106
I DECEMBER | 2018 FINAL REPORT Family Planning Spending Assessment
I
DECEMBER | 2018
FINAL REPORT
Family Planning Spending
Assessment
ii
TABLE OF CONTENT
TABLE OF CONTENT ...................................................................................................................... ii
LIST OF FIGURES .......................................................................................................................... iv
LIST OF TABLES ........................................................................................................................... iv
LIST OF ABBREVIATIONS ............................................................................................................... v
INTRODUCTION ........................................................................................................................... 1
1.1 BACKGROUND ................................................................................................................ 1
1.2 OBJECTIVES .................................................................................................................... 2
1.3 METHOD ......................................................................................................................... 2
1.3.1 OVERALL SCOPE OF THE EXERCISE ......................................................................................... 2
1.3.2 CLASSIFICATIONS USED TO BUILD THE FP SPENDING ACCOUNTS ......................................... 3
1.4 DATA COLLECTION PROCESS ......................................................................................... 6
1.5 LOCATION OF THE STUDY .............................................................................................. 7
FAMILY PLANNING PROGRAM IN INDONESIA ............................................................................... 9
2.1 COUNTRY CONTEXT ...................................................................................................................... 9
2.2 OVERVIEW OF FAMILY PLANNING PROGRAM IN INDONESIA .................................................... 9
RESULT AND DISCUSSION ON FINANCING FP PROGRAM ............................................................. 11
3.1 LIMITATION ................................................................................................................................ 11
3.2 FLOW OF FUND FOR FAMILY PLANNING PROGRAM ................................................................ 13
3.3 EXPENDITURE FOR FAMILY PLANNING PROGRAM 2016 .......................................................... 16
3.3.1 TOTAL EXPENDITURE FOR FP PROGRAM ...................................................................... 18
3.3.1.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS) ........................................... 18
3.3.2 TOTAL EXPENDITURE FOR FP PROGRAM AT CENTRAL LEVEL ....................................... 19
3.3.2.1 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC) AND FINANCING
SOURCE (FS) ................................................................................................................ 19
3.3.2.2 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF) AND FINANCING
SOURCE (FS) ................................................................................................................ 20
3.3.3 TOTAL EXPENDITURE FOR FP PROGRAM AT PROVINCE LEVEL .................................... 21
3.3.3.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS) .......................................... 22
3.3.3.2 FP PROGRAM EXPENDITURE BY FINANCING AGENT (FA) ........................................... 22
3.3.3.3 FP PROGRAM EXPENDITURE BY PROVIDER (PS) ......................................................... 23
3.3.3.4 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC) .............................. 24
3.3.3.5 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF) ................................ 25
iii
3.3.4 TOTAL EXPENDITURE FOR FP PROGRAM AT DISTRICT LEVEL ....................................... 26
3.3.4.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS) .......................................... 27
3.3.4.2 FP PROGRAM EXPENDITURE BY FINANCING AGENT (FA) ........................................... 29
3.3.4.3 FP PROGRAM EXPENDITURE BY PROVIDER (PS) ......................................................... 30
3.3.4.4 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC) .............................. 32
3.3.4.5 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF) ................................ 34
3.3.4.6 FP PROGRAM IN 2 SAMPLES SUB DISTRICT HEALTH CENTER (PUSKESMAS) ................ 36
3.3.4.7 FINANCING FAMILY PROGRAM AT 2 SAMPLE VILLAGES .............................................. 39
CONCLUTION AND RECOMMENDATION ..................................................................................... 41
REFERENCES .............................................................................................................................. 43
APPENDIX .................................................................................................................................. 46
Appendix A. Table For Central Level ......................................................................................... 47
Appendix B. Table for Jawa Barat Province .............................................................................. 51
Appendix C. Table for Nusa Tenggara Tinur (NTT) Province ..................................................... 55
Appendix D. Table for Jawa Timur Province ............................................................................. 59
Appendix E. Table for Sumatera Barat Province ....................................................................... 63
Appendix F. Table for Bandung City .......................................................................................... 67
Appendix G. Table for Bogor District ........................................................................................ 71
Appendix H. Table for Kupang City ........................................................................................... 75
Appendix I. Table for Manggarai Barat District ......................................................................... 79
Appendix J. Table for Surabaya City .......................................................................................... 83
Appendix K. Table for Malang District ...................................................................................... 87
Appendix L. Table for Padang City ............................................................................................ 91
Appendix M. Table for Limapuluh Kota District ........................................................................ 95
iv
LIST OF FIGURES Figure 1. Flow of Fund of Family Planning Program in Indonesia, 2016 ............................................... 13
Figure 2. FP Program Expenditure in 4 Puskesmas .............................................................................. 36
Figure 3. Village Fund for FP Program 2016 (2 Sampel Desa ini Kab. Bogor) ....................................... 39
LIST OF TABLES Table 1. Document at Central Level ......................................................... Error! Bookmark not defined.
Table 2. Document at Province Level....................................................... Error! Bookmark not defined.
Table 3. Document at District Level ......................................................... Error! Bookmark not defined.
Table. 4. Template of Data Filling ........................................................................................................... 5
Table 5. Instance of Financing Sources (FS) & Financing Agent (FA) Classification ................................ 6
Table 6. Instance of Provider (PS), FPSC, & FPPF Classification .............................................................. 6
Table 7. List of District ............................................................................................................................. 7
Table 8. Description of Population, Childbearing age Couples, and Fiscal Capacity Categories in
Research Sample ..................................................................................................................................... 8
Table 9. FP Expenditure by Financing Source, 2016 ............................................................................. 18
Table 10. FP Expenditure by Public Source, 2016 .................................................................................. 18
Table 11. FP Program Spending according to FS (Donor), 2016 ........................................................... 19
Table 12. FP Expenditure by Financing Source at Central Level, 2016 .................................................. 19
Table 13. FP Program Expenditure by FPSC (Central Level), 2016 ........................................................ 20
Table 14. FP Program Expenditure by FPPF (Central Level), 2016 ........................................................ 21
Table 15. FP Program Expenditure by Financing Source at Provinces Level, 2016 .............................. 22
Table 16. FP Program Expenditure by Financing Agent at Provinces Level, 2016 ................................ 23
Table 17. FP Program Expenditure by Providers at Provinces Level, 2016 ........................................... 23
Table 18. FP Program Expenditure according to FPSC at Provinces Level, 2016 .................................. 24
Table 19. FP Program Expenditure according to FPPF at Provinces Level, 2016 .................................. 25
Table 20. FP Program Expenditure by Financing Source at District Sample, 2016 ............................... 28
Table 21. FP Program Expenditure by Financing Agent at District Sample, 2016 ................................ 29
Table 22. FP Program Expenditure by Provider at District Sample, 2016 ............................................. 30
Table 23. Program Expenditure according to FPSC at District Sample, 2016 ....................................... 32
Table 24. Program Expenditure according to FPPF at District Sample, 2016 ....................................... 34
Table 25. FPSC by Financing Source at Puskesmas, 2016 ..................................................................... 38
v
LIST OF ABBREVIATIONS
APBD : The Regional Government Budget
APBN : The Central Government Budget
BKB : Toddler Family Development
BKKBN : National Population and Family Planning Board
BKL : Elderly Family Development
BMHP : Medical consumables
BOK : Operational Fund for Health
BOKB : Operational Fund for Family Planning
BPJS : Social Security Administrator
BPS : Central Bureau of Statistics
CPR : Contraceptive Prevalence Rate
DAK : Special Allocation Fund
DAU : General Allocation Fund
DHO : District Health Office
EUS : Elderly Ages
FA : Financing Agent
FKTP : The First Level Health Facility
FP : Family Planning
FPPF : Family Planning by Production Factors
FPSA : Family Planning Spending Assessment
FPSC : Family Planning Spending Categories
FS : Financing Source
ICOMP : International Council on Management of Population Programs
IUD : Intrauterine Device
JHUCCP : Johns Hopkins Center for Communication Programs
JKN : National Health Insurance
KKBPK : Family Planning and Family Development Activities
LAKIP : Government Institution Performance Accountability Report
LARCs : Long-Acting Reversible Contraceptives
LKPP : National Procurement Institution
MDGs : Millenium Development Goals
MOF : Ministry of Finance
MOH : Ministry of Health
MOP : Male Sterilization
MOW : Female Sterilization
NGOs : Non Government Organizations
NHA : National Health Accounts
OOP : Out of Pocket OPD PAD
: :
Regional Device Organization Local Own Revenue
PBI : Beneficiary of Contribution
PEKKA : Empowering Female Heads of Household
PKBI/ PFPI : Indonesian Family Planning Association
vi
PLKB : Family Planning Field Officers
PPJK : Health Insurance Financing Center
PPM : Estimation of community needs
Renja : Work Plan
Renstra : Strategic Plan
RKUD : Regional General Cash Account
RKUN : State General Cash Account
RPJMN : Medium Term Development Plan
SBBK : Invoice of delivery order
SDGs : Sustainable Development Goals
TFR : Total Fertility Rate
UHC : Universal Health Coverage
UNFPA : United Nations Population Fund
UPPKS : Efforts to Increase Prosperous Families
USAID : US Agency for International Development
WHO : World Health Organization
1
INTRODUCTION
1.1 BACKGROUND
Access to reproductive health for the population, including family planning service is also a criterion
used to measure maternal health in Millenium Development Goals (MDGs). In the subsequent policy
of Medium Term Development Plan (RPJMN) of 2015-2019 and Sustainable Development Goals
(SDGs), both criteria are also still used to measure the achievements of development success in the
field of health.
Globally based on MDGs report by United Nations (2015), there was an increase in the prevalence of
contraceptive use for women aged 15-49, from about 55 percent (in 1990) to 64 percent (in 2015).
The success rate of the Family Planning Program can also be measured by the percentage of fertile
couples who are unmet need groups (fertile couples that are targeted by family planning, but not using
family planning programs).
The lower unmet need indicates the success of the family planning program. However, Indonesia
health profile (2015 and 2016), showed the unmet need of Indonesia in 2016 (12.77 percent) actually
increased compared to 2015 (12.70 percent). Meanwhile, compared to the established strategic
objectives of National Population and Family Planning Board (BKKBN), the figure has not yet shown
optimal results because it has not met the target of 2015 (10.60 percent) or 2016 (10.48 percent).
The Indonesia regulation on health mandates that reproductive health and family planning are part of
health efforts so that the government needs to be responsible and ensure the availability of safe,
quality and affordable services for the community.
The implementation of the health services also needs to be supported by the availability of other
health subsystems, including health human resources, pharmaceutical preparations and medical
devices, management, information, and health regulations, community involvement, and health
financing. However, Indonesia is still facing challenges in meeting the availability of health subsystem,
especially related to health financing.
Since the implementation of the National Health Insurance (JKN) in 2014, the focus of health financing
is directed to support the achievement of Universal Health Coverage (UHC). The existence of fund-
raising mechanisms for health, the adoption of prepayments to reduce financial barriers in accessing
services and reducing Out of Pocket (OOP), and encouraging efficient and equitable allocation and use
of funds, is an important part that needs to be applied to health financing systems to achieve UHC
(WHO,2018).
2
With the achievement of UHC, it is hoped that promotive, preventive, curative and rehabilitative
health services can be accessed by all citizens at affordable, fair and equitable cost (WHO,2018).
However, some of the health financing constraints still face, among others, the high burden of health
outlays (Out of Pocket), low public health spending, and the amount of health financing used for
curative and rehabilitative efforts, while financing for promotive efforts and preventive, such as family
planning, nutrition, immunization, etc., tend to be low financial assistance in accessing services and
reducing Out of Pocket (OOP), as well as encouraging efficient and equitable allocation and use of
funds, is an important part that needs to be applied to health financing systems in order to achieve
UHC (Thabrany, 2014; Gani, 2017).
By 2016, the government has allocated a health budget of 5 percent of state expenditure (APBN) in
accordance with the mandate of health legislation (Ministry of Finance, 2016).
In this regard, the results of this study are useful to provide an understanding of the flow of resources
and the specific funding of the Family Planning Program so that it can be used as a consideration for
decision makers or program planners as an effort to improve efficiency, as well as improve the
allocation and use of health resources. The results of the study are also expected to provide an
overview of the role of government and foreign parties (donors) in the funding of family planning
programs.
1.2 OBJECTIVES
In general, the purpose of this study is to obtain information on Family Planning spending in terms of
total amount spent, the flow and distribution of fund for FP program by public and external (donors)
funding in 2016 at the central level and 4 (four) selected regions. The specific purpose of this study,
namely:
1. To describe the flow of health expenditure funds to the level of the designated health facility or
implementer related to the FP program in 2016 at the central level and 4 (four) selected provinces;
2. To obtain a total health expenditure picture for the FP program in 2016 at the central level and 4
(four) selected provinces;
To elaborate in detail the health spending of the FP program in 2016 at the central level and 1 selected
province (West Java) based on funding sources (public, donor, other), provider, and activity function.
1.3 METHOD
1.3.1 OVERALL SCOPE OF THE EXERCISE
3
Data, firstly was gateherd using template we developed for tracking the expenditure in 2016, and
followed by interview the programer to ensure what specific activities for particular spendings. There
are also other supporting data required, ie Government Institution Performance Accountability Report
(LAKIP), profile, and planning documents (Renstra, Renja, etc.) from each institution conducting family
planning programs at the central and research sample areas.
Here are the details of the required data sources and the institutions to be visited / contacted in this
FPSA study:
a. Central Level
Table 1. Document at Central Level
No Documents Institution
1 - Budget and Realisation report, 2016 - Report on Logistic 2016 - BKKBN Profile 2016 - BKKBN Performance Accountability Report 2016 - Strategic Plan of BKKBN
BKKBN
2 - Budget and Realisation report, 2016 - Report on Logistic 2016
Kementerian Health
3 - Budget and Realisation report, 2016 - Report on Logistic 2016
Kementerian/ Lembaga lainnya
4 - Claims for FP servies at Facilitie (national and sample province 2016)
BPJS Health
5 - Budget and Realisation report, 2016 - Report on Logistic 2016
LSM di tingkat Pusat (UNFPA, PKBI, dll)
b. Provincial Level Table 2. Document at Provincial Level
No Dokumen Instansi Sumber Data
1 - Budget and Realisation report, 2016 - Budget and Realisation, specific local program
2016 - Budget and Realisation by type of Expenditure
2016
BPKAD Provinsi
2 - Provincial Profile, 2016 - Performance Accountability Report 2016 - Provincial Strategic Plan ((RPJMD, Renstra, RKPD,
dll)
Bappeda Provinsi
3 - Budget and Realisation report, 2016 - Report on Logistic 2016 - BKKBN-Province Profile 2016 - Performance Accountability Report, 2016 - Strategic Plan
Institusi penyelenggara program KB di tingkat Provinsi
4 - PHO Budget and Realisation Report, 2016 - PHO Report on Logistic 2016 - PHO Profile 2016 - Performance Accountability Report, 2016 - Strategic Plan of PHO Renstra dan Renja Dinas
Health tahun 2016
Provincial Health Office
5 - Budget and Realisation Report, 2016 NGOs Provinsi
4
- FP Logistic 2016
a) District Level Table 3. Document at District Level
No Dokumen Instansi Sumber Data
1 - Budget and Realisation report, 2016 - Budget and Realisation, specific local
program 2016 - Budget and Realisation by type of
Expenditure 2016
BPKAD Kab/kota
2 - Provincial Profile, 2016 - Report on Provincial Performance 2016 - Provincial Strategic Plan ((RPJMD, Renstra,
RKPD, dll)
Bappeda Provinsi
3 - Budget and Realisation repor, 2016 - Report on Logistic 2016 - Dinas KB Profile 2016 - Performance Accountability Report, 2016 - Strategic Plan
Institusi penyelenggara program KB di tingkat Kab/kota
4 - DHO Budget and Realisation Report, 2016 - DHO Report on Logistic 2016 - DHO Profile 2016 - Performance Accountability Report, 2016 - Strategic Plan of DHO Renstra dan Renja
Dinas Health tahun 2016
Dinas Health Kab/kota
5 - Budget and Realisation report, 2016 - Budget and Realisation, specific local
program 2016
LSM tingkat Kab/Kota
6 - Budget and Realisation Report, 2016 - FP Logistic 2016
*Desa
• Jawa Barat only
We initially search information trough identifiying budget and realization documents of the 2016 to
see the details of the budget and realization per activity carried out by relevant agencies both at
central and sub national level. At the central level, the document covers the budget and realization
for the implementation of activities, payment of salaries and employee benefits, and procurement of
contraceptives (non-alcoholic) and non-contraceptive devices (non-alcoholic).
In addition, at the district / city level, it is also necessary to identify in-kind transfers from the center
(BKKBN). The process of calculating expenditure for goods transfers (in-kind transfers) is as follows.
i. Information regarding transfer of goods uses the KB Health Facilities Report (F2 Report) in
each district / city. In the report, information is available on the amount of contraceptive use
in health facilities.
ii. Furthermore, the team needs to carry out a disaggregation process according to the provider
(puskesmas, private clinics, government hospitals or private hospitals) using the regency / city
5
Evidence Exit (SBBK) document that contains information on the details of the alcohol
distribution (type and amount) to each health facility.
iii. Furthermore, the number contraceptives received by each health facility based on the
disaggregation process is translated into the value of the rupiah using the unit price per type
of alkon and non-alkyl derived from reports on the procurement and distribution of BKKBN.
iv. The total expenditure for JKN-non capitation funded KB programs was obtained from BPJS
Kesehatan
Sub National Estimation
Sub-national expenditure estimate is obtained from the Ministry of Finance, Directorate General of
Balance which contains information related to the realization of the Provincial and District
budgets(APBDs) according to health functions in 2016. Sample district data would then be base of
information on how much proportion of local funding goes to family planning. The proportion we have
from the estimation is then contrasted with the agregat figure from the Ministry of Finance
1.3.2 CLASSIFICATIONS USED TO BUILD THE FP SPENDING ACCOUNTS Translating family planning program expenditure data into the FPSA classification was an initial
process when developing a data entry template in the Microsoft Excel spreadsheet program. Each
level of the research area (central, province, district / city) has its own template. This is to avoid a
"double counting" that we expected would be identified as various sources to funding the program
at the provincial and district level. The template is adjusted to the information available in the
allocation document and realization of family planning program expenditures. So it is the expenditure
of in kind (contraceptives) transferred by the center (contraceptives, the spending is calculated and
inputted in the template. There are around 26 variables available in the template and contain various
information needed in the process of translating the KB program into the FPSA classification, including:
1. Data type (expenditure government and on government report or report of contraceptive and non-contraceptive devices tranfer)
2. Level of study (central/province/district) 3. Name of province 4. Name of district 5. Type of institute 6. Type of institute 7. Name of institute 8. Data sources/ name of document 9. Years (1 January until 31 Desember 2018) 10. Years (1 January until 31 Desember 2018) 11. Financing sources 12. Details of financing sources
6
13. Program 14. Activities 15. Details activities 16. Sub-details activities 17. Financing agent 18. Financing agent 19. Provider 20. Information 21. Allocation of FP program (Rupiah) 22. Allocation of FP program (Rupiah) 23. Expenditure of program KB (Rupiah) 24. Allocation of FP program (USD) 25. Expenditure of program KB (USD 26. Expenditure of program KB (USD) 27. Financing Sources (FS) classification 28. Financing Sources (FS) classification 29. Financing Agent (FA) classification 30. Provider (PS) classification 31. Family Planning Spending Categories (FPSC) classification 32. Family Planning Spending Categories (FPPF) classification
5
1. Table below is an instance of data template that provide all of information from data source.
Table. 4. Template of Data Filling
Dat
a ty
pe
Leve
l of
stu
dy
Nam
e o
f p
rovi
nce
Nam
e o
f d
istr
ict
Typ
e o
f in
stit
ute
Nam
e o
f in
stit
ute
Dat
a so
urc
es/
nam
e o
f d
ocu
me
nt
Ye
ars
Fin
anci
ng
sou
rce
s
De
tails
of
fin
anci
ng
sou
rces
Pro
gram
Act
ivit
ies
De
tails
act
ivit
ies
Sub
-de
tails
act
ivit
ies
Fin
anci
ng
age
nt
Pro
vid
er
Info
rmat
ion
All
oca
tio
n o
f FP
pro
gram
(R
up
iah
)
Exp
en
dit
ure
of
FP p
rogr
am
(Ru
pia
h)
All
oca
tio
n o
f FP
pro
gram
(U
SD)
Exp
en
dit
ure
of
FP p
rogr
am (
USD
)
Fin
anci
ng
sou
rce
s (F
S) c
lass
ific
atio
n
Fin
anci
ng
age
nt
(FA
) cl
assi
fica
tio
n
AP
rovi
de
r (P
S) c
lass
ific
atio
n
Fam
ily p
lan
nin
g sp
en
din
g ca
tego
rie
s (F
PSC
) cl
assi
fica
tio
n
Fam
ily p
lan
nin
g b
y p
rod
uct
ion
fa
cto
rs (
FPP
F) c
lass
ific
atio
n
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
6
Data is inputting manually into the template based on the information provided from spending’s
reports of each institutions. Classification can be done if the data template has been filled in
completely. The following are the stages of the classification process carried out by the team,
including:
a. The translation of FP spending into the Financing Sources (FS) and Financing Agent (FA)
classification was crosschecked to the information from four variables, namely type of
institution (5); name of institute (6); financing sources (9); and details of financing sources
(10). The detailed classification process can be seen in the following table:
Table 5. Instance of Financing Sources (FS) & Financing Agent (FA) Classification
Type of institute
Name of institute Financing sources
Details of financing sources
FPSA
Financing Sources (FS)
Financing Agent (FA)
BKKBN Representatives
BKKBN of West Java Province
APBN APBN
FS 1.1.1.8 Other ministries (or equivalent
sector entities)*
FA 1.1.1.8 Other Ministries (or
equivalent sector entities)*
Provincial Health Office
West Java Provincial Health Office
APBD Provincial
original income (PAD)
FS.1.1.2.1 Ministry (or
equivalent sector entity) of Health
FA 1.1.2.1 Ministry (or equivalent state sector
entity) of Health
b. The translation of family planning expenditure data into Provider (PS) classification, Family
Planning Spending Categories (FPSC), and Family Planning by Production Factors (FPSC) is
carried out using information from five variables, namely the name of institute (6); program
(11); activities (12); details activities (13); and sub-details activities (14). The detailed
classification process can be seen in the following table:
Table 6. Instance of Provider (PS), FPSC, & FPPF Classification
Name of institute
Program Activities Details
Activities Provider
FPSA
Provider (PS)
FPSC FPPF
Representatives BKKBN of West Java Province
Training, Research & Development for Health Workers
Training for midwives in Puskesmas
Expenditure for meeting packet on training
Puskesmas
PS.1.2.1 Public
outpatient care
centres
FPSC 3.3: Training
and capacity building
FPPF 1.7: Meetings
and workshops
Bogor District FP Office
Family Planning Program
Male sterilization
services
Honorarium civil
servants
Private Hospital
PS.3.1.1 Private for
profit general
hospitals
FPSC 1.22: Male
sterilization
FPPF 1.1.1:
Direct FP service
provision staff cost.
