1. “COMMUNITY
PARTICIPATION IN
REPRODUCTIVE
HEALTH
AN
INDONESIAN
EXPERIENCE”
Presented By:DR.P.P.SINGH
Ex. Medical Superintendent cum
Consultant Pathologist. HRH & SDN
Hospital Delhi
Ex. Director India population Project
Delhi.

2. INTRODUCTION
IINDONESIA IS KNOWN TO HAVE SUCCESFUL
IN SOME ASPECT OF NATIONAL DEVELOPMENT,
SPECIALY IN STABELISATION OF POPULATION
THROUGH R H PROGRAMME.
INTERNATIONAL AGENCIES LIKE UNFPA,WHO. &
WORLD BANK HAVE RECOGNISED ITS SUCCESS
STORY.
TODAY INDONESIA IS A ROLE MODEL FOR
DEVELOPING COUNTRIES
THE KEY OF SUCCESS IS ONLY THROUGH
“COMMUNITY PARTICEPATION & WOMEN
EMPORMENT”

4. Social profile
Total population – 205 Million
With many different Ethnic
groups & Languages
National Language – Bhsa
Indonesia.
4rth Largest Population of the
World.
87.0% Muslim.
9.7% Christian.
1.1% Buddhist.
1.8%Hindu (in BALI 85%)
0.04% Others.

5. NATIONAL PHILOSOPHY
(PANCHASILA)
Belief in one supreme GOD
Just and Civilized Humanity
The Unity of Indonesia
Democracy led by wisdom of
Deliberations amongst
Representatives.
Social justice for the whole
Indonesian People.

6. S.N
o.
Table – I.
Indices
INDIA
INDONESIA
1
Total Population
>100,89,37000
21,20,92000
2
GDP
1501
3038
3
Life Expectancy
Male-59.8yrs
Female- 62.7yrs
Male-63.4yrs
Female-67.4yrs
4
Crude Birth Rate
28.3
24.3
5
Crude Death Rate
9.0
7.5
6
Total Fertility Rate
3.1
2.2
7
Infant Mortality Rate
72
32
8
Child Mortality Rate
Male-90
Female- 99
Male-61
Female- 49
9
Total Health
Expenditure
110- 5.1%of GDP
54- 2.7%of GDP
10
Literacy Rate
64.3%
91.3%
11
Status of Polio
Highest No. of cases
amongst 10 countries in
the world where still Polio
cases are being detected.
Polio Free.
12
Maternal Mortality
Rate(per 100,000 live
births)
430
290
13
Women Average Age of
Marriage
19.6yrs
21yrs

7. ORGANISATION BEHIND ALL THIS
SUCCESS IS B.K.K.AB.N.
(NATIONAL FAMILY PLANING
COORDINATION BOARD)
1975

8. Family Welfare Co-ordination
Department
National Level
District Level
BKKBN
Provincial
Office
Directly under
the Control of
President
REPORT
Provincial Level
BKKBN
Central
Office
GOVERNEOR
BKKBN
District
Level
BHUPATI
REPORT
District Hospital
SUB
DISTRICT
CAMAT
REPORT
Comm. Mat.
Centre
PHC
Village Centre
Comm. Midwife
Village
Vill. Head
OR
Sub. Village
F.P. Field – 1
Supervisor
F.P.Field
Worker (20 )

11. SERVICE DELIVERY REFERRAL SYSTEM
HEALTH
CENTRE
PRIVATE
CLINIC
DISTRICT
HOSPITAL
HEALTHCENTRE
FPFW
POSYANDU
(INTEGRATED POST)
KADAR (Volunteer)

12. MIS (Management information system) of
National Family Welfare programme is very
effective. Every month reports are not only
being collected & forwarded to National level
but also discussed at every level. Recently this
has been computerized from level to national
level. Format of report is of 84 columns.
Families are categorized into five groups
according to socioeconomic status.
1. Pre –Prosperous Family
2. Pre –Prosperous Family Stage I
3. Prosperous Family Stage II
4. Prosperous Family Stage III
5. Prosperous Family Stage III Plus

25. COMMUNITY PARTICPATION.
VOLUNTREES (KADER)
FAMILY ENUMERATIONRecord – Motivation.Organising
monthly meetings.
POSYANDU.
HEALTH TALKS
INCOME GENERATION
FELCITATION
HELPS TO ANC&PNC
CASES>

26. COMMUNITY DELIVERY PLACE.
At every Ward /Village Lavel Managed By
ANM
Place is Called BIDANDESA.
ANM
TBA
COMMUNITY FUND – DANASEHAT.

27. The community participation is not confined to one
area it has been observed almost uniform in
different part of the country seen in Java,
Sumatra and Bali. Community groups in BALI
are called BANJAR while in SUMATRA it is
called as BUDOCONDOS
C
All Industrial, Business and cooperate
sector are also caring their staff regarding
Reproductive Health by organizing meetings,
health talks and health checkup. Most important
point is that these units are maintaining records
similarly through Voluntary Organization .
Private Medical Sectors are equally participating
in safe motherhood & reproductive health Most
of clinics have displayed one sign board the
Logo of RCH with either Yellow or Blue Ring.
Indicating
A Yellow Ring - means complete range of RCH
facility is available.
A Blue Ring
- means partial RCH facility is
available .Only non operative type.

28. E.
Safe Mother Hood through Women
Empowerment; - At every block level a self
help group (Cooperative) has been established
to ensure empowerment of women through
income generation schemes. Loan under
TAKESRA or KUKESRA scheme are being
provided. These are linked with Family welfare
programme.
F.
Youth Groups – are another example of
community participation. As all adolescent
interact with health voluntaries / Health worker
and freely discuss all issues related to sex.
They are organizing pre marriage counseling
with the aim for safe parenthood.