This document summarizes Plan Indonesia's STBM (Sanitation, Total Behavioral Change Movement) program. Some key points: - Previously, Plan's sanitation approach involved subsidies and individual toilet construction without community involvement, achieving limited results. - Since 2007, Plan adopted a non-subsidy Community-Led Total Sanitation approach involving communities and local government. Over 200 villages have been triggered and 150 achieved Open Defecation Free status. - The STBM approach addresses five pillars: stopping open defecation, handwashing with soap, safe drinking water, solid waste management, and waste water management. Monitoring tools track progress on each pillar at the household, village, and district levels.

1. Brief STBM Program of
Plan Indonesia
by
Eka Setiawan
WASH Program Manager – Country Office

2. THE “OLD” SANITATION APPROACH PLAN INDONESIA
• Plan stay between 10-17 years in 1 (one) District), since 1969
• Since 2003, via Total Sanitation (subsidy approach)
• Not involving Pokja AMPL
• Spent up to 1,5 mill USD for 15,000 toilets construction benefitted to
45,000 people. However there are still 100,000 people who do not have
access to toilets in the other 90 Plan’s village
• The “old” result:
No ownership.
Abandoned
facilities
No behavior
change

3. SANITATION “NEW” APPROACH PLAN INDONESIA
• since 2007, via Community Led Total Sanitation (non - subsidy approach)
• involving Pokja AMPL or Dinkes
• Conducting integrated STBM approach www.stbm-indonesia.org
• Achievement:
- 200 villages triggered
- 150 ODF (70 is STBM)
- 7 villages STBM (plus additional pillars ‘ternak’ / cattle’s waste)
• Next Target: 700 villages (in new Country Strategic Program)
Dompu
S UMA TRA KA L IMA NTA N Pillar 1
Kebumen Lembata JNO
S urabaya PillarULA WE S I
S
2 PA PUA
Pillar 1 Pillar
MA LUKU 1
Pillar 2 Pillar 4
Pillar 2 S ikka Pillar 2
Pillar 4
Pillar 3 Pillar 1 Pillar 3
Pillar 5
G robogan BALI
Pillar 2 Pillar 4
Pillar 1 Pillar 5
INDIA N OC E A N
Pillar 2
Pillar 3 Rembang S oe
A US TRA LIA
STBM Kefa
Pillar 4 Pillar 1 STBM
AusAID
Pillar 5 Pillar 2 SIMAVI

4. Resources needed to scale up STBM
Plan Indonesia & Pokja AMPL Kabupaten will conduct regular
Pokja AMPL meeting once every (3) three months at District Level. The
(District) participants will be all team STBM Kecamatan, PAMSIMAS,
UN/NGOs, etc. During the meeting Pokja AMPL will fill ‘Kartu
Monitoring STBM Kabupaten’
Plan Indonesia & Team STBM Kecamatan (or sanitarian, etc). Once
Team STBM every two months will invite one/two village facilitator in all villages to
Kecamatan conduct sub-district meeting. Team STBM Kecamatan will compile
(Sub-District) the ‘Kartu Monitoring Desa’ and put it inside ‘Kartu Monitoring STBM
Kecamatan’ . Plan Indonesia & Team STBM Kecamatan will come to
dusun/Desa if there is a problem occurs, to help Village Facilitator.
Village Facilitator (or the CLTS facilitator), will come regularly to each
Village Facilitator dusun for monitoring. During his/her visit, they will compile the
(Team STBM Desa) household cards per-dusun and put them inside ‘Kartu Monitoring
STBM Desa’.
Dusun champion exist in every sub-villages. Together (village
Dusun Dusun Dusun facilitator & champion) will fill the households card during the regular
Champion Champion monitoring visit. And Village Facilitator may train dusun champion on
Champion
how to fill the cards on his/her absence.
Households Households There is ‘STBM’ household card in every houses. Plan Indonesia
Households
will produce these. 1 Household = 1 card.
Source: Kepmenkes No 852 thn 2008

