This publication was produced by the USAID Jalin Project under Contract No. AID-497-C-17-00001at the request of the United States Agency
for International Development. This document is made possible by the support of the American people through the United States Agency for International Development. Its contents are the sole responsibility of the author or authors and do not necessarily reflect the views of USAID or the U.S. Government.
THE USAID JALIN PROJECT
QUARTERLY REPORT, Q2 PROJECT YEAR
2018
April – June 2018
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
THE USAID JALIN PROJECT
Quarterly Report, Q2 Project Year 2018
Program Title: The USAID Jalin Project
Sponsoring USAID Office: USAID/Indonesia
Contract Number: AID-497-C-17-00001
Contractor: DAI Global, LLC
Date of Submission: July 15, 2018
Author: DAI Global, LLC
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
TABLE OF CONTENTS
TABLE OF CONTENTS ................................................................................................................... 3
ACRONYMS ........................................................................................................................................... 4
Executive Summary ............................................................................................................................ 5 Highlights ............................................................................................................................................................ 5 Operations and Personnel ........................................................................................................................... 5 Planned Activities for Q3 Project Year 2018 ....................................................................................... 6
Progress Against Workplan ............................................................................................................. 7 Component 1: Partnership Process Managed to Generate, Implement, Evaluate, and
Scale Successful Local Solutions and Utilize Critical Evidence to Result in Sustainable
MNH Impact ...................................................................................................................................................... 7 Component 2: TA Deployed Effectively to Support Impact at Scale ......................................16 Component 3: Catalytic Financing Efficiently Disbursed to Support the Incubation and
Implementation of Local Solutions ........................................................................................................17
Performance Indicator Results .................................................................................................... 18
Jalin Indicator Performance Tracking Table Year 1 ............................................................ 19
Activity Location Data .................................................................................................................... 26
Resolution of Previous Problems ................................................................................................ 26
New Problems Encountered ......................................................................................................... 26
Other Notable Developments ...................................................................................................... 26
Proposed Solutions ........................................................................................................................... 27
Planned Activities for Q3 Project Year 2018 ......................................................................... 27
Success Stories ................................................................................................................................... 28
Photos .................................................................................................................................................... 28
ANNEXES ............................................................................................................................................ 29
Annex 1: Ringkasan Eksekutif ....................................................................................................... 29
Annex 2: Potential Districts Prioritized with KesGa for EMNC ..................................... 29
Annex 3: Moving the MAB Forward........................................................................................... 30
Annex 4: Media Coverage .............................................................................................................. 32 (DIRECT MENTION – USAID JALIN) .................................................................................................32 (NO DIRECT MENTION – USAID JALIN) .........................................................................................34
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
ACRONYMS
AIPI National Academy of Sciences
AmCham American Chamber of Commerce
BAPPENAS Ministry of Development and Planning
BRANY Biomedical Research Alliance of New York
COP Chief of Party
CSR Corporate Social Responsibility
DAI DAI Global Health, LLC
EMAS Expanding Maternal and Neonatal Survival
EMNC Every Mother and Newborn Counts
ESAS Evidence Summit Assessment and Scoping
HFG Health Finance and Governance
GUC Grants under Contract
IBI Indonesian Midwives Association
ICT Information and Communication Technology
IRB Institutional Review Board
KesGa Family Health Department
Litbangkes Research and Development Department
MAB Multistakeholder Advisory Body
MCSP Maternal and Child Survival Program
MERLA Monitoring, Evaluation, Research, Learning, and Adaptation
MESP Monitoring and Evaluation Support Project
MNH Maternal and Newborn Health
MOH Ministry of Health
ODK Open Data Kit
PACE Personal Advancement Career Enhancement
PERSI Private Hospital Association
POGI Indonesian Association of Obstetrics and Gynecology
PUSKA Center for Family Welfare at the University of Indonesia
SDG Sustainable Development Goals
SOP Standard Operating Procedures
SRS Sample Registration System
TAMIS Technical and Administrative Management Information System
UI University of Indonesia
USAID US Agency for International Development
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
EXECUTIVE SUMMARY1
In September 2017, the United States Agency for International Development (USAID)/Indonesia initiated
the USAID Jalin Project (hereafter referred to as “Jalin” or “the Project”), a five-year activity
contributing to the reduction of preventable maternal and newborn deaths, particularly among the
poorest and most vulnerable. Jalin—meaning “intertwined” in Bahasa Indonesia—weaves together
Government of Indonesia (GOI), private sector, civil society, and other stakeholders to use evidence to
co-define, co-create, and co-finance sustainable and scalable local solutions to capitalize on maternal and
newborn health (MNH) opportunities.
This report contains a summary of activities implemented and results achieved in Quarter 2 of Project
Year 2018, and activities to be implemented in Quarter 3.
HIGHLIGHTS
• USAID approval of deliverables including the Year 1 Annual Work Plan, Staffing Plan, MERLA Plan,
and Data Management Plan.
• Successful Jalin Kick-off Event from May 22 to 23 that included 169 participants from national and
subnational government agencies, private sector firms, non-governmental organizations (NGO),
institutions of higher education, and media outfits.
• Evidence Summit Assessment and Scoping (ESAS) conducted to inform USAID and the Akademi
Ilmu Pengetahuan Indonesia (AIPI, Indonesian Academy of Sciences) on AIPI’s potential to serve as a
national MNH knowledge management hub.
• Second plenary Multistakeholder Advisory Body (MAB) meeting convened on 26 June to present
progress to date and determine how members could collectively activate their networks to support
Jalin and the MNH Movement in Indonesia.
• Establishment of 5 MAB technical working groups – Local Governance, Evidence-base &
Communication, Market-driven Approach, Quality of Care and Referrals, and Social Protection.
• Submission of the updated Every Mother and Newborn Counts data collection protocols to
Institutional Review Boards in the United States (U.S.) and Indonesia.
• Continued private sector engagement to pursue market-driven solutions.
• 13 persons affiliated with the University of Indonesia’s Center for Family Welfare trained in Open
Data Kit methodology and use.
• Progress against the USAID-instituted Correction Action Plan.
OPERATIONS AND PERSONNEL
• Kirsten Weeks approved as Chief of Party (COP) and mobilized July 3.
• Max Goldensohn provided support as Acting COP until July 5, 2018.
• Ongoing recruitment for Technical Director position.
• All Regional Managers hired, and all Regional Officers, Regional Administrative Officers, and Regional
Finance Officers contracted.
1 Bahasa Indonesia Version of the Executive Summary is included as Annex 1
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
• On April 16, the Jalin Jakarta permanent office completed fit-out and began operations.
• Regional Managers hired in target provinces.
PLANNED ACTIVITIES FOR Q3 PROJECT YEAR 2018
• Update Jalin communications materials to compellingly communicate how Jalin works and foster
deeper engagement.
• Update planning tools for partnership engagement and meetings to foster efficient communication
and prioritization of potential partnerships and co-creation opportunities.
• Refine partnership templates to efficiently engage the private sector.
• Conduct value-chain assessment of key health value chains to identify opportunities for intervention.
• Obtain Ministry of Health (MOH) approval of Jalin Year 1 Annual Work Plan and endorsement of
Jalin regional activities.
• Design, plan for, and conduct 3 (three) co-creation events (2 in Jakarta and 1 at the provincial level).
• Finalize and obtain USAID approval for the University of Indonesia (UI)-led Every Mother and
Newborn Counts (EMNC) survey in Banten and East Java.
• Conduct the third plenary MAB meeting.
