Indonesia AnnualReport 2013 UNICEF

Indonesia Annualreport 2013 Unicef-Free PDF

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UNICEF Annual Report 2013 Indonesia, National Medium Term Development Plan for 2015 2019 and the UN Partnership. Development Framework UNPDF 2016 2020 both of which will be finalized in 2014. Country Situation as Affecting Children and Women, Indonesia is the world s fourth most populous nation with over a third 81 3 million of. the 237 million population aged under 18 years Despite being a middle income country. inequality is rising and many households are vulnerable to shocks that can push them. back below the poverty line With around 29 million people living below the poverty line. and another 70 million highly vulnerable to falling into poverty in any given year up to. 100 million Indonesians 40 per cent of the population are estimated to be either poor or. A study on child poverty published in 2012 by the Government and UNICEF found that. around 56 per cent of Indonesian children live in households with per capita consumption. of less than US 2 per day Poor children were more likely to be found in urban areas. within female headed and or households with a lower level of education of the. household s head Poverty rates were higher in eastern Indonesia. Indonesia is one of the most natural disaster prone countries in the world and has the. 12th highest mortality risk from disasters 1 The National Disaster Management Agency. BNPB recorded 1 387 disasters in 2013 affecting 3 5 million people. Adolescents and young people make up more than 25 per cent of the total population in. Indonesia Early marriage is prevalent with the 2010 Riskesdas basic health research. reporting that 11 7 per cent of 15 19 year old females were married and of those 15 8. per cent were pregnant at the time of the survey whereas almost half 46 per cent had. given birth in the past five years, While several Millennium Development Goal MDG targets have been achieved including. those related to literacy and tuberculosis Indonesia is lagging behind on other child. related MDG targets including those on poverty reduction MDG 1 maternal mortality. MDG 5 comprehensive knowledge on HIV AIDS MDG 6 malaria MDG 6 and access. to safe drinking water and proper sanitation MDG 7 2. Despite the prioritisation of providing access to education and the impressive gains made. over the last decade the quality of education has lagged and one of the bottlenecks. identified is the low level of qualification of many teachers of the 3 3 million teachers. only 37 per cent have a four year degree which is to be the national standard by 2015. Indonesia has made considerable progress in improving the health of its population over. the last 20 years However geographic disparities in under five mortality are striking 3. and remain over 70 1000 in six eastern provinces of West Nusa Tenggara Central. Sulawesi Gorontalo North Maluku Papua and West Papua exceeding the under five. mortality of the total poorest quintiles of Indonesia Whilst the mortality rates in Java are. generally lower because of its high population these nonetheless translate into large. numbers of deaths of women and children an important consideration in targeting efforts. The majority of childhood deaths 48 per cent occur in the neonatal period Addressing. neonatal deaths is complex and requires quality around the clock services within easy. access but up to 58 per cent of districts in eastern Indonesia are lacking capacity to. UNICEF Annual Report 2013 Indonesia,manage obstetric and neonatal complications. Apart from neonatal deaths the major causes of infant and child deaths are diarrhoea. measles pneumonia and injuries Diarrhoea is still the main cause of death of children. under five in Indonesia claiming at least 30 000 lives every year Despite a national. policy environment that overwhelmingly favours facility based treatment by physicians. 25 per cent of the population cannot access standard health service facilities. The role of poor sanitation and hygiene practices and unsafe water in diarrhoea related. childhood death illness or malnutrition is likely very high The country is not on track to. achieve the MDG sanitation target Indonesia has 58 million people who practise open. defecation the second highest in the world after India 4. Less than half the population 42 8 per cent 5 has sustainable access to an improved. water source well below the 2015 target of 68 9 per cent An additional 56 8 million. people 6 would need to be reached in order to achieve the MDG safe water goal. Recent maternal mortality estimates from the 2012 Indonesia Demographic and Health. Survey IDHS of 359 deaths per 100 000 live births translates to approximately 10 000. women dying each year Although there is a lack of precision around these estimates. they do point to insufficient progress and a likelihood that the MDG 5 target will be. missed Women in Indonesia face a lifetime risk of maternal death of 1 in 210 compared. to 1 870 in Vietnam and 1 1400 in Thailand The rates of maternal death are higher in. the poorest provinces and among the poorest women and children. The 2013 Riskesdas and 2012 IDHS show mixed progress for nutrition The prevalence of. stunting remains high at 37 percent indicating no progress in the last six years whereas. exclusive breastfeeding in infants aged less than six months increased from 32 to 42 per. cent and the coverage of adequately iodized salt increased from 62 to 77 per cent during. the same period, The HIV epidemic in Indonesia is still considered a concentrated epidemic with high HIV.
prevalence among key populations at higher risk However the HIV epidemic in the. provinces of Papua and West Papua is characterised as a generalised epidemic Young. people aged 15 24 years account for around 30 per cent of the key populations at higher. risk 7 Whilst young key affected populations YKAPs have a relatively high HIV. prevalence rate services that directly reach them are very limited. Following the signing of the revised Law on Juvenile Justice in 2012 the Government has. been adapting related regulations to prepare for its entry into force in mid 2014 The Law. uses principles of restorative justice for cases involving juveniles including rehabilitation. and increases the minimum age of trial from eight to 12 years old. Birth registration remains low in Indonesia with an estimated 59 per cent of under five. children 8 being registered in 2011 Data on child protection in Indonesia remains. limited In response the Government committed US 1 3 million to fund the country s first. national study of violence against children which was conducted in mid 2013. 1 World Bank 2005,2 Bappenas 2012,4 WASH JMP 2013,UNICEF Annual Report 2013 Indonesia. 