THE GOVERNMENT OF CENTRAL JAVA PROVINCE

HEALTH OFFICE

Presented by: Mr. Yulianto Pramono, Head of Health Office Central Java Province,
Indonesia
in India , December 2016 1
 PRESENTATION OUTLINES
1. INTRODUCTION

2. STRATEGY AND INNOVATION

3. PERFORMANCE ATTAINMENT IN 2016

4. DATA INTERPRETATION ON THE FIELD

5. PROBLEMS OF THE STRATEGY IMPLEMENTATION

6. CONCLUSION AND RECOMMENDATION

 I. INTRODUCTION
I.1. Demographical Overview
 MAP OF INDONESIA

CENTRAL JAVA
Indonesia is an archipelago in Southeast Asia which has 13.487 large and small islands, about 6,000 of
which are uninhabited, which spread around the equator, which gives tropical weather.
position of Indonesia is located at coordinates 6 ° N - 11 ° and 95 ° 08'LS 'E - 141 ° 45'BT and lies
between two continents, Asia and Australia / Oceania.
 There are 33 provinces in Indonesia, one of them is CENTRAL JAVA PROVINCE
CENTRAL JAVA PROVINCE
CENTRAL JAVA CONSISTS OF 29 DISTRICTS, 6 CITIES, 573 SUB
DISTRICTS AND 8577 VILLAGES
THE POPULATION IS APPROXIMATELY 34 MILLIONS = 9,771,161 HOUSE
HOLDS AND THE POPULATION DENSITY IS 1.011 PEOPLE/ KM2

Jepara

Kota Tegal Pati Remban

Kota Kudus
Pekalongan g
Dema
Brebe k
JAWA s Kab Batang Kendal Kota
Tegal Kab Smg Blora
BARAT
Pemalang Pekalonga Groboga
n n

Semarang
Purbalingga Temanggung
Banjar
Cilaca
p
negara Wonosobo Srage
Kota Salatiga n
Kota Magelang
Banyumas Kota Surakarta
Boyolali
Magelan JAWA TIMUR
g Karanganyar
Kebumen Klaten
Purworej Sukoharj
o o

YOGYAKARTA Wonogiri

District
Municipality
 I.2. Community Health
• Diseases in Central Java Province
• Health Facilities
• Health Workers ( Human Resources )
• People’s Habits
 Diseases in Central Java

• Communicable Diseases

• Non – Communicable Diseases

 DIARE

STUNTING/TUMBUH
PENDEK
ENVIRONMENT HEPATITIS A
BASED
LEPTOSPIROSIS
DISEASES
KECACINGAN
ISPA
KULIT
DBD
MALARIA
KERACUNAN
CAUSED BY: SANITATION, WATER QUALITY,
BAD BEHAVIOUR MAKANAN
TB PARU
 Health Facilities

• Hospitals ( Private and Governmental )

• Clinics

• Public Health Center

 Health Workers
• Doctors
• Nurses
• Midwiferies
 People’s Habits
2 of 10 of the Central Java citizen do
opened-devacation

Source :www.stbm-indonesia.org
OPENED-DEVACATION CASE IN CENTRAL JAVA

12
 STRATEGY OF COMMUNITY-
BASED TOTA SANITATION (CBTS)
 CBTS Framework
Outcome: Decreasing the events of diarrhea and environmental-based diseases
which are related to sanitation and behavior through total sanitation condition.

Outputs:
① Increasing the hygiene sanitation development through the increase of
demand dan supply
② Pressing the national economy loss caused by the bad sanitation
condition

Pillar 4: Pillar 5:
Pillar 1: Pillar 2: Pillar 3: Family Family
Stop O-D CBTS PAM-RT Waste Liquid Waste
Management Management

Basic Principles of CBTS:

