Savic

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ca Pub

ontact p

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ORT T

ONITOR

alth &

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Comm

mayant

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ON OF STASI JECTJAVA

 

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ancy

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M&E REPOR

 

ACKThis ass

Savica Dara KhNeni RoVida Pa

EnumeDea RiMentaryRiska APrasety

Input in

UNICEFPatrick

Bappen

TNP2K:

The sup(Bappedas the fo

The PK

PKH fac

Fatah e

Heads o

Heads o

Researc

Last buSocial Aprovided

RT  OF PKH PREST

KNOWLsignment ha

and consuhalillah, Fahohaeni, Nu

arady.

rators for sky Pradipy Dwi AnggAnintya Ra

yo Budi, Suk

the design

F: Airin RosHermanus,

nas: Entos Z

: Rizal Adi P

pport and coda Brebes) ollowing pe

KH Prestasi

cilitators bo

el Zaman (D

of villages a

of Puskesm

ch participa

ut not leastAffairs, LKd input to th

TASI PILOT PROJE

LEDGEMas involved

ultants: Asrhmi Yanuar r Elya Adib

the surveypta, Dita Wgraini, Mifthaahmadhani,kron Munaja

, tools and

shita, Avita Petra Hoel

Zainal, Suba

Prima

ooperation and Nurul A

eople we ca

Team in Br

th in Presta

District Coor

and of sub-d

mas at Bulak

ants and res

t, the nationNU and othe design a

ECT, BREBES 

MENTS the followin

rinisa Rachr Faridz, Julba, Syari P

y: Aenul HWrisnijati, Eahul Munir, Rodlotun at.

report was

a Usfar, Bahlscher, Sri S

andi Sardjo

of Fatah el Aeny (Distrn’t mention

rebes

asi and non-

rdinator Bre

districts in B

kamba, Keta

spondents a

nal governmther membnd interpret

S ng people (

hmadewi, Baia Suryanta

Puspita, Re

inayah, AfhEdy Satrian

Nur SolichNadzila, S

provided by

hrul Ulum (Sukotjo

ko

Zaman (Disrict Health Oone by one

-Prestasi ar

bes);

Brebes;

anggungan

at district, pr

ment, esp.Bbers of the tation of find

in alphabet

ambang Suan, Mediatri idinar Yulia

han Tolanato, Inda R

hah, Nurul ASiti Fatima

y:

(Consultant

strict CoordOffice) is grae:

reas;

, Jatibarang

rovince and

Bappenas, PKH Stee

dings.

 

ical order):

uroso, DamA. Silalahi,

ane, Sinung

, Ance DwRisqiyana, LAmanati Risah, Siti Mu

t in Brebes

dinator Brebatefully ack

g, Tonjong a

d national le

Ministry ofering/Coord

 

ayanti D. S, Natalia Chg D. Kristan

i Fitriyani, ALidiyawati, sqi, Rany Suyassaroh,

), Harriet T

bes), Khaeruknowledged

and Wanas

evel.

f Health,Midination Tea

  i

Soekarjo, hristiane, nto, and

Ardiyan, Marlina,

Suwarno, Sucipto

Torlesse,

ul Abidin , as well

sari;

nistry of am who

 

M&E REPOR

 

EXE

BACKGR

Povertybackgro

A pilot PengenDistrict and UNAssociato “testbeneficibeneficiprovidedthrough(P2K2),citizen jpowderssubdistrMay 20area, 34

UNICEFof the monitorresults this repo

FINDING

The origthroughsegmenIn additerrors aeconom

The usebehaviorevieweincrease

RT  OF PKH PREST

CUTIV

ROUND AND

y and undeounds are h

project cantasan Mas

governmenNICEF, invation (PWI).t strategiesiaries and iaries housed mothers o

h Family De counselingjournalists s (Taburia)ricts in Breb15 and Apr4 villages in

F assigned M&E of th

ring reportshave been ort.

GS 

ginal goal oh PKH. Thisnts of the poion, not all o

and the fact mic condition

e of differenour change ed to ensured impact.

TASI PILOT PROJE

E SUM

D OBJECTIV

ernutrition highly vulner

alled “Progrsalah Gizi ont of Brebesvolving als The purpo

s to reducstakeholde

eholds withof young chvelopment

g on infant aand health

). Since 20bes district ril 2016, focn 10 other s

Savica to he pilot.Mixs, in-depth

presented

f PKH Press approach opulation aof the poorethat familie

ns improve.

nt channelswas relev

re they use

ECT, BREBES 

MMARY

VES 

are closelyrable to nut

ressive Redor PKH Pres, Ministry

so Nahdatuose of the pce childhooers (revisioh children uhildren and Sessions (Fand young h workers, 15, the pilo(Central Ja

cusing on trubdistricts w

provide tecxed method

interviews,at national

stasi was to is not relevnd thereforest benefit fes remain in

s, including vant. Howeve simple la

Y

y linked antritional defi

duction of estasi) wasof Social Aul Ulama

pilot project od stunting”on 2015). nder 3 yeapregnant wFDS/Pertemchild feedinas well as

ot has beenava), coverraining, impwere select

chnical assisds were ap FGDs, an and distric

reduce stuvant for a nre needs to from PKH dn PKH progr

religious lever, the IE

anguage an

nd childrenciency.

Stunting ths developeAffairs (MoS

(NU) and has change” to “increIts target

ars old and/women withmuan Peninng (IYCF), as supportingn implemenring at leasplementationted.

stance in thpplied inclund a quantct level and

nting by tarnumber of r

addresseddue to the sram for six

eaders andEC materialsnd focus on

 

n from low

hrough PKd by Bapp

SA), Ministrthe Indo

ed from theease the k

audiences /or pregnannutrition an

ngkatan Kemand it traineg distributionted in 35 t 11,000 hon and coord

he design auding analytitative hou

d the feedba

rgeting the preasons. St in a more cope of theyears even

citizen jous and mesn one mess

 

wer socio-ec

H” (PKH Ppenas with ry of Healthnesian Jo

e original 20knowledge

include thnt women. Tnd health edmampuan Ked religious on of microtarget villagouseholds bdination. As

and implemysis of quausehold surack incorpo

poorest houunting occu‘blanket ap

e program, t though the

urnalists to ssages neesage at a

  ii

conomic

Progresif TNP2K,

h (MoH), urnalists 012 plan of PKH

he PKH The pilot ducation Keluarga leaders,

onutrient ges in 5 between s control

mentation antitative rvey.The orated in

useholds urs in all pproach’. targeting eir socio-

promote ed to be time for

 

M&E REPOR

 

The pilo

1. Povleve

The incgovernmallocatioof the improvewas not

2. PKHIntePresundsocias coorefficwerelead

3. CapservChoby tand the DevHea(mid344 wereskillhighvoluundmesbenefficmotposy

4. Incrmot

In both of healthealth aPKH P

RT  OF PKH PREST

ot was effec

verty reducel. creased awment suppoon of funds head of thement and Rt involved, t

H Coordinansive coordstasi pilot. erstanding iety.Regulaad hoc cordination m

ciency was e very highding to wom

pacities of vices. oosing capahe increase– especialprimary be

velopment Sads of PKH dwife coord

cadres wee trained tos and confi

hly significaume and theerstand th

ssages waseficiaries. I

cient to reahers and myandu.

reased covthers and uthe control

th services,and nutritio

Prestasi, ha

TASI PILOT PROJE

ctive in reac

ction and n

wareness oorts the sus

and develoe district, aRADPG wathere is som

ation Teamdination and

Not only that nutrit

r coordinatioordination

meetings ana challenge

h, and it wamen missing

PKH faci

acity buildine in knowledlly – religioeneficiariesSessions) ingroups (n=

dinators andre trained in

o disseminadence were

ant increasee technical e informats reflected It seems thch the targ

mothers CU

verage anunder-two c and the in and respo

on educatioad increase

ECT, BREBES 

ching its obj

nutrition im

of the imptainability oopment of aa proportioas put in plame work left

s at districd an integrawere they

tion is the on meeting

to solve nd reportinge. The workas not feasi out on ess

litators an

g as one odge and pous leaders

s. All 47 fan 2013 with =487) also rd nutritionisn IYCF. In aate health ae reported, e in their k

content oftion. The

in increashat trainingget audienceU3 acknowl

d quality children. tervention a

ondents in tn. All types

ed at endli

ectives:

mproveme

portance ofof the progra strategic pn of the Vace in Brebto do at tha

ct and sub-ated approa

y effective responsib

gs were heldissues as

g at all levekload and reible for them

sential inform

nd health

of the main ositive healt

supported acilitators in

a refresherreceived sosts at puskeaddition, 13and nutritionand pre- an

knowledge. f the topicsincreaseded knowled health woe than the edged that

of health

areas, the ehe survey hs of counseine. The t

nt policies

f nutrition ram, as reflplan on foo

Village fundbes. Howeveat level.

-district levach were ebut also v

bility of all d at district s they aroels take plaeporting reqm to hold amation.

staff are i

strategies wh behaviouthe dissem

n Brebes wr training inft skills trainesmas as w37 religious n messagend post-tesChallenges

, which maability to

dge and imorkers and

FDS montht they rece

and nutri

endline survhad accesseling activitraining of

 

s are integ

and healtected – amd and nutris were alloer, because

vel are revitessential elevery releva

sectors oand sub-dis

ose. Howevace withoutquirements all FDS me

improved

was highly rs. Includin

mination of were traine 2015, as wning and mwell as villaleaders ans. Across tts (where as in the tra

ade it hard deliver nu

mproved becadre in IYhly groups,ived couns

ition servi

vey found is to better hties, as an the health

 

grated at th

h at all lemong others

tion. At theocated for e the provin

talized. ements of tant to suppf governmestrict levelsver, ensurit reducing for PKH fa

eetings as r

to deliver

relevant, asg citizen joknowledge

ed in FDS well as in so

many health age midwivd citizen johe board im

available) shainings inclfor trainees

utrition andehavior amYCF is mo as more peling from

ces for p

ncreased chealth serviimportant workers a

  iii

he local

evels of s - in the

request nutrition

nce level

the PKH port the ent and , as well ing that program cilitators required,

quality

s shown urnalists beyond (Family

oft skills. workers

ves) and urnalists mproved howed a lude the s to fully d health ong the

ore time-pregnant ANC or

regnant

coverage ces and focus of and the

 

M&E REPOR

 

involvemcounsel

Partand impawere

5. TheStakto sprobregurelighas leve

6. TecUNIdesias ta pirepr

7. ImpTheimpravaiadd

FDSpartensuhou

Impact 

Becausnot posin knowendline

The knotrainingsnutrition

Unfortuinfluencposyandthan cobehavio

RT  OF PKH PREST

ment of thling activitie

ticipants of being mor

act on the de already a

e stakeholdkeholders astunting, anblem. This ulation that gious leade

greatly supels and awa

chnical assCEF as wign and thehe original ilot with SMresentative

plementatio pilot has prove their ilable to suition, this re

S group metly due to turing a hears.

e there wassible to ma

wledge and in 2016, bu

owledge ofs and the r

n issues am

nately, knoced by healtdu attendanontinued bror, a longer

TASI PILOT PROJE

eir superioes) had a cle

FDS groupre likely to delivery of bdequate at

ders’ level oat all levels nd are awa

was reflecrequired virs and jourpported thereness and

istance prowell as othee implement

plan for a SMS-based rin Brebes in

on of the piput in place effectivenepport the M

eport details

eetings werhe large w

alth workers

s no ‘true cke a valid apractice as

ut unfortuna

f the facilitaresults of th

mong the be

owledge doeth workers ance saw a lareastfeedingintervention

ECT, BREBES 

ors (as the ear impact

ps reportedattend pos

basic healthbaseline so

of understademonstrat

are that mucted in bettllages to alnalists, as w

e effectivened commitme

ovided for er stakeholtation of theSMS-basedreporting byncreased ef

ilot is monM&E tools ss when th

M&E. Alterns the results

re held, althworkload of s was prese

control’ grouassessments well as seately it is not

ators, healthe survey sneficiaries b

es not alwaand cadresarger increag and handn with fewer

health woon this aspe

d having mosyandu and

h services wo the fact th

anding on ted an imprulti-stakehoter coordinlocate fundwell as traiess of the

ent towards

the designders activee pilot. Adjud feedback y PKH Facfficiency bu

itored and and mecha

he pilot is native repors of the mon

hough not ethe facilitat

ent at the m

up (where nt of the imprvice delivet possible to

h workers showed oveboth in inter

ays lead to such as eaase in the pdwashing. Ir and simple

orkers wereect.

ore understd seek pro

was not as cat no chang

stunting isroved underolder effortsation at alls to health ning healthpilot. Coordhealth and

n and impleely providedustments wesystem thacilitators. Tt may be a

evaluated.anisms, butscaled up

rting formatnitoring and

every monttors and pameeting, wh

none of the pact of the pery betweeno attribute t

and cadreserall increasrvention and

o practice. arly initiationproportion oIn order toer message

 

e required

tanding of hper health

clear-cut. Soge is seen i

s improvedrstanding os are needl levels, anand nutritio

h workers adination wanutrition wa

ementationd technicalere made wt was aborthe involvemthreat to su

. t these need

and no ets using SM

d evaluation

th by everyartly due tohich are oft

interventiopilot. Improvn the baselihese to PK

s on IYCF sed knowled control gr

Those behn, exclusive

of beneficiar reach sus

es might see

 

to report

health and care.Howe

ome of the s not surpri

. f the issuesed to addr

nd the diston. The inclnd cadres s establishas acquired

n of the pilo assistance

where needeted and chament of a ustainability

d to be revixternal par

MS were pi of the pilot

y group, who the challeten held aft

ns took plavements wene in 2012 H Prestasi.

improved aedge on heroups.

haviors more breastfeedries practicistained chae more imp

  iv

on their

nutrition ever, the services ising.

s related ress the rict-level lusion of in IYCF, ed at all

d.

ot. e in the ed, such anged to UNICEF

y.

iewed to rties are loted. In t.

hich was enges in ter office

ace), it is ere seen and the

after the alth and

re easily ding and ng them

anges in act.

 

M&E REPOR

 

No impaA shortexpectebetweenthe lack

CONCLU

Based o

1. 2. T3.

t4. T

5. c

6. d

7. a

8.

RECOM

1. t

2.

3. a

t4. 5.

RT  OF PKH PREST

act was fout duration (ed to impacn baseline ak of a true c

USIONS 

on the moni

No correlatThe trainingReducing ththe effectiveThe integrahealth amoKnowledgecan’t be attEarly involvdevelopmeCurrent repand sustainLack of attr

MENDATIO

Communicathose for th

Red Red

rem Mes

und Use

Integrate th One Bap Disc Prov

PKH Prestaapproach topoorest, cothe poorestConsider foEnsure rea

TASI PILOT PROJE

und of PKH max 9 monct nutritionaand endlineontrol area.

itoring and

ion was fougs increasehe number eness and e

ated approang all stake and practicributed to P

vement of lont of RADP

porting and nable prograributable im

ONS 

ation materhe general pduce the tecduce the nuembered

ssages for terstood and

e less text inhe reportinge format andppeda can fucuss the resvide feedbaasi’s integrao increase knsider devet. or Bappeda listic worklo

ECT, BREBES 

Prestasi onnths) of intal status. Oe, the differe.

evaluation b

und betweend knowledgof topics duefficiency och used by

eholders. ce of benefi

PKH Prestasocal govern

PG, strategicinformationam. pact might

ials should public: chnical contmber of me

he general d clearly stan the materi system: d one reporunction as tsults of the ack to the fieated approaknowledge. eloping this

to take on toads for all i

n nutritionaterventionsOther possient season

by Savica, t

n PKH Presge and confuring the traf the traininPKH Prest

iciaries incrsi. ment led toc plans and manageme

be due to la

be reviewe

tent in the Fessages so

public shouate the requals and use

rt the integratreports in theld staff

ach, involvinBecause sapproach t

the role of Dinvolved

l status of tfocused onble factors during whic

the followin

stasi activitieidence of th

aining for PKngs. tasi increase

eased com

high comm budget alloent systems

ack of a true

d, both thos

Facilitator trathat the key

uld use simpuired behave simple lan

ion point fohe coordina

ng many statunting is nto reach the

District leve

 

the childrenn behavior

include thch the surve

g conclusio

es and stunhe training pKH Facilitat

ed awarene

pared to ba

mitment as socations. s form a bar

e control are

se used dur

ainings y messages

ple words thior

nguage

r the reportation forum

akeholders iot an exclus

e entire pop

el field coord

 

n under 3 yechange cae long timeeys took pla

ons are draw

nting prevaleparticipantsors could in

ess of nutrit

aseline but t

shown by th

rrier to a eff

ea.

ring training

s are more e

hat area ea

s

is a promisisive problemulation, not

dinator

  v

ears old. annot be e period ace, and

wn:

ence. .

ncrease

ion and

this

he

ficient

g and

easily

sily

ng m of the only

 

M&E REPOR

 

TABL

ACKNOWEXECUTTABLE OLIST OFTABLE OLIST OFBACKGRMETHO

1. Loc2. Eth3. M&4. Mo5. End6. Fee

RESULT1. Tra2. IYC3. Tra4. Tra5. Imp6. Dis7. Pub8. Co9. Re10. Co

RESULT1. Cha2. Kno3. Pra4. De5. De6. Nut

RESULTRelevEfficieEffectImpacSusta

CONCLURECOMANNEXE

RT  OF PKH PREST

LE OF

WLEDGEMETIVE SUMMAOF CONTENF TABLES ....OF FIGURESF ABBREVIAROUND ANDDOLOGY ....cation ...........hical Conside&E Frameworonitoring and dline survey .edback .........TS 1: MONITaining for PKCF Training ..aining of Reliaining of Citizplementationssemination oblications byunseling ......porting by PKoordination ..TS 2: SURVEaracteristics owledge of Bactice of Benlivery of Healivery of Heatritional StatuTS 3: EVALUvance ...........ency .............tiveness .......ct ..................ainability .......USIONS ......MENDATIOES ...............

TASI PILOT PROJE

CONT

ENTS ...........ARY ............

NTS .................................S .................

ATIONS ANDD OBJECTIV........................................erations .......rk and Plan .Evaluation ..

....................

....................TORING.......H Facilitators....................gious leader

zen Journalisn of FDS grouof Nutrition M

y Citizen Jour....................KH Facilitato....................EY ...............of survey re

Beneficiaries eficiaries .....

alth Servicesalth Servicesus ................

UATION ...............................................................................................................................NS ..................................

ECT, BREBES 

ENTS

....................

....................

....................

....................

....................D ACRONYMVES ..............................................................................................................................................................................s ......................................

rs ..................sts ................up meetings

Messages byrnalists .............................

ors ........................................................spondents ...........................................: Counseling: Basic Servi........................................................................................................................................................................................................

....................

....................

....................

....................

....................MS ................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

.......................................

y Religious le................................................................................................................................................................

g ...................ices .....................................................................................................................................................................................................................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................eaders ..........................................................................................................................................................................................................................................................................................................................................................................................................................

 

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

....................

 

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

  vi

............. i

............. ii

............ vi

........... vii

.......... viii

............ x

............ 1

............ 4

............ 4

............ 4

............ 5

............ 6

.......... 11

.......... 17

.......... 19

.......... 19

.......... 23

.......... 31

.......... 32

.......... 33

.......... 40

.......... 42

.......... 44

.......... 45

.......... 48

.......... 52

.......... 52

.......... 53

.......... 66

.......... 77

.......... 81

.......... 90

........ 103

........ 103

........ 107

........ 108

........ 110

........ 112

........ 113

........ 114

........ 115

 

M&E REPOR

 

LISTTable 1. Table 2. Table 3. Table 4. Table 5. Table 6. Table 7. Table 8. Table 9. Table 10Table 11Table 12Table 13Table 14Table 15

Table 16Table 17Table 18Table 19

Table 20

Table 21

Table 22Table 23Table 24Table 25Table 26Table 27

Table 28Table 29Table 30Table 31Table 32Table 33Table 34Table 35Table 36Table 37

RT  OF PKH PREST

T OF TAInterventionQuantitativeSelection crList of intervNumbers ofSelected heOriginal samSample sizeActual samp

0. Boundarie1. PKH Facili2. Health wor3. Midwife co4. Feedback 5. Midwife co

cadres .......6. Nutritionist7. Village mid8. SWOT by 9. FDS sessi

team) ........0. Health wor

(blue) area1. Number of

subdistricts2. Challenges3. Trained jou4. Numbers o5. Websites u6. Citizen jou7. Numbers o

intervention8. SWOT by 9. Coordinati0. Knowledge1. Practice of2. Moments a3. Delivery of4. Delivery of5. Overview o6. Cut-offs fo7. P-values fo

by interven

TASI PILOT PROJE

ABLES n and Controe data and reriteria for quaviews and FGf FGD particiealth centers mple size for e calculationsple size in Ens for flaggingitators' feedbrkers with preoordinators: son IYCF trai

oordinators: c....................ts: challengedwives: challcadres ........ons held (so....................rkers attendi

as .................f participantss only) .........s and Suppournalists andof articles poused by citizeurnalists' SWof informationn (blue) and PKH Prestason meetingse of respondf beneficiarieat which Motf health servf health servof impact of tr anemia amor difference

ntion .............

ECT, BREBES 

l villages PKeports receivealitative asseGD's conducpants by moin control arendline surv

s for endlinendline surveyg outlying daback on the Fe- and post-tstrengths andning for nutr

challenges a....................

es and drivingenges when....................

ource: reports....................ng FDS sess....................

s in PKH grou....................

orting Factorsd active journosted by citizeen journalist OT analysis .n sessions/ccontrol areasi Facilitators

s, national anents on vario

es .................thers and PWices: counseices: basic sthe intervent

mong childrenes in age-spe....................

KH Prestasi ined by month

essment .......cted (Dec 201onth (Dec 201reas includedvey .............. survey .......y, compared

ata ................FDS and softtest for IYCFd weaknesseritionists .......nd positive a....................g factors in g counseling ....................s from 19 fac....................sions: more a....................up meetings ....................s for Religiounalists ..........en journalistsand visitor n

....................ounseling bys (pink) .......s ..................nd district levous health to....................

W wash their eling receivedervices recetion on malnun 6-59 monthecific anemia....................

n Brebes disth (Dec 2015 -....................15 - May 20115 - April 201d in the quali........................................to Baseline ....................t skills trainin

F training ......es of IYCF tr....................

attributes of t....................

giving IYCF tmothers ..........................

cilitators that ....................active in con....................during the p....................

us Leaders .......................s ..................numbers ...........................

y health cent........................................

vel .................opics (p-value....................hands at ba

d by respondived by resputrition .........hs and pregn prevalence ....................

 

trict ..............- May 2016) ....................16) ...............16) ..............tative assess........................................survey ............................ngs ...................................raining and re....................training villag....................raining to ca........................................were receive

....................ntrol (pink) th....................

past 6 months........................................................................................................................ter, target gro............................................................es) ...................................seline and e

dents ............ondents ..........................

nant women (between bas....................

 

...................

...................

...................

...................

...................sment ...........................................................................................................................ecommenda...................

ge midwives ...................

adres .................................................ed by evalua...................an in interve...................s (19 facilitat..................................................................................................................oup and topic...............................................................................................

endline (%) ...........................................................(g/dL) .........seline and en...................

  vii

............ 5

............ 7

............ 8

............ 8

............ 9

.......... 10

.......... 12

.......... 14

.......... 14

.......... 17

.......... 23

.......... 24 tions.. 25 .......... 26 and .......... 27 .......... 27 .......... 28 .......... 31 ation .......... 35

ention .......... 37 tors in 4 .......... 39 .......... 41 .......... 43 .......... 43 .......... 43 .......... 44 c in .......... 44 .......... 48 .......... 50 .......... 53 .......... 66 .......... 73 .......... 77 .......... 81 .......... 90 .......... 91 ndline, .......... 92

 

M&E REPOR

 

TABLFigure 1Figure 2Figure 3Figure 4Figure 5

Figure 6Figure 7Figure 8Figure 9Figure 1Figure 1Figure 1Figure 1Figure 1Figure 1Figure 1Figure 1Figure 1

Figure 2Figure 2

Figure 2

Figure 2

Figure 2Figure 2Figure 2

Figure 2

Figure 2

Figure 2Figure 3

Figure 3Figure 3Figure 3Figure 3Figure 3

Figure 3Figure 3

Figure 3

Figure 3

RT  OF PKH PREST

LE OF . Key Strateg. Location M. Numbers o. PKH Presta. Percentage

post-test..... Evaluation . Evaluation . Evaluation . Pre- and po0. Evaluation1. Evaluation2. Evaluation3. The role o4. Buku Ibu 5. Example o6. Number o7. Number o9. Number o

(source: Av0. Percentag1. Percentag

complemen2. Percentag

vitamin A s3. Percentag

the frequen4. Percentag5. Percentag6. Percentag

during preg7. Percentag

.................8. Percentag

least two b9. Percentag0. Percentag

immunizati1. Percentag2. Percentag3. Percentag4. Early initia5. Exclusive

(%) ............6. Percentag7. Minimum

months at e8. Consump

.................9. Percentag

TASI PILOT PROJE

FIGURgies of PKH

Map: Central Jof respondenasi activities e of FDS Ref....................by PKH Facof soft skill tof soft skills ost-test resun of IYCF tran of IYCF tran of durationof the PKH FPrestasi – ...of the messa

of meetings hof sermons wof total sessiovita Usfar) ...ge of motherge of motherntary feedingge of mothersupplementatge of motherncy of VAC sge of pregnage of pregnage of pregnagnancy ........ge of pregna....................ge of pregnaenefits of poge of motherge of motheron ...............ge of pregnage of pregnage of motheration of Breabreastfeedin

....................ge of childrenmeal frequeendline (WHtion of foods....................ge of pregna

ECT, BREBES 

RES Prestasi PiloJava and Brets and data cwere not resfresher traini....................

cilitators (n=3raining (PKHtraining by hlts of health

ainers by cadaining by cad IYCF traininacilitator ..........................

ages for one held per PKHwith health anons reported....................

rs who mentiors of childreng ...................rs of childrention should s

rs of childrensupplementant women wnt women wnt women w....................nt women w....................nt women an

osyandu attenrs who mentiors of children....................nt women wnt women w

rs with knowlastfeeding wing (children 0....................n aged 0-23 ncy, dietary O IYCF) ......

s from seven ....................nt women w

ot in Brebes .ebes districtcollected in Estricted to intng participan....................37) of FDS reH Facilitatorsheads of womworkers’ IYC

dres .............dres ..............ng, by cadres........................................session in "B

H Women’s Gnd nutrition m by PKH faci....................on optimal d under three.................... under three

start when th under threetion .............ho could meho know at leho know the ....................ho know the ....................nd mothers ondance ........oned benefit under three....................ho know at leith knowledgedge on heathin 1 hour o0-5 months) ....................months everdiversity and....................food groups

....................ho consume

....................

....................Endline Survtervention vilnts (n=47) w....................

efresher train) ..................men's groupsCF training ...........................................s ...........................................................Buku Ibu Pre

Group ...........messages, anilitators using....................uration of ex with knowle.................... years old ane child is 6-1 years old an....................ntion at leaseast one reacorrect num....................recommend....................

of children un....................ts of Taburia years old w....................east one hea

ge on health talth topics .....of birth (%) ...at baseline a....................r and still bred acceptable ....................

s by children ....................d at least 5 o

 

....................

....................vey ...............lages ..........ho gave WR....................ning ..................................s ..........................................................................................................................................estasi" .............................nd the audieg SMS and e....................xclusive breaedge about e....................nd pregnant 11 months olnd pregnant ....................

st two signs oason for takinmber of IFA ta

....................ded number o....................nder three w.......................................ho know the ....................alth problem topics ..................................................and endline ....................eastfed .........

diet for child....................aged 6-23 m....................out of 10 foo

 

...................

...................

...................

...................RONG answe

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................

...................nce, by monemail, by mo...................

astfeeding ....arly initiation...................women whold ................women who...................

of anemia ....ng IFA tabletsablets to be t...................of PNC visits...................ho mentione...................................... benefits of ...................or danger si.........................................................by interventi......................................

dren aged 6-...................

months (WHO...................d groups .....

  viii

............ 2

............ 4

.......... 15

.......... 19 ers at .......... 20 .......... 21 .......... 22 .......... 22 .......... 24 .......... 29 .......... 29 .......... 30 .......... 34 .......... 35 .......... 36 .......... 38 th ...... 40 nth .......... 46 .......... 55

n and .......... 55 know .......... 56 know .......... 57 .......... 58 s ........ 58 taken .......... 59 s is two.......... 60

ed at .......... 60 .......... 61

.......... 62 ign ..... 63 .......... 64 .......... 65 .......... 67 on area .......... 67 .......... 68 23 .......... 69 O IYCF).......... 70 .......... 71

 

M&E REPOR

 

Figure 4

Figure 4

Figure 4

Figure 4

Figure 4Figure 4Figure 4

Figure 4Figure 4Figure 4Figure 5Figure 5Figure 5Figure 5Figure 5

Figure 5

Figure 5

Figure 5Figure 5Figure 5

Figure 6Figure 6Figure 6

Figure 6

Figure 6Figure 6Figure 6

Figure 6Figure 6Figure 6Figure 7Figure 7Figure 7

Figure 7

RT  OF PKH PREST

0. Dietary divdifferent nu

1. Percentagmonths......

2. Number oand endline

3. Percentagdecisions ..

4. Use of PK5. Use of PK6. Percentag

breastfeed7. Percentag8. Percentag9. Percentag0. Receipt of1. Receipt of2. Percentag3. Proportion4. Level of s

by interven5. Percentag

pregnancy 6. Percentag

times ANC7. Year of la8. Percentag9. Percentag

endline, by0. Severity o1. Severity o2. Percentag

.................3. Stunting p

endline ......4. Severity o5. Severity o6. Wasting p

endline ......7. Wasting p8. Wasting p9. Prevalenc0. Prevalenc1. Prevalenc2. Percentag

intervention3. Stunting p

TASI PILOT PROJE

versity patteumbers of fooge of children....................

of handwashie ..................ge of mother....................

KH Funds by KH Funds by ge of mothering ..............ge of pregnage of pregnage of pregnaf iron folate tf IFA tablets ge of childrenn of children atisfaction w

ntion group age of pregna...................

ge of pregna ...................st Taburia rege of childrenge of childreny interventionof anemia preof anemia by ge of pregna....................prevalence (%....................of stunting (%of stunting (%prevalence a....................prevalence bprevalence bce of underwce of underwce of underwge of pregnan group at baprevalence in

ECT, BREBES 

rns in pregnaod groups ....n under three....................ing moments....................

rs of children....................mothers of cpregnant wo

rs of children....................nt women wnt women wnt women wtablets in curin last pregn

n receiving Vunder three

with posyandut baseline (lent women an....................nt women w....................

eceipt (n=110n immunizedn aged 6-35 n group .........evalence by age and intent women w....................%) among ch....................

%) by age an%) by sex andmong childre....................y age and iny sex and int

weight by inteweight by ageweight by sex

nt women waseline and en Indonesia a

ant women a....................e who visited....................s for pregnan.................... under three....................children undomen ........... under three....................ho received ho received ho received rrent pregnannancy - mothVAC supplem

receiving bau services ameft) and endlnd mothers s....................ith first ANC ....................0 children ag

d according tomonths with....................sex and inteervention groith anemia b....................hildren under....................d interventiod interventioen under thre....................tervention grtervention gr

ervention groe and interve and intervenith mid-uppeendline ........according to

at endline: Pe....................

d Posyandu d....................

nt women by .................... years old in....................er three year.................... who receive....................counseling ocounseling ocounseling oncy (%) ........

hers of childrementation in tasic services mong motheine (right) .....seeking ANC....................in first trime....................

ged 6-23 mono their age ... anemia (Hb....................

ervention grooup, at basely interventio....................r three by int....................

on group at bn group, at bee by interve....................roup, at baseroup at baseup at baselinntion group, ntion group a

er arm circum....................wealth quint

 

ercentage of....................during the pr....................intervention

....................volved in va....................rs of age .........................ed informatio....................on breastfeedon at least onon maternal n....................en under threthe last six mat posyandurs of children....................

