93095 Aide-Mémoire Implementation Support Mission for PNPM Generasi (P122032, P132585) October 2014 SUMMARY OF KEY ISSUES AND AGREED ACTIONS Key Issues for Pokja Pengendali, Bappenas, Kemenkokesra Attention Theme Issues Agreed Actions Target Date Institutional  The coordination between PNPM Generasi and  Conduct the Bappenas-led multi-sectoral coordination workshop. 30 Nov arrangements PKGBM (Program Kesehatan dan Gizi Berbasis Masyarakat/Community Based Health and  Establish a technical monthly coordination forum among PNPM Nutrition Program) activities is not optimal. Generasi stakeholders (Bappenas, PMD, Kemenkes, MCA-I, PSF) to update the activity progress and joint work plan. Key issues for PMD/NMC, MCA-I/MoH, and PSF/WB attention Theme Issues Agreed Actions Target Date Technical  The implementation of complementary supply-  Review the work plan to ensure that the target to roll out PMBA training 15 Dec Issues related side activities needs to be accelerated. Delivery in all locations by the first quarter of 2015 is achievable. to Maternal of the Mother, Infant and Young Child Feeding and Child Practices (MIYCF, or PMBA) for PMBA in Health and particular is critical as this training affects Nutrition PNPM Generasi Project Development Outcome (PDO) indicators 1.4 and 1.5. The other supply- side activities are in the planning stage  An inadequate number of Posyandu cadres have  MCA-I will explore options for increasing the number of cadres trained 15 Dec been trained in PMBA. Only two cadres have in each village. been trained in each village.  Lack of clarity between MoH and PMD over the 15 Dec operational definition of “nutrition counselling  Clarify the operational definition of “nutrition counseling” among MoH, session” in terms of who is eligible to deliver the MCA-I, and PSF to ensure that the class for pregnant mothers can be class. The explanation on the implementation of conducted not only by trained health professionals but also by trained nutrition session in PTO needs to be clarified. Posyandu cadres Key Issues for PMD and NMC attention Theme Issues Agreed Actions Target Date Financial  The remaining budget under TF097410 will not  The remaining funds that are not disbursed from are TF097410 are 31 Oct (Done) Management be fully disbursed by the time the grant closes in proposed to be reallocated to TF014769. PMD will send the required December 2014. documents to the Ministry of Finance.  The implementation of Internal Audit at District  PMD through the NMC to analyze the obstacles preventing FM 31 Nov and National level is not satisfactory both in consultants from achieving internal audit targets, and assist FM terms of target sampling and the quality. consultants to formulate appropriate work plans (RKTL).  Problems related to invoicing the PPA PNPM  PMD should remind the ASF in writing that the invoice submission Generasi in KPPNs system that causes delays in procedure should be performed on a monthly basis in order to avoid 31 Oct payment of salaries, travel expenses and delays in payment of operational funding for consultants / PNPM provincial coordination meeting schedule. In Generasi specialist and disruption of coordination meetings at provincial addition, the PPA also did not deliver the activities invoices to PMD on a monthly basis. Procurement  Procurement at the village level was still carried  PMD shall modify the procurement arrangements at the community- 31 Dec out as per the previous version of the PTO for level specified in the PTO of PNPM Generasi to be consistent with the PNPM-Rural revised arrangements specified in the revised PTO of PNPM-Rural  Delay in distribution of printed copies of revised  PMD shall make the soft copies of the revised PTO available up to the PTO of PNPM-Rural Project at the village level. community level at the earliest  Guidance for procurement goods and services  With the guidance of the World Bank team, PMD will develop detailed 31 Dec specific to PNPM Generasi facilitators is arrangement for supplies for supplementary feeding activities (PMT), required. and other Generasi-specific activities. Governance Financial transparency 31 Dec  Financial transparency and mechanisms of  PMD to reformulate the design of information dissemination to the channeling public complaints need to be public and the method of presentation. The suggested approach is improved. The use of information boards needs “information comes to the community" (e.g. through leaflets, the to be more effective announcement in community village group activities, community radio, SMS, etc.) instead of “community comes to the information" (i.e. only through information boards). This should be added under the supplemental PTO (errata 2015). Complaints handling mechanism  Satker Pusat/PMD send out a letter to Satker at province and district  The findings from supervision and monitoring 31 Dec level reminding staff of protocols for follow up of cases found during by project facilitators related to issues on misuse supervision and monitoring visits. of funds and failures to comply with program principles and procedures have not been fully  NMC to conduct comprehensive review on complaints handling SOP to recorded in the CHS (PAPPM application), address systemic problems in complaints handling and develop concrete communicated to facilitators and the other actions for improvement. 31 Dec actors, and followed up as necessary.  Inadequate analysis on the underlying causes of problems with complaints handling.  Protocols for sanctions in locations where both  The recommendation is not to sanction PNPM Generasi when problems 31 Dec occur under PNPM-Rural that are unrelated to Generasi funds, actors, or PNPM-Rural and Generasi exist are still not clear and are creating confusion for the related local institutions. This will be included under Supplemental PTO facilitators in PNPM-Rural and Generasi. PNPM Generasi (errata PTO 2015). Safeguards  The IGSES has been disseminated, socialization  PMD/NMC needs to ensure that all PNPM Generasi actors at provincial, 31 Dec and, included in facilitator pre-service and district, sub-district, and village levels have received IGSES document. refresher training since 2013. Its contents are not This should be complemented by strengthening the training on IGSES yet fully understood by the facilitators, however. by adding time allocation to the training process. Technical  The PMD PNPM Generasi Satker should  PMD to review the technical guidance on: (i) the involvement of 15 Dec and enhance the involvement of relevant divisions relevant division in PMD for PNPM Generasi activities such as Management within the Directorate that are related to PNPM Posyandu division and others; (ii) the establishment of PNPM Generasi, such as Posyandu division. Coordination Team that involves correct sectors and division.  PNPM Generasi PTO technical supplements on  PMD will request NOL for the technical supplements and distribute the 30 Nov procurement for goods and services, and supplements to all PNPM Generasi areas. complaint handling have not been disseminated to the field.  Develop the Supplemental Guidance (as errata of PTO 2015) to: (i)  BKAD roles on PNPM Generasi activities are 30 Nov explain the roles of BKAD; (ii) emphasize the disbursement process of not yet clear. PNPM Generasi Block Grant and Operational Funds will use the  The future UPK roles under PNPM Rural and existing institution; (iii) clarify the function of local ad-hoc institutions the transition to Village Law are still under in relation with the Village Law future implementation. This will discussion. PNPM Generasi is using the same include TPMD, UPK, PK and Pokja. structure and mechanism at the same UPK. 15 Dec  PMD and NMC will develop the concept for pilot activities related to  The planning process of PNPM Generasi is still integrating planning under PNPM Generasi and with Village Law not integrated with the village planning planning. documentation (RPJMDes). Note to all of the above: need to coordinate with PNPM-Rural. MIS  The timeliness of reporting and completion of  PSF and NMC will facilitate workshop to develop concrete actions to 31 Dec MIS needs to be improved. There are delays on improve MIS. submitting the report as well as the completion of data in all stages. However, data from 75  PMD and NMC will consider the completion of MIS data as one of the percent of villages in 2013 has been uploaded criteria of performance evaluation for District and Sub-District the web-based MIS, which is slightly below the Facilitators. annual target of 80 percent. Technical  There is limited understanding among the field  PMD and PSF should improve the coordination related to ABK 31 Jan 2015 Issues on actors about: (i) the definition of Children with activities under PNPM Generasi. The provision of simple analytical Education Disabilities (ABK) which led to the tools related to identifying the ABK is needed and will be developed in inappropriate identification of beneficiaries; (ii) coordination with the relevant stakeholders, including The Asia type of activities relevant for ABK. This has led Foundation. to the type of proposed activities which do not address the relevant needs. Key Issues for MCA-I and Kemenkes attention Theme Issues Agreed Actions Target Date Technical  Main issues of existing behavioral change  Community-level Behavior Change Communication strategy need to 30 Dec Issues on communication: (a). limited involvement of explicitly reach out to the caregivers beside mothers through (i) cultural Health relevant family member who influence the activities in the community that involve husbands and religious leaders, decision making on prenatal care and parenting. leveraging lessons learned from PNPM Creative Community; (ii) made (b). Interpersonal communication and home visit mandatory for husband to attend Posyandu and nutrition counseling activities focus on curative care. classes; (iii) devise innovative peer group mobilization to intensify interpersonal communication.  The roll-out of JKN has an unintended effect on declining number of deliveries assisted by  Follow up with the Ministry of Health and BPJS to ensure smooth 30 Dec skilled attendants. This is due to discontinuation transition to JKN and identification of concrete measures of local of Jampersal while the transfer of coverage government to address this issue (eg using Jamkesda for labor). under JKN still faces technical problems. These increase the risk of maternal mortality and affect the achievement of PNPM Generasi’s performance indicators.  Sanitation problems are inadequately addressed  MCC will discuss with WSP and PSF on how to strengthen the design 30 Nov while environment-borne diseases such as and implementation of sanitation component. Initiate discussion to diarrhea remain high. Limited number of possibly increase the target ODF villages for each Puskesmas. sanitarian in Puskesmas and they often do not Currently the target of ODF is only 2 villages per health center, and fully dedicate their time on sanitation issues, this will be improved Aide-Mémoire Misi Dukungan Implementasi for PNPM Generasi (P122032, P132585) Oktober 2014 RINGKASAN ISU-ISU KUNCI DAN KESEPAKATAN KEGIATAN Isu-isu kunci yang menjadi perhatian Pokja Pengendali, Bappenas, Kemenkokesra dan PMD Tema Isu Kegiatan yang Disepakati Target Waktu Kelembagaan  Koordinasi belum optimal antara  Diselenggarakan workshop koordinasi 30 Nov pelaksanaan PKGBM (Program multisektoral. Kesehatan dan Gizi Berbasis Masyarakat) dengan pelaksanaan PNPM Generasi.  