2. Indonesia Community-based
Nutrition Project
CORE Group Presentation
May 8, 2014

3. MCC in 2 minutes
Reducing poverty through economic growth
•Competitive selection
– Good governance
– Economic freedom
– Investment in citizens
•Country-led solutions
– Economic and social analysis
•Country-led implementation
– The MCA and implementing partners
– 5-year Compacts and Threshold Program
•Focus on results

4. Indonesia
• 246.9 million people
• 17,000 islands across 3200 miles
• Largest Muslim democracy (86% Muslim)
• 140 million people live on less than $2/day
• Over one-third of children under five years
of age experience stunted growth

5. This chart uses WHO data from different years as available and is presented for comparison purposes only
Children Under 5 Years Stunted (%)

6. 37% of all Indonesian children
under age 5 are stunted

7. Why focus on stunting
Stunting affects:
•Survival
•Long-term health
•Cognitive development
•Family resource utilization
•Long-term productivity

8. Conceptual Framework

9. Project Overview
• The Indonesian government’s implementation of
Scaling Up Nutrition (SUN)
• Aims to reduce and prevent low birth weight,
childhood stunting, and malnourishment of children
• Targets approximately 5400 villages in 11 provinces
where stunting and low birth weight are higher than
national averages
• $129.5 million
• 16.5% ERR
• In Year 2 of 5-year Compact

10. Project Activities
• Component 1 (Demand Side): block grants and
participatory planning technical assistance to
communities ($81.6 M)
• Component 2 (Supply Side): training and capacity
building for health and sanitation providers,
anthropometric equipment, micronutrient provision,
and private sector response ($34 M)
• Component 3: national stunting awareness
campaign and project management support
($13.9M)

11. – Demand Side –
PNPM Generasi

12. PNPM Generasi Implementation
Cycle

13. PNPM Generasi Project
Locations

14. PNPM Generasi Indicators as a
Community Incentive
1. Each pregnant women attends four prenatal care visits
2. Each pregnant woman receives iron supplements during pregnancy
3. Each delivery assisted by trained professional
4. Each mother attends two postnatal care visits
5. Each infant is fully vaccinated
6. Each child under 5 is given vitamin A supplements
7. Each child under 5 years of age is weighed once a month
8. Each child increases their weight
9. Each child aged 6-59 months receives Vitamin A two times per year
10.Each mother and father attends a monthly nutrition counseling session
11.Each primary-school-age child attends school
12.At least 85 percent of secondary-school-age children attend school

15. – Supply Side –
Supplying Services and
Resources Demanded by
Communities

16. Capacity Building
• Ministry of Home Affairs, Ministry Health
and Sanitation
• Training
– Over 20,000 staff and volunteers
– Cascaded training model
– Didactic and on-the-job
– Maternal, child, and young child feeding;
growth monitoring; sanitation and hygiene

17. Sanitation and Hygiene
Helping Communities to Become
Open Defecation-free
•Community-led Total Sanitation (CLTS)
– Sanitation triggering
– Community action plan
– Monitoring and technical assistance
– ODF declaration
•Service provider incentives (RBF)

18. Micronutrient Powders and the
Private Sector
• Government of Indonesia policy to provide
MMN powders to bottom 2 quintiles
• Supplemental feeding and nutritious food
options
• Role of the private sector

19. Media Campaign
• Formative research
• Reaching the village level

20. Impact Evaluation
• Random assignment to treatment and
control
• Testing entire package
• Reduction of stunting as a key outcome
• Public availability of data

21. Challenges and Opportunities
• Number of stakeholders
• “The Handshake”
• Budget tradeoffs
• Geographic scope
• On-the-job performance
• Distribution and compliance

22. Organizational oversight