5. HOW TO ‘SCALE UP’ STBM IN PLAN INDONESIA
Roadshow STBM
Village Interest Letter Training triggering CLTS
Road Show – ke
Desa-Desa
Field Visit
Promotion STBM
Pelatihan Pemicuan Kegiatan Monitoring / Kegiatan Monitoring/ Kegiatan Monitoring
(5 hari) (2 Jam) Assistance ke-1 Assistance ke-2 /Assitance ke-3, dst…
(1 jam) (1 Jam) (1 Jam)
Fasilitator Desa FD kembali ke Dusun A, FD kembali ke Dusun A
Pelatihan CLTS FD kembali ke Dusun
turun ke Dusun atau ke KK, melakukan melakukan monitoring
ke Fasilitator A melakukan
A melakukan monitoring CLTS setelah CLTS, sekaligus
Desa/FD (5 hari) monitoring CLTS,
pemicuan CLTS pemicuan sekaligus kampanye PAM RT sekaligus kampanye
Kampanye CTPS.. Pilar STBM lainnya…
FD Turun ke FD Kembali ke Dusun B, FD kembali ke Dusun B
Dusun B melakukan monitoring melakukan monitoring FD kembali ke Dusun
melakukan CLTS setelah pemicuan CLTS, sekaligus B melakukan
pemicuan CLTS sekaligus kampanye kampanye PAM RT monitoring CLTS
CTPS… sekaligus kampanye
pilar STBM lainnya…
Dusun
seterusnya Dusun seterusnya… Dusun seterusnya…
Dusun seterusnya
Capacity
Building
Road Map STBM
Training – Ke
- Kabupaten Kecamatan STBM
Tim Kecamatan
Kabupaten STBM

6. How to do 5 pillars STBM at Plan?
Keys: Never mix-
up CLTS
triggering with
5 days CLTS triggering
training to Village Facilitator others!
(but include information on whole
pillar of STBM as additional)
Village Facilitator Village Facilitator Village Facilitator
Triggering time (half-day) to Triggering time (half-day) to Triggering time (half-day) to
Community #1 Community #2 Community #3, etc …..
Follow-up #1 to Community #1 Follow-up #1 to Community #2
(insert IEC promotion to other pillar STBM) (insert IEC promotion to other pillar STBM)
Follow-up #2 to Community #1 Follow-up #2 to Community #2
(insert IEC promotion to other pillar STBM) (insert IEC promotion to other pillar STBM)
Follow-up #3 etc….. Follow-up #3 etc…..

7. Definition of 5 Pillars STBM – concluded from local Pokja
Cara M onitor untuk di kompil asi ke
PILAR STBM Laporan dusun
1. Stop BABS
Jika
Jenis Sarananya 1) Cemplung dengan tutup jenis sarana adalah sa la h satu dari 3
2) Plensengan dengan tutup op si
3) Leher Angsa dan
pe milik ruma h m enjawab 'ya',
Apakah Pemilik Rumah Menggunakan Jamban ?
m aka KK tersebut ODF (atau stop
1) Ya BABS)
2) Tidak
2. Cuci tangan Pakai Sabun (CTPS)
Tersedianya Sarana Cuci Tangan
Jika:
A) Air 1) Ya Air = 'ya'
2) Tidak dan
B) Sabun 1) Ya Sabun = 'ya'
2) Tidak dan
Pesan C TPS = 'bo leh 'ya' a tau 'tidak'
C) Pesan CTPS 1) Ya
dan
2) Tidak Pra kt ik = 'ya'
Apakah bisa mempraktekkan CTPS Ma ka KK t erse but su dah CTPS
1) Ya
2) Tidak
3. Pengolahan Air Minum (PAMRT)
Kebiasaan KK dlm mengkonsumsi air minum Jika,
1) Direbus/ Dimasak Kebiasaan KK m em ilih sala h satu da ri
2) Ceramik Filter op si 1 atau 2 a tau 3
dan
3) Sodis
wad ah m in um terut utup = 'ya '
4) Lainya Ma ka KK t erse but su dah PA M-RT
Tempat/ wadah penyimpanan Air Minum di tutup
1) Ya
2) Tidak
4. Pengolahan Sampah Rumah Tangga
Sampah Rumah Tangga Biasanya….
1) Dijadikan Kompos Jika peng ola han samp ah m em iliki salah
satu dari opsi 1 a tau 2 at au 4 ata u 5
2) Dibuat Kerajinan
Ma ka KK t erse but su dah Pila r-4
3) Tidak di Apakan
4) Di Timbun
5) Di Bakar
5. Pengolahan Limbah Cair Rumah Tangga
Air di Dapur atau Cucian Diapakan ? Jika peng ola han limb ah ca ir m em ilih opsi
1) Diresapkan ke lubang tanah 1 atau 2 a tau 3
2) Dimanfaatkan Untuk Tanaman Ma ka KK t erse but su dah Pila r-5
3) Dibuang ke Saluran Air
4) Dibiarkan Menggenang

8. Pillar #1: CLTS
CLTS Training to Village
Facilitator
Triggering to Villages
Commitment to have latrine
100% Open Defecation Free
Village’s Declaration
This may wait till all 5 pillars
complete too…
Follow up, & Process building
Latrine constructed & used
latrine by community (no
subsidy)