1.4 DATA COLLECTION PROCESS
This study uses quantitative instruments to:
7
a) Collect aggregate data at the central level and sample research areas.
b) Obtain data related to budget and expenditure.
c) Collect FP logistic data from Central level to health facilitation in research sample area identify
the quantity distributed from Central to research sample area.
d) identify detailed data on facility-level expenditure at 1 selected district (Bogor District)
In this data collection, discussion is also necessarily conducted with program officers to ensure the
classification of FP activities according to the classification guidelines set forth in Family Planning
Spending Categories (FPSC).
1.5 LOCATION OF THE STUDY
Data collection has been conducted at central, provincial and district /city levels. Sample selection
uses purposive sampling method, ie the research sample is selected taking into account district fiscal
capacity, population density, and the number reproductive, and elderly ages (EUS). Below are 4
provinces and 8 districts / cities which have been selected as research samples:
Table 7. List of District Province District
West Java Kota Bandung
Kabupaten Bogor
East Java Kota Surabaya
Kabupaten Malang
West Sumatera Kota Padang
Kabupaten Lima Puluh Kota
East Nusa Tenggara (NTT) Kota Kupang
Kabupaten Manggarai Barat
The district samples were selected to consider their specific characteristics including the population,
reproductives woman, and fiscal capacity as follows.
8
Table 8. Description of Population, Childbearing age Couples, and Fiscal Capacity Categories in Research Sample
Country/Province/District Number of Population Number of
Reproductive woman
Fiscal Capacity Categories
Indonesia 268,074,600 36,306,662
West Java Province 47,379,390 6,881,593 Very high
Kabupaten Bogor 5,587,390 750,186 Very high
Kota Bandung 2,490,620 261,224 Very high
East Java Province 39,075,152 5,893,738 Very high
Kabupaten Malang 2,560,675 393,601 Very high
Kota Surabaya 2,862,406 381,778 Very high
West Sumatera Province 5,259,528 476,261 Low
Kabupaten Lima Puluh Kota 372,568 41,444 Low
Kota Padang 914,968 58,822 High
East Nusa Tenggara Province 5,203,514 414,791 Low
Kabupaten Manggarai Barat 257,582 24,096 Low
Kota Kupang 402,286 27,845 Very Low
9
FAMILY PLANNING PROGRAM IN INDONESIA
2.1 COUNTRY CONTEXT
Indonesia is the fourth most populous country in the world. According to the 2010 Population Census
projection by the Central Bureau of Statistics (BPS), Indonesia population in 2016 reached 258.71
million people, including 128.72 million female and 129.99 million male. Based on national socio-
economic survey data, the structure of Indonesian population in 2016 is dominated by early aged
group, 5-9 years, and the population of productive age.
According to the National Bureau of Statistics, per capita income of Indonesia was Rp 31.376.037,4
(2.345 USD) in 2014, Rp 32.995.105,9 (2.466 USD) in 2015, and it increased to Rp 36.377.712,1 (2.719
USD) in 2016 which is increased by 10.25 percent compared to the 2015. Increasing per capita income
is expected to have implications for increasing economic capacity to generate revenue for national
governments, which can improve the financing of domestic services, including health care in general
and family planning services in particular.
2.2 OVERVIEW OF FAMILY PLANNING PROGRAM IN INDONESIA
Government Regulation No. 52 of 2009 on population and family development states that family
planning is an attempt to regulate the birth of children, period of birth, and the ideal age of childbirth,
regulate pregnancy, through promotion, protection and assistance based on reproductive rights to
realize a quality family. There are several indicators related to family planning in 2016 based on
National Population and Family Planning Board (BKKBN) strategic objectives 2015-2019:
1. Percentage of population growth rate is 1,27 percent
2. The Total Fertility Rate (TFR) per women of childbearing age (15-49 years) is 2,36 percent
3. Contraceptive Prevalence Rate (CPR) percentage of 65.4 percent
a. The decreasing rate of contraceptive use dropped to 25.7 percent
b. Increased use of Long-Acting Reversible Contraceptives (LARCs) to 21,1 percent
4. Percentage of un-fulfille FP requirement is 10,48 percent
5. Birth rate in adolescents aged 15-19 years (Age Specific Fertility Rates 15-19 years) is 44 per 1.000
births
Indonesia Health Profile 2016 showed the number of reproductive age (15-49 years) in 2016, reached
69.739.202. Nationally, the number of reproductive couples in 2016 is around 48.536.690, of which
6.663.156 people (13.73 percent) are new family planning acceptors, and 36.306.662 people (74.80
10
percent) are active FP acceptors. In 2016 the number of fertile couples in West Java Province is
9.521.667, where the number of active FP acceptors is higher compared to new FP acceptors, ie
7.129.900 people (74.88 percent) of active FP acceptors, and 1.306.954 people (13,73 percent) were
new FP 24.
There are several methods, according to contraception method used by the new family planning
acceptors, used including 4,78 percent of acceptors using condoms, 23,17 percent of acceptors taking
the pill, 51,53 percent of acceptors using injection method, 7,23 percent of acceptors using IUD, 11,37
percent of acceptors using Implants, 1,73 percent of acceptors using the MOW method (female
sterilization), and 0,18 percent of acceptors using the MOP method (male sterilization). Out of the
total 36.306.662 active family planning acceptors, (3,23 percent) of acceptors used condoms, (22,81
percent) used Pills, (47,96 percent) using Injectable Methods, (10,61 percent) using IUD, (11,20
percent) using Implants, (3,54 percent) using the MOW method (female sterilization), and (0,64
percent) of acceptors using the MOP (male sterilization).
The percentage of unwanted pregnancies from women of childbearing age (15-49 years) is 7,0 percent
In term of location where the family planning service is, 58,93 percent of the total number of new
family planning acceptors chose a government health facility to obtain family planning services, while
26,47 percent of the acceptors chose private midwives as a place for FP 24 services.
11
RESULT AND DISCUSSION ON FINANCING FP PROGRAM
3.1 LIMITATION
• Study permit and data collection were apparently not as smooth as we expected. There were
a lot of problems faced by the team. Financial data survey sometimes is considered as an
audit activity which will then lead to rejection.
• Total FP national spending only covers spending at central (BKKBN provincial office, and
donor), and sub national (only district). There is no data for overall provincial spending other
than those at BKKBN provincial office and PHO at sample provinces. So, discussion on
provincial spending will not be extrapolated. District, on the otherside, is likely available in
aggregate in Ministry of Home Affair.
• Central government spending was available only from BKKBN and MoH. BKKBN data is still
challenging. Details of program expenditures would be better if we can access the Directorate
who knows the activities as well as the amount of resources spent.
• Total sub-national figures were obtained from the Ministry of Home Affairs where data on
each expenditure of all districts was available there.The data was aggregated using patterns
of family planning expenditure from the sample districts
• Limited access on Social Health Insurance data at district level and cover only for 4 districts :
Kab. Bogor, Kota Bandung, Kota Surabaya, dan Kota Padang).
• Data at sub national is only available in raw documents since it was 2016 expenditure that the
team should have an extra effort to gather and classify into FPSC. Validation is then
challenging because staff was rarely available to discuss the detail during their office hour.
Others are poor recording system, staff rotation (problem of new staff as they have less
knowledge about existing program.
• While focusing on public expenditure, limited access for donor data is on the other side. There
may be some more partners who provide family planning program in the country.
• No data avalaible for FS dan FA and therefore we simply classify them into “other institution”.
For example:
o BKKBN is categorized as FS 1.1.1.8 Other ministries (or equivalent sector entities) &
FA 1.1.1.8 Other Ministries (or equivalent sector entities)*),
o Provincial FP Office/BKKBN Representative at province is FS.1.1.2.5 Other ministries
(or equivalent sector entities) & FA 1.1.2.4 Other Ministries (or equivalent state sector
entities),
12
o Districts FP Office is FS 1.1.3.99 Local government entities nor elsewhere classified &
FA 1.1.3.4 Other Ministries (or equivalent local sector entities)
• Problem of tracking expenditure for side effect medicine. There is procurement of side effects
as a contraceptive service provider, including amoxicillin, mefenamic acid, and paracetamol.
In the classification process, the team decide to classify the drugs into FPSC 1.3: Treating any
FP medical need (as contraceptive side effects management), but it is difficult to determine
FPPF classification because each side effect drug can be used for several alkias, for example
amoxicillin can be given to patients who have implemented an IUD and implant. Often
midwives / nurses who provide services cannot answer what proportion of amoxicillin is given
to patients who put on an IUD and how much is given to patients who have implant placement.
• No response from PKBI to be assessed, as it is one of FP NGO in Indonesia. NGO was expected
to picture the FP expenditure at facility level. However, Puskesmas (health centers)data we
have obtained could also be used to represent facility based spending patterns
• It should also be noted that we divide the analysis of expenditure per level is only to see the
spending patterns at each level, so that it cannot be directly added between districts / cities,
provinces and centers to obtain national aggregate figures.
13
3.2 FLOW OF FUND FOR FAMILY PLANNING PROGRAM
Figure 1. Flow of Fund of Family Planning Program in Indonesia, 2016
Figure 1 illustrates funding flows from central, provincial, district / city, to the service provider for
family planning programs both financial and in kind support flows. The chart covers
Ministry of
Finance
Donors
(WHO, USAID,
UNFPA, Avenir
Health)
ICOMP
Provincial
Government
District
Government
Hospital
Public Health
Center (Puskesmas)
Ministry of
Health
BKKBN
Other
Ministries
Provincial
Health Office
Provincial
BKKBN
Provincial of FP
Office
District Health
Office
District of FP
Office
Village
FP Village
(Pos KB Desa)
Community Health Sub
Center (Pustu, Pusling,
bidan Desa)
JKN Participants
Social Security
Agencies for Health
(BPJS Health)
Central Budget
DAU, DAK Fisik Sub KB,BOKB, BOK
Salary of Civil Servants s contribution
Central Budget
Regional
Original
Income (PAD)
PAD,BOK
PAD,BOKB
Village Fund
UNFPA
contribut ion
claim
Noncapitation
Central Budget
Contraception,
Medical consumablesVillage Fund(only 1 village
In Bogor Disrict)
Contraception
Contraception
BOK
Salary of Civil Servants s contribution
contribut ion assistance recipients
from district budget
Salary of Civil Servants s contribution
contribut ion assistance recipients from district budget
In-Kind Transfer
Government
Government
Social Security
Donors
Fund Transfer
Social SecurityNPISH
Non-profit institutions
serving householdsExternal Fundig
Providers
Central Govt
Funding
Provincial Govt
Funding
District Govt
Funding
contribut ion assistance recipients
from central budget
Technical Support
Unit of FP
(UPT KB)
District Govt Budget
(APBD Kab/Koa)
JHUCCPUSAID PKBI at District
WHOUNFPA
Notes:
1. PAD = Regional Original Income2. DAU = General Allocation Fund3. DAK Fisik sub KB = Special Allocation Fund for FP4. BOKB = Operational Fund for FP5. BOK = Operational Fund for Health
Coordinat ion
Coordination Line
UniversityAvenir Health
PKBI at Province
Grant from
Provincial Govt.
(only in NTT)
Grant from
District Govt.
(only in Kupang City)
14
coordination/communication flows among institution which relate to FP Program both national and
sub national level. Furthermore, the Flow of Fund is used to describe the results of the identification
of what sources of funds are used, how the funds are distributed who is involved to manage the funds,
and so on. It is identified that funding of the family planning program is sourced from various scheme,
namely the central government (APBN), provincial government (Provincial APBD), Regency /Municipal
Government (APBD Kab / Kota), and sourced donors, WHO, USAID, and UNFPA. Here is the detail of
what is APBN as well as APBD.
1. APBN
Central government fund sources used to finance family planning programs are state budget
(APBN) managed by BKKBN, Ministry of Health, Ministry / other Institutions, and BPJS Health. The
APBN consist of Pure State Budget (APBN Murni), National Health Insurance Fund (JKN) for
acceptors of PBI (Beneficiary of Contribution), as well as in-kind transfers from central to regional
in the form of contraceptives such as pill, condom, implant, IUD, and other BMHP. The following
is an explanation of the flow of funds sourced from the state budget.
a. APBN (Rupiah)
APBN is a source of funds managed by the Central Government. The management of APBN
funds for the implementation of family planning programs at the central level is managed by
BKKBN, Ministry of Health, and other Ministries / Institutions. BKKBN has a very big role in the
implementation of family planning programs ranging from the implementation of activities to
the procurement of contraceptives. In addition, each province has BKKBN representatives
who get APBN funds also contraceptive from central level which then is distributed to the
Regional Device Organization (OPD) who take care of FP in the district/city. This family
planning agency will distribute contraceptive to a health facility.
b. APBN (for salary and subsidy for Poor)
In the implementation of JKN, APBN contributed to the Premium Subsidy (PBI group) were
allocated to the Ministry of Health which was then transferred to BPJS Health. In addition, civil
servant salary contributions at the central level also contribute to the implementation of JKN
managed by BPJS Health.
2. Provincial Budget (APBD Province)
The provincial government receives mostly transfer funds from center government in the form of
General Allocation Fund (DAU), Special Allocation Fund (Dana Alokasi Khusus/DAK), DBH). This is
different from what happened in the provinces of West Java and East Java Province where family
planning expenditure programs at the Family Planning Office or the Health Office were not from
15
central transfer funds, but from PAD in both institutions. While in West Sumatra Province, the
details of the sources of funds used by the Family Planning Service and the Provincial Health
Service were not known. In the planning documents only the provincial budget funds are written.
3. District Budget (APBD Kab/Kota)
a. Transfer from Center Government
District Government also receives transfer funds from central level in the form of General
Allocation Fund (DAU), Special Allocation Fund (Dana Alokasi Khusus, DAK), DBH. Financing of
Family Planning Program in Regency / City comes from Non-Physical DAK in the form of Health
Operational Cost (BOK) which is managed by Health Office, and Operational Cost of Family
Planning (BOKB) managed by Regional Device Organization (OPD) FP in Regency / City.
There are FP Counseling Centers that have the tasks, principal, and function in coordinating
the implementation of family planning programs at the sub-district / village level. The center
is under the FP Office with funding sourced from the District Budget and was transferred from
the District FP Office for the operational activities of FP field officers (PLKB). PLKB field officers
has a role to distribute contraception tools from FP District office to health facilities
(Puskesmas) at the sub-district level. In addition, PLKB field officers are assigned to report the
output of services and target achievement of FP program. In the implementation however,
there is support from midwives who provide FP services at the Puskesmas (or Pustu) to
complete the F2 form as a report to their superior as required. From there, PLKB field officers
are able to prepare the recapitulation from all health facilities.
b. Local Own Revenue (PAD)
In addition to using the transfer funds from central government, the OPD in charge of
programs and family planning activities at the district / municipality level also has PAD funds
managed by the Dinas Health and FP District Office itself. Only Bandung, Surabaya and Malang
have their own revenue allocated for FP program with DHO as the agent. The activities include
refresher course for midwives at health center and workshop on integrated ANC for FP offcer
While, Kupang provides grand for local FP NGO focusing on FP services such as PKBI.
c. Village Fund
16
Possible village funds can be used to support family planning programs and activities.
However, Kab. Bogor remains the only district which has village fund for FP program at village
4. Social Security Fund (JKN)
Since the implementation of JKN in 2014, the National Health Insurance fund (JKN) is managed
by BPJS Health. BPJS Health is responsible for collecting contributions from central
government, local government, and residents/community groups of JKN participants,
including PBI contributions (Contribution for Poor) channeled through Health Insurance
Financing Center (PPJK) MoH. BPJS Health pays to the provider in capitation, non capitation,
and claims mechanisms. The first level Health Facility (FKTP) uses capitation and non-
capitation payments, while in hospitals use claims based on INA-CBG and non INA-CBG.
Payments for puskesmas in the case of family planning services using non-capitation, i.e.,
payment of claims by BPJS Health to FKTP will be based on the type and amount of health
services provided to the community. In the Ministry of Health Regulation No. 52/2012 on
Health Service Tariff Standard in the Implementation of JKN, it is mentioned that family
planning services that use non-capitation tariffs include the installation and/or removal of
IUD/implants, family planning services, handling of family planning complications, and family
planning services male (FPMOP)/vasectomy
5. Donor
Donors that have activities in family planning programs are WHO, USAID, and UNFPA.
Interestingly, there is UNFPA funds provided to the BKKBN that are included in the BKKBN
budget, as it is the Ministry of Health that receives WHO funds. Besides, UNFPA is also working
with the International Council on Management of Population Programs (ICOMP) in terms of
policies and technical support of family planning programs, review of contraceptive SCM
modeling. USAID, on the other side, provided support in the form of long-term advocacy
assistances for contraception program in West Lombok and Tuban through the Johns Hopkins
Center for Communication Programs (JHUCCP) in collaboration with the Indonesian Family
Planning Association (PFPI) in the local area.
3.3 EXPENDITURE FOR FAMILY PLANNING PROGRAM 2016
In this report, total expenditure of family planning programs is presented according to level of the
study area, both at central to the sub national level (province and district). In the following sub-
17
chapters, it is explained that expenditure on family planning programs for national aggregate numbers
is sourced from the public and donors. For public sources, there are estimation at the central, sub-
national, and JKN levels. At the central level, expenditure related to family planning programs are
obtained from the BKKBN, the Ministry of Health, and donor agencies (UNFPA, WHO, USAID, Avenir
Health). The sub national aggregates obtained from the expenditure expenditure pattern in this study
sample.
The estimation of family planning program expenditure is divided into several parts starting from
the central, provincial, and district / city levels. An analysis of expenditure per level is carried out to
see how the spending pattern at each level starts from the top to the bottom. Some points that need
to be considered in this report are as follows
i. Calculation of expenditure for family planning programs at the central level includes activities
that are funded by the central government, in this case public financing originating from the
state budget (including spending on BKKBN Provincial Representatives included in the
calculation of central level family planning expenditure
ii. At the provincial level, the analysis only captures family planning program expenditures
carried out in the province, not cover expenditures on all administrative districts / cities within
the the province
iii. The last part of discussion will describe the expenditure in districts / cities, including the
calculation of in kind expenditure transferred from the center and JKN expenditure.
The estimation of total expenditure covers spending of all component including salaries, procurement
and distribution of contraceptives, as well as other items used to support the implementation of family
planning programs such as administration and management
In accordance with Presidential Regulation number 12 of 2013 concerning Health Insurance, it was
addressed that family planning services are one of the services insured in the promotion and
preventive benefit packages. The description of FP service expenditures sourced from social Health
Insurance funds presented in this report includes services carried out at the First Level Health Facility
(Primary Care Facility), including Puskesmas, Independent Practice Midwives, and Private Clinics.
