Promoting Partnership in Providing Youth-friendly Reproductive Health Services with The Motion Tracker

Summary:

The high number of ASFR (36/1,000) and girls aged 15-19 years that had become mothers (7%) present the urgency to optimize the access to reproductive health services, information, and education. Through FP2020 commitments, the Government of Indonesia has included the effort to provide youth-friendly reproductive health services (YFS) as part of the commitments. Using the Motion Tracker, a framework consists of six steps (identification, classification, deconstruction, categorization, perfomance indicators development, and implementation), the progress of Indonesia's FP2020 commitments related to YFS has been tracked and analyzed. Along with the progress, the Motion Tracker has managed to capture not only the government's effort, but also other players' contribution, including CSOs and non-government partners. The government through BKKBN develops a youth center for counselling and information (PIK-R), by engaging adolescents through schools and communities, and through Ministry of Health by integrating a specialized service for adolescents in public health centers, called Adolescent Friendly Health Services (PKPR). The CSOs and non-government partners are supporting and complementing the Government's efforts in providing contraceptive services, abortion, and developing materials for information, education, and counselling. Due to limitation from National law, the Government is not permitted to provide family planning services for adolescents, including contraceptives, hence focus only on the outreach and providing information and education. The Motion Tracker's result shows that this particular gap can be filled up by CSOs and non-government's contribution through task-sharing approach with the need to establish stronger public-private partnership network and system.

Background/Objectives:

The 2017 Indonesia's Demographic Health Survey's result reveals that the age-specific fertility rate (ASFR) numbers for Indonesian women aged 15-19 years was 36/1,000 and 7% of girls aged 15-19 years has become mothers. These numbers present the urgency to optimize the access to services, information, education, and counselling related to reproductive health for adolescents. Through FP2020 commitments, the Government of Indonesia included the effort to provide youth-friendly reproductive health services (YFS) as part of the commitments. Considering the pressing issues, it is important to understand how far the progress has been made in fulfilling this commitment.

Description of Intervention and/or Methods/Design:

The Motion Tracker is a framework aims to gather and synergize the implementation process and contributions from stakeholders who involved and play strategic roles in fulfilling the FP2020 commitment. While FP2020 commitments were made on the global level, the action at the local level as well as multiple sectors contribution are as important to ensure success. Consists of six steps (identification, classification, deconstruction, categorization, performance indicators development, and implementation), the Motion Tracker is implemented through a series of brainstorming, discussion, validation meeting, and data collection with the goal to facilitates consensus-building around commitments and fosters partner participation and engagement. As a result, related data on Indonesia's FP2020 commitment progress in providing youth-friendly services for reproductive health have been compiled and analyzed. The Motion Tracker also manages to capture not only the government's effort, but also other players' contribution in YFS including CSOs and non-government partners.

Results/Lessons Learned:

Consistent with the knowledge that adolescents prefer to speak with their peers, the government through BKKBN develops a Youth Center for Counselling and Information (PIK-R), by engaging adolescents across schools and communities to optimize the outreach on access to YFS. PIK-R's programs and activities are fully managed by its youth members, with BKKBN providing technical assistance. Meanwhile, the Ministry of Health integrates a specialized service for youth called Adolescent Friendly Health Services (PKPR) in the public health center. Being centered in healthcare facilities, PKPR aims to ensure that adolescents have access to promotion, prevention, as well as referral services for reproductive health problems. The Motion Tracker reveals that CSOs and non-government organizations, such as UNFPA, Canadian Embassy, Rutgers WPF, JHCCP, PKBI are supporting and complementing the Government's efforts in YFS. This includes providing contraceptive services, abortion, and developing materials for information, education, and counselling for adolescents.

Discussion/Implications for the Field:

Due to limitation from National law, the Government is not permitted to provide family planning services for youth, including contraceptives, hence focus only on the outreach and providing information and education. The Motion Tracker's results show that this particular gap can be filled up by CSOs and non-government's contribution through task-sharing approach. To optimize the approach, it is also important for the government to take the lead in establishing stronger public-private partnership network and system. This approach will ensure the adolescents to be able to get optimal access and services on reproductive health, suitably for their needs.

Abstract submitted by:

Rhiza Caesari Kristata - Yayasan Cipta
Dini Haryati - Yayasan Cipta Cara Padu (YCCP)
Inne Silviane -  Yayasan Cipta
Saskia Guerrier - Population Action International 
Cornelia Asiimwe - Samasha Medical Foundation