This document outlines a strategy for engaging new communities in Indonesia on sensitive health issues. The approach involves involving social and religious leaders to propose that survival comes before religion or beliefs. It also utilizes local government support, multi-media, and educating mothers and communities through mother support groups, partnerships between midwives and traditional birth attendants, and integrated postnatal care home visits by midwives. Examples provided focus on addressing sensitive cultural issues around immunization, family planning, and traditional practices through community education.

1. Working with Community
Strategy to Engage New Communites
Hartono - MCHIP/INDONESIA
Presented at JSI ID Meeting, Washington DC, 16-17 July 2012

2. The outline
SENSITIVE
INTRODUCTION ISSUE APPROACH
EXAMPLE

3. Introduction

4. Sensitive Issue

5. Sensitive Issue: Religion
Picture is taken from internet Photography by Hartono
Immunization: Family planning:
halal or haram? allowed or not allowed?

6. Sensitive Issue: culture
Massage during pregnancy and Not allowed to lay down
After delivery after delivery

7. Approach
• Involve social & religious leader
• Propose the idea of survival before religion or
belief

8. Approach
• Support from local
government officer • Utilizing multi media

9. Example: Mother Support Group
8 Key
indicators
1. Ante Natal Care and Post
Natal care (includes IBF).
2. Delivery by Skilled Birth
Attendants.
3. Hand washing with soap.
4. Danger sign for mothers
5. Danger sign for neonatus
6. Immunization
7. Post partum Family
planning.
8. Anemia and nutrition
• Educate mothers/community through Mother
Support Group.

10. Example: Partnership of midwives-TBAs
1. Educate TBAs who
keep promoting “bad”
traditional culture.
2. Educate
mothers/community
who keep practicing
“bad” traditional culture
• Educate mothers/ community through
Partnership of midwife and Traditional Birth
Attendant (TBA)

11. Example: Integrated Post Natal Care
• Educate mothers/
community through
Integrated Post Natal
Care by Midwives home
visits