C during curre....................ster, and a to....................nths) ...............................

b<11g/dL) at ....................up at baselinline and endn group, at b....................tervention ar....................aseline and

baseline and ention group ....................eline and endline and end

ne and endlinat baseline a

at baseline amference (MU....................tiles .............

 

f women con...................receding thre................... group at ba...................rious househ.........................................................

on on IYCF a...................ding ............ne topic .......nutrition .........................ee years old

months .........u..................n aged 0-35 ...................ent or most r...................otal of at leas.........................................................baseline and...................

ne and endlinline .............baseline and...................

rea, at baseli...................endline .......endline ......at baseline a...................dline ...........line .............

ne................and endline

and endline ..UAC) <23.5c......................................

  ix

suming .......... 71 ee .......... 72 seline .......... 74 hold .......... 75 .......... 76 .......... 76

and .......... 78 .......... 79 .......... 79 .......... 80 .......... 83 ......... 84 .......... 84 .......... 85 months .......... 86 recent .......... 86 st 4 .......... 87 .......... 88 .......... 89 d .......... 91 ne ...... 92 .......... 93 endline.......... 93 ne and .......... 94 .......... 95 .......... 96 and .......... 97 .......... 98 .......... 98 .......... 99 ........ 100 ........ 100

cm, by ........ 101 ........ 105

 

M&E REPOR

 

LISTANC Bappeda

Bappena

BF BL CCT CED CF CU2 CU3 DHO dL DSAO EL FAO FDS

FGD g HDI HH IDAI IFA IMCI

IMD IYCF KMS KPC LKNU m MCH M&E MoH MoSA MSC MUAC NU PCNU PEM PHBS PHO PKD PKH

PKH-Pre

PMBA PN

RT  OF PKH PREST

T OF ABA

a BA

as BPBBCCCCCDDDEFF(PFGHHInIrInSInInKKLMMMMMMMNPPPPPPtr

estasi PRPP

TASI PILOT PROJE

BBREVAntenatal carBadan PerencAgency– at DBadan PerencPlanning) BreastfeedingBaseline Conditional caChronic energComplementaChildren undeChildren undeDistrict HealthDeciliter District SociaEndline Food and AgrFamily DeveloP2K2))

Focus Group Gram Human DeveHousehold ndonesian Peron-folic acidntegrated MaSakit) nisiasi Menyunfant and youKartu menujuKnowledge, PLembaga KesMonth Mother and CMonitoring anMinistry of HeMinistry of SoMost SignificaMid upper-armNahdatul UlamPengurus CabProtein-energPerilaku HiduProvincial heaPos KesehataProgram Keluransfer) Program KeluReduction of Pemberian MPostnatal

ECT, BREBES 

VIATIONre canaan Pem

District or Procanaan Pem

g

ash transfergy deficiencyary feeding er two yearser three yearh Office

l Affairs Offic

riculture Orgaopment Sess

Discussions

lopment Inde

ediatricians A

anagement o

usu Dini (Eaung child fee sehat (child

Practice, andsehatan Nah

Child health nd evaluationealth ocial Affairs ant Changem circumferema bang Nahdla

gy malnutritioup Bersih danalth office an Desa (Villuarga Harapa

uarga HarapaStunting thro

Makanan Bayi

NS AND

mbangunan Dovince level)mbangunan N

y

rs

ce

anization sions (Pertem

s

ex

Association (

of Childhood

rly Initiation oeding ren’s growth Coverage

hdlatul Ulama

n

ence

atul Ulama (Ron n Sehat (Hea

lage Health Pan (Hopeful F

an – Progresough PKH)

yi dan Anak (

D ACRO

Daerah (Regi

Nasional (Min

muan Pening

(Ikatan Dokte

Illness (MTB

of Breastfeed

h charts)

a (Nahdlatul

Regional Offi

althy and Cle

Post) Family Progr

sif Pengentas

Infant and Yo

 

ONYMS

ional Develo

nistry of Natio

gkatan Kema

er Anak Indo

BS – Manaje

ding)

Ulama Healt

ices of Nahd

ean Lifestyle)

ramme – a c

san Masalah

oung Child F

 

S

pment Plann

onal Develop

ampuan Kelu

onesia).

men Terpad

th Institution)

latul Ulama)

)

conditional ca

h Gizi(Progre

Feeding/IYCF

  x

ning

pment

uarga

du Balita

)

ash

essive

F)

 

M&E REPOR

 

PNC PolindesPosyandPSAO PuskesmPW PWI RADPG RPJMD

SWOT Taburia TBA ToR TNP2K

UNICEFUP-PPK

VAC WHO y

RT  OF PKH PREST

Ps Pdu P

Pmas P

PPRRDSMTTTA

F UKH U

PVWY

TASI PILOT PROJE

Post-natal caPos persalinaPos pelayanaProvincial SocPusat kesehaPregnant womPersatuan WaRencana AksRencana PemDevelopment Strengths, WeMicronutrient Traditional birTerms of RefeTim Nasional Acceleration oUnited NationUnit PelaksanProgramme) Vitamin A capWorld Health Year

ECT, BREBES 

re an desa (Villaan terpadu (Incial Affairs O

atan masyaramen

Wartawan Indosi Daerah Panmbangunan J

Plan) eaknesses, Opowders dev

rth attendanterence Percepatan

of Poverty Rns Children’sna Program K

psule Organization

age birthing pntegrated he

Officeakat (commu

onesia (Indonngan dan GiJangka Mene

Opportunitiesveloped by It (dukun)

Penanggulaeduction) Fund Keluarga Ha

n

post) ealth post)

unity health c

nesian Journizi (Regional engah Daera

s, Threats ndonesian g

angan Kemis

rapan (Imple

 

centre)

nalists AssocFood and N

ah (Regional

overnment

skinan (The N

ementation U

 

ciation) utrition Actio Mid-term

National Tea

Unit of Hopef

  xi

on Plan)

m for the

ful Family

 

M&E REPOR

 

BAC

PovertybackgroFramewrelated unhealt

A pilot Pengenwith TNHealth Associaproject stuntingIts targeold andwomen (FDS/Peyoung cworkers

OutcoThe PK

a T T

The pilo

S

a C

cqaf

RT  OF PKH PREST

KGRO

y and undeounds are work on the

to povertyhy environm

project cantasan MasNP2K, Distr(MoH), and

ation (PWI),has chang

g” to “increaet audienced/or pregna

withnutritertemuan child feedins, as well as

omes anKH Prestasi

Poverty redPKH CoordCapacities Increased cand under-tThe stakehTechnical aImplementa

ot aims to re

Strengthen Bappenas/Badvocacy, mCapacity bcommunity-quality nutrand young family skills

TASI PILOT PROJE

UND A

ernutrition highly vulncauses of m

y: househoment combi

alled “Progralah Gizi o

rict governmd UNICEF.I were partn

ged from thase the knoes include tant women. ion and Peningkatang (IYCF), s supporting

nd Stratepilot worked

duction and dination Teaof PKH facicoverage antwo childrenolders’ leve

assistance pation of the

each its goa

the coordBappeda) wmonitoring, building o-based worrition servic

children) as, counselin

ECT, BREBES 

AND OB

are closelynerable to malnutritionld food insned with lim

ressive Redor PKH Prement of Bren addition,

ners in the he original owledge of Pthe PKH be

The pilot health edu

an Kemampand it train

g distributio

egies ofd toward th

nutrition imams at distriilitators andnd quality on. el of understprovided forpilot is mon

al by applyin

dination bewith regardand evalua

of the playrkers) to incces to beneand commg.

BJECTI

y linked annutritional

n, the undersecurity, pomited acces

duction of estasi) was ebes, Minis

Nahdatul implementa2012 plan

PKH benefieneficiaries provided mucation thpuan Keluaned religioun of micron

f PKH Pese expecte

mprovementict and sub-

d health stafof health an

tanding on r the designnitored and

ng three key

etween all d to policy ation yers of PKcrease theireficiaries (pr

munity emp

VES

nd childrendeficiency

rlying factoroor care fos to adequa

Stunting thdeveloped

stry of SociUlama (NUation of the

to “test sticiaries andhousehold

mothers of rough Famarga (P2K2us leaders, utrient pow

restasi Ped outcome

t policies are-district leveff are imprond nutrition

stunting is in and implemevaluated.

y strategies

stakeholdemaking, r

KH Prestasr understanregnant wo

powerment

 

n from lowy. Accordins of malnutor mothers ate health c

hrough PK by Bappeal Affairs (

U), The Indopilot. The p

trategies tod stakeholdeds with child

young childmily Deve2), counsel

citizen jouwders (Tabu

Pilot es:

e integratedel are revitaved to delivservices fo

improved. mentation o

s (Figure 1):

ers (MoH, regional pla

si (e.g., heding of stun

omen and (t through th

 

wer socio-ecng to the trition are al

and childcare.

H” (PKH Pnas in cooMoSA), Mionesian Jopurpose of o reduce chers (revisiondren under dren and plopment Sling on infrnalists andria).

d at the locaalized. ver quality sr pregnant

of the pilot.

:

MoHA, Moanning, as

ealth workenting and tomothers ofhe improve

  1

conomic UNICEF ll closely ren and

Progresif operation nistry of urnalists the pilot hildhood n 2015). 3 years

pregnant Sessions fant and d health

al level.

services. mothers

oSA and well as

ers and o deliver f) infants ement of

 

M&E REPOR

 

ca

In 2015target vhousehofocusedworkersand moPrestas

Training

S

RT  OF PKH PREST

Behavior ccommunicas health w

5, the pilot villages in 5olds betwe

d more on ths), implemeothers of chsi.

gs and targe

Infant and YnutritionistsRefresh famSoft skill traHealth and Health and

TASI PILOT PROJE

change in cation, infoworkers, PKH

Figure 1. K

implementa5 subdistric

een May 20he training ntation (e.gildren unde

et audience

Young Chils at Puskesmmily developaining, targenutrition tranutrition as

Capacity BuildTraining

Counseling

ECT, BREBES 

the commormation, aH facilitator

Key Strategie

ation contincts in Brebe015 and A(e.g., capac

g., the impacer two years

es for the 20

ld Feeding mas, healthpment sesseting PKH faaining, targes well as pu

Loca

Integrated plan

Impl

Advocacy

ding

g

munity thrond educat

rs, religious

es of PKH P

nued and ses district (

April 2016. city buildingct of the tras old), and c

015 pilot act

(IYCF) traih cadres at ions (FDS) acilitators aeting religioblications tr

Coordinational government regulat

nning (RPJMD, RAD

ementation of activit

y, Monitoring and Eva

ough compion deployeleaders and

Prestasi Pilo

since then (Central JaThe activiti

g of health wining and ccoordination

tivities inclu

ning, targetPosyandu atraining, ta

and head of us leaders.raining, targ

tion

D-PG, RKPD)

ies

aluation

Communication, In

Develop

Determin

Implem

 

prehensive ed by multid communit

ot in Brebes

has been ava), coveriies for the workers andcounseling on between

uded:

ting midwivand village rgeting PKHmothers’ g

geting citize

nformation, Education

ping CIE Module

ne CIE Methods

mentation CIE

 

and need stakeholdety journalist

s

implementeng at least2015-2016

d communiton pregnantthe players

ve coordinatmidwives. H facilitatorsroup.

en journalist

n (CIE)

  2

ds-based ers such ts.

ed in 35 t 11,000 6 period ty-based t women

s of PKH

tors and

s.

ts.

 

M&E REPOR

 

Impleme

S

UNICEFof the Mand eva

Thespe1) D

wf

2) C3) A

pU

4) C5) C

(6) D

f

RT  OF PKH PREST

entation act

FDS sessiounder 5 yeaIYCF counsunder 5 yeaSermons byPublications

F assigned M&E to meealuation (M&

ecific objecDevelop a mwith the PKfor PKH PreCollect quaAnalyse thprocess mUNICEF coConduct a pConduct a(comparisoDevelop anfindings of t

TASI PILOT PROJE

tivities and

on by PKHars old seling by hears old y religious ls by citizen

Savica to et the last o&E).

ctives of thimonitoring

KH-Prestasiestasi and aalitative proe qualitati

monitoring onsultants/stprocess evan endlinen between

n endline athe process

ECT, BREBES 

target audie

Facilitator

ealth worke

eaders, targ journalists

provide tecoutcome: to

s assignmeg and evalui coordinatinadapting it tocess monive procesdata that

taff; valuation, ine survey, baseline an

assessmens monitoring

ences for th

s, targeting

ers, targetin

geting gene, targeting g

chnical assis assess the

ent were to: uation (M&ng committto the new p

nitoring datss monitor

was colle

ncluding deincluding

nd endline dt report of

g, process e

he 2015 pilo

g pregnant

ng pregnant

eral populatgeneral pop

stance in the pilot imple

&E) framewtee, drawingproject desita as a basiring data cted by lo

esign, data cdesign, d

data); PKH Prest

evaluation a

 

ot activities

women an

t women an

tion (largelypulation and

he design aementation

work and plg from the gn; (see Ans for the proas well as

ocal govern

collection adata collect

tasi pilot proand end-line

 

included:

nd mothers

nd mothers

y women) d policy mak

and implemthrough mo

lan in collaexisting fra

nnex 2) ocess evalus the quannment offici

nd analysistion and

oject, basede survey.

  3

of child

of child

kers

mentation onitoring

aboration amework

uation; ntitative ials and

s; analysis

d on the

 

M&E REPOR

 

MET

1. LocThe locon Teg(Figure covering At the e

PKH sta2012 incontrol

              1 BPS. Kab

RT  OF PKH PREST

THODO

cation cation of thisal in the E2). This d

g an area o

end of 2014

F

arted in all n 35 village

areas

                    bupaten Brebes 

TASI PILOT PROJE

OLOGY

s assessmeEast, Banyudistrict con

of 1,657.73 k

, the popula

Figure 2. Lo

subdistrictses in 5 subd

at the

                     dalam angka 2

ECT, BREBES 

ent is the Dumas and Cnsists of 1km21.

ation was 1

ocation Map

s of Brebesdistricts. 34

e time

2015 

District of BrCilacap in 7 subdistri

,773,739 wi

p: Central J

s in 2011 a4 villages in

of the

rebes in Cethe South cts and 29

ith a sex rat

Java and Br

nd the PKHn 10 other

baseline

 

ntral Java pand West 97 villages

tio of 101.0

rebes distric

H Prestasi subdistrictse study

 

province (bJava in th

s (desa/kel

3.

ct

pilot was sts were sele

in 20

  4

ordering e West) urahan),

tarted in ected as 012 (

 

M&E REPOR

 

Table 1

2. EthEthical Yogyakthey havoluntar

RT  OF PKH PREST

).

hical Coapproval w

karta (Annexd been infory and conf

TASI PILOT PROJE

nsideratwas obtainex 3). Writteormed of thfidential natu

ECT, BREBES 

tions ed from theen informedhe purpose ure of the re

e Ethical Cd consent wof the interesearch.

Committee owas obtainerviews and

 

of Gadjah Med from all discussions

 

Mada Univresponden

s, as well a

  5

versity in nts, after as of the

 

M&E REPOR

 

Table 1

No

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

 

3. M&Savica the 201of the p

              2 “Draft M

RT  OF PKH PREST

. InterventioIntervent

Subdistri

BulakambBulakambBulakambBulakambBulakambBulakambBulakambJatibarangJatibarangJatibarangKetangguKetangguKetangguKetangguTonjong Tonjong Tonjong Tonjong Tonjong Tonjong Tonjong Tonjong Tonjong Tonjong Tonjong Wanasari Wanasari Wanasari Wanasari Wanasari Wanasari Wanasari Wanasari Wanasari Wanasari

&E Framdesigned th5-2016 perroject, as w

                    M&E plan_Revisi

TASI PILOT PROJE

on and Contion

cts

ba ba ba ba ba ba ba g g g ngan ngan ngan ngan

mework ahe M&E plariod throughwell a review

                     ionJan2916(FIN

ECT, BREBES 

ntrol villages

Villages

Jubang Cipelem PetunjunganBanjaratmaTegal glagaLuwungragiKluwut Kendawa KertasinduyJatibarang kPadakatonKetanggungBaros Dukuhturi Watujaya Negarayu Pepedan KarangjongkPurwodadiKutayu Galuh timurKalijurang Tonjong LinggapuraKutamendalDukuhwringWanasari KertabesukiPebatan Sigentong Kupu Siasem JagalempenSawojajar Klampok

and Planan2(providedh process mw of PKH Pr

NAL) 

s PKH Pres

n

h

yasa kidul

gan

keng

la gin

i

ni

n d in Annex

monitoring, prestasi docu

tasi in BrebControl

Subdistric

BanjarharjBanjarharjBanjarharjBanjarharjBanjarharjBanjarharjBanjarharjBanjarharjBanjarharjBantarkawBantarkawBantarkawBrebes Brebes Brebes Brebes Brebes Brebes Bumiayu Losari Losari PaguyangaPaguyangaPaguyangaPaguyangaPaguyangaSalem Salem SirampogSirampogSirampogSirampogSonggomTanjung

2) to assesprocess evauments from

 

bes district

cts

o o o o o o o o o

wung wung wung

an an an an an

ss the pilot aluation andm 2012 to 2

 

Villages

KarangmajCibendungPende DukuhjerukSukareja Cikakak BandungsaMalahayu BangbayanBanjarsari PengarasaPangebataLimbanganTengki BanjaranyaKedunguteGandasuli LimbanganBumiayu Prapag lor LimbanganPakujati PaguyangaPagojengaTarabang Winduaji Gandoang Ciputih Kaliloka Mendala Plompong Benda Jatirokeh Tanjung

implementd an endline016.

  6

a

k

ari

ng

n n

n kulon

ar r

n wetan

n

an n

ation for e survey

 

M&E REPOR

 

The M&and repwas baoutcome

 

4. MoBecauswith UNand thaagreed evaluatefully rep

This M&

1. Q

2. Q

QualitatstakehoimplememethodSavica this is varose d

The M&a. Ena

policb. Sup

accec. Demd. Qua The evsustaina

RT  OF PKH PREST

&E plan servporting of thased on a es will lead

onitoringe the pilot

NICEF, it wat Savica wthat Savicaed as well.

ported on –

&E was imp

Quantitativea. Anab. Kno

basecom

c. Anthpreg

Qualitative a. Docb. In-dc. Focd. Caroe. Mos

tive data oldersfocusientation of ts used arealso used tvery useful uring the pr

&Eexaminedabling envircies or plan

pply of essess to servi

mand for seality of servi

aluation coability.

TASI PILOT PROJE

ved as a kehe implemelogical framto the over

g and Evproject waas decided

would analyza would not

Therefore or were rep

plemented u

e methods alysis of moowledge, Preline (if th

mparing the hropometricgnant mothemethods

cument revieepth intervius Group Doussel st Significan

was gatheing on thethe program

e provided the MSC (Mtool to hig

rogram imp

d the extentronment fo

ns, managemsential comces; rvices ces

onsidered f

ECT, BREBES 

ey tool to pntation of Pmework tharall goal of t

valuationas almost fi that a regze quantitaactively colnot all activ

ported in su

using a mixe

nitoring repractice, andhe indicatofindings be

c and hemoers

ew ews

Discussions

nt Change

ered from e challengm, as well ain the next

Most Significhlight both lementation

t to which thor nutrition-ment/coord

mmodities/in

five aspects

lan and maPKH Prestaat providesthe pilot.

n nished wheular projecttive reportsllect these rvities are fuch a way to

ed-methods

ports of projed Coverageors were itween the ioglobin me

beneficiaries and bas any chant section acant Changmajor succ

n.

he pilot has -sensitive sination, bud

nputs, train

s: relevanc

anage the pasi pilot projs clarity on

en Savica wt monitorings on trainingreports as tully coveredo enable use

s approach,

ect activitiese (KPC) suincluded innterventionasurements

es, actorsarriers encges that ocnd tools us

ge) approaccesses and

strengthensocial protedget/expendned human

ce, efficienc

 

process monject in Breb how activ

was engagg was not pgs and othhe reporting

d in this repeful analysi

including:

s, includingurvey – comn the base and the cos of childre

and partcountered curred. Listsed are proch in the grod obstacles

ed: ection, incditure and sn resources

cy, effective

 

nitoring, evabes. The Mvities, outpu

ed, in coorpossible or er activitiesg process w

port, as not s.

g trainings mparing eneline surve

ontrol areasen under th

tners, as in the da

ts of informaovided in Aoup discuss

and proble

luding chasocial normss, and geo

eness, imp

  7

aluation, &E plan uts, and

rdination needed

s. It was would be all were

ndline to ey) and .

hree and

well as y-to-day ants and

Annex 4. sions, as ems that

nges in s; ographic

pact and

 

M&E REPOR

 

a. DocSavica original reports.triangulamethod

Logframproject. relevancan assethe deliv

Table 2using S

Table 2 UNICE

PKHtestPreTraFebFDSFDSFDS

LK-PNRel

MoH PKHSelftheyEvaandreceObscadKonAccwor

b. QuaFor thepurposiv

Criteria

RT  OF PKH PREST

ument revreviewed aproject pro

This revieation proces.

me analysis Using pe

ce of the pressment of very of the

2 provides aPSS.

2. Quantitati

EF H facilitator tt - and post-teining for Citiz

b 2016 S sessions AS sessions MS sessions M

NBU igious leade

H mothers spf-assessmeny gave traininaluation by cad Young Childeived (Evaluservation Chdres’ counselnseling PMBAcompanimenrkers (Jan-M

alitative ase more invely from th

for the sele

TASI PILOT PROJE

view all relevant oposal/desiew not onless, it also

was used rformance roject desigwhether theintended ou

a list of doc

ive data and

raining evalu

est scores ofzen Journalis

Aug 2015 – FMar 2016 – AMay 2016

r sessions

pot-checks nt of Puskesmng to cadresadres of the d Feeding (IYasi Pelatihanecklist for Peing skills (DaA Kader) tFDS sessioay 2016)

ssessment-depth ass

he existing 3

ection of vill

ECT, BREBES 

project docgn, logical y served tformed the

to compareindicators n and effece design ofutcomes.

cuments re

d reports re

uation and po

f Journalism sts Oct 2015

Feb 2016 Apr 2016

mas midwive (Kajian Mantraining in InYCF) they n PMBA Kadendamping Paftar Tilik

ns by health

t sessment, 35 intervent

ages and re

cuments at framework

o collect de basis for

e the origindescribed

ctiveness of f the projec

eceived by m

ceived by mDe

ost X

5 and

X

Xes after ndiri) nfant

der) PKH of

interventiotion and 34

espondents

the beginnk, progress data and inr the design

al planningin the logthe action.

ct was cons

month. Dat

month (Dec ec Jan F

X

X

X

X

X

X

n and concontrol villa

s are shown

 

ning of the reports, an

nformation n of the ev

with the agframe, Sav

The logframistent with a

ta were ent

2015 - MayFeb Mar

X

X X

ntrol villagages.

n in Table 3

 

research, ind baselineto be usedvaluation to

chievementvica assesme review pand approp

tered and a

y 2016) Apr May

X

es were s

.

  8

ncluding e survey d in the ools and

ts of the ssed the provided priate for

analyzed

y Jun

X

X

sampled

 

M&E REPOR

 

Table 3Interven

Poor fampregnanyears oPregnan

Intervensurvey

Location

The quaduring win Anne(Table 6

In-deptInterviewhow it cstakehoof openrespons

Focus FGDs, and othnutritiontime and

Table 4InterveIn dept

MidNutVillaPKHRelHeaHeaHea

InterveFocus

PosPKHMotFathGraCitiz

RT  OF PKH PREST

3. Selection ntion village

milies receint women old nt women a

ntion villag

n: close to,

alitative datwhich the inex 6). In co6).

th interviewws were us

could be imolders from n questions ses further.

Group Disusing predeher stakehon improvemd place pre

4. List of inteention villagth interview

dwife coordintritionists age midwiveH Facilitatorsigious leadeads of Villageads of Sub-dads of Puskeention villagGroup Disc

syandu cadreH group leadthers from Phers

andmothers zen journalis

TASI PILOT PROJE

criteria for qes

ving PKH Por children u

and children

ges as pe

far from, an

ta collectionnterviews anontrol areas

ws sed to obtainproved. In-35 selectedwith the o

cussions (etermined dolders to c

ment. One Fviously arra

erviews andes

ws ators

s s rs es istricts

esmas es

cussions es ders KH women g

sts

ECT, BREBES 

qualitative a

Prestasi for under three

n under thre

r the bas

nd at mediu

n lasted frond FGDs w

s, selected

n an in-deptdepth intervd interventi

opportunity

(FGD) discussion

capture theFGD sessionanged and c

d FGD's con

groups

assessmenCon

Poo

ee years old

eline Nonsubd

um distance

om the end were held (T

health cent

th understaviews were on villagesfor the inte

guides weeir knowledn typically tconvenient

nducted (DeDec

8

Dec

t trol villages

r families

d

-interventiodistrict as in

e from Brebe

of DecembTable 4 and ters were i

anding of hoheld with r

. Savica deerviewers to

re held witge and betook up to tto the partic

ec 2015 - MJan Fe

11 14 16 22 16 1 42 4

Jan Fe

1 2 23

 

s

on villages,ntervention

es city

ber 2015 unTable 5, w

ncluded in

ow the intervrepresentateveloped a o explore p

h mothers, ehavior relatwo hours acipants.

May 2016) eb Mar 1 7 4 4 1 4 5 eb Mar

1 1 2 1 1 2

 

not in thvillages

ntil the endwith details p

the data c

vention worives of the pre-determarticular the

Posyandu ated to heaand took pla

Apr

1

Apr

1 2 1

  9

e same

d of May provided ollection

rked and different

mined set emes or

cadres, alth and ace at a

May

May

 

M&E REPOR

 

ControIn dept

MidNutVilla

Focus PosMotFathGra

NationMinPlanThePovMinMinHeaUN

ProvinPro(BaImpProProPro

DistrictDist(BaDistDistNU Indoat d

Table 5IntervePosyanPKH GMotherFathersGrandmCitizen ControPosyanMotherFathersGrandm

              3 Although

RT  OF PKH PREST

ol villages th interview

dwife coordintritionists age midwiveGroup Disc

syandu cadrethers from Phers

andmothers al level

nistry of Nationning (Bappee National Teverty Reductnistry of Healnistry of Sociaalth Agency oICEF cial level vince Developpeda)

plementation gramme (UPvincial Healtvincial Sociat level trict Developppeda) trict Health Otrict Social Amembers at

onesian Jourdistrict level

5. Numbers ention villagndu cadres roup leaders

rs from PKH s3 mothers journalists

ol villages ndu cadres rs from PKH s mothers

                    h FGD was desig

TASI PILOT PROJE

ws ators

s cussions es KH women g

onal Developenas)

eam for the Aion (TNP2K)th (MoH) al Affairs (Moof NU (LKPB

opment Plan

Unit of HopeP-PKH) th Office (PHal Affairs Offi

pment Planni

Office (DHO)Affairs Office t district levernalist Assoc

of FGD pares

s women grou

women grou

                     gned for Father

ECT, BREBES 

groups

pment

Acceleration )

oSA) BNU)

ning Agency

eful Family

HO) ce (PSAO)

ng Agency

(DSAO) l

ciation (PWI)

rticipants byDec

ups

Dec

ups

rs, participants 

Dec

Dec

of

Decy

Dec

y month (Dec Ja

c Ja

coming for the

Jan Fe

Jan Fe

Jan Fe

Jan Fe

ec 2015 - Apn Fe

10 20 5

30 n Fe

e FGD were both

 

eb Mar

eb Mar

eb Mar

eb Mar

1

pril 2016) eb M

(F)4 (M) 4 22

eb M

h Father (F) and

 

Apr

14 14 15

3 3 1 1

Apr

1

1

1 3 3 2

Apr

1

1 1

Apr

2

1 1 2

1

Mar A10 10 20

(F)6 (M)

Mar A

d Mother (M) 

  10

May

May

1

2 1 6

May

1

May

1 1 1

Apr 10 20 10

Apr34 30 10 10

 

M&E REPOR

 

Table 6

No

1 B

2 B

3 S

4 P

5 L

6 B

7 T

8 B

9 S

* Accordthereforeassessm

Most SMSC is help forecordethe chachangesthe FGDselectedimpleme

RT  OF PKH PREST

6. Selected h

Subdistrict

Brebes

Banjarharjo

Sirampog *

Paguyangan

Losari

Bantarkawun

Tanjung

Bumi Ayu

Salem

TOTAL ding to DOHe this Pusk

ment.

Significant Ca participa

ocus on siged changes nge is signs that happDs, using ad to repreentation.

TASI PILOT PROJE

health centeHealCent

KaligangsKulon Kali Mati

Cikakak

MalahayuDukuh Je

Benda Mendala

PaguyanWindu Aj

LimbangaPrapag L

ng BangbayPengaras Tanjung Bumi Ayu Salem

H, the midwivkesmas was

Change (Matory tool fognificant care not alwificant. The

pened in thea “Carousseesent the

ECT, BREBES 

ers in controlth ter

Mcoo

sa

u eruk

gan i

an Lor

yang san

u

ves under ths not consi

MSC) r monitoringhanges tha

ways positiveMSC may

e communitel approach

most sign

ol areas incMidwife ordinator

1

1

1

1 1 - - 1 1 1 1 1 1 1 1 1

14 his Puskesmidered “non

g and evaluat occurrede; negative capture proties. The co

h”. One stornificant ch

cluded in the

Nutritionis

1

1

1

1 1 - - 1 1 1 1 1 1 1 1 1

14 mas had rece

-intervention

uation, in wd during pchanges ca

ogram barriollection of ry for each ange that

 

e qualitative

st Villamidw

Yayah

Yani Sri MurtininBidan DNafisiatu - - Erna Nurohm Bidan DBianti Bidan DBidan D Bidan D Bidan D Bidan D

16eived IYCF

n and was

hich storiesprogram iman also becers or driveMSC storieof the partoccurred

 

e assessmeage wife

D

1

1

ngsih 1

Desa 1un 2

- -

2mah 2

Desa 2

2

Desa 2Desa 2

Desa 2

Desa 2

Desa 2

6 trained in 2excluded f

s form the dmplementatiocome a MSCers, and unfes was donticipant grou

due to

  11

ent Date of

visit

4-Apr-16

5-Apr-16

8-Apr-16

9-Apr-1620-Apr-16

25-Apr-1626-Apr-16

21-Apr-1621-Apr-16

27-Apr-1627-Apr-16

22-Apr-16

23-Apr-16

28-Apr-16

013, and from this

data that on. The C story if foreseen e during ups was program

 

M&E REPOR

 

The Cabeneficiarea (Wgiven d(using ‘The larQuestio

ObservDuring project data. ThFDS iminforma

Data coThe scharactewere us

This apcrosschsingle d

The setranscri

5. EnA baselSavica betweenThe samthe base

a. SubjBased oand 34 These w

Data weat the ti

b. SamThe orig

RT  OF PKH PREST

aroussel waiaries and c

Wanasari, Jaifferent que5W+1H’). Erger group ons and guid

vation the processactivities, bhese obser

mplementatiotion was co

ollection toemi-quantiteristics of th

sed for in-de

pproach withheck data udata source,

emi-structurbed semi-ve

dline suine survey wimplement

n baseline ame interveneline questi

ects on the desicontrol villa

were the sa

ere collecteme of the s

mple size ginal desire

TASI PILOT PROJE

as held amcitizen journatibarang, aestions withEach group

then discudeline of the

s evaluationbehavior andrvations incon, sermonollected and

ools and antative quehe respondepth explora

h mixed mesing severa, enhance t

red intervieerbatim from

urvey was conducted the enand endline

ntion and coionnaire.

gn of the bages (PKH me villages

ed on womeurvey.

d sample s

ECT, BREBES 

mong cadrenalists in thrand Tonjon

h regards topresented

ussed and e Carousse

n and endlid other phyluded the is. The obse

d helped exp

nalysis estionnairesent. The lisation of kno

ethods of dal pieces ofhe reliability

ews, FGDsm recording

cted in Octodline survee, as well asontrol areas

aseline surwithout the

s as include

en who eith

ize as per t

es, PKH Gree villages ng). Participo the most the answerchose wh

el are includ

ne survey dysical aspecnteractions ervations seplain results

started st of open-eowledge and

data collectif evidence, y and ensur

s and MSCgs and them

ober and Noey in April s between were used

rvey in 2012e Prestasi cd in the bas

her had a ch

he ToR rec

Group Leadfrom three

pants were significant crs to these

hich story ted in Annex

data collectcts of the pr

between faerved to uns.

with verbnded questd behavior p

on (trianguin order to

re validity o

C stories mes docume

ovember 20and May

interventionand the qu

2, 35 intervcomponent)seline surve

hild <36 mo

ceived from

 

ders, repressubdistrictsdivided intochanges afquestions t

to be usedx 4.

tion, observroject to comacilitators anderstand th

bal informtions, FGD patterns.

lation) is ino reduce thef results.

were digitented syste

012 by anot2016. Dat

n and controuestionnaire

vention villag) were incluey.

onths of age

UNICEF wa

 

sentatives s in the inteo three grofter the inteto the larged as MSC

vation was mplement tand health whe context

med conseand MSC p

ntended to e limitations

ally recordmatically.

ther consultta were cool group at

e was adjus

ges (PKH Puded in the

e or were p

as 4,320 (T

  12

of PKH ervention ups and

ervention er group.

results.

made of he other workers, in which

ent and protocols

verify or s of any

ded and

tant, and ompared endline. ted from

Prestasi) e survey.

pregnant

Table 7).

