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Content                       Information Media for Water Supply and Environmental Sanitation


                                                                  Advisor:
                                                       Director General for Urban and
Your Voice                              2         Rural Development, Ministry of Settlement
                                                         and Regional Infrastructure
From the Editor                         3
                                                Director of Human Settlement and Housing,
                                                  National Development Planning Agency
Main Report
                                                            Republic of Indonesia
                                                      Director of Water and Sanitation,
      CWSH                              6                     Ministry of Health
                                                Director of Urban and Rural Eastern Region,
      ProAir                             7          Ministry of Settlement and Regional
                                                                Infrastructure
      SANIMAS                           8      Director of Natural Resources and Appropriate
                                                Technology, Director General on Village and
      WSLIC-2                           10               Community Empowerment,
                                                           Ministry of Home Affairs
Perspective                                      Director for Facilitation of Special Planning
                                                         Environment Management,
                                                           Ministry of Home Affairs
      Empowerment without compelling    11
                                                                  Chief Editor:
      Handwashing                       13                       Oswar Mungkasa

Reflection                                                    Board of Editor:
                                                    Hartoyo, Johan Susmono, Budi Susilo,
      MCK Jempiring not MCK Moerdiono   15                      Poedjastanto

Lesson learned (best practises)                                     Editor:
                                               Maraita Listyasari, Rewang Budiyana, Rheidda
                                              Pramudhy, Joko Wartono, Essy Asiah, Mujiyanto
      Local                             17
                                                                      Design:
      International                     19                          Rudi Kosasih

Miscellaneous                                                       Production:
                                                                     Machrudin
      Technology choice                 21
                                                                    Distribution:
Book Info                               23                          Anggie Rifki

Website Info                            24                          Address:
                                                   Jl. Cianjur No. 4, Menteng, Jakarta Pusat
                                                            Phone: 62-21-31904113
                                                       e-mail: redaksipercik@yahoo.com
                                                               redaksi@ampl.or.id



                                                 Unsolicited article or opinion items are welcome.
                                                     Please send to our address or e-mail.
                                                    Don't forget to be brief and accompanied
                                                                     by identity.
Y OUR VOICE
               Comment and Suggestion                              density of the area, and the economic of scale of investment.
                                                                   Second, it is not quite appropriate to state a discrimination
     Congratulations for the publication of Percik (meaning        of clean water services between rural and urban areas. The
 sprinkle, splash) an information media on water supply and        demand of rural and urban population are naturally different
 environmental sanitation. But for the sake of improvement I       because their activities are also different. Drinking water
 would like to convey to you the following suggestions:            requirement is about the same for everyone (and is
     1.    As soon as possible Percik should be registered and     expressed in litre/person/day not litre per second because
 obtain an ISSN (International Standard Serial Number).            litre per sec denotes the capacity of an investment plant).
 This can be obtained at PDII-LIPI (Indonesian Institute of        There must be a distinction between drinking water and
 Science)                                                          clean water.
     2.    Table of contents should be attached with:                  2. I would suggest that the follow-up in policy formula-
     a.    Purpose of publication                                  tion for water supply and sanitation also involve the academ-
     b.    Target readers                                          ic circle and the professional association related to water
     c.    How to obtain                                           supply and environmental sanitation, e.g. IATPI (Ikatan Ahli
     d.    Source of funding                                       Penyehatan Lingkungan).
     With regard to good governance, especially in relation to         3. Pursuant to the ethic in writing for media publication,
 transparency, participatory and accountability all the above      it would be advisable to also note whether the statement rep-
 are important.                                                    resents solely that of the author or the institution to which
     3.    It is advisable to add an interactive column to         the author belongs.
 enable the readers interact with the editor or among them-                                      Dr. Rr. Peni Kusumastuti Lukito
 selves.                                                                           Director of Urban and Rural Affairs, Bappenas
                                                      Thank you.
                                               Dr. Sudjana Royat                            Response
      Director of Spatial Planning and Land Affairs, Bappenas           1. It should be made clear that what is being formulated
                                                                   is the National Policy for Development of Water Supply and
     Thank you very much for the suggestions. We will act          Environmental Sanitation. While environmental sanitation
 immediately on the ISSN matter.                                   includes basic sanitation, solid waste, waste water and
     The purpose of publication and target readers we have         drainage system.
 noted it in the column From the Editor as a means of inter-            a. With regard the management we are of the same opini-
 action at least among government agencies, universities,          on that the format (institutionally-based, community-based,
 private sector, donor countries/organizations, and the com-       a combination of both) is not determined simply by the type
 munity. In the initial stage we distributed it to the stake-      of area but rather by other factors such as source of water
 holders we considered interested in water supply and envi-        and economic of scale of the investment.
 ronmental sanitation. Of course we are pleased to send                 b. The statistical computation for per capita water
 Percik in hard copy or e-mail to others who are interested.       requirement (including drinking water which is 4% of the
 Later on Percik could also be accessed through a website          total water requirement) is important because this figure is
 which will be ready in the near future. Percik is funded by       used as basis for calculating the amount of investment for
 the government and is managed by Water Supply and                 clean water supply. The government is, of course, trying to
 Environmental Sanitation Working Group.                           avoid over estimation in the provision but at the same time
     Beginning from edition II a new column is added and is        also trying to keep the supply within the real demand level.
 called Suara Anda (Your Voice) that we think is an interac-            2. The formulation of The National Policy for Deve-
 tive column. Other than that, we are also welcome to con-         lopment of Community-Based Water Supply and
 tribution from outside to enrich Percik. (Editor)                 Environmental Sanitation was compiled with involvement of
                                                                   all the stakeholders (at the national as well as regional lev-
             Clarification on the contents                         els), NGO's, donor agencies, professional organizations, aca-
                      of interview                                 demicians, and on-going projects in Indonesia. However,
                                                                   any suggestion and input for improvement from anyone is
     1. With regard to the contents in the Interview, there are    always welcome.
 several points that need straightening out because they                                                           Basah Hernowo
 relate to technical matters understanding of the sector.                   Director of Human Settlement and Housing, Bappenas
 First, the institutionally based or community based manage-
 ment formats for clean water and sanitation in urban and in           In conformance with the column, Interview, we consider
 rural areas are not happening by chance as is expressed in        that what is presented in the column represents the opinion
 the interview. Technically the management formats in              of the Director of Human Settlement & Housing, Bappenas.
 urban and in rural areas depend on the characteristics differ-    As for the measurement unit, it is entirely the Editor's cleri-
 ences of water origin, the technology being used, population      cal error. We apologyze for the inconvenience. (Editor)




   2          Percik
              October 2003
F ROM EDITOR

  T
            oday must be better than            Unlike the earlier edition, this       But the construction was not fully
            yesterday. Taking this spirit   time Percik brings forward a column        attended and finally broke down.
            as point of departure we are    called Wawasan (Perspective) to            This new MCK was built by the com-
            presenting to you Percik edi-   replace Opini (Opinion). The con-          munity based on an awareness to live
  tion number 2. Some improvement           tents of this column does not relate       a better life and hygienically.
  has been made among others in             only to opinion or judgement but               For the purpose of experience
  response to the input and suggestion      also to new and interesting ideas.         sharing, domestic as well as interna-
  from the readers. First, additional       Under this new name we expect              tional, we are also bringing forward
  number of pages are made to allow         more contributors would send us            Lessons Learned. In this column les-
  more information. Second, addition-       their interesting articles. In this edi-   sons learned from domestic are
  al columns such as Your Voice,            tion Wawasan (insight) presents to         extracted from evaluation of WSS
  Lesson Learned, and Technology            you the MPA (Methodology for               projects in Indonesia. Whereas les-
  Choice. Improvement will, of course       Participatory Assessments), consist-       sons from overseas are extracted
  be made continuously.                     ing of methods for community               from international reports.
      Continuing the focus placed from      empowerment and is applicability for           We are trying our best to make
  the initial edition in this second edi-   WSS system development.                    this media gain a widespread distri-
  tion we introduce several WSS proj-           No less interesting is that            bution. Internet becomes one of the
  ects that have adopted the principles     Wawasan also brings forward to you         means we are using. For this pur-
  contained in the national policy on       a topic about Handwashing. To us it        pose, starting from this edition we
  community based water supply and          may seem too trivial, but based on a       are also sending Percik through e-
  environmental sanitation. The pro-        study it is proven that hand washing       mail. This media will also be pre-
  jects are Water Supply for Low            is highly significant influential to di-   sented in full in a newly launched
  Income Communities-2 (WSLIC-2),           sease contamination through contact        Water Supply and Environmental
  Rural and Water Supply in Nusa            with hand.                                 sanitation website www.ampl.or.id.
  Tenggara Timur (ProAir), Sanitasi             In the column Cermin                       Apart from all of the above effort
  oleh Masyarakat (SANIMAS), and            (Reflection) we present to you the         everything will return to you. Input,
  Community Water Service and               initiative made by the community of        comment, suggestion, and even con-
  Health (CWSH). We hope this pre-          Gang Jempiring, Bali in building an        tribution article become a certainty
  sentation could provide the readers       MCK (public toilet). A few years ago       for the life of this media. Finally, we
  with a clearer picture on the imple-      this community had had an MCK              wish you all the best and thank you.
  mentation of the national policy.         built for them by the government.



      Photos Gallery




                                                                                                         Source: Ministry of Helath




  3          Percik
             October 2003
MAIN REPORT
      National Policy Implementation
    on Community-Based Water Supply
       and Environmental Sanitation
               Development

 T
         he national policy for the develop-
         ment of community-based water
         supply and environmental sanita-
 tion is intended to enhance the develop-
 ment, provisioning, maintenance of sus-
 tainable and reliable infrastructures and
 facilities. It took 5 years for the whole
 policy formulation process to complete
 and it culminated at the point when 5
 echelon I officials representing 5 cross-
 sectoral agencies Bappenas, Ministry of
 Home Affairs, Ministry of Finance,
 Ministry of Health and Ministry of
 Settlement & Regional Infrastructure
 put their signature of agreement on the
 document. It is planned this document
 will be made official and effective nation-
 wide through a ministerial decision by
 the State Ministry of National
 Development/Chairman of Bappenas.
     There are 8 guiding principles that
 make up the policy, those are water as an
 economic and public good; informed
 choice as the basis of demand-responsive
 approach; environmental-friendly deve-        sanitation projects. The result is, though    others.
 lopment; hygiene education; poverty           the agreement was just officiated recent-         Soegeng Santoso, project leader of
 focus; women's role in decision-making;       ly, but in reality the principles have been   ProAir, said that the national policy is
 accountability of the planning process;       long before adopted by the on-going WSS       quite appropriate. "What we are doing is
 government's role as facilitator for empo-    development projects, such as Water           exactly the same with WASPOLA's sug-
 werment; active community participa-          Supply for Low Income Community-2             gestions, therefore we are just dissemi-
 tion; optimal and target-oriented service;    (WSLIC-2), Rural and Water Supply in          nating the policy." According to Soe-
 improved monitoring and evaluation pro-       Nusa Tenggara Timur (ProAir), Sanitasi        geng, the key to success of a WSS project
 gram.                                         oleh Masyarakat (SANIMAS), and several        is in the hands of the community, not the
     As a policy the details contained         others. The latest project to adopt the       government. Therefore the community
 therein are not extracted only from in-       principles is Community Water Services        must be given a leading role in making
 house deliberations and discussions. The      and Health (CWSH) which is currently in       decision. "It is not a time for full govern-
 policy has gone through a long process of     preparatory stage.                            ment intervention, now it is demand
 field trials directly and indirectly. This        It becomes interesting to note what       driven, not supply driven," he added.
 process was made possible because of          and how a specific project is doing               Similar statement was made by
 synergy among policy formulation and          including comments from the project           Hartoyo, CWSH project leader.
 policy implementation field teams             management. In the implementation of          According to him, the community plays
 through the on-going water supply and         the principles, one project, of course, met   the role of agent of change. "When the
                                               with a different experience from the          community is capable of planning and



      4          Percik
                 October 2003
M AIN REPORT

                                                                                            be done wisely and carefully. Experience
                                                                                            in the field indicates that community is
                                                                                            too self reliant that they would disagree
                                                                                            with a scientific argumentation provided
                                                                                            for by consultant. "But, never mind.
                                                                                            This is a process," he further says.
                                                                                                 Apart from synchronization of nation-
                                                                                            al policy on water supply and environ-
                                                                                            mental sanitation and other projects in
                                                                                            the field, there are still other barriers to
                                                                                            be dealt with in the future. Project-mind-
                                                                                            edness seems still prevails within the pol-
                                                                                            icy makers. "Often we are faced with
                                                                                            conflicting situation: achieving a target or
                                                                                            maintaining the process,' Zainal conclud-
                                                                                            ed. As an example he cited that at the
                                                                                            initial stage WSLIC-2 project which is
                                                                                            funded by the World Bank and the
                                                                                            Australian government moved very slow-
                                                                                            ly, therefore fund absorption was also
                                                                                            very slow. It started to gain speed in the
                                                                                            second to third year implementation.
                                                                                            This situation cannot be separated from
                                                                               Source: OM
                                                                                            the limited knowledge of the personnel to
 implementing a development by them-                                                        absorb the methods to be applied in the
 selves, this means the community is suc-                                                   project. So, in the beginning the priority
 cessful," he says. The government should        Each sector must have                      was placed in human resources develop-
 only play the role of facilitator and moti-                                                ment of the project related personnel.
 vator. It is the community who do all the        the same acceleration.                    Besides, WSLIC-2 requires that fund is to
 planning and implementation of the pro-          From experience, the                      be channeled directly to the community
 ject. This process will guarantee the sus-                                                 is in disagreement with the existing regu-
 tainability of the project result.             community usually moves                     lation.
     Why the community? According to
 Hartoyo, they have many problems. Of            faster than the others.                         This condition is made worse with the
                                                                                            newly issued Keppres 42 which requires
 course, it is the community itself who         The sectors must be able                    that project be audited each fiscal year.
 knows what the problems are and knows                                                      "There is a possibility that with the
 exactly the priority for solution.              to catch up in order to                    issuance of the Keppres that project
 "Government assistance would be needed
 once in a while, but that is not the main
                                                      reach synergy.                        mindedness will recover", he further says.
                                                                                            He suggests that an empowerment pro-
 issue. Government subsidy is only a                                                        ject must be funded based on multiyear
 stimulant," he added.                         community capacity. They thought that
                                                                                            budget system.
     Alfred Lambertus, Rural Water             community is incapable and devoid of
                                                                                                 Empowerment is multi-sectoral.
 Supply and Sanitation Specialist, who         initiative. "Whereas the community will-
                                                                                            Each sector must have the same accelera-
 handles the SANIMAS project points out        ingness to assume responsibility is very
                                                                                            tion. From experience, the community
 that demand responsive approach is very       big. Even the poor class. Provided this
                                                                                            usually moves faster than the others. The
 important to a project if we want the         relates to their demand, they are willing
                                                                                            sectors must be able to catch up in order
 project to sustain. The policy that is for-   to contribute," Alfred further explains.
                                                                                            to reach synergy.
 mulated through WASPOLA, according                However, according to WSLIC-2 pro-
                                                                                                 The abovementioned projects are in
 to him, is being put to trials in the field   ject leader, Zainal I. Nampira, the com-
                                                                                            the process of proving whether the
 and this process will last for a consider-    munity must be made well prepared.
                                                                                            national policy is the right policy for WSS
 able length of time. "From this imple-        Beside physical construction, the commu-
                                                                                            development. There are some barriers
 mentation it can be seen how a regional       nity must be able to manage its financial
                                                                                            being identified, and it seems that the
 is required to be responsive to the           affairs in order to be accountable in
                                                                                            implementation will need more time.
 demand of its community, he continues.        accordance with accounting principles.
                                                                                            What and how are the projects look like,
     According to him, there was a com-        "This is a learning process," he stresses.
                                                                                            the following main report will discuss
 mon mistake in the past when the deci-            Relinquishment of responsibility to
                                                                                            each one of them in general.
 sion makers used to underestimate the         the community, according to Zainal, must