As a SHI organizing body, BPJS Health pays SHI funds to facilities which provide family planning services
in the form of non capitation tariffs. In accordance with the Regulation of the Minister of Health
number 52 of 2016 concerning the Standard Tariff for Health Services, the provisions on non capitation
tariffs for family planning services based on types of contraception are explained below.
a. IUD / implant service is Rp 100,000 (one hundred thousand rupiah)
18
b. Injection service is Rp. 15,000 (fifteen thousand rupiahs) every time of injection
c. Complications/contraceptives sde effect is Rp 125,000 (one hundred twenty five thousand
rupiahs)
d. Male FP program/vasectomy service is Rp. 350,000 (three hundred fifty thousand rupiahs)
The result of this study is below presented by levels of analysis. We first discuss FP overall spending in
2016 particularly spending at national scale where in this section the discussion covers only source of
fund. Secondly, data is carefully scrutinized respectively from central,sub national (province, district
and health centers) which is specified according to the source, agent, provider, FPSC and FPPF. Taking
into account representativeness of limited sample, we avoid extrapolating the sub national figure to
draw a pattern on how spending disagregatted into various diminsions. However, Province and district
are presented separately to get an idea of how the expenditure patterns are at these two levels. Last,
Health centers are selected (only in West Java) to picture FP expenditure at facility level.
3.3.1 TOTAL EXPENDITURE FOR FP PROGRAM (NATIONAL LEVEL)
3.3.1.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS)
Based on source of fund point of view, government funding has shown a significant role in national FP
program. Indonesia still relies on public funding for FP program especially for contraceptives program.
Donor only contributes 0,2 percent in 2016, mostly to finance Technical Assistance.
Table 9. FP Expenditure by Financing Source, 2016
NO SOURCE Amount
(USD) Propotion (%)
1 PUBLIC 372.772.166 99,8
2 INTERNATIONAL 614.630 0,2
TOTAL 373.386.796 100,0
*USD 1 = Rp 13.380 (WDI, 2016)
Government spending at the national level is largely an expenditure in the BKKBN. This institution is
responsible and is a top-level authority on family planning program in Indonesia. Findings shows that
total public spending for FP program around 99,8 percent from government support.
Table 10. FP Expenditure by Public Source, 2016 NO LEVEL AMOUNT (USD) SHARE (%)
1 Central Level from Central Budget (APBN) 195.647.073 52,5
2 Sub National Level from District Budget (APBD) 175.547.313 47,1
3 SHI (non capitation’s claim) 1.577.780 0,4
TOTAL 372.772.166 100,0
*USD 1 = Rp 13.380 (WDI, 2016)
FP spending at central level distributed by Ministry of Finance is in a form of national budget
scheme/APBN (including contraceptive and non-contraceptive devices). This central govenrment
19
support covers almost 52% of overall national spending. While at the sub national level in which the
fund was obtained from district/provincial budget/APBD reveals higher proportion of FP spending,
around 47% of overall national FP spending. For SHI spending is basically FP’s claim (non capitation)
on national level. Government of Indonesia provides In contrast, FP expenditure from donors is very
small compared to government spending (only 0,2 percent of the total source). Donor contributions
consist of UNFPA, USAID, WHO, Avenir Health and others. However, in this study, donor spending is
still underestimated because there may be other donors who also have Family Program yet are
unidentified due to our limited access.
Table 11. FP Program Spending according to FS (Donor), 2016
NO SOURCE Amount (USD) Proportion
(%)
1 UNFPA 304.481 49,5
2 USAID 151.345 24,6
3 WHO 103.570 16,9
4 Avenir Health 55.234 9,0
TOTAL 614.630 100
*USD 1 = Rp 13.380 (WDI, 2016)
3.3.2 TOTAL EXPENDITURE FOR FP PROGRAM AT CENTRAL LEVEL
Family planning programs expenditure estimated at the central level is representing central
government expenditure (National/APBN), including funding for the BKKBN Provincial Office. JKN
funding was not included in the calculation of expenditure at the central level because activities
originating from JKN non capitation claims were at the district level. All sources of public funding at
the central level come from the central government (APBN), including the procurement of
contraceptives distributed to the district / city, and funding to BKKBN provincial Office. While funding
originating from the majority of international donors is only used for management program activities.
Table 12. FP Expenditure by Financing Source at Central Level, 2016
NO SOURCE AMOUNT (USD) SHARE (%)
1 PUBLIC 195.647.073 99,7
2 INTERNATIONAL 614.630 0,3
TOTAL CENTRAL LEVEL 196.261.704 100
*USD 1 = Rp 13.380 (WDI, 2016)
3.3.2.1 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC) AND FINANCING SOURCE (FS)
Family Planning Spending Categories (FPSC) provides information on the allocation of family planning
programs. At the central level, the majority (49 percent from public source) of family planning services
are used for family planning services (FPSC 1.0: Family Planning Services) whose categories include
activities related to counseling, provision of condoms, and contraceptives. Furthermore, it is followed
by management and administration related categories (FPSC 2.0: Program Management and
20
Administration) where the activities including for planning and coordination, monitoring and
evaluation, and development of information technology and systems. As for training and capacity
building, human resources classified into FPSC 3.0: Human Resources, only 4,7 percent (from public
source) of the total.
If we separate detail expenditure based on the source, then the funds coming from the government
are mostly used to support family planning services while donors consume more for program
management.
Table 13. FP Program Expenditure by FPSC (Central Level), 2016
CODE FPSC
PUBLIC INTERNATIONAL TOTAL
USD % USD % (PUBLIC +
INTERNATIONAL)
FPSC 1.0 FAMILY PLANNING SERVICES 95.481.464 48,8% 155.243 25,3% 95.636.708
FPSC 1.23 Information, education and communication for FP 7.012.483 3,6% 155.243 25,3% 7.167.726
FPSC 1.4 Prescription and provision of male condoms for FP 648.072 0,3% - - 648.072
FPSC 1.6 Provision of pills 8.548.697 4,4% - - 8.548.697
FPSC 1.7 Provision of injectables 28.209.728 14,4% - - 28.209.728
FPSC 1.8 Provision of IUD - - - - -
FPSC 1.9 Provision of implants 30.870.415 15,8% - - 30.870.415
FPSC 1.98 FP services not disaggregated by type (specify types of FP services included in the aggregate spending)
16.797.178 8,6% - - 16.797.178
FPSC 1.99 FP service not elsewhere classified (specify) 3.394.891 1,7% - - 3.394.891
FPSC 2.0 PROGRAMME MANAGEMENT AND ADMINISTRATION
55.356.703 28,3% 231.854 37,7% 55.588.556
FPSC 2.1 Planning, coordination, and programme management
3.520.793 1,8% 161.203 26,2% 3.681.995
FPSC 2.2 Administration and transaction costs associated with managing and disbursing funds
- - - - -
FPSC 2.3 Monitoring and evaluation 868.279 0,4% 317 0,1% 868.595
FPSC 2.4 Operations research 4.771.837 2,4% 70.334 11,4% 4.842.171
FPSC 2.6 Information technology 1.230.336 0,6% - - 1.230.336
FPSC 2.7 Upgrading and provision FP medical equipment 1.674 0,001% - - 1.674
FPSC 2.98 Programme management and administration not broken down by type
44.668.944 22,8% - - 44.668.944
FPSC 2.99 Programme management and administration not elsewhere classified
294.840 0,2% - - 294.840
FPSC 3.0 HUMAN RESOURCES 9.255.424 4,7% 48.571 7,9% 9.303.995
FPSC 3.3 Training and capacity building 9.255.424 4,7% 20.954 3,4% 9.276.378
FPSC 3.98 Human resources not broken down by type - - 27.617 4,5% 27.617
FPSC 4.0 ENABLING ENVIRONMENT 35.553.482 18,2% 151.345 24,6% 35.704.828
FPSC 4.1 Advocacy 35.553.482 18,2% 151.345 24,6% 35.704.828
FPSC 5.0 FPSC 5.0: FP-RELATED RESEARCH (excluding operational research)
- - 27.617 4,5% 27.617
FPSC 5.98 FP-related research activities not broken down by intervention
- - 27.617 4,5% 27.617
TOTAL FPSC 195.647.073 100,00% 614.630 100,00% 196.261.704
*USD 1 = Rp 13.380 (WDI, 2016)
3.3.2.2 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF) AND FINANCING SOURCE (FS)
21
Further detail classification is Family Planning Production Factors. In accordance with national
regulation that procurement of contraceptives for national program should be central government
responsibility (National Budget). For administrative related costs (code under FPPF 1.5) which include
spending on official travel, rent, and utilities is only 14 percent. However, there are a lot of expenditure
remain “not disaggregated by type” due to limited information.
Table 14. FP Program Expenditure by FPPF (Central Level), 2016
CODE FPPF PUBLIC INTERNATIONAL
TOTAL (USD) % (USD) %
FPPF 1.1.1 Direct FP service provision staff cost. 1.172.788 0,6% - - 1.172.788
FPPF 1.1.2 Management staff cost. 594.479 0,3% 20.116 3,3% 614.595
FPPF 1.1.98 Staff cost not disaggregated by type. 28.970.019 14,8% 16.674 2,7% 28.986.692
FPPF 1.2.1 Pills. 8.548.697 4,4% - - 8.548.697
FPPF 1.2.2 Injectables and related consumables. 28.209.728 14,4% - - 28.209.728
FPPF 1.2.3 IUD and related consumables. - - - - -
FPPF 1.2.4 Implants and related consumables. 30.870.415 15,8% - - 30.870.415
FPPF 1.2.7 Male condoms for FP. 648.072 0,3% - - 648.072
FPPF 1.4 Information, education and communication (IEC) 32.866 0,017% 155.243 25,3% 188.109
FPPF 1.5.1 Rent. 1.921.586 1,0% - - 1.921.586
FPPF 1.5.2 Utilities – water, electricity, communication, and related.
1.019.221 0,5% 959 0,2% 1.020.180
FPPF 1.5.3 Repairs and maintenance. 2.099.539 1,1% - - 2.099.539
FPPF 1.5.4 Transportation and travel expenses. 18.153.148 9,3% - - 18.153.148
FPPF 1.5.98 Administrative costs not disaggregated by type. 4.415.855 2,3% 27.744 4,5% 4.443.599
FPPF 1.5.99 Administrative costs not classified above 46.265 0,024% - 0,0% 46.265
FPPF 1.6 Consulting services 17.844.396 9,1% 111.112 18,1% 17.955.509
FPPF 1.7 Meetings and workshops 15.940.273 8,1% 61.948 10,1% 16.002.221
FPPF 1.98 Current expenditure not broken down by type 32.446.154 16,6% 220.835 35,9% 32.666.989
FPPF 2.1.98 Buildings 1.203.047 0,6% - - 1.203.047
FPPF 2.2.1 Vehicles 339.535 0,2% - - 339.535
FPPF 2.2.2 Information technology (hardware and software) 786.068 0,4% - - 786.068
FPPF 2.2.3 Medical equipment for FP 1.674 0,001% - - 1.674
FPPF 2.2.98 Equipment not broken down by type 57.445 0,029% - - 57.445
FPPF 2.98 Capital expenditures not broken down by type 325.800 0,2% - - 325.800 TOTAL 195.647.073 100,0% 614.630 100,0% 196.261.704
*USD 1 = Rp 13.380 (WDI, 2016)
3.3.3 TOTAL EXPENDITURE FOR FP PROGRAM AT PROVINCE LEVEL
The total expenditure for family planning programs at the provincial level only illustrates activities
carried out at the provincial level (including activities in the BKKBN Provincial Representative), does
not cover all activity expenditures in the districts of the province. Calculations at the provincial level
are carried out to represent the expenditure patterns of family planning programs at the provincial
level. Thus, at the provincial level estimation, it does not take into account expenditures sourced from
JKN and in-kind transfers from the Central BKKBN
Estimation of family planning program expenditure in this study was carried out in 4 (four) provinces,
namely West Java Province, East Java Province, West Sumatra Province, and NTT Province. The team
22
identifies agencies that have activities related to family planning programs. The agencies visited and
used as calculation of expenditure for family planning programs at the provincial level are Provincial
BKKBN Representatives, Family Planning Affairs, Health Services, and NGOs related to family planning.
However, NGOs that were taken into account in this study were only those who had sources of public
or donor funding. Of the four provincial samples, only NTT Province has an NGO (in this case its NGO,
PKBI) with funding from the Provincial Budget.
3.3.3.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS)
As explained earlier, discussion on this section would only address data based on tracking
expenditures in the sample provinces to understand spending patterns on family planning programs
at provincial level. It is obvious that there was no donor funding in the sample provinces visited. The
majority of family planning program expenditures come from the state budget (APBN) as the offices
are actually BKKBN representatives operated in provinces. While, provincial support (APBD)for FP
program at Provincial Health Office remains a small portion. In NTT Province even does not have funds
for family planning. However, contribution is only chanelled through NGO to support the
implementation of the KB program.
Table 15. FP Program Expenditure by Financing Source at Provinces Level, 2016
Code Source West Java East Java West Sumatera
East Nusa Tenggara (NTT)
USD % USD % USD % USD %
FS 1.1.1.8
Other ministries (or equivalent sector entities) [APBN BKKBN]
10.664.971 78,7% 7.952.907 97,6% 5.283.710 99,2% 4.563.197 99,9%
FS 1.1.2.99 State /provincial / regional entities n.e.c. [APBD Province]
- - - - - - 3.561 0,1%
FS.1.1.2.1
Ministry (or equivalent sector entity) of Health [APBD of Provincial Health Office]
10.937 0,08% 33.522 0,4% 5.748 0,1% - -
FS.1.1.2.5
Other ministries (or equivalent sector entities) [APBD of Provincial FP Office]
2.881.747 21,3% 163.959 2,0% 38.778 0,7% - -
TOTAL 13.557.655 100% 8.150.388 100% 5.328.236 100,0% 4.566.757 100,0%
* USD 1 = Rp 13.380 (WDI, 2016)
3.3.3.2 FP PROGRAM EXPENDITURE BY FINANCING AGENT (FA)
Financial management of family planning programs varies across provinces. The FP Office at the
Province level can be in the form of a separate office, even some are having no local FP offices owned
by provincial government. However, in general, there is a representative of the central BKKBN in each
province that conducts activities using funds from the national budget and acting as a financing agent.
23
Provincial BKKBN office has a very large portion of funding to manage as an FA because more activities
at the provincial level are implemented by BKKBN Provincial Representatives. The FP Office of West
Java Province has a contribution of 21.3 percent as an FA, while other districts are around <3 percent.
The NGO (PKBI) as a FA is only in NTT Province to support family planning activities
Table 16. FP Program Expenditure by Financing Agent at Provinces Level, 2016
Code Financing Agent West Java East Java West Sumatera East Nusa Tenggara
USD % USD % USD % USD %
FA 1.1.1.8 BKKBN 10.664.971 78,7% 7.952.907 97,6% 5.283.710 99,2% 4.563.197 99,9%
FA 1.1.2.1 Provincial Health Office 10.937 0,1% 33.522 0,4% 5.748 0,1% - -
FA 1.1.2.4 Provincial FP Office 2.881.747 21,3% 163.959 2,0% 38.778 0,7% - -
FA.2.4 NGO at Province - - - - - - 3.561 0,1%
TOTAL 13.557.655 100% 8.150.388 100% 5.328.236 100,0% 4.566.757 100,0%
* USD 1 = Rp 13.380 (WDI, 2016)
3.3.3.3 FP PROGRAM EXPENDITURE BY PROVIDER (PS)
Classification according to the provider can provide information regarding who are the main actors
who carry out activities for final consumption of each activity. Based on provider classification, the
four provinces have a greater proportion of PS.1.13.99 (including BKKBN and Provincial KB Service).
West Java Province does not have a private provider because contraceptive services sourced from
public funds are only done in government providers, while private providers prefer to procure
contraceptives using their owned resources.
West Sumatra Province is the only province having FP activities at school ( PS 1.9.33 higher education
providers. The activities includes adolescent counseling training for counseling teachers, peer
counselor training for students, and peer educator training for students
Table 17. FP Program Expenditure by Providers at Provinces Level, 2016
Code Providers West Java East Java West Sumatera East Nusa Tenggara
USD % USD % USD % USD %
PS.1.1.1 Public general hospitals - - 25.078 0,3% 19.687 0,4% 2.589 0,1%
PS.1.13.2 Departments inside the Province Health Office
10.937 0,1% 33.522 0,4% 5.748 0,1% - -
PS.1.13.99 BKKBN, Provincial of Family Planning Office
13.162.610 97,1% 4.775.896 58,6% 3.344.717 62,8% 3.411.901 74,7%
PS.1.2.1 Public outpatient care centres
71.855 0,5% 1.292.465 15,9% 1.018.381 19,1% 634.470 13,9%
PS.1.2.2 Public physician offices - - 38.531 0,5% 31.453 0,6% 24.341 0,5%
PS.1.9.3 Higher education - - - - 33.128 0,6% - -
PS.2.11 NGO, community-based organizations, cadres
312.254 2,3% 1.824.690 22,4% 873.070 16,4% 439.623 9,6%
PS.3.1.1 Private for profit general hospitals
- - 52.328 0,6% 184 0,003% 2.022 0,04%
PS.3.2.1 Private for profit outpatient care centers
- - 107.877 1,3% 1.869 0,04% 51.812 1,1%
TOTAL 13.557.655 100% 8.150.388 100% 5.328.236 100,0% 4.566.757 100,0%
24
*USD 1 = Rp 13.380 (WDI, 2016)
3.3.3.4 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC)
Classification according to the FPSC can provide dimensions based on functions to determine the use
of funds in the province. The description of the FPSC classification is explained in the table below in 4
(four) provincial samples. In the provinces of West Java, East Java and West Sumatra, expenditure on
family planning programs was utilized for IEC activities, while in NTT the highest proportion was in the
classifications related to planning, coordination and management programs.
Table 18. FP Program Expenditure according to FPSC at Provinces Level, 2016
Code FPSC West Java East Java West Sumatera East Nusa Tenggara
USD % USD % USD % USD %
FPSC 1.0 Family Planning Services 5.327.515 39,3% 4.020.250 49,3% 2.978.203 55,9% 1.336.707 29,3%
FPSC 1.1 Counselling on contraceptive methods and any other FP advice
4.830 0,04% 2.015 0,0% 17.796 0,3% - -
FPSC 1.2 Consultation, diagnosis, monitoring health conditions, any FP clinical assessment.
3.064 0,02% - - 14.170 0,3% 812 0,02%
FPSC 1.3 Treating any FP medical need (as contraceptive side effects management)
- - - - 24.856 0,5% 19.059 0,4%
FPSC 1.4 Prescription and provision of male condoms for FP
189 0,001% - - 25.173 0,5% - -
FPSC 1.6 Provision of pills 187.926 1,4% - - 172.110 3,2% - -
FPSC 1.7 Provision of injectables 489.360 3,6% - - 108.485 2,0% 26.249 0,6%
FPSC 1.8 Provision of IUD 434.716 3,2% 59.208 0,7% 64.148 1,2% 81.751 1,8%
FPSC 1.9 Provision of implants 1.288.067 9,5% 322.941 4,0% 530.879 10,0% 300.986 6,6%
FPSC 1.21 Female sterilization 710.215 5,2% 68.475 0,8% 30.259 0,6% 153.818 3,4%
FPSC 1.22 Male sterilization 64.727 0,5% 4.904 0,1% 38.324 0,7% 8.140 0,2%
FPSC 1.23 Information, education and communication for FP
2.144.422 15,8% 2.486.200 30,5% 1.935.261 36,3% 745.892 16,3%
FPSC 1.99 FP service n.e.c - - 1.076.507 13,2% 16.742 0,3% - -
FPSC 2.0 Programme Management and Administration
1.686.057 12,4% 3.412.161 41,9% 1.880.066 35,3% 2.146.535 47,0%
FPSC 2.1 Planning, coordination, and programme management
642.337 4,7% 1.359.056 16,7% 748.037 14,0% 1.069.230 23,4%
FPSC 2.2 Administration and transaction costs associated with managing and disbursing funds
80.865 0,6% 106.972 1,3% - - 199.742 4,4%
FPSC 2.3 Monitoring and evaluation 318.379 2,3% 318.194 3,9% 267.149 5,0% 517.903 11,3%
FPSC 2.4 Operations research 247.809 1,8% 665.937 8,2% 219.853 4,1% 101.775 2,2%
FPSC 2.5 Drug supply systems - - 59.641 0,7% 31.857 0,6% 25.107 0,5%
FPSC 2.6 Information technology 28.622 0,2% 394.004 4,8% 14.916 0,3% 6.017 0,1%
FPSC 2.7 Upgrading and provision FP medical equipment
39.592 0,3% - - - - 400 0,01%
FPSC 2.8 Upgrading and provision other equipment
188.977 1,4% 394.803 4,8% 191.552 3,6% 79.949 1,8%
FPSC 2.9 Upgrading and construction of infrastructure
127.963 0,9% 99.194 1,2% 206.603 3,9% 19.306 0,4%
FPSC 2.99 Programme management and administration n.e.c
11.513 0,1% 14.360 0,2% 200.098 3,8% 127.105 2,8%
FPSC 3.0 Human Resources 3.358.737 24,8% 699.303 8,6% 413.849 7,8% 500.456 11,0%
FPSC 3.1 Monetary incentives for human resources
270.567 2,0% 18.645 0,2% - - - -
FPSC 3.3 Training and capacity building 3.088.170 22,8% 680.658 8,4% 413.849 7,8% 500.456 11,0%
FPSC 4.0 Enabling Environment 3.185.346 23,5% 18.674 0,2% 56.118 1,1% 583.060 12,8%
FPSC 4.1 Advocacy 31.987 0,2% - - 52.852 1,0% 583.060 12,8%
FPSC 4.2 FP-specific institutional development 3.083.220 22,7% 18.674 0,2% 3.266 0,1% - -
FPSC 4.1 Advocacy 70.139 0,5% - - - - - -
TOTAL 13.557.655 100,0% 8.150.388 100% 5.328.236 100,0% 4.566.757 100,0%
*USD 1 = Rp 13.380 (WDI, 2016)
25
3.3.3.5 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF)
FPPF Classification varied among the 4 (four) provinces depending on their focus on specific program. West Java Province in which governement has a lot of
campaign program, spending would be more on procurement of IEC, while in East Java and NTT Provinces are larger for meetings and workshops.
