1. 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

2. District Tuban Profile
Ngerong Cave
Nglirip Waterfall
Population : 1,290,388
Total Area : 1, 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

3. 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
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
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

4. 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

5. 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

6. 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.

7. 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 – 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)

8. 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

9. 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

10. 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

11. 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)

12. Terima Kasih