREES (KADER)

FAMILY ENUMERATION-Record – Motivation.Organising monthly meetings.

POSYANDU.

HEALTH TALKS

INCOME GENERATION FELCITATION

HELPS TO ANC&PNC CASES>

COMMUNITY DELIVERY PLACE.

At every Ward /Village Lavel Managed By ANM

Place is Called BIDANDESA.

ANM

TBA

COMMUNITY FUND – DANASEHAT.

The community participation is not confined to one area it has been observed almost uniform in different part of the country seen in Java, Sumatra and Bali. Community groups in BALI are called BANJAR while in SUMATRA it is called as BUDOCONDOS

C All Industrial, Business and cooperate sector are also caring their staff regarding Reproductive Health by organizing meetings, health talks and health checkup. Most important point is that these units are maintaining records similarly through Voluntary Organization .

Private Medical Sectors are equally participating in safe motherhood & reproductive health Most of clinics have displayed one sign board the Logo of RCH with either Yellow or Blue Ring. Indicating

A Yellow Ring - means complete range of RCH facility is available.

A Blue Ring - means partial RCH facility is available .Only non operative type.

E. Safe Mother Hood through Women Empowerment; - At every block level a self help group (Cooperative) has been established to ensure empowerment of women through income generation schemes. Loan under TAKESRA or KUKESRA scheme are being provided. These are linked with Family welfare programme.F. Youth Groups – are another example of community participation. As all adolescent interact with health voluntaries / Health worker and freely discuss all issues related to sex. They are organizing pre marriage counseling with the aim for safe parenthood.