Dibentuk forum koordinasi rutin (bulanan) di antara pelaku kegiatan  Satker PNPM Generasi di internal PMD (Bappenas, PMD, Kemenkes, MCA-I, dan Tim Koordinasi PNPM mandiri PSF) untuk update kegiatan dan Perdesaan belum optimal melibatkan rencana kerja bersama. secara formal bidang yang relevan dengan subtansi program seperti bidang  Review juknis tentang: (i) satker 30 Des Posyandu PNPM Generasi untuk melibatkan bidang yang terkait langsung dengan pelaksanaan PNPM Generasi, seperti bidang Posyandu; (ii) pembentukan Tim Koordinasi PNPM yang melibatkan bidang yang tepat. Jika memang diperlukan perwakilan dari dinas kesehatan dan pendidikan. Isu-isu untuk perhatian PMD dan NMC Tema Isu Kegiatan yang Disepakati Target Waktu Manajemen  Dana TF 097410 tidak dapat terserap  Telah disepakati sisa dana yang tidak 31 Okt Keuangan 100%, sementara closing date pada bulan terserap dari TF097410 diusulkan Desember 2014. untuk dimasukkan ke dalam TF014769. PMD mengirimkan  Pelaksanaan Internal Audit di tingkat dokumen yang dibutuhkan kepada Kabupaten dan Nasional masih belum Kemenkeu. memuaskan baik target sampel dan kualitas audit belum memenuhi target.  PMD melalui NMC melakukan analisa 31 Nov tentang kendala yang menyebabkan  Permasalah invoicing PPA PNPM hal ini terjadi dan juga membuat Generasi di sistem KPPN yang rencana (RKTL) tentang bagaimana menyebabkan tersendatnya pembayaran cara perbaikan ke depan. gaji, biaya perjalanan serta jadwal rakor propinsi. PPA juga tidak melakukan  PMD perlu menegaskan kembali 31 Okt penyerahan invoice secara rutin per bulan. kepada PPA prosedur penyerahan invoice harus dilakukan per bulan untuk menghindari keterlambatan pembiayaan operasional para konsultan/specialist PNPM Generasi serta kegiatan rakor di propinsi dapat berlangsung sesuai perencanaan. 6 Procurement  Procurement di tingkat desa masih  PMD memodifikasi pelaksanaan 31 Des menggunakan pedoman PTO PNPM procurement di tingkat masyarakat Mandiri Perdesaan. yang tertuang secara khusus di PTO PNPM generasi yang konsisten revisi  Penundaan pendistribusian dokumen pelaksanaan procurement di dalam 31 Des cetak revisi PTO PNPM Mandiri dokumen revisi PTO PNPM Mandiri Perdesaan di tingkat desa. Perdesaan  Diperlukan adanya penjelasan kepada  PMD secepatnya membuat soft-copy pelaku dan fasilitator tentang kekhususan revisi PTO yang dapat digunakan di yang mengatur pengadaan barang dan jasa tingkat masyarakat. dalam PNPM Generasi.  Dengan berkoordinasi dengan team Bank Dunia, PMD akan mengembangkan rancangan detail terkait pengadaan konsumsi untuk kegiatan pemberian makanan tambahan (PMT) Governance Transparansi Keuangan:  PMD merumuskan ulang rancangan 30 Nov penyebarluasan informasi untuk  Transparansi keuangan, kegiatan dan masyarakat dan metode mekanisme saluran pengaduan kepada penyampaiannya melalui pendekatan masyarakat masih perlu ditingkatkan. “informasi datang ke masyarakat” Penggunaan papan informasi belum (misal melalui selebaran, pengumunan efektif. di rumah ibadah, radio komunitas,  Complaint Handling: SMS dsb) dan bukan “masyarakat  Temuan masalah hasil supervisi dan datang ke informasi. Hal ini monitoring terkait dengan ditambahkan dalam errata PTO 2015. penyimpangan dana, prinsip dan  PMD perlu mengirimkan surat ke prosedur belum semua dicatat dalam Satker Propinsi dan Kabupaten untuk 31 Des CHS (Aplikasi PAPPM), mendorong peningkatan dan tindak dikomunikasikan kepada pelaku lanjut terhadap hasil dari kunjungan terkait serta ditindaklanjuti secara monitoring dan supervise. semestinya.  Melakukan tinjauan konmprehensif  Penanganan kasus kurang menyentuh terhadap SOP CHS untuk mengatasi 31 Des pada perbaikan kelemahan system masalah-masalah sistematis dan yang menyebabkan terjadinya kasus. mengembangkan kegiatan kongkrit  Penanganan kasus sanksi atas lokasi untuk pengingkatan kualitas. yang terdapat program PNPM MPd  Rekomendasi ini termasuk untuk tidak 31 Des dan Generasi masih menimbulkan mengikutsertakan sangsi untuk PNPM kerancuan bagi para fasilitator PNPM Generasi ketika masalah yang terjadi MPd dan Generasi. tidak secara langsung berhubungan dengan PNPM Generasi. Hal ini menjadi suplemen PTO 2015. 7 Safeguards  Diseminasi dokumen IGSES  PMD/NMC perlu mendiseminasikan 31 Des (Implementation Guidelines for Social IGSES keseluruh pelaku program and Environmental Safeguard) dan PNPM Generasi di semua tingkatan. sosialisasi atau pelatihannya masih belum Alokasi waktu lebih lama dalam efektif. Hampir semua pelaku program pelatihan untuk penjelasan tentang tidak memiliki panduan tersebut sehingga IGSES. pemahaman Fasilitator Kecamatan (FK), Pendamping Lokal (PL), Kader  PSF membantu keterlibatan Specialist 31 Des Pemberdayaan Masyarakat Desa (KPMD) Safeguard PSF dan Bank Dunia dalam belum optimal terhadap isu safeguard. kegiatan penyusunan modul, pelatihan dan kegiatan rakor PNPM Generasi. Teknis dan  Supplemen teknis PTO PNPM Generasi  PMD menyiapkan surat permintaan 30 Nov Manajemen yaitu: pengadaan barang dan jasa, ketidakberatan (request NoL) safeguard dan penanganan masalah dan supplement tersebut dan pengaduan masih belum diseminasi ke mendistribusikan dokumen supplemen lapangan. tambahan PTO PNPM Generasi.  Peran BKAD dalam pelaksanaan PNPM  Erata PTO tahun 2015 untuk 30 Nov Generasi belum cukup jelas. penjelasan tentang: (i) Peran dan Fungsi BKAD; (ii) penegasan proses  Keberadaan UPK ke depan dalam PNPM penyaluran dana BLM dan DOK MPd dan transisi ke UU tentang Desa melalui UPK; (iii) Keberadaan masih dalam pembahasan, sementara itu kelembagaan AdHoc di PNPM perlu untuk penyaluran dana BLM PNPM diperjelas dalam kaitan dengan UU Generasi selama ini menggunakan UPK Desa. Seperti TPMD, UPK, PK, tersebut. Pokja.  PMD dan NMC merancang konsep 15 Des  Hasil Perencanaan PNPM Generasi masih pilot untuk kegiatan perencanaan yang terpisah dengan dokumen perencanaan terintegrasi Antara PNPM Generasi desa (RPJMDes). dengan dokumen perencanaan desa. Catatan: Perlu koordinasi dengan PNPM MPd untuk membuat kebijakan ini MIS  Mekanisme pelaporan dan validasi MIS  PSF bersama dengan NMC akan 31 Des tidak optimal. Adanya keterlambatan dan memfasilitasi kegiatan workshop kelengkapan pelaporan secara berjenjang untuk mengembangan kegiatan- dalam waktu yang cukup lama serta kegiatan kongkret dalam rangka 31 Des ketidaklengkapan data, terutama pada peningkatan system M&E. aplikasi progen  PMD dan NMC mempertimbangan kelengkapan data MIS menjadi salah satu dasar pertimbangan evaluasi kinerja Fasilitator Kabupaten maupun Kecamatan. Teknis  Terdapat keterbatasan pemahaman  PSF dan PMD perlu meningkatkan 31 Des Pendidikan tentang: 1) definisi ABK yang koordinasi terkait kegiatan ABK menyebabkan identifikasi ABK yang dalam PNPM Generasi. Perlu tidak sesuai; 2) ketepatan jenis kegiatan disiapkan alat analisis sederhana untuk ABK. Kedua hal ini menyebabkan melalui erata PTO untuk jenis kegiatan yang diusulkan tidak mengidentifikasi indikasi sebagai sinkron dengan kebutuhan ABK yang ABK dengan melakukan koordinasi diperlukan. dengan penyedia layanan yang relevan. 8 Isu-Isu yang menjadi perhatian PMD/NMC, MCA-I/Kemenkes, dan PSF/WB Tema Isu Kegiatan yang Disepakati Target Waktu Teknis  Peningkatan cakupan kegiatan sisi  Melakukan review rencana kerja yang 31 Des Kesehatan penyedia-layanan perlu dipercepat. memastikan bahwa target Khususnya untuk pelatihan PMBA opelaksanaan pelatihan PMBA di karena pelaksanaan pelatihan tsb seluruh lokasi bisa tercapai di kuartal mempengaruhi pelaksanaan indikator pertama tahun 2015. kinerja Generasi yang baru (indikator #  Tidak mengikutsertakan indikator 9 31 Des 9 dan # 10). dan 10 sebagai bagian dari penilaian  Jumlah kader posyandu yang dilatih capaian indikator PNPM Generasi untuk pelatihan PMBA tidak mencukupi. sampai pelatihan PMBA dilakukan Hanya 2 kader per desa yang dilatih. secara keseluruhan.  MCA-I akan melihat kemungkinan 31 Des  Ketidakjelasana tentang definisi penambahan jumlah kader yang dilatih operasional “sesi konseling nutrisi” dalam di tiap desa. kaitan siapa yang boleh melakukan konseling dalam kelas ibu hamil. Perlu  Melakukan klarifikasi definisi 31 Mar diklarifikasi penjelasan dari kegiatan sesi operasional “konseling nutrisi” di nutrisi di PTO. antara KemenKes, MCA-I dan PSF untuk memastikan bahwa kelas bagi ibu hamil dapat dilaksanakan tidak hanya oleh tenaga perlatih tetapi juga oleh kader posyandu yang terlatih.. Isu-Isu yang menjadi perhatian MCA-I dan Kemenkes Tema Isu Kegiatan yang Disepakati Target Waktu Teknis  Isu-isu utama komunikasi perubahan  Strategi komunikasi perbaikan 31 Dec Kesehatan perilaku yang ada: (a) terbatasnya perilaku di tingkat masyarakat perlu keterlibatan anggota keluarga yang secara eksplisit menjangkau petugas relevan dalam mempengaruhi kesehatan selain para ibu melalui: (i) pengambilan keputusan terhadap masa merancang kegiatan kebudayaan yang kehamilan dan pengasuhan, (b) kegiatan melibatkan para tokoh budaya, agama komunikasi interperpersonal dan dan para suami, misalnya dengan kunjungan rumah fokus pada pengangan memanfaatkan pengalaman kegiatan yang bersifat kuratif. dari Komunitas Kreatif; (ii) mewajibakan pada suami untuk hadir  Meningkatnya jumlah kelahiran dengan di posyandu dan dalam kelas tenaga tradisional (dukun bayi) yang konseling nutrisi; (iii) merancang disebabkan oleh tidak berlakunya mobilisasi peer group yang dapat Jampersal dan belum optimalnya transisi mendorong perubahan perilaku yang ke JKN/BPJS. Hal ini mempertinggi diinginkan. resiko kematian ibu dan mempengaruhi peningkatan pembiayaan melalui block  Melakukan tinda lanjut dengan grants PNPM Generasi KemenKes dan BPJS untuk 15 Des memastikan kelancaran transisi dari JKN dan mengidentifikasi target yang kongkret dari pemerintah lokal dalam mengatasi masalan ini (misalnya memakai Jamkesda untuk biaya persalinan)  Penanganan masalah sanitasi belum  MCC akan berdiskusi dengan WSP 31 Jan 9 memadai sedangkan isu penyakit yang dan PSF terkait penguatan desain dan 2015 bersumber dari lingkungan masih tinggi. pelaksanaan komponen sanitasi. Tenaga sanitarian di Puskesmas juga Diskusi awal adalah untuk masih minim dan seringkali tidak ada memungkinkan peningkatan target sama sekali. Peran communicable disease desa ODF per Puskesmas. Saat ini seperti diare sangat penting dalam target ODF per Puskesmas hanya 2 mengurangi stunting. desa, dan hal ini akan ditingkatkan. 10 Aide Memoire (Draft) Implementation Support for PNPM Generasi (P122032, P132585) November 7, 2014 I. Introduction 1. An Implementation Support Mission (ISM) for PNPM Generasi (P122032, P132585), which included a health and nutrition thematic review, was conducted by the Government of Indonesia (GoI) and the World Bank from September 28 to October 5, 2014. Representatives from Ministry of Health (MoH), Ministry of Finance, BAPPENAS, the Millennium Challenge Account-Indonesia (MCA-I) and the Australian Department of Foreign Affairs and Trade (DFAT) participated. The mission visited three districts in West Java, five districts in Maluku and two districts in South Sumatera, which is one of the three provinces where the project was newly introduced in 2014. See Annex II for the complete list of mission locations and participants. 2. The project development objective (PDO) of PNPM Generasi is to empower local communities in poor, rural sub-districts in the project provinces to increase utilization of health and education services. Over the period from 2010 to 2014, the geographic scope of PNPM Generasi has expanded from the original 164 pilot sub-districts to 499 poor, rural sub-districts. In June 2013, the MCA-I, the GoI entity accountable for the execution of the Millennium Challenge Corporation (MCC) compact, signed an Administrative Agreement with the World Bank which committed US$89 million to the PSF to support the expansion of PNPM Generasi to a further 130 sub-districts in West Kalimantan, Central Kalimantan and South Sumatra provinces, thereby reaching 499 sub-districts. 3. PNPM Generasi is implemented by the Directorate for Empowerment of Community Traditional and Cultural Institutions (Directorate Pemberdayaan Adat dan Sosial Budaya Masyarakat, PMD Sosbud) at the Directorate General of Community and Village Empowerment (PMD) under the Ministry of Home Affairs. The program is financed by the GoI with PSF Grant support channeled through two Trust Funds. TF097410 (P122032) is an Additional Financing to PNPM-Rural III, and is scheduled to close on December 31, 2014. TF014769 (P132585) was approved on June 4, 2013 and established PNPM Generasi as a stand-alone project. In order to support the geographic expansion of the project and strengthen its design, the GoI recently requested an Additional Financing (AF) to TF014769 in the amount of up to US$151.7 million. See Table 1 below for an overview of PNPM Generasi’s funding and geographic scope. 