 

M&E REPOR

 

Table 7

Target

(Mothemonths

Pregna

Total re

While tprevalefocus oand chafeeding sizes wfactor

              4 http://we

RT  OF PKH PREST

7. Original sa

t

rs of) Chs (U3)

ant women (P

espondents

the originance, it wasf the prograanging beha

(IYCF) prawere calcula

of

                    eb1.sph.emory

TASI PILOT PROJE

ample size

hildren aged

PW)

al sample ss agreed wam. Insteadaviors to suactices. Usated using a

2

                     ry.edu/cdckms

ECT, BREBES 

for endline In(n

d 0-35

size was with UNICEFd, the focusupport a heing an on-a confidenc2

s/Sample%20S

survey ntervention vn=35)

based on F and Bapps had shiftealthier lifesline samplece interval for

Size%20Cross

villages

1,920

240

2,160

the (anticpenas that ed to reductyle and ime size calcuof 95%, po

design

s%20Sectiona

 

Control v(n=35)

0

0

0

ipated reduthis was n

cing the premproved infa

ulation toolower of 80%

ef

al%20two%20

 

villages

1,920

240

2,160

uction in) no longer thevalence of ant and you

4, potential % and a coffect

0surveys.html   13

Total

0 3,840

0 480

0 4,320

stunting he main f anemia ung child

sample orrection

(see

 

M&E REPOR

 

Table 8for the bnumberlower thcollect dof sammultipleunder ficollectechildrenarea (7

Figure 3

The actrelated large sabe suffic

RT  OF PKH PREST

8).The requibaseline sur of eligiblehan expectedata on all pling). Duri

e times wheve years of

ed on 1398n under thre789 (moth

3 and Table

tual sampleto nutrition

ample size, cient.

TASI PILOT PROJE

ired sampleurvey. Howe responden

ed. Therefoeligible resing the daten it turnedf age and re8 respondenee years a

hers of) c

e 9). More d

e size maynal status, e

but for mo

ECT, BREBES 

e size for thever, due tonts in the tare, after dispondents thta collectio

d out that decipients of nts in the nd 157 pre

children un

details can b

y not be abespecially wost of the be

he endline so the changarget villag

scussion withat could bn process,

data provideother typesintervention

egnant womnder three

be found in

ble to showwhen the dehavioural v

survey wase in designes (PKH-Pth UNICEF e interviewe the targeted by PKHs of PKH asn area, con

men, and 87years an

Annex 7.

w significantifferences wvariables th

 

the same n of the PKHPrestasi and

and TNP2Ked (‘censust sample h Facilitators

ssistance In nsisting of 75 respondnd 86 pre

t differencewere small,

he obtained

 

as the samH Prestasi pd PKH) werK, it was des’ approachhad to be as included the end, da1241 (mot

dents in theegnant wo

es for the v, as this resample siz

  14

mple size pilot, the re much

ecided to h instead adjusted children

ata were thers of) e control omen) (

variables quires a

ze would

 

M&E REPOR

 

Table 8

Group

Childre

Pregna

Table 9

Survey

Baselin

Endline

RT  OF PKH PREST

8. Sample si

Indicat

en under th Anemia Stunting Exclusiv Minima Diarrhe Diarrhe

Hand wwash ha5 critica

ant women Anemia CED IFA con

9. Actual sam

y

ne

e

TASI PILOT PROJE

ize calculati

or

reea

g

ve breastfee

l Dietary Div

a past 24 hoa past 7 day

washing (neveand with soa

al times)

a

nsumption

mple size in

Group

InterventioControl Total InterventioControl Total

ECT, BREBES 

ions for end

Bas

8833

eding 34

ersity 44

our 1ys 3er

ap at 1

5522555

n Endline suPrw

n

n

dline survey

selineExpoutc

80.0%80.0%33.9%33.9%37.0%42.0%41.8%41.8%15.5%30.4%

15.0%

57.9%57.9%27.1%27.1%52.0%52.0%52.0%

urvey, compregnant omen

236241477157

86243

y

pected come

Ec(

70.0%75.0%29.4%27.9%50.0%55.0%61.8%51.8%10.0%24.9%

9.5%

47.9%52.9%17.1%22.1%90.0%72.0%62.0%

pared to Bas

Youn

 

Expected change %points)

-10.0-5.0-4.5

-613132010

-5.5-5.5

-5.5

-10-5

-10-5382010

seline surve

ng children

1918 1919 3837 1241

789 2030

 

Requirsampleper gro

0% 0% 5% 6% 3% 3% 0% 0% 5% 5%

5%

0% 5% 0% 5% 8% 0% 0%

ey

Total

2241

2

  15

red e size oup

587218833521860

455462194780

11532074

1114

7803101

5392327

43183768

2154 2160 4314 1398

875 2273

 

M&E REPOR

 

Figure 3

c. RecrIt was awere seheld beleaving

The traieach quskills, unon-melogistics

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Due to while th

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sts mentionincluded th

esmas, Posydent, less juhey felt thattheir feedin

so applied th

had been tng in 2012

wledge andere then excilitate the

ed: exclusived Manageout:

amount, texnity about h

breastfeed

knesses of I

eived session duee training insession

; PKH facilitall the informfloor during

to expand

s of the tra

o bring theirdditional ma

ned that theheir improvyandu, as wudgementalt their clieng behaviorshe newly ac

trained in I, one in 20

d skills of txpected to p

IYCF train

ve breastfeement of Ch

xture, variethealth and n

 

YCF trainin

e to ice breateractive

ators who emation giveng the sessio

d the expos

aining durat

r children toaterials

e most signived knowlewell as at c, more flexi

nts understos accordingcquired kno

IYCF (infan013, five in

the nutritionpass on thisning for vill

eding, comphildhood Illn

ty, and hyginutrition

 

ng and

aking activit

expect the mn; on.

sure of info

tion in adva

o the trainin

ificant chanedge and lasses for pible and sysood the infog to the advowledge wit

nt and you2014 and

nists on infs knowledgage midwiv

plementary ness (IMCI)

ene.

  26

ties

midwives

ormation

ance so

g;

ngesthey skills in

pregnant stematic ormation vice they thin their

ng child three in

fant and ge to the ves and

food for . During

 

M&E REPOR

 

Accordiwere mthe moraction-o

The nutconductopinionscomfortthe trainexcited knowled

Table 1

What win the tr

Suggesimprove

The mitraining groups participasupportactivitie

RT  OF PKH PREST

ng to the numost easy tore challengioriented edu

tritionists weted, which s. Howevertable for sucning becausto give cou

dge for their

4. Feedbac

worked well raining

stions for ement

dwife coorfor village

mentioned ants interesting factor fs.

TASI PILOT PROJE

utritionists, o digest weing topics wucation for g

ere generawas fun a

r, one week ch a trainingse they gainunsel on IYCr own famili

ck on IYCF

The trainetopics on

Participan

Participan

The trainisat on the

Participanso the tra

There wathe topics

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Participan

The trainiexhaustinresponsib

The traini

The role-clients or

The takeguidelines

rdinators ane midwives

the challensted and fofor both the

ECT, BREBES 

all the mateere exclusivwere materngroups.

lly happy wand provide

was considg (Table 14ned new knCF, becameies as well a

training for

ers were expcomplemen

nts felt comfo

nts were acti

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nts and trainaining went w

as a debriefis covered in

ing providederience

nts were mot

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ing venue wa

-play during mothers wh

-away docus to be used

nd nutritionand cadre

nges in manocused durie midwives

erials were ve breastfeenal and chi

with the trained opportundered too lo). Overall, t

nowledge. Ae better listas others.

nutritionists

perts and gotary food and

ortable to ex

vely involved

gned to be inhe informatio

ners had agrwell and parti

ing session the training

d an opportun

tivated to eng

long (one wearticipants a

skesmas

as not comfo

the trainingo are benefic

ument on Mduring the c

nists gave es (as presnaging cadring the traiand the nu

very relevaeding and cld health, p

ning, both thnity for the ong for the tthe trained nAs a result oeners, and

s

ood in deliverd counseling

press their o

d in the train

nteresting anon was conve

reed on a “trcipants had

to refresh th

nity for the h

gage during t

eek) with tooand kept the

ortable for pa

g would havciaries of the

MTBS can bounseling

feedback oented in Tres with limnings. Sup

utritionists in

 

ant for themcomplemen

probing duri

he content participant

training andnutritionistsof the traininwere able

ring the mateg skills

opinions to th

ing

nd fun for theeyed through

raining contrgood discipl

he participan

health worke

the training

o many topicsem away fro

articipants

ve been bette programme

be improved

on their exable 15 an

mited educatport from on the imple

 

. The materntary feedinng counsel

and the wats to expre

d the venue s were satisfng, they weapply the s

erials, partic

he trainers

e participanth games and

ract” in the bine

nts’ understa

rs to meet a

s to cover, wom their fam

ter if it invoe

by adding

xperience innd Table 16tion and in

others was ementation

  27

rials that ng, while ing, and

ay it was ess their

was not fied with

ere more kills and

ularly the

s as they d songs

beginning

anding of

and share

which was milies and

olved real

detailed

n giving 6). Both keeping a major of these

 

M&E REPOR

 

Table 1and cad

Challenencount

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Table 1

Challenencount

Driving

c. VillaThe traito be abfrom the

How Cou “4 s Prop

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RT  OF PKH PREST

5. Midwife cdres

nges tered

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6. Nutritioni

nges tered

factors

age midwivining providble to prepae training ar

w to compleunselling wittars” food per breastfe

iking that vas new info

dicate that p

TASI PILOT PROJE

coordinator

Training cadgenerally haEnsuring paFeeling not eManaging di

Support fromand permits;Support fromAvailability oSupport fromgave the traiSupport from

ists: challen

Maintaining

Managing il

Language b

Limited time

Village admvillage hall a

Heads of Ppreparation

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ves ded the villaare nutritioure:

ete the childthout judgin

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village midwormation to previous tra

ECT, BREBES 

rs: challenge

dres is morave less priorrticipants attentirely confiifferent levels

m the local a;

m village midof supportingm colleagueining;

m their familie

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lliterate and

barrier as so

e to prepare

ministrators wand assisting

Puskesmas n and delegat

aders who fa

age midwiveus foods for

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niques

wives mentithem, becaining was n

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uthorities an

wives in pre aids; s at the Pu

es

riving factor

ants’ interest

partially litera

me participa

all materials

who facilitateg the particip

who alloweted others to

acilitated the

es with the r their childr

h charts (K

oned that cause this hanot sufficient

itive attribut

ng than traof maternal aions for 6 dailled in delivege and unde

d head of Pu

paring the lo

skesmas to

rs in giving I

t and motiva

ate participa

nts preferred

and visual a

ed the activpants who co

ed the nutrito take over th

e training by o

knowledgeren. Among

MS) in the M

completingas been pat.

 

tes of trainin

ining villageand child heys;

ering the materstanding of

uskesmas to

ogistics;

take over t

IYCF trainin

tion througho

nts

d Javanese

aids

vities by allould not spea

tionists to foheir regular ta

offering their

e they needg the new in

MCH book.

the growthrt of their jo

 

ng village m

e midwives, alth issues;

terials; f the participa

o prepare the

their work w

ng to cadres

out the sess

owing the usak Indonesian

ocus on theasks

r schoolsas a

ed to help nformation a

h chart in thob descripti

  28

midwives

as they

ants

e facilities

while they

s

ions

se of the n

e training

a venue

mothers acquired

he MCH on. This

 

M&E REPOR

 

After thincreaseincreaseissues homes w

All villaKesehaduring Prisk motthat thedemonsthe midpessimiand mythe cha

Table 1 Old

feed Cran Cou

prob Rem Man

During addresstiming aempathand disc

d. CadA total 2015.Hoidentifiescoring not corr

Overall,training

RT  OF PKH PREST

he IYCF traed knowleded confidenor problemwith their fa

ge midwiveatan Desa / Posyandu sthers and c

ey were satstrate the prdwife cooristic that moths that do llenges they

7. Village mtraditions a

ding are stillnky children

unselling pablems maining calmnaging sche

the intervies the aboveand locationetic and sucussing the

dres of 344 cad

owever, 61ers (such a

by the trairect. Becaus

, the cadreswere all ev

TASI PILOT PROJE

aining, the dge on IYCnce. In add

ms of the coamilies and

es providedPKD) and

sessions onchildren.In gtisfied with reparation ordinators, aothers will pnot suppory face in co

midwives: chand myths thl endorsed n disturb therticipants w

m and objecedules and

ews, the ve challengens, and chpportive tow

eir problems

dres in two10 pre- ands village), ners and sse of these

s were satisvaluated as

ECT, BREBES 

most signiF and impr

dition, someommunity. friends.

d counsel tPolindeson

n a monthlygeneral, durthe counseof nutritiousand earnedpractice whart proper chounselling m

hallenges what do not sand practice counsellin

who are not

ctive limited coun

village midwes by, amonanging thewards the ms to find wor

o groups atd post-testand the quome of thequality issu

sfied with thgood (Figu

ficant chanroved coune midwives Finally, the

to mothers,n a daily bay basis, duriring the quaeling they ps foods to md mothersat they learild feeding

mothers are

when counsesupport proped

ng sessionsopen about

nselling time

wives stateng others, ir approach

mothers to arkable solut

ttended thets were recuality was v calculation

ues, the res

he training;re 10, Figur

nge reporteseling techfind that th

e midwives

, usually atasis, during ing ANC, aalitative inteprovided. Thmothers, rec’trust. Hownedmainly bare still endoutlined in

eling motheper child

s t their

e

ed that wheproviding c

h in counseallow them ttions.

e IYCF traiceived. Mavery inconsns by the trults are not

the trainerre 11 and F

 

ed by the mhniques, bothey are moalso apply

t the villageclasses fo

nd during herviewsthe mhey feel coceived necewever, sombecause thedorsed and Table 17.

ers

enever poscounsel outeling such to be more

ning for caany did notsistent. Somrainers for tt presented

rs, duration Figure 12).

 

midwives wth of whichore sensitivy the knowl

e health por pregnant

home visits midwivesmenfident and

essary suppme of theme existing trpracticed. S

ssible they tside of theas becominopen in exp

adres in Not contain sme did not the test scohere.

and conten

  29

was their h lead to ve to the ledge at

ost (Pos women, to high-

entioned d able to port from m were raditions Some of

tried to e regular ng more pressing

ovember sufficient

provide ore were

nt of the

 

M&E REPOR

 

Figure 1 

Figure 1

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

RT  OF PKH PREST

10. Evaluati

11. Evaluati

3.5

38.6

57.8

Facilitation (n=339

6

62

31

Relevant

TASI PILOT PROJE

ion of IYCF

ion of IYCF

6

8

method 9)

Time 

6.5

2.4

1.2

t (n=340)

Insu

ECT, BREBES 

F trainers by

F training by

29.4

50.1

20.4

management(n=339)

Sufficient

0.6

17.8

59.2

22.5

Easy to imp(n=33

ufficient S

y cadres

y cadres

8.5

69.3

2.2

t  Managemeparticipa(n=342

t Good

8

2

5

plement 38)

In

ufficient G

ent of nts 2)

Motiv(

Very good

4.2

38

57.9

creases knowskills (n=33

Good Very

 

10

53.1

37

vational skills (n=341)

wledge & 37)

Time

y good

 

9.9

58.6

31.5

Achievemetraining go

(n=343)

0.6

28

54.5

17

e allocation (n

  30

ent oals )

n=336)

 

M&E REPOR

 

Figure 1

The cad

providin

much su

religiou

theothe

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

RT  OF PKH PREST

12. Evaluati

dres mentio

ng counselli

upported by

s points of v

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3.3

94.4

2.4

FacilitatioMethods(n=337)

TASI PILOT PROJE

ion of durat

ned a numb

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y other stak

view relate

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4.7

92.9

2.4

on s 

DemonstIYCF counskills (n=

ECT, BREBES 

tion IYCF tra

ber of stren

alth/nutritio

keholders, a

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beneficiaries

6

9

93

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ration nseling =338)

DemonBF (n

Too short

raining, by c

ngths, challe

on promotio

and the ava

such as birt

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62

3.2

0.3

nstration n=338)

DemCF pr

(n

Just right

cadres

enges, oppo

on to the be

ilability of v

th control w

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5.6

92.6

1.8

onstration reparation n=337)

CG

Too long

 

ortunities an

eneficiaries.

visual aids a

was also ver

number of 

7.4

9.7

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Completing rowth Chart (n=337)

 

nd threats i

. They felt v

and knowled

ry helpful. O

levels (

11.3

85.1

3.6

Field Trip 1 (n=335)

  31

n 

very 

dge on 

On 

 

M&E REPOR

 

Table 1therefortopics.

RT  OF PKH PREST

8). Those cre, achievin

TASI PILOT PROJE

challenges ng desired

ECT, BREBES 

prevented tresults, i.e

the counsee., increasin

ling sessionng mothers

 

ns from run’ understan

 

ning smootnding on th

  32

thly and, he given

 

M&E REPOR

 

Table 1Strength

Challen

Opportu

Threats

3. TraIn JunedissemiDecembtrained,village.Tapproprcompile

Accordiknowled

The mogained, applyingtaught tminimumhealthy informathe train

RT  OF PKH PREST

8. SWOT bhs

nges

unities

s

aining ofe and July inate healthber 2015. U although tThey were riate Quraned but not ye

ng to the dge on heal

ost significawhich then

g the messthem about m of four clifestyle, a

tion. The rening:

TASI PILOT PROJE

by cadres • Involvem• Other me

transfer t• Mothers • Availabil• Climate,

down, ins• Dealing w• Participa

to explai• Gap of k• Participa• Supporti

reproduc• Inclusion

control/pbrought u

• Outdoor • More ela• Regular • Advance

feeding • More ses• Involve lo• More act• Strong tr

certain fa

f Religio2015, a toth and nutrUnfortunatetraining repprovided w

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religious lth and nutr

nt change fn increased sages and schild health

check-ups dand nutritioueligious lead

ECT, BREBES 

ment of healtheeting platforto occur who bring thity of mothergeographicasufficient trawith non-PKH

ation of non-Pn the subject

knowledge anants’ tardinesng visual tooced for more n of religious planning to suup gathering to

aborative exprefresher tra

ed training on

ssions on facocal governmtive involvemraditional prinamilies to ch

ous leadtal of 137 rrition messely, no dataports mentiowith basic

and hadithsed among th

leaders whrition and th

felt by the rtheir intere

spreading th from befoduring pregus complemders mentio

h practitionerrms such as

heir children trs who work al challengesining supporH families PKH participats nd understanss ols such as veffective edupoints of vie

upport facilita

make the seplanation on aining sessionn early initiati

cilitation and ment officialsment from thenciples hampange their be

ers religious le

sages in tha are availaon a requirknowledge

(traditions)hese religio

ho were ineir credibilit

religious leaest and chathem to there birth to twnancy, IMD

mentary foooned the fol

rs, heads of social gathe

to the gatherduring the das and technicrting facilities

ants resulted

nding betwee

videos and leucation

ew on certainators’ argum

essions morechildhood disns ion of breast

consultations as facilitatoe health pracper the effortehaviour

aders, maleheir sermonable on therement of te on health). A book wus leaders

nterviewed, ty to talk on

aders was tnged their o

eir own famwo years, a

D, exclusiveods), and wlowing new

 

village, religierings have a

rings ay cal challenges)

d in additiona

en the benefi

eaflets to be a

n topics suchents should

e interesting seases

tfeeding and

n skills ors of the traictitioners ts of the facil

e and femans, with ree number otwo men anh and nutriwith Friday at the time

the trainin these subj

the increasown behavi

milies and frand ways to e breastfeedwhat to do tw information

 

ious leaders allowed know

es (e.g., pow

al time for fac

iciaries

added and/o

h as birth these issues

complement

ning

itators to con

ale were traefresher traof men and nd two womition, and wsermons hof the evalu

ng improvejects.

sed knowlediour as theyriends. The prevent stu

ding, immuto disseminn they learn

  33

wledge

er shut

cilitators

r

s be

tary

nvince

ained to aining in

women men per with the as been uation.

ed their

dge they y started

training unting (a nisation, nate this ned from

 

M&E REPOR

 

Babito 2 y

Babichild

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Besidesthat the(religiouuseful to

The relisession Trai Som

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4. TraTraining2015 (6indicate

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RT  OF PKH PREST

es from 0 toyears; es from 0 tren in the lo

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igious leadens: ners spoke

me topics wtrainers, or

ufficient supuse in expl

aining ofgs for citize68 participane whether so

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Journalists Role of jourArticle writinCommunicaPhotographBasic prog

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TASI PILOT PROJE

o 6 months

to 6 monthsong run (20zinc, calciumg and how

igence is a.

new knowlencourageds) related their own fam

ers mention

e too fast, mere difficult the limited

pporting poilaining som

f Citizenen journalistnts) and 27ome particip

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Code of Etrnalists ng techniquation technihy techniquegram knowlelusive breasgnancy nutrition nting

ECT, BREBES 

should be

s should no-30 years lam, folic acidit happens,

affected by

ledge to shd them to to health inmilies.

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making the p to digest dtime for monts taken fre topics to

n Journats from ma

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ot be fed soater); d, colostrum, which mos

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nformation o

ey faced a

participants due to theirore detailedrom the Qutheir followe

alists ny different

ary 2016 (52d both traini

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exclusively,

olid foods to

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number of

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and continu

o avoid adv

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rs, the religQuranic ve

ey also fou

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understand, the use of diths that th

nds were hents). No dat

 

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heard abou

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gious leadererses and

und the info

during the

d f technical t

he religious

eld on 3-4 a are availa

  34

tfeed up

ts to the

ut before

in their

rs found hadiths

ormation

training

terms by

s leaders

October able that

 

M&E REPOR

 

The citparticipa

Incr Incr Imp Ben

The traHaving commubehavio

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5. ImEach PKthey wemonthlyneeds oposyandmateria

The tasnutritionand conutrition13, take

RT  OF PKH PREST

izen journaation in the

eased confeased knowroved know

neficiaries’ in

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nities in inour changes

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ain challengand the laction becaus

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TASI PILOT PROJE

alists mentjournalism

fidence in dwledge on owledge on joncreased aw

ed increase rnalistic skilnteresting s within the

oved the jouin their be

ng an interes. They aded the know

es faced byck of suppose they are

tation ofsi Facilitatored to subm PKH facil

s and reminmeetings wee discussed

PKH Facilof young cs of theseby perform

ning module

ECT, BREBES 

ioned the training:

isseminatinobjectives, aournalism wareness o

their awarlls, participaand informcommunity

urnalists’ coehaviour, sest in socia

dopted the wledge to th

y the journaort from thenot conside

f FDS grr coordinate

mit reports itators disc

nded pregnaere also usd in the prev

itators, accchildren ande nutritionaming the mae of PKH Fa

following s

g informatioactivities, ta

on the issue

reness of thants felt be

mative wayy.

onfidence isuch as real issues, aknowledge

heir family m

alists includee local goveered “real jo

roup meed an averaon the gro

cussed releant women sed to refrvious meetin

cording to d pregnantl problems

andatory acacilitators).

significant c

on to the coargets of the

e of PHBS a

he social petterequippeys, which i

n developinegularly cheand being m

and acquimembers.

e their lack ernment to aournalists”.

eetings ge of 15 gro

oup meetingevant topics

and lactatiresh the mngs.

their traininwomen, e

s, and motctivities for P

 

changes as

ommunity vie PKH Pres

and exclusiv

roblems in ed to relay in turn wo

ng good quecking relemore activeired behavi

of personaact as a res

oups (rangegs they fas based onng mothers

mothers’ und

ng module xplaining thtivating famPKH benefi

 

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a news artitasi program

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their comm the inform

ould accom

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l motivationsource and

e: 6-25 groucilitate. Dun the benes to regularlderstanding

include exhe possiblemilies to oviciaries (see

  35

of their

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munities. mation to mmodate

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n to write provide

ups) and ring the

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xplaining e causes vercome e Figure

 

M&E REPOR

 

Figure 1(Source

In preselearnedparticipa

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RT  OF PKH PREST

13. The rolee: training m

enting the in the FDants’ attenti

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TASI PILOT PROJE

e of the PKHmodule for P

topics, faciS and soft ion and ma

DS sessionsessions we

ors, they algatherings wreports wet reports, or

ECT, BREBES 

H FacilitatorPKH Prestas

ilitators appskills train

king the ma

ns were onere not conl claimed twith PKH re not avair the reports

r si Facilitato

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aterials easi

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breaking te been helprstand.

facilitators, However, dumonthly Fa

y, it is not id not condr other reas

 

echniques thpful in retai

and thoseuring the inamily Deveclear whe

duct any msons.

  36

hat they ning the

e reports terviews

elopment ther the

meetings,

 

M&E REPOR

 

Table 1

RT  OF PKH PREST

9 displays i

TASI PILOT PROJE

nformation

ECT, BREBES 

 from thesee available rreports only

 

y. 

 

  37

 

M&E REPOR

 

Table 1evaluati

First 100NutritionServicesSafe delcare ExclusivIYCF froHealthy ChildhooUnidentiTotal #Facilitamonth Averagefacilitato

The avewhich msessionmanagethough group insupport

Figure 1

RT  OF PKH PREST

9. FDS sesion team)

Session

00 Days of Lin for PW* s for PW ivery and po

ve breastfeedom 6 months lifestyle* od disease* fied

ators reportin

e #sessions pr

erage nummeans thatn. The interve to fulfill allthat at leasn one sesst effective in

14. Buku Ib

TASI PILOT PROJE

ssions held

Aife*

ost natal

ding onward

g per

per

ber of sesst every moviewed facil their tasksst some of sion, with bnformation e

u Prestasi –

ECT, BREBES 

(source: rep

Aug Sep5

45 514 44

14

64 63

6.0 6.0

10.7 10.5

sions repornth, on avlitators indi

s. Anecdotathe facilita

beneficiariesexchange d

– Book for W

ports from 1

# 2015Oct No

5 4 4

4 51

3 55

0 5.0 5

5 11.0 12

rted by theerage four cated their

al Informatioators made s having touring the se

Women in P

19 facilitator

Sessions p

ov Dec J1

4

59 4 46

64 50

5.0 4.0

2.8 12.5

se facilitatogroups/facworkload w

on from PKHup for this stand outs

essions.

PKH Presta

 

rs that were

per month

Jan Feb 5 57 38 2

1 4

2 74 8

53 12 50

3 583 96

5.0 6.0

16.6 16.0

ors was 11cilitator did was too higH Prestasi fby combin

side. Obvio

si

 

e received b

2016 Mar Ap

5 68 3 15 2 3

4 3

7 9 8 2 10 0 60 5 15 6 183 1

0 17.0 1

0 10.8

.6 sessionsnot have

gh and theyfacilitators r

ning more tously, this d

  38

by

pr May22 1757 11

32

15

12 4

15 34 1515

159 90

6.0 8.0

9.9 11.3

s/month, an FDS

y did not revealed han one does not

 

M&E REPOR

 

AccordiIn realitmore of

A reviewfor use that is dwere divillages

Figure 1

RT  OF PKH PREST

ng to MoSAty this is noften than no

w of the maby the wom

difficult and stributed to due to insu

15. Example

TASI PILOT PROJE

A, it is manot feasible, ot the sessio

aterials usemen (Buku I

uses long so PKH Presufficient num

e of the me

ECT, BREBES 

datory for ebecause it

ons are held

d during thebu Prestasisentences ttasi particip

mbers of av

ssages for

every FDS t takes too d outside th

ese sessioni -Figure 14that are harpants for thvailable boo

one session

session to much time

he health wo

ns showed 4) contain tord to undersem to use ks.

n in "Buku I

 

have a heae from the horkers’ work

that especioo many mestand (Figuras a guide,

Ibu Prestas

 

alth worker health workking hours.

ally the FDessages, in re 15).Thes, although n

si"

  39

present. kers and

S books wording

se books not in all

 

M&E REPOR

 

By the eDoH Brvillagesnor con

Table 2interven

Area

Inter-vention

Contro

For instseven vsessionservicesevaluatilonger p

RT  OF PKH PREST

end of Junerebes, whic, but also itrol villages

20. Health wntion (blue)

Pusk

n

BulakaSidamSiwuluWanasKetangKlikiranJatibar

ol

Banjar

Cikaka

WinduPaguy

Kaliwa

JatirokKaligaBanduLuwunKemurWetan

tance, in thvillages durins. The facs, but also ion period, possible to a

TASI PILOT PROJE

e, after the h shows thn the contr

s for this eva

workers atteareas

kesmas

amba ulya

uh sari ggungan n rang rharjo

ak

aji angan

adas

keh ngsa ngsari

nggede rang

he working ing the mon

ct that not specific acmakes it im

attribute an

ECT, BREBES 

actual dataat FDS sesol villages (aluation) (T

nding FDS

# Villages N

1 1 1 1 7

10

1 2

2

1 1

area of thenths of Januonly generctivities sucmpossible ty changes t

a collection ssions were(as well as

Table 20).

sessions: m

# FDS sNov15

Des15

1

e Banjarharuary and Feral activitiech as FDSto interpret to the interv

was finishee not only ta

in villages

more active

sessionsJan16

Feb16

00 1 0 10 0 1 113

13

10

10

1 12 2

6

2 0 0 0 0

rjo Puskesmebruary 201s such as

S sessions the results

ventions.

