Positive Deviance Network Indonesia

1
Positive Deviance Network Indonesia
CRS
Project Concern International

• Collaboration and collective advocacy among INGOs
  and government throughout Indonesia
• Presentation at CORE PD TAG Meeting
• Washington D.C.
• December 8, 2004

2
Presentation Outline

• Scale of current PD/H efforts in Indonesia
• PD Network activities
• Challenges
• Future of PD Network
• Suggestions for future implementers

3
Positive Deviance in Indonesia
Aceh
Medan (05)
Kalimantan
Papua
West Sumatra
Jakarta
Surabaya
Banten
Malang
NTT
Cianjur, Garut, Sukabumi
4
PD Network achievements to date
5
PD Network Indonesia Activities

• August 2002 --PATH organized a TOT including
  several INGOs and facilitated by Jerry Sternin
• New PD implementers and PD Network born
• Vision Government of Indonesia adopts PD as
  country-wide strategy

6
PD Network Indonesia - Sharing

• Monthly meetings to discuss lessons learned and
  share successes attended by 6 INGOs, 3 LNGOs,
  district health and occasionally by health
  volunteers and Community Health Committee Members
• Jerry and Monique Sternin have attended several
  meetings and given additional TA
• Cross Visits

7
PD Network Indonesia - Advocacy

• Advocacy at National level
• Advocacy at Provincial and District levels

8
PD Network Indonesia - Trainings

• 3-day PD Orientation
• National Government
• Jakarta Provincial Government
• Padang District, West Sumatra
• Capacity building of INGOs and government
• Community Mobilization for PD
• Facilitation techniques
• How to design Hearth menu

9
PD Network Indonesia - Publications

• Translation and publication of Indonesian version
  of CORE PD/Hearth manual
• Preparing PD manual for training health
  volunteers
• Publication of quarterly PD bulletin including
  submissions from INGOs and government

10
PD Network national Successes and Challenges
workshop 2004

• Over 80 participants
• INGOs
• 10 Provincial health offices
• 21 district health offices
• Universities
• USAID
• Ministry of Health
• INGOs and 2 governemnt partners shared lessons
  learned from 2 years of implementation
• Discussions of training and mentoring needs
• Presentations of government PD implementation
  plans for 2005

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Impressions
My first impression when I first heard about
Positive Deviance was that Positive Deviance must
be very difficult to implement and that it is
impossible to get good results. But it was
amazing! During the first ten day session, I can
see weight gain and improvements on the growth
chart.
-Ibu Amsiah, head of health clinic in East
Jakarta
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Impressions

• We have spent millions on trying to solve the
  problem of malnutrition. We have distributed
  milk, biscuits (fortified cookies) and MP ASIH
  (fortified porridge) but the problem remains
  because these do not change behavior. Positive
  Deviance changes behavior.
• -Dr. Devi, Head of Nutrition Unit Jakarta
  Provincial Health Department

13
Impressions
A rough calculation shows that PD is more cost
effective than giving out biscuits and milk. Bu
Lina, Nutritionist Province of West Java
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PD in Indonesia Right time, right place

• USAID mission strongly supports PD and has funded
  several programs part of current community
  behavior change strategy
• MOH excited about PD
• Several INGOs interested in PD at the same time
• On going support and mentoring from Jerry and
  Monique Sternin

15
PD in Indonesia Network and Replication/Scaling
up Challenges

• Different interpretations/quality of PD
• Difficulty doing quality PDI and relaying
  results to behavior change/practice program
• Lack of National standard for PD confusing
  for government partners
• PD is the intervention du jour partners want
  to implement regardless of conditions
• Government budgeting and planning mechanisms make
  planning for PD difficult
• Differing commitment among NGOs to Network

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Future of PD Network

• MOH will create national strategy for Positive
  Deviance in Indonesia
• MOH interested in other applications of PD
• Continuation of regular PD meetings
• Common PD indicators (FANTA assistance)
• 2 TOT next year (urban and rural) to accommodate
  requests for TA and training from government

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Suggestions

• Start with quality training of all partners
• Create standards for implementation
• Need good consultant or strong local experts
  with PD experience to keep PD on track
• Advocacy at all levels from the beginning
• Clear understanding of roles and responsibilities
  of each partner in network
• Clear vision what are we doing here?

18
Proposed PD Network indicators

• eligible children age 6-59 months enrolled in
  NERS
• graduated NERS participant (LoA)
• NERS participants who gain gt 400 g in 1 month
• NERS participants who gain 200-399g in 1 month
• NERS participants who gain lt 200 g in 1 month
• graduated NERS participants who are in the
  green band of KMS at 3 months after graduation
• graduated NERS participants who are in the
  green band of KMS at 6 months after graduation
• graduated NERS participants who relapse and
  enter NERS