4. Geographic expansion was accompanied by substantial design changes that are being operationalized in 2014. Three new community target indicators were introduced to incentivize men’s and women’s participation in nutrition counseling sessions, delivered through community health posts (Posyandu). In education, community target indicators have been simplified to concentrate community and provider efforts on expanding education services to children who are hardest to reach, including those with disabilities (and those who live in households with disabled family members), and on the transition from primary to junior secondary school enrollment, a period during which many poor children drop out of school. PNPM Generasi’s demand-side approach is now accompanied by complementary activities aimed at improving the quality and availability of maternal health and nutrition services implemented by third parties, including the MCA-I. Table 1 PNPM Generasi Funding (US$ million) and Geographic Coverage 11 Year GoI/APBN TF097410 TF014769 AF to TF104769 Total # of sub- (P122032) (P132585) (P147658) districts 2010 24.4 9.8 - - 34.2 212 2011 15.4 15.1 - - 40.5 231 2012 41.5 8.7 - - 50.2 369 2013 6.2 39.7 6.1 - 52 369 2014* 20.7 - 25.6 22.1** 68.4 499 Total 108.1 73.3 31.7 81.6 294.7 *AF (P147658) runs until 2017; P122032 closes on December 31, 2014. **The total amount for AF is US$81.6 million for four years (2014-2017) and US$ 22.1 million is for 2014 only. 5. Mission objectives. The mission focused on monitoring the implementation of health and nutrition component that includes a series of complementary supply-side activities, executed by the MCA-I. The mission assessed the progress of expansion, the coordination mechanism among stakeholders and lessons learned from the early stage of implementation to improve the scaling up in other areas. The mission also reviewed the implications of the transition to the Village Law implementation on PNPM Generasi implementation and institutional arrangements. Specifically the mission objectives were: (i) To review the progress towards the achievement of PNPM Generasi’s Project Development Objective; (ii) To review and identify any adjustments to PNPM Generasi implementation and institutional arrangements required in light of the implementation of the Village Law. (iii) To review the progress of the implementation of complementary supply-side activities implemented by the MCA-I and the MoH that include Mother, Infant and Young Child Feeding (MIYCF) training for frontline workers, distribution of micronutrient supplements, distribution of anthropometry equipment, and hygiene and sanitation activities; (iv) To review Management Information System (MIS) to identify bottlenecks to prompt, accurate data entry; (v) To review compliance with Implementation Guidelines for Social and Environmental Safeguards in PNPM Generasi; (vi) To assess progress of agreed upon actions to improve financial management and procurement practices. 6. The draft Aide Memoire was discussed at the wrap-up meeting with PMD on October 22, 2014. The meeting chaired by PMD was participated by representatives from the PSF, Ministry of Finance, MCA-I, DFAT, the PNPM Generasi National Management Consultant (NMC) and the PNPM Generasi Program Secretariat. 7. The PSF would like to thank PMD Sosbud, the PNPM Generasi Secretariat, the NMC, the Regional Management Consultants (RMCs), Ministry of Health, BAPPENAS, Ministry of Finance, the MCA-I, provincial, district and sub-district governments and PNPM actors, including project facilitators and consultant coordinators (provincial and district), facilitators (district and sub-district), members of the Activity Management Units (UPKs), village heads and community members, for their full support to and active participation in the ISM. II. Overall Project Implementation Status 8. Progress towards development objective. The progress towards achieving the PDO is rated as Satisfactory. In 2013, PMD began measuring key performance indicators using data collected from its 12 Performance Monitoring Survey (PMS). The PMS uses a small cluster sampling methodology that allows for reporting on how the program is performing on average across all participating villages. The results of the first survey, delivered in October 2013, show that in 2013, PNPM Generasi met or exceeded performance targets for five out of seven key performance indicators (KPIs). 91 percent of pregnant women in targeted villages received four prenatal care visits (against a target of 85%). 89 percent of deliveries were assisted by trained professionals (against a target of 80%). For education, the junior secondary enrollment rate was recorded 99 percent, well above its target (75%). 71 percent of community members involved in project planning and decision-making meetings were women (against a target of 65%). The project fell short in 2013 on involving at least 60 percent of the poorest community members in project planning and decision-making meetings as the rate stayed at 57 percent. Furthermore, expansion to the 130 new sub-districts is on track. The next PMS is under preparation and will provide updates for 2014 KPIs by early 2015. 9. Relevance of PDO and Government Commitment. Through the introduction of a new PTO in 2014, PNPM Generasi’s design has been adjusted to enable the project to tackle problems that are most relevant to Government, notably improvements in maternal and child health and nutrition, as per its commitments under the Scaling Up Nutrition (SUN) Movement. Government has placed an emphasis on encouraging behavioral change through interpersonal communication delivered through enhanced maternal health, nutrition, and parenting classes for women and male caregivers. The project’s continued relevance to the Government is demonstrated through project expansion to three new provinces with high levels of childhood stunting and commitment of Government co-financing through 2017. Table 2 : PNPM Generasi Performance against 2013 KPIs 2013 No Indicator Target Realized Achieved? 1 Improved access to and utilization of >70 70.03 Yes health service in the targeted areas : % of pregnant women receiving four prenatal care visits 2 % of deliveries assisted by trained 75 89 Yes professionals 3 % of children under three weighed 75 75 Yes monthly 4 % of pregnant women participating in 0 n/a Introduced in late pregnancy and nutrition class monthly 2014 5 % of male caregivers participate in 0 n/a Introduced in late pregnancy and nutrition class monthly 2014 6 % of parents of 0-2 year olds 0 n/a Introduced in late participate in children parenting and 2014 nutrition class monthly 7 Improved access to and utilization of 65 85.04 Yes education services in the targeted areas : junior secondary enrollment rate 8 % involved in planning and decision 65 71 Yes making meeting : women 9 % involved in planning and decision 60 57 No making meeting : poorest community members 10. Component One: PNPM Generasi Kecamatan Grants (TF097410: US$ 60.7 million; TF014769: US$ 93.6 million). Kecamatan Grants worth US$48.2 million have been budgeted for 13 execution in 2014, US$28 million of which is financed through TF014769 and US$ 20.2 million through GoI national budget (Rupiah Murni). Kecamatan Grant execution is on schedule, with US$13.9 million, or 29 percent of the 2014 Kecamatan Grant allocation disbursed to community collective accounts at the sub-district level as of September, 2014. The remaining 70 percent is on-track for disbursement by the end of 2014. The PNPM Generasi annual project cycle begins in May to June with problem diagnosis and community development planning. Kecamatan Grants therefore disburse slowly during the Q3 of each CY, and accelerate during CYQ4. 11. In 2013, communities invested 69 percent of block grants in health activities, with the remaining 31 percent invested in educational activities. This continues a trend observed since 2009 in which a larger share of block grants tends to be invested in health than in education (see Figure 1). The likely reason for this trend is that other large-scale programs, such as BOS and Scholarships for the Poor (BSM), provide demand-side support to poor children, whereas public investments are smaller in comparison. Figures 2 and 3 show the breakdown of health and education activities financed through Kecamatan Grants in 2013. There is not much change in the percentage share of each activity or the order of priority, with 46 percent of US$14 million investment in health activities being spent on supplementary feeding and 28 percent of the US$6.1 million invested in education being spent on in-kind support for poor students. Figure 1: Percentage of block grant funds spent on health and education activities (2007-2013) Figure 2: 2013 Kecamatan Grant Investments in health activities (US$ 14 million total) 14 Figure 3: 2013 Kecamatan Grant Investments in education activities (US$ 6.1 million total) 15 12. Data from 2,775 villages (75% of total villages) shows that 3,113,472 women and children benefit directly from Kecamatan Grant investments in 2013. The number of beneficiaries will increase as data from the remaining 900 villages is uploaded to the MIS. The MIS shows that over 104,163 cases of underweight children, or 59 per village, were resolved thanks to the program in 2013. Over 563,441 pregnant women, lactating women, and infants, or 267 per village, received parenting or nutrition counseling through the program, representing a substantial increase from 2011 and 2012 levels. Over 177,238 children aged 59 months and below, or 78 children per village, received immunizations through the program. Over 175,435 women, or 77 women per village, received postnatal care through the program. When measured against intermediate results indicators, the component is on track to achieve its objectives. On average, villages surpass minimum targets for 10 of the 12 community health and education indicators. Complete vaccinations for children aged 12 months and below and three postnatal visits are the indicators that communities have the most difficulties in achieving. Participation by women and the poorest community members reached 71 percent and 57 precent respectively in 2013, which are higher than those reported in PNPM-Rural. 13. Component Two: Facilitation Support (TF097410: US$ 9.96 million; TF014769: US$ 10.78 million). The 2014 costs for district and sub-districts facilitators, training, and workshops are being financed from TF014769. This component finances district and sub-district facilitator costs, training, and coordination workshops. US$5.3 million is budgeted for execution in 2014. Execution of this component is on schedule. Provincial specialists, district consultants and sub-district facilitators in 130 new sub- districts in three new provinces have been successfully mobilized. Vacant positions are well managed by the project management unit (PMU) with all vacancies filled within three months of implementation. Four vacant positions in Jawa Barat identified as of September 23, 2014 were filled in with newly recruited Facilitators by October 14, 2014. 14. Component Three: Implementation Support and Technical Assistance (TF097410: US$ 2.4 million; TF014769: US$ 8.96 million). The 2014 costs for implementation support and technical assistance are being financed from TF014769 and TF 097410. TF 097410 financed the first Administrative Services Firm (ASF 1) contract to support the national and provincial consultants, procurement of training of trainer and pre-service training for district consultants and sub-district facilitators in 130 new sub-districts, and procurement of life vests to support program implementation in island areas. US$3.5 million from TF 014769 finances the second Administrative Services Firm (ASF 2) contract. The remainder will finance facilitator refresher training and Project Implementation Unit (PIU— or Satker in Bahasa Indonesia) incremental operating costs. Execution of this component is on-track as the ASF 2 contract has been procured and runs through January 2016. Based on recent implementation support mission findings, PMD plans to issue an addendum to the project operations manual to provide additional guidance to facilitators on maternal and child nutrition issues in January 2015. 