Indonesia : Nutrition Improvement through Community Empowerment
The ultimate goal of the Project is to help Indonesia achieve target 2 of Millenium Development Goal (MDG) 1: to halve the number of underweight children under five years of age by 2015 and related MDG goals. To achieve this, the Project aims to reduce the prevalence of underweight in children under five years of age, and pregnant and lactating women through strengthening the capacity of central and local governments in improving the management of nutrition services. Strengthening community-based services for children and women, and social mobilization for improved nutrition and hygiene is the centerpiece of the Project.
Project Details
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Project Officer
Kubitzki, Wolfgang G.
Southeast Asia Department
Request for information -
Country/Economy
Indonesia -
Modality
-
Sector
- Health
Related Projects
Project Name | Nutrition Improvement through Community Empowerment | ||||||||
Project Number | 38117-013 | ||||||||
Country / Economy | Indonesia |
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Project Status | Closed | ||||||||
Project Type / Modality of Assistance | Loan Technical Assistance |
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Source of Funding / Amount |
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Strategic Agendas | Inclusive economic growth |
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Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Knowledge solutions |
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Sector / Subsector | Health / Nutrition |
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Gender | Gender equity theme | ||||||||
Description | The ultimate goal of the Project is to help Indonesia achieve target 2 of Millenium Development Goal (MDG) 1: to halve the number of underweight children under five years of age by 2015 and related MDG goals. To achieve this, the Project aims to reduce the prevalence of underweight in children under five years of age, and pregnant and lactating women through strengthening the capacity of central and local governments in improving the management of nutrition services. Strengthening community-based services for children and women, and social mobilization for improved nutrition and hygiene is the centerpiece of the Project. The Project is expected to cover about 4,000 villages in 18 districts, including poor urban areas in 6 cities, in 6 provinces. The participating provinces were selected and agreed upon between the Government, ADB and major stakeholders based on the following criteria: (i) prevalence of malnutrition, (ii) poverty incidence and (iii) local government commitment to contribute counterpart funding. The Project is expected to have a demonstration effect, which may lead to an expansion of nutrition interventions to other provinces. |
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Project Rationale and Linkage to Country/Regional Strategy | The project reflects the existing Country Strategy and Program (2002) which lists Human Development as a strategic focus. Under this focus, the program will emphasize social service provision and reduction of gender inequalities; especially support for local government provision of public services, including education and health services complemented by social protection activities that seek to incorporate successful interventions mounted during the crisis. In the health sector, an important focus is on reproductive health and nutrition and bringing down the maternal mortality rate. |
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Impact | Improved nutrition status of children under 5 years and pregnant and lactating women. |
Project Outcome | |
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Description of Outcome | Improved utilization and quality of nutrition programs and services for at-rsik women and children in six project provinces. |
Progress Toward Outcome | Number of children 0 to 5 years attending posyandu during last month increased from 48.5% in 2005 to 77.5% (from 75% target) in 2012. Number of children under 6 months exclusively breastfed increased from an average of 10% in 2005 to 59.6% (target is 40%) in 2012. Percentage of women receiving Iron tablet at puskesmas/midwife increased to 47.3% from the baseline. |
Implementation Progress | |
Description of Project Outputs | 1. Strengthened capacity for development of nutrition policies, programs and surveillance. 2. Improved quality of integrated nutrition services for women and children in project areas. 3. Enhanced community capability for, and implementation of, improved nutrition and hygiene interventions. 4. Expanded food fortification programs and nutrition communication. 5. Enhanced capacity for nutrition policy and programs institutionalized and monitoring and evaluation established in project areas. |
Status of Implementation Progress (Outputs, Activities, and Issues) | Six Guidelines/protocols have been prepared: 1. Taburia fotification guidelines, 2. food security guidelines, 3. food sfaety guidelines for primary schools, 4. supplementary breastfeeding in emergency, 5. counseling modules for breastfeeding and supplementary breastfeeding, 6. severe malnutrition guidelines. Baseline for trained staff is not available. To date, a total of 40 staff from district hospitals and health centers from North Sumatra & West Kalimantan have been trained on management of severe malnutrition and breastfeeding counseling. 138 nutrition workers (TPG non-gizi) received training on nutrition & hygiene. As of 31 Dec 2012, all 6 Provinces and 17 out of 24 districts have established their RADPG. No baseline data for #of trained personel. Training and equipment have been provided. All puskesmas at Project's regions were equiped with anthropometry and nutrition kits. The latest report showed that posyandus in project areas providing services at least once per month with average coverage of 75%-80% mothers attended posyandus in the last three months. CNCs established in the end of 2010. More than 70% of CNC members are women. The first tranche released only in the last quarter of 2010. Currently, 100% of 1,800 villages have received the 1st and 2nd tranches and about 99% villages have received the 3rd tranche. 900 CFs were recruited, 67% are women. CFs have been in place since March 2010. No data available for the percentage of fortified salt and wheat at retail level meeting mandated fortification standards, while the target is increased from 60% in 2003 to 90% in 2012. One commercial brand of Micronutrient supplements (sprinkles) is available to cover community outside of project areas. The target is commercial basis in at least 30% of project provinces. The National data shows that in 2012 the exclusive breastfeeding increased to 59.6%. No data available yet for the number of schools reached, latest report shows >50% primary schools were covered. Reallocation has been approved on 26 October 2011. 3 month extension of project closing date to 31 Dec 2012 was approved. |