• Formalize a partnership with the Indonesian Association of Obstetrics and Gynecology [Persatuan
Obstetri dan Ginekologi Indonesia (POGI)] and the Indonesian Midwives Association [Ikatan Bidan
Indonesia (IBI)] to provide technical support to Jalin and Jalin partners and participate in co-creation
events.
• Formalize partnership with Halodoc and IBI to improve quality with inputs from the Ministry of
Health
• Complete recruitment and onboarding of all Jakarta-based Jalin positions including the Technical
Director.
• Open and fully staff all Regional Offices.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
PROGRESS AGAINST WORKPLAN
COMPONENT 1: PARTNERSHIP PROCESS MANAGED TO GENERATE, IMPLEMENT,
EVALUATE, AND SCALE SUCCESSFUL LOCAL SOLUTIONS AND UTILIZE CRITICAL
EVIDENCE TO RESULT IN SUSTAINABLE MNH IMPACT
Component 1.1: MNH Evidence Available and Compellingly Communicated
Activity 1.1.1 Conduct Every Mother and Newborn Counts Across Select Districts
Jalin prepared and submitted for IRB review and approval all of the EMNC documents to the UI
Institutional Review Board (IRB) on June 9, and to the Biomedical Research Alliance of New York
(BRANY) IRB on June 19. Jalin has received approval from the UI IRB and expects to receive approval
from the BRANY IRB by July 31, 2018. Jalin updated the updated the technical protocols for verbal and
social autopsies (VASA) based on the February 2018 Global Expert Consultation and updated the
questionnaire to be used for the EMNC activity with technical assistance from Dr. Henry Kalter, faculty
of Johns Hopkins University (and original developer of the methodology), and Dr. Emily Weaver,
consultant.
Between May 4 and 7, consultant Aurellio diPasquale trained 13 staff (9 women, 4 men) from the Center
for Family Welfare-University of Indonesia (PUSKA UI) and MOH (KesGa/Family Health and
Litbangkes/Research and Development) on Open Data Kit (ODK) systems and tools for data collection.
Previously when PUSKA conducted data collection for the Banten II study, the PUSKA team used paper-
based forms. Under EMNC, PUSKA will use internet-connected tablet-devices to facilitate real-time
data entry and data cleaning. The ODK training built the capacity of PUSKA to collect data using tablet
devices and improve efficiency of data collection for the EMNC work.
EMNC success is largely dependent upon significant coordination with the MOH, the provincial
governments, and PUSKA. As evidence of this coordination, Jalin worked with the Family Health
Department (KesGa) in MoH to short list potential districts across all target provinces (Annex 2 of this
report). Per agreement with KesGa, the final district selection will be decided in collaboration with the
Provincial and District Health Offices.
Next steps. Jalin developed and submitted a grant to USAID (approved in Quarter 3) to support PUSKA
as they conduct EMNC preparations. Data collection in Banten and East Java will be Quarter 3. Jalin is in
discussions with PUSKA to accelerate the second and third wave of data collection to inform Jalin co-
creation efforts.
Activity 1.1.2 Build knowledge management capacity for MNH with knowledge management
partners
From April 24 to May 4, Jalin facilitated the Evidence Summit Assessment and Scoping (ESAS) activity.
John Borrazzo, Deputy Director of the Office of Maternal and Child Health (USAID/Washington), Laurel
Hatt, staff seconded from Results for Development, and April Utami, a consultant who worked directly
with AIPI during the Evidence Summit, and Prateek Gupta and Dinda Hapsari from Jalin interviewed key
stakeholders associated with the Evidence Summit. The ESAS goals were to:
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
• Synthesize key lessons learned from the MNH Evidence Summit
• Looking to the future, recommend a framework to improve the use of evidence in MCH policy
and program decision making at all levels
• Advise USAID on the role it, primarily through Jalin, can play in support of key identified
stakeholders in this framework
The Evidence Summit, a 20-month activity financed by USAID/Indonesia and implemented by AIPI to
identify priority research gaps in MNH, ended in March 2018. The ESAS team completed data collection
on May 4 and presented initial findings to the USAID/Indonesia Mission on the same date.
Based on the internal ESAS team notes, Jalin shared with the USAID/Indonesia Mission the following
observations:
• The ESAS was very informative in identifying the need for Jalin to develop a broader knowledge
management strategy to engage partners other than AIPI to best address the needs of the
Ministry of Health and other key stakeholders in MNH.
• While AIPI can serve a role as a convener, it is not likely that AIPI has the capacity to address
the broad range of knowledge management needs for USAID/Indonesia-funded Jalin project in
specific, and the boarder KM needs for MNH in general.
Based on the preliminary findings from the ESAS, USAID/Indonesia and Jalin agreed to update the work
plan to expand partners for Jalin-facilitated knowledge management for MNH—these revisions have
already been reflected in the approved MERLA plan and the title of this section reflects this update.
Next Steps. The final output of the ESAS is a slide deck pending approval from John Borrazzo. Jalin
anticipates submitting the slide deck to USAID/Indonesia in July 2018. The ESAS was initially expected to
be completed in April 2018, however delays in deployment of the US-based members of the ESAS team
and feedback from the US based members after the field work beyond Jalin’s control led to delays
finalizing the report.
Going forward, the assessment team recommends scoping key knowledge management partners and
processes to facilitate the exchange of information to contribute to a MNH movement. Based on the
preliminary findings from the ESAS, USAID/Indonesia and Jalin agreed to conduct a Rapid Assessment
for potential knowledge management partners to inform a Jalin knowledge management strategy in the
next reporting period. Jalin will use findings from the rapid assessment to guide the selection of partners
for knowledge management for MNH. Other knowledge management partners, platforms, or
organizations may be able to provide specific services to meet the needs of Jalin stakeholders.
Concurrent with the Rapid Assessment, Jalin will refine a knowledge management strategy to contribute
to a MNH movement. The initial approved Jalin work plan indicated that findings from the ESAS would
contribute to a work plan for AIPI for knowledge management. As AIPI’s role in Jalin-facilitated
knowledge management is being reconsidered, the timelines and activities have been changed.
Activity 1.1.3 Synthesize evidence relevant to MNH from Indonesia (USAID MNH
portfolio, Jalin partnerships & solutions, Indonesian Government, etc.) and global sources
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
During this reporting period, Jalin synthesized recent key and/or USAID-funded MNH studies including
the EMAS evaluation, the EMAS Maternal and Neonatal Death Review, Banten II Study, the World Bank
Study on Private Sector Readiness in Maternal and Newborn Health Service Provision, and draft
documents from the Evidence Summit to provide insight on priority problems related to maternal and
newborn mortality in Indonesia. To confirm the initial conclusions, Jalin consulted on the evidence
synthesis findings with the USAID-funded Maternal and Child Survival Program and the University of
Indonesia. A narrative draft of the evidence synthesis has been submitted to USAID in May 2018. Key
points related to the Technical Focus Areas of Quality of Care and Referral were identified in this
evidence synthesis and served as the basis for the group discussions during day two of the Jalin launch.
Jalin has been consulting with the Communications Task Force of the MAB to improve our presentation
of the project, and the Communications Specialist, who joined on June 25, is moving this forward.
During this reporting period, Jalin developed MNH profiles and factsheets for the six project provinces
which have been used as communication materials during discussion.
Next Steps. Based on the information obtained from the ESAS, formal and informal discussion with
stakeholders, and feedback from partners (private and public sector) during initial partnership meetings,
Jalin is revising slide decks for each province in the next reporting period and updating the national slide
deck accordingly. Similarly, Jalin is conducting an internal review of materials to better understand what
evidence is most compelling with stakeholders as well as what evidence needs more clarification.
Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy
developed
Activity 1.2.1 Engage influential multi-stakeholder actors
By the end of this reporting period, Jalin has reached 70 stakeholders at the national and provincial
levels. The project onboarded the Regional Managers during this reporting period and expects to
increase the number of stakeholders reached in the next quarter due to provincial level activities.
Jalin continued to engage the Multi-Stakeholder Advisory Body (MAB) both individually and as a group.
From the MAB’s inception in March 2018, individual members have coordinated with the Jalin staff on
the MAB secretariat to connect Jalin to their existing network or to update Jalin on emergent
opportunities. For example, Prof. Akmal Taher and Vida Parady reported back to the MAB on their
experiences and lessons learned from the 2nd International Summit on Social and Behavior Change
organized by the Johns Hopkins University Center from Communications Programs in Bali. Meynar
Sihombing shared information from a USAID-led meeting on enterprise development and advances in
micro-enterprise legislation. Kemal Soeriawidjaja informed Jalin about a one-day training on Managing
Effective Partnership for Sustainable Development facilitated by a local organization named the
Partnership-ID in Jakarta. As a result of this, three of Jalin’s six Regional Managers joined the bi-monthly
training and three Regional Managers are now certified Partnerships Brokers. Hamid Abidin and Meynar
Sihombing informed Jalin about the upcoming Indonesian Filantropi Festival in November 2018 which can
be an opportunity for Jalin to connect philanthropists with health solution start-ups or enterprises.
In early April 2018, the MAB Chair and Co-Chair requested that the MAB Secretariat host focused
discussions on Jalin’s theory of change which were held on May 11. Eleven members of the MAB
brainstormed potential roles for the MAB to develop an MNH movement and the MAB chose to
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
develop five task forces with the following foci: 1) quality of care/referral, 2) local governance, 3)
market-driven (solutions), 4) social protection, and 5) evidence-based and communications. Four of
those task-force groups have taken their first stab on the topics and shared their initial advice to Jalin on
the quarterly MAB meeting in June 26, 2018. The five Task-Forces were an initiative from the MAB as
the core team mapped their expertise against Jalin’s six technical focus areas, as well as a presentation of
Jalin’s evidence synthesis.
The MAB had a set of available evidence shared in the Inaugural Meeting by Jalin but also circulated to
the whole group some relevant studies or policy reference shared by individual members. In its first
core team meeting, the MAB was also kept abreast on the recent output of the 2018 MNH evidence
summit with Prof. Akmal, the co-chair, as its source person. Seven members heard about existing
evidence directly from the source-person when they participated in the Evidence Gaps Meeting with
JHPIEGO and PUSKA which contributed to the Kick-Off Co-creation and Partnerships event on May 22
and 22, 2018. Jalin will continue to improve MAB’s access to synthesized and/or publicized evidence
forward.
The Quarter 2 MAB meeting was hosted by the Chair, Sudibyo Markus at the Mercantile Athletic Club
Jakarta. Eight people from MAB or task-force groups, and three people from USAID Indonesia
participated in the half-day discussion. [Four invitees were out of town or overseas, 10 invitees had
other conflicting events or received last minute notifications at the minister-level; and three did not
RSVP]. The participation of members in specific events are captured in the table below.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
Table 1: MAB Participation Across Events
No Name Insitutions 26 March 2018
MAB
Inaugural Meeting
11 May 2018
Core team
meeting
22-23 May 2018
Kick Off
Co-creation
& Partners
hips event
24 May 2018
Confirmed to join a
cancelled USAID event
at Budi Kemuliaan
11 June 2018
Local
Governance Task-Force
meeting
13 June 2018
Evidence-
based communications TF meeting
June 2018
Market-driven
approach TF
(continued virtual
discussion)
21 June 2018
Quality of Care & referral
TF meeting
26 June 2018
MAB
meeting Quarter
2 of 2018
1 Sudibyo Markus MAB Chair/ Muhammadiyah
V V V V V V
2 Akmal Taher MAB Co-Chair/ MoH-Health Services Improvement Special Advisor to the Minister
V V *
3 Arum Atmawikarta
SDGs Sekretariat V V V *
4 Gita Hastarika CSO: KELOLA V V V *
5 Hamid Abidin Filantropi Indonesia V V V V
6 Linda Hoemar Abidin
CSO: KELOLA V V **
7 Ikatri Meynar Sihombing
Microfinance Institutions
V V V V V V
8 Supriyatiningsih GKIA presidium V V V V
9 Vida Parady Independent PR & Communications Expert
V V V V
10 Kemal Soeriawidjaja
Sustainable Partnerships Consultant
V V V V
11 Maria R. Nindita Radyati
Center for Entrepreneurship, Change and Third Sector (CECT) Trisakti University
V V **
12 Irwan Julianto Health Communications Expert, Lecturer at MultiMedia Nusantara University
V V V V V
13 Donald Pardede MoH – Health Financing Special Advisor to the Minister
V V * *
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
14 Kuntjoro Adi Purjanto
Chairman of PERSI (Indonesian Hospital Associations)
V ** **
15 Natsir Nugroho PERSI - ARSANI – Association of Non-profit Hospitals
V V
16 Laksono Trisnantoro
PERSI Research & Development
V *
17 Anika Faisal BTPN Bank & Indonesia Business Coalition for Women Empowerment
* *
18 Tubagus Choesni
Coordinating Ministry of Human Resources & Culture
V
19 Samuel Pangerapan
Ministry of ICT V *
20 Puti Marzoeki World Bank – Senior Health Specialist
V * **
21 Grace Tahir Tahir Group V * **
22 Sylvia Sumarlin CEO PT. Xirka Silikon Digital Indonesia
* * **
23 Imam Prasodjo Social Sciences Expert
**
24 Alfatih Timur Fintech – KitaBisa.com
V *
25 Firmanzah Executive Program for Sustainable Partnership – Paramadina University
26 Ministry of Home Affair
To be confirmed V
27 Agus Samsudin Muhammadiyah Healthcare Management Oversight (Ketua MPKU – Interfaith Network)
V V V V
28 Siti Rahmah GKIA presidium V V V V V
Note:
V – Participated
* - Confirmed to participate but had short-noticed conflicting meetings OR representing respective Minister(s)/ Senior Management in other events
** - Out of town OR on overseas business trip(s)
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
Highlights from the Quarter 2 MAB meeting based on the three agreed functions of MAB were as follows:
Advice Following Q2 Meeting:
• The MAB needs to offer evidence-based, strategic actions to be harmonized with Jalin’s pathway to
market solutions, acknowledging that evidence is not limited to clinical MNH evidence only.
• The Task Forces need to meet with each other periodically for the cross-fertilization of ideas and
actionable recommendations to Jalin.
Potential Further Connections:
• Some MAB members are currently supporting Filantropi dan Bisnis Indonesia for Sustainable
Development Goals (SDGs) to map venture capital firms who have potential to support the country
actions for the SDGs; Maternal and newborn mortality is integral to the SDGs so the exercise can
be a good starting point for the appropriate Task-Force.
• Filantropi Indonesia has begun to suggest philanthropists to not merely give grants/ charity but to
embrace financing and long-term investments.
• The Indonesian Philanthropy Festival 2018 is a good market-place to connect the group of new
MNH-solution firms (including start-ups) to the Philanthropy sector, which has increasing concern
for public health.
Advocacy areas discussed:
• The MAB will narrow down and prioritize where its role as MNH advocate should be focused.
