LESSONLEARNEDOFCBTS(STBM)IMPLEMENTATION

VietnamDelega,onMee,ngJakarta,12May2011

KEMENTERIAN KESEHATAN

A.  LATAR BELAKANG

I. BACKGROUND

Source: WHO, 2007

Potential intervention to reduce diarrhea

COMMUNITYBASEDTOTALSANITATION(STBM)CONCEPT

Outcome: Reduce diarrhea and environmental related disease due to worst hygiene & sanitation through total sanitation development

Output: Increase hygiene & sanitation development trough demand & supply creation

Pilar 1: Open

defecation Free (ODF)

Pilar 4: Solid waste

management in the

Household Level

Pilar 3: Household

Water Treatment & Safe Storage

(HWTS)

Pilar 2: Hand Washing

With Soap (HWWS)

Pilar 5: Liquid waste management

in the Household

Level

Basic component of STBM: 1.  Behavior Change 2.  sustainability of the Increase sanitation access 3.  Sustainability of community based management 4.  Enabling environment

Institution

•  Behavior Change through CLTS method

•  Sanitation Promotion through media

• To be served affordable sanitation options

• Competitive sanitation services • Affordability sanitation services • Standardized Sanitation

covered

•  Increase implementation capacity & capability

•  Rise networking & demand and supply interaction based on local potential

•  Review and documentation regarding to the sustainability

STBM COMPONENT STRATEGY

HYGIENEBEHAVIOR??

5

II. Challenge

38,5

71,5

55,5

RISKESDAS 2010

Percentage of Household Access on Improved Sanitation Facility (1993-2010)

DISPARITY URBAN – RURAL, RICH - POOR Percentage of Household Access

on Improved Sanitation Facility (JMP WHO/Unicef 2008)

Riskesdas 2010

Percentage of Household Access on Improved Sanitation Facility

(MDGs) Menurut Provinsi, Riskesdas 2010

*) Personal & share, closet latrine, Septic tank/sewerage system

DISPARITY – PROVINCE LEVEL

Sanitation Issues

-  The scope of development, population distribution and geographical conditions vary

-  Limited knowledge and behavior of public hygiene -  The absence of comprehensive cross-sectoral policy to

provide proper and healthy sanitation facilities

III.OPPORTUNITY

•  REGULATION(RPJMN,INPRESNo.3/2010,RENSTRA,MinistDecree,PERBUP,RADMDG)eg.IntegratedPromoHve‐PrevenHve

•  NaHonalpriorityprogramSupervisedbyPRESIDENT(UKP4)

•  INDICATORMoHWORKPLAN

•  SUPPORT&COLLABORATIONMULTISECTORAL&PARTNERS

• EnhanceHealth,educaHon&producHvity

• ThestudentacAvelyaEendtheschool

• TheparenthighproducAvity

IV.STBMIMPLEMENTATIONPROGRESSRuralsanitaAonaccessincrease:10%HWWSpracAceincrease:12%(11ke23)ODFincrease:12%(28,5–17,2)Diarrheacasedecrease:12poin(423‐411)/1000people

2007-2010

V.SCALLINGUP&COVERAGEIMPROVEMENT

STBM

12

1. Build the secretariat/forum 2. Capacity building (quality, quantity, function) 3. Strengthen function & responsibility local government 4. Strengthen networking among implementers 5. Program integration & wider coverage area on the implemntation regarding to achievement the target (STBM - PNPMG) 6. Integration STBM-PPSP, High five, IUWASH urban 7. Increase the accurate data by M&E 8. Horizontal Learning 9. National learning centre 10. Build regional networking