Commitment

To enhance 30% of the FHWs knowledge/skills and accountability in 12 selected districts through the proctored knowledge gateway (KG) assessment platform for targeted training and coaching activities for workers to attain professional society certification and public sector human resource performance requirements within 6 years.

Civil society organisation / Indonesia

January 2022 — December 2027

Description

Knowledge and skills are determined using Head, Hand and Heart scores. The Head score will be tested using core knowledge of frontline health workers (FHWs) via proctored online assessments that enables fair evaluations. The bank of questions for this assessment is developed and curated with professional organisations and frontline worker supervisors. The Hand score will be assessed based on key indicators, such as on-time submissions from FHWs and care completeness, with feedback routinely given to FHWs (for example, biweekly) to improve care for beneficiaries. The Heart score will be assessed based on the timely referral of high-risk pregnant women.

Overarching commitment (for commitments submitted pre-2025)

Title

Adaptive Networks for Care at Scale (ANCS)

Description

Satu Data Indonesia (SID) commits to overcoming bottlenecks in maternal and neonatal care and nutrition, utilising five core components:

1. Coordinated, data-driven maternal and newborn care and nutrition delivered by FHW teams through active use of routine client data on the OpenSRP mobile information system to ensure complete coverage and continuity of care. OpenSRP is currently deployed with the aim to enhance maternal care, including Covid-19 screening, vaccination, multiple micronutrient supplementation during pregnancy, blood pressure and diabetes monitoring and management, maternal, newborn and infant tracking for Covid-19 according to government schedules and the promotion of breastfeeding.

2. Enhanced FHW knowledge, skills and accountability through the proctored Knowledge Gateway (KG) online assessment platform. The platform provides targeted training (ie, interprofessional collaboration) for workers to attain professional society certification, meet public-sector human resource performance requirements and receive coaching for continuous improvement.

3. Universal health coverage provider incentivisation by real-time verification of service completeness and quality by OpenSRP and linked with accelerated provider claim payments.

4. Client demand-side incentives that promote improved quality of care based on client feedback on care completeness and quality.

5. Completion of app migration to the Fast Healthcare Interoperability Resources (FHIR) standard for a ‘One Data’ system, according to the Presidential Regulation No. 39 Year 2019.

The first four components are to be achieved through deployment of OpenSRP, the Knowledge Gateway and coaching activities. Meanwhile, the fifth component is an effort to create a highly interoperable system for a unified data system across FHWs. Therefore, all components are integrated to improve the quality of human resources in health and improve quality of maternal and child health and nutrition by improving the quality of human resources and the use of digital tools for health.

GNR assessment

Verification status
Partially verified
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SMARTness index
Lower moderate
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Details

Target population characteristic
  • Age or life course stage/status
  • Community geography
  • Gender identity
Global nutrition target(s)
Raised blood pressure
Anaemia
Low birth weight
Exclusive breastfeeding
Childhood stunting
Childhood wasting
Adult diabetes
Nutrition Action Classification(s)
Enabling > Operational
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Linked event(s)
  • 2021 Tokyo N4G Summit
N4G Summit theme(s)
  • Health

Measurement

Key indicator Percentage increase in FHW knowledge and skills in selected district
Measurement plan Collect own data
Value Measurement date
Baseline 0% 2021
Target 50% December 2027

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