       5          Percik
                  October 2003
MAIN REPORT
 Community Water Services and Health
                                                   (CWSH)
 P
        ursuant to Memorandum of               through institutionalization of demand       cially announced. Twelve provinces were
        Understanding (MOU) between            responsive and household based system        invited for that occasion, consisting of W.
        the Government of Indonesia and        and program focused at low income com-       Kalimantan, S. Kalimantan, C. Kalimantan,
 Asian Development Bank (ADB) it is            munities in partnership with civilian        Papua, Lampung, Jambi, Banten,
 agreed that ADB will provide support to       community and private sector.                Gorontalo, Bengkulu, Riau, S. Sulawesi, and
 Indonesian efforts to reduce a number of                                                   SE. Sulawesi. A national seminar was held
 problems and limitations related to water     Output                                       on 2 July 2003 inviting participants from
 supply and environmental sanitation,              The expected output of the project       the 12 provinces. Each province was to be
 both in urban and rural areas. In this        are:                                         represented by the members from Bappeda
 connection the Country Program Mission        a. A capable regional government to          and Dinas Kesehatan. Representatives from
 (CPM) ADB 2002 it was made certain               facilitate planning and implementation    Papua failed to attend.
 that Community Water Services and                (including managerial aspect) of a             On 22 July 2003 a coordination
 Health Project (CWSHP) is included in            community-based project that is also      meeting was held at Bappenas and was
 the Country Strategy and Program (CSP)           capable in providing family-based         attended by WSS Technical Team and
 2003-2005 for Indonesia. ADB approves            health services especially in water       the PPTA Team. It was concluded that
 CWSH as a project loan effective from            borne diseases.                           there would be provincial level seminars
 year 2004.                                    b. Strengthened community and families       to be held at W. Kalimantan, C.
     At this time the CWSH project is still       in such a way that they are capable to    Kalimantan and Jambi. The Technical
 in preparatory stage. One of the main            plan, advocate, manage the O&M of         Team made a special effort to talk with
 activities during this stage is Project          WSS service and also improved health      Province Papua for participation in
 Preparation Technical Assistance                 and hygienic behaviour.                   CWSH project, considering Papua was
 (PPTA). In general, the purpose of            c. Development of sufficient, acceptable     prioritized in the second place. This was
 PPTA is to help Indonesian government            and sustainable WSS system and other      done until the second week of August
 to identify and prepare a project propos-        health service facilities especially in   2003. Finally the Technical Team had to
 al which is expected to start implementa-        water borne diseases.                     decide to give Papua's place to Bengkulu
 tion in year 2004. The output from            d. An efficient project implementation       as the fourth province to participate in
 PPTA will be used by ADB and                     and coordination system including         this project.
 Indonesian Government to process and             project monitoring and evaluation.             Provincial level seminars were already
 formulate the required investment for                                                      conducted at Palangkaraya, Jambi, Ponti-
 the related WSS development.                  Preparatory Activity:                        anak and Bengkulu. In this provincial semi-
     The PPTA team started its activity on        National Workshop on Community            nars 3 kabupatens were selected as project
 16 July 2003 and will be completed in         Water Services and Health (CWSH) at          sites in each participating province.
 May 2004 (10 months). This team is            Bekasi on 2 July 2003                             In the Tripartite Meeting held in 2
 preparing the kabupaten level SPAR (Sub                                                    September 2003 it was agreed to add more
 Project Appraisal Report) from the            Site Selection Criteria                      participating kabupatens to a total of 19
 selected provinces.                               The Central Level Technical Team for     from the presently selected provinces.
                                               Water Supply and Sanitation represented
 Purposes and Output                           by cross-sectoral agencies have deve-        Concluding Remark
                                               loped a criteria for selection candidate          CWSH is the first project in 2003 which is
 General                                       provinces with marked achievement in         designed in pursuant to the new procedure as
     Improving quality of life and status of   Human Development Index (HDI),               set forth in Decision of Ministry of Finance
 health of low income communities living       Gender-Related Development Index             No. 35/KMK.07/2003 on Planning, Imple-
 in the rural areas and the fringes of big     (GDI), Human Poverty Index (HPI), co-        mentation/Organization, and Monitoring of
 towns/cities through improvement in           verage in WSS service, diarrhoea inci-       an Extension of Government Loan to Regi-
 water related hygiene behaviour of the        dence, and status of the existing WSS        onal Level Government. According to the
 households through improved access to         projects and consideration on the linkage    KMK 35 the regional government is obliged to
 water supply and sanitation system.           with other ADB projects, such as FHN,        share the obligation with the central govern-
                                               DHS and RWSS.                                ment in the loan repayment, therefore the
 Specific                                                                                   possibility for changing the participating pro-
    A capable regional government to           Preparatory Activity                         vince may happen in accordance with the wil-
 improve water supply and health service          On 23 June 2003 the project was offi-     lingness to share the repayment obligation.




      6          Percik
                 October 2003
M AIN REPORT
                               Program Air dan Sanitasi Perdesaan
                             Propinsi Nusa Tenggara Timur (ProAir)

  Rural Water Supply and Sanitation
  Program in Nusa Tenggara Timur
 N
          usa Tenggara Timur (NTT) pro-            Purpose                                     Coordination Team (TKK) that produced
          vince is located in a low rainfall       a. General                                  many applications from the community.
          region, thus water scarcity becomes          To provide contribution in minimiz-     Phase 2, all the applications were select-
 a common phenomenon. Beside the natural           ing the risk to health of rural community   ed and assessed according their feasibili-
 condition, most of the population is insuffi-     caused by water borne diseases through      ty by the Project Implementation Unit
 ciently knowledgeable about hygienic mat-         improvement of drinking water supply        (PIU). Phase 3 represents implementa-
 ters and they are still living in less hygienic   and environmental sanitation in the         tion plan which involves the community
 environment. This makes the people of             province of NTT.                            group in executing the actual construc-
 NTT vulnerable to water borne diseases.                                                       tion through participatory activity apply-
     Aware of this condition in 1998 the           b. Specific                                 ing MPA-PHAST methodology with faci-
 government of Indonesia and the Federal               Rural community that is capable of      litation from a motivator.
 Rep. of Germany concluded an agree-               running the management of a sustainable
 ment for a development undertaking in             water supply and environmental sanita-      Constraints
 the field of water supply and environ-            tion system on their own and a regional         There are several constraints crop-
 mental sanitation in NTT province.                government that is capable of adopting      ping up while implementation is on-
     As a follow-up to the agreement, a            this methodology.                           going, the constraints may come in physi-
 meeting between the German Bank for                                                           cal or non-physical nature:
 Reconstruction (KfW) and the regional             Location
 and central level agencies related to the            ProAir operates in the rural areas of    Physical
 sector was held in 2001. It was conclud-          Kabupatens Sumba Timur, Sumba Barat              Geographical condition
 ed that the German Ministry for                   and Timor Tengah Selatan of the                  The settlements are scattered so that
 Economic Cooperation (BMZ), KfW and               province of NTT.                            it is difficult to choose the most suitable
 Deutsche Gesselschaft fuer Technische                                                         technology for a specific condition
 Zusammenarbeit (GTZ) will coordinate a            Program Implementation
 technical assistance and financial assis-             Unlike in the past the present          Non-physical
 tance for the program. The kabupatens             approach is not based on standard nor-          Lack of knowledge in the part of the
 to participate in the program are Sumba           mative defined by the government (sup-      local implementation personnel about
 Timur, Sumba Barat, and Timor Tengah              ply driven), therefore the present pro-     demand driven approach that makes
 Selatan. On 12 December 2001 Grant                gram is implemented based on the real       community motivation process moves
 Agreement "Rural Water Supply and                 demand of the community (demand driv-       only very slowly.
 Sanitation" was concluded. KfW is to              en). There are several phases to be com-        Fund channeling mechanism is not fully
 make available 15,6 million DM for                pleted in ProAir implementation, begin-     understood, this causes delays in request for
 investment (construction, procurement             ning from socialization and dissemina-      fund and its subsequent processing.
 of materials and services) and for con-           tion phase, followed by planning, after
 sultant costs. As a counterpart, each of          that technical design and contracting,      Plan for the future
 the kabupatens will set aside an invest-          then construction phase and finally post         In order to overcome the constraints,
 ment fund in their budget (DIPDA)                 construction activity.                      it is planned for the future:
 amounting to 10% of the total grant fund              The implementation itself is conduct-        a. A continuous HRD program inclu-
 provided for by KfW and other non                 ed gradually beginning from Kabupaten       ding re-socialization of ProAir program
 investment funds in conformance with              Sumba Timur. In this kabupaten imple-       through advocacy to the regional govern-
 the need of each of the kabupatens. This          mentation has reached phase 3. Phase 1,     ment and legislative (DPRD).
 program is given a specific name. ProAir,         the socialization and dissemination was          b. Keep on trying to find the best
 to distinguish it from other projects in          conducted through a public campaign         choice of technology for application in
 other locations.                                  activity by ProAir Kabupaten                NTT.




       7           Percik
                   October 2003
M AIN FEATURE
                   SANIMAS
       An Initiative in Community Based
            Sanitation Management
                                                   By: A. Lambertus, WSP-EAP

 What is SANIMAS?                              available, SANIMAS intends to introduce       SANIMAS could only provide facilitation
     SANIMAS is an initiative designed to      another option, i.e. community-based          for a maximum of 8 towns. The agreed
 promote community-based sanitation            wastewater disposal system. It is expect-     requirements for participation are as the
 (CBS) system as an alternative choice for     ed this effort would become acceptable to     following:
 the poor community.                           the regional government for adoption             Willing to set aside a counterpart
                                               into its sanitation development strategy.        budget;
 Background                                                                                     Decide the responsible sector to coordi-
     Improper sanitation condition in the                                                       nate the activity;
 areas where most of the urban poor live
 is economically detrimental and tends to
                                                  One principle is choice                       Select and employ two local facilitators.
 degenerate quality of life, especially of         of technology which
 women and children. In the worst condi-                                                         Those towns interested are required
 tion it may lead to relapsing of abdomi-
                                                     is to be made by                        to send application letter with attach-
 nal infectious diseases that the number of           the community.                         ment of the agreed requirements stated
 typhoid incidence in Indonesia is the                                                       above. There were 12 applicant towns
 highest in East Asia. This causes a finan-
                                                  SANIMAS would assume                       indicating willingness: Bangli, Gianyar
 cial loss amounting to approximately             the role of introducing                    and Denpasar of Bali, Pamekasan,
 Rp47 trillion (4,4% of 1997 GDP) to the                                                     Mojokerto, Sidoarjo, Pasuruan, Probo-
 economy or equals to Rp120.000 per               the technology options                     linggo, Blitar, Kediri, Batu and Malang of
 household per month.                             including the strength                     E. Java. Further selection indicated that
     Improper sanitation condition of the                                                    Probolinggo, Malang, Batu, Gianyar did
 urban poor is closely related to the exist-           and weakness                          not meet the required score. An MOU
 ing wastewater disposal system. In                       of each.                           with the remaining 8 towns was prepared,
 broad line, sanitation facilities in urban                                                  but Bangli finally withdrew because DPRD
 areas can be categorized as the following:                                                  did not give approval for the counterpart
                                                                                             budget.
    Sewerage system built in several big       Demand Responsive Approach                        In selection of community partici-
    towns with a very limited coverage.        (DRA)                                         pants the Demand Responsive Approach
    On site disposal system, generally con-        At this time SANIMAS is being tried       was also applied. During the process 10
    sists of toilet with or without a septic   in 7 towns, Blitar, Pasuruan, Kediri,         communities compete among themselves
    tank. This is the most common type.        Mojokerto, Sidoarjo and Pamekasan in          to win SANIMAS facilitation. Beside
    Direct disposal into a river or open       East Java and Denpasar in Bali.               demand responsive approach there are
    space.                                     Selection of the sites took a long process.   two other important principles applied
                                               First, a dissemination process about          by SANIMAS. One principle is choice of
 Purpose                                       SANIMAS to the communities in 21              technology which is to be made by the
    With regard to the limited option for      towns with population density above 700       community. SANIMAS would assume
 wastewater disposal system currently          persons per ha of East Java (15) and Bali     the role of introducing the technology
                                               (6). Followed with an information semi-       options including the strength and weak-
                                               nar to discuss SANIMAS idea in more           ness of each. The other principle is, the
    Percentage of Urban Wastewater
ercentage of Urban Wastewater Disposal Fac     detail. Interested towns are invited to       community assumes the responsibility
     Disposal Fasilities in Indonesia
                   in Indonesia                participate with a requirement that all       for technical construction and the mana-
      Type of Facility            %            the involved agencies must attend and         gement of funds coming from own
  Septic tank                   63,07          they must pay their own travel expenses.      sources, the government, SANIMAS, an
                                               Apparently, all the towns sent their rep-     NGO (BORDA) in some cases.
  Fish pond/rice field           3,28
                                               resentatives and they participated active-
  River/lake                    16,70
                                               ly in the seminar. Toward the end of the      SANIMAS Implementation phasing
  Pit well                      14,44          seminar it was announced that this exer-          There are 3 components involved in
  Sea coast/open area            1,28          cise was also intended to select the towns    the implementation. First, CBS
  Others                         1,23          capable of implementing the program.          Capacity Building. The purpose is to
 Source: BPS, 2002
 Source: BPS, 2002




      8              Percik
                     October 2003
M AIN FEATURE

 define project rules, sanitation technolo-
 gy options development, and construc-
 tion of implementation tools to be tested
 and demonstrated. The output of the
 first component consists of:
      Compilation, analysis, and synthe-
      sis of lessons learned from
      Indonesia and abroad;
      Rules and feasibility requirements
      for participation in SANIMAS pro-
      gram;
      Variety of technology options for
      CBS system;
      Training module for facilitation
      institution and local government.