Specifically discussed were advocacy for tax incentives for companies contributing corporate social
responsibility (CSR) programs to support MNH issues; and advocacy for public awareness on the
quality accountability of healthcare providers based on their accreditation status via mass media
outlet(s).
• The MAB felt that because research on MNH and mortality issues has been done and re-done, MAB
should integrate this issue with evidence based on other critical issues such as stunting, supporting
local governance to meet the Minimum Standard of Services related to MNH, and frame a joint
concern on developing Indonesian human capital and promoting national competitiveness.
Annex 3 illustrates some reflections on lessons so far from the MAB and ideas to improve it moving
forward.
Provincial Steering Committees
Jalin hired six regional managers during this reporting period and they have begun conducting informal
inception meetings with diverse range of stakeholders in the six provinces. Each of the regional managers
have scanned existing platforms that can potentially serve as the local Steering Committees for Maternal
Newborn Health. Most of the areas identified Bappeda-led CSR for a, which are existing platform governed
by the regional government recognized by business and industry; MCH Motivators and CSOs-led fora;
Professional organizations-led fora (e.g. PENAKIB); Indonesian Chamber of Commerce or business
associations’ regional for a (e.g. APINDO, API, KADIN, etc.); and regional healthcare-led for a (e.g. regional
PERSI events).The regional team will further scan and consult with the provinces’ stakeholders before
affiliating specific platform to be linked with the national MAB.
Activity 1.2.2 Define Problem Statements for Co-Creation Efforts
Jalin updated the rapid evidence synthesis of recent evidence to identify key problems. This was used as part
of the stakeholder materials at the launch event. The evidence synthesis and prioritized problems were also
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
validated in conversations with implementers and researchers from PUSKA and JHPIEGO based on their
recent evidence. Jalin also shared these key problem areas with the MAB Core Group meeting. Based on
this discussion, the MAB formed key subcommittees (described previously in this report). The three initial
problems Jalin identified for refinement as part of co-creation efforts are:
• Improving referral effectiveness to prevent maternal deaths
Maternal death review in EMAS affiliated hospitals recorded that referral-related factors were contributed to
39% of maternal death cases – with 87% of those was related to inadequate treatment prior to referring, and
46% was due to prolonged transportation to hospitals. Saving maternal and newborn lives will depend heavily
on quality of care at delivery and immediate post-delivery care, in addition to effective management of
referred maternal emergencies.
• Improving Quality of Care to prevent maternal and newborn deaths in facilities
Sixty-five percent of maternal deaths in Banten II study occur in facilities, indicating important deficiencies in
quality of care. Improving QOC within and across facilities is a first priority. Given EMAS and Banten
evidence – particular attention should be given to ANC and post-partum hemorrhage.
• Improving JKN maternal and newborn health linkages and impacts (incorporating leveraging the private sector to
address quality)
Low coverage of JKN-PBI and high rate of OOP indicate a problem in JKN implementation, particularly for
improving health outcomes (through access) for the poor and vulnerable.
Co-Definition at the Jalin Launch. Given the breadth of participants and potential need for more specific
knowledge of the JKN, Jalin prioritized the first two areas (referrals and quality of care) for further
refinement and discussion at day 2 of the Jalin Launch. Across the two areas further refinement of aspects of
each problem area are included below as a part of ongoing problem definition for co-creation efforts.
Improving referral effectiveness to prevent maternal deaths
• Potential discrimination of referrals among BPJS holders and non-holders;
• Family mindset, parents’ knowledge and culture often delay or hinder bringing pregnant women to clinics or health points;
• Lack of communication – both between patients and providers as well as within families.
• Need for early detection of pregnant women
• Readiness of health facilities and medics – establishing and following standard operating procedures (SOP).
• Need for incentive model to increase motivation for health professionals to work in remote areas.
Improving Quality of Care to prevent maternal and newborn deaths in facilities
• Limited awareness at community level of services available and rights to access quality services to increase demand for better overall quality and service from health facilities;
• Quality is not only a gap at hospitals, but other primary health facilities need to improve quality as well (e.g. PONED, Puskesmas);
• Need for skills improvements across health provider cadres;
• Need for clear SOPs;
• Influence local government to set policies on standard health provision in the localities.
Value Chain Assessment. Using the rapid evidence synthesis of recent evidence as a basis to prioritize
market-driven engagement, Jalin selected four value chains for further assessment (also in discussions with
USAID) based on their anticipated potential to respond to the defined priorities as well as potential for
engaging commercial actors beyond the health sector alone for whole-of-market solutions.
• Referral systems as directly linked to Improving Referral Effectiveness;
• Blood supply as suggested by USAID and directly linked to Improving Quality of Care in facilities;
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
• Relevant transportation services as directly linked to Improving Referral Effectiveness and Strengthening the
Continuum of Quality of Care; and
• JKN payment system (including consideration of out-of-pocket costs) to Improve JKN maternal and newborn
health linkages and impacts.
Next steps. Jalin will work through the Value Chain Assessment over the next quarter to further define
choke points to develop market-driven solutions. In addition, Jalin will continue with stakeholder
engagement and evidence review to further define problems to local context for co-creation efforts.
Activity 1.2.3 Deploy Co-creation approaches; and Activity 1.2.4 Prioritize partnerships, solutions,
advocacy for impact
Jalin has and will continue to identify opportunities for linkages and co-creation. Jalin’s approach to co-
creation includes both meetings with large groups of stakeholders to encourage discussion (such as the Kick-
Off event) and small sessions where potential partners and Jalin staff (and often USAID staff) meet to share
ideas and come up with shared solutions to perceived problems. These shared ideas include the basic
elements for useful co-creation: an expected impact on MNH and mortality, scalability of proposed
innovation; and shared resource allocation to ensure sustainability. Jalin utilizes a continuous process for
entering into co-creation discussions with stakeholders to lead to potential partnerships and solutions.
This quarter, Jalin continued to explore existing programs and business interests of diverse stakeholders.
Out of more than two-dozen organizations, Jalin has entered the co-creation phase with STI and Halodoc in
this reporting period. Based on previous interactions, STI has assumed interests in engaging new
partnerships and access to more financing options for improved business model, as well as better coverage
across Indonesia. Likewise, Halodoc’s interests are increasing transaction volume and improving customer
satisfaction. They are interested in piloting increased access for midwives to regular and emergency obstetric
medicines and supplies (approved by GoI regulations) where reductions in mortality are high and in
proximity to optimum support from Halodoc Jakarta. Jalin will continue to engage stakeholders at the
national and provincial levels to identify more opportunities for co-creation.
Based on the partnerships discussions, potential co-defined problems have been developed and listed in table
2 along with the associated technical focus areas. This will guide internal technical review by Jalin of the co-
creation process.
Table 2: Potential Partnerships on Measles Chart Actoss Technical Focus Areas, Women’s Equality, and that are Market-Driven
Co-defined Problem/ Solution
&
Entities engaged in Potential Partnerships
Qu
ality
of
Care
Refe
rral S
yst
em
Lo
cal G
overn
an
ce
Fin
an
cia
l P
rote
cti
on
(JK
N)
Reach
ing t
he P
oo
rest
an
d
Mo
st V
uln
era
ble
Evid
en
ce U
tilizati
on
Wo
men
s E
qu
ality
to
Su
pp
ort
th
e 4
Pilla
rs o
f
Safe
Mo
therh
oo
d*
Mark
et-
Dri
ven
Timely (and safe) delivery of (GoI allowed) medicines and
supplies within the authorized services of Indonesian single-
practitioner midwives.
