Brief STBM Program of Plan Indonesia

by Eka Setiawan WASH Program Manager Country Office

THE OLD SANITATION APPROACH PLAN INDONESIA

Plan stay between 10-17 years in 1 (one) District), since 1969 Since 2003, via Total Sanitation (subsidy approach) Not involving Pokja AMPL Spent up to 1,5 mill USD for 15,000 toilets construction benefitted to 45,000 people. However there are still 100,000 people who do not have access to toilets in the other 90 Plans village The old result:
No ownership. Abandoned facilities

No behavior change

SANITATION NEW APPROACH PLAN INDONESIA

since 2007, via Community Led Total Sanitation (non - subsidy approach) involving Pokja AMPL or Dinkes Conducting integrated STBM approach www.stbm-indonesia.org Achievement: - 200 villages triggered - 150 ODF (70 is STBM) - 7 villages STBM (plus additional pillars ternak / cattles waste) Next Target: 700 villages (in new Country Strategic Program)

Dompu
SUMATRA KALIMANTAN

Pillar 1
SULAWESI Pillar 2

Kebumen Pillar 1 Pillar 2 Pillar 3 Grobogan Pillar 1

INDIANPillar 2 OCEAN

Surabaya Pillar 2

Lembata
MALUKU Pillar

JNO
PAPU A

Pillar 4

Pillar 4
Pillar 5
BALI

Sikka
Pillar 1

Pillar 2 Pillar 3 Pillar 4 Pillar 5

Pillar 2

Pillar 3 AusAID Pillar 4 Pillar 5

Rembang Pillar 1 Pillar 2 SIMAVI

Soe STBM

AUSTRALI A

Kefa STBM

Resources needed to scale up STBM

Pokja AMPL (District)
Plan Indonesia & Pokja AMPL Kabupaten will conduct regular meeting once every (3) three months at District Level. The participants will be all team STBM Kecamatan, PAMSIMAS, UN/NGOs, etc. During the meeting Pokja AMPL will fill Kartu Monitoring STBM Kabupaten

Team STBM Kecamatan (Sub-District)

Plan Indonesia & Team STBM Kecamatan (or sanitarian, etc). Once every two months will invite one/two village facilitator in all villages to conduct sub-district meeting. Team STBM Kecamatan will compile the Kartu Monitoring Desa and put it inside Kartu Monitoring STBM Kecamatan . Plan Indonesia & Team STBM Kecamatan will come to dusun/Desa if there is a problem occurs, to help Village Facilitator. Village Facilitator (or the CLTS facilitator), will come regularly to each dusun for monitoring. During his/her visit, they will compile the household cards per-dusun and put them inside Kartu Monitoring STBM Desa.

Village Facilitator (Team STBM Desa)

Dusun Champion

Dusun Champion

Dusun Champion

Dusun champion exist in every sub-villages. Together (village facilitator & champion) will fill the households card during the regular monitoring visit. And Village Facilitator may train dusun champion on how to fill the cards on his/her absence.

Households

Households

Households

There is STBM household card in every houses. Plan Indonesia will produce these. 1 Household = 1 card.

Source: Kepmenkes No 852 thn 2008

HOW TO SCALE UP STBM IN PLAN INDONESIA

Roadshow STBM Village Interest Letter Training triggering CLTS

Road Show ke Desa-Desa Field Visit

Promotion STBM
Pelatihan (5 hari) Pemicuan (2 Jam) Kegiatan Monitoring / Assistance ke-1 (1 jam) Kegiatan Monitoring/ Assistance ke-2 (1 Jam) Kegiatan Monitoring /Assitance ke-3, dst (1 Jam) Pelatihan CLTS ke Fasilitator Desa/FD (5 hari) Fasilitator Desa turun ke Dusun A melakukan pemicuan CLTS FD kembali ke Dusun A, atau ke KK, melakukan monitoring CLTS setelah pemicuan sekaligus Kampanye CTPS.. FD kembali ke Dusun A melakukan monitoring CLTS, sekaligus kampanye PAM RT FD kembali ke Dusun A melakukan monitoring CLTS, sekaligus kampanye Pilar STBM lainnya

FD Turun ke Dusun B melakukan pemicuan CLTS

FD Kembali ke Dusun B, melakukan monitoring CLTS setelah pemicuan sekaligus kampanye CTPS

FD kembali ke Dusun B melakukan monitoring CLTS, sekaligus kampanye PAM RT

FD kembali ke Dusun B melakukan monitoring CLTS sekaligus kampanye pilar STBM lainnya

Dusun seterusnya

Dusun seterusnya

Dusun seterusnya

Dusun seterusnya

Road Map STBM - Kabupaten

Capacity Building Training Ke Tim Kecamatan

Kecamatan STBM

Kabupaten STBM

How to do 5 pillars STBM at Plan?

