In the past decade, Indonesia experienced economic growth and made significant gains in human development outcomes, including health. Under-five mortality has decreased from 97 to 32 per 1,000 live births between 1990 and 2017 and life expectancy at birth has steadily increased to 69 years in 2015, up from 63 years in 1990. Despite this progress, Indonesia’s rates of stunting and malnutrition are at critically high levels – in 2017, 33 percent of Indonesian children under 5 years of age were stunted (almost 8 million children), 15 percent were underweight, and 9 percent were wasted (low weight-for-height).
The GFF Partnership Response
The GFF partnership supports a management and accountability system to implement the National Strategy to Accelerate Stunting Prevention through a multisectoral approach, including improving services at the community level and strengthening citizen engagement. The GFF supports the government on performance assessments of fiscal transfers to districts and villages and the development of tools for tracking government expenditures on priority nutrition interventions. It also supports the roll-out of innovative technology solutions to deliver services and improve citizen engagement at scale, such as village convergence scorecard, child-length mat, and mobilization of Human Development Worker (HDW) to empower 70,000+ villages to converge services and use fiscal transfers for stunting reduction. The GFF is also co-financing US$20 million to the World Bank Investing in Nutrition and Early Years (INEY) Program-for-Results (PforR). The project supports the scaling up of StraNas Stunting (National Strategy to Accelerate Stunting Reduction 2018-2022), which also serves as the country’s investment case.
In 2019, under the government’s leadership, implementation of the StraNas Stunting was scaled up to 160 priority districts across 34 provinces with plans to expand to an additional 100 districts by the end 2020 covering an estimated 3.9 million mothers and 10.6 million children under two years old. The Ministry of Village mobilized over 30,000 village-based HDWs — 87.6 percent of whom are women—in these 160 priority districts. The implementation of the Village Convergence Scorecard and social mapping implemented by HDWs have led to increased village spending on stunting by an average of 26.2 percent in one year. To monitor results, a multi-sectoral expenditure performance system covering 18 ministries has issued the first expenditure performance assessment and a user-friendly HDW App has been launched that enables real-time monitoring from 75,000 villages.