Entities: Halodoc, Indonesian Midwives Association (IBI),
Go-jek, Pharmacies, Pharmaceutical principles, and
consultation with KESGA.
• • • • • •
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
Timely midwives’ consultation with obstetrician/gynecologist
to manage pregnancy (and post-partum) complications
within the authorized services of Indonesian single-
practitioner midwives.
Entities: Halodoc, Indonesian Midwives Association (IBI),
Obstetricians/ POGI members, and consultation with
KESGA.
To be explored: BPJS-Kesehatan (to be explored), STI, 119
national emergency call-center.
• • • • • • •
Expanding the coverage of Sijari Emas Referral system
support and SMS Bunda services in Indonesia with improved
business model and investment proposition for sustainable
growth and financing.
Entities: STI, Business Development Services Provider, Regional
Health Offices, and consultation with KesGa
• • • • • • •
Next Steps. Over the next quarter Jalin will seek to formalize the partnerships described above as well as
continue to further co-creation efforts. In addition to Jakarta-based partnerships development activities, over
the next quarter Jalin will continue to roll out implementation to the provinces to facilitate regional co-
design processes to increase awareness about MNH challenges, generate consensus on viable solutions, and
create shared value that inspires co-ownership of and co-investment in maternal and newborn health
services.
Activity 1.2.5 Build local capacity to use a facilitative/co-creation approach
Jalin is internalizing an approach to link shared ideas based on evidence and domestic resources as opposed
to the traditional donor/grants-driven projects that are directed to pre-specified activities. The approach
brings together people and organizations from different sectors (national and local government, corporations
and foundations, for-profit, NGO, and public health providers) to use evidence to prioritize critical
problems, share ideas, and identify promising local solutions, and co-invest the necessary resources (financial,
technical, political) to execute at scale. This is a different way of doing USAID health programming in
Indonesia and is taking some adjusting for partners to understand. Jalin has learned from recent coordination
meetings with the Family Health Directorate of the MOH that it is essential to sensitize key staff at multiple
levels and different government bodies and units within those government bodies on the new approaches
and partnerships being explored by this project. As noted above – improving Jalin’s communication of what
we are trying to do, and how we are trying to accomplish MNH change in Indonesia will be a continued
priority for the next quarter – as we engage and foster capacity to use facilitative/co-creation approaches.
COMPONENT 2: TA DEPLOYED EFFECTIVELY TO SUPPORT IMPACT AT SCALE
Jalin continued to identify and meet with the Indonesian Government and other stakeholders to learn more
about and begin developing plans that will include a range of technical assistance based on needs assessment,
capacity gaps, and discrete partnership activities.
Jalin will support the Ministry of Home Affairs and Ministry of Health to implement the Health Minimum
Service Standard. After a series of discussion with both ministries, Jalin has identified two potential areas for
technical assistance.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
Ministry of Home Affairs:
• MOHA expects Jalin to provide technical assistance to engage and strengthen multi stakeholders’ role
(including CSO, media and local parliament) at sub national level in managing health MSS
• Currently, Jalin awaits Letter of Interest and Technical Proposal from MOHA’s Directorate General of
Regional Development and hopes to finalize the scope of work by the end of July.
Ministry of Health:
• MoH proposed JALIN support the costing application of health minimum service standard, especially for
indicators related to MNH.
• Jalin has received a letter of interest, in a form of a request and TA Technical Proposal from MOH and is
in discussions with MoH to finalize the scope. It is expected that the agreement on the proposal will be
finalized by mid July 2018.
COMPONENT 3: CATALYTIC FINANCING EFFICIENTLY DISBURSED TO SUPPORT THE
INCUBATION AND IMPLEMENTATION OF LOCAL SOLUTIONS
Ensuring the potential for catalytic financing has been part of our partnership process, to-date, Jalin has noe
deployed any catalytic financing.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
PERFORMANCE INDICATOR RESULTS
The performance indicator table was approved by USAID on June 7. Performance indicator reference sheets
and targets were included in the approved MERLA Plan. Key updates from the Work Plan indicators are
below.
Component 1: Partnership process managed to generate, implement, evaluate, and scale
successful local solutions and utilize critical evidence to result in sustainable MNH impact
Component 1.1: MNH Evidence Available and Compellingly Communicated
Activity 1.1.3 Synthesize MNH evidence from Indonesia (USAID MNH portfolio, Jalin partnerships &
solutions)
• Indicator 1.1.3.a.: MNH Evidence Disseminated at one event: The Kick-Off Co-Creation event.
• Indicator 1.1.3.b.: Evidence Synthesized from Evidence Summit, Banten 2, other fora is Ongoing,
following the Kick-Off event. The next update is scheduled for December 2018.
• Indicator 1.1.3.c: MNH Evidence slide deck prepared by a Jalin short term consultant (Pamela Putney) is
still Available. The MNH Provincial Profiles are in process. Three have been completed (Banten, West
Java and North Sumatra) and the final three will be completed in the next quarter.
• The ESAS was completed and incorporated in a proposed Knowledge Management Strategy, with an
associated budget estimate. This Knowledge Management Strategy was submitted to USAID on June 6.
USAID has requested a rapid assessment/consultation with key stakeholders to determine roles in the
implementation of the strategy. This consultation will begin in July and continue through August 2018.
Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy developed
Activity 1.2.1 Engage influential multi-stakeholder actors for MNH through partnership (includes
MAB, targeted outreach, and identification of provincial participants for co-creation workshops).
• Indicator 1.2.1.a: The MAB is formally constituted with 25 members from the public and private sector,
and the media. The MAB has also created 5 task forces. The full MAB met on June 26 and two task
forces have already met (Governance and Communications).
• The Partnerships team has conducted meetings with a range of potential private sector partners and two
(see above) have agreed informally to co-created solutions to specific MNH issues (STI and HaloDoc).
Regional managers have begun meetings with a wide range of potential partners.
• Indicator 1.2.1.b: Three events held to share co-creation approaches and seek innovative ideas. The
Launch is the only official co-creation event, but there are a series of meetings with partners to further
the overall co-creation agenda including (STI, HaloDoc, Tanoto Foundation, Icon+, TeleCTG, POGI, IBI,
Ernst and Young, the Kalla Foundation, and Patamar Capital.
Components 2 and 3
There are no quantitative updates for Components 2 and 3.
19
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
JALIN INDICATOR PERFORMANCE TRACKING TABLE YEAR 1
Jalin # USAID # Indicators Type Data Disaggregated Sources of data
(BL; annually)
Target
Y1
Baseline Q1 Q2 Q3 Q4
Goal: Contribute to national goals to reduce maternal and newborn mortality and provide catalytic support to improve essential maternal and newborn services
reaching the poorest and most vulnerable
High
Level
(HL)-1
Maternal Mortality Ratio Impact Age National Data
Sources
HL-1.1 Maternal Mortality as
reported in EMNC
Studies
Impact Age and District EMNC Studies
HL- 2 Neonatal Mortality Rate Impact Sex National Data
Sources
HL-2.1 Neonatal Mortality as
reported in the EMNC
Studies
Impact Sex and District EMNC Studies
MNH Movement Takes Hold
Behaviors and Processes Evolve Across Health Systems
HL-3 STIR-11 Number of innovations
supported through USG
assistance with
demonstrated uptake by
the public and/or private
sector
Outcome Sector; Technical Focus
Area; Province
Program
Documents
0 0 0 0
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 20
Component 1: Partnership process managed to generate, implement, evaluate, and scale successful local solutions and utilize critical evidence to result in
sustainable MNH impact
Component 1.1: MNH Evidence Available and Compellingly Communicated
1.1. STIR-12 Number of peer-
reviewed scientific
publications resulting
from USG support to
research and
implementation
programs
Outcome Journal
Publication
0 0 0 0
Activity 1.1.1 Conduct EMNC activity across selected districts
1.1.1.a EMNC Activity
conducted
Milestone Province, District Program
Documents.