     Second, Promotion and Demon-
 stration of CBS System. The purpose
 is to improve the knowledge, skill and
 awareness in CBS as an appropriate sani-
 tation option to be applied in the section                                                                             Source: OM
 of a town where the poor live. One of the
 outputs of this component is an estab-
 lished CBS system that represents the
 choice of the whole user community.                There are two choices that are generally selected
 The whole is underscored because if
 there is only one family disagrees against      from by the user community. Basically the community
 this may lead to cancellation of the pro-           would take a sanitation system that makes them
 ject, in spite of all other processes have
 been completed in agreement with all the           feel secure and at the same time also prestigious.
 community members.                                  For this purpose the community expects to have
     There are two choices that are gene-
 rally selected from by the user communi-          a system with home connection, but local condition
 ty. Basically the community would take a                     may cause something different.
 sanitation system that makes them feel
 secure and at the same time also presti-
 gious. For this purpose the community
 expects to have a system with home con-
 nection, but local condition may cause           There are four funding sources for     Pengkajian Kemasyarakatan &
 something different.                         the construction: community contribu-      Pembangunan (LPKP) covering activities
     A location with the following charac-    tion (cash and materials), local govern-   in Pasuruan, Blitar, and Kediri and is
 teristics:                                   ment, SANIMAS, and in some cases the       based in Malang, E. Java; Bina Ekonomi
     Houses built on contours                 shortage is subsidized by BORDA.           Sosial Terpadu (BEST) for areas covering
     Intermittent flooding                    Physical construction is expected to be    Pamekasan, Sidoarjo, and Mojokerto and
     Limited land area, even for a toilet     completed in November 2003.                is based in Surabaya; and for Denpasar
     construction                                 The third component is,                the responsibility is imposed upon Bali
     Houses built crammed with each           Implementation Management.                 Fokus which is based in Bali.
     other, such as the rent houses.          SANIMAS is financed through a grant            At the community level, SANIMAS is
                                              fund provided for by the Australian gov-   facilitated by two field facilitators. One
     The community has no choice but an       ernment through AusAID. The daily          comes from the implementing agency
 MCK as sanitation system. From the 7         activity is run by an NGO, BORDA           and the other is recruited from local
 communities facilitated by SANIMAS           (Bremen Overseas Research and              NGO. SANIMAS activity will be com-
 four of them are fortunate because they      Development Association) based at          pleted in April 2004, in which a national
 could build a system with home connec-       Kayen No. 176, Jl. Kaliurang KM 6,6        level seminar will be organized to wrap
 tion; as for the other three they have to    Sleman, Yogyakarta. BORDA is assisted      up the lessons learned to be dissemi-
 be satisfied with an MCK.                    by 3 local NGO's namely Lembaga            nated for future purposes.



      9          Percik
                 October 2003
M AIN FEATURE
                    Water and Sanitation
               for Low Income Communities
                         (WSLIC)-2
 M
            any villagers are dependent         Sumatra, Bangka-Belitung, West Java           involved in the project out of 2.000
            upon a traditional source for       and South Sulawesi. Criteria for selec-       toward the end of WSLIC-2 in 2006.
            their drinking water. Whereas       tion is based on: frequency of diarrhoeal
 the source is located far away and diffi-      inciddence, poverty level, and water sup-     Constraints
 cult to reach, discharge is insufficient       ply and sanitation service coverage.              As a new and fully innovative project
 especially during dry season, water qua-                                                     applying MPA approach, WSLIC-2 is faced
 lity is below the required standard for        Methodology                                   with a number of difficulties and con-
 consumption. This unfavourable condi-              WSLIC-2 consists of 4 main compo-         straints. In the initial stage, the constraint
 tion poses a big difficulty particularly for   nents, namely improvement of the              appeared as a consequence of limited
 women and children who have to spend           capacity of community institution,            human resources capacity in understanding
 most of their time to take water for           improvement of hygiene and sanitation         the methodology. As a result, the project
 washing, cooking and drinking.                 status through provision of services in       that should have lifted off the ground in
      Besides, many of the low income           health and hygiene behaviour, provision       2001 was delayed. The project has had to
 families who live in a more remote loca-       of water supply and sanitation system,        prepare the human resources first. NGO's
 tion defecate in the river or open place.      and project management.                       and consultants are recruited and give them
 This bad habit frequently causes conta-            This project applies an approach          the necessary training. They then provide
 mination of diarrhoeal or other diseases       methodology that is sensitive to the          training to facilitators.
 to other community members who share           demand of the community. All members              Other constraint relates to financial
 the same water source.                         of the community have an equal oppor-         administration system in which the pro-
      WSLIC-1 project was implemented in        tunity to participate in the selection of     ject requires channeling fund directly to
 1993-99 to find a solution to some of          activity related to health, water supply      community account. This system is
 these problems. Studies on the impact          and sanitation, with a specific focus to      entirely alien to the existing law and re-
 of provision of water supply and other         the demand of women and the poor              gulation. That is why the project has to
 sanitation facility to health condition        group.                                        make the necessary preparation in order
 indicate a decrease in diarrhoeal cases            The methodology being applied is          the community could manage the fund
 up to one third. However, WSLIC-1 was          called PHAST (Participatory Health and        in auditable manner. Each year an audit
 faced with a major difficulty related to       Sanitation Transformation), which is          was conducted on 60% of the Communi-
 fund disbursement system and its adminis-      based on the earlier participatory            ty Management Units.
 tration. This project is now being followed-   methodology called SARAR (Self-esteem,            There is something else the project is
 up with WSLIC-2 which will be implemen-        Associative strength, Resourcefulness,        need to consider for implementation in
 ted through year 2006. WSLIC-2 total pro-      Action planning, Responsibility). With        the future, i.e something related to
 ject cost is USD106 million coming from        the demand responsive methodology the         health. Whether health component must
 IDA (World Bank), Indonesian govern-           community is involved beginning from          start from the bottom?
 ment, Australian government through            planning, implementation, and O&M.                Experience indicates that Kabupaten
 AusAID and the community.                      The community decides by itself the           Management Unit has, from the very
                                                technology choice for the system to be        beginning, never worked within the line
 Purpose                                        constructed. This activity is funded by a     of the process. It is not surprising,
      This project is intended to improve       combination of grant from the World           therefore, the communication network
 health status, productivity and quality of     Bank and a subsidy from the local gov-        does not work harmoniously.
 life of low income communities through         ernment that make up 80% of the total
 improved hygiene behaviour, environ-           cost. The remaining 20% represents the        Plan for the future
 mentally-based health service, provision       community contribution, 4% of which in            To overcome the communication
 of a sustainable, safe, sufficient, easily     cash and 16% in labour and materials.         delay among kabupaten level imple-
 accessible and effectively used water              Up to August 2003 there were 870          menters some sort of a technical team
 supply and sanitation system/facility.         villages selected for participation, 779 of   involving the stakeholders related to the
                                                the applicants were being processed, 387      technical aspects of health, community
 Location                                       of which have signed a contract. Up to        empowerment and others will be orga-
    The project is implemented in 7             that time 221 villages have completed         nized, so that everybody will be informed
 provinces consisting of East Java, Nusa        construction. It is expected that by the      about what is going on and coordination
 Tenggara Barat, West Sumatra, South            end of the year 1.000 villages will be        be made easier.



     10           Percik
                  October 2003
P ERSPECTIVE
            Empowerment Without
                Compelling
I
      n 1997-98, Water and Sanitation
      Program of the World Bank and IRC
      International Water and Sanitation
Center formulated a community empo-
werment method that is known as
Methodology for Participatory
Assessments (MPA). This methodology
is a combination of the earlier methods,
Minimum Evaluation Procedures (MEP
and SARAR (Self-esteem, Associative
strength, Resourcefulness, Action plan-
ning, Responsibility).
    In 1998-99 the methods were put to
trial at 88 water management communi-
ties of 18 projects in 15 countries. The
study was conducted by a team from uni-
versities, local and national NGO's, rela-
ted government agencies, and project
managers. The lesson learned from the
study reveals that sustainable water sup-
ply system is one that provides satisfac-
tory service to the majority of users
including low income group. A service is
considered satisfactory if it is beneficial
and the system is effectively used
because the majority (at least 80%) of
the community has access to it.                                                                                           Source: OM
    Sustainable service and effective use                                                  and involvement of the poor, and appli-
are interrelated with demand-sensitive        Financially sustainable                      cation of the principles of democracy
program. This can be achieved if from             This can be established if the com-      and transparency
the very beginning the users are involved     munity is involved in planning. Besides,
in the planning to express their ideas        also in deciding the O&M costs and the       Socially sustainable
and to vote. Besides, there will be equity    amount of community (rich/poor,                  This condition can be reached if all
in the system management and share in         man/woman) contribution. Contri-             components in a community are given
benefit and burden. All requires com-         bution is decided in proportion to level     the same opportunity in the selection
munity participation in contribution,         of service or the amount of clean water      process of technology choice, type of sys-
supervision in project implementation,        per household.                               tem to be constructed, level of service,
and sharing of responsibility in trans-                                                    type of training. All community mem-
parent manner.                                Environmentally sustainable                  bers have the same opportunity to voice
    Finally it was summarized that there          Sustained environmental condition        out their ideas in decision making
are 5 aspects influencing the sustaina-       can be reached if the planning by the        process to decide the size and format of
bility of a project. Those aspects are:       community also takes into consideration      community contribution and dues, deci-
                                              the environmental aspect as it relates to    sion in management mechanism, and
Technically sustainable                       water source and wastewater disposal.        selection of the management team.
    Sustainability in technical aspect can                                                     With the application of the five
be obtained if the project is planned by      Institutionally sustainable                  aspects for the purpose of improvement
the community and in consideration to            Sustainable institution is a process in   of demand responsive approach in plan-
the type of technology applied in accor-      formation of management team that            ning, MPA applies participatory methods
dance with the community condition            takes into consideration gender equity       consisting of:




    11          Percik
                October 2003
P ERSPECTIVE

                                                                                              the most difficulties in adopting the
                            Activity                                  Methodology             methodology are the decision makers
  Inventory of village characteristics                      Open discussion                   and project managers. Why? All this
                                                                                              time they have been used to top down
  Social classification                                     Welfare classification            and instructional and is difficult for
  Social mapping                                            Discussion and drawing            them to accept the aspiration from the
  User evaluation                                           Pocket votes                      community. They seldom go to the field
                                                                                              and speak with the community. Many of
  Decision making evaluation                                Matrix voting                     them consider that community will never
  Sample taking for transect walk and focused group discussion utilising the social map       be able to get stronger by itself.
  Evaluation of management, maintenance and financial       Discussion with the                   From the implementation side, there
                                                                                              is no meaningful barrier. But MPA will
  management of service                                     management team (men and          be easily implemented if the facilitator is
  Evaluation on history of system construction              women)                            willing to learn. The application of MPA
  Evaluation of division of labour and benefit                                                becomes difficult if the facilitator has
                                                                                              been formed and tend to teach rather
  Review of service system performance                      Transect walk, supplemented       than to learn. Empowerment through
  Ranking score by user                                     with rating scale and checklist   MPA is possible for any group of the
  Evaluation by non user                                    for WSS facility                  community. Whether is the rich, the
                                                                                              poor, the educated and even the illitera-
  Evaluation on user satisfaction                           Ladders, card sorting             tes. This methodology comes in me-
  Division of labour and benefit                            Card sorting                      thods that can be easily understood by
  Plenum meeting on the result of activity with the         Presentation of scores and        the community. In other words MPA
                                                                                              can be adjusted to the local condition.
  community                                                 open discussion                   As an example, in Laos when applying
  Inventory of institutions that influence service          Open discussion, scoring,         this methodology it was difficult to clas-
                                                            pocket votes                      sify how many rich population and how
                                                                                              many are poor. Over there, such a dis-
                                                                                              tinction is unthinkable. But through a
     The information generated from the
                                                                                              local community language this distinc-
 process will be useful to identify the
                                                                                              tion is made possible. It was through
 basic social characteristic and service         For Indonesia, the metho-                    indication that the rich wear a lot of
 facilities in accordance with the opinion
 of all components in the village level
                                                dology could be considered                    ornaments, holding a high position so
                                                                                              that they have a fixed income, in con-
 plenum. The community could then re-              as new. Therefore con-                     trast with those without education
 concile their demand with the technolo-          straints are coming up in                   because they are only farm labourers
 gy choice, capacity and willingness to
 pay, between the different groups and          the field. Based on experi-                   without a fixed income. For the commu-
                                                                                              nity, what is important they understand
 assess their own level of demand. MPA            ence, the one who have                      and capable of expressing themselves.
 is not only useful for the community but
 also for all related components such as           the most difficulties in                   With a symbol or drawing it will do, as
                                                                                              long as they can express their opinion
 public service management, project              adopting the methodology                     and make a choice without any pressure.
 implementers, project managers, and
 decision makers.
                                                   are the decision makers                    Seeing the real success in applying the
                                                                                              MPA, not just a theory, there are many
     What about Indonesia? Since 1980               and project managers.                     requests for application from many other
 there are many water supply and sanita-
                                                                                              projects. Other countries such as Laos,
 tion facilities built in Indonesia. The
                                                                                              Cambodia and Vietnam have adopted
 facilities were built and implemented by
                                                                                              this methodology. This methodology has
 a number of projects and programs
                                                lack of sustainability happens because of     impacted to local government policy
 funded by central government budget,
                                                lack of sense of belongingness within the     including institutions related to sectors
 donor countries, donor agencies such as
                                                community. This condition makes               other than water supply and sanitation.
 World Bank. The reality in the field
                                                Indonesia one of the locations suitable           With regard application in other sec-
 indicates that the facilities did not last
                                                for the application of MPA approach.          tors there is no problem. The methodology
 long. Frequently they become a monu-
                                                    For Indonesia, the methodology            may be the same. What need adjustments
 ment. Why must it happen? Based on
                                                could be considered as new. Therefore         are the indicators. (Summarized from
 studies conducted by Water and
                                                constraints are coming up in the field.       interview with Ratna I. Josodipoero,
 Sanitation Program (WSP) the failure or
                                                Based on experience, the one who have         Hygiene Education Specialist, WSP).



