Indonesia

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On 22 December 2011, the Republic of Indonesia joined the SUN Movement with a letter of commitment from HE Endang Rahayu Sedyaningsih, the Minister of Health. At the time, Indonesia had begun the ‘First 1,000 Days of Life Movement’ which was launched by four government ministers. The ‘First 1,000 Days of Life Movement’ included objectives cemented in an official policy framework that mirrored the World Health Assembly 2025 targets on nutrition. A central multi-stakeholder, multi-sectoral coordinating SUN Forum had been established across key constituencies and the National Food and Nutrition Action Plan (2011 – 2015) served as the common results framework for addressing nutrition.

Progress

Bringing people together

73% 2019

Bringing people together

Coherent policy and legal framework

88% 2019

Coherent policy and legal framework

Aligning programs around a Common Results Framework

75% 2019

Aligning programs around a Common Results Framework

Financial tracking and resource mobilization

64% 2019

Financial tracking and resource mobilization

TOTAL

75% 2019

TOTAL

More than USD 27 billion committed to fight malnutrition at nutrition summit

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Indonesia: Vice President calls investing in nutrition a wise investment

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Government of Indonesia and Nutrition International share lessons from adolescent nutrition intervention to prevent anaemia

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Indonesia and Pakistan share civil society strategies on preventing adolescent anaemia

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Strategic review of food security and nutrition in Indonesia

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Nutrition Can’t Wait: Setting the agenda for adolescent nutrition in the context of COVID-19 and beyond

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Civil Society Alliances and Nutrition – Opportunities & Challenges

The SUN Civil Society Network (SUNCSN) has as we speak 2.500 member organisations organised as National Civil Society Alliances (CSA) spread across 39 countries globally. In mid-July, I attended the SUN Civil Society Regional Learning Exchange – Asia co-organised by Global SUN CSN Secretariat and the Civil Society Alliance for Nutrition, Nepal (CSANN) in Kathmandu.

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SUN Movement experiences in Indonesia

An ENN article by Nina Sardjunani is SUN Lead Group member, and Endang L. Achadi, Professsor in the Faculty of Public Health, University of Indonesia. Background Undernutrition rates in Indonesia are high with stunting and wasting affecting 37% and 12% of children under five respectively....

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Nutrition situation

36.4%

Under Five Stunting

13.5%

Under Five Wasting

11.5%

Under Five Overweight

40.9%

0-5 Months Exclusive Breastfeeding

28.8%

Woman Anaemia 15-49 years

14.9%

Adolescent Overweight Male

13.3%

Adolescent Overweight Female

21%

Adult Overweight Male

23%

Adult Overweight Female

5%

Adult Obesity Male

9.3%

Adult Obesity Female

7.4%

Adult Diabetes Male

8%

Adult Diabetes Female

Nutrition Data Definitions

Strategic objectives

The Government launched Presidential Instruction No. 1 of 2017 on community movement for a healthy life (Germas), with a multi-sectoral approach that involves 18 line ministries and institutions. The Germas Movement is aligned with and supports the implementation of the SUN Movement in Indonesia. The President of Indonesia’s strong commitment to nutrition improvement was strongly show- cased during his presentation of the 10 Key Messages on Health Issues, at the 2017 National Coordination Meeting for Health (Rakerkesnas), along with the support of the Office of Presidential Staff (KSP). Since 2016, the World Bank has co-lead the Donor and UN Country Network on Nutrition (DUNCNN), with UNICEF as the co-convener. The SUN Business Network Indonesia has expanded their membership to include businesses working on nutrition-sensitive programmes.

Last updated: November 2017

2016

In 2015-2016, the membership of the MultiStakeholder Platform significantly increased, with an additional five technical ministries and three coordinating ministries joining. The Donor and UN Country Network on Nutrition (DUNCNN) has brought on board two new members and the Civil Society Alliance has expanded to also include interfaith organisations and universities. Indofood leads the SUN Business Network (SBN), which has also expanded its membership to companies beyond those in the food and beverages sector.