Table 19. FP Program Expenditure according to FPPF at Provinces Level, 2016
Code FPPF West Java East Java West Sumatera East Nusa Tenggara
USD % USD % USD % USD %
FPPF 1.1.1 Direct FP service provision staff cost 2.229.379 16,4% 1.947.967 23,9% 1.641.232 30,8% 566.470 12,4%
FPPF 1.1.2 Management staff cost 2.470.378 18,2% 645.383 7,9% 802.476 15,1% 430.079 9,4%
FPPF 1.2.1 Pills - - 9.450 0,1% - - 1.275 0,03%
FPPF 1.2.2 Injectables and related consumables - - 24.124 0,3% - - 30.557 0,7%
FPPF 1.2.3 IUD and related consumables 656 0,005% 273 0,003% 235 0,004% 77.971 1,7%
FPPF 1.2.4 Implants and related consumables 354.364 2,6% 206.604 2,5% 484 0,01% 299.566 6,6%
FPPF 1.2.5 Consumables for tubal litigation 615.239 4,5% - - 209 0,004% 132.710 2,9%
FPPF 1.2.6 Consumables for vasectomy 185 0,001% - - 42 0,001% 7.082 0,2%
FPPF 1.2.7 Male condoms for FP - - - - - - 154 0,003%
FPPF 1.2.99 Contraceptives and consumables n.e.c 118 0,001% - - 3.402 0,1% 99 0,002%
FPPF 1.3 Reagents and materials - - - - 25.841 0,5% 53.281 1,2%
FPPF 1.4 Information, education and communication (IEC) 5.046.514 37,2% 944.192 11,6% 626.062 11,7% 164.760 3,6%
FPPF 1.5.1 Rent 245.694 1,8% 79.929 1,0% 48.831 0,9% 87.126 1,9%
FPPF 1.5.2 Utilities – water, electricity, communication, and related 63.205 0,5% 335.274 4,1% 445.491 8,4% 20.768 0,5%
FPPF 1.5.3 Repairs and maintenance 177.375 1,3% 80.109 1,0% 3.249 0,1% 43.139 0,9%
FPPF 1.5.4 Transportation and travel expenses 474.944 3,5% 1.314.554 16,1% 5.205 0,1% 476.697 10,4%
FPPF 1.5.99 Administrative costs n.e.c 122.218 0,9% 299.725 3,7% 22.671 0,4% 22.775 0,5%
FPPF 1.6 Consulting services 218.431 1,6% 190.098 2,3% 252.552 4,7% 171.251 3,7%
FPPF 1.7 Meetings and workshops 1.460.846 10,8% 1.997.875 24,5% 1.114.584 20,9% 1.933.646 42,3%
FPPF 1.8 Financial intermediation services 3.617 0,03% - - - - 3.756 0,1%
FPPF 2.1 Buildings 1.098 0,01% 680 0,01% 173.871 3,3% 8.692 0,2%
FPPF 2.2.1 Vehicles 9.828 0,1% - - 101.593 1,9% 15.271 0,3%
FPPF 2.2.2 Information technology (hardware and software) 16.988 0,1% 10.252 0,1% 19.668 0,4% 9.077 0,2%
FPPF 2.2.99 Equipment n.e.c 46.577 0,3% 63.899 0,8% 40.539 0,8% 10.554 0,2%
TOTAL 13.557.655 100,0% 8.150.388 100% 5.328.236 100,0% 4.566.757 100,0%
* USD 1 = Rp 13.380 (WDI, 2016)
26
3.3.4 TOTAL EXPENDITURE FOR FP PROGRAM AT DISTRICT LEVEL
The estimation of family planning program expenditure at the district level which is presented in this
section only covers activities at Dinas KB (District FP program Office) and District Health Office, not
including funds in all Puskesmas or villages. The description of the study of family planning expenditure
in Puskesmas and Villages (sample in West Java) is discussed specifically in the next sub chapter.
The districts selected in the sample have considered the criteria we set earlier such as demographic
conditions, especially the reproductive group population and adequate fiscal capacity compared to
other districts in each sample province.
Bogor and Malang districts both have high FP program expenditures compared to other districts. This
was due to large number of coverage program in these two districts triggerring high program
expenditures as well
Figure 2. Total FP Expenditure in 8 District
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
Kab. Bogor KotaBandung
Kab.Malang
KotaSurabaya
Kab LimaPuluh Kota
KotaPadang
Kab.Manggarai
Barat
KotaKupang
27
3.3.4.1 FP PROGRAM EXPENDITURE BY FINANCING SOURCE (FS)
The results of the study show that family planning expenditure at the district/city level is basically sourced from the state budget (APBD) namely: the district
FP office budget, the district health office budget, and JKN funds in the form of non capitation rates (table 19). Most of the program funding at the district
level comes from the district family planning budget, except Bogor, which uses a large portion of the funds from central government transfers (BKKBN APBN)
for family planning programs. There is an APBD contribution from the District Health Office for family planning program expenditure even though the
proportion is <1 percent in Lima Puluh Kota district, Padang city, West Manggarai district, and Kupang city. Particularly in the city of Kupang, there is a
contribution of 3.2 percent of the funds sourced from the APBD of the Kupang city government for expenditure on family planning programs that are
transferred to local NGO.
Based on data obtained from BPJS Kesehatan, it is known that not all districts utilize JKN fund to provide contraceptive services in health facilities. Non-
capitation rates for new contraceptive services are utilized by several districts, including Kab. Bogor (0.6 percent), Kota Bandung (1.4 percent), Kota Surabaya
(1.7 percent), and Kota Padang (4, 4 percent). In all districts / cities no foreign contribution was found for family planning programs.
28
Table 20. FP Program Expenditure by Financing Source at District Sample, 2016
*USD 1 = Rp 13.380 (WDI, 2016)
*N/A = data is not available
Code Financing Sources Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima Puluh Kota
Kota Padang Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FS 1.1.1.8
Other ministries (or equivalent sector entities) [APBN BKKBN]
1.117.030 49,3% 290.843 31,9% 277.286 19,7% 187.478 24,7% 10.842 1,8% 18.601 6,6% 51.853 15,0% 53.899 12,0%
FS 1.1.3.99
Local government entities nor elsewhere classified [APBD of District FP Office]
1.032.541 45,5% 566.823 62,1% 1.098.513 78,0% 508.329 67,1% 579.131 98,1% 248.872 88,7% 293.434 84,8% 379.183 84,7%
FS 1.1.3.1
Department (or equivalent sector entity) of Health [APBD of District Health Office]
103.281 4,6% 42.159 4,6% 31.694 2,3% 49.526 6,5% 213 0,04% 818 0,3% 663 0,2% 185 0,04%
FS 1.1.3.5
Executive Office (or office of the head of the local/municipal government) [APBD District]
- - - - - - - - - - - - - - 14.528 3,2%
FS.1.2.3
FS.1.2.3 Government transfers to Social Security [Social Security]
14.273 0.6% 13.153 1,4% N/A N/A 12.748 1,7% N/A N/A 12.439 4,4% N/A N/A N/A N/A
Total District 2.267.125 100,0% 912.979 100,0% 1.407.492 100,0% 758.081 100,0% 590.186 100,0% 280.731 100,0% 345.950 100,0% 447.795 100,0%
29
3.3.4.2 FP PROGRAM EXPENDITURE BY FINANCING AGENT (FA)
Financing Agent for family planning programs at the district level includes BKKBN, District Health Office, District FP Office, and SHI Board office. Table 20
shows that the largest FA spending on family planning programs at the district level are at the District FP Office, except Bogor district. The results also show
that Non-Governmental Organizations (NGOs) that manage family planning program expenditure are only found in the city of Kupang, namely the Indonesian
Family Planning Association (PKBI) which manages around 3.2 percent of the total family planning program expenditure in Kupang city.
Table 21. FP Program Expenditure by Financing Agent at District Sample, 2016
Code Financing Agents Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima Puluh Kota
Kota Padang Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FA 1.1.1.8 BKKBN 1.117.030 49,3% 290.843 31,9% 277.286 19,7% 187.478 24,7% 10.842 1,8% 18.601 6,6% 51.853 15,0% 53.899 12,0%
FA 1.1.3.1 District Health Office 103.281 4,6% 42.159 4,6% 31.694 2,3% 49.526 6,5% 213 0,04% 818 0,3% 663 0,2% 185 0,04%
FA 1.1.3.4 District FP Office 1.032.541 45,5% 566.823 62,1% 1.098.513 78,0% 508.329 67,1% 579.131 98,1% 248.872 88,7% 293.434 84,8% 379.183 84,7%
FA 1.2 BPJS Health 14.273 0.6% 13.153 1,4% - - 12.748 1,7% - - 12.439 4,4% - - - -
FA 2.4 NGO at District - - - - - - - - - - - - - - 14.528 3,2%
Total District 2.267.125 100,0% 912.979 100,0% 1.407.492 100,0% 758.081 100,0% 590.186 100,0% 280.731 100,0% 345.950 100,0% 447.795 100,0%
*USD 1 = Rp 13.380 (WDI, 2016)
30
3.3.4.3 FP PROGRAM EXPENDITURE BY PROVIDER (PS)
Study reveals that provider of the family planning programs in all districts / cities consists of public general hospitals, other Ministries or Public Administration
entities, public outpatient care centers, and NGOs and community-based organizations, Cadres. However, the results of the study also showed that there
were variations from institutions that were providers of family planning programs in each region. Departments inside the Ministry of Health (i.e: NACP) is a
provider of family planning programs for Bogor districts, Bandung city, Malang district, and Surabaya City. Secondary education and Consultancy firms only
become providers of family planning programs in the city of Surabaya. While there is no Private for profit general hospital as a provider of family planning
programs in the city of Bandung, Lima Puluh Kota district and West Manggarai district. Lima Puluh Kota District is also the only district that does not use
Private for profit outpatient care centers as providers of family planning programs.
Table 21 below shows that public provider including hospital and health centers in Bogor and Surabaya mostly provide family planning program, 53.7 and 38.3 respectively.
While for the city of Bandung (55.0 percent), Malang district (64.3 percent), Lima Puluh Kota district (85.9 percent), Padang city (69.2 percent), West Manggarai district (79.7
percent), and the city of Kupang (74.8 percent), FP services are available at facilities under BKKBN provincial Office called UPT KB. This provider is classified as PS 1.13.99 . Other
Ministries or Public Administration entities
Table 22. FP Program Expenditure by Provider at District Sample, 2016
Code Provider Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima Puluh Kota
Kota Padang Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
PS 1.1.1 Public general hospitals
69.880 3,1% 48.832 5,3% 771 0,1% 9.645 1,3% 40 0,01% 109 0,04% 657 0,2% 529 0,1%
PS 1.13.2 Departments inside the Ministry of Health (i.e: NACP)
47.758 2,1% 39.544 4,3% 11.189 0,8% 1.093 0,1% - - - - - - - -
PS 1.13.99
Other Ministries or Public Administration entities n.e.c
816.035 36,0% 502.164 55,0% 905.363 64,3% 262.033 34,6% 506.755 85,9% 194.360 69,2% 276.595 79,7% 335.038 74,8%
31
Code Provider Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima Puluh Kota
Kota Padang Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
PS 1.2.1 Public outpatient care centres
1.218.096 53,7% 287.374 31,5% 327.005 23,2% 290.058 38,3% 14.816 2,5% 47.320 16,9% 64.124 18,7% 63.971 14,3%
PS 1.9.2 Secondary education
- - - - - - 302 0,04% - - - - - - - -
PS 2.11
NGO and community-based organizations, cadres
33.989 1,5% 33.750 3,7% 140.577 10,0% 150.359 19,8% 68.575 11,6% 33.760 12,0% 4.469 1,3% 34.148 7,6%
PS 3.1.1 Private for profit general hospitals
79.940 3,5% - - 6.088 0,4% 11.929 1,6% - - 19 0,01% - - 1.297 0,3%
PS 3.2.1 Private for profit outpatient care centers
1.427 0,1% 1.315 0,1% 16.500 1,2% 32.438 4,3% - - 5.163 1,8% 104 0,1% 12.813 2,9%
PS 3.9 Consultancy Firms - - - - - - 224 0,03% - - - - - - - -
Total District 2.267.125 100,0% 912.979 100,0% 1.407.492 100,0% 758.081 100,0% 590.186 100,0% 280.731 100,0% 345.950 100,0% 447.795 100,0%
*USD 1 = Rp 13.380 (WDI, 2016)
32
3.3.4.4 FP PROGRAM EXPENDITURE BY FP SPENDING CATEGORY (FPSC)
It is also interesting to know how spending presented by FP spending Category. Table 22 shows variations in spending on family planning programs among
the districts. Most family planning program expenditure is used for Information, education and communication for FP activities in Bogor district (27.1 percent),
Bandung city (16.9 percent), Malang district (30.4 percent), Surabaya city (37.4 percent). Padang city (61.0 percent), and Kupang city (44.6 percent). Activities
such as training and capacity building are also the main activities funded in family planning programs in the city of Bandung (16.9 percent). Unlike other
districts, West Manggarai spent for upgrading and construction of infrastructure (37.2 percent) due to the construction of family planning counseling centers
at the sub-district level in 2016. Whereas the Lima Puluh Kota district uses more funds for upgrading of health facilities for FP provision (44.9 percent) because
of the capital expenditure of computer equipment, note-books, communication devices, and motorized vehicles.
Table 23. Program Expenditure according to FPSC at District Sample, 2016
Code Family Planning Spending Categories Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima
Puluh Kota Kota Padang
Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FPSC 1.0 Family planning services nec 2.001.516 88,3% 507.582 55,6% 770.265 54,7% 611.589 80,7% 130.765 21,9% 234.465 83,5% 174.561 50,5% 275.485 61,5%
FPSC 1.1 Counselling on contraceptive methods and any other FP advice - - - - - - - - - - - - - - 9.960 2,2%
FPSC 1.2 Consultation, diagnosis, monitoring health conditions, any FP
clinical assessment. - - - - 8.843 0,6% - - - - 14 0,01% - - - -
FPSC 1.21 Female sterilization 128.518 5,7% - - 2.360 0,2% 54.483 7,2% 8.728 1,5% - - - - - -
FPSC 1.22 Male sterilization 9.720 0,4% - - 116 0,01% 79.496 10,5% 8.781 1,5% - - 657 0,2% - -
FPSC 1.23 Information, education and communication for FP 614.569 27,1% 153.871 16,9% 428.272 30,4% 283.330 37,4% 99.138 16,8% 171.218 61,0% 99.261 28,7% 199.893 44,6%
FPSC 1.3 Treating any FP medical need (as contraceptive side effects
management) - - - - 103 0,01% 646 0,1% 1.965 0,3% 3.307 1,2% 8.700 2,5% 1.428 0,3%
FPSC 1.4 Prescription and provision of male condoms for FP 23.565 1,0% 48.735 5,3% 58 0,004% 145 0,02% 1.728 0,3% 28.746 10,2% 75 0,02% 73 0,02%
FPSC 1.6 Provision of pills 211.601 9,3% 5.189 0,6% 9.325 0,7% 3.210 0,4% 280 0,05% 4.645 1,7% 6.314 1,8% 1.084 0,2%
FPSC 1.7 Provision of injectables 557.663 24,6% 90.967 10,0% 63.280 4,5% 79.082 10,4% 1.601 0,3% 6.490 2,3% 27.776 8,0% 15.891 3,5%
FPSC 1.8 Provision of IUD 8.014 0,4% 76.385 8,4% 12.240 0,9% 13.959 1,8% 1.558 0,02% 5.242 1,9% 2.027 0,6% 1.744 0,4%
FPSC 1.9 Provision of implants 447.867 19,8% 132.434 14,5% 244.061 17,3% 93.981 12,4% 6.986 1,2% 14.802 5,3% 29.750 8,6% 45.411 10,1%
FPSC 1.99 FP service not elsewhere classified (specify) - - - - 1.428 0,1% 3.258 0,4% - - - - - - - -
FPSC 2.0 Programme management and administration nec 265.609 11,7% 194.502 21,3% 548.485 39,0% 146.491 19,3% 294.375 49,9% 46.266 16,5% 164.913 47,7% 161.667 36,1%
33
Code Family Planning Spending Categories Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya
Kabupaten Lima
Puluh Kota Kota Padang
Kabupaten
Manggarai Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FPSC 2.1 Planning, coordination, and programme management 85.845 3,8% 32.269 3,5% 250.036 17,8% 88.154 11,6% 25.596 4,3% 18.974 6,8% 25.729 7,4% 70.231 15,7%
FPSC 2.2 Administration and transaction costs associated with managing
and disbursing funds 37.462 1,7% 19.252 2,1% 7.050 0,5% - - 3.430 0,6% 3.871 1,4% - - 12.972 2,9%
FPSC 2.3 Monitoring and evaluation 69.893 3,1% 50.708 5,6% 68.825 4,9% 12.055 1,6% 381 0,1% - - - - 5.283 1,2%
FPSC 2.5 Drug supply systems 5.268 0,2% - - - - - - - - - - 10.416 3,0% 344 0,1%
FPSC 2.6 Information technology - - 63.144 6,9% - - - - - - - - - - - -
FPSC 2.7 Upgrading and provision FP medical equipment 8.496 0,4% - - 7.265 0,5% 3.299 0,4% - - - - - - 1.570 0,4%
FPSC 2.8 Upgrading and provision other equipment 21.078 0,9% 1.367 0,1% 58.156 4,1% 42.983 5,7% 264.968 44,9% 23.421 8,3% - - 71.268 15,9%
FPSC 2.9 Upgrading and construction of infrastructure 37.568 1,7% 27.761 3,0% 157.153 11,2% - - - - - - 128.768 37,2% - -
FPSC 3.0 Human resources - - 154.272 16,9% 83.470 5,9% - - 166.496 28,2% - - 6.476 1,9% 10.643 2,4%
FPSC 3.3 Training and capacity building - - 154.272 16,9% 83.470 5,9% - - 166.496 28,1% - - 6.476 1,9% 10.643 2,4%
FPSC 4.0 Enabling environment - - 56.623 6,2% 5.271 0,4% - - - - - - - - - -
FPSC 4.2 FP-specific institutional development - - 56.623 6,2% 5.271 0,4% - - - - - - - - - -
Total District 2.267.125 100,0% 912.979 100,0% 1.407.492 100,0% 758.081 100,0% 590.186 100,0% 280.731 100,0% 345.950 100,0% 447.795 100,0%
*USD 1 = Rp 13.380 (WDI, 2016)
34
3.3.4.5 FP PROGRAM EXPENDITURE BY PRODUCTION FACTORS (FPPF)
The expenditure of family planning programs based on the production factors shown in table 23 shows that all districts use most family planning program
expenditures for staff costs, both direct FP service provision staff costs (Padang city and Kupang city) and management staff cost (Bandung,
Malang,Surabaya,Lima Puluh Kota, and Manggarai Barat. Except Bogor, is mostly used for injectables and related consumables.