      12          Percik
                  October 2003
P ERSPECTIVE
                    Handwashing
 I
      n October 2003 we received an invi-
      tation to a seminar from WSP-EAP
      World Bank with an agenda on
 Handwashing. This raised a number of
 questions. We all know that handwash-
 ing is part of the tradition of civilized
 community. The question is whether it
 is worthwhile to discuss such a matter in
 a meeting attended by representatives
 from World Bank/Jakarta, USAID,
 UNICEF, John Hopkins University,
 Universitas Indonesia, Koalisi Untuk
 Indonesia Sehat, Bappenas and Ministry
 of Health? The more so is because one of
 the agenda is the naming of Indonesia as
 the fifth nation in the world to involve in
 Global Initiative for Handwashing pro-
 moted by the World Bank in year 2000.
 This article does not intend to discuss
 what was happening in the meeting, but
 rather to provide a further under-
 standing about Handwashing.

 Flashback                                                                                                                  Source: ML
     The history of handwashing goes
 back to the 19th century when many
 European and American women died                to warm it up and water was still con-       How Important is Handwashing?
 shortly after childbirth. As many as            sidered as the source of malaria and             Let us look back to the data produced
 twenty five per cent of mothers died            typhoid contamination were the most          from several studies. In 1996 by not
 after delivery. The main cause was              probable reasons for doctors opposing        washing hands there was 40% contribu-
 Streptococcus pyogenes bacteria. Early          the habit of handwashing. It looks quite     tion to infected food including salmonel-
 in 1843 Dr Oliver Wendell suggested             discordant from our point of view today      la in the US. This figure refers to 80
 handwashing as a means to overcome it.          that doctors were the ones opposing to       million people poisoned from food which
 He was convinced that the cases were            handwashing.                                 increase the medical cost, decrease pro-
 caused by the doctor's habit.                        Refusal to handwashing continued        ductivity, and death of 10.000 people.
     It was Dr Ignaz Semmelweiss who in          and even in a seminar at the Academy of          More than 2 million children died in
 1850 observed that mortality rate of            Medicine in Paris 1879 disease contami-      the developing nations each year
 women giving birth under the care of a          nation through contact with hand was         through diarrhoea. Each minute 5 peo-
 physician is three times higher that those      still doubted. It was Louis Pasteur who      ple are infected by diarrhoea microbe or
 handled by non-medical help. The                in the seminar spoke loudly saying "As       300 cases for 1.000 population. Accord-
 observation led to a conclusion that doc-       doctors you are the ones killing those       ing to Directorate General of Communi-
 tors did not wash their hands before            women by contaminating with deadly           cable Disease Control & Environmental
 helping a parturition. Whereas the doc-         microbe from sick patient to women           Health, Ministry of Health, diarrhoea is
 tor might just from attending another           about to give birth."                        number two cause for mortality rate of
 patient or even conducted an autopsy.                The above story gives us the histori-   children under 5 in Indonesia. In the
     Dr Semmelweiss suggested that a             cal background how the steps towards         meantime based on the latest observa-
 doctor must wash his hands prior to             awareness of handwashing as a means to       tion by The Lancet Infectious Diseases
 attending a patient. The result was,            prevent contamination. It took a consid-     Journal it is evidenced that 42-47% of
 mortality rate dropped significantly. But       erable length of time and effort before      diarrhoeal incidence can be prevented
 ironically, without looking into the fact       handwashing become part of the cultural      only by washing hands. Studies in Pa-
 Dr Semmelweiss was ostracized by his            tradition of civilized community and not     kistan indicate that handwashing reduces
 own colleagues. Maybe the habit of              simply as a physician's routine.             diarrhoeal incidence by 44%. A study by
 handwashing was entirely new then.              Handwashing is presently a subject           Khan (1982) indicates that washing
 The availability of clean water was still       taught in schools and even handwashing       hands is an effective means to prevent
 relatively insufficient, it took a big effort   facility is now a public requirement.        diarrhoea. Other studies by Alam (1989)



     13           Percik
                  October 2003
P ERSPECTIVE

 and Clemens (1987) suggest that wash-                                                           effective means to prevent contamination.
 ing hands by mothers is an important                  Other studies indicate that                   Apart from the various diseases that
 factor in reducing diarrhoeal incidence                  handwashing reduces                    can be prevented simply by washing
 of their children. This all makes provi-                                                        hands, what concerns most from the
                                                         incidence of infectious
 sion of clean water and sanitation                                                              water supply and sanitation is water
 improvement more effective if combined                  diseases by 50%. Other                  borne diseases such as diarrhoea.
 with handwashing program.                             source says that it reduces
      Other studies indicate that hand-                    up to 65%. Besides,                   When handwashing should be
 washing reduces incidence of infectious                                                         done?
 diseases by 50%. Other source says that                washing hands regularly                     There is not specific rule how often
 it reduces up to 65%. Besides, washing                reduces the contamination                 we should wash our hands but at least:
 hands regularly reduces the contamina-                 with antibiotic resistant                   Before eating and cooking
 tion with antibiotic resistant bacteria.                                                           After using toilet
      All the facts mentioned above indi-                       bacteria.
                                                                                                    After house cleaning
 cate the importance of washing hands as                                                            After visiting a sick person
 a means to prevent various diseases.                                                               After cleaning nose, coughing or
 Therefore, wash your hands.                      Handwashing Could Prevent                         sneezing
                                                  Contamination                                     After an outdoor activity such as
 Is it true handwashing is a cultural                 Virus and bacteria can spread in              playing, gardening, sport, etc.
 tradition?                                       many different ways such as spoiled
     A study conducted by Applied                 water and food, phlegm from cough or           The time required for handwashing is
 Research Group University of                     sneeze, dirty hand, infectious surface         less than 2 minutes.
 Westminster Inggris reveals that only            (soil, table and others), excretion from a
 32% (from 292 toilet users) wash their           patient. If by chance we get in touch          How to wash hands
 hands after using toilet. While result of        with virus or bacteria from one of the             There are three simple steps in hand-
 observations in 5 cities in the US by the        above sources, millions of microbes will       washing, (a) washing your hands from a
 American Society of Microbiology Clean           be in our hand. Most of them are harm-         faucet, spout of with a water dipper, pre-
 Hands Campaign indicates that although           less, but some of the microbes can cause       ferably using warm water; (b) use a soap
 95% of the sample wash their hands               flu, and diarrhoea. By simply touching         (not necessarily an anti-bacterial type)
 after using toilet but only 67% wash their       nose, eye or mouth we are soon infected.       for 10-15 seconds. Be sure that all the
 hands in the right manner.                       Washing hands is the first step against        hidden parts of your hands are wetted
     How about in Indonesia? In June              the spread of the diseases, from flu, me-      with soap; and (c) after drenching use a
 2003 an institution in Indonesia con-            ningitis, hepatitis A, and diarrhoea. A step   towel or tissue to dry hour hands.
 ducted an observation at 33 users in one         as simple as washing hands turns out an
 of the man toilets of Jakarta Hilton
 Convention Centre (JHCC). It turned
 out only 8 men washed their hands after
 using toilet. Though this cannot be taken as
 representing Indonesian condition but it
 reveals that even in a toilet in Jakarta hand-
 washing is not a common habit.
     Are they that igrorant about the
 importance of handwashing? According
 to a study in England, it was found that
 they are aware of the importance of                                                                                   Use a soap
 washing hands but there are several rea-                                                                              (not necessarily
 sons why they do not do it such as the                                                                                an anti-bacterial
 toilet looks very nice and clean and they                                                                             type) for
 don't want to touch anything other than                                                                               10-15 seconds.
 their own, or their hands still look clean
 -clean does not mean free from microbe.
     The above study indicates that
 though handwashing is understood as
 important, in practice it is seldom prac-
 tised. Even in a highly developed nation                                                                                           Source:OM
 like England.




     14            Percik
                   October 2003
R EFLECTION
          MCK Jempiring
     is not an MCK Moerdiono
A
         s a tourist destination Bali is well
         known for its natural beauty and
         its cultural heritage. However,
behind the natural beauty, the Denpasar
city as the provincial capital suffers from
a bad luck as do the big cities on Java.
The fast economic growth and side effect
of development activities have turned
the face of Denpasar pockmarked with
clumsy and overpopulated quarters.
Some of the locations are easily obser-
vable at Banjar Sari and Banjar Batur of
Kelurahan Ubung in Kecamatan
Denpasar Barat. According to Dinas
Lingkungan Hidup and Public Works,
Gang Jempiring which is located at
Banjar Sari is top in the list of clumsy
areas within the city of Denpasar.
Banjar Sari itself is located just behind
Ubung, a land transport terminal and
main transit in Bali. This is the main
reason why Ubung especially Gang
                                                                                                                           Source: Bali Fokus
Jempiring has developed into such a             Before construction
thickly populated with various ethnic
groups living in this place.
    I Made Yasa, chief of Banjar Sari           them "MCK Moerdiono". Unfortunately         during the Community Based Sanitation
community and also an employee of the           the MCKs have met with unlucky fate.        (CBS) program socialization meeting
Kelurahan Ubung says that most of the           "They could function only for 4 years",     conducted by Bali Fokus in association
population came from Lombok, E. Java            said I Wayan Gandra, owner of one of        with BORDA in July 2002. From the
and various parts of Bali. Land lords in        the MCKs. Gandra admitted that his          process of identification, problem formu-
Jempiring rent out their lands for living       MCK was not maintained properly.            lation up to recommended solution con-
quarters but unfortunately there are not        Since the septic tank was full and cannot   ducted by Bali Fokus, BORDA together
many of them able to provide an accept-         be emptied, Gandra had difficulty and       with the community during the time
able sanitation facility for their tenants.     does not know what to do, so that he        span between August till December 2002
According to Yasa, Gang Jempiring is            flushes the waste directly into the         it became known that the status of MCK
inhabited by approximately 300 families         drainage canal. Besides, according a        Moerdiono causes deep apprehension,
who in average work as street vendors,          landlord of more than 20 rental houses,     such as bathroom and closet full of dirt
construction labourers, and other infor-        water supply service from PAM for MCK       and stench from the closet. Worse still,
mal sectors. A combination of lack of           seldom if not to say never flows.           almost all the MCKs have their septic
knowledge and absence of acceptable                 The level of community knowledge        tank broken so wastewater flows directly
sanitation system have made Banjar Sari         and awareness is considered as another      into a drainage ditch nearby.
a city slum with sanitation problem             reason for the breakdown of the MCKs.           Other issue that was brought forward
especially with regard human waste.             Made Yasa who is also an owner of one       relates to level of community awareness
    Actually the government had once            of the MCK Moerdiono mentions his           to participate in maintaining and clean-
tried to make improvement to the sanita-        experience that he found lady's tissues     ing a public facility. The level is very low
tion condition of this place. Yasa admitted     were buried in clogging the closet pipe.    and the main reason lies in lack of sense
that once Gang Jempiring had received a         "We had to cut the waste water pipe in      of belongingness.
subsidy from the former administration.         order to release the stopper", explained        Bali Fokus an NGO specializing in
In 1980 to be exact. At that time the go-       Yasa.                                       environmental and community develop-
vernment constructed 4 public toilet                The abovementioned sanitation rela-     ment in collaboration with BORDA a
(MCKs). Banjar Sari community called            ted problems and issues were revealed       non-profit institution based in Bremen,