Last updated: December 2016

2015

Indonesia’s Presidential Decree No. 42/2013 on National Movement to Accelerate Nutrition Improvement within the Framework of the ‘First 1,000 Days of Life Movement’ led to the establishment of a multi-stakeholder high-level Task Force under the Ministry of People’s Welfare. This Task Force convenes multiple stakeholders and 13 line Ministries at national and sub national level and is expected to be decentralised at the provincial level. The Minister for People’s Welfare Decree No. 11/2014 led to the establishment of a Technical Team to facilitate coordination at the national level.
The issuance of the Deputy Minister for Human Resources and Culture Decree No. 37/2014 resulted in the setting up of six Working Groups (Campaign, Advocacy, Training, Planning and Budgeting, Partnership and Environmental Risk Factor Study), supported by an Expert Team with stakeholders from government, business, United Nations (UN) agencies, international partner network, community and social organisations, professional organisations, academia and mass media.

A SUN Secretariat is hosted in the State Ministry of National Development Planning and is fully operative.

The membership of the Business Network has expanded and international development partners and UN agencies are part of the Donor and UN Country Network on Nutrition (DUNCNN). The DUNCNN are providing support to the SUN Secretariat. The Terms of Reference of the SUN Civil Society Alliance has been finalised.

Last updated: October 2015

Ministries of Agriculture and National Development Planning are currently drafting a Presidential Decree on strategic policy for food and nutrition, as a regulation to operationalise the 2015-2019 National Action Plan on Food and Nutrition (RAN-PG). The Government’s National Annual Work Plan (RKP) 2017 highlights the acceleration of nutrition goals as one of the national priorities. In November 2016, the Minister of Health issued Regulation No. 58 of 2016 on Sponsorship for Healthcare Professionals by pharmaceutical or healthcare companies to prevent conflict of interest, improve transparency and render non-partial health services.

Last updated: November 2017

2016

In January 2015, the National Medium Term Development Plan 2015-2019 was launched, as per Presidential Decree No. 2/2015. The Government Regulation on Food and Nutrition Security (No. 17/2015) has strengthened the 2015-2019 National Action Plan on Food and Nutrition (RAN-PG). The Strategic Policy and Action Plan on Food and Nutrition has been finalised and a Presidential Decree for it has been proposed. National Guidelines for the prevention and management of conflicts of interest among stakeholders involved in scaling up nutrition has been developed and awaits endorsement.

Last updated: December 2016

2015

The National Medium Term Development Plan (RPJMN) 2015-2019 (Presidential Decree No.2/2015) states the outcomes of nutrition relevant programmes and includes the basic policy Framework of the ‘First 1,000 Days of Life Movement’.
The SUN Movement in Indonesia is supported by the Government Regulation No. 17/2015 on Food and Nutrition Security as a translation of the Food Act No. 18 /2012. This regulation mandates the Government at national and local level to decentralise and implement the National Food and Nutrition Action Plan (RAN-PG). The RAN-PG (2011-2015) has been formulated using the 5 pillar approach:

i. improving community nutritional status
ii. increasing food accessibility
iii.improving food quality and safety
iv.promoting healthy behaviour, and
v. strengthening food and nutrition institutionalization.

The forthcoming RAN-PG 2015-19 is in the process of being developed with multi-sectoral components reflecting both undernutrition and overnutrition. It includes clear definition of roles for all stakeholders involved in nutrition specific and nutrition-sensitive interventions.

Last updated: October 2015

The National Medium Term Development Plan (RPJMN) 2015-2019 and the RKP are further translated to the Sub-National Medium Term Development Plan (RPJMD) and Sub-National Annual Work Plan (RKPD) by the local governments in provinces and districts. In March 2017, the Ministry of National Development Planning (Bappenas) launched the 2017-2019 Roadmap for the SUN Movement Secretariat of Indonesia with a detailed annual workplan for 2017-2019 that includes a social monitoring mechanism by civil society organisations. In 2017, the Government conducted a midterm review of the RPJMN 2015-2019 to evaluate the achievement of the plan’s targets. Furthermore, the monitoring and evaluation of RAN-PG, is conducted annually as part of joint monitoring.