2.5 0 0 0
1.1.1.b EMNC results reported
and communicated
Milestone Province, District,
media type
Program
Documents.
Yes 0 0 0
Activity 1.1.2 Build Knowledge Management capacity for MNH (knowledge management partners)
1.1.2.a Assessment of AIPI
Evidence Summit Milestone Assessment
Report
Yes 0 No Field Work
Completed;
Report Being
Finalized
1.1.2.b MNH KM Strategy in
Place (updated every 24
months)
Milestone KM Strategy Yes 0 No No
Activity 1.1.3 Synthesize MNH evidence from Indonesia (USAID MNH portfolio, Jalin partnerships & solutions, GOI, etc.)
1.1.3.a MNH evidence
disseminated (Op Eds,
peer-review articles
Output Publication or Event
Type; Technical Focus
Area; Province
Program
Documents
8 0 0 1 (Launch;
Dissemination
Event)
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 21
submitted for
publication, policy briefs
published, evidence
dissemination events
held) (Note 1.1 is a
subset of 1.1.3.a)
1.1.3.b Synthesize latest MNH
Evidence from Evidence
Summit, GOI evidence,
Jalin lessons (see
component 1.2); other
USAID MNH partners.
Goes into annual report
and slide deck of
Evidence Driven
Communications
Materials updated semi-
annually.
Milestone Technical Focus Areas Program
Document
Yes 0 No Yes
1.1.3.c MNH evidence slide
deck available (updated
semi-annually based on
synthesis) for use in co-
creation, design, and TA
Milestone Technical Focus Areas Program
Documents
Yes 0 No Draft Being
Updated
Component 1.2: Constructive and inclusive partnerships, solutions, and advocacy developed
1.2 Partnerships
implementing solutions
or advocacy
Output District; Technical
Focus Area Solution
Program
Documents
0 0 0 0
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 22
Activity 1.2.1 Engage influential multistakeholder actors for MNH through Partnership (includes MAB, targeted outreach, and identification of provincial participants for co-creation
workshops).
1.2.1.a New multistakeholder
actors engaged and
participating in
partnerships process
Output District, Sector
represented (e.g. civil
society, private or
public sector, etc.);
Individuals (by sex) vs
Organizations/Entities
Program
Documents
225 0 70
1.2.1.b Events and targeted
outreach held to share
evidence (Activity
1.1.3) and engage
multistakeholder actors
Output Partnership
Engagement Type (e.g.
MAB, targeted
outreach, provincial
outreach), Sector
represented (e.g. civil
society, private or
public sector, etc.),
Individuals (by sex) vs
Organizations/Entities
10 0 1 2
Activity 1.2.2 Define problem statements for co-creation efforts
1.2.2.a Problem statements
defined
Milestone Province; Technical
Focus Area
Program
Documents
12 0 0 0
Activity 1.2.3 Deploy co-creation approaches to develop evidence-driven solutions and advocacy (inclusive of targeted partnerships as well as workshop model)
1.2.3.a Co-creation events
held
Output Province Program
Documents
8 0 0 0
1.2.3.b Co-creation design
sessions via targeted
partnerships and
outreach
Output Technical Focus Area Program
Documents
5 0 0 0
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 23
1.2.3.c Solutions or advocacy
initiatives identified as a
result of co-creation
events or targeted
outreach
Output Technical Focus Area;
Province
Program
Documents
5 0 0 0
Activity 1.2.4 Prioritize partnerships, solutions, advocacy for impact
1.2.4.a STIR-10 (a
and b)
Number of innovations
(solutions) supported
through USG assistance
Output Province; Technical
Focus Area(s);
New/Ongoing; Type of
USG Support
Program
Documents
6 0 0 0
1.2.4.b Partnerships receiving
local funding beyond
Jalin
Outcome Province; Technical
Focus Area(s); Type of
Organization Receiving
Support; Type of
Organization Providing
Support (GOI, private
Sector); Proportion of
non-Jalin Support
Implementation
Plans
0 0 0 0
1.2.4.c DR.4.2-2 Number of civil society
organizations (CSOs)
receiving USG
assistance engaged in
advocacy interventions
Output Province; Technical
Focus Area(s);
Program
Documents
4 0 0 0
Activity 1.2.5 Build local capacity to use a facilitative/co-creation approach
1.2.5.a MAB meetings held
quarterly Milestone Date of Event, Sex of
Participants; Sector
Represented
MAB Meeting
Agenda and
Minutes
4 0 1 1
Activity 1.2.6 Monitor and learn from local partnerships, solutions, and advocacy
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 24
1.2.6.a Partnerships
implementing local
solutions with Mini-
MELAs** and Technical
Assistance plans in
place.
Output Geographic Zone (e.g.
Province or District),
and Technical Focus
Area(s)
Implementation
Plans
6 0 0 0
1.2.6.b Number of local
solutions/innovations
documented with a
pathway for scale and
sustainability.
Output Geographic Zone (e.g.
Province or District),
and Technical Focus
Area(s)
Program
Documents
0 0 0 0
Activity 1.2.7 Package local solutions for adaptation/replication, investment, and scale (won’t start until year 2)
1.2.7.a Number of local
solutions/innovations
packaged with how-to
guides, or mentoring
plans to ease
adaptation/replication
and scale.
Output Geographic Zone (e.g.
Province or District),
and Technical Focus
Area(s)
Program
Documents
0 0 0 0
Component 2: TA deployed effectively to support impact at scale
Activity 2.1 Provision of specialized TA for local solutions; and Activity 2.2 Provision of responsive TA to the GOI
2.1.a; 2.2.a Number of technical
assistance requests
(from: partnership
plans, grants, GOI
support requests, etc.)
fulfilled by Jalin
Output Geographic Zone (e.g.
Province or District),
Technical Focus Area;
Multistakeholder Type
(Private Sector, GOI,
CSO, etc.)
Program
Documents
8 0 0 0
2.1.b; 2.2.b; USAID
Health
Leadership
-1
Number of Universal
Health Coverage
(UHC) areas supported
by USG investment
Output UHC Category
(essential health
services; quality;
financial protection);
Program
Documents
3 0 0 0
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018 25
Activity 2.3 Monitor TA with feedback survey
2.3.a
Percentage of TA with
positive feedback
Output Geographic Zone (e.g.
Province or District),
Technical Focus Area;
Multi-stakeholder
Type (Private Sector,
GOI, CSO, etc.)
Feedback
Survey
85% 0 0 0
Component 3: Catalytic financing efficiently disbursed to support the incubation and implementation of local solutions
3.1 Total value of USG
GUC provided
Output Geographic Zone (e.g.
Province or District),
Technical Focus Area;
Multi-stakeholder
Type (Private Sector,
GOI, CSO, etc.)
Grant
Agreements and
Reports
Discuss
with
USAID
0 0
Activity 3.1 Jalin provides catalytic financing to local solutions in a timely manner
3.1.a Number of grants for
catalytic financing
provided
Output Geographic Zone (e.g.
Province or District),
Technical Focus Area;
Multi-stakeholder
Type (Private Sector,
GOI, CSO, etc.)