9. Non-subsidy latrine resulted from CLTS
Before CLTS After CLTS

10. Non-subsidy latrine failure due to flooding
in some of villages

11. Path specifically built to guide people with low vision to the
latrine and hand-washing station (person with disability)

12. Pillar #2: Handwashing with soap

13. Pillar #3: SWTSS
Clean water storage for
boiled drinking water

14. Lanjutan Pilar 3: Apakah jika sudah di-treatment akan aman?
TIDAK AMAN! Penelitian WHO menyimpulkan 60% air yang telah
di olah masih tidak sehat karena wadah penyimpanannya
kotor atau jari tangan kotor
GELAS HARUS CERET/TEKO CUCI TANGAN
SELALU BERSIH! HARUS SELALU DENGAN SABUN !
BERSIH!
CARA: DICUCI CARA: CUCI
BERSIH, DAN DI CARA: DICUCI DAN TANGAN SEBELUM
JEMUR DIBAWAH DIJEMUR SETIAP MAKAN, SETELAH
MATAHARI 3-7 HARI SEKALI B.A.B
SAMPAI KERING

15. Pillar #4: Solidwaste HH
Kompos, timbun, atau bakar di lubang
Remember: there is no Dinas Kebersihan in most of rural
villages

16. Pillar #5: Waste Water
Soakaway pit
To plantation

17. JUST INFO: RESOURCES AT PROJECT LEVEL
(DONOR FUNDED)
Staffs of Plan Indonesia Civil Society & Govt
Project Manager
based in soe/kefa
Assistant/OS Area Admin/Finance
M&E Officer
Pokja AMPL 5-10 officials
(additional) - based in Kupang
based in soe/kefa Kabupaten
Project Admin/Finance Officer Soe Project Admin/Finance Officer Kefa
Cashier Soe (additional) Cashier Kefa (additional)
Tim STBM 2 officials per
Kecamatan sub-district
(100 orang)
Handwashing/ CLTS Team Handwashing/ CLTS Team
Safe Water Leader Safe Water Leader
2 CLTS village
Specialist (2 persons) Specialist (2 persons) Tim STBM facilitator per-
(1 person) (1 person)
Desa village
(600 orang)
Hygiene CLTS Sub-District Hygiene CLTS Sub-District
Officers Officers Officers Officers
(4 person) (8 persons) (4 person) (7 persons) Dusun Dusun 3 natural
leader per
Soe District (172 villages) Kefamenanu District (160 villages) sub-village

18. Info: Sanitation Marketing after “demand creation community”
The community able to create the closet themselves (independent) without any-
subsidy from Plan. 1 Closet average of IDR 30.000.- (or 4$). Grobogan Study
Budget planning (from
community) on how to
make low-cost-closet.
Most of them paid it
with Banana’s fruit,
rice, etc. And exchange
it to the existing
Koperasi/ Microfinance
Workshop/training on Closet
improvement, in community
(majority: private local artisan
entrepreneurs)
Closet ready for distribution Finishing closet, and stock Training on making low-
(or sell) for production (gotong cost-toilet
royong)

19. Children are playing game
called “Snake and Ladder” as
a FUN way to educate
children in regard of Hygiene
Practices

20. The Decline of Diarrhea Cases in Lembata
91% Diarrhea Reduction
63% Diarrhea Reduction

21. The Decline of Diarrhea Cases in TTS
District: In average, diarrhea cases in 2012
` was 27.31% lower than they were in
2011. The decline of diarrhea cases is
due to STBM intervention led by local
health center and District Health
Agency, which started at the
beginning of 2011. The intervention
involves the promotion to the
community to adopt 5-pillars of
hygiene behavior
(Data collected from Sub-district Health Center in
Polen, Kie, and Amsel)
Kec / Decline in
Subdistrict 2010 2011 percentage
KIE 1,058 722 31.76%
AMSEL 338 298 11.83%
Polen 548 393 28.28%
Kecamatan/Kec. = Sub-district
Total 1,944 1,413 27.31%

22. The Decline of Diarrhea Cases in TTU
District:
In average, diarrhea cases in
` 2012 was 34.20 % lower than
they were in 2011. The decline
of diarrhea cases is due to
STBM intervention led by local
health center and District
Health Agency, which started at
the beginning of 2011. The
intervention involves the
promotion to the community to
adopt 5-pillars of hygiene
behavior
(Data collected from Sub-district Health
Center in Napan, Lurasik, Oelneke)
Decline in
Kec. / Sub-district 2010 2011 percentage
BIKOMI UTARA 47 29 38.30%
MUSI 49 47 4.08%
BIBOKI UTARA 345 218 36.81%
NOEMUTI 59 35 40.68%
Total 500 329 34.20%