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Lesson Learned of Community-based Total Sanitation (Sanitasi Total Bebasis Masyarakat) Implementation

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Lesson learned of CBTS (Community-based Total Sanitation) / STBM (Sanitasi Total Berbasis Masyarakat) implementation

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Lesson Learned of Community-based Total Sanitation (Sanitasi Total Bebasis Masyarakat) Implementation

  1. 1. KEMENTERIAN KESEHATANLESSON
LEARNED
OF
CBTS
(STBM)
 IMPLEMENTATION

 Vietnam
Delega,on
Mee,ng
 Jakarta,
12
May

2011

  2. 2. I. BACKGROUNDPotential intervention to reduce diarrhea A.  LATAR BELAKANGSource: WHO, 2007
  3. 3. COMMUNITY
BASED
TOTAL
SANITATION
 (STBM)
CONCEPT 
 Outcome: Reduce diarrhea and environmental related disease due to worst hygiene & sanitation through total sanitation developmentOutput:Increase hygiene & sanitation development trough demand & supply creation Pilar 3: Pilar 4: Solid Pilar 5: Pilar 1: Pilar 2: Hand Household waste Liquid waste Open Washing Water management management defecation Free With Soap Treatment & in the in the (ODF) (HWWS) Safe Storage Household Household (HWTS) Level Level Basic component of STBM: 1.  Behavior Change 2.  sustainability of the Increase sanitation access 3.  Sustainability of community based management 4.  Enabling environment
  4. 4. STBM COMPONENT STRATEGY Institution•  Behavior Change • To be served affordable •  Increase implementation through CLTS method sanitation options capacity & capability•  Sanitation Promotion • Competitive sanitation services •  Rise networking & demand through media • Affordability sanitation services and supply interaction based • Standardized Sanitation on local potential covered •  Review and documentation regarding to the sustainability
  5. 5. II. ChallengeHYGIENE
BEHAVIOR??
 5
  6. 6. Percentage of Household Accesson Improved Sanitation Facility (1993-2010) RISKESDAS 2010 71,5 55,5 38,5
  7. 7. DISPARITY URBAN – RURAL, RICH - POOR Percentage of Household Access on Improved Sanitation Facility (JMP WHO/Unicef 2008) Riskesdas 2010
  8. 8. DISPARITY – PROVINCE LEVEL Percentage of Household Access on Improved Sanitation Facility (MDGs) Menurut Provinsi, Riskesdas 2010*) Personal & share, closet latrine, Septic tank/sewerage system
  9. 9. 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

  10. 10. III.
OPPORTUNITY
•  REGULATION
(RPJMN,
INPRES
No.
3/2010,
 RENSTRA,
Minist
Decree,
PERBUP,
RAD
MDG)
eg.
 Integrated
PromoHve‐PrevenHve
•  NaHonal
priority
program
Supervised
by
 PRESIDENT
(UKP4)
•  INDICATOR

MoH
WORK
PLAN
•  SUPPORT
&
COLLABORATION
MULTI
SECTORAL
&
 PARTNERS


  11. 11. IV.
STBM
IMPLEMENTATION
PROGRESS
 Rural
sanitaAon
access
increase:
10%
 HWWS
pracAce
increase:
12%
(
11
ke
23)
 2007-2010 ODF
increase:
12%
(28,5
–
17,2)
 Diarrhea

case
decrease:
12
poin
(423‐411)/1000
 people
 • The
student
acAvely
aEend
the
school
 • The
parent
high
producAvity
 • Enhance
Health,
 educaHon
&
 producHvity


  12. 12. V.
SCALLING
UP
 
 &
COVERAGE
IMPROVEMENT
 
 STBM
1. Build the secretariat/forum2. Capacity building (quality, quantity, function)3. Strengthen function & responsibility local government4. Strengthen networking among implementers5. Program integration & wider coverage area on the implemntation regarding to achievement the target (STBM - PNPMG)6. Integration STBM-PPSP, High five, IUWASH urban7. Increase the accurate data by M&E8. Horizontal Learning9. National learning centre10. Build regional networking 12

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