15. Component Four: Project Management Support (TF097410: US$240,000). This component, which has been fully disbursed under TF097410, provides technical advisory services and other material support to the PNPM Generasi program secretariat in PMD. The instruction was issued to establish the 2014 Project Secretariat which is now fully staffed and operational. At the beginning of 2014, PMD further realigned the PNPM Generasi Secretariat to reduce overlap with the NMC, which has helped improve the overall quality of project management. While this component is no longer part of the stand- alone project (P132585 and P147658), challenges remain regarding the coordination between the two directorates for PNPM Rural and PNPM Generasi implementation. At the provincial level, a lack of clarity regarding the roles and responsibilities of PNPM Generasi and PNPM Rural actors were observed. 16. Status of actions agreed in the last Aide Memoire. Since the most recent Aide Memoire (dated June 25, 2013), progress has been made on the pending implementation issues for PNPM Generasi (see Annex IV for the status of all the actions agreed in the last Aide Memoire). Provincial specialists, district 16 consultants and sub-district facilitators in 130 new sub-districts in three new provinces have been successfully mobilized. Vacancies have been filled by PMU within three months of implementation. The result of the external audit for 2013 Government fiscal year (equivalent to CY2013) in 16 PNPM Generasi Districts has been exposed by the BPKP and the follow-up actions will be closely monitored by the World Bank. PMD has also processed the recruitment of Provincial FM Specialist which will be mobilized in early 2015. 17. Key findings and recommendations from the current Aide Memoire. The mission team identified, despite the progress so far, issues that require further actions, particularly on the coordination among different stakeholders and scaling up of complementary supply side activities. They are discussed in detail in the following five main sections: (i) Institutional Arrangements; (ii) Health and Nutrition Component; (iii) MIS; (iv) Financial Management; (v) Procurement; and (vi) Safeguards. III. Institutional Arrangements 18. Multi-sectoral coordination. Given the multi-sector nature of PNPM Generasi, strong multi- sectoral coordination with clear roles, responsibilities and accountabilities of the actors involved is essential in ensuring the smooth program implementation to reach the intended goals and objectives. In particular, PNPM Generasi is part of integrated demand and supply called Community-Based Health and Nutrition Program or Program Kesehatan dan Gizi Berbasis Masyarakat (PKBM). The mission found that the multi-sectoral coordination among different stakeholders of PKBM needs to be optimized. Stakeholders at the national and sub-national levels are often not fully informed and updated on the progress of the complementary supply-side activities and the expected roles (see Inkley report), which in turn create obstacles for implementation. 19. Integration of PNPM Generasi in the village planning process (Musrenbang). The important lesson learnt from Generasi is that the village level planning (Musrenbang) and facilitation process need to be strengthened to prioritize health and education issues, and to ensure effective use of village funds for basic health and education service delivery. The mission found that the planning process of PNPM Generasi is not integrated with the village planning process that results in the production of village medium-term development plans (RPJMDes). This is due to the fact that PNPM Generasi planning takes place in July annually, whereas village development planning takes place in February. 20. Institutional arrangements during the transition to the Village Law implementation. The mission was unable to confirm the adjustments to the institutional and implementation arrangements required. For example, the role and levels of support to UPKs in the absence of a PNPM-Rural block grant transfer are not yet clear. The PNPM coordination structure is also likely to change given changes to the Cabinet that took place after the mission was completed. The mission found that that future role of UPK and the transition towards the Village Law platform is still under discussion [at the national level] and it is not yet possible to provide more specific recommendations on this issue. Subsequent to the mission institutional changes began to take place, including the nomination of the Cabinet and the related reorganization of the relevant ministries, including the Coordinating Ministry for People’s Welfare and the DG PMD in the Ministry of Home Affairs. The Bank will closely monitor the ongoing institutional changes and support the Government to introduce changes to PNPM Generasi that may be needed to ensure smooth, effective implementation. 21. Recommendations. To strengthen the multi-sector coordination at national and sub-national levels, the mission recommends the following: (i) conduct the multi-sectoral coordination workshop facilitated by Bappenas, PMD and the PSF to update on implementation progress and agree on concrete actions to improve coordination; (ii) conduct regular monthly coordination forum as a mechanism to 17 discuss implementation issues, potential solutions and knowledge sharing and learning, update activity plans and joint work plan. For coordination at sub-national level, the mission recommends expediting recruitment of District Health Facilitators by the MCA-I to facilitate coordination among different divisions within District Health Office as well as bridging the vertical coordination with MoH and MCA-I and other stakeholders at the central level. To improve the preparedness for the transition to the Village Law implementation, the mission recommends: (i) prepare addendum (errata) for the 2015 Technical Operations Manual (PTO) to explain the role of BKAD and other ad-hoc institutions in the transition period; (ii) pilot activities to integrate the planning process between PNPM Generasi and the Village Law, closely coordinating with PNPM Rural. IV. Health and Nutrition Component 22. The complementary maternal and child health and nutrition interventions aim to improve the coverage and quality of preventive and promotive health services in PNPM Generasi areas to complement the increased community demand for health services generated through the block grant. The supply-side activities consist of: (i) Mother, Infant and Young Child Feeding Practices (MIYCF) or PMBA training for health providers; (ii) distribution of micronutrient supplements; (iii) national awareness campaign for stunting reduction; (iv) provision of anthropometric equipment; (v) sanitation and hygiene behavioral change activities; and (vi) private sector engagement. The mission focused on: (i) the overall progress of complementary supply-side activities; (ii) assessment of PMBA training progress; (ii) implementation of nutrition counselling sessions for pregnant and lactating women in relation to achieving Generasi performance indicators; (iii) community-level behavioral change communication (BCC) activities; (iv) sanitation and hygiene; and (v) effect of National Health Insurance JKN system implementation on Generasi performance indicators. Overall progress of complementary supply-side activities 23. Of all the supply-side components, PMBA training has progressed the furthest. Since March 2014, 32 Master Trainers and more than 400 health frontline workers (Puskesmas staffs, midwifes (bidan), and Posyandu cadres) in three districts in West Java (West Bandung, Garut and Sukabumi) have been trained. The PMBA is currently being rolled out in three provinces (South Sumatera, West Kalimatan and Central Kalimantan). The target is to complete the training in West Java and these three provinces by the end of 2014 and in eight other PNPM Generasi provinces by the first quarter of 2015. Other supply-side components are currently either at the preparation or early roll-out stage. The socialization and training for sanitation triggering has started in August 2014. Formative research for national stunting awareness campaign will be completed by the end 2014 and will be followed by campaign design and implementation. For micronutrient supplementation, the micronutrient market research is underway to inform the project design, including distribution mechanism, procurement method, and quality control. 24. The mission found that the scaling up of complementary supply-side activities needs to be accelerated. These activities impact the achievement of Generasi performance indicators. For example, the completion of PMBA training is the pre-requisite for Posyandu cadres to deliver nutrition classes for pregnant women and mothers of children 0-2 years-old, which in turn influences achievement of two recently-added Generasi performance indicators, particularly PDO indicator 1.4 (% of pregnant women participating in pregnancy nutrition classes (kelas ibu hamil) monthly) and 1.5 (% of parents of children 0-2 years-old participates in parenting nutrition classes (kelas balita) monthly). MCA-I has increased the number of Master Trainers to speed up the PMBA training; however it needs to be reviewed whether the addition is sufficient to reach target coverage by the first quarter of 2015. 18 Assessment of PMBA training 25. The mission observed a number of positive effects of PMBA training on Posyandu cadres in the location visited. The training has improved cadres’ capacity to conduct group-level and individual counseling. In one Posyandu, it was observed that the cadres trained in PMBA are demonstrating how to cook nutritious foods using locally-sourced ingredients. This practice is in line with recommended practices in PMBA and could be shared with other Posyandu. PMBA training is also expected to have a positive effect on the quality of health sub-project. Anecdotal evidence suggests that the PMBA training raises the facilitators’ awareness of the importance of shifting from manufactured supplementary foods towards locally-sourced foods. Despite these promising findings, the mission identified a number of issues with regards to the scaling-up of PMBA training and supporting activities to ensure the quality of training. 26. Expanding the number of Posyandu cadres trained for PMBA. Currently only two cadres are trained in each village. Given that each village could have 35-45 cadres, there is a need to expand the training to cover more cadres. There is no clear funding mechanism for expanding the training. In Garut district, the local government uses a combination of funding sources to scale up the training: at the district level, APBD supports the training for midwifes. At the sub-district level, BOK supports the transportation cost for bidan to come to the village; and at village level, Generasi block grants supports cadres to come to the training. However, this model cannot be expected to be replicated in all areas. In addition to the funding mechanism, the scaling-up requires a sufficient number of trainers. Currently, only trained health workers such as midwives are eligible to conduct training to Posyandu cadres. 27. Supportive supervision to ensure quality of counseling. The cascade training model such as PMBA requires good quality control mechanisms at each level. The tiered, supportive supervision activities (district – Puskesmas – Posyandu cadres) are necessary to ensure the quality of PMBA counseling activities. MoH and UNICEF have developed supportive supervision modules and the MCA-I nutrition team has been discussing the possibility to use these modules in the PKBM project. 