1. Changing People’s Bad Behaviour
2. Increasing the sustainable sanitation access
3. Pengelolaan berbasis masyarakat yang berkelanjutan
4. Institutional Supports to the society (enabling environment) 14
 THE STRATEGY OF COMMUNITY-BASED TOTAL SANITATION:
• The CBTS Strategy has been conducted • The implementation of Health component
through the process of institutionalizing is done with the CBTS Strategy in all cities
the 3 –sub component of sanitation since
2008 in all regencies in Central Java and regencies.
Province.
CBTS STRATEGY
CENTRAL JAVA
PROVINCE
 DEMAND ENABLING SUPPLY

UPAYA TEKHNIS PROV JATENG

Pelatihan Pemicuan, Komitmen Pemda  Regulasi Peran aktif Wirausaha
Monitoring, STBM percepatan ODF: sanitasi
1. Perbup STBM
Pemicuan perubahan perilaku 2. RAD Stop BABS
Kredit sanitasi
3. Surat Edaran Pelaksanaan STBM
4. Intruksi Bupati Percepatan ODF
Promosi/Kampanye Stop
5. Perbup anggaran untuk support tim Kredit tanpa agunan dari
BABS STBM lembaga mikrofinance, Bank
6. Surat Gubernur Jateng 31 Oktober 2016 contoh BKK/BPR, BMT
Lomba Desa ODF/desa STBM
Dibentuk Tim Koordinasi STBM dan Arisan jamban/jamban
Pemanfaatan Peta Sosial, Tim Pelaku, Monitoring kab, bergulir melalui dana desa
stiker kategori akses untuk kecamatan, desa
monitoring berkelanjutan
Asosiasi Wirausaha sanitasi
Optimalisasi alokasi Dana APBD, contoh ASSAMI - Pemalang,
APBDes untukVSTBM PAPSIGRO - Grobogan,
Bekerjasama dengan Tokoh
PAPSIR-Rembang
Agama/ulama un tuk memicu Reward dan apresiasi bagi
perubahan perilaku dengan desa,kecamatan, kabupaten
khotbah, pengajian, nasehat berprestasi dalam pelaksanaan STBM
pernikahan dengan tema
jamban sehat, hadist-hadist Membudayakan Share Learning STBM tingkat Provinsi,
yang berhubungan dengan Kabupaten, Kecamatan, desa dengan Workshop
kebersihan lingkungan STBM/Mini lokakarya percepatan ODF

STBM masuk dalam kurikulum Membangun Mekanisme Monitoring berkelanjutan – Tim

Monitoring, pemanfaatan STBM Smart, web STBM
muatan lokal sekolah
Kerjasama Lintas sektor, Lintas program, Sektor swasta,
Verifikasi ODF
Perguruan tinggi, CSR, masyarakat
Deklarasi ODF untuk memicu Pemanfaatan Media untuk Advokasi STBM dan memicu
wilayah lain untuk ODF stakeholder untuk berkomitmen mendukung percepatan
ODF
LEARNING AND EXPERIENCE
FROM EACH REGION
 SEBARAN PEMICUAN
PETA SEBARAN KABUPATEN POTENSI ODF
JAWA TENGAH
Tahun 2017,2018,2019

Jepara

Kota Pati Rembang

Kudus
Pekalongan
Demak
Kota Tegal
Brebes
JAWA Kab Batang Kendal Kota
BARAT Tegal Kab Smg Blora
Pemalang Pekalongan Grobogan

Semarang
Purbaling Temanggung
ga Banjar
Cilacap
negara Wonosob Sragen
Kota
o Kota
Banyumas Salatiga Kota
Magelang
Surakarta
Boyolali
Magelang JAWA TIMUR
Karanganya
Kebumen Klaten r
Sukoharjo
Purworejo