Table 24. Program Expenditure according to FPPF at District Sample, 2016
Code Family Planning Production Factors Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya Kabupaten Lima Puluh Kota Kota Padang
Kabupaten Manggarai
Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FPPF 1.1.1 Direct FP service provision staff cost. 302.668 13,4% 95.885 10,5% 18.064 1,3% 92.250 12,2% 195.990 33,2% 159.157 56,7% 5.091 1,8% 146.831 32,8%
FPPF 1.1.2 Management staff cost. 94.863 4,2% 212.572 23,3% 734.858 52,2% 224.719 29,6% 199.169 33,7% 24.148 8,6% 171.433 49,4% 120.168 26,8%
FPPF 1.2.1 Pills. 211.601 9,3% 5.189 0,6% 5.612 0,4% 2.398 0,3% 280 0,05% 82 0,0% 5.480 1,6% 1.060 0,2%
FPPF 1.2.2 Injectables and related consumables. 524.865 23,2% 75.886 8,3% 59.756 4,2% 77.287 10,2% 1.601 0,3% 975 0,3% 25.774 7,4% 15.653 3,5%
FPPF 1.2.3 IUD and related consumables. 7.527 0,3% 65.302 7,2% 12.131 0,9% 10.774 1,4% 107 0,02% 1.239 0,4% 1.984 0,6% 1.181 0,3%
FPPF 1.2.4 Implants and related consumables. 427.484 18,9% 126.640 13,9% 236.101 16,8% 84.604 11,2% 6.986 1,2% 3.772 1,3% 21.515 6,2% 41.038 9,2%
FPPF 1.2.5 Consumables for tubal litigation. 88.823 3,9% - - - - - - - - - - - - - -
FPPF 1.2.6 Consumables for vasectomy. 7.186 0,3% - - - - - - 53 0,01% - - 657 0,2% - -
FPPF 1.2.7 Male condoms for FP. 23.565 1,0% 48.735 5,3% 58 0,004% 137 0,02% 1.728 0,3% 9.731 3,5% 31 0,01% 49 0,01%
FPPF 1.2 Contraceptives and consumables - - - - 1.363 0,1% 2.670 0,4% - - 1.547 0,6% - - - -
FPPF 1.3 Reagents and materials - - - - 65 0,005% 587 0,1% 860 0,1% 8.156 2,9% - - - -
FPPF 1.4 Information, education and communication (IEC) 78.203 3,4% 38.395 4,2% 1.752 0,1% 29.564 3,9% 1.375 0,2% 23.724 8,5% 149 0,0% 15.516 3,5%
FPPF 1.5.1 Rent. - 0,0% - - 8.858 0,6% 4.010 0,5% 822 0,1% 3.411 1,2% 4.706 1,4% 4.468 1,0%
FPPF 1.5.2 Utilities – water, electricity, communication, and
related. 4.867 0,2% 27.380 3,0% 1.997 0,1% - - 7.421 1,3% 5.337 1,9% - - 2.485 0,6%
FPPF 1.5.3 Repairs and maintenance. 13.858 0,6% 1.063 0,1% 8.834 0,6% - - 1.121 0,2% - - - - 5.375 1,2%
FPPF 1.5.4 Transportation and travel expenses. 304.598 13,4% 30.430 3,3% 64.977 4,6% 103.831 13,7% 3.608 0,6% 868 0,3% 39.810 11,5% 25.784 5,8%
FPPF 1.5 Internal administrative costs 24.913 1,1% 30.267 3,3% 19.185 1,4% 15.016 2,0% 105 0,02% - - 284 0,1% 11.451 2,6%
FPPF 1.6 Consulting services 29.003 1,3% 43.744 4,8% 5.716 0,4% 12.855 1,7% 2.160 0,4% 1.666 0,6% 5.160 1,5% 6.345 1,4%
FPPF 1.7 Meetings and workshops 88.663 3,9% 69.538 7,6% 70.621 5,0% 52.135 6,9% 100.097 17,0% 23.560 8,4% 17.985 5,2% 26.850 6,0%
FPPF 2.1 Buildings 16.517 0,7% 4.452 0,5% 45.357 3,2% - - - - - - 45.705 13,2% 448 0,1%
FPPF 2.2.1 Vehicles 797 0,04% 27.495 3,0% 49.903 3,5% - - 14.956 2,5% - - - - - -
35
Code Family Planning Production Factors Kabupaten Bogor Kota Bandung Kabupaten Malang Kota Surabaya Kabupaten Lima Puluh Kota Kota Padang
Kabupaten Manggarai
Barat Kota Kupang
USD % USD % USD % USD % USD % USD % USD % USD %
FPPF 2.2.2 Information technology (hardware and software) 2.382 0,1% 9.154 1,0% 11.864 0,8% 990 0,1% 26.038 4,4% - - - - 11.365 2,5%
FPPF 2.2.3 Medical equipment for FP 8.496 0,4% - - 39.017 2,8% 3.299 0,4% - - - - - - 1.570 0,4%
FPPF 2.2.4 Laboratory and other medical equipment - - - - 525 0,04% - - 25.709 4,4% - - - - - -
FPPF 2.2 Equipment 6.242 0,3% 850 0,1% 10.879 0,8% 40.953 5,4% - - 13.357 4,8% 187 0,1% 10.157 2,3%
Total District 2.267.125 100,0% 912.979 100,0% 1.407.492 100,0% 758.081 100,0% 590.186 100,0% 280.731 100,0% 345.950 100,0% 447.795 100,0%
*USD 1 = Rp 13.380 (WDI, 2016)
36
3.3.4.6 FP PROGRAM IN 2 SAMPLES SUB DISTRICT HEALTH CENTER (PUSKESMAS)
Puskesmas is basically subordinate body of District Health Office in which health worker who provide
services are DHO staff. The national family planning program has its own organizational structure
starting from the center (BKKBN) to the sub-district level (equivalent to the puskesmas) whose
function is to distribute contraception and consumables as well as to conduct program recording and
monitoring at the sub-district level. The provision of family planning services at the Puskesmas is
carried out by midwives or nurses who are DHO staff and paid by DHO. Contraceptives and
consumables are provided by BKKBN through the FP sub-district office. The two organization is
working together to cover sub district target.
In this study, specifically for research locations in West Java, we took a sample of 2 (two) health centers
in each district / city to find out financing patterns of family planning programs in health facilities.
Health facilities that play a role in family planning programs are private health clinics and clinics.
However, in this study only focus on government-owned health facilities.
Figure 2. FP Program Expenditure in 4 Puskesmas
*note: exclude salary
Figure 2 above shows that majority of family planning program funding comes from the National
Budget which is a contraceptive that is distributed by District FP Office in addition to transfer fund
from central government (Non Physical Operational Subsidy) and Non Capitation. Total financing from
2 (two) samples of Puskesmas in Kab. Bogor is bigger than Bandung because of the area coverage in
Kab. Bogor is wider. In addition, people in the city of Bandung prefer family planning services in private
-
10.0
20.0
30.0
40.0
50.0
60.0
PUSKESMASCIRIMEKAR
PUSKESMASKEMUNING
PUSKESMASGARUDA
PUSKESMASIBRAHIM ADJIE
KAB. BOGOR KOTA BANDUNG
Rp
Ju
ta
DAK NON FISIK - BOK NON KAPITASI APBN
37
clinics compared to government health facilities, so that financing in the Bandung City Health Center
is lower than in Kab. Bogor.
Both Puskesmas in Bogor and Bandung have very low portions for family planning programs. Budget
seems allocate but not specific activities for family planning. Instead, the family planning program is
inserted to other programs, such as MCH and postpartum services. Others are working on Campaign,
dissemination of new approach, social mobilization, etc.
SHI financing source seems to be quite large in Kota Bandung (average of 2 Puskesmas is 40 percent
of total financing for family planning), while in Kab. Bogor is very small, with only 1 percent of the total
financing for family planning programs. This is due to problems related to the administration of the
completeness of the members' requirements while puskesmas still provides services even if they are
not able to claim to BPJS.
In this study, spending on family planning programs in the sample puskesmas can also be identified by
category (FPSC) and financing sources (FS). At Cirimekar and Kemuning District Health Centers. Bogor,
mostly used for FPSC 1.9: Provision of implants originating from FS 1.1.1.8 Other ministries (or
equivalent sector entities).
While Puskesmas Garuda in Bandung City is mostly used for FPSC 1.9: Provision of implants sourced
from FS 1.1.1.8 Other ministries (or equivalent sector entities) (in this case APBN), while Puskesmas
Ibrahim Adjie is used for FPSC 1.7: Provision of injectables with the same source, namely the national
budget.
38
Table 25. FPSC by Financing Source at Puskesmas, 2016
FPSC FS FS 1.1.1.8 Other ministries (or equivalent sector
entities)* FS.1.1.3.1 Department (or equivalent sector entity) of Health FS.1.2.3 Government
transfers to Social Security
Rp % Rp % Rp %
KAB. BOGOR
PUSKESMAS CIRIMEKAR
FPSC 1.23: Information, education and communication for FP - -
9.090.000 100,0% - -
FPSC 1.4: Prescription and provision of male condoms for FP 568.196 1,2% - - - -
FPSC 1.6: Provision of pills 12.054.224 26,5% - - - -
FPSC 1.7: Provision of injectables 13.548.870 29,8% - - 270.000 73,0%
FPSC 1.8: Provision of IUD 1.006.913 2,2% - - - -
FPSC 1.9: Provision of implants 18.282.500 40,2% - - 100.000 27,0%
TOTAL 45.460.702 100%
9.090.000 100% 370.000 100%
PUSKESMAS KEMUNING
FPSC 1.23: Information, education and communication for FP - -
4.200.000 100,00% - -
FPSC 1.4: Prescription and provision of male condoms for FP 503.965 1,0% - - - -
FPSC 1.6: Provision of pills 2.875.040 5,6% - - - -
FPSC 1.7: Provision of injectables 7.697.430 14,9% - - - -
FPSC 1.8: Provision of IUD 792.105 1,5% - - - -
FPSC 1.9: Provision of implants 39.655.000 77,0% - - - -
TOTAL 51.523.540 100%
4.200.000 100% - -
KOTA BANDUNG
PUSKESMAS GARUDA
FPSC 1.23: Information, education and communication for FP - -
578.153 100,00% - -
FPSC 1.4: Prescription and provision of male condoms for FP 533.610 4,1% - - - -
FPSC 1.6: Provision of pills 100.912 0,8% - - - -
FPSC 1.7: Provision of injectables 1.962.090 15,0% - - 265.949 2,3%
FPSC 1.8: Provision of IUD 1.705.039 13,1% - - 2.023.529 17,5%
FPSC 1.9: Provision of implants 8.755.000 67,1% - - 9.273.542 80,2%
TOTAL 13.056.651 100,0%
578.153 100,0% 11.563.020 100,0%
PUSKESMAS IBRAHIM ADJIE
FPSC 1.23: Information, education and communication for FP - -
230.400 100,00% - -
FPSC 1.4: Prescription and provision of male condoms for FP 825.119 7,03% - - - -
FPSC 1.6: Provision of pills 723.520 6,17% - - - -
FPSC 1.7: Provision of injectables 5.299.965 45,17% - - 141.450 2,30%
FPSC 1.8: Provision of IUD 3.598.034 30,66% - - 1.076.250 17,50%
FPSC 1.9: Provision of implants 1.287.500 10,97% - - 4.932.300 80,20%
TOTAL 11.734.138 100,00%
230.400 100,00% 6.150.000 100,00%
39
3.3.4.7 FINANCING FAMILY PROGRAM AT 2 SAMPLE VILLAGES
Village is increasingly important to facilitate community’s interest. Government allocates several
support to assist the development in villages where funds are managed by the village itself such as
village funds.
Village funds (Dana Desa) are distributed through National Budgets allocated to villages transferred
through district budget and used to finance government administration, development
implementation, community development, and community empowerment (Directorate General of
Fiscal Balance, Ministry of Finance, 2016). Village funds are channeled from the State General Cash
Account (RKUN) to the Regional General Cash Account (RKUD) every fiscal year. In 2016, there were a
total of Rp.46.9 trillion in state budget funds distributed to all villages with a realization of 99.36
percent or around 46.7 trillion. Seeing the magnitude of the potential of village funds, especially for
development and community empowerment, it is important to figure out whether there is a
contribution of village funds for family planning programs. But in this study, portraits of village funds
were only carried out in 2 village samples (specifically in West Java Province) and from all levels of the
study area, only the District level had village areas so that the portrait of village funds was only carried
out in Bogor District.
Figure 3. Village Fund for FP Program 2016 (2 Sampel Desa ini Kab. Bogor)
Bogor with 417 villages in 39 sub-districts has spent more than Rp. 290 bill (more than USD 21 mill) of
village funds in 2016. The two villages selected as the sample in this study, namely Sukaharja village,
Cijeruk sub-district, with a total realization of village funds amounting to Rp 692 million (USD 51K) and
Rancabungur village, Rancabungur sub-district with a total realization of village funds around Rp 670
million (around USD 50K) Community empowerment in the form of public health promotion and
education becomes one of the priority activities carried out using village funds in accordance with the
Regulation of the Minister of Villages, Development of Underdeveloped Regions, and Transmigration
of the Republic of Indonesia number 21 of 2015 concerning Determination of Priority Use of Village
670 692
36 0
5.4%
0% 0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
-
100
200
300
400
500
600
700
800
Desa Rancabungur Desa Sukaharja
Rp
Ju
ta
Total Dana Desa Total Dana Desa untuk KB % Dana Desa untuk KB
40
Funds in 2016. But in the implementation of these priority activities, not all villages use their funds to
spend on family planning programs. In this study only Rancabungur villages have used village funds to
carry out activities related to family planning programs, including updating family data; transportation
of family planning services in the form of surgical methods, IUDs, and implants to the Puskesmas; as
well as training for Toddler Family Development (BKB), Elderly Family Development (BKL), Efforts to
Increase Prosperous Families (UPPKS), and Empowering female heads of household (PEKKA). Factors
that caused the absence of village funds to spend on family planning programs in the villages of
Sukaharja and several other villages because of the priority of the funds were still focused on
infrastructure such as road and bridge repairs, the construction of posyandu, irrigation, etc.
Since 2016 BKKBN has carried out strategic innovations to implement Population, Family Planning and
Family Development activities (KKBPK) through the implementation of FV villages (kampung KB) at the
RW level or hamlets (BKKBN, 2015). With this mechanism, local government, non-governmental
organizations and the private sector play a role in facilitating, mentoring, and coaching to higher
capacity of the community. Government support was evidenced by the issuance of the Minister of
Home Affairs launch a law no 440/70 / SJ 2016 to local authority to participate in the success of the
declaration of KB villages. Following up on this regulation, the West Java provincial government issued
a decree no 843.4 / 20 / Yanbangsos in 2017 concerning Strengthening the Existence of KB Villages in
Districts / Cities in West Java. The Bogor district also issued a regulation number 476/214-DP3AP2KB
concerning Strengthening the Existence of KB Village in Bogor District. With this regulation, it is
expected that FP village is eligible to receive various supports, especially support in terms of financing.
In addition, this regulation is further expected to consider family planning as one of its priority
program.
41
CONCLUTION AND RECOMMENDATION
Conclusion :
1. In 2016, spending on family planning programs in Indonesia reached approximately USD
373,386,796 in which funding sourced from the public higher than those from donors
(contribution of donor funding was only 0.2 percent)
2. The majority of public sourced funding comes from the Central Government (APBN) with a
proportion of 52.5 percent. While sub national source contributes around 47.1 percent. In
addition, there were participation from social Health Insurance claims for family planning
services by 0.4 percent.
3. Estimation by level of analysis depicts that:
a. FP expenditure at central level is mostly from public source. Around 48,8 percent for
Family Planning service including procurement of consumables, contraceptives, and
direct staff cost. While donor funding 37.7 percent is used for management and
administration programs. In terms of production factors there are still a lot amount
that cannot be disaggregated, both public and donor funding due to limited
information.
b. At the provincial level, family planning program expenditure is also dominated by
support from central governemnt (APBN) funding managed by Provincial BKKBN
Representatives to conduct activities in addition to a small contribution from local
funding. In terms of FPSC, the majority of activities are family planning services and
management and administration programs. While, production factors indicates
various among provinces, for example in West Java Province the largest proportion is
for IEC, East Java Province and NTT used for meetings and workshops, West Sumatra
Province for direct FP service provision staff cost.
c. The expenditure of family planning programs at the district / city level is dominated
by funding sourced from the district budget (APBD) managed by the District FP Office
(except, Bogor which is still dominated by the APBN). Family planning expenditure
also varies among districts depending on local specific programs in addition to routine
FP services.Some districts would rather to allocate more on IEC, other still interested
in upgrading and construction of infrastructure. So it is FPPF, spending patterns are
somewhat related to district focus where direct cost is likely incurred in conjunction
with FP service
42
d. Most of services is conducted at public providers such as health center and service
facility unit owned by BKKBN
Recommendation:
1. FP expenditure is still underestimate. This study only discuss contribution from public and donors,
not including the OOP spending. The OOP is suspected of having a very large number, surpassing
public figures.
2. Further studies are needed by adding the number of samples, given the variation in spending
patterns of family planning programs between regions, so that they can represent national
spending
3. Stakeholder’s commitment including public, private, donors, NGO is required to report any
spending related to family planning for better budgeting the program
4. For Avenir, building partnership with BKKBN, a top authority in FP program in Indonesia to sustain
data collection and maintain the role on providing detail as well as accountable FP spending
categories
43
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Presidential Regulation number 12 of 2013 concerning Health Care Benefits.
Regulation of the Minister of Health number 52 of 2016 concerning the Standard Tariff for Health Services.
Regulation of The Minister of Home Affairs Number 13 of 2006 concerning Financial Regional Management Guideline.
Statistics of Jawa Barat Province. 2017. Jawa Barat Province In Figures 2017. Statistics of Jawa Barat Publishing: Jawa Barat.
Statistics Indonesia, National Development Planning Agency, United Nations Population Fund.2013. Indonesia Population Projection 2010-2035. https://www.bps.go.id/publication/2013/10/07/053d25bed2e4d62aab3346ec/proyeksi-penduduk-indonesia-2010-2035.html. Accessed on December 11, 2018, at 01.00 pm.
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Indonesia Ministry of Finance. 2017. Indonesia Ministry of Finance Regulation Number 119/PMK/07/2017 About Regional Fiscal Capacity. http://www.djpk.kemenkeu.go.id/wp-content/uploads/2018/08/119_PMK.07_2017Per.pdf. Accessed on December 11, 2018 at 02.00 pm.
Thabrany, Hasbullah. 2014. Problems and Challenges of Funding and Financing of Health in Indonesia. http://theprakarsa.org/new/ck_uploads/files/Materi%20Prof_%20Dr_%20Hasbullah%20Thabrany%20-%20Masalah%20Pendanaan%20Kesehatan.pdf. Downloaded on Wednesday, February 14, 2018 at 11.08 am.
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United Nations. 2015. The Millenium Development Goals Report 2015. http://www.un.org/millenniumgoals/2015_MDG_Report/pdf/MDG%202015%20rev%20(July%201).pdf. Downloaded on Sunday, 11 February 2018 at 11:11 am.
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46
APPENDIX
List of appendix:
A. Table for Central Level data
B. Table for Jawa Barat Province
C. Table for Nusa Tenggara Timur (NTT) Province
D. Table for Jawa Timur Province
E. Table for Sumatera Barat Province
F. Table for Bandung City
G. Table for Bogor District
H. Table for Kupang City
I. Table for Manggarai Barat District
J. Table for Surabaya City
K. Table for Malang District
L. Table for Padang City
M. Table for Limapuluh Kota District
47
Appendix A. Table For Central Level
Appendix A. 1 Family Planning Expenditure at Central Level by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 3.1.22
Government of
United States
FS 3.2.07
United Nations
Population Fund
(UNFPA)
FS.1.1.1.1
APBN Ministry of
Health
FS.1.2.3
Government
transfers to
Social Security
FS.3.2.02.
World Health
Organization
(WHO)
FS.3.3.99
International not-
for-profit
organizations and
foundations nec
All FS
FA 1.1.1.1 FA 1.1.1.1 Ministry of Health - - - 2.981 - 65.209 - 68.190
FA 1.1.1.8 FA 1.1.1.8 BKKBN 195.799.335 - 27.995 - - - - 195.827.330
FA 1.2 FA 1.2 Social Security funds - - - - 1.577.780 - - 1.577.780
FA 2.4 FA 2.4 Not-for-profit institutions - - - - - - 55.234 55.234
FA 3.2.07 FA 3.2.02. World Health Organization (WHO) - - - - - 38.361 - 38.361
FA 3.4 FA 3.2.07 United Nations Population Fund (UNFPA) - - 121.243 - - - - 121.243
FA.3.2.02 FA 3.4 International for-profit organizations - 151.345 - - - - - 151.345
195.799.335 151.345 149.238 2.981 1.577.780 103.570 55.234 197.839.484 All FA
48
Appendix A. 2 Family Planning Expenditure at Central Level by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 3.1.22
Government of
United States
FS 3.2.07
United Nations
Population Fund
(UNFPA)
FS.1.1.1.1
APBN Ministry of
Health
FS.1.2.3
Government
transfers to
Social Security
FS.3.2.02.