Geographical Location | East Nusa Tenggara, North Sumatra, South Sulawesi, South Sumatra, West Kalimantan, West Nusa Tenggara |
Safeguard Categories | |
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Environment | C |
Involuntary Resettlement | C |
Indigenous Peoples | C |
Summary of Environmental and Social Aspects | |
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Environmental Aspects | The Project will not have significant adverse environmental effects. It will finance community-based interventions and basic health services, which have few by-products. |
Involuntary Resettlement | No resettlement, as defined by ADB's Involuntary Resettlement Policy will be required as a result of project activities. |
Indigenous Peoples | No Issue. |
Stakeholder Communication, Participation, and Consultation | |
During Project Design | |
During Project Implementation | Consultations have been carried out with potential beneficiaries in possible pilot urban areas including those in West Java. |
Business Opportunities | |
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Consulting Services | All consultants to be financed from the proceeds of the loan will be selected in accordance with Guidelines on the Use of Consultants, consulting services will provide 7 international and 8 national of long-term and intermittent consultants for a total of 43 and 163 person-months (pm), respectively. The specific technical expertise are as follows: (i) Nutrition policy and program development/project management support (international 23 pm, national 60 pm) (ii) Institutional development (international 6 pm, national 12 pm) (iii) Nutrition surveillance (international 2 pm, national, 16 pm) (iv) Nutrition training specialists (international 4 pm, national, 12 pm) (v) Planning and budgeting specialist (national, 16 pm) (vi) Community empowerment (international 3 pm, national 24 pm) (vii) Food fortification (international 2 pm, national 8 pm) (viii) Advocacy and communication (international 3 pm, national 15 pm). Project implementation consultants will be hired through a firm using international quality cost based selection (QCBS) for contracts to cost the equivalent of $200,000 or more. |
Procurement | Procurement of goods and services financed under the Project and Community participation in procurement will be in accordance with ADB's Procurement Guidelines. Goods under the Project procured will include: nutrition-related equipment, food laboratory equipment, computers and related equipment, office equipment, and motorcycles. International competitive bidding (ICB) will be used for supply contracts for goods estimated at $500,000 or more for goods, and works estimated at $1.5 million and more. National competitive bidding (NCB) will be used for contract goods packages costing more than $200,000. Limited international bidding (LIB) will be used for goods costing more than $100,000. Shopping will be used for goods and works costing less $100,000. The management approved the proposed advance action for procurement and recruitment of consultants. The Executing Agency has been advised that the advance action must follow ADB's procedures. The Government also anticipates that it will incur Project- related costs prior to loan effectiveness. These costs may form a portion of the Government's counterpart contribution. However, the incurring of such costs does not commit ADB to approve the loan project and the Government has been so notified. |
Responsible ADB Officer | Kubitzki, Wolfgang G. |
Responsible ADB Department | Southeast Asia Department |
Responsible ADB Division | Indonesia Resident Mission (IRM) |
Executing Agencies |
Ministry of Health The Directorate General of Community Health |
Timetable | |
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Concept Clearance | 04 Oct 2006 |
Fact Finding | 02 Aug 2006 to 16 Aug 2006 |
MRM | 04 Oct 2006 |
Approval | 31 Aug 2007 |
Last Review Mission | - |
PDS Creation Date | 01 Mar 2006 |
Last PDS Update | 24 Sep 2013 |
Loan 2348-INO
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
31 Aug 2007 | 05 Oct 2007 | 10 Dec 2007 | 30 Sep 2012 | 31 Dec 2012 | 04 Feb 2014 |
Financing Plan | Loan Utilization | ||||
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Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
Project Cost | 71.40 | Cumulative Contract Awards | |||
ADB | 50.00 | 17 Jun 2022 | 48.45 | 0.00 | 100% |
Counterpart | 21.40 | Cumulative Disbursements | |||
Cofinancing | 0.00 | 17 Jun 2022 | 48.45 | 0.00 | 100% |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | - | Satisfactory |
TA 4963-INO
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
31 Aug 2007 | 23 Nov 2007 | 23 Nov 2007 | 31 Mar 2012 | 31 Dec 2012 | 30 Apr 2013 |
Financing Plan/TA Utilization | Cumulative Disbursements | |||||||
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ADB | Cofinancing | Counterpart | Total | Date | Amount | |||
Gov | Beneficiaries | Project Sponsor | Others | |||||
500,000.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 500,000.00 | 17 Jun 2022 | 392,831.47 |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | - | Satisfactory |
Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.
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Title | Document Type | Document Date |
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Nutrition Improvement through Community Empowerment Project: Completion Report | Project/Program Completion Reports | Apr 2015 |
Loan Agreement for Nutrition Improvement through Community Empowerment Project between Republic of Indonesia and ADB dated 5 October 2007 | Loan Agreement (Special Operations) | Oct 2007 |
Nutrition Improvement through Community Empowerment Project | Reports and Recommendations of the President | Aug 2007 |
Proposed Loan and Technical Assistance Grant Nutrition Improvement through Community Empowerment Project | Procurement Plans | Jul 2007 |
Nutrition Improvement through Community Empowerment | Design and Monitoring Frameworks | Sep 2006 |
Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.
None currently available.
Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
Title | Document Type | Document Date |
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Investing in Children in Indonesia: A Step Toward Poverty Reduction | Papers and Briefs | Dec 2009 |
The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.
Requests for information may also be directed to the InfoUnit.
Tenders
Contracts Awarded
Procurement Plan
Title | Document Type | Document Date |
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Proposed Loan and Technical Assistance Grant Nutrition Improvement through Community Empowerment Project | Procurement Plans | Jul 2007 |