    15           Percik
                 October 2003
R EFLECTION

                                                                                                 and Bali Fokus which contains 3 main
                                                                                                 points. First, that the community of
                                                                                                 Jempiring, Banjar Sari needs a sanitation
                                                                                                 facility. Second, the community mem-
                                                                                                 bers of Jempring are willing to con-
                                                                                                 tribute for its O&M costs, and third, the
                                                                                                 community will support the construction
                                                                                                 of the new MCK and is willing to main-
                                                                                                 tain and keep the MCK clean.
                                                                                                     Then based on the mapping of sanita-
                                                                                                 tion problem as prepared by the commu-
                                                                                                 nity, there were 3 candidates for the loca-
                                                                                                 tion of the new MCK. After a month of a
                                                                                                 more detailed technical survey it was
                                                                                                 agreed that the land belonging to I Ketut
                                                                                                 Nasib is selected as the location. The
                                                                                                 other two locations were dropped
                                                                                                 because they are too near the old MCK's
                                                                                                 and one of the owner refuses to have an
                                                                                                 MCK built on his land.
                                                                                                     MCK Jempiring construction through
                                                                                                 community based demand is only one
                                                                                                 merit of the MCK. Because there is,
                                                                                                 additionally, another merit. MCK
                                                                                                 Jempiring which was inaugurated by the
                                                                                                 Mayor of Denpasar on Wednesday, 6
                                                                                                 August 2003 is equipped with an appro-
                                                                                                 priate technology for wastewater treat-
                                                                                                 ment system which produces methane
                                                                            Source: Bali Fokus   gas and water in accordance with the
                                                                                                 safety standard as set by the government.
 Germany, initiated a demonstration pro-      was not a top down à la MCK Moerdiono
                                                                                                 The biogas produced by a digester under-
 ject. This project was offered to Gang       approach that made the MCK Jempiring
                                                                                                 neath the MCK can supply gas for cook-
 Jempiring community as a solution to         constructed in Banjar Sari. Almost all of
                                                                                                 ing of 3 families.
 their sanitation problem. This heavily       the decisions related to solution to sani-
                                                                                                     To maintain cleanliness, the MCK
 innovative and appropriate technology        tation problem were consulted and coor-
                                                                                                 employs 2 workers, each working on an
 based project is believed to be able to      dinated with the community. "We fre-
                                                                                                 8-hour shift, from 5 AM to 1 PM and
 create a sustainable and technically reli-   quently held a meeting with the commu-
                                                                                                 from 1 PM to 9 PM. After 9 PM the MCK
 able sanitation system in Gang               nity of Gang Jempiring", said Made Yudi
                                                                                                 is closed. What about the wastewater? It
 Jempiring. This project is innovative        Astrana, one of Program Officers of Bali
                                                                                                 is BORDA Indonesia with 20 years of
 because it was born out of a real demand     Fokus. "There were at least 10 meetings
                                                                                                 experience in the field of wastewater pro-
 and participation of the community. The      with the community before they came up
                                                                                                 cessing that provides the technical assis-
 non-technical/participatory approach         with a solution to build an MCK at
                                                                                                 tance to MCK Jempiring construction.
 began from July-August 2002 and con-         Jempiring", added the ITS graduate.
                                                                                                 Through a technology called DEWATS
 tinued till the completion of a function-    Again according to Yudi, initially there
                                                                                                 (Decentralized Waste Water Treatment
 ing MCK structure on Wednesday, 6            were 3 alternatives:
                                                                                                 System) the human waste is processed.
 August 2003. In this participatory              Construction of an MCK at the location of       "We guarantee the wastewater process-
 approach the community was asked to             Balai Banjar Sari                               ing system will be functioning perfectly",
 identify the problem and propose the            Construction of a new public MCK at             says Yuyun Ilham, Director of Bali
 best and workable solution by the com-          Gang Jempiring                                  Fokus. According to Jempiring commu-
 munity itself. The community then for-          Construction of communal piping system          nity: "MCK Jempiring is more than just
 mulated a number of alternatives that
                                                                                                 an MCK".
 finally in January 2003 the community
 agreed to build a new MCK at Gang             Renovation of the existing MCK's.
                                                                                                     (Summarized from MCK Jempiring,
 Jempiring.                                      After several more meetings on 31
                                                                                                                         a glimpse of,
     Thus this project did not come out of    January 2003 an MOU was signed
                                                                                                                Bali Fokus, Denpasar)
 emptiness as it used to be in the past. It   between the community of Banjar Sari



     16          Percik
                 October 2003
L     ESSONS LEARNED



                      Local Lesson Learned
D
        uring the months of September
        and October 2003 the WSS
        Working Group had an oppor-
tunity to make a field visit to WSLIC-2
project sites, at Kabupaten Bima (NTB)
and Kabupaten Ponorogo (E. Java),
The following is the report:

Water has been flowing but the
amount of subscription hasn't been
determined yet by Totokan
Community.
    On 7 October last, a water supply and
sanitation facility that was developed
under the WSLIC-2 project was handed
over to Totokan Village Headman of
Kab. Ponorogo. The event was attended
by the Bupati and his staff, DPRD, PKK
officers, Director of Water and
Sanitation (Ministry of Health), Director
of Human Settlement and Housing
(Bappenas), Central level Coordination
Team, CPMU, DPMU of Kab. Ponorogo.
This specific event was jointly organized
by 7 villages being the sites of WSLIC-2
project that have completed construction                                                                                        Source:BP
as an expression of thankfulness for a
clean water system for the community.       tem has not been finalized though the           one at the primary school.
The transfer of asset to each of the vil-   community has enjoyed the clean water               But as the new village headman
lage is intended to build a sense of        service. It is expected that the manage-        began assuming office there arise
belongingness so that the community         ment unit together with the community           seedlings of discord within the commu-
would manage the facility O&M in sus-       could work out a management system              nity. This causes the Community
tainable manner.                            including the subscription dues. What is        Implementation Unit divided in two,
    Up to this time the village obtained    certain is, as a result of water availability   may even lead a negative effect to the
water from the deep wells filled in by      the production of brick baking industry         sustainability of the facility. Worse still
infiltration from the irrigation system.    is increasing. Before this, water for mix-      is the fact that the construction was exe-
Water is flowed regularly one every         ing brick mold was difficult to obtain.         cuted through pressing the budget at the
month.                                                                                      expense of its technical quality.
    There are two water supply systems.     Friction is apt to happen                           This situation indicates that commu-
The first is pumping up water from a 130        The community of Tanah Putih vil-           nity participation at village plays a very
metre-deep well into a big reservoir and    lage, Kecamatan Sape, Kab. Bima (NTB)           important role lowering construction
then water is distributed using 2 pumps     obtain their water from a river. The            budget especially in a difficult location.
which are located far from each other.      source is located not far from their            But in a certain condition, an overly
The second is deep pit wells. There are 9   homes but it is difficult to reach because      economized budget may adversely affect
such wells dug manually 50-60 m below       of the steep slope. Only a small fraction       the quality of construction.
ground. The construction works for both     of the population have had access to                There is a general notion up to this
systems were done by the community.         piped water system, but the discharge is        time that a village community is always
    To supply oxygen for men working        too little. About 5,4 km from the village,      homogenous and cannot easily be divid-
underground while digging the wells, air    there are two water sources but accessi-        ed. This fact has proven that village
was pumped into the pit through a plas-     bility is very difficult. One of the sources    community is also susceptible to frag-
tic hose from the ground surface. The       is being used by the neighbour village          mentation.
soil of Totokan is made of rock so that     with permission and without any com-
from a 50 m well, 3-4 truckloads of rock    pensation. WSLIC-2 installed a piping              In September 2003, WSS Working
could be mined.                             connection from the source and public           Group together with the World Bank
    Unfortunately, the subscription sys-    taps at 5 distribution points including         made a field visit to several SANIMAS




    17          Percik
                October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003
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Indonesia Water Supply and Sanitation Magazine. 'PERCIK' 2nd Edition October 2003