Last updated: November 2017

2016

The National Action Plan on Food and Nutrition 2015-2019 is the agreed and costed Common Results Framework, in line with the National Medium Term Development Plan (RPJMN) 2015-2019. The Monitoring and Evaluation Framework has been developed by and finalised the Ministry of National Development Planning (Bappenas) in October 2016. Guidelines have been formulated to assist the local government in developing a Regional Action Plan on food and nutrition. Implementation at the sub-national level has been rolled out in four provinces and is planned to be scaled up to the remaining 30 provinces.

Last updated: December 2016

2015

The RAN-PG (2011-15) currently provides the Common Results Framework (CRF) for all stakeholders in Indonesia to align their support. The Regional Action Plan on Food and Nutrition (RAD-PG) 2011- 2015 has been developed in all the 34 provinces and brings together stakeholders at sub-national level. Several districts have begun formulating their action plans to include the Framework of the ‘First 1,000 Days of Life Movement’.
The RAN-PG (2015-2019) will include all programs carried out by ministries/agencies as well as donors, UN agencies, civil society, and business. Once it has been finalised, it will be used as a reference for local governments (provincial and district) to formulate their new RAD-PG’s.

The multi-sector platform approach of the Movement has been accommodated in the RPJMN 2015-2019. The Government has set five indicators (anaemia, stunting, wasting, obesity, exclusive breastfeeding) as a reference for all stakeholders contributing to the acceleration of nutrition improvement. Monitoring and evaluation of progress in implementing action plans is limited to government sectors. There is the need for a mechanism to monitor and evaluate the services delivered by non-government sectors.

Last updated: October 2015

The Government’s National Long Term Development Plan (RPJPN) 2005-2025 and RPJMN 2015-2019 ensure resource mobilisation for nutrition. The Ministry of Finance has committed to increase budget allocation for nutrition improvement including stunting reduction programmes through performance-based incentives. The Ministry of Health has increased their budget allocation for nutrition-specific programmes, from USD 87.6 million (IDR 1.17 trillion) in 2016 to 89.8 million (IDR 1.2 trillion) in 2017. The budget allocation for and commitment to ensure food safety in rural areas has also increased from IDR 6.7 billion (100 villages) to IDR 7.4 billion (2,100 villages).

Last updated: November 2017

2015

The Government’s commitment to nutrition is demonstrated by an increase in the nutrition budget from IDR 600 billion to 1 trillion in 2015-2016. Current financial sources, coverage and gaps are assessed annually and budget allocations are set for the following year – to ensure continuous investment in nutrition. The Donor and UN Country Network on Nutrition has developed a financial tracking tool to report on commitments and expenditure on nutrition of the members on an annual basis. The tool was launched in May 2016 and will be updated every six months.

Last updated: December 2016

2015

The Central Government has committed to allocate 5% of the state budget to the health sector in 2016. There is also an increase in the budget allocation in 2016 to the ministries involved in nutrition sensitive interventions (Public Works and Public Housing, Education and Culture, Agriculture, Family Planning and Gender Empowerment).
The Government Regulation No. 39 Year 2006 concerning the Procedure of Monitoring and Evaluation of Development Plan mandates every ministry/agency to report the use of the allocated budget. Therefore, the type of expenditure incurred can be identified accordingly.

The Government has a long-term budget plan as indicated in the RPJMN 2015-2019, however, donors and businesses still do not have a multi-year funding plan. Budget mapping and financial tracking of nutrition-related activities across government agencies has been under taken and those of the non-government sectors is still underway.

Last updated: October 2015