The Indonesia Citizen Hearings
In Indonesia partners held 42 Focal Group Discussions in 40 districts - the outcomes from these discussions set the agenda for the National Citizens Hearing focusing on priority areas for maternal, newborn, child & adolescent health as well as recommendations for improved public accountability. The National Hearing brought together representatives from each of the 42 districts as well as government officials and civil society. Key recommendations were made by citizens for input to the updated Global Strategy for Women’s, Children’s & Adolescent’s Health.
The recommendations are being shared with the Ministry of Health, Ministry of Foreign Affairs and Parliamentarians and National Development Planning Agency and the National Family Planning Agency amongst others.
1. Health services should be provided in a comprehensive service package that covers the prevention, promotion, curative, and rehabilitation efforts, as well as meets the continuum of care. Cross sector collaboration beyond health sector is strongly necessary to overcome maternal and adolescent health and nutrition issues, since there are so many underlying social and economics determinants. Therefore, the issues regarding high number of Maternal Mortality Rate, Infant Mortality Rate, malnutrition, and adolescents’ health should be solved together with other ministries/departments such as education, public works, industry, creative economy, citizenship, family planning coordination body, etc.
2. Universal Health Coverage (UHC) should be understood in a real scope, which is related to equal and without discrimination health and nutrition service coverage. Program plan as well as service delivery should consider community groups that are tend to be neglected due to the limited access toward health facilities and workers. They are mothers, infants, children, and adolescents who live in the difficult geographical area (remote, borders, and islands), with special needs, live in the slum areas, and the poor or almost poor.
3. As the policy owner, the government has played the role well in preparing norms, standards, procedure and criteria related to maternal and child health, but still weak in ensuring the implementation and the compliance of service provider in the front line, which is the village. Various law products are available, but there are problems in the implementation in the field. A strong, transformative, and reformative national leader is required for the better change in all sectors and levels of the administrative area. On the other hand, political education is also necessary for the citizens, so they can choose the appropriate leader of the country.
4. Development of health sector should be seen in the human rights framework. As the duty bearer, government has the full responsibility to ensure the fulfillment of its citizens’ rights to live, to receive health services, and to receive correct health information. On the other hand, the citizens also have the capacity to speak their needs for the fulfillment of their rights, depending on the ability to be empowered in solving their own, their families’, and their community’s health program. Therefore, the participation of citizens in development plan process would become an important process to make sure that the development programs are designed and implemented for the interests of the citizens
5. International community can also play their parts in financing the development, as long as they do not take over the functions and main role of the governments, and continuously support good governance. Health financing, supported by various parties, is expected to fasten the achievement of global development objectives.
6. Role of private sector is no less important in ensuring the achievement of development goal by giving the rights of women and child labor of the workers, women, children, and adolescents in the company's environment, and even as consumers. The real example of role of private sector in Nutrition, Maternal and Child Health, and Adolescent Health development is by providing special room for lactating for female workers who are breastfeeding, ensuring the fulfillment of female reproductive rights, including maternity and menstrual leave. As well as obeying the marketing code of conduct of breast milk substitution.
7. Citizens have an important role to guarantee the sustainability of the development. Even the functions of the regulator, implementer, and finance are in the hands of the government, but the leading actor of this development is the civil society. Citizens not only have the right to be involve in development plan process and program implementation, but also to perform social control on government responsibility in ensuring access and quality of nutrition and health services for mother, children and adolescents. Therefore, the development result can be accounted for and in accordance with the needs of the citizens.