  • 1.
  • 2. Content Information Media for Water Supply and Environmental Sanitation Advisor: Director General for Urban and Your Voice 2 Rural Development, Ministry of Settlement and Regional Infrastructure From the Editor 3 Director of Human Settlement and Housing, National Development Planning Agency Main Report Republic of Indonesia Director of Water and Sanitation, CWSH 6 Ministry of Health Director of Urban and Rural Eastern Region, ProAir 7 Ministry of Settlement and Regional Infrastructure SANIMAS 8 Director of Natural Resources and Appropriate Technology, Director General on Village and WSLIC-2 10 Community Empowerment, Ministry of Home Affairs Perspective Director for Facilitation of Special Planning Environment Management, Ministry of Home Affairs Empowerment without compelling 11 Chief Editor: Handwashing 13 Oswar Mungkasa Reflection Board of Editor: Hartoyo, Johan Susmono, Budi Susilo, MCK Jempiring not MCK Moerdiono 15 Poedjastanto Lesson learned (best practises) Editor: Maraita Listyasari, Rewang Budiyana, Rheidda Pramudhy, Joko Wartono, Essy Asiah, Mujiyanto Local 17 Design: International 19 Rudi Kosasih Miscellaneous Production: Machrudin Technology choice 21 Distribution: Book Info 23 Anggie Rifki Website Info 24 Address: Jl. Cianjur No. 4, Menteng, Jakarta Pusat Phone: 62-21-31904113 e-mail: redaksipercik@yahoo.com redaksi@ampl.or.id Unsolicited article or opinion items are welcome. Please send to our address or e-mail. Don't forget to be brief and accompanied by identity.
  • 3. Y OUR VOICE Comment and Suggestion density of the area, and the economic of scale of investment. Second, it is not quite appropriate to state a discrimination Congratulations for the publication of Percik (meaning of clean water services between rural and urban areas. The sprinkle, splash) an information media on water supply and demand of rural and urban population are naturally different environmental sanitation. But for the sake of improvement I because their activities are also different. Drinking water would like to convey to you the following suggestions: requirement is about the same for everyone (and is 1. As soon as possible Percik should be registered and expressed in litre/person/day not litre per second because obtain an ISSN (International Standard Serial Number). litre per sec denotes the capacity of an investment plant). This can be obtained at PDII-LIPI (Indonesian Institute of There must be a distinction between drinking water and Science) clean water. 2. Table of contents should be attached with: 2. I would suggest that the follow-up in policy formula- a. Purpose of publication tion for water supply and sanitation also involve the academ- b. Target readers ic circle and the professional association related to water c. How to obtain supply and environmental sanitation, e.g. IATPI (Ikatan Ahli d. Source of funding Penyehatan Lingkungan). With regard to good governance, especially in relation to 3. Pursuant to the ethic in writing for media publication, transparency, participatory and accountability all the above it would be advisable to also note whether the statement rep- are important. resents solely that of the author or the institution to which 3. It is advisable to add an interactive column to the author belongs. enable the readers interact with the editor or among them- Dr. Rr. Peni Kusumastuti Lukito selves. Director of Urban and Rural Affairs, Bappenas Thank you. Dr. Sudjana Royat Response Director of Spatial Planning and Land Affairs, Bappenas 1. It should be made clear that what is being formulated is the National Policy for Development of Water Supply and Thank you very much for the suggestions. We will act Environmental Sanitation. While environmental sanitation immediately on the ISSN matter. includes basic sanitation, solid waste, waste water and The purpose of publication and target readers we have drainage system. noted it in the column From the Editor as a means of inter- a. With regard the management we are of the same opini- action at least among government agencies, universities, on that the format (institutionally-based, community-based, private sector, donor countries/organizations, and the com- a combination of both) is not determined simply by the type munity. In the initial stage we distributed it to the stake- of area but rather by other factors such as source of water holders we considered interested in water supply and envi- and economic of scale of the investment. ronmental sanitation. Of course we are pleased to send b. The statistical computation for per capita water Percik in hard copy or e-mail to others who are interested. requirement (including drinking water which is 4% of the Later on Percik could also be accessed through a website total water requirement) is important because this figure is which will be ready in the near future. Percik is funded by used as basis for calculating the amount of investment for the government and is managed by Water Supply and clean water supply. The government is, of course, trying to Environmental Sanitation Working Group. avoid over estimation in the provision but at the same time Beginning from edition II a new column is added and is also trying to keep the supply within the real demand level. called Suara Anda (Your Voice) that we think is an interac- 2. The formulation of The National Policy for Deve- tive column. Other than that, we are also welcome to con- lopment of Community-Based Water Supply and tribution from outside to enrich Percik. (Editor) Environmental Sanitation was compiled with involvement of all the stakeholders (at the national as well as regional lev- Clarification on the contents els), NGO's, donor agencies, professional organizations, aca- of interview demicians, and on-going projects in Indonesia. However, any suggestion and input for improvement from anyone is 1. With regard to the contents in the Interview, there are always welcome. several points that need straightening out because they Basah Hernowo relate to technical matters understanding of the sector. Director of Human Settlement and Housing, Bappenas First, the institutionally based or community based manage- ment formats for clean water and sanitation in urban and in In conformance with the column, Interview, we consider rural areas are not happening by chance as is expressed in that what is presented in the column represents the opinion the interview. Technically the management formats in of the Director of Human Settlement & Housing, Bappenas. urban and in rural areas depend on the characteristics differ- As for the measurement unit, it is entirely the Editor's cleri- ences of water origin, the technology being used, population cal error. We apologyze for the inconvenience. (Editor) 2 Percik October 2003
  • 4. F ROM EDITOR T oday must be better than Unlike the earlier edition, this But the construction was not fully yesterday. Taking this spirit time Percik brings forward a column attended and finally broke down. as point of departure we are called Wawasan (Perspective) to This new MCK was built by the com- presenting to you Percik edi- replace Opini (Opinion). The con- munity based on an awareness to live tion number 2. Some improvement tents of this column does not relate a better life and hygienically. has been made among others in only to opinion or judgement but For the purpose of experience response to the input and suggestion also to new and interesting ideas. sharing, domestic as well as interna- from the readers. First, additional Under this new name we expect tional, we are also bringing forward number of pages are made to allow more contributors would send us Lessons Learned. In this column les- more information. Second, addition- their interesting articles. In this edi- sons learned from domestic are al columns such as Your Voice, tion Wawasan (insight) presents to extracted from evaluation of WSS Lesson Learned, and Technology you the MPA (Methodology for projects in Indonesia. Whereas les- Choice. Improvement will, of course Participatory Assessments), consist- sons from overseas are extracted be made continuously. ing of methods for community from international reports. Continuing the focus placed from empowerment and is applicability for We are trying our best to make the initial edition in this second edi- WSS system development. this media gain a widespread distri- tion we introduce several WSS proj- No less interesting is that bution. Internet becomes one of the ects that have adopted the principles Wawasan also brings forward to you means we are using. For this pur- contained in the national policy on a topic about Handwashing. To us it pose, starting from this edition we community based water supply and may seem too trivial, but based on a are also sending Percik through e- environmental sanitation. The pro- study it is proven that hand washing mail. This media will also be pre- jects are Water Supply for Low is highly significant influential to di- sented in full in a newly launched Income Communities-2 (WSLIC-2), sease contamination through contact Water Supply and Environmental Rural and Water Supply in Nusa with hand. sanitation website www.ampl.or.id. Tenggara Timur (ProAir), Sanitasi In the column Cermin Apart from all of the above effort oleh Masyarakat (SANIMAS), and (Reflection) we present to you the everything will return to you. Input, Community Water Service and initiative made by the community of comment, suggestion, and even con- Health (CWSH). We hope this pre- Gang Jempiring, Bali in building an tribution article become a certainty sentation could provide the readers MCK (public toilet). A few years ago for the life of this media. Finally, we with a clearer picture on the imple- this community had had an MCK wish you all the best and thank you. mentation of the national policy. built for them by the government. Photos Gallery Source: Ministry of Helath 3 Percik October 2003
  • 5. MAIN REPORT National Policy Implementation on Community-Based Water Supply and Environmental Sanitation Development T he national policy for the develop- ment of community-based water supply and environmental sanita- tion is intended to enhance the develop- ment, provisioning, maintenance of sus- tainable and reliable infrastructures and facilities. It took 5 years for the whole policy formulation process to complete and it culminated at the point when 5 echelon I officials representing 5 cross- sectoral agencies Bappenas, Ministry of Home Affairs, Ministry of Finance, Ministry of Health and Ministry of Settlement & Regional Infrastructure put their signature of agreement on the document. It is planned this document will be made official and effective nation- wide through a ministerial decision by the State Ministry of National Development/Chairman of Bappenas. There are 8 guiding principles that make up the policy, those are water as an economic and public good; informed choice as the basis of demand-responsive approach; environmental-friendly deve- sanitation projects. The result is, though others. lopment; hygiene education; poverty the agreement was just officiated recent- Soegeng Santoso, project leader of focus; women's role in decision-making; ly, but in reality the principles have been ProAir, said that the national policy is accountability of the planning process; long before adopted by the on-going WSS quite appropriate. "What we are doing is government's role as facilitator for empo- development projects, such as Water exactly the same with WASPOLA's sug- werment; active community participa- Supply for Low Income Community-2 gestions, therefore we are just dissemi- tion; optimal and target-oriented service; (WSLIC-2), Rural and Water Supply in nating the policy." According to Soe- improved monitoring and evaluation pro- Nusa Tenggara Timur (ProAir), Sanitasi geng, the key to success of a WSS project gram. oleh Masyarakat (SANIMAS), and several is in the hands of the community, not the As a policy the details contained others. The latest project to adopt the government. Therefore the community therein are not extracted only from in- principles is Community Water Services must be given a leading role in making house deliberations and discussions. The and Health (CWSH) which is currently in decision. "It is not a time for full govern- policy has gone through a long process of preparatory stage. ment intervention, now it is demand field trials directly and indirectly. This It becomes interesting to note what driven, not supply driven," he added. process was made possible because of and how a specific project is doing Similar statement was made by synergy among policy formulation and including comments from the project Hartoyo, CWSH project leader. policy implementation field teams management. In the implementation of According to him, the community plays through the on-going water supply and the principles, one project, of course, met the role of agent of change. "When the with a different experience from the community is capable of planning and 4 Percik October 2003
  • 6. M AIN REPORT be done wisely and carefully. Experience in the field indicates that community is too self reliant that they would disagree with a scientific argumentation provided for by consultant. "But, never mind. This is a process," he further says. Apart from synchronization of nation- al policy on water supply and environ- mental sanitation and other projects in the field, there are still other barriers to be dealt with in the future. Project-mind- edness seems still prevails within the pol- icy makers. "Often we are faced with conflicting situation: achieving a target or maintaining the process,' Zainal conclud- ed. As an example he cited that at the initial stage WSLIC-2 project which is funded by the World Bank and the Australian government moved very slow- ly, therefore fund absorption was also very slow. It started to gain speed in the second to third year implementation. This situation cannot be separated from Source: OM the limited knowledge of the personnel to implementing a development by them- absorb the methods to be applied in the selves, this means the community is suc- project. So, in the beginning the priority cessful," he says. The government should Each sector must have was placed in human resources develop- only play the role of facilitator and moti- ment of the project related personnel. vator. It is the community who do all the the same acceleration. Besides, WSLIC-2 requires that fund is to planning and implementation of the pro- From experience, the be channeled directly to the community ject. This process will guarantee the sus- is in disagreement with the existing regu- tainability of the project result. community usually moves lation. Why the community? According to Hartoyo, they have many problems. Of faster than the others. This condition is made worse with the newly issued Keppres 42 which requires course, it is the community itself who The sectors must be able that project be audited each fiscal year. knows what the problems are and knows "There is a possibility that with the exactly the priority for solution. to catch up in order to issuance of the Keppres that project "Government assistance would be needed once in a while, but that is not the main reach synergy. mindedness will recover", he further says. He suggests that an empowerment pro- issue. Government subsidy is only a ject must be funded based on multiyear stimulant," he added. community capacity. They thought that budget system. Alfred Lambertus, Rural Water community is incapable and devoid of Empowerment is multi-sectoral. Supply and Sanitation Specialist, who initiative. "Whereas the community will- Each sector must have the same accelera- handles the SANIMAS project points out ingness to assume responsibility is very tion. From experience, the community that demand responsive approach is very big. Even the poor class. Provided this usually moves faster than the others. The important to a project if we want the relates to their demand, they are willing sectors must be able to catch up in order project to sustain. The policy that is for- to contribute," Alfred further explains. to reach synergy. mulated through WASPOLA, according However, according to WSLIC-2 pro- The abovementioned projects are in to him, is being put to trials in the field ject leader, Zainal I. Nampira, the com- the process of proving whether the and this process will last for a consider- munity must be made well prepared. national policy is the right policy for WSS able length of time. "From this imple- Beside physical construction, the commu- development. There are some barriers mentation it can be seen how a regional nity must be able to manage its financial being identified, and it seems that the is required to be responsive to the affairs in order to be accountable in implementation will need more time. demand of its community, he continues. accordance with accounting principles. What and how are the projects look like, According to him, there was a com- "This is a learning process," he stresses. the following main report will discuss mon mistake in the past when the deci- Relinquishment of responsibility to each one of them in general. sion makers used to underestimate the the community, according to Zainal, must 5 Percik October 2003
  • 7. MAIN REPORT Community Water Services and Health (CWSH) P ursuant to Memorandum of through institutionalization of demand cially announced. Twelve provinces were Understanding (MOU) between responsive and household based system invited for that occasion, consisting of W. the Government of Indonesia and and program focused at low income com- Kalimantan, S. Kalimantan, C. Kalimantan, Asian Development Bank (ADB) it is munities in partnership with civilian Papua, Lampung, Jambi, Banten, agreed that ADB will provide support to community and private sector. Gorontalo, Bengkulu, Riau, S. Sulawesi, and Indonesian efforts to reduce a number of SE. Sulawesi. A national seminar was held problems and limitations related to water Output on 2 July 2003 inviting participants from supply and environmental sanitation, The expected output of the project the 12 provinces. Each province was to be both in urban and rural areas. In this are: represented by the members from Bappeda connection the Country Program Mission a. A capable regional government to and Dinas Kesehatan. Representatives from (CPM) ADB 2002 it was made certain facilitate planning and implementation Papua failed to attend. that Community Water Services and (including managerial aspect) of a On 22 July 2003 a coordination Health Project (CWSHP) is included in community-based project that is also meeting was held at Bappenas and was the Country Strategy and Program (CSP) capable in providing family-based attended by WSS Technical Team and 2003-2005 for Indonesia. ADB approves health services especially in water the PPTA Team. It was concluded that CWSH as a project loan effective from borne diseases. there would be provincial level seminars year 2004. b. Strengthened community and families to be held at W. Kalimantan, C. At this time the CWSH project is still in such a way that they are capable to Kalimantan and Jambi. The Technical in preparatory stage. One of the main plan, advocate, manage the O&M of Team made a special effort to talk with activities during this stage is Project WSS service and also improved health Province Papua for participation in Preparation Technical Assistance and hygienic behaviour. CWSH project, considering Papua was (PPTA). In general, the purpose of c. Development of sufficient, acceptable prioritized in the second place. This was PPTA is to help Indonesian government and sustainable WSS system and other done until the second week of August to identify and prepare a project propos- health service facilities especially in 2003. Finally the Technical Team had to al which is expected to start implementa- water borne diseases. decide to give Papua's place to Bengkulu tion in year 2004. The output from d. An efficient project implementation as the fourth province to participate in PPTA will be used by ADB and and coordination system including this project. Indonesian Government to process and project monitoring and evaluation. Provincial level seminars were already formulate the required investment for conducted at Palangkaraya, Jambi, Ponti- the related WSS development. Preparatory Activity: anak and Bengkulu. In this provincial semi- The PPTA team started its activity on National Workshop on Community nars 3 kabupatens were selected as project 16 July 2003 and will be completed in Water Services and Health (CWSH) at sites in each participating province. May 2004 (10 months). This team is Bekasi on 2 July 2003 In the Tripartite Meeting held in 2 preparing the kabupaten level SPAR (Sub September 2003 it was agreed to add more Project Appraisal Report) from the Site Selection Criteria participating kabupatens to a total of 19 selected provinces. The Central Level Technical Team for from the presently selected provinces. Water Supply and Sanitation represented Purposes and Output by cross-sectoral agencies have deve- Concluding Remark loped a criteria for selection candidate CWSH is the first project in 2003 which is General provinces with marked achievement in designed in pursuant to the new procedure as Improving quality of life and status of Human Development Index (HDI), set forth in Decision of Ministry of Finance health of low income communities living Gender-Related Development Index No. 35/KMK.07/2003 on Planning, Imple- in the rural areas and the fringes of big (GDI), Human Poverty Index (HPI), co- mentation/Organization, and Monitoring of towns/cities through improvement in verage in WSS service, diarrhoea inci- an Extension of Government Loan to Regi- water related hygiene behaviour of the dence, and status of the existing WSS onal Level Government. According to the households through improved access to projects and consideration on the linkage KMK 35 the regional government is obliged to water supply and sanitation system. with other ADB projects, such as FHN, share the obligation with the central govern- DHS and RWSS. ment in the loan repayment, therefore the Specific possibility for changing the participating pro- A capable regional government to Preparatory Activity vince may happen in accordance with the wil- improve water supply and health service On 23 June 2003 the project was offi- lingness to share the repayment obligation. 6 Percik October 2003