Keys: Never mixup CLTS triggering with others!

5 days CLTS triggering training to Village Facilitator (but include information on whole pillar of STBM as additional)

Village Facilitator Triggering time (half-day) to Community #1

Village Facilitator Triggering time (half-day) to Community #2

Village Facilitator Triggering time (half-day) to Community #3, etc ..

Follow-up #1 to Community #1 (insert IEC promotion to other pillar STBM)

Follow-up #1 to Community #2 (insert IEC promotion to other pillar STBM)

Follow-up #2 to Community #1 (insert IEC promotion to other pillar STBM)

Follow-up #2 to Community #2 (insert IEC promotion to other pillar STBM)

Follow-up #3 etc..

Follow-up #3 etc..

Definition of 5 Pillars STBM concluded from local Pokja

PILAR STBM 1. Stop BABS Jenis Sarananya 1) Cemplung dengan tutup 2) Plensengan dengan tutup 3) Leher Angsa Apakah Pemilik Rumah Menggunakan Jamban ? 1) Ya 2) Tidak 2. Cuci tangan Pakai Sabun (CTPS) Tersedianya Sarana Cuci Tangan A) Air 1) Ya 2) Tidak B) Sabun 1) Ya 2) Tidak C) Pesan CTPS 1) Ya 2) Tidak Apakah bisa mempraktekkan CTPS 1) Ya 2) Tidak 3. Pengolahan Air Minum (PAMRT) Kebiasaan KK dlm mengkonsumsi air minum 1) Direbus/ Dimasak 2) Ceramik Filter 3) Sodis 4) Lainya Tempat/ wadah penyimpanan Air Minum di tutup 1) Ya 2) Tidak 4. Pengolahan Sampah Rumah Tangga Sampah Rumah Tangga Biasanya. 1) Dijadikan Kompos 2) Dibuat Kerajinan 3) Tidak di Apakan 4) Di Timbun 5) Di Bakar 5. Pengolahan Limbah Cair Rumah Tangga Air di Dapur atau Cucian Diapakan ? 1) Diresapkan ke lubang tanah 2) Dimanfaatkan Untuk Tanaman 3) Dibuang ke Saluran Air 4) Dibiarkan Menggenang
Cara Monitor untuk di kompilasi ke Laporan dusun Jika jenis sarana adalah salah satu dari 3 opsi dan pemilik rumah menjawab 'ya', maka KK tersebut ODF (atau stop BABS)

Jika: Air = 'ya' dan Sabun = 'ya' dan Pesan CTPS = 'boleh 'ya' atau 'tidak' dan Praktik = 'ya' Maka KK tersebut sudah CTPS

Jika, Kebiasaan KK memilih salah satu dari opsi 1 atau 2 atau 3 dan wadah minum terututup = 'ya' Maka KK tersebut sudah PAM-RT

Jika pengolahan sampah memiliki salah satu dari opsi 1 atau 2 atau 4 atau 5 Maka KK tersebut sudah Pilar-4

Jika pengolahan limbah cair memilih opsi 1 atau 2 atau 3 Maka KK tersebut sudah Pilar-5

Pillar #1: CLTS

CLTS Training to Village Facilitator

Triggering to Villages

Commitment to have latrine

100% Open Defecation Free Villages Declaration This may wait till all 5 pillars complete too

Latrine constructed & used

Follow up, & Process building latrine by community (no subsidy)

Non-subsidy latrine resulted from CLTS

Before CLTS After CLTS

Non-subsidy latrine failure due to flooding in some of villages

Path specifically built to guide people with low vision to the latrine and hand-washing station (person with disability)

Pillar #2: Handwashing with soap

Pillar #3: SWTSS

Clean water storage for boiled drinking water

Lanjutan Pilar 3: Apakah jika sudah di-treatment akan aman?

TIDAK AMAN! Penelitian WHO menyimpulkan 60% air yang telah di olah masih tidak sehat karena wadah penyimpanannya kotor atau jari tangan kotor

GELAS HARUS SELALU BERSIH! CARA: DICUCI BERSIH, DAN DI JEMUR DIBAWAH MATAHARI SAMPAI KERING

CERET/TEKO HARUS SELALU BERSIH!