 

ed, a reportaking placethat were

in control (p

b

Excl BF Excl BF GrowthHealthyExcl BFHealth Health Deliveryperiod, Life, MaHealthyDeliveryPW, FirMaternaCompleHealthyFirst 10Deliveryperiod, First 10Healthyof babieFeedingBreastfFirst 10

mas one he16, to atten

counselingwere taking

s of the eva

 

was receive in the inteneither inte

(pink) than i

Topic

F, Early Initia

F

and developy Lifestyle F, Compl Feeservices babservices PWy and post-nFirst 1000 D

aternal nutrity Lifestyle y, Health serrst 1000 Dayal nutrition, ementary Fey Lifestyle, D000 Days of Ly and post-nExcl BF

000 Days of Ly Lifestyle, Wes, Complemg, Excl BF feeding 000 Days of L

ealth worked a total of

g and otheg place dualuation, as

  40

ved from ervention ervention

in

ation

pment

eding, bies,

W, natal Days of tion,

rvices ys of Life,

eding Delivery Life,

natal

Life, Weighing mentary

Life

er visited 26 FDS

er health uring the s it is no

 

M&E REPOR

 

Accordireportin6.3% (nover the

Figure 1

The totawere renumberSimilarlychildrencannot

Accordithe monhygieneSome Padopt binfants a

1

2

3

4

5

6

7

8

9

Number of PKH W

omen Goups

RT  OF PKH PREST

ng to the nng facilitatorn=14) of PKe course of

16. Number

al numbers eported for fr of individuy, there wa

n under thrbe deducte

ng to the Pnthly FDS ge, pregnancPKH Prestabecause theand young

2

0

10

20

30

40

50

60

70

80

90

0

TASI PILOT PROJE

nineteen rers conducte

KH women gsix months

r of meeting

of participafour subdisuals, as oneas no breakree. Therefod from thes

PKH Prestagatherings tcy control, asi facilitatoey found it children.

33

1

ECT, BREBES 

eports, not ed a monthlgroups held

(n=83; 37.4

gs held per

ants in the tricts only (e woman m

kdown to diore, the acse data.

asi facilitatorthey adopteearly initiatrs said thatcomplicated

59

2

one of they meeting five meetin

4%) (Figure

PKH Wome

PKH wome(Table 21). might attendstinguish be

ctual covera

rs, mothersed some oftion of breat IYCF wasd or not pra

83

3

Number of m

e 222PKH Wevery mont

ngs, while the 16).

en’s Group

en group meIt was not d all, someetween preage of the

s have sharf the desireastfeeding, s the most actical to p

31

4

meetings

 

Women Grth for the pahe median w

eetings in tpossible to

e or only onegnant wom

meetings a

red with theed behaviors

and excluschallengingrovide bala

14

5

 

roups facilitast 6 monthwas three m

the past sixobtain data

ne of the smen and mo

and the me

em that becs such as psive breast

g for the famanced food

4

0

6

  41

tated by hs. Only

meetings

x months a on the essions.

others of essages

cause of personal tfeeding. milies to for their

 

M&E REPOR

 

Table 2facilitato

Sub

BulakaJatibaraKetangTonjongWanas

T

During their pethan olconvincHowevevisits th

Followinthe behtheir owof the b

One of attendewere pr25.6%).months nutritionsame pmeetingnot stuseekingmajority

Text b

M M M Pr

at Pr Be Fa

RT  OF PKH PREST

21. Number ors in 4 sub

district

mba ang gungan g ari

Total

qualitative ersonal obsder mothe

ce. These fer, the facilis improved

ng implemeavior of the

wn families. enefits of p

the quantitad FDS meeregnant, 4.7. About 90and the m

n. Almost apercentage gs. At least nted, such

g ANC and y know how

box: Significa

Mothers adopMothers give eMothers prepa

regnant womttendant (TBAregnant womeneficiaries macilitators are

TASI PILOT PROJE

of participabdistricts onl

Dec 925

- - - -

925

interviews, servation, yrs. In partfamilies tenitators found the familie

entation of te beneficiari

Facilitatorserforming th

ative monitoetings (48.87% lactating% of these

most coverell (97.7%) ostated she

half of the as feedinliving a he

w to ensure

ant changes

t early initiatexclusive breare nutritiousmen have regA/dukun);

men are awarmove past me confident in

ECT, BREBES 

ants in PKH ly)

Jan 1,053

- - - -

1,053

some PKHounger moticular faminded to refnd that if thees’ health ca

the FDS seies, especias believe thhe healthy b

oring report8% were mg mothers e women hed topics wof the interve ws morewomen coug it a nutrealthy lifeshealthy pre

noted by PH

ion of breasteastfeeding;s meals for thgular check-

re about nutrmyths and tran transferring

group mee

MonthFeb

1,090 2- - - -

1,090 3

H Prestasi faothers werelies with sfrain from ey gave peare seeking

essions, theally those frat these chbehavior.

ts provided mothers of and no info

had attendeere stuntingviewed wome likely to uld mentionritious and tyle, takingenatal grow

HK Facilitator

tfeeding;

heir children;-ups at a hea

ritious mealsaditional belieg their knowl

etings during

hMar A

2,665 2330 260

- 180

3,435 3

acilitators h more incli

strongtraditiseeking he

ersistent supg behavior.

e facilitatorsrom underprhanges stem

details of ichildren lesormation waed at least g and the Fmen found attend pos ways to enbalanced

g vitamins awth: taking

rs after imple

; alth facility in

s and vitaminefs; ledge to ben

 

g the past 6

Apr M2,504 1,324

- -

180 1

3,008 1,

however notned to chaonal beliefealth care pport and m

s noted sigrivileged famm from a be

nterviews wss than twoas availabletwice in th

First 1000 the messa

syandu becnsure their cdiet, includand attendiIFA tablets

ementation o

nstead of wi

n intake;

eficiaries;

 

6 months (1

TMay ,525 9- - -

180

,705 1

ted that , bange their bfs were diffor trivial r

made regula

nificant chamilies, as wetter unders

with 43 womo years olde on the rehe precedindays and Mges useful cause of tchild is heading breasting posyanwas menti

f FDS

th a tradition

  42

9

Total

9,762 654 260

- 540

1,216

ased on behavior fficult to reasons. ar home

anges in well as in standing

men who d, 20.9% emaining ng three Maternal and the he FDS

althy and tfeeding, du. The oned by

nal birth

 

M&E REPOR

 

80% anfacilitato

6. DisInterestsermon(nyai) a2015, wreligious

The totaudiencattendethrough

The mawere mpreach their effincorpoamong women

Althougvery pomade o

Figure 1month

The reliwith thotheir cr

0

500

1000

1500

2000

2500

RT  OF PKH PREST

nd ANC by tors that kno

sseminatingly, althos given and

and 43% wewhich explas leaders re

tal number ce of 9924 d multiple s

h these serm

ajority of theen. While itto both me

forts on womrate the methe religiourather than

gh the religiossible that f the locatio

17. Number

igious leadeose commuedibility to

436

828

15

Jun J

TASI PILOT PROJE

three-quarteowledge and

ation of Nough 137 red the audieere men (kyains the abesumed the

of sermonpeople (F

sermons. Hmons is unk

e audiencet is not possen and wommen. It is noessages intus leaders,

n to men.

ous leadersthey sprea

on of the se

r of sermons

ers faced sunity membe

talk about

6681

586

2208

ul Aug

ECT, BREBES 

ers of the wd behavior i

Nutritioneligious lea

ence from 1yai). The insence of reir health an

ns deliveredigure 17).

However, thknown.

es for thesesible for a wmen. As it tot known wto Friday p, causing th

s were purpad the messrmons and

s with healt

some challeers who sti

health and

460

Sep Oc

2015

ser

women. Theimproved am

n Messaaders had 50 were re

nitial contraeports in S

nd nutrition s

d ranged fIt should b

he number

e sermons (woman to pturned out,

whether this prayers (solhem to prio

posively sesages in cotherefore th

th and nutrit

enges, espell hold tradd nutrition,

470

1980

ct Nov

rmons aud

se findings mong PKH

ges by Rbeen traine

eceived. Amact with NU September. sermons (6

from one tobe noted, thof distinct i

(96%) conspreach to m

the male rwas due toely attendeoritize heal

lected fromontrol villaghis cannot b

tion messag

ecially in theitional beliebut this im

47

10

1853

366

Dec Jan 

dience

 

support thePrestasi be

Religioued, reports

mong these,expired at When ask

3% women

o 81 per mhat it is likindividuals

sisted of woen, male rereligious leao a lack of ged by men)th and nut

m the intervees as well.

be verified.

ges, and the

e beginningefs and thomproved ov

10

6 303

Feb

2016

 

e claims of teneficiaries.

us leadeon the nu 57% werethe end of

ked to conti and 37% m

month, withkely many o

who were

omen and eligious leadaders also guidance on) or to gendtrition mess

ention villag. No record

e audience,

g, includingse who quever time. T

10 1

440300

Mar Apr

6

  43

the PKH .

rs mber of

e women f August inue, 56 men).

h a total of these reached

only 4% ders can focused

n how to der bias sages to

ges, it is ding was

, by

dealing estioned

They felt

0102030405060708090

 

M&E REPOR

 

supportmessag

During said, thmessagthrough

In line wthe chawhat thfollowin

More Youn

mont Preg Colo Incre More

inclu

Table 2

Challenencount

Factorspromotihealthy

RT  OF PKH PREST

ted by otheges (Table 2

FGDs withey trust the

ges delivereh the health

with these fanges in thee most signg:

e mothers gnger motheths old;

gnant womestrum was

eased awaree women pding handw

22. Challeng

nges tered

enhancingon of behavior

TASI PILOT PROJE

er stakehold22).

beneficiareir religioused through system.

findings, their behavionificant cha

gave exclusirs informed

en took vitamnot discardeness aboupracticed awashing with

ges and Sup Com

parebrea

Somto cothe

Thenewfollo

Per The The

acc

Sup Sup

the Pos

lead Sim You

thei Trad Hea

mes

ECT, BREBES 

ders and yo

ies, some s leader mothe sermon

e religious or after the nges were,

ive breastfed their paren

mins and ated but fed t

ut disease pa healthy lih soap, prop

pporting Fammunity meents who astfeeding. me communiconvey messer communitye older memwborns shouows hadith rceived ‘advee mispercepte conviction cept it

pport from LKpportive PKHsermons;

syandu cadrders’ messag

milar informatunger generir parents; ditional markads of Fatayssages on he

ounger com

of the partore than hens were mo

leaders alsimplement they ment

eeding; nts of the ris

te nutritiousto the newbprevention, aifestyle (Peper waste d

ctors for Rembers questsaid their

ity members sages relatedy members wmbers of th

uld be given

erse effects’ oion that nutrithat whatev

KNU in the foH facilitators

res and villges; tion on mediaations who

kets that sell yat or Majelisealth and nu

mmunity me

icipants whalth workerore easily a

so reported ation of theioned, besi

sks of givin

food; borns; as treatmenerilaku Hidudisposal, an

eligious Leationing the r

babies a

questionedd to health -who did not she commun dates or b

of breast militious food isver happens

orm of materwho are w

age midwiv

a such as telsupport by

ingredients s who suppotrition into th

 

embers in

ho had atters. So the haccepted th

that womee PKH Predes increas

ng solid food

nt can be coup Bersih

nd using latr

aders recommendaare healthy

the credibilitdespite the

share similarnity who stranana, sayi

k, such as ms costly

is God’s w

rials; illing to acco

ves who rei

evisions; disseminatin

for nutritiousort the religieir sermons

 

disseminati

ended the shealth and han those d

en had told stasi. Whesed knowle

d to babies

ostly; dan Sehat

rines for def

ations, such without e

ty of religiousrespect ear

r opinions; rongly belieng that this

more watery s

will, so peopl

ompany the

inforce the

ng the mes

s food; ous leaders

  44

ing their

sermons nutrition

delivered

them of n asked dge, the

under 6

t/PHBS), fecation

as some exclusive

s leaders rned from

ved that tradition

stools

e should

m during

religious

sages to

to insert

 

M&E REPOR

 

7. PuOver thactivitieconduct24, Taadminisvillage a

Not all publisheBulakam

RT  OF PKH PREST

blicationhe course s such as ted in the vble 25). T

stration stafannouncem

trained joued a total mba subdist

TASI PILOT PROJE

ns by Ciof their invtrainings, dillages. The

The responff mentione

ment boards

rnalists wer5-10 artic

tricts had th

ECT, BREBES 

tizen Jovolvement

distributing ey wrote artnses to thed they acc.

re equally acles/month,he most act

ournalistin the proleaflets to ticles and peir activitie

cess the art

active, with, except foive journalis

s ogram, citizreligious le

posted themes so far ticles, print

between sor Januarysts – and th

 

zen journaliaders, and

m on websitehave beenthem, and

seven and y (Table 2he most artic

 

ists participreporting a

es (Table 2n positive.

d post them

ten journal24). Wanascles publish

  45

pated in activities 3, Table

Village m on the

ists who sari and hed.

 

M&E REPOR

 

Table 2

WanasaKetanggTonjong BulakamJatibaran

Table 2

WanasaKetangTonjongBulakamJatibara

Seven wHoweve(Larangcontrol a

Table 2

celotehwcelotehbcelotehkcelotehjceloteht

celotehl

celotehp

 While oinformamotherscomputeeducatinimplemeprogram

RT  OF PKH PREST

23. Trained j

Oc

ri 17 gungan 8

9 mba 11 ng 7

24. Numbers

ari gungan g mba ang

websites wer, one covgan) and onarea for this

25. Websites

wanasari.cobulakamba.ketanggungjatibarang.ctonjong.com

larangan.co

paguyanga

originally thtion for thes access ther. Thus, thng the masentation of

m implemen

TASI PILOT PROJE

journalists a# Trained journalists

ct 15 Feb

20 7 22 14 5

s of articles

Oct 15 N4 - 3 2 -

were createvered a sube was focuss evaluation

s used byci

S

om 0

.com 0

gan.com 0

com 1

m 1

om U

n.com U

he purposee beneficiahe internet he activitiesses. The ar

f the PKH ntation, rath

ECT, BREBES 

and active j

s

b 16 Oct 15

4 - 3 2 -

posted by

Nov 1514- 5-

d for PKH b district thsed on a sun.

itizen journa

Start date

09.09.201509.09.201507.08.2015

2.10.20152.11.2015

Unknown

Unknown

e of involviries of PKthrough a s

s of the jourticles writtePrestasi per than prom

journalists

# J

Nov 15

1 4 - 5 -

citizen journ# Artic

Jan 162- 1- -

Prestasi, eat was sup

ub district th

alist and vis

Area

InterventionInterventionInterventionInterventionIntervention

Control

Non-evaluated

ing citizen H Prestasismartphone

urnalists canen and publprogram, inmoting the

Journalists p

Jan 16

F

2 4- 41 1- - - 1

nalists cles publisheFeb 16

441- 1

each to copposed to bhat was neit

sitor number

Jan

n 10 n 5 n 5 n 5 n 2

no data no

data

journalists, the survee and 0.5%n be seen lished by thcluding thekey messag

 

publishing a

Feb 16

Ma16

1 2 2 3 -

edMar 16

1223-

ver a sub be a controther a PKH

rs

Feb M

30 140 130 150 130 5no

data n

dano

data n

da

was to iney showed

% through arather as a

he journaliste changes ges.

 

articles

ar 6

Apr 16

3 1 1 4 1

Apr 16 3 1 1 4 1

district (Taol area for Prestasi ar

Mar Apr

50 200 00 100 50 100 20 800 50 150 no ata

no data

no ata

no data

ncrease acthat only

a laptop or a watchdog ts tend to reresulting f

  46

May 16

5 - - 2 -

May 165--2-

able 25). the pilot ea nor a

May

513 246 100 952 6 no

data no

data

ccess to 6.7% of desktop than as

eport the from the

 

M&E REPOR

 

The sawebsitethe accu

Annex 8

The citiJournalcommuconvinc“informa

Table 2Strength

Challen

Opportu

Threats

8. CoHealth wmothers2016) Tearly inchildhoointerventhese chave coareas.

Table 2topic in

Area

Interve

RT  OF PKH PREST

me report e. Savica wauracyof thes

8 provides m

izen journaists Associnity, but th

ced of their al journalists

26. Citizen johs

nges

unities

s

ounselingworkers of s and pregnThe topics iitiation of bod disease ntion areas counseling sontributed to

27. Numbersintervention

as He

ention Bula

TASI PILOT PROJE

from UNICas not ablese numbers

more details

alists felt hiiation, whohey still faccompetencs” without a

ournalists' S• Assistan

journalis• The Indo

Indonesi• Beneficia• Lack of c

Health, S• Limited k

and the n• Official ID• Guideline• In-depth • Guideline• Add mor

informan• Lack of r

g Puskesmas

nant womenincluded brbreastfeedin

and health(blue in th

sessions do the lack o

s of informan (blue) and

alth Center

akamba

ECT, BREBES 

CEF mentioe to verify ths, as the rep

s on the art

ighly suppo appreciate

ced the chae as journa

any support

SWOT analyce from the vm to their vil

onesian Jouria) acknowlearies and (sucoordination Social Affairsknowledge oneed to explaD cards es about citiztraining on c

es on pregnare tips on jounts and relay readers

s, especialln. (Table 27reastfeedingng, how to hy lifestyle.he table) anisseminated

of difference

ation sessiod control are

r # In

PW

306

oned the nhis informatport seems

icles publis

orted by vied their coallenges of alists,and la

from forma

ysis village adminlagers nalists Assocdged their ex

ub)district offbetween villa

s, Education n citizen jourain about citi

zen journaliscitizen journaancy and brernalism suchinformation

ly nutritionis7 provides ag (BF), comuse the MC These cou

nd in the cod informatioe in knowle

ns/counselieas (pink)

nformation s

PN

51

numbers of tion, and thto show rou

hed by citiz

llage adminontribution t

distrust ofck of coord

al organizati

nistration in t

ciation (PWI xistence by pficials agreedage administand Bappedrnalism in theizen journalis

sm alism eastfeeding h as how to tin a correct w

sts and midan example mplementaryCH book, munseling seontrol areason in the cdge betwee

ing by healt

sessions/Co

Inf CU

234 3

 

f visitors pehere are somunded num

zen journalis

nistrators ato channel f some peoination dueions(Table

the form of e

– Persatuanproviding offid to be resoutration and da e communitysts to every n

reat confidenway

dwives provof counseli

y feeding (Cmaternal nuessions wers (pink in thcontrol areaen the inter

th center, ta

ounseling

U2 Tota

331 92

 

er month fme concernbers.

sts.

and the Indthe voices

ople who we to their pos26).

explaining citi

n Wartawan icial ID cards

urces for theidistrict offices

y resulting in news resour

ntiality, respe

vided counsng done in CF), balanctrition, malnre held bothe table). B

a as well, trvention and

arget group

Tol

22 BF, CF

  47

for each ns about

donesian s of the were not sition as

izen

s r articles s of

distrust ce

ect

seling to January

ced diet, nutrition, th in the Because this may d control

and

opic

 

M&E REPOR

 

Contro

(PW=pretwo year

9. ReAs part submit also asmessag

The datSMS-Rebeginnin

RT  OF PKH PREST

SiwuJatibKlikiKetaTonj

Sida

Wan

ol

Banj

Band

Bant

Buar

Kalig

Pem

Kaliw

Pagu

Wind

Bent

Sale

Jatiregnant womers old, BF=br

eporting of the PKHthree types

sked to repge (SMS).

ta Savica reeporting. Ang of the m

TASI PILOT PROJE

uluh barang ran

anggungan jong

amulya

nasari

jarharjo

dungsari

tarkawung

ran

gangsa

maron

wadas

uyangan

duaji

tar

em

rokeh en, PN=postreastfeeding,

by PKHH Prestasi ps of reportsport by ema

eceived waAn introducmonth infor

ECT, BREBES 

266 79 29 10 75

125

177

200

14

133

7

22

47

24

40

18

3

296

326 tnatal women, CF=comple

H Facilitapilot, the Fa. In additioail on the

as a first moctory SMS rming them

94 29 8

90 0

73

119

0

1

69

1

0

2

0

36

17

3

51 9

82 3n, Inf=motherementary fee

ators cilitators in n to the staFDS sessio

onth (Januawas sent

about the S

126 354 23 0

201 1

104 8

5 1

0

1

725 10

8

0

44 25

0 15

42 62

20 21

3 2

98 258

60 355rs of infants,

eding)

the interveandard hardons they fa

ary 2016) tto all PKH

SMS-report

 

358 8454 2120 82 10

197 41

808 111

118 41

0 20

2 1

031 195

16 3

0 2

5 118

5 39

2 180

1 76

11

8 703

5 1123 CU2=mothe

ntion villaged copy PKHacilitated, a

rial utilizatioH Prestasi ting initiatio

 

44 BF, CF 6 BF, CF

80 BF, CF 02 Balance

7 BF, CF

0 Early inBF, CF,book

9 BF, CF

00 Early inBF, CF,book,

8 BF, Matnutrition

58 BF

32 BF, CF,Maternanutrition

22 BF, CF,initiationMalnutrBF, CF BF, CF,ChildhodiseaseBF, CF,initiationMalnutrEarly initiationCompl FMCH boBF, CF HealthylifestyleinitiationBF, CF

ers of childre

es were reqH report, thas well as

on of the Rfacilitators

on. Blast S

  48

ed diet

itiation, , MCH

itiation, , MCH

ternal n

, al n , Early n, rition

, ood e , Early n, rition

n, BF, Food, ook

y , Early n

en under

quired to ey were per text

RapidPro s in the MS was

 

M&E REPOR

 

sent on in Decesessionmiddle re-sendmade towould h

The Radid not oneanswthe que

The Ranumbergroups)e-mail, leading indicate

Figure 1month ( UNICEF56% of simple, followin

1. 2.

q3.

0

50

100

150

200

250

300

RT  OF PKH PREST

10 Januaryember. The ns a ttheir cof the mont the SMS t

o call or direhave interfer

pidPro docrespond a

wer, of whostions.

apidPro datar of session). However, which mighto a high

ed that the m

18. Number(source: Avi

F evaluatedthese prefeeffective ag barriers fo

Lack of resFour questquestions Costly for th

201

83

Jan

TASI PILOT PROJE

y to 47 facilline was op

convenienceth. Followinto PKH Preectly ask thred with the

umented 45at all to theom only eig

a show an ns per monthere was

ht be due toher numbermost commo

r of total sesita Usfar)

d the trial wered the SMnd efficientor the SMS

ponse on thtions are a

he facilitato

247

9

Feb

ECT, BREBES 

itators, invitpen for 30 de. Informating data feedstasi facilita

he PKH Pree trial evalua

5 out of47 Pe SMS. Theght (20%) r

average renth was 210a discrepan

o the fact thr of sessioon session

ssions repo

with the facMS system. t. However, system:

heir report;asked per g

rs so they n

22

96

b

ting them todays, allowon on “howding from Rators who e

estasi facilitaation.

PKH Prestae vast majoresponded w

esponse rate0 or four Fncy in the nhat more faons reportewas numbe

orted by PKH

cilitators. OThe reason, those who

group, so o

need additio

21

183

Mar

SMS Em

o report the ing PKH Pr

w to answerRapidPro, sencounteredators to com

asi facilitatoority (40 fawith comple

e of 69% oFDS per facnumber of scilitators re

ed (Figure er 8 (childho

H facilitator

nly 17 facilns they gaveo chose the

one facilitat

onal financia

148159

Apr

mail

 

FDS sessiorestasi facilr the SMS” everal attemd problemsmplete the r

ors (96%). Facilitators (8ete and cor

of the facilitacilitator per essions repported usin18). Both

ood illness)

rs using SM

litators (36%e were that e email sys

tor has to

al support

234

90

May

 

ons they coitators to rewas re-sen

mpts were . No attempreport beca

Five of thes89%) gave rrect answe

ators. The month (36

ported via Sng SMS tha

reporting ).

MS and ema

%) respondit is more ptem mentio

answer do

210

0

Aver

  49

onducted eport the nt in the made to pts were

ause that

se (11%) at least

ers to all

average 6% of all SMS and an email, systems

il, by

ded, and practical, oned the

ozens of

122

rage

 

M&E REPOR

 

4. (sou

During most ofsystem trial shothe facmultipleshould introducdata at fully undPrestas

Table 2Strength

Challen

Opportu

Threats

10. CAs one verticall

Coordintogethecooperalevel, asPKH Pr

When cobtained

a. NatiBappenMinistrieheld thrpilot forw

              9http://ww

RT  OF PKH PREST

Connectiviturce: Avita U

the intervief them cona burden a

owed that ocilitators’ coe-entry with

be reportection of the hand and t

derstand thsi Facilitator

28. SWOT bhs

nges

unities

s

Coordinaof the corey through th

nation is der properly

ation at all s well as verestasi is hig

considering d, based on

ional level nas functiones and othroughout thward.

                    ww.merriam‐webs

TASI PILOT PROJE

ty issues in Usfar report

ews for the sider SMS-

and confusionly 20% ofonfusion whhin one SMed one by SMS-reporthe SMS ar

hat they hadrs on the SM

by PKH Pres• Practical

• Facilitato• Not enou• Harmoni• Feedbac

mechani• Reports

as is the • Facilitato

therefore• Facilitato

ation e strategieshe system,

efined as thand well9

levels fromertically throghly depend

‘horizontal’n observatio

ns as the mer stakeho

he pilot and

                     ster.com/dictiona

ECT, BREBES 

remote arat)

M&E, the f-reporting png. The SMf the facilitahether the

MS (for instone or comting arrivedrrived outsidd 30 days toMS reporting

stasi Facilita, simple and

ors were not ugh socializazing suitable

ck on the repsm for the fafor PKH andcurrent situa

ors are comfoe less inclineors don’t hav

s of the PKHwas an imp

he process . In the ca national doough this sydent on goo

’ coordinatioon, interview

main coordlders are k

d this appea

ary/coordination

s.

facilitators wpractical, sMS-report trators answe

reporting ance activimbined in unexpectede office hoo respond. g system, a

ators d faster repor

ready for theation to facilite time of repoorts that hav

acilitators d PKH Prestaation ortable with td to use the

ve adequate

H Prestasi portant focu

of organizase of PKown to villaystem. An i

od coordinat

on at the diws and docu

dinator at tkept updatears to have

were again impler and rial results ser all of theshould be ties on 10one SMS).

edly when thours. This sTable 28 d

as obtained

rting

e change tators orting ve been subm

asi to be com

the current (pnew systemIT knowledge

pilot, coordus of the eva

zing peopleH Prestasi age level, aintegrated ation through

ifferent leveument revie

he nationaed and invoe played an

 

asked for tfaster, the

support thee questions

made usi, 11 and 1. The facilihey did not seems to inetails the othrough the

mitted as an

mbined, not s

paper) repor e

dination at aaluation.

or groups this includ

and even PKand complehout the sys

els, the folloew:

l level, ensolved. Regun important

 

their opinioe rest find te latter opin correctly, ving single-e2 Decemb

itators felt have the re

ndicate theyopinions of te monitoring

evaluation

ubmitted sep

rting system

all levels as

so that thdes cross-sKH women

ex program stem.

owing findin

suring the ular meetinrole in mo

  50

n. While the new ion. The verifying entry or

ber 2015 that the

equested y did not the PKH g.

parately

and are

s well as

ey work sectorial ’s group such as

ngs were

different gs were ving the

 

M&E REPOR

 

b. ProvWhethemonitordispleas

c. DistAt the occurrinsatisfiedindicate

The prefactor innationaflags ab

d. SubThe PKwell as the relathey aremeetingto meetor a mifacilitato

e. VillaWhile inmentionproblembenefitsare not villagers

f. SubThe PKgroups often inare deliv

g. “VerAs mencoordina

Some iand villastuntingcommu

h. InfoThe cochalleng

RT  OF PKH PREST

vincial leveler on purporing of thesure at the f

trict level district leve

ng in the fied with the ces a discrep

esence of an the overal stakehold

bout the sus

b-district levKH Prestasi

with the tetionship wite not beingg the headst with the heisunderstanor or the he

age level n general tned their prms with the s. Because

aware of s.

b-village leveKH Prestasto ensure r their own vered.

rtical” coordntioned, theation and c

ntervieweesage level sg is not solnity should

rmation maoordination ging. Repo

TASI PILOT PROJE

l se or not, t pilot. Profact that the

el there wald and to fincoordination

pancy betwe

a UNICEF Fall coordinaers. While

stainability o

el Facilitators

echnical stath the headsg updated. s of health ceads of hea

nding aboutalth center

there is gooroblems in htargeting athe village the exact s

el i Facilitatorregular meehomes, and

dination e UNICEF ommunicat

s at the natakeholderslely a probwork togeth

anagement aand integrrts come in

ECT, BREBES 

the Provincovincial gove Province w

as adequatnd solutionsn, both at teen the dist

Field Coordiation, both this means

of the progr

have built aff (midwives of the heaThis could

centers becalth centerst who exacstaff.

od communhaving to faand selectinleaders we

selection cr

rs work togetings are hd the Facili

Field Cooion between

ational leves because tlem of the her on to ad

and commuration of ren late, are

cial level havernment swas bypass

e cross-secs for these. he district lrict and pro

inator is sewith the d

s the Coordam after UN

good relatioes and nutralth centers

either be cause they as and more ctly should

nication at ace social jng which hoere not invoriteria, it is

gether well eld. The leaitator facilita

ordinator plan the distric

l mentionedthose still hhealth dep

ddress.

unication eports andnot comple

as not beenstaff felt lesed.

ctorial coorGovernmenlevel as we

ovince level.

en by all inistrict, as w

dinator fulfillNICEF’s inv

onships withitionists) at could be imcaused by are very bucomfortablupdate the

the village ealousy am

ouseholds slved in the difficult for

with the leaders of theates the me

ayed a verct and the p

d challengehave problepartment, b

other souete, and th

 

n involved ineft out and

rdination tont staffs at tell as with t.

nterviewed awell as withled his role

volvement s

h the headsthe health

mproved, asfacilitators

usy, facilitatoe talking to

e head of h

level, sommong their vshould receselection pr them to e

eaders of te groups coeeting and

ry importanrovince and

es in involvems graspinbut rather a

urces of inhere is no s

 

n the desigd some ex

o discuss pthe district lthe province

as a very imh the provine well, it dostops.

s of Subdistcenters. H

s some of thhaving diff

ors feeling o the technichealth cente

me heads ovillagers. Theive PKH (Process, and

explain this

the PKH Wonvene the ensures me

nt role in ed national le

ving the subng the concan issue th

nformation system in

  51

n or the xpressed

problems level are e, which

mportant nce and es raise

tricts, as However, hem feel ficulty in daunted cal staff, er – the

of village here are Prestasi) d indeed

to their

Women’s women, essages

ensuring evels.

b-district cept that he entire

are still place to

 

M&E REPOR

 

integratwhat is which is

In addit

meeting

district 

RT  OF PKH PREST

te the informhappening

s not always

tion to the t

gs were hel

level (

TASI PILOT PROJE

mation. As ain the entir

s shared (in

three month

d up to thre

ECT, BREBES 

a result, notre programn a timely m

hly meeting

ee times pe

t one perso. Rather, ev

manner).

gs held at na

er year at th

on involved very stakeh

ational and 

e national l

 

in the pilot holder has i

district leve

level and tw

 

has an ovets own info

el, coordina

wice per yea

  52

erview of ormation,

ation 

ar at the 

 

M&E REPOR

 

Table 2

RT  OF PKH PREST

9).