  • 8. M AIN REPORT Program Air dan Sanitasi Perdesaan Propinsi Nusa Tenggara Timur (ProAir) Rural Water Supply and Sanitation Program in Nusa Tenggara Timur N usa Tenggara Timur (NTT) pro- Purpose Coordination Team (TKK) that produced vince is located in a low rainfall a. General many applications from the community. region, thus water scarcity becomes To provide contribution in minimiz- Phase 2, all the applications were select- a common phenomenon. Beside the natural ing the risk to health of rural community ed and assessed according their feasibili- condition, most of the population is insuffi- caused by water borne diseases through ty by the Project Implementation Unit ciently knowledgeable about hygienic mat- improvement of drinking water supply (PIU). Phase 3 represents implementa- ters and they are still living in less hygienic and environmental sanitation in the tion plan which involves the community environment. This makes the people of province of NTT. group in executing the actual construc- NTT vulnerable to water borne diseases. tion through participatory activity apply- Aware of this condition in 1998 the b. Specific ing MPA-PHAST methodology with faci- government of Indonesia and the Federal Rural community that is capable of litation from a motivator. Rep. of Germany concluded an agree- running the management of a sustainable ment for a development undertaking in water supply and environmental sanita- Constraints the field of water supply and environ- tion system on their own and a regional There are several constraints crop- mental sanitation in NTT province. government that is capable of adopting ping up while implementation is on- As a follow-up to the agreement, a this methodology. going, the constraints may come in physi- meeting between the German Bank for cal or non-physical nature: Reconstruction (KfW) and the regional Location and central level agencies related to the ProAir operates in the rural areas of Physical sector was held in 2001. It was conclud- Kabupatens Sumba Timur, Sumba Barat Geographical condition ed that the German Ministry for and Timor Tengah Selatan of the The settlements are scattered so that Economic Cooperation (BMZ), KfW and province of NTT. it is difficult to choose the most suitable Deutsche Gesselschaft fuer Technische technology for a specific condition Zusammenarbeit (GTZ) will coordinate a Program Implementation technical assistance and financial assis- Unlike in the past the present Non-physical tance for the program. The kabupatens approach is not based on standard nor- Lack of knowledge in the part of the to participate in the program are Sumba mative defined by the government (sup- local implementation personnel about Timur, Sumba Barat, and Timor Tengah ply driven), therefore the present pro- demand driven approach that makes Selatan. On 12 December 2001 Grant gram is implemented based on the real community motivation process moves Agreement "Rural Water Supply and demand of the community (demand driv- only very slowly. Sanitation" was concluded. KfW is to en). There are several phases to be com- Fund channeling mechanism is not fully make available 15,6 million DM for pleted in ProAir implementation, begin- understood, this causes delays in request for investment (construction, procurement ning from socialization and dissemina- fund and its subsequent processing. of materials and services) and for con- tion phase, followed by planning, after sultant costs. As a counterpart, each of that technical design and contracting, Plan for the future the kabupatens will set aside an invest- then construction phase and finally post In order to overcome the constraints, ment fund in their budget (DIPDA) construction activity. it is planned for the future: amounting to 10% of the total grant fund The implementation itself is conduct- a. A continuous HRD program inclu- provided for by KfW and other non ed gradually beginning from Kabupaten ding re-socialization of ProAir program investment funds in conformance with Sumba Timur. In this kabupaten imple- through advocacy to the regional govern- the need of each of the kabupatens. This mentation has reached phase 3. Phase 1, ment and legislative (DPRD). program is given a specific name. ProAir, the socialization and dissemination was b. Keep on trying to find the best to distinguish it from other projects in conducted through a public campaign choice of technology for application in other locations. activity by ProAir Kabupaten NTT. 7 Percik October 2003
  • 9. M AIN FEATURE SANIMAS An Initiative in Community Based Sanitation Management By: A. Lambertus, WSP-EAP What is SANIMAS? available, SANIMAS intends to introduce SANIMAS could only provide facilitation SANIMAS is an initiative designed to another option, i.e. community-based for a maximum of 8 towns. The agreed promote community-based sanitation wastewater disposal system. It is expect- requirements for participation are as the (CBS) system as an alternative choice for ed this effort would become acceptable to following: the poor community. the regional government for adoption Willing to set aside a counterpart into its sanitation development strategy. budget; Background Decide the responsible sector to coordi- Improper sanitation condition in the nate the activity; areas where most of the urban poor live is economically detrimental and tends to One principle is choice Select and employ two local facilitators. degenerate quality of life, especially of of technology which women and children. In the worst condi- Those towns interested are required tion it may lead to relapsing of abdomi- is to be made by to send application letter with attach- nal infectious diseases that the number of the community. ment of the agreed requirements stated typhoid incidence in Indonesia is the above. There were 12 applicant towns highest in East Asia. This causes a finan- SANIMAS would assume indicating willingness: Bangli, Gianyar cial loss amounting to approximately the role of introducing and Denpasar of Bali, Pamekasan, Rp47 trillion (4,4% of 1997 GDP) to the Mojokerto, Sidoarjo, Pasuruan, Probo- economy or equals to Rp120.000 per the technology options linggo, Blitar, Kediri, Batu and Malang of household per month. including the strength E. Java. Further selection indicated that Improper sanitation condition of the Probolinggo, Malang, Batu, Gianyar did urban poor is closely related to the exist- and weakness not meet the required score. An MOU ing wastewater disposal system. In of each. with the remaining 8 towns was prepared, broad line, sanitation facilities in urban but Bangli finally withdrew because DPRD areas can be categorized as the following: did not give approval for the counterpart budget. Sewerage system built in several big Demand Responsive Approach In selection of community partici- towns with a very limited coverage. (DRA) pants the Demand Responsive Approach On site disposal system, generally con- At this time SANIMAS is being tried was also applied. During the process 10 sists of toilet with or without a septic in 7 towns, Blitar, Pasuruan, Kediri, communities compete among themselves tank. This is the most common type. Mojokerto, Sidoarjo and Pamekasan in to win SANIMAS facilitation. Beside Direct disposal into a river or open East Java and Denpasar in Bali. demand responsive approach there are space. Selection of the sites took a long process. two other important principles applied First, a dissemination process about by SANIMAS. One principle is choice of Purpose SANIMAS to the communities in 21 technology which is to be made by the With regard to the limited option for towns with population density above 700 community. SANIMAS would assume wastewater disposal system currently persons per ha of East Java (15) and Bali the role of introducing the technology (6). Followed with an information semi- options including the strength and weak- nar to discuss SANIMAS idea in more ness of each. The other principle is, the Percentage of Urban Wastewater ercentage of Urban Wastewater Disposal Fac detail. Interested towns are invited to community assumes the responsibility Disposal Fasilities in Indonesia in Indonesia participate with a requirement that all for technical construction and the mana- Type of Facility % the involved agencies must attend and gement of funds coming from own Septic tank 63,07 they must pay their own travel expenses. sources, the government, SANIMAS, an Apparently, all the towns sent their rep- NGO (BORDA) in some cases. Fish pond/rice field 3,28 resentatives and they participated active- River/lake 16,70 ly in the seminar. Toward the end of the SANIMAS Implementation phasing Pit well 14,44 seminar it was announced that this exer- There are 3 components involved in Sea coast/open area 1,28 cise was also intended to select the towns the implementation. First, CBS Others 1,23 capable of implementing the program. Capacity Building. The purpose is to Source: BPS, 2002 Source: BPS, 2002 8 Percik October 2003
  • 10. M AIN FEATURE define project rules, sanitation technolo- gy options development, and construc- tion of implementation tools to be tested and demonstrated. The output of the first component consists of: Compilation, analysis, and synthe- sis of lessons learned from Indonesia and abroad; Rules and feasibility requirements for participation in SANIMAS pro- gram; Variety of technology options for CBS system; Training module for facilitation institution and local government. Second, Promotion and Demon- stration of CBS System. The purpose is to improve the knowledge, skill and awareness in CBS as an appropriate sani- tation option to be applied in the section Source: OM of a town where the poor live. One of the outputs of this component is an estab- lished CBS system that represents the choice of the whole user community. There are two choices that are generally selected The whole is underscored because if there is only one family disagrees against from by the user community. Basically the community this may lead to cancellation of the pro- would take a sanitation system that makes them ject, in spite of all other processes have been completed in agreement with all the feel secure and at the same time also prestigious. community members. For this purpose the community expects to have There are two choices that are gene- rally selected from by the user communi- a system with home connection, but local condition ty. Basically the community would take a may cause something different. sanitation system that makes them feel secure and at the same time also presti- gious. For this purpose the community expects to have a system with home con- nection, but local condition may cause There are four funding sources for Pengkajian Kemasyarakatan & something different. the construction: community contribu- Pembangunan (LPKP) covering activities A location with the following charac- tion (cash and materials), local govern- in Pasuruan, Blitar, and Kediri and is teristics: ment, SANIMAS, and in some cases the based in Malang, E. Java; Bina Ekonomi Houses built on contours shortage is subsidized by BORDA. Sosial Terpadu (BEST) for areas covering Intermittent flooding Physical construction is expected to be Pamekasan, Sidoarjo, and Mojokerto and Limited land area, even for a toilet completed in November 2003. is based in Surabaya; and for Denpasar construction The third component is, the responsibility is imposed upon Bali Houses built crammed with each Implementation Management. Fokus which is based in Bali. other, such as the rent houses. SANIMAS is financed through a grant At the community level, SANIMAS is fund provided for by the Australian gov- facilitated by two field facilitators. One The community has no choice but an ernment through AusAID. The daily comes from the implementing agency MCK as sanitation system. From the 7 activity is run by an NGO, BORDA and the other is recruited from local communities facilitated by SANIMAS (Bremen Overseas Research and NGO. SANIMAS activity will be com- four of them are fortunate because they Development Association) based at pleted in April 2004, in which a national could build a system with home connec- Kayen No. 176, Jl. Kaliurang KM 6,6 level seminar will be organized to wrap tion; as for the other three they have to Sleman, Yogyakarta. BORDA is assisted up the lessons learned to be dissemi- be satisfied with an MCK. by 3 local NGO's namely Lembaga nated for future purposes. 9 Percik October 2003
  • 11. M AIN FEATURE Water and Sanitation for Low Income Communities (WSLIC)-2 M any villagers are dependent Sumatra, Bangka-Belitung, West Java involved in the project out of 2.000 upon a traditional source for and South Sulawesi. Criteria for selec- toward the end of WSLIC-2 in 2006. their drinking water. Whereas tion is based on: frequency of diarrhoeal the source is located far away and diffi- inciddence, poverty level, and water sup- Constraints cult to reach, discharge is insufficient ply and sanitation service coverage. As a new and fully innovative project especially during dry season, water qua- applying MPA approach, WSLIC-2 is faced lity is below the required standard for Methodology with a number of difficulties and con- consumption. This unfavourable condi- WSLIC-2 consists of 4 main compo- straints. In the initial stage, the constraint tion poses a big difficulty particularly for nents, namely improvement of the appeared as a consequence of limited women and children who have to spend capacity of community institution, human resources capacity in understanding most of their time to take water for improvement of hygiene and sanitation the methodology. As a result, the project washing, cooking and drinking. status through provision of services in that should have lifted off the ground in Besides, many of the low income health and hygiene behaviour, provision 2001 was delayed. The project has had to families who live in a more remote loca- of water supply and sanitation system, prepare the human resources first. NGO's tion defecate in the river or open place. and project management. and consultants are recruited and give them This bad habit frequently causes conta- This project applies an approach the necessary training. They then provide mination of diarrhoeal or other diseases methodology that is sensitive to the training to facilitators. to other community members who share demand of the community. All members Other constraint relates to financial the same water source. of the community have an equal oppor- administration system in which the pro- WSLIC-1 project was implemented in tunity to participate in the selection of ject requires channeling fund directly to 1993-99 to find a solution to some of activity related to health, water supply community account. This system is these problems. Studies on the impact and sanitation, with a specific focus to entirely alien to the existing law and re- of provision of water supply and other the demand of women and the poor gulation. That is why the project has to sanitation facility to health condition group. make the necessary preparation in order indicate a decrease in diarrhoeal cases The methodology being applied is the community could manage the fund up to one third. However, WSLIC-1 was called PHAST (Participatory Health and in auditable manner. Each year an audit faced with a major difficulty related to Sanitation Transformation), which is was conducted on 60% of the Communi- fund disbursement system and its adminis- based on the earlier participatory ty Management Units. tration. This project is now being followed- methodology called SARAR (Self-esteem, There is something else the project is up with WSLIC-2 which will be implemen- Associative strength, Resourcefulness, need to consider for implementation in ted through year 2006. WSLIC-2 total pro- Action planning, Responsibility). With the future, i.e something related to ject cost is USD106 million coming from the demand responsive methodology the health. Whether health component must IDA (World Bank), Indonesian govern- community is involved beginning from start from the bottom? ment, Australian government through planning, implementation, and O&M. Experience indicates that Kabupaten AusAID and the community. The community decides by itself the Management Unit has, from the very technology choice for the system to be beginning, never worked within the line Purpose constructed. This activity is funded by a of the process. It is not surprising, This project is intended to improve combination of grant from the World therefore, the communication network health status, productivity and quality of Bank and a subsidy from the local gov- does not work harmoniously. life of low income communities through ernment that make up 80% of the total improved hygiene behaviour, environ- cost. The remaining 20% represents the Plan for the future mentally-based health service, provision community contribution, 4% of which in To overcome the communication of a sustainable, safe, sufficient, easily cash and 16% in labour and materials. delay among kabupaten level imple- accessible and effectively used water Up to August 2003 there were 870 menters some sort of a technical team supply and sanitation system/facility. villages selected for participation, 779 of involving the stakeholders related to the the applicants were being processed, 387 technical aspects of health, community Location of which have signed a contract. Up to empowerment and others will be orga- The project is implemented in 7 that time 221 villages have completed nized, so that everybody will be informed provinces consisting of East Java, Nusa construction. It is expected that by the about what is going on and coordination Tenggara Barat, West Sumatra, South end of the year 1.000 villages will be be made easier. 10 Percik October 2003
  • 12. P ERSPECTIVE Empowerment Without Compelling I n 1997-98, Water and Sanitation Program of the World Bank and IRC International Water and Sanitation Center formulated a community empo- werment method that is known as Methodology for Participatory Assessments (MPA). This methodology is a combination of the earlier methods, Minimum Evaluation Procedures (MEP and SARAR (Self-esteem, Associative strength, Resourcefulness, Action plan- ning, Responsibility). In 1998-99 the methods were put to trial at 88 water management communi- ties of 18 projects in 15 countries. The study was conducted by a team from uni- versities, local and national NGO's, rela- ted government agencies, and project managers. The lesson learned from the study reveals that sustainable water sup- ply system is one that provides satisfac- tory service to the majority of users including low income group. A service is considered satisfactory if it is beneficial and the system is effectively used because the majority (at least 80%) of the community has access to it. Source: OM Sustainable service and effective use and involvement of the poor, and appli- are interrelated with demand-sensitive Financially sustainable cation of the principles of democracy program. This can be achieved if from This can be established if the com- and transparency the very beginning the users are involved munity is involved in planning. Besides, in the planning to express their ideas also in deciding the O&M costs and the Socially sustainable and to vote. Besides, there will be equity amount of community (rich/poor, This condition can be reached if all in the system management and share in man/woman) contribution. Contri- components in a community are given benefit and burden. All requires com- bution is decided in proportion to level the same opportunity in the selection munity participation in contribution, of service or the amount of clean water process of technology choice, type of sys- supervision in project implementation, per household. tem to be constructed, level of service, and sharing of responsibility in trans- type of training. All community mem- parent manner. Environmentally sustainable bers have the same opportunity to voice Finally it was summarized that there Sustained environmental condition out their ideas in decision making are 5 aspects influencing the sustaina- can be reached if the planning by the process to decide the size and format of bility of a project. Those aspects are: community also takes into consideration community contribution and dues, deci- the environmental aspect as it relates to sion in management mechanism, and Technically sustainable water source and wastewater disposal. selection of the management team. Sustainability in technical aspect can With the application of the five be obtained if the project is planned by Institutionally sustainable aspects for the purpose of improvement the community and in consideration to Sustainable institution is a process in of demand responsive approach in plan- the type of technology applied in accor- formation of management team that ning, MPA applies participatory methods dance with the community condition takes into consideration gender equity consisting of: 11 Percik October 2003