Grant
Agreements and
Reports
Discuss
with
USAID
0 0
Activity 3.2 Jalin funding is provided in a timely manner
3.2.a
Percentage of local
solutions requiring
GUC funding where
funds disbursed in a
timely manner
Output Geographic Zone (e.g.
Province or District),
Technical Focus Area;
Multi-stakeholder
Type (Private Sector,
GOI, CSO, etc.)
Grant Financial
Monitoring
100% 0 NA NA
26
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
ACTIVITY LOCATION DATA
No Provinces Address Geolocation Status
1 North Sumatera Regus Medan
Jalan Imam Bonjol 9, Forum Nine 9th Floor, Petisah Tengah,
Medan Petisah, Medan City, North Sumatra 20236
3°35'12.6"N 98°40'27.6"E Temporary
2 Banten Dinas Kesehatan Provinsi Banten
Jalan Syeh Nawawi Al Bantani, Kawasan Pusat Pemerintahan
Provinsi Banten, Curug, Sukajaya, Curug, Kota Serang,
Banten 42171
6°10'18.3"S 106°09'30.4"E Temporary
3 West Java Jl. Terusan Karang Tineung No.60 – Bandung, Jawa Barat
40163 6°52'59.9"S 107°35'10.6"E Permanent
4 Central Java PMI Jawa Tengah
Jl. Arum Sari Rt. 11 Rw. 02 Sambiroto, Tembalang, Kota
Semarang, Jawa Tengah
7°01'47.9"S 110°27'18.8"E Temporary
5 East Java Regus Surabaya
Sinarmas Land level 12a room number 1379 Jl Pemuda 60-
80, Surabaya
7°15'54.3"S 112°44'48.9"E Temporary
6 South Sulawesi Gedung Tribun Timur, Lantai 3, Jl. Cendrawasih No. 430,
Makassar, Sulsel 90134 5°10'25.3"S 119°24'31.9"E Permanent
RESOLUTION OF PREVIOUS PROBLEMS
During the previous quarter, USAID sent DAI a letter regarding performance issues. The letter identified
five areas of concern: Quality of Deliverables, Schedule of Deliverables, Management – Responsiveness,
Management – Program Management, Management – Management of Key Personnel. DAI responded with a
Corrective Action Plan to address each of these areas including finding a new COP, Kirsten Weeks, and
recruiting for a new Technical Director. All remaining outstanding deliverables – MERLA Plan,
Communication/Dissemination Plan, and Data Management Plan – were approved. The Correction Action
Plan period is complete, and USAID indicated satisfaction over DAI’s response from Jalin in Indonesia and
support from DAI’s Home Office. DAI continues to conduct weekly check-in meetings in Jakarta and
monthly calls from the Home Office with USAID.
NEW PROBLEMS ENCOUNTERED
Jalin continues to work with MOH, notably KesGa, and through GOI bureaucratic processes to obtain full
acknowledgement of Project national and subnational plans, activities, and personnel. Without formal MOH
support, Jalin cannot obtain Ministry of Interior concurrence for expatriate staff and therefore cannot help
them with a range of legal and administrative tasks including but not limited to obtaining work and living
permits, receiving household effects, and opening personal bank accounts.
OTHER NOTABLE DEVELOPMENTS
At the end of the reporting period local elections took place in all Jalin provinces. While Jalin is tracking
election results and what they may portend for local politics, the Project is confident that its activities are
outside of the political fray and sufficiently non-political. Jalin’s national and subnational staff are experienced
to develop and execute strategies within changing political environments.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
27
PROPOSED SOLUTIONS
Jalin will build upon what is working to continue to mitigate and resolve challenges as they emerge. A key
priority for the next quarter is improving our communications with external stakeholders to better present
Jalin as a partner sharing evidence and successfully engaging with partners to develop local solutions.
Establishing strong, mutually beneficial relations with GOI and other partners and counterparts will help
minimize negative perceptions of or misunderstandings about Jalin.
PLANNED ACTIVITIES FOR Q3 PROJECT YEAR 2018
Operational
• Continue to hire staff (Technical Director, Jakarta local staff, Regional staff).
• Establish regional operations in targeted provinces.
• Internet Technology support to establish server and systems in Jakarta and all regional offices.
• Field Accounting System training.
Technical
• Undertake Media Engagement Plan and Social Media Plan;
• EMNC data collection of Wave 1;
• Preparation for Wave II EMNC data collection;
• Development of the Jalin Knowledge Management Strategy;
• 3rd MAB meeting;
• Value Chain Analysis;
• Continued stakeholder engagement that will lead to co-creation, partnerships, and solutions;
• Support to POGI event;
• Agreement with POGI for technical assistance in Provinces;
• Establishment of Blanket Purchase Agreement-style agreements for BDS and Media Support;
following issuance and responses to requests for proposals;
• Finalize first Co-creation Solution agreements; and
• Orientation for grantees for EMNC study, waves and eventual Knowledge Management partners.
Travel
Travel needs will evolve over the quarter. Jalin will submit travel requests in advance and in close
coordination with USAID. The table below illustrates current travel for the next quarter.
Consultant Purpose Timing
Kirsten Weeks, COP Mobilization July 2018
Chris Felley, DCOP Visa trip to Singapore July 2018
Emily Weaver/ Henry Kalter VASA training/field testing for EMNC
activity
July 2018
Slobodan Zivkovic, DAI Bethesda IT Support July-August 2018 (approximately 4
weeks)
David Anderson – Value Chain
Assessment Specialist
Lead Value Chain Assessment and Health
Finance systems specialist
July – August 2018, and possibly
September 2018
Omair Azam and Philip Setel Support for EMNC efforts July 2018
Prateek Gupta, MERLA Director Visa trip to Singapore August 2018
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
28
Susan Scribner, DAI Bethesda Management visit July 2018
Ed Crowley, DAI Bethesda FAS Accounting System set up and training August-September 2018
(approximately 4 weeks)
Tanja Lumba, DAI Bethesda TAMIS customization and training September 2018
Chris LeGrand, DAI Bethesda Management visit September 2018
SUCCESS STORIES
Per guidance from the USAID DOCS team, Success Stories should be about outcomes and not process. Jalin
is in the early stage of implementation and all of our experience to date is about process. Jalin requests a
technical direction from USAID to reflect conversations with USAID and the DOC team so that success
stories will be included in subsequent quarterly reports, but to date any success story would be about
process and not meet USAID requirements.
PHOTOS
Photos will be submitted in a separate zip file for USAID use.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
29
ANNEXES
ANNEX 1: RINGKASAN EKSEKUTIF
ANNEX 2: POTENTIAL DISTRICTS PRIORITIZED WITH KESGA FOR
EMNC
Province City/District Population
2018
Maternal deaths (2016 routine data)
Neonatal deaths
MoH Reported Political Commitment
Sample Registration System (SRS)
Stunting intervention area
West Java Karawang 2,127,791 61 169 Yes Yes Yes
West Java Cirebon 2,255,734 47 197 Yes Yes Yes
West Java Cianjur 2,369,312 34 126 Yes Yes Yes
Central Java Semarang 930,727 14 89 Yes Yes No
Central Java Sukoharjo 899,412 12 65 Yes Yes No
Central Java Brebes 1,892,006 54 312 Yes Yes Yes
East Java Ponorogo
933,286 12 145 Yes Yes No
East Java Bondowoso
803,969 20 133 Yes Yes Yes
East Java Pasuruan
1,650,412 23 151 Yes Yes No
Sumatera Utara Karo
382,444 7 12 Yes Yes No
Sumatera Utara
Serdang Bedagai
646,999 7 40 Yes Yes No
Sumatera Utara Asahan
728,448 17 24 Yes Yes No
Sulawesi Selatan Bone
782,686 12 84 Yes Yes No
Sulawesi Selatan Jeneponto
390,756 8 58 Yes Yes No
Sulawesi Selatan Gowa
744,502 18 82 Yes Yes No
Banten Kabupaten Serang
1,530,761 59 146 Yes Yes No
Banten Kabupaten Pandeglang
1,254,460 38 201 Yes Yes Yes
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
30
ANNEX 3: MOVING THE MAB FORWARD
The primary function of the MAB is to advise, connect, and advocate. To some extent, this is
happening between quarterly meetings as noted earlier in the report, however this can be
improved. The quarterly meetings themselves can be improved as well to foster greater
engagement and impact. Immediately after the June quarterly meeting, the Jalin secretariat had
virtual discussions and input from the chair, co-chair, some members and USAID about improving
participation and moving forward.