TASI PILOT PROJE

ECT, BREBES     

  53

 

M&E REPOR

 

Table 2

NationaBappMoH

District: Bapp

PKH fanutrition(Puskesdone m

At the dcoordinathe PKHfamiliesoften if

The facthe heafacilitatocoordinathe hea

The coowas alsstakehocoordinaperceiveinvolvem

The villaof the PmeetingdiscussPosyanthe Pus

To datecolleaguupdatedcommuas they

The nuworkersof the nlevel inoffices o

RT  OF PKH PREST

29. Coordina

l: enas

eda

acilitators cnists, PKH Psmas), Nahainly throug

district leveation with v

H Prestasi Fs, or to sharnecessary.

cilitators usealth workersors couldnation for PKlth workers

ordination wso conducteolders were ation challeed to merement of the

age midwivPuskesmas,gs werehelded wereusdu and PHB

skesmas an

e, the coordues (villaged each othnication bedid not wor

utritionists cs, such as cnutritionists Novemberof Social Af

TASI PILOT PROJE

ation meetin

2012

Jun, Sep

coordinated Prestasi famhdlatul Ulamgh regular m

el, monthly village stakeFacilitatorslire experienc

ed the coors, to discusnotanswer KH facilitato, especially

with health ed regularlyoften occu

enges as tely benefit local stake

ves had reg midwife co

d once a mually relateBS. These d to discuss

dination ane midwives her on thetween midwrk closely to

coordinatedcoordinating

mentionedr-Decembeffairs and H

ECT, BREBES 

ngs, nationa

2013

May

Oct

with locamilies, midwma Health meetings, bo

coordinatioeholders isiked to exchces. This co

rdination anss problemsall the bors was sy

y in planning

practitioney. Unfortunpied with thhe main rethe beneficholders as

ular meetinoordinators,onth, but o

ed to mothmeetings ws solutions

d communand nutriti

e progress wife coordinogether.

and commg and villaged that they r 2015. Th

Health, head

al and distri

201

Jul, Aug

Se

l stakeholdwive coordinInstitution (oth formal a

on meeting done morehange informoordination

nd communs faced by eneficiaries

ynchronizingg group mee

ers, religiounately, this heir professieason behinciaries whilwell.

ngs at the P, nutritionist

others saidoher and chiwerealso usto any exist

ication betwonists) wasof the pro

nators with

municatede midwivesattended ae meeting

ds of sub dis

ict level

14

g, Oct

p

ders includnators, head(LKNU), anand informa

s werehelde often. Whmation on thwasdone a

nication withthe PKH m

s’ questiong their own etings.

s leaders acoordinatio

ional responnd the misle the main

Puskesmas ts, and otheonce a weeild health aed to updatting problem

ween the ms well mainogram. HoPKH facilit

with PKH , cadres an

a coordinatinwas attend

stricts and v

 

2015

May, Sep,

Jul, Oc

ing village d of commu

nd religious al.

d with stakehen meetinghe activitiesat least once

h the stakemothers/famns. The m

time sched

and local gon did not nsibilities. T

sunderstandn objectives

attended byer staff. Mosk or in two and other te the midwms.

midwife coontained, as wever, the

tators neede

Facilitatorsd heads of ng meetingded by stavillages, he

 

Dec

ct J

heads, munity health

leaders. T

eholders, wg fellow facs with PKH e a month,

eholders, esmilies, becamain challedules with

overnment come easy

The facilitatoding that Ps transcend

y doctors, tst midwivesweeks. Th

programs swives on act

ordinators athey assis

e coordinated to be im

s and othePuskesma

g at the subaff from theeads of Pus

  54

2016

Mar

Jan, Apr

midwives, centers

This was

while the cilitators, Prestasi or more

specially ause the enge in those of

officials y as the ors cited KH was d to the

he head s saidthe he topics such as tivities in

and their sted and tion and mproved,

r health s. Some b district e District kesmas,

 

M&E REPOR

 

coordinatopics dupdatinginterviewsub dist

Accordiwere gotext mesnot atterepresecoordinameet wdepend

RT  OF PKH PREST

ating and vdiscussed ing the databwees menttrict level to

ng to someood. The facssages or p

end a meetient them ination and cith them. Tent on indiv

TASI PILOT PROJE

village midwncluded an base of actoioned that discuss the

e nutritioniscilitators nophone calls ng due to c the meeticommunica

This indicateviduals invo

ECT, BREBES 

wives, PKHevaluation

ors, disbursthere was e program.

sts, the cooormally infor

or direct visconflicting sng. On the

ation lackinges that theolved.

H facilitatorsof the activ

sement of funo dedicate

ordination armed the scsits to the hschedules, te other hang, as the faquality of c

s, communvities and aunding, anded forum fo

and commuchedules of health centethey would nd, some oacilitators r

coordination

 

ity and relichievement

d distributionor PKH Pre

nication withe program

er. When thfind other

of the interrarely camen and comm

 

gious leadets of PKH Pn of Taburiaestasi actor

th PKH Fam activities e nutritionisPuskesmasrviewees foe to Puskesmunication

  55

ers. The Prestasi, a. Some rs at the

cilitators through

sts could s staff to ound the smas to is highly

 

M&E REPOR

 

RES

1. ChCharactpresentfor the f

The agegroups.were intinterviewrespondyoungebecausethe motand conmothersteenagebefore t

With regat endlin(p<0.00

The edintervencontrol g

More pinterven(20.3% with CUp<0.05)baseline

The quasignifica97.7% 96.7%, stuccoe40% of baseline

Significacomparto the cdecreashousehointervenwas als

RT  OF PKH PREST

ULTS 2

haracteriteristics of tted in Annefamilies with

e of the res It should bterviewed, wwed, whichdents at bar than 20 ye teenage pthers of yountrol groupss in the inters (p<0.00they are 20

gard to the ne compare

01).No differ

ducational ntion and cogroup at en

regnant wontion group in the inter

U3, more fa) owned thee (both 30%

ality of the antly (p<0.0in interventrespectivel

ed walls, a sthe floors i

e (p<0.001)

antly (p<0.red to baselcontrol groused from 4olds with

ntion group so a differen

TASI PILOT PROJE

2: SUR

istics of the pregnanx 9. The mh a CU3, an

pondents abe noted thwhereas at h is reflecaseline(p<0years, no ppregnancy ung childrens, respectivtervention g1 for both gyears old.

age of theed to baselirences were

level of pontrol groupndline were

omen repor and 45.3%rvention groamilies in te house th

% at BL p<0

housing ha001) larger tion and coy). At endlisignificant in the interv).

001) moreline in both p. The perc

44% at baspregnant w(p<0.001) a

nce in the c

ECT, BREBES 

RVEY

survey nt women aedian hous

nd this was

at endline what in the e

baseline, scted in a .001). Whilpregnant teis related tn, at baselinvely, were ygroup (0.5%groups). Thi

children, inne (p<0.00e found in th

pregnant wps, but lowebetter educ

rted owning% in the cooup and 25the control ey lived in,

0.001).

ad also impproportion

ontrol groune, more thincrease frovention grou

householdgroups, an

centage of hseline to 2women the and from 32cooking fue

respondand of the msehold size similar to th

was comparandline surv

sometimes nhigher perle at baseleenagers wo poor outcne 3.0% (nyounger tha%) and thres supports

n the interv5), while thehe sex ratio

women at er than at bcated than i

g the houseontrol group

5.8% in the group (39

, and more

proved at enof houses

p, respectivhan 70% of om less thaup had cera

ds had accnd – at endlhouseholds27% at end

improvem2.8% to 26.l: the use o

dents mothers of cwas five fo

he situation

able betweevey, only monot the mothrcentage oine, one in

were found comes for b=56) and 3

an twenty yeee (0.4%) ithe theory t

vention groue opposite w

o between b

endline waaseline (p<n the interv

e they livedp; not signcontrol gro.8%) than

e in either g

ndline comp had a tilevely) compthe houses

an 60% at bamic tiles co

cess to saline – in the with CU3 wdline in bo

ment was fr2% in the c

of LPG was

 

children undr the pregnat baseline

en the interothers of chher, but ano

of very youn eight pre

at endlineboth mother3.7% (n=70)ears, while n the contrthat fewerw

up this was was found

baseline and

as compar<0.001). Movention grou

d in at endificant) com

oup; p<0.00in interventgroup at en

pared to bad roof at e

pared to bas in the intebaseline (p<ompared to

afe drinkinge interventiowith no acc

oth groups rom 47.5%control grou more com

 

der three (Cant women

e.

rvention andhildren undother caregung and vgnant wom. This is imr and child.) in the inteat endline

rol group wwomen get p

significantlin the contrd endline.

rable betwethers of CU

up (p<0.001

dline (38.9%mpared to 01). Among tion group ndline comp

aseline. A sendline (97.aseline (94.ervention gr<0.001). Mo

o about a qu

g water at on group coess to a lat(p<0.001).

% to 23.1%up (p<0.001mon in inte

  56

CU3) are n and six

d control der three iver was very old

men was mportant . Among

ervention only six

were still pregnant

y higher rol group

een the U3 in the ).

% in the baseline families (34.2%;

pared to

small but .5% and 5% and

roup had ore than uarter at

endline ompared trine had

Among % in the

). There ervention

 

M&E REPOR

 

househocooking

2. KnKnowledas at bmade bcontrol discussthe tablif the knwas betthis is proportibaselineconsistebetter th

Table 3

No

1 M

PW

2 M

M

3 M

M

PW

PW

4 PW

5 PW

PW

6 PW

7 PW

8 M

9 PW

RT  OF PKH PREST

olds with Pg (p<0.001).

owledgedge of resp

baseline, altbetween ba

groups at ed in moree (p-valuesnowledge wtter in the inindicated wion of respoe, butthe dient. On a fehan of those

30. Knowled

R

others, Excl

W, Excl BF d

others, Early

others, Com

others, Vit A

others, Vit A

W, Vit A Cap

W, Vit A Cap

W, anemia

W, reason fo

W, 90 tabs IF

W, PNC 2x

W, benefits p

others, bene

W, benefits o

TASI PILOT PROJE

PW compar.

e of Benpondents (bthough not seline and endline. Ta

e detail belos) while the was better antervention with red, whondents hafferences bew topics, ke in the inte

dge of respo

Respondent

BF duration

duration

y Initiation

mpl Feeding

A Capsule (ag

A Capsule (fre

psule (age)

psule (freq)

or taking IFA

FA

posyandu

efits Taburia

of immunizat

ECT, BREBES 

ed to the c

neficiarieboth mother

all informaendline wh

able 30provow.The statdirection of

at endline cgroup comphile no diff

ad knowledgbetween theknowledge oervention gr

ondents on

t, topic

ge)

eq)

tion

control grou

es rs of CU3 aation was chen possiblvides an ovtistical signf the differe

compared topared to theference is ige of vario

e interventioof respondeoup.

various hea

In

<

<

N

N

<

N

<

<

N

<

<

<

<

N

N

up, 30% of

and PW) wacollected at e, and betwverview of ificance of nce is indico baseline, e control groindicated inus health t

on and contents in the c

alth topics (p

EL vs

ntervention

0.001

0.001

No BL data

No BL data

0.001

No BL data

0.001

0.001

NS

0.05

0.001

0.05

0.01

No BL data

NS

 

whom use

as assessedbaseline.

ween the inthe resultsthe differen

cated in coloor if the knoup. If the on yellow. Intopics at entrol groups control grou

(p-values)

. BL

Control

<0.001

<0.001

No BL

No BL

<0.001

No BL

<0.001

<0.05

NS

NS

<0.001

NS

NS

No BL

<0.05

 

ed wood or

d at endlineCompariso

ntervention , and eachnces is indiours. Greennowledge atopposite wan general, ndline compat endline wup was sign

InterventControl

<0.005

NS

<0.05

<0.005

<0.005

NS

NS

NS

NS

NS

<0.05

NS

NS

<0.001

NS

  57

coal for

e as well ns were and the

h item is cated in

n is used t endline as found, a larger pared to were not nificantly

tion vs. at EL

 

M&E REPOR

 

10 PW

PW

PW

11 PW

PW

PW

PW

PW

12 M

M

M

M

M

 

1. Kno

A higheintervenendline found apercentinterven

: BL : No : EL

RT  OF PKH PREST

W, health pro

W, danger si

W, danger si

W, Treatmen

W, Preventio

W, Signs of c

W, Cause of

W, Consequ

others, Trea

others, Prev

others, Sign

others, Caus

others, Cons

owledge o

er percentantion group

compared among the ptage of the ntion group

L better than o difference L better than

TASI PILOT PROJE

oblems preg

igns delivery

igns postnata

nt diarrhea

on VA deficie

childhood ma

f worm infect

ences of wo

atment diarrh

vention VA de

s of childhoo

se of worm in

sequences o

of mothers

age of boths had knowto baseline

pregnant wmothers of (p<0.005) (

EL / Contro

BL / Interve

ECT, BREBES 

nancy

y

al

ency

alnutrition

tion

rm infection

ea

eficiency

od malnutritio

nfection

of worm infec

s and PW

h mothers wledge of e (p<0.001)

women betwCU3 in the

(Figure 19).

l better than

ntion better t

<

<

N

N

N

N

<

N

N

N

on N

N

ction <

on the du

of CU3 anthe optima

). However,ween intervee control gro

Intervention

than Control

0.05

0.005

NS

NS

NS

NS

0.001

NS

NS

NS

NS

NS

0.01

ration of e

nd pregnanal duration at endline

ention and oup was kn

 

NS

NS

NS

NS

NS

<0.05

<0.005

<0.01

<0.001

<0.05

NS

NS

<0.05

exclusive

nt womeninof exclusiv, no significcontrol grou

nowledgeab

 

NS

NS

NS

NS

NS

<0.05

NS

NS

<0.001

<0.001

<0.05

NS

<0.001

breastfee

n both conve breastfeecant differenups, while a

ble compare

  58

eding

trol and eding at nce was a higher

ed to the

 

M&E REPOR

 

Figure 1

2. Knoidea

No baspresentthe conthat infagroup, amonths

0.010.020.030.040.050.060.070.080.090.0

100.0

0

20

40

60

80

100

RT  OF PKH PREST

19. Percent

owledge oal time to

seline data ted here. A ntrol group ants shouldand 59.9% of age (p<0

42.6

B

89.8

Early

TASI PILOT PROJE

tage of moth

of mothersstart com

were avaismall but s(92.8%) co

d be breastfin the cont

0.005) (Figu

45.6

BL

Moth

8 92.8

initiation

Interventi

ECT, BREBES 

hers who m

s of childrmplementa

lable for costatistically mpared to fed within otrol group kure 20).

81.58

EL

hers

Inter

5

Com

on Contr

mention optim

ren aged 0ry food

omparison,significant (the interve

one hour of knew that c

87.6

L

rvention C

53.759.9

plementary f

ol

mal duration

0-35 month

and there(p<0.05) hig

ention groupdelivery, w

complement

50.0 53

BL

Control

food

 

n of exclusi

hs on earl

efore only egher percenp (89.8%) cwhile 53.7%tary feeding

Figure 20. Pmothers of three with kearly initiaticomplemen

 

 

 

.1

PW

 

ive breastfe

ly initiatio

endline resntage of mocorrectly me

% in the integ shouldsta

Percentagechildren un

knowledge aion and ntary feedin

84.7 81.4

EL

  59

eeding

n and

sults are others in entioned

ervention art at six

e of nder about

ng

 

M&E REPOR

 

3. Knoand

At endliVAC, comotherschild is about 2controlgstart VAthe inte

The perwas 47.both groendline compar18.5%,

Figure 2who kno

Regardthe inteshould women group (4when oquestion(Figure

0102030405060708090

100

RT  OF PKH PREST

owledge od pregnant

ine, 92.6% ompared tos of childrenbetween 6-

20% at bagroup at enAC supplemrventiongro

rcentage of.8% and 47oups, a highcompared

red to 17.4%respectively

21. Percentow vitamin A

ing the freqervention grbe given twwho knew

48.8%). Bonly 34.7% in correctly 22).

Interven

tion

Basel

TASI PILOT PROJE

of Vitamin t women

of motherso 95.7% in n under thre-11 monthsseline to o

ndline who mentation is oup (p<0.00

f pregnant 7.7% in the her percentto baseline

% at baseliny (<0.001)

tage of mothA suppleme

quency of Vroup and 10wice yearly.

this ideal fth these pen the interv(p<0.001 f

Control

ine

Mothe

6‐1

ECT, BREBES 

A Capsul

s of childrenthe control ee who kne was highe

over 50% had heard 6-11 mont

5) (Figure 2

women at eintervention

tage of preg: in the intene, while in (Figure 21)

hers of childentation sho

VAC supple0.5% in theThere was

frequency iercentages, vention groufor the inte

Interven

tion

Endline

ers

11 months

e (VAC) s

n under thrarea (p<0

ew that VACr at endlineat endlineof VAC, 53hs, while th21).

endline whn and contrgnant womervention grothe control

).

dren under ould start w

ementation,e control grs no statisticn the intervhowever, w

up and 40.2ervention g

Control

e

wrong answ

upplemen

ree in the in.01; data nC suppleme

e for both in(p<0.001).

3.2% (n=10his was 50.7

o knew whrol group, reen could anoup 40.8% l group thes

three yearswhen the chi

at endlineroup did nocal differenvention growere signific2% in the coroup and p

Interven

tion

Baseline

P

wer don't 

 

ntation am

ntervention ot shown). entation sho

ntervention a Of the 75

03) knew th7% (n=138

en to first gespectively

nswer this qof women hse percenta

s old and prild is 6-11 m

e, 9.6% of pot know VAce betweenup (54.1%)cantly higheontrol groupp<0.05 for

Control

Pregnant wom

know

 

mong moth

area had hThe perce

ould start wand control55 mothers

hat the ideaof 1149 wo

give a child(not signifi

question corhad this knoages were 3

regnant wommonths old

pregnant wAC supplemn the perce) and in theer than at bp could ansthe contro

Interven

tion

Control

Endline

men

  60

hers

heard of ntage of

when the groups: s in the al age to omen) in

d a VAC cant). In rrectly at owledge, 39.5 and

men

omen in mentation

ntage of e control baseline, swer this l group)

Control

 

M&E REPOR

 

No basethe freqgroup adid not interven

Figure 2who kno

4. Kno

While agroup crespectgroups

0102030405060708090

100

RT  OF PKH PREST

eline data wquency of Vand 64.0% iknow and th

ntion group

22. Percentow the frequ

owledge o

at baseline,could mentiively. Neithat endline w

Intervention

Basel

TASI PILOT PROJE

were availabVAC supplem

n the controhe remaindand the con

tage of mothuency of VA

of pregnan

68.9% of on at leaster the diffewas statistic

Control In

line

Mothe

ECT, BREBES 

ble for commentation. ol group kner gave an ntrol group

hers of childAC supplem

nt women

pregnant wt two signs rence betwcally signific

ntervention

Endlin

ers

2x/year

parison on At endline, ew the righincorrect anwas signific

dren undermentation

on anemi

women in tof anemia

een baselincant (Figure

Control Int

ne

wrong answe

the knowle58.8% of t

ht answer, 1nswer. Noncant (Figure

three years

a

the interven, at endline

ne and endle 23).

tervention C

Baselin

er don't kn

 

edge of the he mothers0.7% and 1

ne of these de 22).

s old and pr

ntion and 6e this was line, nor be

Control Inte

e

Pregnant wo

now

 

mothers of s in the inte10.1%, respdifferencesb

regnant wom

67.3%in the73.9% and

etween betw

ervention Co

Endline

omen

  61

CU3 on ervention pectively between

men

e control d 63.9%, ween the

ontrol

 

M&E REPOR

 

Figure 2

5. Kno(IFA

Pregnanbaselineone reaintervendifferencontrol endline both at

Figure 2tablets

‐10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 

100.0 

78.0

80.0

82.0

84.0

86.0

88.0

90.0

92.0

RT  OF PKH PREST

23. Percent

owledge oA) tablets

nt women we already aason for tantion group ce betweengroup – an(Figure 24)baseline an

24. Percent

6

Interv

83.

Interve

TASI PILOT PROJE

tage of preg

of pregnanduring pre

were askedaround 83%king the taand 88.4%

n baseline nd neither ). The mostnd endline w

tage of preg

68.9 

vention

B

.1

ention

Baseli

ECT, BREBES 

gnant wome

nt women egnancy

d about the % of intervieablets, and % in the coand endlinewas there

t frequently were “lemas

gnant wome

67.3

Contr

L

82.6

Contro

ine

en who coul

on the im

benefits ofewed wome

this increaontrol groupe in the intstatistical mentioned

s” (weak/lan

en who know

3 

rol

ol

ld mention a

mportance

f taking IFAen in either ased at endp. Statisticatervention gsignificancesigns of an

nguid) and “

w at least o

73.9 

Interventio

90.4

Interventio

 

at least two

of taking

A tablets dugroup cou

dline to jusally thoughgroup (p<0.e between nemia amon“pusing” (diz

one reason f

on

EL

on

Endline

 

o signs of an

iron folic

uring pregnald mention

st over 90%, there was.05), but nothe two gr

ng pregnantzziness).

for taking IF

63.9 

Control

88.4

Control

  62

nemia

acid

ancy. At at least

% in the s only a ot in the roups at t women

FA

 

M&E REPOR

 

At basenumberto almop<0.001(Figure

Figure 2taken d

 

6. KnoPos

At basenumberhigher awhile noAlso, thstatistic

0.0

20.0

40.0

60.0

80.0

100.0

RT  OF PKH PREST

eline only ar IFA tabletsost 65.6% i1). The diffe25).

25. Percentduring pregn

owledge ost-natal ca

eline, apprr of PNC viat 41.4% ao significanhe differen

cally significa

3

Interv

TASI PILOT PROJE

about one-ts to take dun the interverence betw

tage of pregnancy

of pregnanare (PNC)

roximately osits is at le

among pregnt increase ce betweeant (Figure

3.6

vention

Base

ECT, BREBES 

third of preuring a pregvention groween the gr

gnant wome

nt women visits

one-third oeast two. Atgnant wome

occurred ien the inte

26).

32.1

Cont

eline

egnant womgnancy (namoup and moroups at en

en who know

of the min

of pregnantt endline, then in the inn the contr

ervention a

1

rol

men could mmely 90 tabore than 50dline was s

w the correc

nimum nu

t women khis percentantervention rol group bnd control

65.6

Interventi

 

mention theblets), while0% in the cstatistically

ct number o

umber of re

knew that age was siggroup cometween basgroups at

ion

Endline

 

e correct m this had incontrol grousignificant (

of IFA table

ecommen

the recomgnificantly (

mpared to bseline and t endline w

51.2

Control

  63

minimum ncreased up (both (p<0.05)

ts to be

nded

mended (p<0.05) baseline, endline.

was not

 

M&E REPOR

 

Figure 2visits is

7. Kno

The peposyandbaseline72.1%),

Data on0-35 mogroup a(p<0.00

Figure 2

0.010.020.030.040.050.060.070.080.090.0

100.0

0

20

40

60

80

100

RT  OF PKH PREST

26. Percenttwo

owledge o

rcentage ofdu increasee and endli, who had b

n knowledgeonths were

and 70.3% i01) (

27).

33

Interv

56.465.1

Baseline

TASI PILOT PROJE

tage of preg

of mothers

f pregnant ed in the ine, while n

better knowl

e on the benot reporte

n the contro

3.1

vention

Base

70.11

End

PW

Inte

ECT, BREBES 

gnant wome

s on the be

women whintervention

no significaledge at bas

enefits of ated at baselol group me

33.6

Contr

line

1 72.1

dline

rvention C

en who know

enefits of

ho could mn group fro

ant change seline.

ttending poine. At endentioned at

6

rol

Baseline

Mo

Control

w the recom

attending

ention at leom 56.4% occurred in

osyandu amline 63.2% least two b

41.4

Interventi

63.370

Endline

others

 

mmended n

g posyand

east two beto 70.0%

n the contro

mong motheof mothers

benefits of a

FPpacwlepa

on

Endline

0.3

e

 

umber of P

du

enefits of a(p<0.01) b

ol group (7

ers of childrs in the inteattending po

Figure 27. Percentage pregnant wo

nd mothershildren und

who mentioneast two benposyandu

ttendance

33.7

Control

  64

PNC

attending between

70.1% to

en aged ervention osyandu

of omen s of der three ned at nefits of

 

M&E REPOR

 

8. Kno

Knowledchildrengroup c(p<0.0028.6% a15.0% itheir ch4.8%, recan help

9. Kno

At endlimmunizthere wthere wintervenmore spmore gehealth" more th

-

20.0

40.0

60.0

80.0

100.0

RT  OF PKH PREST

owledge o

dge of Tabn under threcould menti01). The moand 22.3%,n the intervild’s physicaespectivelyp fulfill the c

owledge o

ine, the vazation (95.5

was no signwas a signntion group pecific knoweneric knowwere givenan a third g

29.8

-

0

0

0

0

0

healthy/s

TASI PILOT PROJE

of mothers

buria was ee years oon at leastost commo, respectivevention groual or intellec

y, of all respchild’s nutrit

of mothers

ast majority5% in the iificant diffenficant impthis was no

wledge (“prwledge (“gon by aroundgave the mo

23.7

smart/tall me

Interve

ECT, BREBES 

s on the be

very limiteld in the int one benefonly mentioely, of all mup and 9.0%ctual developondents intional needs

s on the be

y of pregnanterventionrence betwprovement ot statisticalrevent illnesod for child

d 60% in boore specific

10.5 12.7

eet nutritionaneeds

ention (n=62

enefits of

d. At endlintervention fit of Taburned benefit

mothers in th% in the coopment, or n interventios (Figure 28

enefits of

ant women group and

ween baselin(p<0.05) i

lly significanss”, “improvd's health”). oth intervenanswer "to

56.8

al increase a

20) Contro

Taburia

ine, only 3group and

ria. This dift was increhe interventntrol group boost its imon and con8).

immuniza

n could med 98.8% in ne and endin the connt , in both ves the imm

The answention and co

increase im

58.9

appetite

ol (n=299)

 

36.6% (n=427.2% (n=

fference waeased appetion and coknew that

mmune systetrol groups

ation

ention at lethe control

dline in the ntrol groupgroups ther

mune systemers "prevenontrol groupmmune syst

2.9 4.7

other

 

450) of mo=214) in theas highly sigetite (mentioontrol groupTaburia woem, while 5

knew that

FigurPerceof mowho mentbeneTabu

east one be group; NSintervention. Althoughre is a trendm”) and awt illness" an

ps at endlintem"(Figure

  65

thers of e control gnificant oned by

ps). Only ould help .3% and Taburia

re 28. entage others

tioned efits of uria

enefit of S). While n group, in the d toward

way from nd "child ne, while e 29).

 

M&E REPOR

 

Figure 2immuniz

10. Kno

Pregnansigns duand 74increasegroup).Kbaselineand at eintervenpostnata61.1% groups)endline,two indi

-

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

RT  OF PKH PREST

29. Percentzation

owledge o

nt women wuring and a.3% in the ed to 84.7Knowledge e 66.1% in endline 77.7ntion group;al period: 5and 58.1%

).None of t, while the kicators but n

51.7 

57.3 

-

0

0

0

0

0

0

0

0

0

0

disepreve

TASI PILOT PROJE

tage of moth

of Pregnan

were askedfter deliverycontrol gro

7% and 7of danger the interve

7% and 72.; NS contro53.4% and % in the these indicaknowledge not the last.

2

56.7

60.5

ease ention

BL-Interven

ECT, BREBES 

hers of child

nt Women

d to mentioy(Figure 30oup knew h

79.1%, respsigns of d

ntion group1%, in the il group). Ev51.9% in tinterventio

ators showin the interv.

22.9 

30.7 

37.6

36.0

immunity

ntion B

dren under

n on comp

on health pr).At baselinhealth probpectively (pelivery was

p and 70.1%nterventionven fewer wthe intervenn and con

wed a statisvention gro

64.4 

58.5 

5

0

healthy

L-Control

three years

lications

roblems in ne, 76.3% oblems in prp<0.05 intes less comm% in the conn and controwomen coulntion and cntrol groupstical differup had incr

1

56.1

60.5

y baby

EL-Interv

 

s old who kn

pregnancy of PW in theregnancy. Aervention gmon amongntrol group ol group, resld mention control group at baselrence betwereased sign

1.0 13.3 

19.7 

17.4 

other

vention

 

now the ben

as well ase interventioAt endline tgroup; NS g these wocould mentspectively (danger sign

up at baselline (NS feen the gr

nificantly for

6.4  6.6 3

don't k

EL-Contro

  66

nefits of

s danger on group this had

control omen: at tion this, p<0.005 ns in the ine, and for both roups at r the first

3.81.2

know

l

 

M&E REPOR

 

Figure 3sign

 

11. Kno

Data wasame

Figure 3was fouprobablintervenpercent

-

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

‐10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 

100.0 

RT  OF PKH PREST

30. Percent

owledge o

as also colledata

31). Overalund in the py because

ntion group tage of PW

76.3 

-

0

0

0

0

0

0

0

0

0

0

Health p

BL-

Treatment

TASI PILOT PROJE

tage of preg

of Pregnan

ected on knwas

l, more thapercentage

this perceand 96.3%who knew

74.3 

84.77

problems pre

-Intervention

t diarrhea P

BL‐Interven

ECT, BREBES 

gnant wome

nt women

nowledge ofalso

n 80% of Pof PW who

entage was% in the co

at least on

79.1

egnancy D

n BL-C

revention VA deficiency

ntion BL‐C

en who know

on variou

f pregnant wcollected

PW already o could mes already vontrol groupe way to pr

66.1 70.1 

7

Danger signs

Control

Signs of chmalnut

Control E

w at least o

us health t

women on vfor

had knowlention at leavery high ap). Neither revent vitam

77.772.1

s delivery

EL-Interven

hildhood rition

Ca

L‐Intervention

 

one health p

topics

various othepregnant

edge at basast one treaat baselinewas there

min A defici

53.4  5

Danger s

ntion E

ause of worm infection

n EL‐Cont

 

problem or d

er health topwome

seline. No iatment for de (at 97.0%

an increasency, which

51.9 

61.158.

signs postna

L-Control

Consequeworm inf

trol

  67

danger

pics The en (

increase diarrhea, % in the se in the h stayed

1

atal

ences of fection

 

M&E REPOR

 

stable aknew atwhile that endliincreaseinfectiongroup c94.2%, of womsignificaendline)

Figure 3

 

12. Kno

Data wahealth tmentionto almointervenpercentapproxiintervenwas mowas a sp<0.05)least ongroups

‐10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 

100.0 

RT  OF PKH PREST

around 90%t least one

here was none), leadinge in knowlen. While at

could mentiorespectivel

men who coant (p<0.01), but not in

31. Percent

owledge o

as collectedtopics (Figun at least onost 100% ntion and cotage of motmately 80%

ntion and <ost commonsmall but sig) but not inne cause int(NS). On t

Treatment

TASI PILOT PROJE

%. A small bsign of nu

o significant g to significedge was fo

baseline oon at least oy (p<0.001

ould mentio1) increase the interve

tage of preg

of Mothers

d on knowlure 32). At ne treatmen(p<0.001

ontrol groupthers who % at basel<0.001 in thn at baselinegnificant inc the intervetestinal parathe other h

t diarrhea P

BL‐Interven

ECT, BREBES 

but significatritional defchange in t

cant differenound with ronly 87.7% one cause, in interven

on at least in the co

ention group

gnant wome

s of CU3 o

edge of mobaseline, ant for diarrhfor the dif

p). A slight knew at leline in both

he control ge. About 92

crease in thention grouasites (worm

hand, a sma

revention VA deficiency

ntion BL‐C

nt increaseficiency in cthe interven

nce betweenregard to thin the inteat endline t

ntion and p<one conse

ntrol groupp.

en with know

on various

others of chapproximatehea, while afference bebut statisticast one wah groups tgroup). Kno2% in both gis percentagp. The perms) infectioall but stati

Signs of chmalnut

Control E

was foundchildren (frontion group n groups athe causes orvention grthis was sig<0.005 in cequence ofp (from 83.

wledge on h

s health to

hildren undely 80% of at endline thetween bacally significay to preveto about 8owledge of groups coulge in the co

rcentage of on remainedistically sig

hildhood rition

Ca

L‐Intervention

 

in the percom 92.1% (93.2% at bt endline (pof intestinaloup and 83

gnificantly hontrol grouf worm infe.3% at bas

health topic

opics

der three yemothers in his had sigseline and

cant increasent vitamin 5% at endsigns of nuld mention ontrol group

mothers wd stable at anificantly lo

ause of worm infection

n EL‐Cont

 

centage of Pto 98.8% (pbaseline an<0.05). Thel parasites 3.3% in the

higher at 91p). The perections onlyseline to 9

s

ears old oneither grou

nificantly ind endline fse was founA deficienc

dline (p<0.0utritional deat least sign

p (94.2% at who can mearound 85%ower percen

Consequeworm inf

trol

  68

PW who p<0.05)) d 93.0% e largest (worms)

e control .1% and rcentage y saw a 4.2% at

various up could ncreased for both nd in the cy: from 05in the eficiency n. There endline;

ention at % in both ntage of

ences of fection

 

M&E REPOR

 

mothersbaselinewhere t

Figure 3

 

 

‐

10.0 

20.0 

30.0 

40.0 

50.0 

60.0 

70.0 

80.0 

90.0 

100.0 

RT  OF PKH PREST

s could mee and 80.0%he percenta

32. Percent

82.4 

79.6 

9

Treatment

TASI PILOT PROJE

ention at lea% at endlinage of moth

tage of moth

 

81

 

99.8 

99.7 

t diarrhea P

BL‐Interven

ECT, BREBES 

ast one cone (p<0.05)hers increas

hers with kn

1.7 

79.0 

83.9 

85.4 

revention VA deficiency

ntion BL‐C

onsequence, while the

sed significa

nowledge o

91.7 

92.0 

9

Signs of chmalnut

Control E

es of intestiopposite w

antly from 8

n health top

8592.7 

94.2 

hildhood rition

Ca

L‐Intervention

 

nal worm iwas seen in84.2% to 90

pics

5.5 

84.2 

84.0 

85.0 

ause of worm infection

n EL‐Cont

 

infection (8n the contro.7% (p<0.00

85.5 

84.2 

80

Consequeworm inf

trol

  69

85.5% at ol group, 01)

0.0 

90.7 

ences of fection

 

M&E REPOR

 

3. PraPracticepregnaninformaendline,overview

Table 3

No

1 M

a M

b M

c M

d M

e M

f M

g M

2 PW

3 M

4 Ha

a M

b PW

 

1. Infa

a. Per

At basefirst brehigher intervenThus, a

: BL : No : EL

RT  OF PKH PREST

actice ofe and behant women (tion was c, and betwew of the res

31. Practice

Re

others, IYCF

others, Early

others, Excl

others, Cont

others, Ever

others, Minim

others, Minim

others, Minim

W, Dietary D

others, posy

andwashing

others

W

ant and Yo

rcentage o

eline, 72.6%eastfed with

percentagention group at endline, a

L better than o difference L better than

TASI PILOT PROJE

f Beneficviors of res(PW)) werecollected ateen the intesults, while

of beneficia

spondent, t

F

y Initiation

BF

t’d BF

r BF

mum meal fr

mum dietary

mum accepta

Diversity

yandu visit

(see table 3

oung Child

of children

% of childrenin an hour o

es of childrand 95.0%

a significan

EL / Contro

BL / Interve

ECT, BREBES 

ciariesspondents (eassessed t baseline. rvention aneach item is

aries

topic

requency

diversity

able diet

6)

d Feeding

n who had

n in the inteof birth (earren receive% in the contly (p<0.05

l better than

ntion better t

(both motheat endline Compariso

nd the contros discussed

Interv

<0.001

<0.001

NS

NS

No BL

No BL

No BL

<0.001

g

d early init

ervention grrly initiation ed early inontrol group

5) higher pe

Intervention

than Control

ers of childras well asons were ol groups ad in more de

EL vs. B

vention

1 <0

1 <0

N

N

L data No

L data No

L data No

1 <0

tiation of b

roup and 75of breastfe

nitiation of p (both p<0ercentage o

 

ren under ts at baselinmade betwt endline. Tetail below.