28. Recommendations: (i) MCA-I will look into the possibility of adding the number of Posyandu cadres trained for PMBA. Given that there will be a new funding channeling arrangement with MoH, the rapid scaling-up of PMBA should be feasible; and (ii) MCA-I will follow up with MoH on rolling out the supportive supervision training to ensure the quality of PMBA activities. Implementation of nutrition counseling and parenting classes in relation to achievement of Generasi indicators 29. Two new target indicators related to participation of pregnant women and mothers in nutrition classes (PDO indicators 1.4 and 1.5) were added in 2014 as a proxy to measure community and health provider efforts at reducing stunting. These new indicators are intended to incentivize communities to work together with health providers, most notably midwives, nutritionists, and community health volunteers, to regularly implement nutrition counseling and parenting classes in target villages. These classes are meant to complement the mandatory nutrition classes for pregnant women (to be attended a minimum of three times during pregnancy) given by midwives. Recognizing the importance of the nutrition classes in adopting appropriate nutrition and care practices for stunting reduction, PNPM Generasi aims to increase the frequency of nutrition classes to a monthly basis. Given midwives’ high workload, the Posyandu cadres will be conducting these additional classes. Upon completing the PMBA training, the cadres will become counselors and eligible to conduct these classes. 30. Implementation issues. Currently, the explanation of the implementation of nutrition classes in PTO is not clear in terms of who is eligible to deliver the classes. Further discussion will be done with 19 MoH to clarify the operational definition of “nutrition counseling”. It should be reiterated that Posyandu cadres are eligible to conduct the nutrition classes upon completing the PMBA training. For parenting class for mothers and caregivers of children 0-2 years-old, BKKBN has mandated parenting classes for mothers of children under five. However, these classes are not being delivered on a regular basis. 31. Recommendations: (i) accelerate the scaling-up of PMBA training in all locations to enable the implementation of the nutrition and parenting classes.; (ii) clarify the operational definition of “nutrition counseling” among MoH, MCA-I and PMD. Community-level behavioral change communication (BCC) activities 32. BCC activities are limited only to mothers. At the community and household levels, other actors (e.g. husbands, grandmothers, and religious leaders) play an important role in influencing mothers’ decisions regarding prenatal and child care. One of the main challenges of behavior change is to get husband/fathers to support and encourage breastfeeding. In some cases, the majority of mothers work outside of the home so it is the grandmothers and other caregivers who play a key role in child care and feeding practices. The BCC activities have not explicitly reached out to these caregivers. 33. Interpersonal communication: For effective behavioral change, international experience shows that interpersonal communication is essential in influencing mothers to adopt recommended healthy behaviors. Currently, interpersonal communications (where they take place through home visits) focus on curative care. Posyandu cadres generally only visit those who are diagnosed as malnourished or those who do not attend Posyandu session (a process called “sweeping”). This focus on curative care needs to be augmented by a focus on preventive care. 34. Recommendations: (i) the community level BCC strategy needs to explicitly reach out to key caregivers besides mothers. For example, cultural activities that deliver key nutrition messages can involve husbands and religious leaders in order to increase engagement rates. Lessons learned can be obtained from PNPM Creative Communities; (ii) made compulsory for husband to attend Posyandu and nutrition counselling class. This has been done on several locations, although the attendance rate is still not optimal; (iii) devise innovative peer group mobilization such as through religious gathering to intensify interpersonal communication for adoption of desired behavioral change. Effect of (National Health Insurance) JKN implementation 35. Impact on declining delivery assisted by skilled attendants. Since the roll-out of the National Health Insurance (JKN) system in 2014, the Health Insurance for Pregnant Women (Jampersal) program no longer operates, yet many poor mothers are not yet enrolled in JKN. The participation in JKN is still low due to factors such as limited socialization, payment method, unaffordable premium payment, and transfer of benefits to JKN. As a result, they have shifted back towards delivery assisted by Traditional Birth Attendant (Paraji) for financial reason. For example, in Cibalong sub-district, delivery assisted by skilled attendants was 90 percent by the end of 2013. For 2014, the current figure is only 41 percent, a change that is likely in part influenced by challenges in implementation the JKN. This affect the achievement of PNPM Generasi performance indicators, since delivery by skilled attendant is one of PNPM Generasi indicator. 36. Recommendations: follow up with the Ministry of Health to ensure smooth transition to JKN and identification of concrete measures of local government to address this issue (eg using Jamkesda for deliver costs). Sanitation and Hygiene component 20 37. Sanitation problems are inadequately addressed while environment-borne diseases such as diarrhea remain high. The communicable disease such as diarrhea plays an important role in reducing stunting. The mission observed that there were only limited numbers of sanitarian at the health center and they often do not fully dedicate their time on sanitation issues. 38. Recommendations: MCC will discuss with the Water and Sanitation Program (WSP) and the PSF on how to strengthen the design and implementation of sanitation component. Initiate discussion to possibly increase the target for Open Defecation Free (ODF) villages for each Puskesmas. Currently the target of ODF is only 2 villages per health center, and this will be improved. V. Management Information System (MIS) 39. The current performance of MIS indicates that the completeness of data entry is around 75 percent of 2013 target villages, which is below the target of 80 percent. Moreover, MIS quality assurance practices continue to require improvement. The mission focused on: (i) issues affecting compliance on reporting; (ii) adherence to quality control procedures; (iii) human resources capacity, including incentives; (iv) coordination and supportive supervision from relevant stakeholders. The mission identified several key issues that require follow up. 40. Supervision and guidance by District Facilitators (Faskab) of Data Operators. Currently, Faskabs have not provided adequate guidance to Data Operators on data management and reporting mechanism which resulted in reporting delay and unsatisfactory data quality. Moreover, Data Operators are often asked to perform duties outside their ToRs, which further exacerbate this problem. The training of Faskabs should include in-depth materials on reporting and supervision mechanism to Data Operator to optimize the role of Faskabs in ensuring the compliance and timeliness of reporting. 41. Supervision and guidance by Sub-District Facilitators (FK) of Village Facilitators (KPMD). As the frontline in data collection activity, the KPMDs play a key role in ensuring that all the forms are completed, data are consistently reported and the MIS data is being used for improvement in program implementation. Currently, FKs’ supervision and guidance to KMPD is not optimal. This resulted in incomplete forms and lack of data consistency. The mission revealed an innovative mechanism implemented by some FKs, whereby they stipulate data reporting completeness as a condition before moving to the next stage of implementation. 42. Quality of district monthly reporting. The district monthly report does not include adequate analysis of the performance achievement and implementation issues at the village level. The report includes attachments that may not always be relevant for the particular stage of project implementation. This tends to result in bulky reports and discourages the use of the reports in a meaningful way. 43. Recommendations: (i) the PSF and NMC will facilitate a workshop to review the M&E system and develop concrete actions to improve the MIS. This will build on the thorough understanding of the underlying causes for suboptimal MIS performance and finding innovative ways to improve incentives for better data quality and usage of information’ (ii) NMC and PMD will consider developing the performance evaluation mechanism for district and sub-district facilitators that include the completeness of MIS as one of the criteria for operational cost payment; (iii) finalizing M&E field guidance for provincial, district and sub-district consultants and facilitators and improve training. 21 VI. Financial Management 44. Overall, financial management in the project was rated as Moderately Satisfactory. The mission noted that the balances of Pokja accounts are continuously monitored; IFR is submitted on time; all BPKP findings for FY 2012 have been followed up; and most of our previous recommendations from February 2014 have been followed up. However, the mission also found some weaknesses in financial administration at the UPK level due to poor facilitation and supervision performance of facilitators both at district and sub-district level. The importance of facilitation and supervision will be heightened with the significant expansion of locations in which PNPM Generasi operates in FY 2014. Therefore the mission reminds PMU to ensure that new FM Consultants at Provincial level are be mobilized as scheduled (by February 28, 2015) to ensure FM monitoring and facilitation needs can be met. 43. Disbursement. There are two Trust Funds that finance this project – TF097410 and TF014769. Total grant amount for TF097410 is US$ 73.32 million. As of September 2014, the outstanding amount in the Designated Account (DA) is US$ 6.15 million. Therefore, the actual disbursement was US$ 67.17 million or 91% of the total grant amount. GoI would like to propose reallocation of this balance funds from TF097410 to the ongoing Trust Fund (TF014769) but formal actions have yet been taken. 