Quarterly Meeting Improvements
• Prior to every Quarterly meeting Jalin will come to consensus with the Chair and Co-Chair for
the proposed objective of each meeting with desired outcomes around the MAB’s role of
advising, connecting, and advocacy. We have tried to get on the same page with the chair and
co-chair by meeting them prior to the recent quarterly meeting but will provide more structure
to these conversations. Jalin's leadership (COP or other SMT member) and MAB secretariat should ideally co-moderate every MAB meeting with chair and co-chair.
Stewardship of achieving the objective lies with co-moderator from Jalin.
• Every meeting should start with update on actual operations of Jalin and the notable output/
progress at the national level and at the regional level. Moving beyond the theory of change to
not just the theory, but recent evidence and the actual what and how of Jalin progress. Jalin
should also share bottlenecks with the membership to seek their counsel and advocacy to move
things forward.
• Jalin will further explore remote participation for invitees who are hindered from attending
meetings(s) in person (e.g. via skype, webinar, etc.).
Beyond Quarterly Meetings
• Work with the co-chair to host some of the MAB Task Force work at the Ministry of Health to
optimize participation MoH participation.
• Continue to engage MAB membership beyond quarterly meetings to leverage their core
expertise. For example, Jalin plans to request Samuel Pangerapan from the ICT Ministry to host discussions for potential ICT-related partnerships solutions at his office and invite other IT
expert members of MAB and technical experts from the Ministry of Health and the private
sector.
• Manage the format of task-forces to be concise and action-oriented. This includes better
engagement and preparation for MAB meetings beyond the quarterly meeting. Overall
accountability for the MAB lies within the partnerships team, however it is crucial that all
specialists across Jalin take ownership of the agenda of task-force progress and quarterly
meetings relevant to their expertise.
• Explore expanding MAB participation from the private sector to further Jalin’s market-driven
agenda. Also explore with the Chair and Co-Chair succession guidance to be more focused on
the private sector for the second year of the MAB. This will facilitate smoother leadership
transition and broader engagement.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
31
• Further reflection on the MAB and measuring its effectiveness in collaboration with the DE
partner. Currently the indicator is quarterly meeting participation which does not reflect the
role of the MAB or off-quarterly meeting inputs, which are potentially more key to Jalin’s
success.
• Refine expectations for what is reasonable given the pro bono nature of the Jalin MAB and the
members other commitments. There has been some feedback from MAB members seeking
more participation, but other members have indicated an understanding of a more limited
quarterly commitment.
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
32
ANNEX 4: MEDIA COVERAGE
(DIRECT MENTION – USAID JALIN)
Printing Media Involving Local Level to Reduce the Maternal Mortality Rate KOMPAS, May 24, 2018:
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
33
Online Media
In One Hour, Indonesia Lost Two Mothers and 8 Newborns Tribunnews, May 23, 2018 http://m.tribunnews.com/nasional/2018/05/23/dalam-satu-jam-indonesia-kehilangan-dua-ibu-dan-8-bayi-baru-lahir In One Hour, 2 Mothers and 8 Newborn Died on Post Birth Viva, May 23, 2018 https://www.viva.co.id/gaya-hidup/kesehatan-intim/1039285-dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran Ministry of Health and USAID Commitment on Reducing the Maternal and Newborn Mortality Through 'JALIN' President Post, May 23, 2018. https://presidentpost.id/2018/05/23/kemenkes-ri-dan-usaid-komitmen-tekan-kematian-ibu-dan-bayi-baru-lahir-melalui-jalin/ Ministry of Health Highlight that the Maternal and Newborn Mortality Cases Still High President Post, May 23, 2018. https://presidentpost.id/2018/05/23/kemenkes-garis-bawahi-kasus-kematian-ibu-dan-bayi-baru-melahirkan-masih-tinggi/ Indonesian and US Government Partnership to Reduce Maternal and Newborn Mortality ANTV Klik, May 23, 2018. https://newsplus.antvklik.com/news/kolaborasi-indonesia-dan-amerika Reducing the Maternal and Neonatal Mortality Rate through Partnership Majalah CSR, May 23, 2018. http://majalahcsr.id/tekan-angka-kematian-ibu-melahirkan-dan-neonatal-dengan-bermitra/ Ministry of Health's Solution to Reduce Maternal and Newborn Mortality Rate Pop Mama, May 24, 2018 https://www.popmama.com/pregnancy/birth/novyagrina/solusi-kemenkes-untuk-kurangi-angka-kematian-ibu-dan-bayi-baru-lahir
USAID JALIN PROJECT QUARTERLY REPORT – Q2 PROJECT YEAR 2018, APRIL TO JUNE 2018
34
Ministry of Health and USAID Commitment in Reducing the Maternal and Newborn Mortality Rate Senior, May 23, 2018. http://senior.id/2018/05/23/komitmen-kemenkes-ri-dan-usaid-tekan-kematian-ibu-dan-bayi-baru-lahir/ Addressing the Maternal and Newborn Mortality Focuses on 6 Regions Harian Nasional, May 23, 2018. http://www.harnas.co/2018/05/23/penanganan-kematian-ibu-dan-bayi-fokus-di-6-daerah
Maternal and Neonatal Mortality Facts in Indonesia Inilah, May 23, 2018 https://m.inilah.com/news/detail/2457659/fakta-kematian-ibu-dan-neonatal-di-indonesia Maternal and Neonatal Mortality Facts in Indonesia Financehighlights, May 24, 2018 http://www.financehighlights.com/fakta-kematian-ibu-dan-neonatal-di-indonesia/
In One Hour, 2 Mothers and 8 Newborns Deaths in the Postpartum Financehighlights, May 24, 2018 https://keponews.com/dalam-sejam-2-ibu-dan-8-bayi-meninggal-pasca-lahiran/
(NO DIRECT MENTION – USAID JALIN)
Online Media Indonesia's Maternal and Newborn Mortality Rate, the Top 10 Countries in the World Media Indonesia, May 24, 2018. http://mediaindonesia.com/read/detail/162637-angka-kematian-ibu-dan-bayi-indonesia-10-negara-tertinggi-di-dunia Indonesia in the Top 10 Neonatal Mortality in the World Lampung Post, May 24, 2018 https://lampungpost.id/pemdidikan/indonesia-masuk-10-besar-kematian-neonatus-tertinggi/ Indonesia in the Top 10 Neonatal Mortality in the World Kedaulatan Rakyat Jogja, May 24, 2018. http://krjogja.com/web/news/read/67132/RI_Masuk_10_Besar_Neonatal_Tertinggi_di_Dunia