5 Susenas 2010,7 NAC UNICEF 2011,8 Susenas 2011,Country Programme Analytical Overview. In 2013 UNICEF Indonesia reinforced its upstream programming focus by supporting. evidence based policy formulation and systems development prioritizing areas where. achievement of MDGs and other national goals are lagging. UNICEF worked with partners to produce reports and studies including a district level. Child Deprivation Index Child Poverty Study Teacher Absenteeism Study review of out. of school children and Multiple Indicator Cluster Surveys MICS for Papua and West. Papua These efforts contributed towards understanding the barriers and bottlenecks to. achieving equitable coverage of quality child centred social services. In the area of child survival and development CSD the stagnation in progress of key. indicators such as maternal and child mortality and stunting are being closely examined. and monitored Accountability and political commitment remain bottlenecks in the. implementation of quality programmes Access to services continues to be a challenge in. eastern Indonesia and support is provided for interventions like community based. treatment of childhood illnesses In addition demand side bottlenecks related to poor. feeding and care practices compromise women and children s nutrition status Quality is. recognized as a major bottleneck demonstrated by lack of reduction of maternal deaths. despite increasing coverage of skilled birth attendance. In the area of child protection CP children in rural areas and from the lowest income. quintile remain vulnerable UNICEF efforts focus on strengthening CP systems including. improving legal frameworks and policies clarifying mandates and improving capacities of. relevant agencies and access to services, In 2014 UNICEF will focus on the development of the national strategy and action plan to. address violence against children including emphasis on social and behavioural change. Efforts will continue towards strengthening social welfare social work reform including a. comprehensive social protection system use of indicators on child protection governance. and strengthening the birth registration system, The MTR confirmed that the Education and Adolescent Development EAD programme. remains relevant and effective in addressing bottlenecks to realising the right to education. for the most disadvantaged children Further strengthening of the multi sectoral. coordination in holistic integrative early childhood development HI ECD and increased. advocacy on addressing the barriers related to the enrolment in primary school and. transition from primary to lower secondary schools was recommended. UNICEF continued to promote behaviour and social change in order to address demand. side bottlenecks through the development of appropriate communication for development. C4D strategies e g to promote WASH and immunization capacity building of partners. and studies on social norms Strategic partnerships were developed with Government and. private sector to pilot innovative approaches such as use of mobile technology for. knowledge transfers,UNICEF Annual Report 2013 Indonesia.
Continued partnerships with research institutes and non government organizations. NGOs such as SMERU and BaKTI have strengthened UNICEF s role as a knowledge. broker on child rights issues UNICEF is establishing an Innovations Lab to provide a. digital platform for young people to share their ideas on social development challenges. UNICEF continued to engage with existing social protection mechanisms for the welfare of. women and children such as the pilot of conditional cash transfer programmes towards. reduction of stunting and developing models for enhancing linkages between UNICEF s. social protection and child protection efforts,Humanitarian Assistance. Indonesia is one of the most natural disaster prone countries in the world 1 and has the. 12th highest mortality risk from disasters 2 UNICEF continued to ensure adequate. preparedness to support emergency coordination and response In 2013 UNICEF. supported coordination among nutrition and WASH partners in response to national. disasters including floods in Jakarta and an earthquake in Aceh province. Members of the Ministry of Social Affairs MOSA Child Protection in Emergencies CPiE. Rapid Response Team established with UNICEF support participated in these responses. through advocacy coordination and the establishment of mechanisms for child. protection, In the two emergencies emergencies there were attempts to use breastmilk substitutes. BMS indicating the need to strengthen awareness among humanitarian actors on the. dangers of BMS use UNICEF acted to prevent uncontrolled donations and use of BMS by. alerting the Ministry of Health MOH advocating with provincial and district Health. Offices informing donors on the dangers of BMS use in emergencies and mobilizing NGOs. to monitor actions on the ground, Following the Jakarta floods of early 2013 UNICEF facilitated the training of 200. Government staff and humanitarian actors in Jakarta province and five municipalities and. equipped them with skills to provide complementary food for children through public. 1 World Bank 2011 Disaster Risk Management Programs for Priority Countries. 2 World Bank 2005 Natural Disaster Hotspots A Global Risk Analysis. Effective Advocacy,Partially met benchmarks, In order to strengthen evidence based advocacy for disadvantaged children UNICEF. developed a number of communication products to illustrate the impact of income gender. and location disparities on the opportunities for children to develop their full potential. These include knowledge products such as The Indonesia Story which describes how. UNICEF contributes to achieving results for children in all programme areas through its. upstream work The products were shared at national and sub national level with key. Government and development partners as a business case for dedicated investment in. policy reform, In October 2013 the grand launch of the 1000 Days of Life Movement 1000 HPK by the.
UNICEF Annual Report 2013 Indonesia, President of Indonesia marked the official start of the Scaling Up Nutrition Movement. SUN in Indonesia This high level endorsement came at a critical juncture as the. movement has been struggling to harness the commitment of all key sectors UNICEF. supported the development of advocacy material to explain the urgent need to address. the country s very high burden of stunting and the purpose of 1000 HPK in mobilizing key. stakeholders to act, In its efforts to support stronger outreach to the most disadvantaged children UNICEF. together with the Ministry of National Development Planning Bappenas and the research. The 2013 Riskesdas and 2012 IDHS show mixed progress for nutrition The prevalence of stunting remains high at 37 percent indicating no progress in the last six years whereas exclusive breastfeeding in infants aged less than six months increased from 32 to 42 per cent and the coverage of adequately iodized salt increased from 62 to 77 per cent during the same period The HIV epidemic in

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