Kab./Kota ODF YOGYAKARTA Wonogiri

Kab/kota POTENSI ODF Tahun 2017

Kab./Kota Potensi ODF Tahun 2018
Kab./Kota potensi ODF Tahun 2019
Kab./Kota KOMITMEN ODF, POTENSI TERBATAS
 INOVASI KABUPATEN
Grobogan Banjarnegara
Wonogiri Karanganyar Komitmen Kepala daerah dan
Perbup Anggaran,
Perbup STBM, Tim koordinasi Perbup Anggaran, Tim seluruh camat dan kades,
Pendanaan STBM dari lintas SKPD,Kredit koordinasi lintas DPRD kuat untuk sanitasi,
Dana desa, Memicu sanitasi oleh BKK SKPD,Kredit sanitasi memasukkan STBM dlm
komitmen desa dengan purwodadi, semua oleh BKK purwodadi, kurikulum sekolah, promosi
mengkategorikan: Desa memiliki semua Desa memiliki dan kampanye dengan
1. Desa sehat (lolos 5 Fasilitator STBM Fasilitator STBM desa berbagai event, anak sekolah
pilar), 2. desa bersih desa dan natural leader terlibat
(ODF, baru lolos pilar 1- dalam duta perubahan
2) dan desa Jorok (belum
ODF)
Pemalang Kendal
Rembang Purbalingga Boyolali
Perbup STBM, Intruksi Bupati
Ada RAD STOP BABS Surat edaran Setda untuk Babinsa, PKK Perbup STBM, Pokja
(Dokumen perencanaan untuk percepatan percepatan terlibat penuh Aktif, PERAN SWASTA
berupa Rencana Aksi ODF, optimalisasi ODF, Peran dalam trigering terlibat, strategi
Daerah), semua pelaku dana desa untuk BAPPEDA dan monev. clustering intervensi
dilibatkan dlm tim STBM STBM, promosi sangat kuat Promosi dan wilayah mudah sulit,
(termasuk TNI/POLRI), dan kampanye untuk STBM kampanye di promosi dan kampanye
sistem REWARD bagi setiap event, setiap event digalakkan,lomba antar
desa ODF, bekerjasama Semua komponen desa
dengan BMT BUS masy dilibatkan
(Mikrofinance) khususnya PKK
 ODF ACCELERATION IN SOME REGENCIES
KARANGANYAR REGENT DECLARED O-D TAHUN PURBALINGGA REGENT RECEIVED AN AWARD FOR
2017 THE PROGRAM OF MAKING 4444 EXCERTA
DISPOSALS
ANOTHER ODF ACCELERATION IN SOME REGIONS
The CBTS Promotion and Socialization are done through some medias:
1. TV advertisements
2. Radio Spot
3. Posters

TVC-
“Plung jadi
Plong” (
Indonesian
and
Javanese
Version
Samples of Posters
 Promotion of some sanitation
entrepreneurships in Central Java
Printing tools for sanitation
promotion in Central Java

Part of Printing Buis Beton,

Pekalongan Regency

Part of Closet Printing,

Pemalang Regency
 Other Printing Tools

Printing of
Closet, Blora
Regency
Sample of Healthy Excreta Disposal #
entrepreneurship, Central Java
PERFORMANCE ATTAINMENT
OF CENTRAL JAVA PROVINCE
IN 2016
 AKSES JAMBAN SEHAT JAWA TENGAH

Akses layak/JSP: 58,90 %

AKSES 83,37%
JAMBAN ( 8.450.248 KK)
10.049.003
KK

16,63 %
BABS (1.598.755
KK)

DATA BERSIFAT DINAMIS

30
( 23 Agustus 2017)
DESA/KEL STOP BABS 1.734 DESA /KEL
(ODF) (20,21 % dari 8.577 DES/KEL)
1. Kabupaten Wonogiri 2 Kecamatan
2. Kabupaten Boyolali 3 Kecamatan
3. Kabupaten Semarang 2 Kecamatan
4. Kabupaten Karanganyar 3 kecamatan
KEC.STOP 5. Kabupaten Pemalang 1 Kecamatan
6. Kota Semarang 2 kecamatan
BABS 7. Kab. Klaten 1 Kecamatan
8. Kab. Kudus 1 Kecamatan
9. Kab. Banyumas 1 Kecamatan

KAB STOP BABS KAB. GROBOGAN

POTENSI Kab. Wonogiri, Kab.Karanganyar, Kab.

