Kemitraan Australia-Indnesia Partnership dalam Prgram Penguatan Sistem Kesehatan (AIPHSS) - Penguatan Kelmpk Riset Kesehatan (Health Plicy Netwrk) Pengembangan Kelmpk Riset Kebijakan Kesehatan, Surabaya18 September 2012
OUTLINE 1. LATAR BELAKANG 2. AIPHSS GRANT KEPADA HPN 3. IMPLEMENTING SERVICE PROVIDER (ISP) 4. TIMELINE 5. Q&A
Perubahan kebijakan kesehatan & tingginya inequity Kualitas evidence yang terfkus pada perubahan sistem untuk memberi masukan kepada pembuat kebijakan terutama sdmk dan pembiayaan AIPHSS fkus mendukung akses masyarakat miskin terhadap kualitas kesehatan dasar AIPHSS berencana untuk mendukung kapasitas netwrk dalam melakukan penelitian riset yang lebih baik Mengembangakn centre f excellence Kelmpk akan mendapatkan grant selama lima tahun kedepan melalui ISP
Enabling Envirnment (plicies, research systems) Package Research Plicy Maker (Demand) Plicy infrmatin needs Intermediary Intermediary Quality check Research Institutin (Supply) Cmmissin research
Decreased MMR Decreased U5MR Increased birth delivery in health facilities Imprved mgmt fr high risk pregnant wmen Imprved ANC and PNC Increased utilizatin f PHC Output 1: MH using evidence based data and up t date infrmatin fr the natinal plicies decisin making n health financing and HRH t imprve access and quality f primary health care fr the pr Output 2: 20 DHOs in 5 prvinces implement health financing and HRH plicies t imprve effectiveness and efficiency f prgrams t imprve access and quality f primary health care fr the pr Output 3: Selected Puskesmas and Pskesdes in 20 districts having qualified HRH and sufficient resurces t deliver quality primary health care Output 4: Pusdiklatnakes ensured selected Pltekes run accredited nursing and midwifery stuy prgrams t prduce qualified nurses and midwives fr selected Puskesmas and Pskedes Output 5: Universities, research institutes and CSO are able t deliver evidence data and advcate natinal and lcal plicy makers n health financing and health wrkfrce Indicatr: 1. increased demand fr studies 2. 2015 health strategy linked t natinal needs and pririties 3. Prgram generated evidence and data referenced in plicy briefs, dcs and natinal strategic plans). 4. The HRH infrmatin system prvides data t supprt natinal, prvincial and district management Indicatr: 1. districts make annual plan with a perfrmance framewrk 2. Increased budget utilizatin 3. Number f Puskesmas with minimum midwives and nurses 4. % staff in district with agreed jb desc. wh receive annual perfrmance appraisal 5. % f staff in pst when they shuld be Indicatr: 1. Reduced ut f pcket expenditure by pr peple attending Puskesmas 2. Benefits incidence f public funding 3. % Puskesmas meet SPM 4. Prprtin f Puskesmas budget frm all natinal and district surces disbursed t Puskesmas each mnth 5. Distributin f health wrkers matches planned allcatin fr PHC facilities Indicatr: 1. 5 Pltekes accredited 2. Number f midwife and nurses graduated under new accredited curses. 3. Prprtin f annual graduates wh take up emplyment in pr r rural district. Indicatr: 1. Number f studies and relevant publicatins 2. Number f CSO receiving small grant fund fr health plicy and research fr health advcacy. 3. Number f advcacy publicatins, events, press statements by civil sciety advcating fr gv t attentin t health f pr at natinal, prvincial, and district
Implementatin Arrangement
Centres f excellence dalam bidang penelitian kebijakan kesehatan, pembiayaan dan TA Bantuan terfkus terhadap: 1. Mendukung pendirian pusat penelitian di Universitas; 2. Memperkuat tata kella dalam memprduksi penelitian dalam kebijakan kesehatan 3. Memberikan penguatan kapasitas dalam berdiskusi dengan decisin makers dalam penelitian dan evidence termasuk bagaimana dapat berkmunikasi dengan efektif dengan pembuat kebijakan 4. Penguatan dan pemberian pelatihan evidence based) kepada peneliti di daerah 5. Dukungan dalam persiapan untuk call fr prpsal 6. HPN member dapat melakukan penelitian di bidang sdm kesehatan, pembiayaan dan sistem 7. Memberikan kesempatan dalam berklabrasi dengan Internatinal research institutes 8. Jint research antara peneliti dan netwrk crss institutin netwrk di daerah yang berbeda beda (e.g. health seeking behaviur study)
Sept 2012 June 2013: AusAID memberikan dana awal (bridging funding): Frmalkan struktur dan mekanisme Gvernance Klabrasi penelitian, training dan TA Klabrasi antara Kesehatan Masyarakat dan Peneliti Kesehatan Memperkuat Undana research centre Health seeking behaviur Health financing and expenditure tracking study
March t June 2013 Cmplete a fit fr purpse review f the suitability and likely f cntinued funding hw netwrk culd be imprved Develp prcess that integrate prcess and align activities f annual plan Facilitate further linkages between AIPHSS PR and SRs units and HPN Further specify TOR and the mnitring and evaluatin f this supprt Recmmendatin n future funding
»Hasil assessment (tahap 2), ISP mulai memberikan grant dari June 2013 s/d lima tahun funding channel Independent Vice Mekanisme ISP memberikan grant kepada netwrk AusAID ISP Netwrk berklabrasi dalam management Peran Balitbangkes call fr prpsal fr research grant n primary health care & health wrkfrce and financing Hubungan dengan Kemenkes melalui HSS Prgram
Q & A