1. Outline of the Project | |||
Country:Indonesia | Project title:The Project for Strengthening District Health Services in Sulawesi | ||
Issue/Sector:Health and medicine | Cooperation Scheme:Grant Aid | ||
Division in Charge:Grant Aid Management Department | Total Cost:1,209 million yen | ||
Period of Cooperation | FY 1995 | Partner Country’s Implementing Organization:Ministry of Health’s District Health Offices, Health Center Development Office | |
Supporting Organization in Japan: | |||
Related Cooperation: | |||
1-1 Background of the Project In Indonesia, facilities such as health centers, midwife clinics, centers for small-scale examinations and educational activities using private residences, and pharmacies were located in each districts and villages. These facilities provided residents with basic health and medical services in areas without hospitals. However, despite the steady economic growth, the mountainous region of eastern Sulawesi still lagged behind in development. Medical facilities in Sulawesi like those described above lacked diagnostic and therapeutic equipment and did not have enough cars for medical staff to make medical check tours. Therefore, the standards of the medical services were extremely low, and it was a crucial issue that diseases which could be prevented and treated in other regions could be fatal in this particular area. 1-2 Project OverviewThe employment of equipment to improve basic medical services and the development of the maternal health program is procured for Sulawesi’s regional health and medical facilities in order to contribute to the improvement of medical standards in local areas of Sulawesi. (1) Overall Goal (2) Project Purpose (3) Outputs (4) Inputs Japanese Side: 1,209 million yen | |||
2. Evaluation Team | |||
Members of Evaluation Team | Thomas WIDODO | ||
Period of Evaluation | January 29, 2003 – February 21, 2003 | Type of Evaluation:Ex-post Evaluation by Overseas Office | |
3. Results of Evaluation | |||
3-1 Summary of Evaluation Results(1) Impact (2) Sustainability 3-2 Factors that promoted realization of effectsMost of the equipment was basic and most of which had already been used in the health center level. The provision of operation manuals written in Indonesian enabled medical personnel even in isolated areas to operate the equipment without major problems. 3-3 Factors that Impeded Realization of EffectsN/A 3-4 ConclusionAlmost all of the equipment procured to targeted facilities in the project including the smallest health centers in the four provinces in Sulawesi was operated in good condition. The project contributes to improve health awareness, patient care, diagnosis and treatment in local areas in Sulawesi where development is slow due to the mountains. With the decentralization in 2000, the position of the health center was changed, and was put under the jurisdiction of the prefectural health department by command of the central government. Although the activity at the health center is supported largely with the budget from the prefectural health department, it is sometimes insufficient. In addition, income from other resources is not stable. As a result, the activities are sometimes restricted and it sometimes takes time to supply consumables for the equipment. 3-5 RecommendationsThe local government needs to consider an increase in budget in order to enable the health centers to activate their programs fully and supply consumables for the equipment regularly. |