LESSONLEARNEDOFCBTS(STBM)IMPLEMENTATION
VietnamDelega,onMee,ngJakarta,12May2011
KEMENTERIAN KESEHATAN
A. LATAR BELAKANG
I. BACKGROUND
Source: WHO, 2007
Potential intervention to reduce diarrhea
COMMUNITYBASEDTOTALSANITATION(STBM)CONCEPT
Outcome: Reduce diarrhea and environmental related disease due to worst hygiene & sanitation through total sanitation development
Output: Increase hygiene & sanitation development trough demand & supply creation
Pilar 1: Open
defecation Free (ODF)
Pilar 4: Solid waste
management in the
Household Level
Pilar 3: Household
Water Treatment & Safe Storage
(HWTS)
Pilar 2: Hand Washing
With Soap (HWWS)
Pilar 5: Liquid waste management
in the Household
Level
Basic component of STBM: 1. Behavior Change 2. sustainability of the Increase sanitation access 3. Sustainability of community based management 4. Enabling environment
Institution
• Behavior Change through CLTS method
• Sanitation Promotion through media
• To be served affordable sanitation options
• Competitive sanitation services • Affordability sanitation services • Standardized Sanitation
covered
• Increase implementation capacity & capability
• Rise networking & demand and supply interaction based on local potential
• Review and documentation regarding to the sustainability
STBM COMPONENT STRATEGY
HYGIENEBEHAVIOR??
5
II. Challenge
38,5
71,5
55,5
RISKESDAS 2010
Percentage of Household Access on Improved Sanitation Facility (1993-2010)
DISPARITY URBAN – RURAL, RICH - POOR Percentage of Household Access
on Improved Sanitation Facility (JMP WHO/Unicef 2008)
Riskesdas 2010
Percentage of Household Access on Improved Sanitation Facility
(MDGs) Menurut Provinsi, Riskesdas 2010
*) Personal & share, closet latrine, Septic tank/sewerage system
DISPARITY – PROVINCE LEVEL
Sanitation Issues
- The scope of development, population distribution and geographical conditions vary
- Limited knowledge and behavior of public hygiene - The absence of comprehensive cross-sectoral policy to
provide proper and healthy sanitation facilities
III.OPPORTUNITY
• REGULATION(RPJMN,INPRESNo.3/2010,RENSTRA,MinistDecree,PERBUP,RADMDG)eg.IntegratedPromoHve‐PrevenHve
• NaHonalpriorityprogramSupervisedbyPRESIDENT(UKP4)
• INDICATORMoHWORKPLAN
• SUPPORT&COLLABORATIONMULTISECTORAL&PARTNERS
• EnhanceHealth,educaHon&producHvity
• ThestudentacAvelyaEendtheschool
• TheparenthighproducAvity
IV.STBMIMPLEMENTATIONPROGRESSRuralsanitaAonaccessincrease:10%HWWSpracAceincrease:12%(11ke23)ODFincrease:12%(28,5–17,2)Diarrheacasedecrease:12poin(423‐411)/1000people
2007-2010
V.SCALLINGUP&COVERAGEIMPROVEMENT
STBM
12
1. Build the secretariat/forum 2. Capacity building (quality, quantity, function) 3. Strengthen function & responsibility local government 4. Strengthen networking among implementers 5. Program integration & wider coverage area on the implemntation regarding to achievement the target (STBM - PNPMG) 6. Integration STBM-PPSP, High five, IUWASH urban 7. Increase the accurate data by M&E 8. Horizontal Learning 9. National learning centre 10. Build regional networking
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