World Health
Organization
(WHO)
FS.3.3.99
International not-
for-profit
organizations
and foundations
nec
All FS
PS.1.1.1 Public general hospitals 1.733.914 - - - - - - 1.733.914
PS.1.13.2
Departments inside the Ministry
of Health- - - 978 - 103.570 - 104.547
PS.1.13.99
Other Ministries or Public
Administration entities n.e.c 127.274.896 - 27.995 2.003 - - - 127.304.895
PS.1.2.1 Public outpatient care centres 62.813.055 - - - 1.467.336 - - 64.280.391
PS.1.9.3 Higher education - - - - - - 55.234 55.234
PS.2.11
NGO and community-based
organizations245.853 151.345 - - - - - 397.198
PS.3.1.1
Private for profit general
hospitals725.070 - - - - - - 725.070
PS.3.2.1
Private for profit outpatient care
centers3.006.547 - - - 110.445 - - 3.116.991
PS.4.2 Multilateral Agencies - - 121.243 - - - - 121.243
All PS 195.799.335 151.345 149.238 2.981 1.577.780 103.570 55.234 197.839.484
49
FPSC
PS PS.1.1.1 Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of Health
PS.1.13.99 Other
Ministries or Public
Administration
entities n.e.c
PS.1.2.1 Public
outpatient care
centres
PS.1.9.3 Higher
education
PS.2.11 NGO and
community-
based
organizations
PS.3.1.1 Private
for profit
general
hospitals
PS.3.2.1 Private
for profit
outpatient care
centers
PS.4.2
Multilateral
Agencies
All FS
FPSC 1.0 Family planning services nec - - 20.192.069 - - - - - - 20.192.069
FPSC 1.23 Information, education and communication for FP - - 6.921.873 - - 245.853 - - - 7.167.726
FPSC 1.4 Prescription and provision of male condoms for FP 13.147 - - 599.335 - - 6.903 28.687 - 648.072
FPSC 1.6 Provision of pills 173.421 - - 7.905.806 - - 91.058 378.412 - 8.548.697
FPSC 1.7 Provision of injectables 921.099 - - 26.376.086 - - 296.689 1.279.404 - 28.873.278
FPSC 1.8 Provision of IUD - - - 410.663 - - - 30.910 - 441.573
FPSC 1.9 Provision of implants 626.246 - - 28.988.424 - - 328.823 1.399.578 - 31.343.072
FPSC 2.0 Programme management and administration nec - - 44.963.784 - - - - - - 44.963.784
FPSC 2.1 Planning, coordination, and programme
management- 104.547 3.520.267 - - - - - 57.181 3.681.995
FPSC 2.2 Administration and transaction costs associated with
managing and disbursing funds- - - - - - - - - -
FPSC 2.3 Monitoring and evaluation - - 868.595 - - - - - - 868.595
FPSC 2.4 Operations research - - 4.793.481 - - - - - 48.690 4.842.171
FPSC 2.6 Information technology - - 1.230.336 - - - - - - 1.230.336
FPSC 2.7 Upgrading and provision FP medical equipment - - - 77 - - 1.597 - - 1.674
FPSC 3.0 Human resources - - - - 27.617 - - - - 27.617
FPSC 3.3 Training and capacity building - - 9.261.006 - - - - - 15.373 9.276.378
FPSC 4.1 Advocacy - - 35.553.482 - - 151.345 - - - 35.704.828
FPSC 5.0 FP-Related research (excluding operational
research)- - - - 27.617 - - - - 27.617
All FPSC 1.733.914 104.547 127.304.895 64.280.391 55.234 397.198 725.070 3.116.991 121.243 197.839.484
Appendix A. 3 Family Planning Expenditure at Central Level by PS and FPSC in US Dollar ($), 2016
50
Appendix A. 4 Family Planning Expenditure at Central Level by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0: Family
planning services
nec
FPSC 1.23:
Information,
education and
communication for
FP
FPSC 1.4:
Prescription and
provision of male
condoms for FP
FPSC 1.6:
Provision of pills
FPSC 1.7:
Provision of
injectables
FPSC 1.8:
Provision of IUD
FPSC 1.9: Provision
of implants
FPSC 2.0:
Programme
management and
administration nec
FPSC 2.1:
Planning,
coordination, and
programme
management
FPSC 2.3:
Monitoring and
evaluation
FPSC 2.4:
Operations
research
FPSC 2.6:
Information
technology
FPSC 2.7:
Upgrading and
provision FP
medical
equipment
FPSC 3.0: Human
resources nec
FPSC 3.3: Training
and capacity
building
FPSC 4.1:
Advocacy
FPSC 5.0: FP-
Related reseacrh
nec
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 126.580 77.451 - - 663.550 441.573 472.657 6.857 46.586 - 479.077 45.855 - - 41.044 349.338 - 2.750.568
FPPF 1.1.2 Management staff cost. - - - - - - - 578.517 26.117 9.961 - - - - - - - 614.595
FPPF 1.1.98 Staff cost not disaggregated by type. - - - - - - - 28.970.019 - - - - - - 16.674 - - 28.986.692
FPPF 1.2.1 Pills. - - - 8.548.697 - - - - - - - - - - - - - 8.548.697
FPPF 1.2.2 Injectables and related consumables. - - - - 28.209.728 - - - - - - - - - - - - 28.209.728
FPPF 1.2.7 Male condoms for FP. - - - - - - 30.870.415 - - - - - - - - - - 30.870.415
FPPF 1.4 Information, education and
communication (IEC)- - 648.072 - - - - - - - - - - - - - - 648.072
FPPF 1.5.1 Rent. - 188.109 - - - - - - - - - - - - - - - 188.109
FPPF 1.5.2 Utilities – water, electricity,
communication, and related.235.872 31.471 - - - - - 271.389 51.776 187 38.982 326.157 - - 297.791 667.962 - 1.921.586
FPPF 1.5.3 Repairs and maintenance. - - - - - - - 999.342 959 - - - - - - 19.879 - 1.020.180
FPPF 1.5.4 Transportation and travel expenses. 7.193 1.121 - - - - - 2.030.499 - - - 49.104 - - - 11.622 - 2.099.539
FPPF 1.5.98 Administrative costs not
disaggregated by type.5.501.257 1.023.769 - - - - - 3.253.525 864.201 547.535 1.332.660 188.536 - - 1.454.142 3.987.524 - 18.153.148
FPPF 1.5.99 Administrative costs not classified
above (specify).1.045.776 490.079 - - - - - 2.458.279 36.257 3.807 17.266 63.621 - - 106.101 222.414 - 4.443.599
FPPF 1.6 Consulting services - 1.807 - - - - - 43.263 - - 11 - - - - 1.184 - 46.265
FPPF 1.7 Meetings and workshops 706.974 4.489.597 - - - - - 757.001 683.863 25.388 450.131 24.408 - 27.617 884.196 9.906.335 - 17.955.509
FPPF 1.98 Current expenditure not broken down
by type: 798.033 783.100 - - - - - 2.388.119 1.116.845 224.143 1.490.916 201.002 - - 6.458.773 2.513.673 27.617 16.002.221
FPPF 2.1.98 Buildings not broken down by type. 11.750.682 58.387 - - - - - 1.118.739 853.493 57.574 850.737 59.721 - - 4.281 17.913.375 - 32.666.989
FPPF 2.2.1 Vehicles 1.868 - - - - - - 1.201.178 - - - - - - - - - 1.203.047
FPPF 2.2.2 Information technology (hardware and
software)- - - - - - - 339.535 - - - - - - - - - 339.535
FPPF 2.2.2 Information technology (hardware and
software)- - - - - - - 468.143 - - 28.414 271.932 - - - 17.580 - 786.068
FPPF 2.2.3 Medical equipment for FP - - - - - - - - - - - - 1.674 - - - - 1.674
FPPF 2.2.98 Equipment not broken down by type - 649 - - - - - - - - 7.365 - - - - 49.430 - 57.445
FPPF 2.98 Capital expenditures not broken down
by type17.834 22.186 - - - - - 79.381 1.898 - 146.613 - - - 13.377 44.511 - 325.800
All FPPF 20.192.069 7.167.726 648.072 8.548.697 28.873.278 441.573 31.343.072 44.963.784 3.681.995 868.595 4.842.171 1.230.336 1.674 27.617 9.276.378 35.704.828 27.617 197.839.484
51
Appendix B. Table for Jawa Barat Province
Appendix B. 2 Family Planning Expenditure at Jawa Barat Province by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial
Health Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
FA 1.1.1.8 BKKBN 10.664.971 - - - 10.664.971
FA 1.1.2.1 Provincial Health Office - - 10.937 - 10.937
FA 1.1.2.4 Provincial FP Office - - - 2.881.747 2.881.747
All FA 10.664.971 - 10.937 2.881.747 13.557.655
52
Appendix B. 2 Family Planning Expenditure at Jawa Barat Province by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial Health
Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
PS.1.13.2 Departments inside the Ministry of Health - - 10.937 - 10.937
PS.1.13.99 Other Ministries or Public Administration entities n.e.c 10.352.717 - - 2.809.893 13.162.610
PS.1.2.1 Public outpatient care centres - - - 71.855 71.855
PS.2.11 NGO and community-based organizations 312.254 - - - 312.254
All PS 10.664.971 - 10.937 2.881.747 13.557.655
53
Appendix B. 3 Family Planning Expenditure at Jawa Barat Province by PS and FPSC in US Dollar ($), 2016
PS.1.1.1
Public general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other Ministries
or Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient care
centres
PS.1.2.2
Public physician
offices
PS.1.9.3
Higher
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit general
hospitals
PS.3.2.1
Private for
profit
outpatient care
centers
All PS
FPSC 1.1 Counselling on contraceptive methods and any
other FP advice- - 4.830 - - - - - - 4.830
FPSC 1.2 Consultation, diagnosis, monitoring health
conditions, any FP clinical assessment.- - 3.064 - - - - - - 3.064
FPSC 1.21 Female sterilization - - 710.215 - - - - - - 710.215
FPSC 1.22 Male sterilization - - 64.727 - - - - - - 64.727
FPSC 1.23 Information, education and communication for
FP- - 2.098.900 - - - 45.522 - - 2.144.422
FPSC 1.4 Prescription and provision of male condoms for
FP- - 189 - - - - - - 189
FPSC 1.6 Provision of pills - - 187.926 - - - - - - 187.926
FPSC 1.7 Provision of injectables - - 452.715 36.646 - - - - - 489.360
FPSC 1.8 Provision of IUD - - 433.997 719 - - - - - 434.716
FPSC 1.9 Provision of implants - - 1.253.576 34.490 - - - - - 1.288.067
FPSC 2.0 Programme management and administration nec- - 11.513 - - - - - - 11.513
FPSC 2.1 Planning, coordination, and programme
management- 10.937 612.793 - - - 18.607 - - 642.337
FPSC 2.2 Administration and transaction costs associated
with managing and disbursing funds- - 80.865 - - - - - - 80.865
FPSC 2.3 Monitoring and evaluation - - 318.379 - - - - - - 318.379
FPSC 2.4 Operations research - - 247.809 - - - - - - 247.809
FPSC 2.6 Information technology - - 28.622 - - - - - - 28.622
FPSC 2.7 Upgrading and provision FP medical equipment - - 39.592 - - - - - - 39.592
FPSC 2.8 Upgrading and provision other equipment - - 188.977 - - - - - - 188.977
FPSC 2.9 Upgrading and construction of infrastructure - - 127.963 - - - - - - 127.963
FPSC 3.1 Monetary incentives for human resources - - 270.567 - - - - - - 270.567
FPSC 3.3 Training and capacity building - - 2.957.282 - - - 130.888 - - 3.088.170
FPSC 4.0 Enabling environment nec - - 70.139 - - - - - - 70.139
FPSC 4.1 Advocacy - - 31.987 - - - - - - 31.987
FPSC 4.2 FP-specific institutional development - - 2.965.983 - - - 117.237 - - 3.083.220
All FPSC - 10.937 13.162.610 71.855 - - 312.254 - - 13.557.655
PS
FPSC
54
Appendix B. 4 Family Planning Expenditure at Jawa Barat Province by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management and
administration
FPSC 3.0:
Human Resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 1.815.373 - 414.005 - 2.229.379
FPPF 1.1.2 Management staff cost. 1.301 483.697 1.568.551 416.830 2.470.378
FPPF 1.2.3 IUD and related consumables. 656 - - - 656
FPPF 1.2.4 Implants and related consumables. 354.364 - - - 354.364
FPPF 1.2.5 Consumables for tubal litigation. 615.053 - - 185 615.239
FPPF 1.2.6 Consumables for vasectomy. - - - 185 185
FPPF 1.2.99 Contraceptives and consumables n.e.c 118 - - - 118
FPPF 1.4 Information, education and communication (IEC) 2.109.644 95.954 303.503 2.537.413 5.046.514
FPPF 1.5.1 Rent. 45.469 127.392 37.222 35.611 245.694
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 511 62.694 - - 63.205
FPPF 1.5.3 Repairs and maintenance. - 177.375 - - 177.375
FPPF 1.5.4 Transportation and travel expenses. 131.268 146.549 170.204 26.922 474.944
FPPF 1.5.99 Administrative costs not classified above (specify). - 99.734 20.861 1.623 122.218
FPPF 1.6 Consulting services 59.414 78.306 78.572 2.140 218.431
FPPF 1.7 Meetings and workshops 194.343 375.919 752.811 137.773 1.460.846
FPPF 1.8 Financial intermediation services - - - 3.617 3.617
FPPF 2.1 Buildings - 1.098 - - 1.098
FPPF 2.2.1 Vehicles - 9.828 - - 9.828
FPPF 2.2.2 Information technology (hardware and software) - 16.988 - - 16.988
FPPF 2.2 Equipment - 10.525 13.006 23.046 46.577
All FPPF 5.327.515 1.686.057 3.358.737 3.185.346 13.557.655
55
Appendix C. Table for Nusa Tenggara Timur (NTT) Province
Appendix C. 3 Family Planning Expenditure at Nusa Tenggara Timur (NTT) Province by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial
Health Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
FA 1.1.1.8 BKKBN 4.563.197 - - - 4.563.197
FA.2.4 NGO at Province - 3.561 - - 3.561
All FA 4.563.197 3.561 - - 4.566.757
56
Appendix C. 2 Family Planning Expenditure at Nusa Tenggara Timur (NTT) Province by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial Health
Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
PS.1.1.1 Public general hospitals 2.589 - - - 2.589
PS.1.13.99 Other Ministries or Public Administration entities n.e.c 3.411.901 - - - 3.411.901
PS.1.2.1 Public outpatient care centres 634.470 - - - 634.470
PS.1.2.2 Public physician offices 24.341 - - - 24.341
PS.2.11 NGO and community-based organizations 436.062 3.561 - - 439.623
PS.3.1.1 Private for profit general hospitals 2.022 - - - 2.022
PS.3.2.1 Private for profit outpatient care centers 51.812 - - - 51.812
All PS 4.563.197 3.561 - - 4.566.757
57
Appendix C. 3 Family Planning Expenditure at Nusa Tenggara Timur (NTT) Province by PS and FPSC in US Dollar ($), 2016
PS.1.1.1
Public general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other Ministries
or Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient care
centres
PS.1.2.2
Public physician
offices
PS.1.9.3
Higher
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit general
hospitals
PS.3.2.1
Private for
profit
outpatient care
centers
All PS
FPSC 1.2 Consultation, diagnosis, monitoring health
conditions, any FP clinical assessment.- - 812 - - - - - - 812
FPSC 1.21 Female sterilization 663 - 21.240 119.453 - - - 530 11.932 153.818
FPSC 1.22 Male sterilization 35 - 1.124 6.322 - - - 28 631 8.140
FPSC 1.23 Information, education and communication for
FP- - 676.499 2.319 - - 67.074 - - 745.892
FPSC 1.3 Treating any FP medical need (as contraceptive
side effects management)- - 18.910 - - - 149 - - 19.059
FPSC 1.7 Provision of injectables - - 3.053 23.196 - - - - - 26.249
FPSC 1.8 Provision of IUD 403 - 3.716 70.377 - - - 331 6.924 81.751
FPSC 1.9 Provision of implants 1.045 - 12.502 267.656 - - - 867 18.916 300.986
FPSC 2.0 Programme management and administration nec- - 127.105 - - - - - - 127.105
FPSC 2.1 Planning, coordination, and programme
management- - 1.068.882 - - - 348 - - 1.069.230
FPSC 2.2 Administration and transaction costs associated
with managing and disbursing funds- - 198.217 - - - 1.525 - - 199.742
FPSC 2.3 Monitoring and evaluation 443 - 420.603 79.982 - - 8.727 266 7.883 517.903
FPSC 2.4 Operations research - - 101.775 - - - - - - 101.775
FPSC 2.5 Drug supply systems - - 25.107 - - - - - - 25.107
FPSC 2.6 Information technology - - 6.017 - - - - - - 6.017
FPSC 2.7 Upgrading and provision FP medical equipment - - 400 - - - - - - 400
FPSC 2.8 Upgrading and provision other equipment - - 79.949 - - - - - - 79.949
FPSC 2.9 Upgrading and construction of infrastructure - - 19.306 - - - - - - 19.306
FPSC 3.3 Training and capacity building - - 385.745 65.165 24.341 - 25.203 - - 500.456
FPSC 4.1 Advocacy - - 240.938 - - - 336.597 - 5.525 583.060
All FPSC 2.589 - 3.411.901 634.470 24.341 - 439.623 2.022 51.812 4.566.757
PS
FPSC
58
Appendix C. 4 Family Planning Expenditure at Nusa Tenggara Timur (NTT) Province by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management and
administration
FPSC 3.0:
Human Resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 245.558 91.775 148.519 80.617 566.470
FPPF 1.1.2 Management staff cost. 874 412.481 14.884 1.840 430.079
FPPF 1.2.1 Pills. - 1.275 - - 1.275
FPPF 1.2.2 Injectables and related consumables. 23.196 7.362 - - 30.557
FPPF 1.2.3 IUD and related consumables. 77.795 176 - - 77.971
FPPF 1.2.4 Implants and related consumables. 286.359 13.009 198 - 299.566
FPPF 1.2.5 Consumables for tubal litigation. 132.578 - 132 - 132.710
FPPF 1.2.6 Consumables for vasectomy. 7.016 - 66 - 7.082
FPPF 1.2.7 Male condoms for FP. - 154 - - 154
FPPF 1.2.99 Contraceptives and consumables n.e.c 99 - - - 99
FPPF 1.3 Reagents and materials 362 52.918 - - 53.281
FPPF 1.4 Information, education and communication (IEC) 85.291 73.248 386 5.836 164.760
FPPF 1.5.1 Rent. 69.517 10.683 1.058 5.868 87.126
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 214 19.818 737 - 20.768
FPPF 1.5.3 Repairs and maintenance. 570 42.569 - - 43.139
FPPF 1.5.4 Transportation and travel expenses. 62.886 289.738 113.419 10.654 476.697
FPPF 1.5.99 Administrative costs not classified above (specify). - 22.344 - 430 22.775
FPPF 1.6 Consulting services 33.785 95.894 39.388 2.184 171.251
FPPF 1.7 Meetings and workshops 310.606 965.740 181.669 475.631 1.933.646
FPPF 1.8 Financial intermediation services - 3.756 - - 3.756
FPPF 2.1 Buildings - 8.692 - - 8.692
FPPF 2.2.1 Vehicles - 15.271 - - 15.271
FPPF 2.2.2 Information technology (hardware and software) - 9.077 - - 9.077
FPPF 2.2 Equipment - 10.554 - - 10.554
All FPPF 1.336.707 2.146.535 500.456 583.060 4.566.757
59
Appendix D. Table for Jawa Timur Province
Appendix D. 4 Family Planning Expenditure at Jawa Timur Province by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial
Health Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
FA 1.1.1.8 BKKBN 7.952.907 - - - 7.952.907
FA 1.1.2.1 Provincial Health Office - - 33.522 - 33.522
FA 1.1.2.4 Provincial FP Office - - - 163.959 163.959
All FA 7.952.907 - 33.522 163.959 8.150.388
60
Appendix D. 2 Family Planning Expenditure at Jawa Timur Province by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial Health
Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
PS.1.1.1 Public general hospitals 25.078 - - - 25.078
PS.1.13.2 Departments inside the Ministry of Health - - 33.522 - 33.522
PS.1.13.99 Other Ministries or Public Administration entities n.e.c 4.611.937 - - 163.959 4.775.896
PS.1.2.1 Public outpatient care centres 1.292.465 - - - 1.292.465
PS.1.2.2 Public physician offices 38.531 - - - 38.531
PS.2.11 NGO and community-based organizations 1.824.690 - - - 1.824.690
PS.3.1.1 Private for profit general hospitals 52.328 - - - 52.328
PS.3.2.1 Private for profit outpatient care centers 107.877 - - - 107.877
ALL PS 7.952.907 - 33.522 163.959 8.150.388
61
Appendix D. 3 Family Planning Expenditure at Jawa Timur Province by PS and FPSC in US Dollar ($), 2016
PS.1.1.1
Public general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient care
centres
PS.1.2.2
Public physician
offices
PS.1.9.3
Higher
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit general
hospitals
PS.3.2.1
Private for
profit
outpatient care
centers
All PS
FPSC 1.0 Family planning services nec 18.653 - 25.502 907.725 5.468 - - 38.921 80.238 1.076.507
