Lesson learned of CBTS (Community-based Total Sanitation) / STBM (Sanitasi Total Berbasis Masyarakat) implementation

1. KEMENTERIAN KESEHATAN
LESSON LEARNED OF CBTS (STBM)
IMPLEMENTATION
Vietnam Delega,on Mee,ng
Jakarta, 12 May 2011

2. I. BACKGROUND
Potential intervention to reduce diarrhea
A. LATAR BELAKANG
Source: WHO, 2007

3. COMMUNITY BASED TOTAL SANITATION
(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 3: Pilar 4: Solid Pilar 5:
Pilar 1: Pilar 2: Hand Household waste Liquid waste
Open Washing Water management management
defecation Free With Soap Treatment & in the in the
(ODF) (HWWS) Safe Storage Household Household
(HWTS) Level Level
Basic component of STBM:
1. Behavior Change
2. sustainability of the Increase sanitation access
3. Sustainability of community based management
4. Enabling environment

4. STBM COMPONENT STRATEGY
Institution
• Behavior Change • To be served affordable • Increase implementation
through CLTS method sanitation options capacity & capability
• Sanitation Promotion • Competitive sanitation services • Rise networking & demand
through media • Affordability sanitation services and supply interaction based
• Standardized Sanitation on local potential
covered • Review and documentation
regarding to the sustainability

5. II. Challenge
HYGIENE BEHAVIOR??
5

6. Percentage of Household Access
on Improved Sanitation Facility (1993-2010)
RISKESDAS 2010
71,5
55,5
38,5

7. DISPARITY URBAN – RURAL, RICH - POOR
Percentage of Household Access
on Improved Sanitation Facility
(JMP WHO/Unicef 2008)
Riskesdas 2010

8. DISPARITY – PROVINCE LEVEL
Percentage of Household Access
on Improved Sanitation Facility
(MDGs) Menurut Provinsi, Riskesdas 2010
*) Personal & share, closet latrine, Septic tank/sewerage system

9. 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

10. III. OPPORTUNITY
• REGULATION (RPJMN, INPRES No. 3/2010,
RENSTRA, Minist Decree, PERBUP, RAD MDG) eg.
Integrated PromoHve‐PrevenHve
• NaHonal priority program Supervised by
PRESIDENT (UKP4)
• INDICATOR MoH WORK PLAN
• SUPPORT & COLLABORATION MULTI SECTORAL &
PARTNERS

11. IV. STBM IMPLEMENTATION PROGRESS
Rural sanitaAon access increase: 10%
HWWS pracAce increase: 12% ( 11 ke 23)
2007-2010 ODF increase: 12% (28,5 – 17,2)
Diarrhea case decrease: 12 poin (423‐411)/1000
people
• The student acAvely aEend the school
• The parent high producAvity
• Enhance Health,
educaHon &
producHvity

12. V. SCALLING UP
& COVERAGE IMPROVEMENT
STBM
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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