CUCI TANGAN DENGAN SABUN ! CARA: CUCI TANGAN SEBELUM MAKAN, SETELAH B.A.B

CARA: DICUCI DAN DIJEMUR SETIAP 3-7 HARI SEKALI

Pillar #4: Solidwaste HH

Kompos, timbun, atau bakar di lubang Remember: there is no Dinas Kebersihan in most of rural villages

Pillar #5: Waste Water

Soakaway pit To plantation

JUST INFO: RESOURCES AT PROJECT LEVEL (DONOR FUNDED)

Staffs of Plan Indonesia
Project Manager
based in soe/kefa Assistant/OS Area Admin/Finance (additional) - based in Kupang

Civil Society & Govt

M&E Officer
based in soe/kefa

Pokja AMPL Kabupaten

5-10 officials

Project Admin/Finance Officer Soe Cashier Soe (additional)

Project Admin/Finance Officer Kefa Cashier Kefa (additional)

Tim STBM Kecamatan

2 officials per sub-district (100 orang)

Handwashing/ Safe Water Specialist (1 person)

CLTS Team Leader (2 persons)

Handwashing/ Safe Water Specialist (1 person)

CLTS Team Leader (2 persons)

Tim STBM Desa

2 CLTS village facilitator pervillage (600 orang)

Hygiene Officers (4 person)

CLTS Sub-District Officers (8 persons)

Hygiene Officers (4 person)

CLTS Sub-District Officers (7 persons)

Dusun

Dusun

Soe District (172 villages)

Kefamenanu District (160 villages)

3 natural leader per sub-village

Info: Sanitation Marketing after demand creation community

The community able to create the closet themselves (independent) without anysubsidy from Plan. 1 Closet average of IDR 30.000.- (or 4$). Grobogan Study
Budget planning (from community) on how to make low-cost-closet. Most of them paid it with Bananas fruit, rice, etc. And exchange it to the existing Koperasi/ Microfinance Workshop/training on Closet improvement, in community (majority: private local artisan entrepreneurs)

Closet ready for distribution (or sell)

Finishing closet, and stock for production (gotong royong)

Training on making lowcost-toilet

Children are playing game called Snake and Ladder as a FUN way to educate children in regard of Hygiene Practices

The Decline of Diarrhea Cases in Lembata

740

2009

2010

2011
534

91% Diarrhea Reduction

481
434 388 437 389

378

374

384377 272

358

259
175 150 96 116 164

153
126 99 118 41 31

77
21

Lebatukan

Ile Ape

Ile Ape Timur

Omesuri

Buyasuri

Nubatukan

Atadei

Wulandoni Nagawutung

63% Diarrhea Reduction

The Decline of Diarrhea Cases in TTS District: In average, diarrhea cases in 2012 was 27.31% lower than they were in `
1,200 1,000

800

600

Tahun 2010 Tahun 2011

2011. The decline of diarrhea cases is due to STBM intervention led by local health center and District Health Agency, which started at the beginning of 2011. The intervention involves the promotion to the community to adopt 5-pillars of hygiene behavior
(Data collected from Sub-district Health Center in Polen, Kie, and Amsel)

400

Kec / Subdistrict
200

2010 1,058 338 548 1,944

2011 722 298 393 1,413

Decline in percentage 31.76% 11.83% 28.28% 27.31%

KIE AMSEL

Kec. KIE Kec. AMSEL Kec. Polen

Polen Total

Kecamatan/Kec. = Sub-district

400 350 300 250 200 150 100 50 -

The Decline of Diarrhea Cases in TTU District: In average, diarrhea cases in ` 2012 was 34.20 % lower than
they were in 2011. The decline of diarrhea cases is due to STBM intervention led by local health center and District Health Agency, which started at the beginning of 2011. The intervention involves the promotion to the community to adopt 5-pillars of hygiene behavior
Kec. BIKOMI UTARA Kec. MUSI Kec. BIBOKI UTARA Kec. NOEMUTI

(Data collected from Sub-district Health Center in Napan, Lurasik, Oelneke)

Kec. / Sub-district BIKOMI UTARA MUSI BIBOKI UTARA NOEMUTI Total

2010
47 49 345 59 500

2011
29 47 218 35 329

Decline in percentage 38.30% 4.08% 36.81% 40.68% 34.20%