FPSC 1.1 Counselling on contraceptive methods and any
other FP advice26 - 567 1.257 - - - 54 111 2.015
FPSC 1.21 Female sterilization - - 68.475 - - - - - - 68.475
FPSC 1.22 Male sterilization - - 4.904 - - - - - - 4.904
FPSC 1.23 Information, education and communication for
FP1.759 15.740 1.361.443 85.623 - - 1.010.395 3.671 7.569 2.486.200
FPSC 1.8 Provision of IUD 76 - 54.971 3.678 - - - 158 325 59.208
FPSC 1.9 Provision of implants 3.680 - 116.649 179.101 - - - 7.679 15.832 322.941
FPSC 2.0 Programme management and administration nec- - 14.360 - - - - - - 14.360
FPSC 2.1 Planning, coordination, and programme
management- 14.765 643.127 8.085 - - 693.078 - - 1.359.056
FPSC 2.2 Administration and transaction costs associated
with managing and disbursing funds- - 106.972 - - - - - - 106.972
FPSC 2.3 Monitoring and evaluation - 3.017 314.260 - - - 918 - - 318.194
FPSC 2.4 Operations research - - 665.937 - - - - - - 665.937
FPSC 2.5 Drug supply systems - - 59.641 - - - - - - 59.641
FPSC 2.6 Information technology - - 394.004 - - - - - - 394.004
FPSC 2.8 Upgrading and provision other equipment - - 394.803 - - - - - - 394.803
FPSC 2.9 Upgrading and construction of infrastructure - - 99.194 - - - - - - 99.194
FPSC 3.1 Monetary incentives for human resources - - 18.645 - - - - - - 18.645
FPSC 3.3 Training and capacity building 884 - 420.593 106.995 33.064 - 113.474 1.845 3.803 680.658
FPSC 4.2 FP-specific institutional development - - 11.849 - - - 6.825 - - 18.674
All FPSC 25.078 33.522 4.775.896 1.292.465 38.531 - 1.824.690 52.328 107.877 8.150.388
PS
FPSC
62
Appendix D. 4 Family Planning Expenditure at Jawa Timur Province by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management and
administration
FPSC 3.0:
Human Resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 1.751.716 74.120 122.130 - 1.947.967
FPPF 1.1.2 Management staff cost. 5.350 621.241 15.668 3.123 645.383
FPPF 1.2.1 Pills. - 9.450 - - 9.450
FPPF 1.2.2 Injectables and related consumables. - 24.124 - - 24.124
FPPF 1.2.3 IUD and related consumables. - 273 - - 273
FPPF 1.2.4 Implants and related consumables. 206.292 312 - - 206.604
FPPF 1.4 Information, education and communication (IEC) 888.465 35.785 18.900 1.042 944.192
FPPF 1.5.1 Rent. 14.859 59.015 6.054 - 79.929
FPPF 1.5.2 Utilities – water, electricity, communication, and related. - 335.274 - - 335.274
FPPF 1.5.3 Repairs and maintenance. - 80.109 - - 80.109
FPPF 1.5.4 Transportation and travel expenses. 545.330 528.583 228.601 12.040 1.314.554
FPPF 1.5.99 Administrative costs not classified above (specify). 6.292 290.546 2.886 - 299.725
FPPF 1.6 Consulting services 69.076 64.970 55.778 274 190.098
FPPF 1.7 Meetings and workshops 532.869 1.214.207 249.285 1.514 1.997.875
FPPF 2.1 Buildings - - - 680 680
FPPF 2.2.2 Information technology (hardware and software) - 10.252 - - 10.252
FPPF 2.2 Equipment - 63.899 - - 63.899
All FPPF 4.020.250 3.412.161 699.303 18.674 8.150.388
63
Appendix E. Table for Sumatera Barat Province
Appendix E. 5 Family Planning Expenditure at Sumatera Barat Province by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial
Health Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
FA 1.1.1.8 BKKBN 5.283.710 - - - 5.283.710
FA 1.1.2.1 Provincial Health Office - - 5.748 - 5.748
FA 1.1.2.4 Provincial FP Office - - - 38.778 38.778
All FA 5.283.710 - 5.748 38.778 5.328.236
64
Appendix E. 2 Family Planning Expenditure at Sumatera Barat Province by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.2.99
APBD Province
FS 1.1.2.1
APBD of
Provincial Health
Office
FS 1.1.2.5
APBD of
Provincial FP
Office
All FS
PS.1.1.1 Public general hospitals 19.687 - - - 19.687
PS.1.13.2 Departments inside the Ministry of Health - - 5.748 - 5.748
PS.1.13.99 Other Ministries or Public Administration entities n.e.c 3.315.075 - - 29.642 3.344.717
PS.1.2.1 Public outpatient care centres 1.018.381 - - - 1.018.381
PS.1.2.2 Public physician offices 31.453 - - - 31.453
PS.1.9.3 Higher education 33.128 - - - 33.128
PS.2.11 NGO and community-based organizations 863.934 - - 9.136 873.070
PS.3.1.1 Private for profit general hospitals 184 - - - 184
PS.3.2.1 Private for profit outpatient care centers 1.869 - - - 1.869
All PS 5.283.710 - 5.748 38.778 5.328.236
65
Appendix E. 3 Family Planning Expenditure at Sumatera Barat Province by PS and FPSC in US Dollar ($), 2016
PS.1.1.1
Public general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient care
centres
PS.1.2.2
Public physician
offices
PS.1.9.3
Higher
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit general
hospitals
PS.3.2.1
Private for
profit
outpatient care
centers
All PS
FPSC 1.0 Family planning services nec 28 - 13.340 3.333 - - - 5 36 16.742
FPSC 1.1 Counselling on contraceptive methods and any
other FP advice19 - 12.385 2.224 - - 3.140 3 24 17.796
FPSC 1.2 Consultation, diagnosis, monitoring health
conditions, any FP clinical assessment.1.010 - 13.160 - - - - - - 14.170
FPSC 1.21 Female sterilization 385 - 8.088 21.522 - - - 22 242 30.259
FPSC 1.22 Male sterilization 220 - 10.273 27.563 - - - 22 245 38.324
FPSC 1.23 Information, education and communication for
FP7.534 - 1.145.721 24.900 - 5.144 751.962 - - 1.935.261
FPSC 1.3 Treating any FP medical need (as contraceptive
side effects management)8.876 - 5.426 9.972 461 - - 14 108 24.856
FPSC 1.4 Prescription and provision of male condoms for
FP- - 1.463 23.710 - - - - - 25.173
FPSC 1.6 Provision of pills - - 268 171.842 - - - - - 172.110
FPSC 1.7 Provision of injectables - - 1.179 107.306 - - - - - 108.485
FPSC 1.8 Provision of IUD 549 - 14.541 48.587 - - - 39 432 64.148
FPSC 1.9 Provision of implants 1.054 - 44.470 484.509 - - - 77 769 530.879
FPSC 2.0 Programme management and administration nec- - 200.098 - - - - - - 200.098
FPSC 2.1 Planning, coordination, and programme
management- 3.903 700.138 - - - 43.997 - - 748.037
FPSC 2.3 Monitoring and evaluation - - 267.149 - - - - - - 267.149
FPSC 2.4 Operations research - - 219.853 - - - - - - 219.853
FPSC 2.5 Drug supply systems - - 31.857 - - - - - - 31.857
FPSC 2.6 Information technology - - 14.916 - - - - - - 14.916
FPSC 2.8 Upgrading and provision other equipment - - 191.552 - - - - - - 191.552
FPSC 2.9 Upgrading and construction of infrastructure - - 206.603 - - - - - - 206.603
FPSC 3.3 Training and capacity building 11 1.845 186.118 92.912 30.992 27.984 73.972 2 14 413.849
FPSC 4.1 Advocacy - - 52.852 - - - - - - 52.852
FPSC 4.2 FP-specific institutional development - - 3.266 - - - - - - 3.266
All FPSC 19.687 5.748 3.344.717 1.018.381 31.453 33.128 873.070 184 1.869 5.328.236
PS
FPSC
66
Appendix E. 4 Family Planning Expenditure at Sumatera Barat Province by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management and
administration
FPSC 3.0:
Human Resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 1.429.294 78.429 102.494 31.015 1.641.232
FPPF 1.1.2 Management staff cost. 461 775.541 17.614 8.861 802.476
FPPF 1.2.3 IUD and related consumables. 235 - - - 235
FPPF 1.2.4 Implants and related consumables. 484 - - - 484
FPPF 1.2.5 Consumables for tubal litigation. 209 - - - 209
FPPF 1.2.6 Consumables for vasectomy. 42 - - - 42
FPPF 1.2.99 Contraceptives and consumables n.e.c 3.402 - - - 3.402
FPPF 1.3 Reagents and materials 25.841 - - - 25.841
FPPF 1.4 Information, education and communication (IEC) 625.976 14 - 72 626.062
FPPF 1.5.1 Rent. 11.528 19.616 12.047 5.639 48.831
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 16.466 318.933 101.944 8.149 445.491
FPPF 1.5.3 Repairs and maintenance. - 3.249 - - 3.249
FPPF 1.5.4 Transportation and travel expenses. 1.566 606 2.855 178 5.205
FPPF 1.5.99 Administrative costs not classified above (specify). - 22.671 - - 22.671
FPPF 1.6 Consulting services 93.277 101.521 57.260 494 252.552
FPPF 1.7 Meetings and workshops 769.421 223.817 119.635 1.711 1.114.584
FPPF 2.1 Buildings - 173.871 - - 173.871
FPPF 2.2.1 Vehicles - 101.593 - - 101.593
FPPF 2.2.2 Information technology (hardware and software) - 19.668 - - 19.668
FPPF 2.2 Equipment - 40.539 - - 40.539
All FPPF 2.978.203 1.880.066 413.849 56.118 5.328.236
67
Appendix F. Table for Bandung City
Appendix F. 6 Family Planning Expenditure at Bandung City by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 290.843 - - - - 290.843
FA 1.1.3.1 District Health Office - - - 42.159 - 42.159
FA 1.1.3.4 District FP Office - - 566.823 - - 566.823
FA 1.2 BPJS Health - - - - 13.153 13.153
All FA 290.843 - 566.823 42.159 13.153 912.979
68
Appendix F. 2 Family Planning Expenditure at Bandung City by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 47.286 - 1.545 - - 48.832
PS.1.13.2 Departments inside the Ministry of Health - - - 39.544 - 39.544
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 502.164 - - 502.164
PS.1.2.1 Public outpatient care centres 243.557 - 29.364 2.615 11.838 287.374
PS.2.11 NGO and community-based organizations - - 33.750 - - 33.750
PS.3.2.1 Private for profit outpatient care centers - - - - 1.315 1.315
All FS 290.843 - 566.823 42.159 13.153 912.979
69
Appendix F. 3 Family Planning Expenditure at Bandung City by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.23 Information, education and communication
for FP - 10.919 139.248 2.615 - 1.089 - - - 153.871
FPSC 1.4 Prescription and provision of male condoms
for FP 14.401 - - 34.334 - - - - - 48.735
FPSC 1.6 Provision of pills 351 - - 4.839 - - - - - 5.189
FPSC 1.7 Provision of injectables 4.549 - 15.081 71.337 - - - - - 90.967
FPSC 1.8 Provision of IUD 7.757 - 3.291 64.558 - - - 779 - 76.385
FPSC 1.9 Provision of implants 21.774 - 433 109.692 - - - 536 - 132.434
FPSC 2.1 Planning, coordination, and programme
management - 1.270 30.999 - - - - - - 32.269
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 19.252 - - - - - - 19.252
FPSC 2.3 Monitoring and evaluation - 3.311 47.397 - - - - - - 50.708
FPSC 2.6 Information technology - 4.564 58.580 - - - - - - 63.144
FPSC 2.8 Upgrading and provision other equipment - - 1.367 - - - - - - 1.367
FPSC 2.9 Upgrading and construction of infrastructure - - 27.761 - - - - - - 27.761
FPSC 3.3 Training and capacity building - 15.387 138.885 - - - - - - 154.272
FPSC 4.2 FP-specific institutional development - 4.093 19.870 - - 32.660 - - - 56.623
All FPSC 48.832 39.544 502.164 287.374 - 33.750 - 1.315 - 912.979
70
Appendix F. 4 Family Planning Expenditure at Bandung City by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 95.885 - - - 95.885
FPPF 1.1.2 Management staff cost. 8.837 92.657 84.096 26.982 212.572
FPPF 1.2.1 Pills. 5.189 - - - 5.189
FPPF 1.2.2 Injectables and related consumables. 75.886 - - - 75.886
FPPF 1.2.3 IUD and related consumables. 65.302 - - - 65.302
FPPF 1.2.4 Implants and related consumables. 126.640 - - - 126.640
FPPF 1.2.7 Male condoms for FP. 48.735 - - - 48.735
FPPF 1.4 Information, education and communication (IEC) 33.881 1.613 837 2.064 38.395
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 3.124 20.204 1.703 2.349 27.380
FPPF 1.5.3 Repairs and maintenance. - 1.063 - - 1.063
FPPF 1.5.4 Transportation and travel expenses. - 13.523 16.906 - 30.430
FPPF 1.5 Internal administrative costs 4.608 8.289 5.950 11.419 30.267
FPPF 1.6 Consulting services 5.646 8.296 27.615 2.186 43.744
FPPF 1.7 Meetings and workshops 6.352 34.399 17.164 11.623 69.538
FPPF 2.1 Buildings - 4.452 - - 4.452
FPPF 2.2.1 Vehicles 27.495 - - - 27.495
FPPF 2.2.2 Information technology (hardware and software) - 9.154 - - 9.154
FPPF 2.2 Equipment - 850 - - 850
All FPPF 507.582 194.502 154.272 56.623 912.979
71
Appendix G. Table for Bogor District
Appendix G. 7 Family Planning Expenditure at Bogor District by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 1.117.030 - - - - 1.117.030
FA 1.1.3.1 District Health Office - - - 103.281 - 103.281
FA 1.1.3.4 District FP Office - - 1.032.541 - - 1.032.541
FA 1.2 BPJS Health - - - - 14.273 14.273
All FA 1.117.030 - 1.032.541 103.281 14.273 2.267.125
72
Appendix G. 2 Family Planning Expenditure at Bogor District by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 56.017 - 13.862 - - 69.880
PS.1.13.2 Departments inside the Ministry of Health - - - 47.758 - 47.758
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 816.035 - - 816.035
PS.1.2.1 Public outpatient care centres 1.061.012 - 88.715 55.523 12.846 1.218.096
PS.2.11 NGO and community-based organizations - - 33.989 - - 33.989
PS.3.1.1 Private for profit general hospitals - - 79.940 - - 79.940
PS.3.2.1 Private for profit outpatient care centers - - - - 1.427 1.427
All PS 1.117.030 - 1.032.541 103.281 14.273 2.267.125
73
Appendix G. 3 Family Planning Expenditure at Bogor District by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.21 Female sterilization 8.882 - 39.695 - - - 79.940 - - 128.518
FPSC 1.22 Male sterilization 4.315 - 2.534 2.871 - - - - - 9.720
FPSC 1.23 Information, education and communication
for FP - 38.073 488.327 55.523 - 32.646 - - - 614.569
FPSC 1.4 Prescription and provision of male condoms
for FP 1.178 - - 22.387 - - - - - 23.565
FPSC 1.6 Provision of pills 10.580 - - 201.021 - - - - - 211.601
FPSC 1.7 Provision of injectables 22.969 - 32.797 501.897 - - - - - 557.663
FPSC 1.8 Provision of IUD 347 - 275 7.371 - - - 21 - 8.014
FPSC 1.9 Provision of implants 21.288 - 6.322 418.851 - - - 1.406 - 447.867
FPSC 2.1 Planning, coordination, and programme
management - 4.949 80.896 - - - - - - 85.845
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 37.462 - - - - - - 37.462
FPSC 2.3 Monitoring and evaluation - 4.735 63.815 - - 1.343 - - - 69.893
FPSC 2.5 Drug supply systems - - 5.268 - - - - - - 5.268
FPSC 2.7 Upgrading and provision FP medical
equipment 320 - - 8.176 - - - - - 8.496
FPSC 2.8 Upgrading and provision other equipment - - 21.078 - - - - - - 21.078
FPSC 2.9 Upgrading and construction of infrastructure - - 37.568 - - - - - - 37.568
All FPSC 69.880 47.758 816.035 1.218.096 - 33.989 79.940 1.427 - 2.267.125
74
Appendix G. 4 Family Planning Expenditure at Bogor District by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 296.670 5.998 - - 302.668
FPPF 1.1.2 Management staff cost. - 94.863 - - 94.863
FPPF 1.2.1 Pills. 211.601 - - - 211.601
FPPF 1.2.2 Injectables and related consumables. 524.865 - - - 524.865
FPPF 1.2.3 IUD and related consumables. 7.527 - - - 7.527
FPPF 1.2.4 Implants and related consumables. 427.484 - - - 427.484
FPPF 1.2.5 Consumables for tubal litigation. 88.823 - - - 88.823
FPPF 1.2.6 Consumables for vasectomy. 7.186 - - - 7.186
FPPF 1.2.7 Male condoms for FP. 23.565 - - - 23.565
FPPF 1.4 Information, education and communication (IEC) 76.997 1.206 - - 78.203
FPPF 1.5.2 Utilities – water, electricity, communication, and related. - 4.867 - - 4.867
FPPF 1.5.3 Repairs and maintenance. - 13.858 - - 13.858
FPPF 1.5.4 Transportation and travel expenses. 267.288 37.310 - - 304.598
FPPF 1.5 Internal administrative costs - 24.913 - - 24.913
FPPF 1.6 Consulting services 13.986 15.017 - - 29.003
FPPF 1.7 Meetings and workshops 55.523 33.140 - - 88.663
FPPF 2.1 Buildings - 16.517 - - 16.517
FPPF 2.2.1 Vehicles - 797 - - 797
FPPF 2.2.2 Information technology (hardware and software) - 2.382 - - 2.382
FPPF 2.2.3 Medical equipment for FP - 8.496 - - 8.496
FPPF 2.2 Equipment - 6.242 - - 6.242
All FPPF 2.001.516 265.609 - - 2.267.125
75
Appendix H. Table for Kupang City
Appendix H. 8 Family Planning Expenditure at Kupang City by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 53.899 - - - - 53.899
FA 1.1.3.1 District Health Office - - - 185 - 185
FA 1.1.3.4 District FP Office - - 379.183 - - 379.183
FA.2.4 NGO at District - 14.528 - - - 14.528
All FA 53.899 14.528 379.183 185 - 447.795
76
Appendix H. 2 Family Planning Expenditure at Kupang City by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 510 - 19 - - 529
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 335.038 - - 335.038
PS.1.2.1 Public outpatient care centres 43.078 4.444 16.264 185 - 63.971
PS.2.11 NGO and community-based organizations - 10.084 24.063 - - 34.148
PS.3.1.1 Private for profit general hospitals 755 - 542 - - 1.297
PS.3.2.1 Private for profit outpatient care centers 9.556 - 3.257 - - 12.813
All PS 53.899 14.528 379.183 185 - 447.795
77
Appendix H. 3 Family Planning Expenditure at Kupang City by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.1 Counselling on contraceptive methods and
any other FP advice - - 8.567 1.393 - - - - - 9.960
FPSC 1.23 Information, education and communication
for FP - - 171.565 1.680 - 25.901 - 747 - 199.893
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) - - 979 448 - - - - - 1.428
FPSC 1.4 Prescription and provision of male condoms
for FP 0 - - 64 - - 0 9 - 73
FPSC 1.6 Provision of pills 10 - - 877 - - 197 - - 1.084
FPSC 1.7 Provision of injectables 149 - 95 12.724 - - 124 2.799 - 15.891
FPSC 1.8 Provision of IUD 5 - 84 1.099 - - 146 411 - 1.744
FPSC 1.9 Provision of implants 364 - 1.765 35.195 - - 307 7.780 - 45.411
FPSC 2.1 Planning, coordination, and programme
management - - 70.210 - - - - 21 - 70.231
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 7.249 - - 5.723 - - - 12.972
FPSC 2.3 Monitoring and evaluation - - 5.283 - - - - - - 5.283
FPSC 2.5 Drug supply systems - - 344 - - - - - - 344
FPSC 2.7 Upgrading and provision FP medical
equipment - - - - - - 523 1.046 - 1.570
FPSC 2.8 Upgrading and provision other equipment - - 60.777 10.491 - - - - - 71.268
FPSC 3.3 Training and capacity building - - 8.119 - - 2.523 - - - 10.643
All FPSC 529 - 335.038 63.971 - 34.148 1.297 12.813 - 447.795
78
Appendix H. 4 Family Planning Expenditure at Kupang City by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 146.766 - 65 - 146.831
FPPF 1.1.2 Management staff cost. 5.182 106.867 8.119 - 120.168
FPPF 1.2.1 Pills. 1.060 - - - 1.060
FPPF 1.2.2 Injectables and related consumables. 15.653 - - - 15.653
FPPF 1.2.3 IUD and related consumables. 1.181 - - - 1.181
FPPF 1.2.4 Implants and related consumables. 41.038 - - - 41.038
FPPF 1.2.7 Male condoms for FP. 49 - - - 49
FPPF 1.4 Information, education and communication (IEC) 15.495 21 - - 15.516
FPPF 1.5.1 Rent. 4.468 - - - 4.468
FPPF 1.5.2 Utilities – water, electricity, communication, and related. - 2.485 - - 2.485
