Major Activities
Major activities are illustrated below.
Establish Desa/ Kecamatan PHCI Team and Socialization (Project Task[18],[19],[ [20])
Presenting Basic Frameworks
Participants in Socialization
Each District Implementation Team and FCs started organizing socialization in the respective 2 target sub-districts for the 1st PHCI Cycle in order to introduce PRIMA Kesehatan and facilitate establishment of Desa/Kecamatan PHCI teams.
In these occasions, it was clearly addressed that willingness of local people and "sense of ownership" are the key elements of the success of the program. It was also confirmed that PRIMA Kesehatan is a program for (a) community empowerment, and (b) promotional and preventive activities that can be done with the initiative of the community people. Thus, those activities that are considered to be treatment or curative measures requiring medical or health workers services are to be excluded.
Trainers' training for District Implementation Team (Project Task [22])
Establish Desa/ Kecamatan PHCI Team and Socialization
Training of trainers (TOT) for District Implementation Teams was organized during the period between July 2nd and 6th 2007 at BAPELKES, Makassar. The purpose of this training was to learn how to organize and manage PRIMA Kesehatan operation. After this training District Implementation Teams started organizing training workshops for Desa/Kecamatan PHCI Teams.
JICA Expert Team members were trainers. District Implementation Teams, the participants, put themselves in positions of members of PHCI Teams. Contents of training were "simulation of workshops for PHCI Teams" following the "Planning Module" and "Guidelines" for PHCI Teams. When some problems of modules/guideline were identified, they were revised accordingly after TOT. All Field Consultants also participated in this training.
- Title:Training of Trainers for District Implementation Team
- Time:2-6th July 2007
- Place:BAPELKES, Makassar
- Trainer:JICA Experts, Field Operation Advisor
- Trainee:Representatives of District Implementation, Team Field Consultants
- Duration:5 day
- Subject:(See program below)
Program of TOT for District Implementation Team (July 2-6, 2007)
Opening address by Dr. Muhadir KADINKES Sulsel
A Session by Mr. Kawahara PRIMA Kes. Leader
Mr. Ricky Djojobo, Field Operation Advisor of PRIMA Kes.
Case Study Session by Ms Sato
Active group work 1
Active group work 2
Active group work 3
Active group work 4
Brief presentation
Problem analysis 1
Problem analysis 2
Priority and planning exercise
All the participants found PRIMA Model quite unique that is built on active learning process and practical hands-on group work. It is also distinctive that "trainers" should not act as "teachers", but as facilitators to let the participants think, write, and talk as much as possible.
Some participants of TOT raised some ideas to make workshops for sub-district/ village level participants including the following points.
- Concepts of indicators to evaluate effects of the activities must be explained to the village level PHCI teams with plain and simple words that everyone can understand.
- 5-day workshop is too long for the villagers.
- Problem analysis using problem trees could be a little difficult for some villagers to understand.
- Better to have some good examples of activities, at least for the facilitators to give the villagers concrete ideas what they can do.
These ideas were incorporated within an implementation framework of Training workshop organized by the district teams for representatives of sub-district/village PHCI Teams.
- Facilitators focus on basic ideas of evaluation rather than technical formality of indicators. What is important for the participants to understand is that they need to evaluate if their activities are effective or not, and how far they are effective.
- Workshop for the village PHCI Team is designed to be 3-day.
- Problem analysis using problem trees is not necessarily expected to produce neatly organized trees. It is important to be understood that one problem is caused by mixed effects of several different causes. And thus, a combination of different activities is often needed to tackle one problem.
- A supplemental textbook of "Case Study" is produced. This is intended to be "for facilitators use only" at this stage of the program. It is considered to be better not to distribute "Case Study" among PHCI Teams in order to let them have maximum freedom in formulating ideas of activities.
