Our Work

Model Development for Sustainable and Scalable School Health

The Fit for School Program in West Java began in 2012 with the identification of model schools, followed by school community orientations and the construction of group washing facilities. A baseline for the Program Assessment Study was also conducted and the program was officially launched in October 2012.

The implementing schools organized a biannual Implementers’ Forum in 2013 to share lessons, experiences, and even resources. To foster solidarity with the regional WASH movement, key government staff attended a Regional Networking Visit to Cambodia while model schools were visited by delegates from Lao PDR in the same year.

By 2014, the experiences were consolidated into the School Community Manual for Indonesia and a Basic Orientation Video, which were both distributed to all districts in West Java through its GEMA MAPAN initiative in 2015.  By 2017, the City of Bandung scaled up the FIT interventions to all its schools under its Senyum Pagi program.

Intersectoral Collaboration and Sustainable Financing

The effort to identify sustainable financing for the implementation of FIT interventions has led to collaboration with the GIZ Programme Assistance in Preventing and Combating Corruption (PCC) in Indonesia, the Corruption Eradication Commission (KPK), and the Inspectorate General of the Ministry of Education and Culture (MOEC). The collaboration aims to strengthen the transparency and participation in the management of school level funds, with a focus on the procurement of supplies for school hygiene and sanitation programs.

Research, Monitoring and Evaluation

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Indonesia was part of the Regional Fit for School Program Assessment Study, a 2-year longitudinal cohort study that aims to determine the effects of the programme interventions on health status, school attendance, and WASH indicators in schools. The University of Padjadjaran and University of Indonesia, and government partners conducted the data collection with support from the GIZ FIT team. The data collection by government partners aimed at building national research capacity and increasing ownership of results. In summary, the findings from the study are:

School Health Situation in Bandung & Indramayu, West Java Benefits of the FIT Programme
  • High prevalence of thinness (1 out of 4 children)
  • Growing burden of obesity (1 out of 5 children)
  • High prevalence of dental caries (almost 100%)
  • Low prevalence of worm infections (2 out of 100 children)
  • Significantly improves access to handwashing facilities, water and soap
  • Stimulates healthy hygiene practices, such as the practice of individual handwashing with soap at critical times
  • Contributes to a general culture of cleanliness
  • Prevents the increment of dental caries by 20%

The program in Bandung is currently being monitored through the POROS (Performance Management System) managed by the city government.  It employs the Three-Star Approach for WASH in Schools which awards the achievement of school WASH milestones with corresponding star levels.  The results for each school are available to the public online.

Support for Other Provinces & Districts

Through the advocacy efforts from the Ministry of Health, 146 schools in 6 provinces have replicated the daily group hygiene activities on their own initiative, while other districts and provinces have also expressed their interest. The recently published School Community Manual for Indonesia will partly address the growing interest coming from outside the programme’s current geographical scope and will support to mainstream knowledge concerning preventive interventions.

 

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