FPPF 1.5.3 Repairs and maintenance. 16 5.359 - - 5.375
FPPF 1.5.4 Transportation and travel expenses. 13.707 9.956 2.121 - 25.784
FPPF 1.5 Internal administrative costs 209 11.242 - - 11.451
FPPF 1.6 Consulting services 4.073 2.197 75 - 6.345
FPPF 1.7 Meetings and workshops 26.588 - 262 - 26.850
FPPF 2.1 Buildings - 448 - - 448
FPPF 2.2.2 Information technology (hardware and software) - 11.365 - - 11.365
FPPF 2.2.3 Medical equipment for FP - 1.570 - - 1.570
FPPF 2.2 Equipment - 10.157 - - 10.157
All FPPF 275.485 161.667 10.643 - 447.795
79
Appendix I. Table for Manggarai Barat District
Appendix I. 9 Family Planning Expenditure at Manggarai Barat District by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 51.853 - - - - 51.853
FA 1.1.3.1 District Health Office - - - 663 - 663
FA 1.1.3.4 District FP Office - - 293.434 - - 293.434
All FA 51.853 - 293.434 663 - 345.950
80
Appendix I. 2 Family Planning Expenditure at Manggarai Barat District by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 657 - - - - 657
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 276.595 - - 276.595
PS.1.2.1 Public outpatient care centres 51.092 - 12.369 663 - 64.124
PS.2.11 NGO and community-based organizations - - 4.469 - - 4.469
PS.3.2.1 Private for profit outpatient care centers 104 - - - - 104
All PS 51.853 - 293.434 663 - 345.950
81
Appendix I. 3 Family Planning Expenditure at Manggarai Barat District by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.22 Male sterilization 657 - - - - - - - - 657
FPSC 1.23 Information, education and communication
for FP - - 94.128 663 - 4.469 - - - 99.261
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) - - 5.113 3.587 - - - - - 8.700
FPSC 1.4 Prescription and provision of male condoms
for FP - - - 70 - - - 4 - 75
FPSC 1.6 Provision of pills - - - 6.303 - - - 11 - 6.314
FPSC 1.7 Provision of injectables - - - 27.728 - - - 48 - 27.776
FPSC 1.8 Provision of IUD - - - 2.025 - - - 2 - 2.027
FPSC 1.9 Provision of implants - - 5.965 23.747 - - - 38 - 29.750
FPSC 2.1 Planning, coordination, and programme
management - - 25.729 - - - - - - 25.729
FPSC 2.5 Drug supply systems - - 10.416 - - - - - - 10.416
FPSC 2.9 Upgrading and construction of infrastructure - - 128.768 - - - - - - 128.768
FPSC 3.3 Training and capacity building - - 6.476 - - - - - - 6.476
All FPSC 657 - 276.595 64.124 - 4.469 - 104 - 345.950
82
Appendix I. 4 Family Planning Expenditure at Manggarai Barat District by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 5.091 - - - 5.091
FPPF 1.1.2 Management staff cost. 66.636 98.321 6.476 - 171.433
FPPF 1.2.1 Pills. 5.480 - - - 5.480
FPPF 1.2.2 Injectables and related consumables. 25.774 - - - 25.774
FPPF 1.2.3 IUD and related consumables. 1.984 - - - 1.984
FPPF 1.2.4 Implants and related consumables. 21.515 - - - 21.515
FPPF 1.2.6 Consumables for vasectomy. 657 - - - 657
FPPF 1.2.7 Male condoms for FP. 31 - - - 31
FPPF 1.4 Information, education and communication (IEC) 149 - - - 149
FPPF 1.5.1 Rent. 4.568 138 - - 4.706
FPPF 1.5.4 Transportation and travel expenses. 29.190 10.621 - - 39.810
FPPF 1.5 Internal administrative costs - 284 - - 284
FPPF 1.6 Consulting services 1.553 3.606 - - 5.160
FPPF 1.7 Meetings and workshops 11.932 6.052 - - 17.985
FPPF 2.1 Buildings - 45.705 - - 45.705
FPPF 2.2 Equipment - 187 - - 187
All FPPF 174.561 164.913 6.476 - 345.950
83
Appendix J. Table for Surabaya City
Appendix J. 10 Family Planning Expenditure at Surabaya City by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 187.478 - - - - 187.478
FA 1.1.3.1 District Health Office - - - 49.526 - 49.526
FA 1.1.3.4 District FP Office - - 508.329 - - 508.329
FA 1.2 BPJS Health - - - - 12.748 12.748
All FA 187.478 - 508.329 49.526 12.748 758.081
84
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 6.191 - 3.453 - - 9.645
PS.1.13.2 Departments inside the Ministry of Health - - - 1.093 - 1.093
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c 289 - 261.744 - - 262.033
PS.1.2.1 Public outpatient care centres 148.373 - 81.315 48.433 11.937 290.058
PS.1.9.2 Secondary education 302 - - - - 302
PS.2.11 NGO and community-based organizations 2.899 - 147.460 - - 150.359
PS.3.1.1 Private for profit general hospitals 9.996 - 1.933 - - 11.929
PS.3.2.1 Private for profit outpatient care centers 19.203 - 12.424 - 811 32.438
PS.3.9 Consultancy Firms 224 - - - - 224
All PS 187.478 - 508.329 49.526 12.748 758.081
Appendix J. 2 Family Planning Expenditure at Surabaya City by FS and PS in US Dollar ($), 2016
85
Appendix J. 3 Family Planning Expenditure at Surabaya City by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.0 Family planning services nec 149 - - 2.840 - - 76 192 - 3.258
FPSC 1.21 Female sterilization 2.171 - - 52.311 - - - - - 54.483
FPSC 1.22 Male sterilization - - 79.039 458 - - - - - 79.496
FPSC 1.23 Information, education and communication
for FP - 130 112.315 23.414 - 147.460 11 - - 283.330
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) 534 - - 3 - - 3 106 - 646
FPSC 1.4 Prescription and provision of male condoms
for FP 5 - 0 115 - - 8 16 - 145
FPSC 1.6 Provision of pills 80 - 3 2.725 - - 132 270 - 3.210
FPSC 1.7 Provision of injectables 2.498 - 105 63.514 - - 4.150 8.814 - 79.082
FPSC 1.8 Provision of IUD 202 - 8 11.548 - - 703 1.498 - 13.959
FPSC 1.9 Provision of implants 2.853 - 104 73.441 - 2.899 4.380 10.303 - 93.981
FPSC 2.1 Planning, coordination, and programme
management - 354 70.432 17.143 - - - - 224 88.154
FPSC 2.3 Monitoring and evaluation 8 608 - 11.374 - - 15 50 - 12.055
FPSC 2.7 Upgrading and provision FP medical
equipment 5 - 11 2.657 - - 597 29 - 3.299
FPSC 2.8 Upgrading and provision other equipment 1.140 - 15 28.513 302 - 1.854 11.160 - 42.983
All FPSC 9.645 1.093 262.033 290.058 302 150.359 11.929 32.438 224 758.081
86
Appendix J. 4 Family Planning Expenditure at Surabaya City by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 87.441 4.809 - - 92.250
FPPF 1.1.2 Management staff cost. 191.501 33.218 - - 224.719
FPPF 1.2.1 Pills. 2.398 - - - 2.398
FPPF 1.2.2 Injectables and related consumables. 77.287 - - - 77.287
FPPF 1.2.3 IUD and related consumables. 10.774 - - - 10.774
FPPF 1.2.4 Implants and related consumables. 84.604 - - - 84.604
FPPF 1.2.7 Male condoms for FP. 137 - - - 137
FPPF 1.2 Contraceptives and consumables 2.670 - - - 2.670
FPPF 1.3 Reagents and materials 587 - - - 587
FPPF 1.4 Information, education and communication (IEC) 9.547 20.018 - - 29.564
FPPF 1.5.1 Rent. 1.051 2.959 - - 4.010
FPPF 1.5.4 Transportation and travel expenses. 96.318 7.512 - - 103.831
FPPF 1.5 Internal administrative costs 16 15.000 - - 15.016
FPPF 1.6 Consulting services 9.679 3.176 - - 12.855
FPPF 1.7 Meetings and workshops 36.917 15.218 - - 52.135
FPPF 2.2.2 Information technology (hardware and software) 663 328 - - 990
FPPF 2.2.3 Medical equipment for FP - 3.299 - - 3.299
FPPF 2.2 Equipment - 40.953 - - 40.953
All FPPF 611.589 146.491 - - 758.081
87
Appendix K. Table for Malang District
Appendix K. 11 Family Planning Expenditure at Malang District by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
All FS
FA 1.1.1.8 BKKBN 277.286 - - - - 277.286
FA 1.1.3.1 District Health Office - - - 31.694 - 31.694
FA 1.1.3.4 District FP Office - - 1.098.513 - - 1.098.513
All FA 277.286 - 1.098.513 31.694 - 1.407.492
88
Appendix K. 2 Family Planning Expenditure at Malang District by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 697 - 74 - - 771
PS.1.13.2 Departments inside the Ministry of Health - - - 11.189 - 11.189
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 905.363 - - 905.363
PS.1.2.1 Public outpatient care centres 259.939 - 46.561 20.505 - 327.005
PS.2.11 NGO and community-based organizations - - 140.577 - - 140.577
PS.3.1.1 Private for profit general hospitals 5.335 - 753 - - 6.088
PS.3.2.1 Private for profit outpatient care centers 11.315 - 5.185 - - 16.500
All PS 277.286 - 1.098.513 31.694 - 1.407.492
89
Appendix K. 3 Family Planning Expenditure at Malang District by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.0 Family planning services nec - - - 1.428 - - - - - 1.428
FPSC 1.2 Consultation, diagnosis, monitoring health
conditions, any FP clinical assessment. - - - 8.843 - - - - - 8.843
FPSC 1.21 Female sterilization - - - 2.261 - - - 98 - 2.360
FPSC 1.22 Male sterilization 6 63 - - - - 46 - - 116
FPSC 1.23 Information, education and communication
for FP - 35 310.664 6.294 - 111.279 - - - 428.272
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) 3 - - 87 - - - 12 - 103
FPSC 1.4 Prescription and provision of male condoms
for FP 0 - - 54 - - 1 2 - 58
FPSC 1.6 Provision of pills 14 3.713 - 5.260 - - 108 229 - 9.325
FPSC 1.7 Provision of injectables 130 3.524 - 52.483 - - 1.040 6.103 - 63.280
FPSC 1.8 Provision of IUD 12 392 - 11.735 - - 90 191 - 12.420
FPSC 1.9 Provision of implants 606 2.864 - 225.925 - - 4.802 9.863 - 244.061
FPSC 2.1 Planning, coordination, and programme
management - 140 246.283 1.020 - 2.593 - - - 250.036
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 7.050 - - - - - - 7.050
FPSC 2.3 Monitoring and evaluation - 139 67.676 1.010 - - - - - 68.825
FPSC 2.7 Upgrading and provision FP medical
equipment - - - 7.265 - - - - - 7.265
FPSC 2.8 Upgrading and provision other equipment - - 58.156 - - - - - - 58.156
FPSC 2.9 Upgrading and construction of infrastructure - - 157.153 - - - - - - 157.153
FPSC 3.3 Training and capacity building - 319 54.790 3.337 - 25.024 - - - 83.470
FPSC 4.2 FP-specific institutional development - - 3.590 - - 1.682 - - - 5.271
All FPSC 771 11.189 905.363 327.005 - 140.577 6.088 16.500 - 1.407.492
90
Appendix K. 4 Family Planning Expenditure at Malang District by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 18.064 - - - 18.064
FPPF 1.1.2 Management staff cost. 287.727 388.641 54.900 3.590 734.858
FPPF 1.2.1 Pills. 5.612 - - - 5.612
FPPF 1.2.2 Injectables and related consumables. 59.756 - - - 59.756
FPPF 1.2.3 IUD and related consumables. 12.131 - - - 12.131
FPPF 1.2.4 Implants and related consumables. 236.101 - - - 236.101
FPPF 1.2.7 Male condoms for FP. 58 - - - 58
FPPF 1.2 Contraceptives and consumables 1.363 - - - 1.363
FPPF 1.3 Reagents and materials 65 - - - 65
FPPF 1.4 Information, education and communication (IEC) 1.752 - - - 1.752
FPPF 1.5.1 Rent. 6.582 37 2.227 11 8.858
FPPF 1.5.2 Utilities – water, electricity, communication, and related. - 928 1.069 - 1.997
FPPF 1.5.3 Repairs and maintenance. - 3.490 5.344 - 8.834
FPPF 1.5.4 Transportation and travel expenses. 37.132 23.225 3.883 737 64.977
FPPF 1.5 Internal administrative costs 2.459 6.958 9.100 668 19.185
FPPF 1.6 Consulting services 460 3.761 1.420 75 5.716
FPPF 1.7 Meetings and workshops 41.863 23.039 5.528 191 70.621
FPPF 2.1 Buildings - 45.357 - - 45.357
FPPF 2.2.1 Vehicles 49.903 - - - 49.903
FPPF 2.2.2 Information technology (hardware and software) - 11.864 - - 11.864
FPPF 2.2.3 Medical equipment for FP 9.237 29.781 - - 39.017
FPPF 2.2.4 Laboratory and other medical equipment - 525 - - 525
FPPF 2.2 Equipment - 10.879 - - 10.879
All FPPF 770.265 548.485 83.470 5.271 1.407.492
91
Appendix L. Table for Padang City
Appendix L. 12 Family Planning Expenditure at Padang City by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 18.601 - - - - 18.601
FA 1.1.3.1 District Health Office - - - 818 - 818
FA 1.1.3.4 District FP Office - - 248.872 - - 248.872
FA 1.2 BPJS Health - - - - 12.439 12.439
All FA 18.601 - 248.872 818 12.439 280.731
92
Appendix L. 2 Family Planning Expenditure at Padang City by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 109 - - - - 109
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c - - 194.241 119 - 194.360
PS.1.2.1 Public outpatient care centres 17.025 - 20.870 700 8.725 47.320
PS.2.11 NGO and community-based organizations - - 33.760 - - 33.760
PS.3.1.1 Private for profit general hospitals 19 - - - - 19
PS.3.2.1 Private for profit outpatient care centers 1.449 - - - 3.714 5.163
All PS 18.601 - 248.872 818 12.439 280.731
93
Appendix L. 3 Family Planning Expenditure at Padang City by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.2 Consultation, diagnosis, monitoring health
conditions, any FP clinical assessment. - - - 14 - - - - - 14
FPSC 1.23 Information, education and communication
for FP - - 132.891 4.309 - 33.760 - 258 - 171.218
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) 42 - 1.165 2.079 - - 8 14 - 3.307
FPSC 1.4 Prescription and provision of male condoms
for FP - - 8.170 20.575 - - - - - 28.746
FPSC 1.6 Provision of pills 2 - 1.961 2.681 - - - 2 - 4.645
FPSC 1.7 Provision of injectables 50 - 2.370 4.040 - - 4 27 - 6.490
FPSC 1.8 Provision of IUD 15 - - 4.093 - - 8 1.126 - 5.242
FPSC 1.9 Provision of implants - - 1.537 9.528 - - - 3.737 - 14.802
FPSC 2.1 Planning, coordination, and programme
management - - 18.974 - - - - - - 18.974
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 3.871 - - - - - - 3.871
FPSC 2.8 Upgrading and provision other equipment - - 23.421 - - - - - - 23.421
All FPSC 109 - 194.360 47.320 - 33.760 19 5.163 - 280.731
94
Appendix L. 4 Family Planning Expenditure at Padang City by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 157.730 1.427 - - 159.157
FPPF 1.1.2 Management staff cost. - 24.148 - - 24.148
FPPF 1.2.1 Pills. 82 - - - 82
FPPF 1.2.2 Injectables and related consumables. 975 - - - 975
FPPF 1.2.3 IUD and related consumables. 1.239 - - - 1.239
FPPF 1.2.4 Implants and related consumables. 3.772 - - - 3.772
FPPF 1.2.7 Male condoms for FP. 9.731 - - - 9.731
FPPF 1.2 Contraceptives and consumables 1.547 - - - 1.547
FPPF 1.3 Reagents and materials 8.120 36 - - 8.156
FPPF 1.4 Information, education and communication (IEC) 23.724 - - - 23.724
FPPF 1.5.1 Rent. 3.411 - - - 3.411
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 5.308 29 - - 5.337
FPPF 1.5.4 Transportation and travel expenses. 868 - - - 868
FPPF 1.6 Consulting services 1.611 55 - - 1.666
FPPF 1.7 Meetings and workshops 16.347 7.214 - - 23.560
FPPF 2.2 Equipment - 13.357 - - 13.357
All FPPF 234.465 46.266 - - 280.731
95
Appendix M. Table for Limapuluh Kota District
Appendix M. 13 Family Planning Expenditure at Limapuluh Kota District by FS and FA in US Dollar ($), 2016
FA
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of District FP
Office
FS.1.1.3.1
APBD of District
Health Office
FS.1.2.3
Government
transfers to Social
Security
All FS
FA 1.1.1.8 BKKBN 10.842 - - - - 10.842
FA 1.1.3.1 District Health Office - - - 213 - 213
FA 1.1.3.4 District FP Office - - 579.131 - - 579.131
All FA 10.842 - 579.131 213 - 590.186
96
Appendix M. 2 Family Planning Expenditure at Limapuluh Kota District by FS and PS in US Dollar ($), 2016
PS
FS FS 1.1.1.8
APBN BKKBN
FS 1.1.3.5
APBD District
FS 1.1.3.99
APBD of
District FP
Office
FS.1.1.3.1
APBD of
District Health
Office
FS.1.2.3
Government
transfers to
Social Security
All FS
PS.1.1.1 Public general hospitals 40 40
PS.1.13.99 Other Ministries or Public Administration
entities n.e.c 506.755 506.755
PS.1.2.1 Public outpatient care centres 10.802 3.802 213 14.816
PS.2.11 NGO and community-based organizations 68.575 68.575
All PS 10.842 - 579.131 213 - 590.186
97
Appendix M. 3 Family Planning Expenditure at Limapuluh Kota District by PS and FPSC in US Dollar ($), 2016
FPSC
PS PS.1.1.1
Public
general
hospitals
PS.1.13.2
Departments
inside the
Ministry of
Health
PS.1.13.99
Other
Ministries or
Public
Administration
entities n.e.c
PS.1.2.1
Public
outpatient
care
centres
PS.1.9.2
Secondary
education
PS.2.11
NGO and
community-
based
organizations
PS.3.1.1
Private for
profit
general
hospitals
PS.3.2.1
Private for
profit
outpatient
care
centers
PS.3.9
Consultancy
Firms
All PS
FPSC 1.21 Female sterilization - - 7.214 1.514 - - - - - 8.728
FPSC 1.22 Male sterilization - - 7.214 1.567 - - - - - 8.781
FPSC 1.23 Information, education and communication
for FP - - 98.925 213 - - - - - 99.138
FPSC 1.3 Treating any FP medical need (as
contraceptive side effects management) - - 1.105 860 - - - - - 1.965
FPSC 1.4 Prescription and provision of male condoms
for FP - - - 1.728 - - - - - 1.728
FPSC 1.6 Provision of pills 6 - - 274 - - - - - 280
FPSC 1.7 Provision of injectables 21 - - 1.580 - - - - - 1.601
FPSC 1.8 Provision of IUD 13 - - 94 - - - - - 107
FPSC 1.9 Provision of implants - - - 6.986 - - - - - 6.986
FPSC 2.1 Planning, coordination, and programme
management - - 25.596 - - - - - - 25.596
FPSC 2.2 Administration and transaction costs
associated with managing and disbursing
funds - - 3.430 - - - - - - 3.430
FPSC 2.3 Monitoring and evaluation - - 381 - - - - - - 381
FPSC 2.8 Upgrading and provision other equipment - - 264.968 - - - - - - 264.968
FPSC 3.3 Training and capacity building - - 97.922 - - 68.575 - - - 166.496
All FPSC 40 - 506.755 14.816 - 68.575 - - - 590.186
98
Appendix M. 4 Family Planning Expenditure at Limapuluh Kota District by FPSC and FPPF in US Dollar ($), 2016
FPPF
FPSC FPSC 1.0:
Family planning
services
FPSC 2.0:
Programme
management
and
administration
FPSC 3.0:
Human
resources
FPSC 4.0:
Enabling
environment
All FPSC
FPPF 1.1.1 Direct FP service provision staff cost. 98.068 - 97.922 - 195.990
FPPF 1.1.2 Management staff cost. - 194.719 4.450 - 199.169
FPPF 1.2.1 Pills. 280 - - - 280
FPPF 1.2.2 Injectables and related consumables. 1.601 - - - 1.601
FPPF 1.2.3 IUD and related consumables. 107 - - - 107
FPPF 1.2.4 Implants and related consumables. 6.986 - - - 6.986
FPPF 1.2.6 Consumables for vasectomy. 53 - - - 53
FPPF 1.2.7 Male condoms for FP. 1.728 - - - 1.728
FPPF 1.3 Reagents and materials 860 - - - 860
FPPF 1.4 Information, education and communication (IEC) 1.375 - - - 1.375
FPPF 1.5.1 Rent. 747 75 - - 822
FPPF 1.5.2 Utilities – water, electricity, communication, and related. 450 6.971 - - 7.421
FPPF 1.5.3 Repairs and maintenance. 1.121 - - - 1.121
FPPF 1.5.4 Transportation and travel expenses. 2.875 187 546 - 3.608
FPPF 1.5 Internal administrative costs 105 - - - 105
FPPF 1.6 Consulting services - 2.160 - - 2.160
FPPF 1.7 Meetings and workshops 9.594 26.924 63.579 - 100.097
FPPF 2.2.1 Vehicles - 14.956 - - 14.956
FPPF 2.2.2 Information technology (hardware and software) 3.363 22.675 - - 26.038
FPPF 2.2.4 Laboratory and other medical equipment - 25.709 - - 25.709
All FPPF 129.315 294.375 166.496 - 590.186