BL

Control

0.001

0.001

S

S

o BL data

o BL data

o BL data

0.001

breastfeed

5.5% in the eeding). At e

breastfeed0.001 comp

of women in

 

three years ne, althoughween baselTable 31prov

Intervenvs. Contr

EL

<0.05

NS

<0.05

NS

NS

NS

NS

<0.05

NS

NS

NS

ding (<1 h

control groendline sign

ding: 92.0%pared to ban the contro

  70

old and h not all ine and vides an

ntion rol at

our)

oup were nificantly

% in the aseline). ol group

 

M&E REPOR

 

started 33).

b. Per

Based exclusivendline was a s

-

20.0

40.0

60.0

80.0

100.0

-

20.0

40.0

60.0

80.0

100.0

RT  OF PKH PREST

breastfeed

rcentage o

on 24 houvely breastfcompared

significant in

7

-

0

0

0

0

0

3

-

0

0

0

0

0

TASI PILOT PROJE

ing in the f

of children

ur dietary refed was alsto 30.9% (

ncrease in b

72.6 75.7

Baseline

Inte

30.9 25.8

Baseline

Interv

ECT, BREBES 

irst hour aft

n aged 0-5

ecall, the pso higher a(interventionboth interve

7

ervention C

8

vention

ter birth co

5 months w

percentage at endline:75n) and 25.8ention and c

92.0

Endli

Control

75.0

Endli

Control

mpared to

who were

of infants 5% (interve

8% (control)control grou

95.0

ine

79.6

ine

 

the interven

FigurinitiatBreashour

exclusive

aged 0-5 ention) and ) at baselinups (p<0.00

differbetweat en

Figurbreas0-5 mand einterv

 

 

ntion group

re 33. Earlytion of stfeeding wof birth (%)

ely breastf

months wh79.6% (co

ne (Figure 301) but no srence waseen the twodline.

re 34. Exclustfeeding (cmonths) at bendline by vention area

  71

p (Figure

y

within 1 )

fed

ho were ontrol) at 34). This statistical s found o groups

usive children baseline

a (%)

 

M&E REPOR

 

c. Perwer

Virtuallybreastfe(96.6% group thbaseline

Figure 3

At basefollowin

d. Perfreq

At endlidefined

2 3 4

In the inthe cont

              10http://ww

0102030405060708090

100

RT  OF PKH PREST

rcentage ore still bre

y all infantsed, and no d- 98.9%). T

han in the ine and endlin

35. Percent

eline data og three outc

rcentage quency

ine, aroundby WHO IY

2 times for 3 times for 4 times for

ntervention trol group th

                    ww.who.int/mate

Interve

TASI PILOT PROJE

of childreneastfed

s and youndifference w

The percentntervention ne for eithe

tage of child

on feeding pcomes are

of childre

d three-quaYCF10as:

breastfed inbreastfed cnon-breastf

group, 74.his was 72.

                     ernal_child_adole

ention

Baseli

Ever

ECT, BREBES 

n aged 0-2

ng children was found btage of childgroup (p<0

r group (Fig

dren aged 0

practices wpresented f

en aged

rters of the

nfants 6-8 mchildren 9-23fed children

.7% of child5% (not sig

escent/document

Contr

ine

r breastfed (0

23 months

in the intebetween thedren still bre0.05), but thgure 35).

0-23 months

were presenfor the endli

6-23 mon

e children c

months 3 months n 6-23 mont

dren were fgnificant) (Fi

ts/978924159666

ol

‐23 m) S

s who were

ervention ae groups or eastfedat enhere was no

s ever and s

nted in a difine only.

nths fed

onsumed a

ths

fed with miigure 36).

64/en/ 

Intervent

Still breastfed 

 

e ever bre

and control between ba

ndline was o statistical

still breastfe

fferent way

with the

a minimum

nimummea

ion

Endline

(0‐23 m)

 

eastfed, an

groups weaseline andhigherin thedifference b

ed

y, and there

minimum

meal frequ

l frequency

Control

e

  72

nd who

ere ever d endline e control between

efore the

m meal

uency as

y, and in

 

M&E REPOR

 

Figure 36-23 mo

e. Perdive

While agroup cgroups)53.7% ithe inte

When cconsumendline baselineOctoberof certa

-10.020.030.040.050.060.070.080.090.0

100.0

RT  OF PKH PREST

36. Minimumonths at end

rcentage oersity (≥4

at baseline consumed a), this had sin the intervrvention an

compared med a diver

consumede (Figure 3r-Novembein foods mig

7

-0 0 0 0 0 0 0 0 0 0

minimu

TASI PILOT PROJE

m meal freqdline (WHO

of childrenFood Gro

only 41.8%a diet of msignificantlyvention grod the contro

with the srse diet. In eggs, fruit

37). It shoulr and the enght account

74.7 72.5

um meal freq

ECT, BREBES 

quency, dietO IYCF)

n aged 6-2oups)

% of childrenminimum diey (p<0.001 oup and to ol groups at

situation atparticular

ts and vegeld be notedndline data t for at leas

5

quency m

Inte

tary diversit

23 months

n in the inteetary diversin both inte47.9% in tht endline wa

t baseline, a higher p

etables (and however, in April-Mat some of th

53.7

inimum dieta

ervention

ty and acce

s fed with

ervention grsity (definedervention anhe control gas not signif

a larger percentage d grains, rothat the ba

ay, and seashese differe

47.9

ary diversity

Contro

 

ptable diet

minimum

roup and 4d as at leand control ggroup. The ficant (Figu

proportion of childrenoots and tuaseline datasonal differe

ences.

41.

minimal a

ol

 

for children

dietary

2.4% in theast 4 out ofgroup) incre

differencebre 36).

of young in both gr

ubers) compa were collences in av

236.6

acceptable d

  73

n aged

e control f 7 food eased to between

children roups at pared to ected in

vailability

diet

 

M&E REPOR

 

Figure 3(WHO I

f. Per

The midiversitycontrol (Figure

2. Pergro

The basbased odecidedon 10 fdefined indicato

              11FAO and

10.020.030.040.050.060.070.080.090.0

100.0

RT  OF PKH PREST

37. ConsumIYCF)

rcentage o

nimum accy. At endlingroups, res36).

rcentage ooups in the

seline surveon consumpd to use thefood groups

as consumor has been

                    d FHI 360. 2016

-0 0 0 0 0 0 0 0 0 0

1. G

rain

s, r

oots

and

tu

ber

s

Baseline In

TASI PILOT PROJE

mption of foo

of children

ceptable dine, only abspectively) w

of pregnane last 24 h

ey did not ption of at l

e FAO Woms, as descrming at leachanged to

                     . Minimum Die

2. L

egum

es a

nd n

uts

ntervention

ECT, BREBES 

ods from se

n aged 6-2

iet is a cobout 40% owere fed a

nt women hours

report on deast 7 out o

men’s Dietarribed in theast 5 out oo reflect this

tary Diversity fo

3. D

airy

pro

duc

ts

Baseline C

even food gr

23 months

omposite inof children minimal ac

who cons

dietary diveof 14 food gry Diversity Methodolo

of 10 food gs.

or Women: A G

4. F

lesh

food

s (m

eat,

fish

, pou

ltry

and

Control E

roups by ch

s fed a min

ndicator of (41.1% an

cceptable d

sumed at

ersity. In thegroups. HowScore (WD

ogy sectiongroups in t

Guide for Measu

(p

yliv

er/o

rgan

mea

ts)

5.E

ggs

Endline Interv

 

hildren aged

nimum acc

meal freqnd 36.6% idiet (non-sig

least 5out

e M&E planwever, in th

DDS) metho. Sufficient the last 24

urement. Rome

5. E

ggs

6. V

itam

in-A

ric

h fr

uits

vention E

 

d 6-23 mont

ceptable d

uency andin interventgnificant dif

t of 10 foo

n the indicahe meantimod11, which i

dietary div hours, he

e: FAO. 

and

veg

etab

les

7. O

ther

frui

ts a

nd

ndline Contr

  74

ths

diet

dietary tion and fference)

od

ator was me it was

is based versity is nce this

vege

tab

les

rol

 

M&E REPOR

 

The integroup ainterview

Figure 3

Figure 3groups diverse

Figure 3consum

-5.0

10.0 15.0 20.0 25.0 30.0 35.0

RT  OF PKH PREST

ervention gras 67.5% vw (Figure 3

38. Percent

39 shows tthe day pridiet compa

39. Dietary ming differen

32.5

1 2

TASI PILOT PROJE

roup had a vs. 51.2% c8).

tage of preg

the percentor to the in

ared to thos

diversity pant numbers

5

Interventio

≥ 5 Food

< 5 Food

2 3

# Fo

Interv

ECT, BREBES 

significantlyconsumed

gnant wome

tage of preterview. Moe in the con

atterns in prof food gro

67.5

on

d Groups

d Groups

4 5

ood groups c

vention

y (p<0.05) mat least 5

en who cons

gnant womore pregnanntrol group (

regnant womups

6 7

consumed

Control

more diversfood group

sumed at le

men consumnt women in(p<0.05).

men at endl

48.8

≥ 5 F

< 5 F

8 9

 

se diet compps during th

east 5 out of

ming a certan the interv

line: Percen

Control

Food Groups

Food Groups

9

 

pared to thehe day prio

f 10 food gr

ain numbervention grou

ntage of wo

51.2

  75

e control or to the

roups

r of food up had a

men

 

M&E REPOR

 

3. Perthre

At baseareas, hendline intervenstatistic

Figure 4three m

 

4. Han

Handwamotherstimes win the inpracticeand 61.endline preparinthe perbreastfethe concontrol Details

At endlbetweenwas methe con

0

20

40

60

80

100

RT  OF PKH PREST

rcentage oee months

eline, 89.5%had visited

this had intion and cocal differenc

40. Percentmonths

ndwashing

ashing withs of childre

was already ntervention es. Most oft2% at endliwere only f

ng food (7.0rcentage oeeding (fromtrol group; group) andare shown

ine, there wn the interv

entioned by ntrol group

TASI PILOT PROJE

of childrens

% of childrenPosyandu aincreased tontrol group

ce between

tage of child

g

soap reman under thrextremely lgroup (0.2

ten mothersine). Signififound in the0% vs. 5.7%of mothers m 22.6% toboth p<0.0

d after workin Table 32

was no stavention and71.3% of p(p<0.05). O

89.5

Base

ECT, BREBES 

n 0-35 mon

n aged 0-35at least oncto 95.3% aps, this wasthe two gro

dren under t

ains an areree who replow at 0.5%%) and nons wash theicant differe

e percentag%, p<0.05))

who was o 34.2% in 01), after c

k or if hands2.

atistical sigd control gropregnant woOverall, the

80.0

eline

Inter

nths who

5 months ince in the prand 95.7%,s a significa

oups at endl

three who v

ea of conceported wash

%, at endlinene in the cor hands wit

ences betwee of mother. Improvem

their hanthe interven

cleaning thes are dirty

nificance inoups, exce

omen in the ere was a p

rvention C

ever visite

n interventioeceding thr, respectiveant increaseline (Figure

visited Posy

ern. While ahing their he this was eontrol groupth soap befeen the inters who was

ments compads before ntion group

e child feces(from 17.8%

n handwashpt for handinterventio

positive tre

95

Control

 

ed Posyan

on areas anree months ely (overalle (p<0.001)40).

yandu durin

at baseline,hands with even lower wp reporting fore eating ervention anh their handared to basfeeding th

p and from s (from 21.2% to 22.4%

hing amongdwashing ben group com

end since b

5.3 9

Endline

 

ndu in the

nd 80.0% in(overall 85 95.5%). F), but there

g the prece

, the percensoap at fivewith only 2 good handw(59.6% at b

nd control gds with soa

seline were he child, i20.9% to 22% to 22.4%

%) (both at

g pregnant efore eatingmpared to 5

baseline, wi

95.7

  76

e last

n control 5.3%). At For both was no

eding

ntage of e critical mothers washing baseline roups at p before found in ncluding

26.9% in % in the p<0.05).

women g, which 57.0% in ith more

 

M&E REPOR

 

women irrelevatheir ha

Table 3

MotherBefore incl milk

Before Before breastfe

After deAfter clefeces

After eaAfter woare dirtyBefore/or holdiPregnaBefore incl milk

Before Before breastfe

After deAfter clefeces

After eaAfter woare dirty

Other, a

None o

No diffebetweenpregnancritical t

Figure 4

RT  OF PKH PREST

washing tnt responsends with so

32. Moments

rs preparing fok for child

eating feeding childeeding

efecation eaning child'

ating ork/when hay /after playinging child ant women preparing fok for child

eating feeding childeeding

efecation eaning child'

ating ork/when hay

adjusted

f the above

erence wasn the intervnt women times comp

41).

TASI PILOT PROJE

their handses, indicatinoap (Table 3

s at which M

Intenti

od,

d, incl

's

nds

g with

od,

d, incl

's

nds

found in thvention andreported wared to bas

ECT, BREBES 

s at all critng an increa32).

Mothers andBaseline

erveion Cont

21.0 1

61.2 5

22.6 2

16.9 1

23.4 2

17.8 1

20.1 1

3.7

7.2

50.8 4

3.0

22.0 2

0.8

28.0 3

13.1 1

30.1 2

11.9 1

he number the controashing the

seline (

ical times, ase in know

d PW wash

trol Intervntion

18.9 11

57.9 62

20.9 34

17.1 17

21.2 25

18.1 16

17.8 19

2.9 2

6.6 14

49.4 71

2.9 7

21.2 31

3.7 7

30.3 24

16.6 27

27.0 11

14.5 9

of critical tol groups, eir hands w

and most wledge abou

their handsEndline

ven Contro

1.5 14

2.6 58

4.2 26

7.7 18

5.1 24

6.8 18

9.3 22

2.4 2

4.0 15

1.3 57

7.6 9

1.2 27

7.0 7

4.2 25

7.4 31

1.5 16

9.6 8

times pregneither at baswith soap at

 

strikingly, ut the impo

s at baselinBL

ol Intervention

.6 <0.001

.9 NS

.9 <0.001

.4 NS

.1 NS

.5 NS

.4 NS

.3 <0.05

.1 <0.005

.0 <0.001

.3 <0.005

.9 <0.01

.0 <0.001

.6 NS

.4 <0.001

.3 <0.001

.1 NS

nant womenseline or att significant

 

a reductionrtant times

e and endliL vs EL

eControl

<0.005

NS

<0.001

NS

<0.05

NS

<0.05

NS

0.001

NS

<0.001

NS

NS

NS

<0.001

<0.05

NS

n wash thet endline. Htly (p<0.00

  77

n in the to wash

ine (%)

EL Interv

vs Control

<0.05

NS

NS

NS

NS

NS

NS

NS

NS

<0.05

NS

NS

NS

NS

NS

NS

NS

ir hands However, 1) more

 

M&E REPOR

 

Figure 4baseline

 

5. Perinvo

Both mmakers of mothwhile 86respectdecisionmothersitems, m

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

RT  OF PKH PREST

41. Numbere and endlin

rcentage oolved in v

others of cin the hous

hers of child6.8% and 8ively. Comn-making os and pregmother and

34

47

16

1

Intervent

TASI PILOT PROJE

r of handwane

of mothersvarious ho

children undsehold whedren under 0.7% of pre

mpared to bon these issnant wome

d child hea

4.7

7.9

6.1

.3

ion (1917)

Base

0 times

ECT, BREBES 

ashing mom

s of childrousehold d

der three yen it came t

three yearegnant wombaseline, asues at enen were alslth, contrac

36.9

45.2

15.4

2.10.4

Control (

line

1 time 2 t

ments for pre

ren under decisions

ears and pto food andrs took the men decideda higher pdline.Toget

so involvedceptive use

9

2

4

1915)

times 3 tim

egnant wom

three yea

pregnant wo daily expelead on th

d householdercentagether with th in decisio

e, and visiti

19.1

39.5

32.5

8.9

1.2

Intervention 

mes 4 tim

 

men by inter

rs and pre

omen werenditures. Oese two hod’s food andof women

heir husbanns on purcng family a

(157)

Endline

mes 5 time

 

rvention gro

egnant wo

the main Overall, arouousehold ded daily expe

were invond, around chase of exand friends

23.3

44.2

26.7

4.7

Control (86)

s

  78

oup at

omen

decision und 80% ecisions, enditure, olved in 50% of

xpensive s. These

 

M&E REPOR

 

percentinvolvedthan 72while infound ashould togethepregnan

There wthe motpresentonly wadecisioninvolvedissues a

Figure 4househ

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

RT  OF PKH PREST

tages were d in was on2% of the mn 20% of thamong pregbe the brear with her nt women in

were no diffethers and ted here foras a larger ns at endlind in makingand purchas

42. Percentold decision

BL EL

Food

Res

TASI PILOT PROJE

also highe the topic o

mothers anshe househognant womeadwinner, w

husband. n various ho

erences bethe pregnar baseline apercentage

ne compareg joint decisse of expen

tage of mothns

BL EL

Daily Expenditure

spondent only

ECT, BREBES 

erthan at baon who shouswered thatold the spouen. About 8while 16% oInteresting

ousehold de

tween the iant women,and endlinee of both med to baselsions with

nsive items.

hers of child

BL EL B

Expensive items

C

y Respon

aseline.Theuld work or t their husbuses took t0% of the hof pregnantly, comparecisions wa

ntervention, and theree (Figure 42

mothers andine, but alsthe wives,

dren under

BL EL B

hild Health Ow

ndent involve

e only decisgenerate inand made this decisiohusbands dt women anred to bases more pron

and the coefore the o2; details c

d pregnant wso a larger in particula

three years

L EL BL

wn Health Cont

d Respo

 

sion wherencome in ththese decisn jointly. S

decided indnswered thaeline, the inounced at

ontrol groupveral resulan be founwomen invopercentage

ar on mothe

s old involve

EL BL

raception Vfam/

ondent not inv

 

women whe househosions withoimilar patteependently at she deciinvolvemenendline.

p, and also bts for moth

nd in Annexolved in hoe of husbaner and child

ed in variou

EL BL

Visit /friends

Work/Igener

volved

  79

ere less ld. More ut them,

ernswere on who

ded this t of the

between hers are x 9). Not ousehold nds was d health

s

EL

Income ration

 

M&E REPOR

 

6. Maiwom

Beneficmainly uof the mfor childmoney intervenpregnan

Figure 4 

Figure 4

Detailed

 

RT  OF PKH PREST

in use of Pmen

ciaries of PKused for ed

mothers anddren or preg

on health ntion and cont women (F

43. Use of P

44. Use of P

d data on ho

41

17.1

12.3

TASI PILOT PROJE

PKH aid b

KH receive ucation (51

d almost 30%gnant wome

(7% and ontrol groupFigure 43 a

PKH Funds

PKH Funds

ousehold ex

.6

2.6 3.2

51.9

4.1 4.5

ECT, BREBES 

y mothers

aid every th.9% of mot% of pregnaen). Less th5.9%, res

ps in how thnd Figure 4

by mothers

by pregnan

xpenditure

29

5

21.0

s of childr

hree monthshers and 41ant women han 10% ofpectively). hey spent th44).

s of children

nt women

of responde

.6

.9

7.0

ren under

s. The endl1.6% of preused the fu

f mothers aThere washe PKH aid

n under thre

ents can be

Food

Health

Education

Child needs

FoodHealthEducationChild neeDaily neeOthers

 

three yea

ine found thgnant wom

undsto buy fnd pregnans no differd, for either

ee years of

 

e found in A

nedseds

 

rs and pre

hat these fuen). About food (includ

nt women sence betwthe mother

age

nnex 9. 

  80

egnant

unds are one-fifth

ding milk pent the een the rs or the

 

M&E REPOR

 

4. DeOverall,compargroups

Table 3

No

1 M

2 M

3 PW

4 PW

5 PW

 

1. Perany

At baseareas hwere higroups)breastfeendline,posyand

: BL : No : EL

RT  OF PKH PREST

elivery of, higher pered to baseat endline,

33. Delivery

Re

others, IYCF

others, BF a

W, any coun

W, BF

W, maternal

rcentage oy individua

eline, 24.2%had receiveigher at 37). In additeeding durin, ANC visitsdu provided

L better than o difference L better than

TASI PILOT PROJE

f Health ercentages eline. No dthough (Ta

of health se

spondent, t

F Posyandu

at ANC

seling

nutrition

of mothersal counse

% of mothersed informati7.0% and 3ion, at enng their ANCs were the md informatio

EL / Contro

BL / Interve

ECT, BREBES 

Serviceof women

differences ble 33).

ervices: cou

topic

s of childrling on inf

s in the inteon on infan

35.3%, respndline, two-C visits (nomothers’ man on compl

l better than

ntion better t

es: Counn received

were foun

unseling rec

Interv

<0.001

<0.001

NS

<0.005

ren under fant feedin

ervention arnt feeding ppectively (p-thirds of t reported aain source oementary fe

Intervention

than Control

nselingvarious typd between

ceived by re

EL vs. B

vention

1 <0

No baseline

1 <0

<0

5 <0

three yeang practic

reas, and 2practices. A<0.001 for mothers h

at baseline) of informatieeding.

 

pes of cou the interv

espondents

BL

Control

0.001

e data

0.01

0.001

0.005

rs of who ces

1.9% of moAt endline, both interv

had receive(Figure 45)on on breas

 

unseling at vention and

IntervenControl

NS

NS

NS

NS

NS

ever rece

others in thethese perc

vention anded informa). In other wstfeeding, w

  81

endline d control

tion vs. l at EL

eived

e control centages d control ation on words, at while the

 

M&E REPOR

 

Figure 4and bre

 

2. Per

All pregof them(dukun)

During Althougreceivedcompar

Thus, nreceivinincrease

0.010.020.030.040.050.060.070.080.090.0

100.0

Info

RT  OF PKH PREST

45. Percenteastfeeding

rcentage o

gnant wome (91.4%) w

).

their ANC gh there wad this counred to basel

not only in thng informated counseli

24.2

Interv

o on  IYCF at P

TASI PILOT PROJE

tage of mot

of pregnan

en in the suith health w

visits, 114as no signifnseling in thine (Figure

he intervention on breing activities

24.2

vention

BASE

osyandu

ECT, BREBES 

thers of chil

nt women

urvey had hworkers only

4 women (4ficant differhe interven46).

tion group eastfeedings occurred

21.9

Contr

LINE

Info on BF du

ldren under

who rece

had some Ay, while the

46.9%) hadrence betwetion and co

but also in g during Ain both area

21.9

rol

uring ANC

r three who

ived coun

ANC during rest also sa

d received een the peontrol areas

the control ANC and Pas.

37

67.57

Interventi

Info on IYCF 

 

received in

nseling on

their currenaw a traditio

counselingercentage os, it was hi

group, womPosyandu,

3

72.8

on

ENDLINE

at Posyandu o

 

nformation o

n breastfee

nt pregnanconal birth a

g on breastof women wgher in bot

men acknowwhich sho

35.3

67.772

Control

or BF during A

  82

on IYCF

eding

cy. Most attendant

tfeeding. who had th areas

wledged ows that

.4

ANC

 

M&E REPOR

 

Figure 4

 

3. Percur

At basegroup hpercentrespect(Figure

0.0

10.0

20.0

30.0

40.0

50.0

60.0

0

10

20

30

40

50

60

70

80

90

100

RT  OF PKH PREST

46. Percent

rcentage orrent pregn

eline, 75.4%had receivtages wereively, but t47).

75

I

TASI PILOT PROJE

tage of preg

of pregnannancy

% of pregnaed any co

e higher in there was

36.8

4

Interventio

5.4

87.9

ntervention

ECT, BREBES 

gnant wome

nt women

ant women ounseling d

both grouno statistic

48.4

n

9

Baseline E

en who rece

who rece

in the inteduring theirups compacal differen

71.

Endline

eived couns

ived any c

rvention grr current pred to basce betwee

29.6

Contro

.0 

83.7

Control

 

seling on bre

counselin

roup and 71pregnancy. seline, at 8n the two

44.2

ol

 

eastfeeding

g during t

1.0% in theAt endline

87.9% and groups at

Figure 47Percentapregnantwho rececounselinleast one

 

 

Ba

En

  83

g

their

e control e, these

83.7%, endline

7. age of t women eived ng on at e topic

aseline

ndline

 

M&E REPOR

 

4. Pernut

The perhigher agroup agroups

 

0

10

20

30

40

50

60

RT  OF PKH PREST

rcentage orition at le

rcentage ofat endline iand 44.2% at endline (

36.

In

TASI PILOT PROJE

of pregnaneast once

f pregnant wn both grouvs.29.6% in(Figure 48).

 

.8

48.4

ntervention

ECT, BREBES 

nt women during cu

women whoups comparn the contro

Baseline E

who receurrent preg

o received cred to baseol group), b

29.

Endline

ived coungnancy

counseling oeline (48.4%but no diffe

6 

44.2

Control

 

nseling on

on materna% vs.36.8%rence was

 

n maternal

al nutrition w% in the inte

found betw

Figure 48Percentapregnantwomen wreceivedcounselinmaternalnutrition

  84

l

was also ervention ween the

8. age of t who d ng on l

 

M&E REPOR

 

5. DeWith regproportiwhile thdifferenfact thacompar

Table 3

No

1 PW

PW

2 Ch35

Ch(1

3 Ch

4 M

5 PW

PW

6 Ch

7 Ch

8 Ch(1

: BL : No : EL

RT  OF PKH PREST

elivery ofgard to the ion of respohere were nces were f

at a higher red to the in

34. Delivery

Re

W, IFA recei

W, IFA recei

hildren VAC 5 m old)

hildren VAC 2-23 m old)

hildren, basic

others, satis

W, ANC

W, ANC freq

hildren Tabu

hildren, dewo

hildren immu2-23 m old)

L better than o difference L better than

TASI PILOT PROJE

f Health delivery of ondents at no differencfound betwe

percentagentervention a

of health se

spondent, t

pt (any)

pt (at least 9

receipt in las

receipt in las

c services

sfaction Posy

quency

uria

orming

unised accor

EL / Contro

BL / Interve

ECT, BREBES 

Servicebasic healtendline co

ces in the freen intervee of childrearea (Table

ervices: bas

topic

90 tablets)

st 6 months

st 6 months

yandu

rding to age

l better than

ntion better t

es: Basicth services, ompared to requency o

ention and cen in the coe 34).

sic services

Interv

<0.05

<0.05

(6-

Not repbaselin

NS

NS

NS

<0.001

Intervention

than Control

c Servicsome servbaseline, s

of ANC or bcontrol grouontrol area

s received b

EL vs. B

vention

N

<0

ported this wae

N

N

N

Very

No baseline

1 <0

 

ces ices were rsuch as irobasic servicups at endl received v

by responde

BL

Control

S

0.05

ay at

S

S

S

y small numb

e data

0.001

 

received by n-folic acid

ces for childline, excepvitamin A c

ents

Intervenvs. Contr

EL

NS

NS

<0.01

<0.05

NS

NS

NS

bers

NS

<0.001

  85

a larger tablets,

dren. No t for the capsules

ntion rol at

 

M&E REPOR

 

1. Persup

The vaspregnan

Figure 4least 90pregnanleast 90baseline

0

10

20

30

40

50

60

70

80

90

100

RT  OF PKH PREST

rcentage opplementa

st majority ncy

49). Becau0 tablets dncy, 40.6% 0 IFA tablete (p<0.05),

77.1

14

Baseline in

recei

TASI PILOT PROJE

of pregnanation

of pregnan

use the resduring their

in the interts. For the while the la

4.0

ntervention

ived IFA

ECT, BREBES 

nt women

nt women re

pondents wcurrent pr

rvention grofirst two in

ast one was

76.8

14.5

Baseline Co

received 

who rece

eceived iron

were currenregnancy. Aoup and 37dicators, th

s not reporte

8

ontrol En

≥90 tablets

ived iron-

n folate (IF

ntly pregnanAmong wo

7.8% in the he situation ed at baseli

85.4

23.6

4

ndline Interve

third t

 

-folic acid

FA) tablets d

nt, not manmen in thecontrol groat endline

ne.

