positive deviance network indonesia
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CRS. Project Concern International. Positive Deviance Network Indonesia. Collaboration and collective advocacy among INGOs and government throughout Indonesia Presentation at CORE PD TAG Meeting Washington D.C. December 8, 2004. Presentation Outline. - PowerPoint PPT PresentationTRANSCRIPT
Positive Deviance Network Indonesia
Collaboration and collective advocacy among INGOs and government throughout IndonesiaPresentation at CORE PD TAG MeetingWashington D.C.December 8, 2004
CRS Project Concern International
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Presentation Outline Scale of current PD/H efforts in
Indonesia PD Network activities Challenges Future of PD Network Suggestions for future implementers
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Aceh
Jakarta
Kalimantan
West Sumatra
SurabayaBanten
Cianjur, Garut, Sukabumi
Medan (’05)
NTT
Papua
Malang
Positive Deviance in Indonesia
PD Network achievements to date
Children enrolled in Hearths 7,600
Graduates 2,600
Health volunteers trained 3,750
Government staff trained 180
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network Indonesia Activities August 2002 --PATH
organized a TOT including several INGOs and facilitated by Jerry Sternin
New PD implementers and PD Network born
Vision = Government of Indonesia adopts PD as country-wide strategy
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network Indonesia - Sharing Monthly meetings to discuss lessons
learned and share successes attended by 6 INGOs, 3 LNGOs, district health and occasionally by health volunteers and Community Health Committee Members
Jerry and Monique Sternin have attended several meetings and given additional TA
Cross Visits
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network Indonesia - Advocacy
Advocacy at National level Advocacy at Provincial and District
levels
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network Indonesia - Trainings
3-day PD Orientation National Government Jakarta Provincial Government Padang District, West Sumatra
Capacity building of INGOs and government Community Mobilization for PD Facilitation techniques How to design Hearth menu
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network Indonesia - Publications
Translation and publication of Indonesian version of CORE PD/Hearth manual
Preparing PD manual for training health volunteers
Publication of quarterly PD bulletin including submissions from INGOs and government
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD Network national “Successes and Challenges” workshop 2004 Over 80 participants
INGOs 10 Provincial health offices 21 district health offices Universities USAID Ministry of Health
INGOs and 2 governemnt partners shared lessons learned from 2 years of implementation
Discussions of training and mentoring needs
Presentations of government PD implementation plans for 2005
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Impressions
“My first impression when I first heard about Positive Deviance was that Positive Deviance must be very difficult to implement and that it is impossible to get good results. But it was amazing! During the first ten day session, I can see weight gain and improvements on the growth chart”.
-Ibu Amsiah, head of health clinic in East Jakarta
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Impressions
“We have spent millions on trying to solve the problem of malnutrition. We have distributed milk, biscuits (fortified cookies) and MP ASIH (fortified porridge) but the problem remains because these do not change behavior. Positive Deviance changes behavior.”
-Dr. Devi, Head of Nutrition Unit – Jakarta Provincial Health Department
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Impressions
A rough calculation shows that PD is more cost effective than giving out biscuits and milk.
Bu Lina, Nutritionist – Province of West Java
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD in Indonesia Right time, right place
USAID mission strongly supports PD and has funded several programs – part of current community behavior change strategy
MOH excited about PD Several INGOs interested in PD at the
same time On going support and mentoring from
Jerry and Monique Sternin
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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PD in Indonesia Network and Replication/Scaling up Challenges Different interpretations/quality of PD
Difficulty doing ‘quality PDI’ and relaying results to behavior change/‘practice’ program
Lack of National “standard” for PD – confusing for government partners
PD is the intervention ‘du jour’ – partners want to implement regardless of conditions
Government budgeting and planning mechanisms make planning for PD difficult
Differing commitment among NGOs to Network
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Future of PD Network MOH will create national strategy for
Positive Deviance in Indonesia MOH interested in other applications of PD Continuation of regular PD meetings Common PD indicators (FANTA assistance) 2 TOT next year (urban and rural) to
accommodate requests for TA and training from government
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Suggestions Start with quality training of
all partners Create standards for
implementation Need good consultant or
strong local ‘experts’ with PD experience to keep PD on track
Advocacy at all levels from the beginning
Clear understanding of roles and responsibilities of each partner in network
Clear vision – what are we doing here?
PD/Hearth Indonesia CORE PD TAG December 8, 2004
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Proposed PD Network indicators % eligible children age 6-59 months enrolled in NERS % graduated NERS participant (LoA) % NERS participants who gain > 400 g in 1 month % NERS participants who gain 200-399g in 1 month % NERS participants who gain < 200 g in 1 month % graduated NERS participants who are in the green
band of KMS at 3 months after graduation % graduated NERS participants who are in the green
band of KMS at 6 months after graduation % graduated NERS participants who relapse and
enter NERS