Training workshops organized by district team for representatives of sub-district/community PHCI Teams. (Project Task [23]-1)
Based on what they learned in trainers' training, District Implementation Teams organized and conducted training workshops for representatives of sub-district/village PHCI Teams. These PHCI Training Workshops were held in each target sub-district as shown in the following table. In case of Tanasitolo that consists of 19 villages, twice as many as the other sub-districts, sub-district/village PHCI Teams were divided into two sub-groups and workshops were held twice.
The Workshops were to train representatives of PHCI Teams to learn how to make their own PHCI plans and proposals for activities. Training was designed to be a "hands on workshop" where the participants were asked to make preliminary plans and proposals. At the end of the Workshops, the participants were requested to bring these preliminary plans and proposals back to their villages and organize their own workshops for all the members of their PHCI. In these village level workshops, all PHCI teams would finalize their plans and proposals and submit them to District Implementation Teams. The due date was set on August 15th, 2007.
- Title:Workshop for Representatives of Desa/Kecamatan PHCI Team
- Time:July 2007
- Place:Target Sub-districts
- Trainer:District Implementation, Team Field Consultants
- Trainee:Representatives of Sub-district and Community PHCI Teams
- Duration:3 day
- Subject:See "Program"
3-day Program of TOT for for representatives of sub-district/community PHCI Teams
Workshop by sub-district/village PHCI Teams for action plan and activity proposal preparation. (Project Task [23]-2)
Workshop in Tanete Rilau, Barru district
Workshop in Barru, Barru district
Workshop in Tanasitolo, Wajo district
Workshop in Belawa, Wajo district
Workshop in Ujung Loe, Bulukumba district
Workshop in Bonto Bahari, Bulukumba district
The representatives of PHCI Teams who participated in Workshop for Representatives of PHCI Teams should organize workshops in their villages and explain about PHCI planning and proposals. Then, PHCI Teams will finalize the preliminary PHCI plans and proposals that had been made in the previous workshop for the representatives. They all have to incorporate opinions of all PHCI Team members and revise the preliminary versions of plans and proposals accordingly. All finalized plans and proposals should be submitted to District Implementation Teams by 15th of August 2007. District Teams and Field Consultants will support PHCI Teams to prepare plans and proposals.
Submitted plans and proposals are first appraised by District Teams and Field Consultants. After approval of District Team, all the plans and proposals are forwarded to JICA Expert Team in Makassar by 22nd of August 2007.
Evaluation of proposals (Project Task [23]-1)
JICA Expert Team examined the all plans and proposals after August 22 in line with the requirements set in the Guideline. Those without problems were already approved as of August 30th. JICA Expert Team also signed on implementation contracts with each PHCI Team with approved proposals. Then, activity funds from Japanese side were disbursed directly from JICA Expert Team to PHCI Teams as stipulated in the Guideline.
Major PHCI Activities proposed in 2007 by PHCI teams
| Activities | Number | Percentage | |
|---|---|---|---|
| 1 | Posyandu Activities (Training for Health volunteers, Facility Rehabilitation, IEC Activities, Campaigns, Contests) | 99 | 26.0% |
| 2 | Sanitation/Hygienic Environment Activities(Hygiene Education, Toilet Construction and Rehabilitation, Maintenance of Garbage Dump) | 77 | 20.2% |
| 3 | Nutrition Activities (Distribution of baby food, powdered milk, IEC Activities related to nutrition, Cooking Class) | 70 | 18.4% |
| 4 | Clean Water Activities(Rehabilitation of wells) | 35 | 9.2% |
| 5 | School Health Activities(Dental Care, IEC Activities) | 25 | 6.6% |
| 6 | Activities for Preventive Diseases (Dengue Fever, Tuberculosis, HIV/AIDS) | 25 | 6.6% |
| 7 | Welfare(Child Birth Fund, Health Insurance) | 7 | 1.8% |
| 8 | Other(Health-related Campaigns) | 43 | 11.2% |
Total | 381 | 100.0% | |
IEC: Information, Education and Communication