44. Total grant amount for TF014769 after the additional financing is US$ 113.34 million. Client Connection data as of September 30, 2014 showed disbursement was US$ 40.16 million and the DA was US$ 32.96 million. However, the actual balance of the DA was US$ 26.12 million. Therefore, the actual disbursement was US$ 14.04 million or 12% of the total grant. The IFR as of June 30, 2014 showed the disbursement forecast for the period of July-December 2014 was US$32.96 million. This grant will be closed in December 31, 2017. Therefore, the current disbursement rate is in line with the expected disbursement rate. Table 2: TF097410 Disbursement Status as of September 30, 2014 (US$ million) Allocated Disbursed Undisbursed Category Category Description US$ US$ US$ Totals 73,323,000.00 73,323,000.00 0.00 1 BLOCK GRANTS 60,733,000.00 58,622,382.34 2,110,617.66 2 CS, TRNG & WS PT 2 9,962,000.00 6,041,870.65 3,920,129.35 3 CS, Non-CS &WS PT 3 2,390,000.00 1.272,748.80 1,117,251.20 4 GOODS & IOC 238,000.00 243,441.31 (5,441,31) DA-A Designated Account 0 7,142,556.90 (7,142,556.90) Table 3: TF014769 Disbursement Status as of September 30, 2014 (US$ million) Allocated Disbursed Undisbursed Category Category Description US$ US$ US$ Totals 113,340,000 40,160,617.78 73,179,382.22 1 BLOCK GRANTS PT 1 93,605,000 6,237,781.12 87,367,218.88 2 GO, CS, TRNG & WS IOC PT 2 10,775,000 962,888,70 9,812,111.30 3 GO,Non-CS,TRNG & WS IOC PT 3 8,960,000 0 8,960,000.00 DA-A Designated Account 0 32,959,947.96 (32,959,947.96) 22 45. Internal Audit. Following up our previous mission recommendation, FasKeu have consistently submitted internal audit reports to NMC on a quarterly basis. Based on the NMC Internal Audit report as of June 30, 2014 for audit the Block Grant FY 2013, implementation coverage of internal audit is still under the sample target. The mission found that NMC did not achieve all sample audit targets due to a number of activities which were not in the NMC’s work plan, i.e. review and revise the PTO, involve in recruitment facilitator, develop modules for many workshops and training, and attend training or workshop as participant or trainer. At the District level, mission inquiries revealed that targets were not achieved due to inefficient use of District Facilitators’ time. For example, they spent too much time in reviewing the block grant and attend trainings or meetings. Therefore, the mission recommends that PMU issue a memo to instruct all Specialists at NMC and District Facilitators to prioritize achievement of internal audit targets for audit of the Block Grant CY 2014 by April 30, 2015 and ensure training of District Facilitators reiterates how to efficiently and effectively conduct the audit. Governance 46. Financial transparency. Financial transparency and mechanisms for channeling public complaints need to be improved. The mission observed that the use of information boards as means for financial transparency needs to be improved. The mission recommends that PMD reformulate the design of information dissemination to the public. The suggested approach is “information comes to community” instead of “community comes to information” Some of the examples are leaflets, announcement in community village group activities, community radio and SMS. 47. Complaints handling mechanism. The mission observed that the results findings from supervision and monitoring of issues of misuse of funds, and failure to respect program principles and procedures have not been optimally recorded in Complaint Handling System (PAPPM application). Moreover, the communication and follow of these cases by facilitators and relevant program actors need to be strengthened. There is also inadequate analysis on the underlying causes of the problems, which often resulted in recurring and unresolved problems. The mission recommends: (i) Satker Pusat/PMD send out a letter to Satker at province and district level to improve the enforcement protocols for following up cases found during supervision and monitoring activities by December 31, 2014; (ii) NMC to conduct a comprehensive review the complaints handling Standard Operating Procedures (SOP) to address the systemic problems in complaints handling and develop concrete actions for improvement by December 31, 2014. 48. System for joint sanctions with PNPM-Rural areas. Lack of clarity in enforcement of sanctions for areas where both PNPM Rural and PNPM Generasi programs exist. In some cases, problems with corruption and misuse of funds in PNPM Rural program may lead to suspension of PNPM Generasi activities in the same area. This creates a significant risk for achieving PNPM Generasi performance indicators and affecting the health and nutrition status of mothers and children in the targeted areas. The recommendation is not to sanction PNPM Generasi when problems occur under PNPM-Rural that are unrelated to Generasi funds, actors, or related local institutions. This should be reflected in the errata of the supplemental PTO PNPM Generasi. VII. Procurement Procurement arrangements at the community level 49. The mission carried out community procurement review of selected sub-projects i.e. procurement of school uniforms, kits and stationery, equipment for mothers and children health clinic, and pipes for plumbing connections to the school. The mission noted the delays in distribution of printed copies of the 23 revised PTO of the PNPM-Rural Project at the village level, which shall be also applicable for the PNPM- Generasi Project. The mission was informed that though the revised PTO of PNPM-Rural Project became applicable from April 2014, procurement at the village level was still carried out as per the existing PTO for PNPM-Rural For instance, a price survey comparison was conducted for sub-activities (contract) valued below Rp. 15 million while bidding process was taken for sub-activity (contract) valued above Rp. 15 million. 50. No significant issue was observed in procurement of the abovementioned selected contracts carried out at the visited villages in West Java and Maluku Provinces. The UPK and TPK have also maintained adequate records of procurement documents. Further review of community procurement of other selected contracts will be carried out by the Bank during the ex-post review mission, planned in March 2015. 51. Upon request from PMD, the mission also observed the arrangements for the nomination and hiring of teachers, delivery nurses, tutors, and cadres for Posyandu, and also arrangement for supplies of consumables foods for supplementary feeding activities (PMT) that are specific to PNPM Generasi program. While, the revised PTO is applicable for all types of community-based goods and services, including procurement of commodities, the Bank team envisaged that the above mentioned specific activities shall not be included as community procurement. Detailed arrangements will be further discussed and agreed between PMD and the Bank. Procurement arrangements at the national level 52. Procurement at the national level has been generally carried out as per the Procurement Plan.The main contract i.e. ASF-2 contract became effective on May 1, 2014 for 21 months contract period and expected to be completed on January 31, 2016. 53. Recommendations: (i) PMD shall modify the procurement arrangements at the community level specified in the PTO of PNPM Generasi to be consistent with the revised arrangements specified in the revised PTO of PNPM-Rural by December 31, 2014; (ii) As the revised PTO is yet to be distributed by PMD for implementation by the communities, PMD shall make copies of the revised PTO available up to the community level at the earliest, and also work out the action plan for socialization so that provisions of the revised PTO are clearly understood and implemented in all the villages by December 31, 2014; and (iii) with the guidance of the World Bank team, PMD will develop detailed guidance for procuring for supplies of consumables foods for supplementary feeding activities (PMT) that are commonly needed for PNPM Generasi with the aim of safeguarding beneficiaries from any potential social or environmental risks by December 31, 2014. VIII. Safeguards 54. The mission found no serious adverse environmental or social impacts, and concluded that overall implementation of safeguards was proceeding well. Infrastructure subprojects funded through PNPM Generasi are relatively small in number and scale. Most infrastructure subprojects finance rehabilitation of existing facilities. As such, no land donation cases were found. 55. Safeguards procedures have been included in the PTO and strengthened via the formulation of Implementation Guidelines for Social and Environmental Safeguards (IGSES). The IGSES has been disseminated to PNPM Generasi facilitators, but greater effort is needed to ensure that they are being understood and applied. 24 56. Recommendations: PMD/NMC needs to ensure that all PNPM Generasi actors at all levels have received the IGSES document by December 31, 2014. This should be followed by training that strengthens IGSES implementation. 25 Annex I. Mission Objectives Specific components I. Institutional Arrangements The mission will review the following: a. The necessary adjustments of PNPM Generasi implementation and institutional arrangement sin light of PNPM Transition to Village Law platform. Specifically, the following areas will be looked at: (i) flow of funds and disbursement mechanism, particularly on the role that is currently assumed by UPKs; (ii) complaints handling mechanism; and (iii) coordination structures; b. Discuss how PNPM Generasi could contribute to strengthening village-level planning and facilitation process that prioritizes health and education issues under the Village Law. This is important to ensure effective use of dana desa for basic health and education service delivery. The issues that will be reviewed include: planning process, capacity requirement, accountability and incentives mechanism, and financing structure; c. Coordination and support from local government and relevant sectors. The mission team will review the following: (i) mechanism to hold local government and sectors accountable for program implementation; (ii) working relationship with health and education dinas and frontline activities; (iii) how to enhance complementarity with ongoing government health and education programs in PNPM Generasi areas, i.e Posyandu revitalization, ECED. II. Technical a. Health and Nutrition Component Issues Description Frontline health workers IYCF training Visit West Java where the training for frontline health activities workers has been completed. Several key issues: (i) how the training improves the capacity of frontline health workers to deliver services; (ii) how the training improves the health components of block grants (use of locally-source food, enhance cooking demonstration); (iii) quality assurance and financing mechanism for cascade training; (iv) involvement of Generasi facilitators and support from local government; and (iv) synergy with other capacity building programs for sustainability. Preparation for nutrition and parenting The following issues will be reviewed: (i) status of classes for pregnant and lactating current Posyandu activities related to counseling women services; (ii) challenges and bottlenecks to regular nutrition classes; (iii) quality of content and counseling materials; (iv) how the IYCF training improve the preparation for the nutrition class; (v) technical and operational support from village and local government; (vi) issues surrounding the measurement of performance indicator on nutrition class participation. Community-level behavioral change Identify potential ways to strengthen Behavioral Change communication (BCC) activity Communication (BCC) activities at the community level for improving caring practices, focusing on: (i) review 26 the existing BCC activities, including challenges and bottlenecks; (ii) discuss potential interpersonal communication and community mobilization activities. This will inform the design of community-level BCC strategy to complement the advocacy and mass communication efforts. Progress of other supply-side activities Review the status of preparation at the provincial, under MCA-I project district and sub-district levels to deliver the supply-side activities. The mission will focus on: (i) the work plans for each complimentary supply-side activities; (ii) awareness and support from local government of the activities; (iii) review activities that are already implemented or under preparation. b. Review of MIS The mission will launch a systemic assessment on bottlenecks to functioning MIS. The specific issues to be reviewed: (i) issues affecting compliance on reporting; (ii) adherence to quality control procedures; (iii) human resources capacity, including incentives; (iv) hardware and software, including budget support; (v) link to other sectoral data information system (HMIS and EMIS); (vi) coordination and supportive supervision from relevant stakeholders. In anticipation of the upcoming implementation of Village Law platform, the mission will also review how PNPM Generasi can help strengthen village level community-based monitoring in the medium- to long-term. III. Program Supervision and Oversight a. Financial Management The mission will review: (i) quality of internal FM controls and internal audit procedures carried out by consultants and facilitators; (ii) clarity of reporting and oversight arrangements for PNPM Generasi district FM consultants; (iii) disbursement at the district, sub-district and village levels; (iv) how funds granted from Generasi to Village will be recorded at Village FM System as per Village Law; (v) system for joint sanctions in problem sub-districts under PNPM-Rural; (vi) quality of complaints handling reporting and follow-up. b. Procurement The mission will review: (i) the implementation of contracts procured at the national level and also updates of the Procurement Plan; (ii) the impact of the improved procurement procedures included in the revised PTO (for PNPM Rural), which is also applicable for PNPM-Generasi– pending the dissemination and socialization of the new PTO by PMD; (iii) procurement of specific goods and services applicable under PNPM-Generasi i.e. provision of additional foods, selection and hiring of teachers, trainers and delivery nurses. c. Social and Environmental Safeguards 27 The mission will review: (i) the compliance of safeguards requirements relating to applicable social (i.e. land and Indigenous People) and environment issues; (ii) the extent to which the Implementation Guidelines for Social and Environmental Safeguards are understood and implemented by PNPM Generasi actors at the community, district and provincial levels and to find any feedback from the actors regarding the implementation of the guidelines; (iii) capacity building activities (training, workshop) to improve the capacity of project actors on safeguards issue 28 Annex II. List of Visited Locations and Participants Mission schedule Activity Date Province District/ Sub- Activities district Kick-off Sep 26 Jakarta Jakarta  Review mission objectives and finalize the Meeting schedule and team composition Comp. 1: Sep 29- Jakarta Jakarta  Meet with PMD and other stakeholders to Institution Oct 3 discuss the transition to the Village Law and adjustment on institutional and implementation mechanism that include review of CHM, flow of funds and facilitation and technical assistance needed. Comp. 2a: Sep 29 West District  Visit sub-project locations to meet with Health and – Oct 3 Java and Bandung district and sub-district government, Dinas nutrition South Barat, Garut Kesehatan and Head of Puskesmas to component Sumatera and discuss the implementation of supply-side Kuningan activities (existing and planned) West Jawa  Meet with village government, Posyandu District OKI kader, bidan desa, women’s group (PKK, and Banyuasin kel. pengajian), CSOs, beneficiaries to - South discuss nutrition issues and BCC activities Sumatera Comp. 2b: Sep 29 Maluku District  Visit sub-project locations to meet with Review of MIS – Oct 3 and Maluku province and district consultant and South Tengah and facilitators, dinas kesehatan and dinas Sumatera Maluku pendidikan to discuss challenges with MIS Tenggara and potential solutions Barat District OKI and Banyuasin – South Sumatera Comp. 3a: Sep 29 Jakarta Jakarta  Meet with PMD, NMC to discuss the Financial disbursement, internal audit, and complaints Management handling issue Sep 30 West District  Visit sub-project locations to meet with – Oct 3 Java and Bandung district and sub-district facilitators to Maluku Barat and discuss FM issues and complaints handling, Kuningan –  FM system and transaction review at UPK, West Jawa; Pokja, PK District MalukuTenga h and MalukuTengg ara Barat - Maluku Comp. 3b: Sep 29 Jakarta Jakarta  Meet PMD to discuss the contracts Procurement implementation and procurement plan 29 Sep 30 West District  Visit sub-project locations, discuss with the – Oct 3 Java and Bandung communities and review on specific Maluku Barat and procurement arrangement at community Kuningan - level. West Java; District Maluku Tengah and MalukuTengg ara Barat Comp. 3c: Sep 29 Jakarta Jakarta  Meet PMD to discuss the compliance of Safeguards safeguards and follow up from last mission Sep 30 Maluku DistrictBand  Visit sub-project locations, discuss with the – Oct 3 and ung Barat communities and review the compliance of South and safeguards issues Sumatera Kuningan; District Maluku Tengah - Maluku Mission Team Oct 6 Jakarta -  Mission team members meet and share main wrap-up findings and agree to the schedule for AM Aide Memoire Oct 13- - -  Draft ready by Oct 13 for internal (AM) 17 circulation  Final AM ready by Oct 17 for translation and sharing with PMD and NMC counterparts Wrap-up Oct 20 Jakarta  Share mission findings with the Meeting counterparts  Discuss action plans to address main issues Mission Participants and Responsibilities Name Organisation Core responsibilities Robert Wrobel PSF Generasi Task Team (Leader) Co-lead the Implementation Support Mission Sadwanto Purnomo PSF Generasi Task Team Lead component 1 on Institution (Operation Analyst) Gerda M. Gulo PSF Generasi Task Team Lead component 3 on Program Supervision (Operation Analyst) and Oversight Ali Subandoro PSF Generasi Task Team (Health Lead component 2 on Technical Specialist) Djoko Hartono PSF Generasi Task Team (M&E Support component 2b on Review of MIS Specialist) Yohannes Susilo PSF Generasi Task Team Support component 2a on Health and (Training Specialist Consultant) Nutrition Budi Wijoyo PSF Generasi Task Team (Data Support component 2b on Review of MIS Analyst Consultant) Maureen Tuahatu PSF Generasi Task Team Support component 2a on Health and (Communication Specialist) Nutrition Alex Setiadji PSF Financial Management Team Lead component 3a on Financial 30 (Social Development Specialist) Management Festina Lavida PSF Financial Management Team Co-lead component 3a on Financial (Operations Officer) Management Hanggar Irawan PSF Financial Management Team Support component 3a on Financial (Financial Management Analyst) Management Achmad Zaky World Bank Procurement Team Lead component 3b on Procurement Warasaka (Operations Analyst) Zulfi Novriandi World Bank Procurement Team Support component 3b on Procurement (Operations Analyst) Francisca Melia World Bank Safeguards Team Lead component 3c on Social and Setiawati (Safeguards Consultant) Environmental Safeguards Anna Winoto Bappenas Support component on health Evie Fatimah Ministry of Health Support component on health Michelle Inkley MCC Support component on health Iing Mursalim MCA-I Support component on health Dennie Mamonto MCA-I Support Component Safeguards Iwan Sri Widianto DFAT Support Component on Institution Ishak Rangkuti DFAT Support Component Financial Management Suharno NMC Team Leader Support Component Institution Ujang Heryana MIS Specialist NMC Support Component MIS Review Matius Lay Health Specialist NMC Support Component Health Sulaiman Nur Education Specialist NMC Support Component Education Moefid Mahfudin CHU Specialist NMC Support Component Program Support and Supervision Imam Al Muttaqin Institutional Specialist NMC Support Component Institution Makmur Sumarsono MIS Junior NMC Support Component MIS Review Ambar Sukaca FM Junior NMC Support Component Financial Management Syahrun Nazil Program Dev. Specialist KMP Support Component Institution Sahrul Arifin KMP Staff Support Component Program Support Harli KMP Staff Support Component Program Support Hambali Procurement Specialist KMP Support Component Procurement M. Taufik CHU Specialist KMP Support Component Program Support and Supervision Windu KMP Staff Support component program Support Elletarianti C KMP Staff Support component program Support Mina S. KMP Staff Support component program Support Ukah Sutianah KMP Staff Support component program Support Anna Gurning PMD GOI Rep for PNPM Generasi Implementation M. Falah PMD GOI Rep for PNPM Generasi Implementation Gunawan Siallagan PMD GOI Rep for PNPM Generasi Implementation M. Irfan Dit Jen PH-DJPU/MoF GOI Rep for Financial Management Erfan Fiddin Dit Jen PH-DJPU/MoF GOI Rep for Financial Management Effendy Siahaan Dit Jen PH-DJPU/MoF GOI Rep for Financial Management 31 Annex III. Updated PNPM Generasi Results Framework (P146578) INDONESIA: National Program for Community Empowerment in Rural Areas Healthy and Bright Generation (PNPM Generasi) Results Framework – PNPM Generasi . Project Development Objective Results Indicators Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) PDO#1: Improved access Percentage Value 70.00 70.03 70.03 >80.00 to and utilization of health Date 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- services in the targeted areas: Sub Type 2013 2013 2017  % of pregnant women Comme receiving four prenatal nts care visits Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target )  % of deliveries assisted Percentage Value 75.00 89.00 89.00 >85.00 by trained professionals Date 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- Sub Type 2013 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target )  % of children under Percentage Value 75.00 75.00 75.00 >85.00 three weighed monthly Date 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- Sub Type 2013 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) 32  % of pregnant women Percentage Value 00.00 n/a n/a >60.00 participating in Date pregnancy and 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- nutrition class monthly Sub Type 2013 2013 2017 Comme Introduced nts in 2014 to be measured and reported in early 2015 Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target )  % of male caregivers Percentage Value 00.00 n/a n/a 40.00 participating in Date pregnancy and 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- nutrition class monthly Sub Type 2013 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target )  % of parents 0-2 year Percentage Value 00.00 n/a n/a >60.00 olds participating in Date children parenting an 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- nutrition class monthly Sub Type 2013 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) PDO#2: Improved access Percentage Value 65.00 85.04 85.04 >85.00 to and utilization of Date 03-Sep-2012 31-Dec- 31-Dec- 31-Dec- education services in the targeted areas: Sub Type 2013 2013 2017 Comme  Junior secondary nts enrollment rate Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) 33 PDO#3: % community Percentage Value 65.00 71.00 68.00 >75.00 members involved in Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- planning and decision- making meetings Sub Type 2013 2017 Comme  Women nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target )  Poorest community Percentage Value 60.00 57.00 51.00 >60.00 members Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- Sub Type 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) PDO#4: Number Value 5.4 million 1,967,288 3,077,979 6.7 million Total number of Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- beneficiaries:  499 kecamatan (old and Sub Type 2013 2017 new locations) Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) Total number of Number Value 0.00 n/a n/a 6.7 million beneficiaries: Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec-  130 kecamatan (new location) Sub Type 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) Total number of Percentage Value 50.00 57.00 57.00 55.00 beneficiaries: Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec-  % of which female Sub Type 2013 2017 Comme nts 34 INTERMEDIATE RESULTS Component 1: Generasi Kecamatan Grant Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI (intermediate outcome Percentage Value 85.00 99.0 34.60 >90.00 indicator)#1: Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec-  % of sub-districts with 100% disbursement rate Sub Type 2013 2017 at the end of program Comme cycle nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#2: Percentage Value 25.00 46.00 n/a >50.00  % of previous non-users Date 03-Sep-2007 31-Dec- 31-Sep-2014 31-Dec- as beneficiaries of sub- projects Sub Type 2013 2017 Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#3: Percentage Value 60.00 99.00 79.00 80.00  % of sub-districts in Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- which service providers attended MAD to Sub Type 2013 2017 discuss the status of Comme health and education nts servives Component 2: Facilitation Support Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#4: Percentage Value 45.00 n/a n/a 50.00  % of district Sub Type Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- 35 government which 2013 2017 conducted supervision Comme to communities as nts planned Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#5: Percentage Value 40.00 99.00 79.00 80.00  % sub-districts Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- conducted planning and coordination Sub Type 2013 2017 workshop with district- Comme level health and nts education office to discuss Generasi activities Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#6: Percentage Value 80.00 77.00 1.30 85.00  % of district-level MIS Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- data completed (verified, entered and Sub Type 2013 2017 submitted) Comme nts Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#7: Percentage Value 60.00 29.00 44.00 >70.00  % of sub-districts in Date 03-Sep-2012 31-Dec- 31-Sep-2014 31-Dec- which 50% of villages conducted cross-village Sub Type 2013 2017 audits as planned Comme nts Component 3: Implementation Support and Technical Assistance Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#8: Percentage Value 80.00 95.40 96.00 90.00  % of planned Date 03-Sep-2012 31-Juni- 31-Sep-2014 31-Dec- facilitators at all levels were recruited and Sub Type 2014 2017 trained according to Comme 36 the agreed training nts plan Actual(Previous Indicator Name Core Unit of Measure Baseline Actual(Current) End Target ) IOI#9: Percentage Value 20.00 28.00 n/a 20.00  % of sub-districts Date 03-Sep-2012 03-Sep-2012 31-Sep-2014 31-Dec- audited each year and for which the results Sub Type 2017 are published Comme nts 37 Annex IV. Status of Actions Agreed in Previous Aide Memoire Key Issues for Bappenas’ Attention Theme Issue Agreed Action Target Date Status Budgeting 1. An estimated US$272 million is needed to a. PMD will make a summary of its Grand Nov. 15 for Not yet finance PNPM Generasi operations in 500 Strategy for PNPM Generasi and make a presentation to completed kecamatan (sub-districts) through 2017. presentation to DG PMD. DG PMD Government is committed to maintaining this b. Bappenas is asked to organize a follow up Completed minimum level of program coverage, but is meeting to discuss financing scenarios with unable to formally commit to a multi-year budget. PMD, Menko Kesra, MCA-I and AusAID. c. In the meantime government has requested December 2 for Completed that the Bank proceed with the appraisal for appraisal USUS$272 million. completion 2. Budget ceiling for 2014 is approximately US$61 d. Government to issue a decision on how to Prior to Completed million, or US$4.6 million short of the amount make up this budgeting shortfall. PMD can Additional needed to allocate Kecamatan Grants to 500 sub- either propose a reduced allocation for certain Financing districts according to the standard formula sub-districts based on agreed upon criteria, or Appraisal (Dec. add funds via a 2014 DIPA revision. 2) 3. PMD is seeking approval to reallocate unused e. Request letter from MoF is needed to process Nov. 15 Completed funds from Components 2 and 3 to Component 1. the restructuring. Key Issues for PMD and National Management Consultant’s (NMC) Attention Theme Issue Agreed Action Target Date Status Budgeting 4. PMD has not yet finalized the revision to its 2013 f. Activities and budget needs for the 2013 DIPA Done Completed DIPA, and a number of kecamatan have not yet revision to be finalized by mid-October, received the full kecamatan grant allocation. including funds from the 2012 carry over 5. Policy states that the 2012 budget can carry over, budget. This should also include an but for technical reasons PMD and the Ministry assessment of the capacity of kecamatans of Finance (MoF) were unable to process the (sub-district) to absorb the additional carry over. Kecamatan Grant funding needed for a 100% allocation. 6. There are indications that the budgeting issues g. NMC has agreed to provide additional support Oct. 31 Completed above have led to poor quality community-level to district and sub-district facilitators to planning processes. Small-scale activities have improve community planning in 2014, 38 been proposed due to the perception that the including through upcoming refresher training Kecamatan Grant was lower than in reality. materials and revisions to the PTO. The NMC There’s the risk that facilitators will react to the will also provide additional field supervision DIPA revision by simply adding numbers of to monitor community level planning for the beneficiaries to existing activities, thereby use of Kecamatan Grants allocated through the undermining effectiveness. 2013 DIPA revision. 7. The 2014 PNPM Generasi Annual Work Plan h. PMD was reminded that the detailed 2014 Nov. 15 Completed (AWP) has not yet been shared with the PSF. AWP should be shared with the PSF prior to the formal NoL request in order to facilitate joint planning. Financial 8. PSF commends the steps that PMD has taken to i. The NMC is requested to issue a memo to the Nov. 15 Completed Management strengthen Financial Management (FM) and field clarifying the account reconciliation oversight in PNPM Generasi. However, several procedures. weaknesses persist: j. Upcoming facilitator refresher training should a. Account reconciliation is only carried out focus on bookkeeping and internal audit by the FK. The UPK (sub-district practices. implementation team), as the institution k. UPKs that should be audited by the district that oversees program finances at the sub- FM consultant and the NMC include: district level, must also regularly reconcile  Kec. Budong Budong, Kab. Mamuju, accounts. The FK’s role is to verify that Sulawesi Barat the reconciliation carried out by the UPK  Kec. Allu, Kab. Polewali Mandar, is done properly. Sulawesi Barat b. From a sample of 13 kecamatan from  Kec. Campakamulya, Kabupaten Cianjur, seven districts in four provinces Jawa Barat weaknesses were found in UPK l. NMC to issue clarifications on UPK bookkeeping practices and internal operational funds based on what was agreed oversight of health and education working previously. groups (Pokja), village implementation teams (PK), and UPKs due to weak oversight by district FM consultants FKs (sub-district facilitators). The teams identified three UPKs where there were indications of misuse of funds. 9. A recent memo from the National Management Consultant requested that UPK operational funds be re-separated from PNPM-Rural operational funds despite the fact that it was agreed during the March 2013 FM review that Generasi and Rural UPK operational funds should be consolidated. 39 Procurement 10. The administrative services firm contract expires m. PMD agreed to begin the procurement for the Nov. 7 Completed in April 2014 and cannot be amended. next administrative services firm contract in 11. Controls and safeguards in the procurement of November. supplementary feeding activities are weak. n. NMC is requested to include procurement 12. The revised PTO for PMPM-Rural has not yet controls and safeguards related to been finalized, including the Procurement supplementary feeding activities in the 2014 section PTO. o. PMD to finalize the revisions of the PTO and Oct. 22 Completed send to the Bank for no objection Technical 13. Revised PTO has not yet received the Bank no p. DG PMD to issue written clarification on the Oct. 31 Completed objection. implications of the “kecamatan bermasalah” 14. The review found that capacity of Puskesmas sanctions in PNPM-Rural towards Generasi staff and Generasi facilitators at the kecamatan funds. Oct. 31 Completed level to coordinate and support Posyandu q. PMD is requested to ask for Ministry of activities is weak. Health and Education review of the revised 15. Collaboration and harmonization with the PTO before the NoL request is submitted. Ministry of Health, Education and Culture, and r. PSF to share the results of the facilitator work Dec. 15 Completed the MCA-I is key to ensuring program success load analysis to inform PMD’s decision as to from 2014 onwards. whether or not to add a health sub-district 16. PSF and the PMD need to agree on a revised facilitator Results Framework for PNPM Generasi. s. General Guidelines (Pedum) that define the Ongoing 17. Five-day facilitator refresher trainings are not responsibilities of MoH, MCA-I, Ministry of sufficient to cover the range of issues required. Education and Culture, and PMD to be There are disparities in the quality of training finalized and endorsed at the echelon 1 level from province to province. NMC specialists, through a Circular Letter. provincial specialists, and district consultants are t. Days should be added facilitator refresher used as trainers, even though not all of them training such that facilitators receive a Oct. 31 Completed possess the skills required to train effectively. minimum of 15 training days in a year. It is also recommended that the training should not be held once per year, but at multiple times. Training materials should be developed at the provincial level. u. NMC is suggested to conduct a mapping of Ongoing specialists and consultants with the capacity to serve as master trainers, and that can be tasked with delivering training across the country. PSF is asked to provide TA to train master trainers. Safeguards 18. Dissemination and socialization of the IGSES v. PMD agreed to ensure that the 2014 PTO Oct. 31 Not yet 40 for PNPM Rural 2012-2015. (Operations Manual) revision includes the completed latest PNPM-Rural IGSES and to improve dissemination and socialization. 19. Responsibilities of PNPM-Rural district No action agreed upon. Not yet technical consultants and kecamatan technical completed facilitators vis-à-vis PNPM Generasi infrastructure sub-projects is not yet clear. Program 20. PNPM Generasi provincial and district w. PMD prefers to work with the existing Not yet Management facilitators requested clarification as to whether complaints handling specialists in PNPM- completed the sanctions given to “problem kecamatan” Rural rather than hiring additional specialists (kecamatan bermasalah) also apply to PNPM at the provincial level. Oct. 31 Not yet Generasi funds. x. PMD agreed to review and clarify the roles completed 21. Two provincial specialists and an administrative and responsibilities of PNPM Generasi officer are not sufficient to carry out all tasks, provincial and national specialists in especially complaints handling and FM complaints handling as defined in the PTO. January 2014 Ongoing oversight. y. It is recommended to establish an SOP for 22. The relationship between PNPM Generasi’s performance evaluation specific to PNPM complaints handling system with that of PNPM- Generasi. HR Specialist in the NMC is Rural is unclear. recommended to ensure that performance 23. Performance evaluation forms for consultants evaluation reports are submitted quarterly, and and facilitators do not consider progress towards that these are used by the NMC training Nov. 15 Completed updating of program data in the MIS. Quarterly specialists to develop capacity improvement performance evaluation reports are not activities. submitted routinely and on time. z. It is recommended that PMD task the 24. Four FK positions have been empty for over four provincial administrative officers with taking Nov. 15 Completed months. the initiative to work with the provincial PIU 25. District PIUs were not involving sufficient to recruit and fill empty facilitator positions. numbers of stakeholders in district socialization aa. PMD is encouraged to send written workshops even though sufficient funds were confirmation to district PIUs that additional available. participants can be invited to district socialization workshops based on local needs and priorities. 41