Improving Contraceptive Method Mix (ICMM) Advocacy Strategy and Achievement Phpto by Harimawan Latif (JHU CCP – 2015) District Working Group TUBAN Improving Contraceptive Method Mix (ICMM) Suprihono, SKM., MM

District Tuban Profile Ngerong Cave Nglirip Waterfall Population : 1,290,388 Total Area : 1,839.94 Km2 Density : 701 people/km2 Population growth : 0.61 Reproductive Age Couple : 246,487 couples Tuban Government : 20 Sub-districts, 17 kelurahan, 311 villages Boom Beach

Advocacy Milestone (HIGHLIGHT) Advocacy on Primary Clinical Training Center (P2KP) July’15 Discussion on JKN Implementation @Province August’14 Demographic Devidend Seminar Jan’14 District Head regulation on Village budget allocation Mar’15 Experience sharing meeting @national Aug’15 Meeting on Village budget to support FP Jan’15 DWG Revitalization April’13 MOU with IBI Feb’14 FP village team’s AWP development Apr’15 AWP Year 3 development Oct ’15 2013 2014 2015 MoU with PKK & PLKB Aug’13 Experience sharing meeting @province June’15 ICMM sharing meeting @national Oct’14 AWP Year 2 development Nov’14 FP village team revitalization (4 villages) Feb - Mar’15 M&E FP village team July ’15 Cross sharing visit (NTB-East Java) Sept ’15 M&E visit CWG March’15 M&E visit CWG & Donors Aug’15 M&E visit May’15

Village – Level Advocacy Decentralization Era Revitalize FP Village Team Build FP network at the village level Advocate for FP Budget Ensure FP activities are allocated in the village budget Advocate for FP services provision Ensure village midwives are certified and can provide FP services m-CPR is still high, but the method mix is highly skewed towards short-acting contraceptive methods Number of FP field officer decreased “Village Law” UU No. 6/2014 Regulating funding on village budget development included community empowerment

Revitalize Family Planning Village Team FP champion Activities Data recording FP counseling, IEC & Demand generating Acceptors referral by cadres FP service by midwife Reporting Village head, Midwife, Cadrees, Community leaders, Religious leaders, Youth, village government officer, Family Welfare Organization (TP PKK), FP field officer etc. Management Team leader Secretary and Finance 3 Divisions: FP service and RR Demand Generation IEC & FP Counseling

District Head Regulation No. 21/2015 on Village Budget Management Article 20: FP program classified as Village community empowerment Article 21: Included activities on socialization, facilitation and FP program development Article 25: Object and funding codes: Improving the role of FP village team Facilition on FP program including LAPMs Improving Program BKB (Child Program), BKR (Youth Program) & BKL (Elder Program) Health promotion and FP Posyandu (Integration clinical service) Etc.

Advocacy Achievement 2015 District Head regulation on village Budget Management including FP Program (March) 4 FP village teams formalized by Village head decree and developed AWP for each village 4 Villages allocated village budget to support FP amount 3 – 10 million rupiah/village/year 80% of midwives in Tuban have trained on CTU (LAPMs service) MoU on FP service with hospitals 2013 An MoU with PKK and FP field officer (PLKB) to promote FP including LAPM (Aug) 2014 An MoU with IBI (midwives association) to provide FP including LAPM services (Feb)

FP District Local Budget in Tuban 2013 - 2015 84.4% 76.5% 76.2% 15.2% 21.5% 22.8% 1.0% +8.8% +0.6% 72.6% FP services: Termasuk untuk logistik, pelayanan KB dan sarpras pelayanan 58.4% 23.8% 36.0% Source: Tuban District FP Board , 2015

mCPR and LAPMs Prevalence Rate increase in 2014 and 2015 75.4 75.0 75.7 Modern (All methods) Prevalence (%) Source: District FP Board, 2015

Challenges Low knowledge on Family Planning Program including LAPMs among village government FP field officer (PLKB) is still limited Need to socialize district head regulation on village budget management to all sub-district heads and village heads Need to scale up FP village team to others villages

Next Plan Advocacy on replicating and scale up FP village team and village budget allocation to others villages Collaborate with Maternal and Child Health Program (KLINCI ANI) Advocacy on DWG sustainability supported by local budget (APBD)

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