KABUPATEN KOTA Boyolali, Kab. Rembang, Kab. Sukoharjo
32
ODF TAHUN 2017 ,Kota Surakarta dan Kota Semarang
 PERANAN DATA DALAM
KEBERHASILAN PROGRAM

www.stbm-indonesia.org

APLIKASI STBM-SMART DI HANDPHONE

TRAINING OF MONITORING AND
EVALUATION OF DATA STBM BY
WEBSITE AND SMS GATEWAY AT
JULY,16-18TH,2012
FOLLOW UP ACTION Post The TRAINING

• ON THE JOB TRAINING IN DISTRICT/

MUNICIPALITY ONE BY ONE, PARTICIPANTS ARE
ALL SANITARIANS
• REMIND OFFICIAL IN DISTRICT /MUNICIPALITY
WHEN THEY WERE MADE A MISTAKE TO INPUT
DATA (BY PHONE OR SHORT MESSAGE
SERVICES)
• PROVINCIAL HEALTH SERVICES WAS MADE
FEED BACK REGULARLY (6 MONTH).
 RESULT
• BY JANUARY 2014, WAS COMPLETED ( THERE
WEREN’T DATA IN RED COLOUR THAT MEAN THE
DATA WAS RIGHT). IT’S MEAN THAT NEED TWO
YEARS TO BUILD THE BASIC DATA
• FROM 35 DISTRICTS/MUNICIPALITIES CONSIST OF
SOME DISTRICTS, THE DATA WAS BLUE COLOUR
THAT MEANS THERE WERE PROGRESS IN DATA
(indicates that the rural areas are concerned that the actual
number of households below 50% of the total households
in the BPS) SOME DISTRICTS/MUNICIPALITIES WERE
BLACK COLOUR THAT MEANS THERE WEREN’T
PROGRESS (DATA WAS STAGNANT)
 Timbal Balik Arus Informasi dan
Data

 Pelaporan  Feedback
mudah dan langsung
rutin  Komunikasi 2
 Kinerja terukur arah

Akses mudah
diterima oleh
Perkembangan STBM update! 27 Agustus 2015
pengelola
di lapangan Kabupaten Salemba
Provinsi Percetakan

program,
100%
Konsistensi data
100%

terupdate oleh Jumlah data

Peningkatan Akses

75
6 Desa SBS

6
1
pelaku
pelaku % ODF
2
lapangan,
(sanitarian, dll)
Sanitarian update data (21 – 27 / Agustus 2015)

masyarakat
umum
41
Aplikasi tersedia pada:

43
44
Keterangan:
Wilayah Pamsimas ada
tulisan “P”

45
HAMBATAN DAN MASALAH
1. Koordinasi antar pelaku STBM belum Optimal di tingkat
Kabupaten/Kota sampai Desa
2. Proses perubahan perilaku masih dipengaruhi oleh
budaya lokal
3. Kurang Kesinambungan Monitoring pasca pemicuan .
4. Potensi Sekolah sebagai agen Perubahan Perilaku (Siswa
dan Guru) tidak dilaksanakan secara komprehensif
5. Komitmen Pemerintah Daerah, STBM belum menjadi
Skala Prioritas
6. Anggaran belum Sesuai dengan Kebutuhan dari Tingkat
Provinsi s/d Desa
 DATA PROBLEM

A FEW OF DISTRICTS/MUNICIPALITIES USED THE DATA

FOR PLANNING AND EVALUATION PROGRAME (LESS
THAN 100 %)
TOUR OF AREA AND TOUR OF DUTY OF EMPLOYEE,
INFLUENCE FLOW OF DATA
 PLAN OF ACTION

WE WIIL DEVELOPING ANOTHER PILARS

OF STBM (PILARS 2-5 eg HAND
WASHING,HOUSE HOLD DRINGKING
WATER,WASTE WATER, SOLID WASTE
HOUSE HOLD)

STILL DEVELOPING BUILDING CAPACITY TO

IMPROVE THE BASIC DATA STBM
 MATUR NUWUN

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