STRENGTHENING THE IRON AND FOLIC ACID SUPPLEMENTATION (IFA) PROGRAM TO REDUCE IRON DEFICIENCY ANAEMIA AMONG PREGNANT

WOMEN IN INDONESIA 1. Background and rationale

Micronutrient Initiative (MI) Indonesia proposes to demonstrate pilots in selected districts for IFA supplementation for pregnant mothers in West Java and Banten provinces. The program strategy will be on a) strengthening the supply chain for supplements b) capacity building of the health staff and frontline workers c) behaviour change communication interventions for increasing utilization d) modifying the monitoring system to monitor and track intervention delivery and supportive supervision e) building government commitment and sustainability through ensuring adequacy of budgets at the local level and directives to service providers to provide supplements in the recommended quantities and follow-up and f) program evaluation. This model will serve as a basis of replication and scale-up. The proposed assignment is for an agency to support the Government and MI to prepare for the project roll out. The specific objective of the project is to: To increase the coverage from 57% to 90% and utilization to at least 60% for Iron Folic Acid supplements among pregnant women to reduce iron deficiency and iron deficiency anaemia among pregnant women in select districts1 in Indonesia. 2. Objectives The key objectives of this assignment are: (1) (2) (3) (4) (5) To develop a Behaviour Change Communication (BCC) plan for strengthening the IFA program To advocate to policy makers from central, provincial, and district levels to strengthen IFA program implementation. To conduct sensitization workshop and trainings on the programmatic intervention to program planners and stakeholders2 at each administrative level (province, district, sub-district, village, sub-village levels) and delivery of IEC materials. To review and modify the training materials of the IFA program To develop a monitoring framework for the IFA program

3. Methodology a. Design the BCC strategy Review findings of the formative research. Develop a BCC plan for the IFA program through consultations/workshops. Attached is a framework for the BCC plan (annex 1) Develop appropriate BCC messages. Review existing communication materials on the IFA supplementation program to reduce iron deficiency anaemia among pregnant women. Develop and adapt materials for the program. Pre-testing the IEC materials among health staff and caregivers Refining/ revision of the IEC materials Discuss/ share with Government and relevant partners. Incorporate feedback. Prepare the final version of IEC materials. Develop users guide for using the IEC materials in English and Indonesia. Reproduction of the IEC materials will be done by MI. b. Advocacy meeting to the policy makers
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Stakeholders include health providers, local leaders, and cadres

At least one advocacy meeting to the policy makers to undertaken with central, provincial and district level participants in which participants from other relevant sectors Religion, Women Welfare Organization, MoH, BAPPEDA, District Authority and Parliament will be participate. c. Sensitization workshop and training of the program at district levels The sensitization of the program and training (interactive discussion and group work) will be delivered to: orogram planners (at least 1 session in each district), Health providers at community level (at least 1 session for each health center), Cadres (at least 1 session for each health post), Midwives (at least 1 session for each sub-district/sub-villages) d. Review and modify the training materials Review existing training manual/ materials on the IFA program for pregnant mothers and other relevant materials. Develop/modify training manual. Pretest training content with the government field functionaries, para medics and their supervisors. Develop users manual for training materials. Consult/ share with the stakeholders. Incorporate feedback. Facilitate a meeting to share and get approval by the Government. e IEC materials will be delivered to all health posts in the two districts f. Review, and develop the monitoring tools for the IFA program The review on the current monitoring tools (forms, book recording, report system, logistic books) Suggest modifications and revisions to ensure key indicator information becomes available. This will also include development of supportive supervision tool/checklists. A framework is provided at annex 2. 4. Deliverables BCC workshop report BCC plan Final version of IEC materials Advocacy meeting report Sensitization workshop and training report Training manual Monitoring framework/plan

5. Management Arrangements The preparation of BCC strategy including development of IEC materials, advocacy meetings, trainings and delivery of IEC materials will be coordinated by the implementing Agency in collaboration with Sub-Division Micronutrient, Directorate of Community Health, Ministry of Health (MoH) at Central Level, Provincial Health Office (PHO), the relevant District Health Offices (DHO), health center and local government at all levels (province to sub-village levels) and supported by MI district extender in each district. The role of MI is to provide the technical and financial support through the implementing agency and support the Sub-Division Micronutrient, Directorate of Community Health, MoH to develop the BCC strategy , undertake advocacy and capacity building and in the development of the monitoring plan 6. Time Schedule Duration of activities will be from 1 January 2012 to July 2012 7. Qualifications

Organization (NGO/INGO/Yayasan or others) has complete legal status. Organization has at least 5 years previous experiences in health/nutrition related programs and field experience with similar types of intervention programs. Organization staff has good networking and collaboration with Government/Department and other relevant stakeholders. Organizational capacity in terms of professionals and resources. Organization staff has fluent capability in English (written and oral).

Annex 1 : Suggested Behavior Matrix

Ideal Behavior Current Behavior Feasible Behavior Barriers Audience Messages Channels Activity /ies Monitoring indicator Responsible institution Budget

Annex 2: Suggested Monitoring Framework Program Component Outcome Indicator Frequency Source

Process Capacity building

Behaviour Change Communication

Monitoring

Supply chain and planning

Sustainability