83.

40.6

ntion En

trimester;≥90

 

during their

ny had rece third trimoup had rec

was better

5

22.4

37.8

dline Control

 tab

  86

r current (

eived at ester of

ceived at r than at

8

 

M&E REPOR

 

Figure 4

For the tablet reseem tocurrentlmay hawho reppregnancertain received

0

10

20

30

40

50

60

70

80

90

100

RT  OF PKH PREST

49. Receipt

mothers oeceipt durino indicate ty pregnant

ave not hadported havinncy was simlevel of med.

77.1

14

Baseline in

recei

TASI PILOT PROJE

t of iron fola

f children ung their mosthat more women(Fig

d sufficient ng receivedmilar to thaemory bias

4.0

ntervention

ived IFA

ECT, BREBES 

te tablets in

under threest recent p(around 95

gure 50).Thtime to rec

d at least theat of the cu

is possible

76.8

14.5

Baseline Co

received 

n current pre

e years old,regnancy. T

5%) motheris is not sur

ceive all 90 e minimum urrently prege, as these

8

ontrol En

≥90 tablets

regnancy (%

no baselinThe responrs received rprising, as tablets. Stamount of gnant womwomen ma

85.4

23.6

4

ndline Interve

third t

 

%)

ne data wernses of the

IFA tabletsthe current

till, the perc90 IFA tabl

men. It shouay have for

83.

40.6

ntion En

trimester;≥90

 

re availablemothers ats comparedtly pregnantcentage of ets during t

uld be notergotten the

5

22.4

37.8

dline Control

 tab

  87

e on IFA t endline d to the t women mothers their last d that a amount

8

 

M&E REPOR

 

 

2. Persup

Almost

3. Perto P

The moand suprespect52). Themost im

‐

10.0 

20.0 

30.0 

40.0 

50.0 

60.0 

70.0 

80.0 

90.0 

100.0 

75

80

85

90

95

100

RT  OF PKH PREST

rcentage opplementa

all children

rcentage oPosyandu

ost commonpplementaryively, followe low perce

mmunization

re

86.490.

6-35 mont

Interve

TASI PILOT PROJE

of childrenation

n aged 6-35

of children

n basic servy food, whic

wed by heigentage of cns are given

95.5 

38

Intervention

eceived any IF

.9

hs 1

ention Co

ECT, BREBES 

n aged 6-3

5 months (

n who rece

vices childrech were rec

ght measurehildren hav

n to infants d

8.0 

n

FA tablets

85.5

91.7

12-23 month

ontrol

35 months

(99.5% in irecyeaintegrocap(p<the(p<

FigVA

eived bas

en receivedceived by aement (24-4ving receiveduring the f

95

received ≥9

hs

s who rece

nterventioneived VAC

ar precedervention grup 90.9% o

psule durin0.01). In thse percent0.05)(Figur

ure 51. PerC suppleme

ic service

d at posyanalmost 100%40%) and imed immunizafirst nine mo

5.7 

38.8

Control

90 tablets

 

eived vitam

and 99.6%C suppleme

ing the roup, 86.4%of the childng the prehe 12-23 mages were re 51).

rcentage of entation in t

s during m

ndu were we% and 74-8mmunizatioation is relaonths of life

 

 

Figure 50Receipt otablets inpregnancmothers children three yea

 

 

 

 

min A cap

% in controentation du

survey. % and in theren had rec

evious six months age

roughly th

children recthe last six m

most rece

eight meas1% of the cn (12-16%)

ated to the .

  88

0. of IFA n last cy - of under ars old

psule

ol group) ring the In the

e control ceived a months

e group, he same

ceiving months

nt visit

urement children, ) (Figure fact that

 

M&E REPOR

 

Figure 5

4. Perserv

There wunder tgroup abaselinecompar83.2, re

0.010.020.030.040.050.060.070.080.090.0

100.0

RT  OF PKH PREST

52. Proporti

rcentage ovice from

was a smallthree yearsand p<0.00e, 86.2% ored to 83.6%espectively (

Baseline In

TASI PILOT PROJE

ion of childr

of mothersPosyandu

l but significs with Posy01 control gof mothers % in the con(Figure 53).

ntervention

ECT, BREBES 

ren under th

s who weru

cant reductyandu servgroup), butin the inte

ntrol areas..

Baseline C

hree receivi

resatisfied

ion in the levices atbast not betweervention a While at e

Control

ing basic se

d and quite

evel of satiseline and een intervereas werendline, thes

Endline Interv

 

ervices at po

e satisfied

sfaction of mendline (p<

ention and satisfied o

se percenta

vention

 

osyandu

d with the

mothers of <0.005 intecontrol gro

or slightly sages were 8

Endline Contr

  89

children ervention oups. At satisfied, 84.9 and

rol

 

M&E REPOR

 

Figure 5months

5. ANC

a. Perdur

The vasThis waintervenless thawere av

Figure 5recent p

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

7580859095

100

RT  OF PKH PREST

53. Level ofby interven

C

rcentage oring pregn

st majority as the casntion and coan three yeavailable on t

54. Percentpregnancy

69.8

16.4

11.61.9

Baseline interventio

Mothers

Interve

TASI PILOT PROJE

f satisfactionntion group

of pregnannancy

(around 90se for curreontrol areasars old in bthe mothers

tage of preg

66.9

16.7

12.72.9

nBaseline Control

PW

ntion

Baselin

ECT, BREBES 

n with posyat baseline

nt women

0%) of womently pregns, as well asboth intervens of children

gnant wome

63.1

20.1

15.6

1.2

Endline Intervention

Mothers

Contro

ne

Health worke

yandu service (left) and e

attending

men soughtant womens for the lasntion and cn aged 6-35

en and moth

65.7

20.2

12.02.1

nEndline Control

PW M

ol

r Health 

ces among endline (righ

g antenata

t ANC fromn at baselist pregnanccontrol areas5 months (F

hers seeking

Not sat

Slightly 

Slightly 

Satisfie

Mothers

Interventio

worker and T

 

mothers of ht)

al care ser

m a skilled hne and en

cy of currents at endlineigure 54).

g ANC duri

isfied

unsatisfied

satisfied

d

PW Mo

on

Endline

TBA

 

children ag

rvices (AN

health workndline, and t mothers oe. No basel

ing current o

thers PW

Control

  90

ged 0-35

NC)

ker only. in both

of a child ine data

or most

W

 

M&E REPOR

 

 

b. Pertota

The peimporta90%) asignifica

Figure 5least 4 t

The minby mospregnanstatisticbaseline

6. Permic

Only 12year. 10respondTaburiawas dismother in 2013

50.0 

60.0 

70.0 

80.0 

90.0 

100.0 

RT  OF PKH PREST

rcentage oal of four t

rcentage ont indicator

and althougant differenc

55. Percenttimes ANC

nimum numst women. ncy who ha

cal difference and endlin

rcentage ocronutrien

25 out of 1706 of these dents). Thea was not yestributed in t

remembereor 2014.

88.1

Inter

TASI PILOT PROJE

of pregnantimes ANC

of pregnant r for matergh it seemce (Figure 5

tage of pre

mber of ANCFigure 55

ad had fources betweenne.

of childrennt powder

782 childrechildren (8re were noet widely disthe previoued the time

1  84.7 

rvention

Base

ECT, BREBES 

nt women C

women wnal care. T

ms lower at55).

egnant wom

C visits durinshows the

r ANC visitsn interventi

n aged 6-2(Taburia)

en aged 6-285%) had reo differencesstributed in s 1.5 years of Taburia

91.3 

Cont

eline

First ANC in t

seeking f

who had theThis percent endline (

men with firs

ng pregnance percentags, and theson and con

23 months

23 months eceived the s between Brebes. As

s, while a sma receipt in

86.7 

trol

trimester I

first ANC i

eir first ANtage was v

(overall 87%

st ANC in fi

cy is four timges of wome two werentrol groups

s who ever

(7.0%) hadTaburia in the interve

s shown in mall proportthe interven

88.5  87

Interventi

≥4 times AN

 

in the first

NC in the fvery high a%), this is

first trimeste

mes, and thmen in theie around 90s nor betwe

r consume

d received Tthe past sixntion groupFigure 56, mtion of the 1ntion area w

7.1

ion

Endline

NC

 

t trimester

irst trimesteat baseline

not a sta

er, and a to

his too was r third trim0%. There ween the situ

ed multipl

Taburia in tx months (6ps. This shomost of the 110 childrenwere given

84.7 89.5

Control

  91

r and a

er is an (around

atistically

otal of at

reached mester of

were no uation at

le

the past 6% of all ows that Taburia

n whose Taburia

 

M&E REPOR

 

7. Per6 m

The bas

At endlichild haAround significathe integroup ahalf yea

Figure 5

8. Per6 m

The bas

At endlichild haAround significathe integroup ahalf yea

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

RT  OF PKH PREST

rcentage omonths

seline repor

ine, 346 (1ad ever rec

three quaant differencerview. (dataand 19.5% ar.

56. Year of

rcentage omonths

seline repor

ine, 346 (1ad ever rec

three quaant differencerview. (dataand 19.5% ar.

5.6%

%

%

%

%

%

%

%

%

%

%

%

TASI PILOT PROJE

of children

rt did not inc

7%) of 148ceived dewoarters (74.6ce) of thesea not showin the inter

last Taburia

of children

rt did not inc

7%) of 148ceived dewoarters (74.6ce) of thesea not showin the inter

%0.0%

2013

ECT, BREBES 

n aged 12-

clude this in

83 mothers orming and

6% in the e children h

wn) Thus, 14rvention gro

a receipt (n

n aged 12-

clude this in

83 mothers orming and

6% in the e children h

wn) Thus, 14rvention gro

5.6%

20

Inte

-35 month

ndicator so

children agd 332 couldcontrol gro

had received4.8% of all

oup had rec

=110 childr

-35 month

ndicator so

children agd 332 couldcontrol gro

had received4.8% of all oup had re

0.0%

014

ervention

hs who rec

it is not pos

ged 12-35 md remembeoup and 8d deworminchildren in

ceived dewo

ren aged 6-2

hs who rec

it is not pos

ged 12-35 md remembeoup and 8d deworminchildren in

ceiveddewo

47.2% 4

2015

Control

 

ceived dew

ssible to com

months oldr the date 0.8% in th

ng in the sixn this age gorming med

23 months)

ceived dew

ssible to com

months oldr the date 0.8% in th

ng in the sixn this age gorming med

47.6%

5

 

worming i

mpare the d

reported tof last dew

he intervenx months prgroup in thedication in

worming i

mpare the d

reported tof last dew

he intervenx months prgroup in thedication in t

41.6%

52.

2016

  92

n last

data.

hat their worming. tion, no receding e control the past

n last

data.

hat their worming. tion, no receding e control the past

4%

 

M&E REPOR

 

9. Peracc

Data wguidelin12-23 mwhile ingroup immunizdifferendifferenchildrencontrol 57).

Figure 5

0

10

20

30

40

50

60

70

80

90

100

RT  OF PKH PREST

rcentage ocording to

were collectnes of the Inmonths weren the controand 65.8%zations for ce in the intce between

n 0-35 montgroup, resp

57. Percent

Interve

TASI PILOT PROJE

of childrenage

ted on the ndonesian Pe reported ool group thi% in the ctheir age. Ttervention gn the groupths were copectively, w

tage of child

56.5 

ention

Baseli

ECT, BREBES 

n aged 12-

immunizatPediatricianon: 56.5% ois percentacontrol gro

These differgroup was <ps at endlionsidered, awere fully im

dren immun

5

Contr

ine

0‐35 m

-23 month

tion status ns Associatiof these ch

age was 53oup were rences over<0.05 and inne was alsat endline 4mmunized a

nized accord

53.1 

ol

months 12

hs who we

of all childon (IDAI). Aildren were.1. At endlfound to

r time were n the controso highly si48.9% and according t

ding to their

48.9  5

Intervent

2‐23 months

 

ere fully im

dren and cAt baseline,e fully immuine, 51.3% have recesignificant:

ol group it wignificant (p61.9% in th

to their age

r age

1.3 

tion

Endline

 

mmunized

compared w only childr

unized for thin the inte

eived the the p-value

was <0.001,p<0.001). Whe intervene (p<0.001)

61.9 65

Control

e

  93

with the ren aged heir age, ervention required e for the and the

When all tion and

) (Figure

5.8 

 

M&E REPOR

 

6. NuAlthougand prethe cenindicatochange during tshorter nutritionevaluati

Table 3under thendline the conratesamstuntingintervendifferenit is not

Table 3

No

1 Ch

2 PW

3 Ch

4 Ch

5 Ch

6 PW

1. Ane

Anemiacut-offs are no same a

: BL : No : EL

RT  OF PKH PREST

utritional gh the originegnant womntral level tors. Interve

behaviors the programduration o

nal status wion.

35 shows anhree years lower rates

ntrol group mong pregng and undention group ces at endlpossible to

35. Overview

Re

hildren, Anem

W, Anemia

hildren, Stun

hildren, Was

hildren, Unde

W, Undernut

emia

a is defined for age, seagreed cutnd are show

L better than o difference L better than

TASI PILOT PROJE

Status nal goal of tmen, as welthat it is nontions baseneed time

m implemenof pilot pro

were still col

n overview old and pres of anemia

only, as nant womeerweight a were highline betwee attribute im

w of impact

spondent, t

mia

nting

sting

erweight

trition

as a hemogex and biolo-offs for chwn in Table

EL / Contro

BL / Interve

ECT, BREBES 

the PKH Prl as stuntinot feasible ed on trainto show anntation delaoject implellected and

of the impaegnant woma among chwell as ofn were sim

among childher at endlien the intervmpact on nu

of the inter

topic

globin concogical statuhildren <6 m 36.

l better than

ntion better t

estasi was ng in childre

to expect ning and inn impact onayed the stementation

are reporte

act of the inmen. In comhildren in bof undernutrmilar at badren in bone compar

vention (PKutritional sta

rvention on

Interv

<0.005

N

<0.001

<0.05

<0.001

<0.001

centration ins. The cut-o

months old)

Intervention

than Control

to reduce aen under tha significan

ncreasing k biological tart of the than was

ed here but

ntervention omparison wioth groups,rition amonaseline andoth groups,red to base

KH Prestasi)atus to the p

malnutrition

EL vs. B

vention

5 <0

NS

1 <0

<0

1 <0

1 <0

n the blood offs for chil and pregn

 

anemia in cree, there int change knowledge indicators, implementaoriginally

t are not the

on nutritionth the situa of wasting

ng pregnand endline. as well a

eline. Beca) and the co

pilot activity.

n

BL

Control

0.001

NS

0.001

0.005

0.001

0.001

lower than dren aged

nant women

 

children undis full agreein these band awareand the cha

ation. This planned. D

e main focu

al satus of ation at basg among chnt women. However, as wastinguse there wontrol (PKH.

Intervenvs. Contr

EL

NS

NS

NS

<0.005

NS

NS

the standa6-59 monthn happen to

  94

der three ement at biological eness to allenges led to a Data on us of the

children seline, at hildren in

Anemia rates of

g in the were no

H) areas,

ntion rol at

rd WHO hs (there o be the

 

M&E REPOR

 

Table 3

An

S

Mo

1.a. A

At basecontrol the diffeintervendifferen((9.7 peto claim

Figure 5and end

When scomparendline(

              12HaemogVMNIS|V

0.010.020.030.040.050.060.070.080.090.0

100.0

RT  OF PKH PREST

36. Cut-offs

nemia categ

Severe anem

oderate anem

Mild anemia

Normal

Anemia am

eline, 80.1%area were erence betntion villaget between t

ercent-pointm this improv

58. Percentdline, by inte

segregated red to base(Figure 59,

                    globinconcent

VitaminandMin

5

51

23

%%%%%%%%%%%

Interv(12

80.1

TASI PILOT PROJE

for anemia

gory

mia

mia

a

mong chil

% of childrenanemic (H

tween the es and 73the groups)s) than in thvement was

tage of childervention g

for sex oline values Figure 60).

                     trationsforthederalNutritionIn

.2%

1.4%

3.5%

vention 268)

C

Baselin

1%                 

ECT, BREBES 

among chil

Cut-off Hb

ldren unde

n aged 6 - 3emoglobin groups). At.9% in the) (Figure 58he intervents owing to P

dren aged 6roup

or age, sim(p<0.001),

diagnosisofananformationSys

5.5%

54.5%

23.7%

Control (116

ne

 83.6%

ldren 6-59 m

concentrat

<7

7-9.9

10.0 - 10.9

> 11

er three y

35 months concentratit endline, t

e control v8). The imption area (3PKH Presta

6-35 months

milar pattern but no sta

aemiaandassestem(WHO201

2.

45

29

7) Interv(10

76.5%   

months and

ion (g/dL)

ears

in the intervion <11 g/dthis percen

villages (ovrovement in.6 percent-si.

s with anem

ns were foatistical diffe

essmentofsev11) 

1%

.2%

.2%

vention 080)

C

Endline

             73.9%

 

d pregnant w

vention aredL) (overall ntage was verall 75.5%n the contropoints). Thu

mia (Hb<11g

ound: signiference betw

verity-

1.4%

43.2%

29.3%

Control (702

e

%

 

women (g/d

a and 83.681.8%; p<lower at 7

%; not signol group waus, it is not

g/dL) at bas

ficant improween the g

)

Mild

Mod

Sev

  95

dL)12

% in the <0.05 for 76.5% in nificantly as larger possible

seline

ovement roups at

d

derate

vere

 

M&E REPOR

 

Figure 5endline 

While ahigh as83.9% aSimilar anemia inTable

Table 3endline,

Interven

Control

0%10%20%30%40%50%60%70%80%90%

100%

RT  OF PKH PREST

59. Severity

at baseline, s 87.7% in and 86%, rreductions prevalence37.

37. P-values, by intervenGroup

ntion

%%%%%%%%%%%

Boys

Interve

TASI PILOT PROJE

y of anemia

anemia prthe interverespectivelywere seen

e between b

s for differenntion

6

<0.005

<0.05

Girls B

ention

Baseline

ECT, BREBES 

prevalence

revalence antion and ey, of the chn in the othbaseline an

nces in age

6-11 months

5

oys Girls

Control

e

e by sex and

among the yeven 92.1%hildren in thher age grond endline, b

-specific an

s 1

<0.0

<0.0

s Boys

Interve

d interventio

youngest c% in the conhis age grooups. The pby age grou

nemia preva

12-23 mont

01

01

Girls B

ention

Endline

 

on group at

children (6-1ntrol groupsoup were ap-values forup and inte

alence betw

hs

<0.

<0.

Boys Girls

Control

e

 

t baseline a

11 months)s, at endlin

anemic (Figr the differervention are

ween baselin

24-35 mon

01

001

s

Nor

Mild

Mod

Sev

  96

and

was as ne “only” ure 60). ences in e shown

ne and

nths

rmal

d

derate

vere

 

M&E REPOR

 

Figure 6 

1.b. A

At basewomen 51.0 an

Figure 6and end

No signgroups women.and32.6

0%10%20%30%40%50%60%70%80%90%

100%

0

0.2

0.4

0.6

0.8

1

RT  OF PKH PREST

60. Severity

Anemia am

eline, 57.9%in the contd 51.2, resp

61. Percentdline

nificant diffeat endline. . At endline6% in the

%%%%%%%%%%%

6-11

m

Interv

57.9

interve

TASI PILOT PROJE

y of anemia

mong pre

% of pregntrol area wepectively (F

tage of preg

erences werThe baseline, mild anecontrol are

12-2

3m

24-3

5m

vention

Base

S

%

ntion

Baseli

ECT, BREBES 

by age and

gnant wom

nant womenere anemic Figure 61).

gnant wome

re found, eine did not remia was feas, while

6-11

m

12-2

3m

Cont

eline

Severe M

54.6%

contro

ine

severe m

d interventio

men

n in the int(overall 53.

en with anem

ither betweereport on thfound in 3020.4% and

24-3

5mtrol

Moderate M

%

ol

moderate

on group, at

tervention a.9%). At en

mia by inter

en baselinee severity o0.6% of thd 18.6%, r

6-11

m

12-2

3m

Interventi

Mild Norm

20.4%

30.6%

intervent

mild ane

51.0%

 

t baseline a

area, and 5dline, these

rvention gro

e and endlinof the aneme women iespectively

24-3

5m

6-11

m

ion

Endline

mal

%

%

ion

Endline

emia

%                     

 

and endline

54.6% of pe percentag

oup, at base

ne nor betwmia among p

in the intery, were mo

611

m

12-2

3m

Control

18.6%

32.6%

control

e

    51.2%

  97

pregnant ges were

eline

ween the pregnant rvention,

oderately

24-3

5m

 

M&E REPOR

 

anemic,which is

2. ANT

Althouglogframas wellmonths

2.a. S

The ovegroup awas lowendline,

It is diffPKH Prof rice fon stunt

SUMM

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

RT  OF PKH PREST

, and one ws classified

THROPOM

gh not conse of UNICE. These in, and under

Stunting i

erall stuntinand the conwer, in part, however, w

ficult to interestasi pilot.fields in Bulting in Breb

MARY ANEMAnemia prlower at enNo differenimpact canNo significeither grou

11.4

19.1

Intervention

Ba

TASI PILOT PROJE

women in anas severe a

METRY

sidered impEF’s proposncluded sturnutrition am

in children

g rate at enntrol group,ticular in thwas not sta

rpret these . For instanlakamba. T

bes.

IA revalence amndline (75.5%nces were fonnot be attribcant differenup before and

11.5

20.7

n Control

seline

ECT, BREBES 

n interventioanemia.

pact indicatal to DFAT,

unting, wasmong the pr

n aged 0-3

ndline was s comparedhe interven

atistically sig

results, asce, in 2015his and oth

mong childre%) than at baound betweenbuted to the Pces in anemd after interv

7.3

24.9

Interventi

on village h

tors for this, other indic

sting and uregnant wom

35 months

significantly to baselin

ntion group.gnificant (Fi

there was 5, a draught

er factors -

en aged 6 -aseline (81.8n interventionPKH Prestasmia prevalenvention or bet

9.1 

28.3

ion Contro

Endline

had a hemo

s pilot projcators of nuunderweighmen.

s

y (p<0.001) e, but the . The differgure 62).

no monitorhit Brebes such may

35 months i%) (p<0.001n and contro

si activities. ce were foutween the gr

3 

ol

Mo

Se

 

globin conc

ect, as statritional stat among c

higher in bprevalence rence betw

ring of otheand destrohave had a

Fpauiae

 

n both grou1). ol areas at en

und among proups after th

oderate

vere

 

centration o

ated in the tus were m

children age

oth the inteof severe

ween the gr

r factors duyed 1,000 h

an (unknow

Figure 62. Sprevalence among childunder threeinterventionat baseline endline

ps was sign

ndline; theref

pregnant wohe interventio

  98

of <7g/dl,

original easured ed 0-35

ervention stunting

roups at

uring the hectares n) effect

Stunting (%)

dren e by n area, and

nificantly

fore this

omen in on.

 

M&E REPOR

 

As expefalteringendline stunting(p<0.01months aged 12interven24-35 m(p<0.00

Figure 6

0.05.010.015.020.025.030.035.040.045.050.0

RT  OF PKH PREST

ected, stung continued

between tg rates wer)and in thein the inte

2-23 monthntion and comonths old 01) but this w

63. Severity

0‐5 m

onths

6‐11 m

onths

1223

th

Interven

TASI PILOT PROJE

nting prevald to occur he groups

re higher ate control grrvention gros, stunting ontrol group

in the intewas not the

y of stunting

12‐23 m

onths

24‐35 m

onths

0‐5 m

onths

tion

Baseline

ECT, BREBES 

lence was (Figure 63for any of

t endline coroup(p<0.00oup (p<0.05rates were ps(p<0.001ervention ge case not in

g (%) by age

6‐11 m

onths

12‐23 m

onths

2435

h

Control

higher in e3). Again, n

the age grompared to01). This w5) but not ialso higher). At endlinroup were

n the contro

e and interv

24‐35 m

onths

0‐5 m

onths

6‐11 m

onths

Interv

each conseno statisticroups. Amo

o baseline iwas also thn the contrr at endlinee, a smalleseverely s

ol group.

vention grou

12‐23 m

onths

24‐35 m

onths

h

vention

Endlin

 

ecutive agecal differencong infants in both the

he case for rol group (Ne compared er percentagstunted com

up at baseli

0‐5 m

onths

6‐11 m

onths

12‐23 m

onths

Control

ne

 

e group, asces were f

aged 0-5 interventioinfants ag

NS).Among to baseline

ge of childrmpared to

ine and end24‐35 m

onths

M

S

  99

s growth found at months,

on group ged 6-11

children e in both en aged baseline

dline

Moderate

evere

 

M&E REPOR

 

At endli(31.5%)found a(Figure

Figure 6

2.b. W

At endliand in tat endliinterven

It is diffendline

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

RT  OF PKH PREST

ine, a signi) comparedamong boy64).

64. Severity

Wasting in

ne, the washe control gne the prev

ntion group

ficult to intein Apr-May

10.4

16.8

Girls

Intervent

TASI PILOT PROJE

ificantly low to the con

ys and girls

y of stunting

n children

sting prevalgroup it wasvalence of w(p<0.005) (

erpret thesey, and wasti

12.4 9

21.421

Boys Gi

tion

Baseline

ECT, BREBES 

wer percenttrol group (

s in both g

g (%) by sex

n aged 0-3

ence in thes significantwasting in t(Figure 65).

e results beng is highly

.7 13.2

1.120.4

irls Boys

Control

age of boy(38.3%) (p<groups at e

x and interv

35 months

interventiotly lower cothe control

ecause they influenced

7.6

25.4

s Girls

Interv

ys were stu<0.05). Slighendline com

vention grou

n group waompared to

group was

e baseline wd by season

7.0

24.5

Boys

vention

Endlin

 

nted in the htly higher mpared to

up, at baseli

as significanbaseline (psignificantl

was done iality.

7.3 10

29.127

Girls Bo

Control

ne

 

interventiostunting ratbaseline (p

ine and end

ntly higher (p<0.001). Mly lower tha

n Oct-Nov

0.8

7.5

oys

M

Se

 100

on group tes were p<0.005)

dline

p<0.05), oreover,

an in the

and the

Moderate

evere

 

M&E REPOR

 

Figure 6and end

Compar23 monwas sigp<0.05)66).Wasgroup thdifferenbetween

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

RT  OF PKH PREST

65. Wastingdline

red to both nths age grgnificantly h), as well sting prevahan in the cces were fn the group

1.9

8.6

Interventio

B

TASI PILOT PROJE

g prevalence

the youngeoup. Wastihigher at e

as compaalence amocontrol groufound for c

ps at endline

2.9

7.6

on Contro

Baseline

ECT, BREBES 

e among ch

er and the ong prevalenndline com

ared to theong the old

p, but therechildren age.

1.

10

ol Interve

hildren unde

older childrence among

mpared to be control gest age gr

e was no difged 0-11 m

.3

0.4

ention C

Endline

er three by i

en, wasting these child

baseline (14group (14.3oup was afference wit

months, eith

1.0

5.9

ontrol

 

intervention

was most pdren in the4.3% vs. 103% vs 8.2

also higher th the situather compa

Moderate

Severe

 

n group at b

prevalent in interventio0.8%, resp

2%, p<0.05in the inte

tion at basered to bas

 101

baseline

n the 12-on group pectively; 5)(Figure ervention eline. No seline or

 

M&E REPOR

 

Figure 6

WastingAmong intervensignifica

Figure 6

 

2.c.

0.02.04.06.08.0

10.012.014.016.0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

RT  OF PKH PREST

66. Wasting

g prevalencthe girls

ntion groupant differenc

67. Wasting

Underwei

0‐5 m

onths

6‐11 m

onths

1223months

Intervent

1.7

8.0

Girls

Intervent

TASI PILOT PROJE

g prevalence

ce was conat endline

p (11.2%) cces betwee

g prevalence

ght in chi

12‐23 m

onths

24‐35 m

onths

0‐5 m

onths

tion

Baseline

2.1 2.

9.26.

Boys Gir

tion

Baseline

ECT, BREBES 

e by age an

nsistently h, wasting compared tn boys in th

e by sex an

ldren aged

6‐11 m

onths

12‐23 m

onths

24‐35months

Control

8 2.9

68.6

rls Boys

Control

nd intervent

higher amowas signifito the conhe two grou

nd interventi

d 0-35 mo

2435 m

onths

0‐5 m

onths

6‐11 m

onths

Interve

1.4

10.8

Girls

Interve

tion group, a

ong boys thicantly mortrol group ps.

ion group a

onths

12‐23 m

onths

24‐35 m

onths

0‐5 m

onths

ntion

Endline

1.2 0

10.0

5

Boys G

ntion

Endline

 

at baseline

han amongre prevalen(6.0%), wh

t baseline a

6‐11 m

onths

12‐23 m

onths

Control

0.8 1.3

5.26.5

Girls Boys

Control

 

and endline

g girls (Fignt (p<0.05)hile there w

and endline

24‐35 m

onths Mod

Seve

s

Mod

Seve

 102

e

ure 67). ) in the were no

derate

ere

derate

ere

 

M&E REPOR

 

Underwbut it cathe inteendline group (2at base

Figure 6

Underwand thechildrenunderwegroups,interven

No diffedifferen70). Girbaseline

0.0

5.0

10.0

15.0

20.0

25.0

30.0

RT  OF PKH PREST

weight is a man also misrvention growas signif

25.9%) (Figline or at en

68. Prevale

weight was e control grn (due to smeight preva at endline

ntion and th

erences in uces amongrls had signe for both g

4.8

15.2

Interven

TASI PILOT PROJE

mixed indicass stunting ioup and 19ficantly (p<0gure 68). Thndline.

nce of unde

significantlyroups, at bmall numbealence was e comparede control gr

underweighg the boys, nificant (p<0roups.

tion

Baseline

ECT, BREBES 

ator, as it cif it co-exist9.6% in the 0.001) highhere were n

erweight by

y more prebaseline aners of infant

seen in ald to baseliroup at end

ht prevalenceither betw

0.001) high

4.8

14.9

Control

could indicats with overcontrol gro

her in both no significan

y interventio

evalent in ond at endlints aged 0-6ll age groune, while nline (Figure

ce between ween surveyher underwe

4.

22

Interve

ate stunting rweight. At oup were unthe intervent differenc

n group at b

lder age grne. In addit6 months), ps, and in no differenc

e 69).

the sexes ys or betweeight preva

9

.0

ention

Endline

 

or wastingbaseline, 1

nderweight.ntion (26.9

ces between

baseline an

roups in botion, excepa significanboth interv

ces were f

were foundeen groups

alence at en

4.3

21.6

Control

e

 

g, or a comb9.9% of ch The preva%) and then the group

nd endline

oth the intept for the yntly (p<0.05vention andfound betw

d at endlines at endlinendline comp

Mo

Sev

 103

bination, hildren in alence at e control ps, either

ervention youngest 5) higher d control

ween the

e and no e (Figure pared to

oderate

vere

 

M&E REPOR

 

Figure 6

Figure 7

0.0

5.0

10.0

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RT  OF PKH PREST

69. Prevale

70. Prevale

0‐5 m

onths

6‐11 m

onths

1223

th

Intervent

4.6 4.9

12.717.

Girls Boy

Interventio

B

TASI PILOT PROJE

nce of unde

nce of unde

12‐23 m

onths

24‐35 m

onths

0‐5 m

onths

tion

Baseline

9 4.8 4

613.5 1

ys Girls B

on Contro

Baseline

ECT, BREBES 

erweight by

erweight by

6‐11 m

onths

12‐23 m

onths

2435

th

Control

4.7 5.0

16.3

23.7

Boys Girls

ol Interve

y age and in

y sex and int

24‐35 m

onths

0‐5 m

onths

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onths

Interv

4.9 3.9

20.4 22.5

Boys Girls

ention Co

Endline

ntervention g

tervention g

12‐23 m

onths

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onths

05

th

vention

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4.7

5 20.6

s Boys

ontrol

 

group, at ba

group at bas

0‐5 m

onths

6‐11 m

onths

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onths

Control

ne

Moderate

Severe

 

aseline and

seline and e

24‐35 m

onths

M

Se

 104

endline

endline

Moderate

evere

 

M&E REPOR

 

2.d.

At base<23.5mpercentdifferen

In summchronic each coconsum12-23 mprevaleparticulaThese fexclusiv

Similarlymonths the prev(30-39%experielinear g

Anotheras well anemia classificbased fpregnanand devat risk osufficien

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15.0%

20.0%

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30.0%

RT  OF PKH PREST

Undernutr

eline, 27.1%m, which is

tage was sce between

mary, this emalnutritio

onsecutive ame complemmonths fallsnce of wasar in the cfindings indve breastfee

y, stunting of age, but

valence of %), while innce acute mrowth falter

r risk factoras childrenprevalenc

cation (≥40%food). Anemncy, while irvelopment. of having lownt iron for

27.1%

Intervent

TASI PILOT PROJE

rition amo

% of pregns indicativeignificantly

n the interve

endline studon among cage catego

mentary foods into seriouting among

control areaicate that IYeding and c

prevalencet it increasestunting fo

n the contmalnutritionring, in parti

r for optimaln of all agece is cons%). Anemmia during ron-deficien Children b

w iron storearound the

% 28

tion Con

Baseline

ECT, BREBES 

ong pregn

nant womene of chronic

(p<0.001) ention and t

dy shows thchildren undry, especiads. The prevus category g children <a where 3.YCF practiccomplement

also increaed sharply ar children ≥rol area, it

n during thecular when

l linear growe groups in sidered a

mia indicatespregnancy

ncy anemia born from mes, while thoe first 6 to

.5%

ntrol Int

ant wome

n had a mc protein-en

lower in bothe control g

hat this popder-three. Tlly after thevalence of wbased on W

<6 months o5% of child

ces were stitary feeding

ased with aat the age o≥12 monthst was very

eir growth spthey do no

wth is microthis study,severe pu

s poor quay is associaduring preg

mothers whoose who areo 8 months

13.5%

tervention

Endli

en

mid-upper aergy malnuoth groups,groups (Fig

ulation faceThe prevalee age of six wasting amWHO classold is belowdren <6 mill not optimg.

ge. While gof 12-23 mos was high y high catepurt (0-24 mt receive pr

onutrient de even amo

ublic healthlity of diet (ated with lognancy alsoo are severe born from s of life. W

8.1%

Control

ne

 

rm circumfutrition (PEM, but there ure 71).

Figurof premid-ucircum<23.5intervbase

es a combinence of was

months whmong childre

ification (≥1w 10%, it is

months weremally implem

growth falteonths. In the

based on egory (≥40%months) areroper treatm

eficiency. Foong the 6-1h problem (in particulaow birth weo impairs threly or modnon-anemi

Without prop

 

ference (MUM). At endlwas no sig

re 71. Perceegnant womupper arm mference (M5cm, by vention grouline and en

nation of acsting was hhen childrenen 6-11 mon10%). Altho still high (≥e severely

mented, in p

ring startede interventiWHO class

%). Childre at a highement.

or pregnant1 months o

based onar a lack ofeight and pe fetal brain

derately anec mothers w

per comple 105

UAC) of line, this gnificant

entage men with

MUAC)

up at dline

cute and higher in n start to nths and ough the ≥5%), in wasted.

particular

d at 6-11 on area, sification ren who er risk of

t women olds, the n WHO f animal-pre-term n growth emic are will have

ementary

 

M&E REPOR

 

feedinganemia

RT  OF PKH PREST

, children ≥as well.

TASI PILOT PROJE

≥6 months

ECT, BREBES 

old born froom even mmoderately a

 

anemic mo

 

thers are a

 106

at risk of

 

M&E REPOR

 

RESThis seinformaof 38 stAffairs ImplemeNahdlatUNICEFwhich tstakehoheads oAnnex 6this eva

The evsustaina

Relev1. T

Targetinintervenmalnutrtarget g

Theoretintervenstay in tthe respnot warthe pooaround excludeinterven

HoweveStuntingpercentprogramsuccessresult in

RT  OF PKH PREST

ULTS 3ction providtion includetakeholdersOffice/PSAentation Untul Ulama/PF) were intethe pilot holders (5 heof intervent6.The resul

aluation.

aluation focability. Defin

vance Target ng of the pntions, as inrition and wgroup.

tically, the ntions wouldthe programpondents inrrant their inorest of the

5% of thee the most ntions with P

er, it shouldg prevalenct and still mm aimed to sful. Even ifn a 1% redu

TASI PILOT PROJE

3: EVAdes an oveed interviews from 16 in

AO of Centrnit/UPPKH PCNU of erviewed inas achieveeads of thetion villagests of the m

cused on fnitions and

poorest andntended by

widespread b

PKH targetd reach the

m for six yean the endlinnclusion in e poor (bot populationneedy pop

PKH in the

be clearly ce in Indonmedium in treduce ovef stunting w

uction overa

ECT, BREBES 

LUATIOrall evaluat

ws with stakenstitutions (ral Java, Pof Central Central Ja

n April and ed its objee participats) are also onitoring an

five aspectexamples f

d vulnerablPKH Pres

behaviors t

ts very pooese very poars, regardle survey haa program ttom decilen. Combineulation fromhope of rea

understoodnesia is verthe highest

erall stuntingwould be reall.

ON ion of the Peholders, oBappenas,

Provincial HJava provi

ava, IndoneMay 2016

ectives. In ing sub-dispresented

nd the endl

ts: relevancfor these fiv

e househotasi, is highthat threate

or families, oor familiesess of their ad clearly ifocused on) benefit fr

ed with highm the prograching the m

d that stuntiry high amot wealth qug prevalenceduced by 5

PKH PrestabservationsBappeda, M

Health Officence, TNP2esian Jourto gather taddition, r

stricts; 12 hin this sec

ine survey

ce, efficiencve aspects a

lds with nuhly relevantn healthy d

and thus s. Howeverr subsequenmproved ecn the most rom PKH ah targeting ram. There

most vulnera

ng is by no ong 40% ouintile (Figuce only to th5% in the lo

 

asi Pilot in Bs and documMoSA, MoHe/PHO of CK, LKNU, Rnalists Assheir opinionelevant opheads of Pction. A fulare also ta

cy, effectiveare provided

utrition-spect because odevelopmen

integration r, in reality, nt economicconomic covulnerable.

as the progerrors in P

fore, directable becom

means a pf the populre 72). The

he poorest wowest quint

 

Brebes. Soment reviewH, ProvinciaCentral JavRegional Osociation/PWns on the e

pinions of 2uskesmas, l list is proken into ac

eness, impd in the text

cific and –sof the high nt of childre

of PKH wi PKH benec situation. Sonditions tha In addition

gram only sPKH, whichtly integratin

mes less rele

problem of tlation, higherefore, targwill definiteltile, this wo

 107

urces of w. A total al Social va, PKH

Offices of WI, and extent to 29 local and 12

vided in ccount in

pact and t box.

sensitive rates of

en in this

ith other eficiaries Some of at would n, not all supports h further ng other evant.

he poor. in 40% geting a y not be

ould only

 

M&E REPOR

 

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M&E REPOR

 

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72. Stunting

das 2013); Wnce 

Location oice of Bre, low Humaown that theding practon for whic

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                    mi, Suhartonoe of Stunting InJurnal Keseha

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TASI PILOT PROJE

g prevalenc

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       29.0%

 109

h

on rates wever, it used by

he onion

s, health cilitators, and skills acilitation particular dressing

to The kamba

ang pada

 

M&E REPOR

 

nutritioninterven

The traicapacitythe religwith trai

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Thus, PBrebes,demandhealthy PKH facneed fo

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RT  OF PKH PREST

n problemsntion and co

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recognizednce to seling/promo

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TASI PILOT PROJE

, as seen ontrol group

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by all parshare thetion).

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message at a

leaders froessages waion in the dicomments rtable takinhealth work

si is relevanrates of maugh CCT aand the su unique in t

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ECT, BREBES 

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national lehighly releva

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trengtheninhange. Mosuria. While

asing positi

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gs increaseothers

nation withpacity on he

equire intenprogram. T

vant to ensuthe district ition is not

ame messaghavior chan

religious lehe expectedrition servicevel of undere found tbe simplifiedct.

m organizatifor Brebes,oned by thef the religiobined with

n Indonesia The combase health g additional s the aware

ng coordinast of the acte relevant to

 

ve health b

were also rehealth and use and tha relevant c

d their knoand perf

staff at dealth and nu

nsive coordThus, the inure coordina

of Brebesthe sole re

ges are delnge theory. eaders andd outcomesces for pregderstandingo be sub-od using sim

on, Nahdla as NU is t district leve

ous leaders religious te

a, particularbination of a

seeking betraining to ness of the

ation/commivities were

o the contex

 

behaviours

levant to bunutrition. Pe citizen jouchoice.

owledge, buform their

different levutrition issue

dination andntegrated aation at all ls. In additiesponsibility

ivered to thThis inclu

citizen jous of the pilotgnant moth on stuntin

optimal at bmple langua

atul Ulama the most inel stakehold

who claimexts) from

rly in areas addressing ehavior and health work

e governme

unication, e therefore nxt, the magn

 110

of both

uild their Providing urnalists

uilt their r tasks

vels and es.

d this is approach evels as ion, this y of only

he public udes the urnalists. t project: hers and ng. The baseline. age and

(NU), to nfluential ders and

med they religious

such as both the support

kers and nt of the

capacity nutrition-nitude of

 

M&E REPOR

 

the probmore intreatmepowders

EfficieWhile aof all resthis sec

a. TThis pilowith fun(2015/2

b. Coordinand gooremainslevels dmentionnegativewhen th

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The numin realitgroups accomm

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RT  OF PKH PREST

blems (as rntensive st

ent of acuts.

ency n evaluatiosources, inc

ction focuse

Time ot has taken

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Human resnation and cod efforts s to ensure do not redned as an eely impacte

he mothers

xistence of uting to goot the provin

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er, the repoo three (thensiderable wme and eneegative imp

ms that trainaudience thawledged that

ient human e, there is a

s they suppocilitators the

TASI PILOT PROJE

eflected by trengtheninte malnutrit

n of the efficluding fundd on the us

n more timeements. Mafficient use

ources communicahave been the coordinuce efficie

example, a ed the effecor babies n

a UNICEod coordinatcial and nat

H groups then not feasit on informa

orting burdee PKH repoworkload reergy that copact on time

ning health an the FDSt they receiv

resources a disproporort, and betwey supervise

ECT, BREBES 

the high prg of nutrittion, impro

ciency of a ds, this asp

se of time an

e than was oany activities

has been m

tion are essmade to e

nation meency. Stakedelay in th

ctiveness oneeded them

F represention, especitional level.

hey are reqble to holdation or com

en for the Fort, softcopyelated to thould be usedely impleme

workers anS monthly gved counse

for the imprtionate ratiween coorde.

revalences tion–specifiving the in

project or pect was notnd human r

originally pls were planmade of the

sential to aensure gootings at mu

eholders frohe disburseof the progrm.

ntative in Bially betwee

uired to fac all FDS sembining of g

Facilitators y and SMS he FDS sesd for the im

entation of th

nd cadre in roups, as m

eling from A

lementationo between

dinators (in

of wasting,c action, ntake of IF

program wot part of Savresources.

anned due nned to take limited time

complex pod coordinaultiple levelsom the natment of funram, as the

Brebes is en the stake

cilitate may essions reqgroups in lo

increased freports for

ssions. Themplementatiohe activities

IYCF is mmore pregnaNC or posy

n of the proPKH facilitparticular a

 

, stunting anfor exampFA tablets

ould normallvica’s assig

to the delaye place durine left.

program sucation. Howes and reportional govends to prove supplies

seen as aeholders in

seem accequired. Thisocations tha

from one rer PKH Presey felt overon of the prs.

ore time-efant mothersyandu.

gram pose tators and tat the sub-d

 

nd anemia)le preventand micro

ly focus on gnment. The

y caused byng the last y

ch as PKH ever, the chrting betweeernment inside the supwere not a

a significanBrebes dis

ptable in ths leads to wat are insuff

eport (hardcstasi), in adrburdened arogram. Thi

fficient to res and mothe

a major thrthe numberistrict level)

 111

), call for ion and onutrient

the use erefore

y issues year

Prestasi hallenge en those stitutions pplies as available

nt factor strict and

eory but women’s ficient to

copy, for dition to and this s in turn

each the ers CU3

reat. For r of PKH ) and the

 

M&E REPOR

 

EffecThe pilo

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9. PKHReghoc

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12. TheStakto sprob

13. TecUNIdesias ta pil

14. ImpMonAlteresu

RT  OF PKH PREST

tivenessot was effec

verty reductihe request nutrition impvince level w

H Coordinatgular coordi

coordinatio

pacities of Pfacilitators ird they rephealth me

ong the ben

eased coveer-two childboth the coerage of hevices and he

stakeholdekeholders astunting, anblem.

hnical assisCEF as wign and thehe original lot with SMS

lementationnitoring toolrnative rep

ults of the m

TASI PILOT PROJE

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PKH facilitatn Brebes aorted improessages waneficiaries.

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ers’ level of at all levels nd are awa

stance provwell as othee implement

plan for a SS-based re

n of the pilos were put orting form

monitoring a

ECT, BREBES 

ching its obj

rition improd of the distand RADPGolved, there

at district aetings were issues as th

tors and heaand many hoved skills aas reflected

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are that mu

vided for theer stakeholtation of theSMS-basedporting by P

t is monitorin place anats using S

and evaluati

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vement poltrict, a propG was put ie is some w

and sub-distheld at dis

hey arose.

alth staff arehealth workand confided in increa

ealth and nu

ention areaspondents ication.

ding on stunted an imprulti-stakeho

e design andders activee pilot. Adjud feedback PKH Facilita

red and evad were use

SMS were pon of the pi

icies are intportion of thn place in B

work left to d

trict level artrict and su

e improved ers and ca

ence, while ased knowle

utrition serv

as, the endn the surve

nting is imprroved underolder efforts

d implemenely providedustments wesystem thaators.

aluated. ed to monitopiloted. In alot.

 

tegrated at e Village fuBrebes. Howdo at that lev

re revitalizedub-district le

to deliver qdres were their abilityedge and

vices for pre

dline surveey had acce

roved. rstanding os are need

ntation of thed technicalere made wt was abort

or different aaddition, thi

 

the local levunds were awever, becavel.

d. evels, as we

quality servitrained. Ac

y to deliver improved b

egnant moth

ey found iness to bette

f the issuesed to addr

e pilot. assistance

where needeted and cha

aspects of ts report de

 112

vel. allocated ause the

ell as ad

ices. ross the nutrition behavior

hers and

ncreased er health

s related ress the

e in the ed, such anged to

the pilot. etails the

 

M&E REPOR

 

1. Some omade thaudiencBrebes.the leainterestsupportbelievab

The vasmen aresupportthe boo

TrainingPrestasarticles ‘nasi akmade sPrestasconside

2. CCoordinBappedregularlcoordina

3. AIn genetheir unAddresshealth winterest actively

The proagendadescribe

Local gexposeddays of about n

Bappedalso betechnicamore di

RT  OF PKH PREST

Religious leof the religiohem relevace’s awaren. From FGDders inserting, importted with theble than doc

st majority oe made awat the religiouk was not y

g and suppsi. Although

had importking’ (rice nure his con

si do not aered educat

Coordinationation has bda, togethey reviews ation meeti

Advocacy eral, the stak

derstandingsing healthworkers or vand, theref

y involved.

ogram has a of the loced under th

government d them to “f life and IYutrition and

da’s role in ieen strengtal aspects orectly involv

TASI PILOT PROJE

eaders and ous leadersnt to their a

ness of the D sessions t health metant, releva relevant vectors’ advic

of the audieare as well us leaders yet printed a

porting citiz not all tra

tant effects.not suitablenditions impaccess inteion of the c

on meetingbeen estabr with the the prograngs.

keholders (g of the imp and nutritvolunteers. fore, variou

also helpedcal governmhe sustainab

officials m“new” knowCF. As a re

d engaging c

mproving thhened dueof a health ved.

ECT, BREBES 

journalists have inseraudiences, importancewith the folessages in

ant, and userses from A

ce.

ence for theof the impoin incorpora

at time of th

zen journained citizen. After publi

e for humanproved. It shernet for inommunity,

gs lished bothRegional

m impleme

as well as tportance of tion problem

There wasus stakehold

pushing thment as rebility

mentioned thwledge of mesult, they rcommunity

he materna to the incprogram w

rted the keyand spread

e of reducinllowers of t

nto the serseful for thAl Quran a

ese messagortance of hating the me evaluatio

lists was on journalistsication of a n consumpthould be nonformation,but rather o

at the natiOffices of

entation. An

the beneficiapplying an

ms is no los a commonder groups

he maternal flected in t

hat their invmaternal hearealized theleaders in t

l and child hcreased caould be left

y messagesd them at dng stunting ahe religiousrmons. Thehem. In adnd Hadith, t

ges were wohealth and n

messages inn.

one of thes were equstory abou

tion), the Poted though and there

of a wider pu

ional and dSocial Aff

nnual revie

iaries) agren inclusive onger seenn understan– beyond p

and child hthe commit

volvement alth and nue importancthe educatio

health in thepacity of itt to the DoH

 

s into their sdifferent occand materns leaders, the topics aredition, as they are pe

omen, whilenutrition. Ef

nto Friday p

e innovationually product a poor ma

President vis, that the beefore this ublic.

district, and fairs, Healt

ew is also

ed that the approach to as the so

nding that hparents and

health issuetment and

in the PKHutrition, succe of educaon process.

e district/suts staff. WhH staff, Bap

 

sermons or casions to rnal/child mohey apprece perceivethe messa

erceived to

e it is imporfforts were

prayer serm

ns piloted ctive, somean in Brebesited this meneficiariesactivity ca

sub-districtth, and Edconducted

program ino health pro

ole responshealth is eve families –

es to be higbudget allo

H Prestasi ch as the firting the com.

b-district lehile previouppeda staff

 113

articles, raise the ortality in ciate that d to be ges are be more

rtant that made to ons, but

in PKH of their

es eating man and s of PKH nnot be

t, levels. ducation,

through

ncreased omotion. sibility of eryone’s must be

h on the ocations

program rst 1000 mmunity

vels has usly, the are now

 

M&E REPOR

 

Similarlyan increnutritioninstitutio

4. Tools aeffectiveexperts frequen

In termsat differtheir res

While rein procethe repoto the sback toimpleme

Additionwere coscore rethe trainheads ochange been m

ImpacIt is nocontrol’ intervenknowledendline PKH Pr

Therefobetween

RT  OF PKH PREST

y, the involease. Theyn issues, aons to provi

M&E tools and mechaneness. For with the s

ncy of visits

s of the imprent levels, spective fiel

eporting sysessing theseorts, and it sheer amou UNICEF aentation.

nal challengomplete. Foecapitulationners of the of women’sof pre-pos

entioned al

ct t possible tgroup (whe

ntion group dge and pr

in 2016, urestasi.

ore, the impn baseline a

TASI PILOT PROJE

vement of y have greand therefoide solution

nisms haveexample, thupport of Tto health fa

plementationand the molds.

stems weree reports. Ois a matter

unt of informand it is not

ges regardor example n for each ctotal test sc

s groups, tht test scoreready.

to evaluateere none of

with a conactice as w

unfortunatel

pact evaluatand endline

ECT, BREBES 

MoSA in theater underore intensifs.

e been put he FDS is m

TNP2K, UNacilities, atte

n, the progrodules were

e set up, theOne of the a

of concernmation, it tot clear how

ing the quain the caseclass. In somcores of thehere was noe. The chall

e the impacf the interventrol group.well as servy it is not

tion only coe.

he technicalrstanding offied their

in place tomonitored tICEF, MoH

endance at t

ram is struce developed

ere have beassignment

n how this wook at leastw these resu

antitative m of pre-posme cases, te participano scoring slenges with

ct of this pentions took. Despite thvice deliverypossible to

onsidered th

l sides of hf strategic collaboratio

o monitor tthrough pre

H and MoSAthe monthly

tured to havd by differe

een delays ts for Savicwill be done a month foults were u

monitoring dt test cadrethere were ents. In the cso it was no the FDS r

ilot project.k place), it ihe fact thaty between

o attribute a

he changes

 

ealth and nways to a

on with oth

the progrese and post-tA. Indicatory gatherings

ve focal pernt partners

in submissa was to pr

e in the futuor Savica tosed in impr

data were te, not all traerrors in the

case of the ot not posseports of th

. Because is not possit improvemthe baselin

any of thes

over time a

 

nutrition issuaddress heaher ministr

ss and meatests, develrs used incs, etc.

rsons and nwho are ex

sion and parocess and

ure. In addito report theroving the

that not allainers who pe manual copre-post te

sible to anahe Facilitato

there was ible to com

ments were ne in 2012 e improvem

and the diff

 114

ues saw alth and ries and

asure its oped by lude the

networks xperts in

rticularly analyze

tion, due e results program

reports provided ounts by st of the

alyse the ors have

no ‘true pare the seen in and the

ments to

ferences

 

M&E REPOR

 

1. KnowThe prefacilitatoincreaseintervenimprovewhich m

2. PractUnfortuinfluencposyandthan cobehavio

3. ServiAll typeendline.health wthis asp

Howevethere wof pregmothersat base

4. NutriThe impreasonsPrestasnutritionsufficienintervenimproveThere wyears laactivitieperiod, conditiochangesnationaheld in dbiologicmalnutr

RT  OF PKH PREST

wledge e- and posors, health ed knowledntion and coement was may be due

tice nately, kno

ced by healtdu attendanontinued bror, a longer

ce deliveryes of couns. The trainiworkers wepect.

er, the impaere no chan

gnant womes were satisline so the f

itional statupact on nus. Existing si pilot did n-specific acntlylong-termntion (max 9ement in biwas a long ater. Durings due to thethat were

ons (includins at a macl or local ecdifferent se

cal indicatorrition rates a

TASI PILOT PROJE

st-test anaworkers a

dge on heontrol groupthe knowleto their focu

owledge doeth workers ance saw a lareastfeedingintervention

y, including eling activiting of the h

ere required

act on the nges in ANCen receivedsfied with pofact that no

us utritional sta

rates of bnot specificctivitiy (distm and with9 months) iological indperiod of ti

g that time,e fund disbnot recordeng El Nino)cro-level (inconomic sitasons (Octrs (for instaare higher, t

ECT, BREBES 

lysis showand cadresealth and ps. The ondge of pregus being mo

es not alwaand cadresarger increag and handn with fewer

counselingties, as an health work

d to report o

delivery ofC frequencyd IFA tableosyandu sechange is s

atus was inboth acute cally focus ribution of T

h sufficient focused ondicators suime betwee the projecursement ised, but tha), other progcluding shiftuation). In -Nov versuance, durinthan just aft

ed significas, and the nutrition isly topic amgnant womeore on their

ays lead to such as eaase in the pdwashing. Ir and simple

important fkers and thon their cou

f basic heay and basicets but a lervices. Somseen is not

nconclusiveand chronon the dire

Taburia) wanumbers o

n improvemch as hem

en the basect design wssues, and at had an imgrams the bfts in the roaddition, ths April-May

ng the leanter the harv

ant increasresults of

ssues amonong those en of the ber pregnancy

o practice. arly initiationproportion oIn order toer message

focus of PKhe involvemunseling ac

alth servicesc services folower (altho

me of the sesurprising.

. This is noic malnutritect causes as not wideof sachets ent of know

moglobin coeline in 201

was changedmany thingmpact on cbeneficiarieole of mothe baseline

y). Seasona season pe

vest).

 

ses in the f the surveng the beevaluated tenefits of ay and upcom

Those behn, exclusive

of beneficiar reach sus

es might see

KH Prestasment of thei

tivities) had

s was not or children, ough still hervices were

ot surprisintion were hof these p

espread nordistributed

wledge, is nncentration2 and the ed, there was could hav

child growthes were exphers in the and the en

ality has a veople tend

 

knowledgeey showedneficiaries that did notttending po

ming deliver

haviors more breastfeedries practicistained chae more imp

i, had increr superiors

d a clear im

as clear-cua higher prhigh) propoe already a

ng for a nuhigh and tproblems. Tr implement. A relativenot likely to

n and child endline almas a periodve happeneh, such as posed to, anhousehold

ndline surveery large imto be thin

 115

e of the d overall

both in t see an

osyandu, ry.

re easily ding and ng them

anges in act.

eased at (as the

mpact on

ut. While roportion ortion of adequate

umber of he PKH

The only ted for a ely short o see an

growth. most four

without ed in this

climatic nd other and the

eys were mpact on ner and

 

M&E REPOR

 

SustaVillage improveAccorditheir jussupportprovide

Not onlydevelopGizi or sustaineand citisupportsupportrole of hDPRD tthe distBrebes.

The disbeginnintheir acprogramtherape

The caphealth a

Howev

Althouggovernmindicateadditionplace.

Four mowere chclear weffective

RT  OF PKH PREST

ainabilityheads incr

e children’s ng to the lostification tot. The budgcompleme

y at the vilpment of the

RADPG), sed action. Tzen journa

t from the t from the gohealth cadreto 140 healtrict govern.

strict-level sng. This sig

ctive participm. For exameutic feeding

pacity buildand nutrition

ver, there a

gh vital for ment stakees a threat nal funds a

odules werhallenges rewhether expeness and s

TASI PILOT PROJE

y reased the nutritional ocal governo prioritize get is used ntary food i

lage level, e strategic strategic plThe involvelists in the local legis

overnment es and comlth cadres. nment’s de

stakeholdergnificantly copation in thmple, the heg centers to

ding mention beyond th

are still ch

the effectiveholders de

to the suare no long

e developeelated to logpanding to sustainabilit

ECT, BREBES 

budget allstatus, in

nment, the ithe healthto purchas

n Posyandu

the supporplan on fooanning andment of “nopromotion

lators and includes: th

mmunity leadAs an examvelopment

rs were invontributed te program

eads of Puso treat childr

oned beforehe pilot stag

hallenges

veness andepended onstainability er available

ed for FDS, gistics, coor

four moduty of PKH P

ocation of response tomplementa

h/nutrition pse necessau.

rt from the od and nutrd increasedon-traditiona of the keyregulators

he acknowleders in the mple, the replan and

volved in thto their acceimplementa

skesmas beren with ma

e also suppe.

…

d efficiency n the UNIof the act

e, it is ess

but for thisrdination anules will fuPrestasi.

the Villageo a new di

ation of the problems asary equipme

local goverrition (Rencd budget onal” stakeholy message

on the nuedgement frprogram, a

eduction of budget (20

he design eptance of tation, and mecame awaalnutrition.

ports the su

of the piloCEF field tivities. Afte

sential to ha

s pilot only nd workloadurther incre

 

e Fund for strict regulapilot projecs those reqent for hea

rnment wascana Aksi Dn nutrition. ders such as has alsoutrition senrom Brebes

and the incestunting ha

013 RPJMD

of the pilotthe programmotivated tre of the im

ustainability

ot, the largcoordinato

er closure ave an alte

one moduld with this oase these

 

health seration to thact has strenquire more alth facilities

s also visiblDaerah Pan

This too, sas religious helped inc

nsitive areas governmeentives giveas been incD) and RA

t project sim, which thethem to sus

mportance o

y of commit

e degree tr for coordof the pilo

ernative so

e was usedne module.challenges

 116

rvices to at effect. gthened funding

s and to

le in the gan dan supports s leaders creasing s. Such nt of the n by the

cluded in ADPG in

ince the en led to stain the of having

tment to

to which dination, ot, when lution in

d. There . It is not s to the

 

M&E REPOR

 

CONBased o

1. 2. T3.

t4. T

5. c

6. d

7. a

8.

RT  OF PKH PREST

NCLUSIon the moni

No correlatThe trainingReducing ththe effectiveThe integrahealth amoKnowledgecan’t be attEarly involvdevelopmeCurrent repand sustainLack of attr

TASI PILOT PROJE

IONS itoring and

ion was fougs increasehe number eness and e

ated approang all stake and practributed to Pvement of nt of RADP

porting and nable prograributable im

ECT, BREBES 

evaluation b

und betweend knowledgof topics duefficiency o

ach used byeholders. tice of benePKH Prestas

local govePG, strategic

informationam. pact might

by Savica, t

n PKH Presge and confuring the traf the trainin

y PKH Prest

eficiaries insi.

ernment ledc plans andn managem

be due to la

the followin

stasi activitieidence of thaining for P

ngs. tasi increas

ncreased co

d to high c budget allo

ment system

ack of a true

 

g conclusio

es and stunhe training pPKH Facilita

sed awaren

ompared to

commitmentocations. ms form a b

e control are

 

ons are draw

nting prevaleparticipantsators could i

ess of nutri

o baseline

t as shown

barrier to a

ea.

 117

wn:

ence . increase

tion and

but this

n by the

efficient

 

M&E REPOR

 

REC1.

t

2.

3. a

t4. 5.

RT  OF PKH PREST

COMMECommunicathose for th

Red Red

rem Mes

und Use

Integrate th One Bap Disc Prov

PKH Prestaapproach topoorest, cothe poorestConsider foEnsure rea

TASI PILOT PROJE

ENDATation mater

he general pduce the tecduce the nuembered

ssages for terstood and

e less text inhe reportinge format andppeda can fucuss the resvide feedbaasi’s integrao increase knsider devet. or Bappeda listic worklo

ECT, BREBES 

IONS ials should

public: chnical contmber of me

he general d clearly stan the materi system: d one reporunction as tsults of the ack to the fieated approaknowledge. eloping this

to take on toads for all i

be reviewe

tent in the Fessages so

public shouate the requals and use

rt the integratreports in theld staff

ach, involvinBecause sapproach t

the role of Dinvolved

d, both thos

Facilitator trathat the key

uld use simpuired behave simple lan

ion point fohe coordina

ng many statunting is nto reach the

District leve

 

se used dur

ainings y messages

ple words thior

nguage

r the reportation forum

akeholders iot an exclus

e entire pop

el field coord

 

ring training

s are more e

hat area ea

s

is a promisisive problemulation, not

dinator

 118

g and

easily

sily

ng m of the only

 

M&E REPOR

 

ANNThe follo

1. T2. 3. 4. 5. Q6. 7. S8. 9. T10.

RT  OF PKH PREST

EXES owing anne

ToR for theM&E Plan dEthical cleaMonitoring QuestionnaList of intervSample surList of articlTable with mDatabase a

TASI PILOT PROJE

exes are pa

e assignmendeveloped barance and evalua

aire for endlviewees rvey by villales publishemore detaileand codebo

ECT, BREBES 

rt of this rep

nt by Savica

tion tools ine survey

ages ed by citizened results ok

port:

n journalistss

   

 119