  • 13. P ERSPECTIVE the most difficulties in adopting the Activity Methodology methodology are the decision makers Inventory of village characteristics Open discussion and project managers. Why? All this time they have been used to top down Social classification Welfare classification and instructional and is difficult for Social mapping Discussion and drawing them to accept the aspiration from the User evaluation Pocket votes community. They seldom go to the field and speak with the community. Many of Decision making evaluation Matrix voting them consider that community will never Sample taking for transect walk and focused group discussion utilising the social map be able to get stronger by itself. Evaluation of management, maintenance and financial Discussion with the From the implementation side, there is no meaningful barrier. But MPA will management of service management team (men and be easily implemented if the facilitator is Evaluation on history of system construction women) willing to learn. The application of MPA Evaluation of division of labour and benefit becomes difficult if the facilitator has been formed and tend to teach rather Review of service system performance Transect walk, supplemented than to learn. Empowerment through Ranking score by user with rating scale and checklist MPA is possible for any group of the Evaluation by non user for WSS facility community. Whether is the rich, the poor, the educated and even the illitera- Evaluation on user satisfaction Ladders, card sorting tes. This methodology comes in me- Division of labour and benefit Card sorting thods that can be easily understood by Plenum meeting on the result of activity with the Presentation of scores and the community. In other words MPA can be adjusted to the local condition. community open discussion As an example, in Laos when applying Inventory of institutions that influence service Open discussion, scoring, this methodology it was difficult to clas- pocket votes sify how many rich population and how many are poor. Over there, such a dis- tinction is unthinkable. But through a The information generated from the local community language this distinc- process will be useful to identify the tion is made possible. It was through basic social characteristic and service For Indonesia, the metho- indication that the rich wear a lot of facilities in accordance with the opinion of all components in the village level dology could be considered ornaments, holding a high position so that they have a fixed income, in con- plenum. The community could then re- as new. Therefore con- trast with those without education concile their demand with the technolo- straints are coming up in because they are only farm labourers gy choice, capacity and willingness to pay, between the different groups and the field. Based on experi- without a fixed income. For the commu- nity, what is important they understand assess their own level of demand. MPA ence, the one who have and capable of expressing themselves. is not only useful for the community but also for all related components such as the most difficulties in With a symbol or drawing it will do, as long as they can express their opinion public service management, project adopting the methodology and make a choice without any pressure. implementers, project managers, and decision makers. are the decision makers Seeing the real success in applying the MPA, not just a theory, there are many What about Indonesia? Since 1980 and project managers. requests for application from many other there are many water supply and sanita- projects. Other countries such as Laos, tion facilities built in Indonesia. The Cambodia and Vietnam have adopted facilities were built and implemented by this methodology. This methodology has a number of projects and programs lack of sustainability happens because of impacted to local government policy funded by central government budget, lack of sense of belongingness within the including institutions related to sectors donor countries, donor agencies such as community. This condition makes other than water supply and sanitation. World Bank. The reality in the field Indonesia one of the locations suitable With regard application in other sec- indicates that the facilities did not last for the application of MPA approach. tors there is no problem. The methodology long. Frequently they become a monu- For Indonesia, the methodology may be the same. What need adjustments ment. Why must it happen? Based on could be considered as new. Therefore are the indicators. (Summarized from studies conducted by Water and constraints are coming up in the field. interview with Ratna I. Josodipoero, Sanitation Program (WSP) the failure or Based on experience, the one who have Hygiene Education Specialist, WSP). 12 Percik October 2003
  • 14. P ERSPECTIVE Handwashing I n October 2003 we received an invi- tation to a seminar from WSP-EAP World Bank with an agenda on Handwashing. This raised a number of questions. We all know that handwash- ing is part of the tradition of civilized community. The question is whether it is worthwhile to discuss such a matter in a meeting attended by representatives from World Bank/Jakarta, USAID, UNICEF, John Hopkins University, Universitas Indonesia, Koalisi Untuk Indonesia Sehat, Bappenas and Ministry of Health? The more so is because one of the agenda is the naming of Indonesia as the fifth nation in the world to involve in Global Initiative for Handwashing pro- moted by the World Bank in year 2000. This article does not intend to discuss what was happening in the meeting, but rather to provide a further under- standing about Handwashing. Flashback Source: ML The history of handwashing goes back to the 19th century when many European and American women died to warm it up and water was still con- How Important is Handwashing? shortly after childbirth. As many as sidered as the source of malaria and Let us look back to the data produced twenty five per cent of mothers died typhoid contamination were the most from several studies. In 1996 by not after delivery. The main cause was probable reasons for doctors opposing washing hands there was 40% contribu- Streptococcus pyogenes bacteria. Early the habit of handwashing. It looks quite tion to infected food including salmonel- in 1843 Dr Oliver Wendell suggested discordant from our point of view today la in the US. This figure refers to 80 handwashing as a means to overcome it. that doctors were the ones opposing to million people poisoned from food which He was convinced that the cases were handwashing. increase the medical cost, decrease pro- caused by the doctor's habit. Refusal to handwashing continued ductivity, and death of 10.000 people. It was Dr Ignaz Semmelweiss who in and even in a seminar at the Academy of More than 2 million children died in 1850 observed that mortality rate of Medicine in Paris 1879 disease contami- the developing nations each year women giving birth under the care of a nation through contact with hand was through diarrhoea. Each minute 5 peo- physician is three times higher that those still doubted. It was Louis Pasteur who ple are infected by diarrhoea microbe or handled by non-medical help. The in the seminar spoke loudly saying "As 300 cases for 1.000 population. Accord- observation led to a conclusion that doc- doctors you are the ones killing those ing to Directorate General of Communi- tors did not wash their hands before women by contaminating with deadly cable Disease Control & Environmental helping a parturition. Whereas the doc- microbe from sick patient to women Health, Ministry of Health, diarrhoea is tor might just from attending another about to give birth." number two cause for mortality rate of patient or even conducted an autopsy. The above story gives us the histori- children under 5 in Indonesia. In the Dr Semmelweiss suggested that a cal background how the steps towards meantime based on the latest observa- doctor must wash his hands prior to awareness of handwashing as a means to tion by The Lancet Infectious Diseases attending a patient. The result was, prevent contamination. It took a consid- Journal it is evidenced that 42-47% of mortality rate dropped significantly. But erable length of time and effort before diarrhoeal incidence can be prevented ironically, without looking into the fact handwashing become part of the cultural only by washing hands. Studies in Pa- Dr Semmelweiss was ostracized by his tradition of civilized community and not kistan indicate that handwashing reduces own colleagues. Maybe the habit of simply as a physician's routine. diarrhoeal incidence by 44%. A study by handwashing was entirely new then. Handwashing is presently a subject Khan (1982) indicates that washing The availability of clean water was still taught in schools and even handwashing hands is an effective means to prevent relatively insufficient, it took a big effort facility is now a public requirement. diarrhoea. Other studies by Alam (1989) 13 Percik October 2003
  • 15. P ERSPECTIVE and Clemens (1987) suggest that wash- effective means to prevent contamination. ing hands by mothers is an important Other studies indicate that Apart from the various diseases that factor in reducing diarrhoeal incidence handwashing reduces can be prevented simply by washing of their children. This all makes provi- hands, what concerns most from the incidence of infectious sion of clean water and sanitation water supply and sanitation is water improvement more effective if combined diseases by 50%. Other borne diseases such as diarrhoea. with handwashing program. source says that it reduces Other studies indicate that hand- up to 65%. Besides, When handwashing should be washing reduces incidence of infectious done? diseases by 50%. Other source says that washing hands regularly There is not specific rule how often it reduces up to 65%. Besides, washing reduces the contamination we should wash our hands but at least: hands regularly reduces the contamina- with antibiotic resistant Before eating and cooking tion with antibiotic resistant bacteria. After using toilet All the facts mentioned above indi- bacteria. After house cleaning cate the importance of washing hands as After visiting a sick person a means to prevent various diseases. After cleaning nose, coughing or Therefore, wash your hands. Handwashing Could Prevent sneezing Contamination After an outdoor activity such as Is it true handwashing is a cultural Virus and bacteria can spread in playing, gardening, sport, etc. tradition? many different ways such as spoiled A study conducted by Applied water and food, phlegm from cough or The time required for handwashing is Research Group University of sneeze, dirty hand, infectious surface less than 2 minutes. Westminster Inggris reveals that only (soil, table and others), excretion from a 32% (from 292 toilet users) wash their patient. If by chance we get in touch How to wash hands hands after using toilet. While result of with virus or bacteria from one of the There are three simple steps in hand- observations in 5 cities in the US by the above sources, millions of microbes will washing, (a) washing your hands from a American Society of Microbiology Clean be in our hand. Most of them are harm- faucet, spout of with a water dipper, pre- Hands Campaign indicates that although less, but some of the microbes can cause ferably using warm water; (b) use a soap 95% of the sample wash their hands flu, and diarrhoea. By simply touching (not necessarily an anti-bacterial type) after using toilet but only 67% wash their nose, eye or mouth we are soon infected. for 10-15 seconds. Be sure that all the hands in the right manner. Washing hands is the first step against hidden parts of your hands are wetted How about in Indonesia? In June the spread of the diseases, from flu, me- with soap; and (c) after drenching use a 2003 an institution in Indonesia con- ningitis, hepatitis A, and diarrhoea. A step towel or tissue to dry hour hands. ducted an observation at 33 users in one as simple as washing hands turns out an of the man toilets of Jakarta Hilton Convention Centre (JHCC). It turned out only 8 men washed their hands after using toilet. Though this cannot be taken as representing Indonesian condition but it reveals that even in a toilet in Jakarta hand- washing is not a common habit. Are they that igrorant about the importance of handwashing? According to a study in England, it was found that they are aware of the importance of Use a soap washing hands but there are several rea- (not necessarily sons why they do not do it such as the an anti-bacterial toilet looks very nice and clean and they type) for don't want to touch anything other than 10-15 seconds. their own, or their hands still look clean -clean does not mean free from microbe. The above study indicates that though handwashing is understood as important, in practice it is seldom prac- tised. Even in a highly developed nation Source:OM like England. 14 Percik October 2003
  • 16. R EFLECTION MCK Jempiring is not an MCK Moerdiono A s a tourist destination Bali is well known for its natural beauty and its cultural heritage. However, behind the natural beauty, the Denpasar city as the provincial capital suffers from a bad luck as do the big cities on Java. The fast economic growth and side effect of development activities have turned the face of Denpasar pockmarked with clumsy and overpopulated quarters. Some of the locations are easily obser- vable at Banjar Sari and Banjar Batur of Kelurahan Ubung in Kecamatan Denpasar Barat. According to Dinas Lingkungan Hidup and Public Works, Gang Jempiring which is located at Banjar Sari is top in the list of clumsy areas within the city of Denpasar. Banjar Sari itself is located just behind Ubung, a land transport terminal and main transit in Bali. This is the main reason why Ubung especially Gang Source: Bali Fokus Jempiring has developed into such a Before construction thickly populated with various ethnic groups living in this place. I Made Yasa, chief of Banjar Sari them "MCK Moerdiono". Unfortunately during the Community Based Sanitation community and also an employee of the the MCKs have met with unlucky fate. (CBS) program socialization meeting Kelurahan Ubung says that most of the "They could function only for 4 years", conducted by Bali Fokus in association population came from Lombok, E. Java said I Wayan Gandra, owner of one of with BORDA in July 2002. From the and various parts of Bali. Land lords in the MCKs. Gandra admitted that his process of identification, problem formu- Jempiring rent out their lands for living MCK was not maintained properly. lation up to recommended solution con- quarters but unfortunately there are not Since the septic tank was full and cannot ducted by Bali Fokus, BORDA together many of them able to provide an accept- be emptied, Gandra had difficulty and with the community during the time able sanitation facility for their tenants. does not know what to do, so that he span between August till December 2002 According to Yasa, Gang Jempiring is flushes the waste directly into the it became known that the status of MCK inhabited by approximately 300 families drainage canal. Besides, according a Moerdiono causes deep apprehension, who in average work as street vendors, landlord of more than 20 rental houses, such as bathroom and closet full of dirt construction labourers, and other infor- water supply service from PAM for MCK and stench from the closet. Worse still, mal sectors. A combination of lack of seldom if not to say never flows. almost all the MCKs have their septic knowledge and absence of acceptable The level of community knowledge tank broken so wastewater flows directly sanitation system have made Banjar Sari and awareness is considered as another into a drainage ditch nearby. a city slum with sanitation problem reason for the breakdown of the MCKs. Other issue that was brought forward especially with regard human waste. Made Yasa who is also an owner of one relates to level of community awareness Actually the government had once of the MCK Moerdiono mentions his to participate in maintaining and clean- tried to make improvement to the sanita- experience that he found lady's tissues ing a public facility. The level is very low tion condition of this place. Yasa admitted were buried in clogging the closet pipe. and the main reason lies in lack of sense that once Gang Jempiring had received a "We had to cut the waste water pipe in of belongingness. subsidy from the former administration. order to release the stopper", explained Bali Fokus an NGO specializing in In 1980 to be exact. At that time the go- Yasa. environmental and community develop- vernment constructed 4 public toilet The abovementioned sanitation rela- ment in collaboration with BORDA a (MCKs). Banjar Sari community called ted problems and issues were revealed non-profit institution based in Bremen, 15 Percik October 2003
  • 17. R EFLECTION and Bali Fokus which contains 3 main points. First, that the community of Jempiring, Banjar Sari needs a sanitation facility. Second, the community mem- bers of Jempring are willing to con- tribute for its O&M costs, and third, the community will support the construction of the new MCK and is willing to main- tain and keep the MCK clean. Then based on the mapping of sanita- tion problem as prepared by the commu- nity, there were 3 candidates for the loca- tion of the new MCK. After a month of a more detailed technical survey it was agreed that the land belonging to I Ketut Nasib is selected as the location. The other two locations were dropped because they are too near the old MCK's and one of the owner refuses to have an MCK built on his land. MCK Jempiring construction through community based demand is only one merit of the MCK. Because there is, additionally, another merit. MCK Jempiring which was inaugurated by the Mayor of Denpasar on Wednesday, 6 August 2003 is equipped with an appro- priate technology for wastewater treat- ment system which produces methane Source: Bali Fokus gas and water in accordance with the safety standard as set by the government. Germany, initiated a demonstration pro- was not a top down à la MCK Moerdiono The biogas produced by a digester under- ject. This project was offered to Gang approach that made the MCK Jempiring neath the MCK can supply gas for cook- Jempiring community as a solution to constructed in Banjar Sari. Almost all of ing of 3 families. their sanitation problem. This heavily the decisions related to solution to sani- To maintain cleanliness, the MCK innovative and appropriate technology tation problem were consulted and coor- employs 2 workers, each working on an based project is believed to be able to dinated with the community. "We fre- 8-hour shift, from 5 AM to 1 PM and create a sustainable and technically reli- quently held a meeting with the commu- from 1 PM to 9 PM. After 9 PM the MCK able sanitation system in Gang nity of Gang Jempiring", said Made Yudi is closed. What about the wastewater? It Jempiring. This project is innovative Astrana, one of Program Officers of Bali is BORDA Indonesia with 20 years of because it was born out of a real demand Fokus. "There were at least 10 meetings experience in the field of wastewater pro- and participation of the community. The with the community before they came up cessing that provides the technical assis- non-technical/participatory approach with a solution to build an MCK at tance to MCK Jempiring construction. began from July-August 2002 and con- Jempiring", added the ITS graduate. Through a technology called DEWATS tinued till the completion of a function- Again according to Yudi, initially there (Decentralized Waste Water Treatment ing MCK structure on Wednesday, 6 were 3 alternatives: System) the human waste is processed. August 2003. In this participatory Construction of an MCK at the location of "We guarantee the wastewater process- approach the community was asked to Balai Banjar Sari ing system will be functioning perfectly", identify the problem and propose the Construction of a new public MCK at says Yuyun Ilham, Director of Bali best and workable solution by the com- Gang Jempiring Fokus. According to Jempiring commu- munity itself. The community then for- Construction of communal piping system nity: "MCK Jempiring is more than just mulated a number of alternatives that an MCK". finally in January 2003 the community agreed to build a new MCK at Gang Renovation of the existing MCK's. (Summarized from MCK Jempiring, Jempiring. After several more meetings on 31 a glimpse of, Thus this project did not come out of January 2003 an MOU was signed Bali Fokus, Denpasar) emptiness as it used to be in the past. It between the community of Banjar Sari 16 Percik October 2003
  • 18. L ESSONS LEARNED Local Lesson Learned D uring the months of September and October 2003 the WSS Working Group had an oppor- tunity to make a field visit to WSLIC-2 project sites, at Kabupaten Bima (NTB) and Kabupaten Ponorogo (E. Java), The following is the report: Water has been flowing but the amount of subscription hasn't been determined yet by Totokan Community. On 7 October last, a water supply and sanitation facility that was developed under the WSLIC-2 project was handed over to Totokan Village Headman of Kab. Ponorogo. The event was attended by the Bupati and his staff, DPRD, PKK officers, Director of Water and Sanitation (Ministry of Health), Director of Human Settlement and Housing (Bappenas), Central level Coordination Team, CPMU, DPMU of Kab. Ponorogo. This specific event was jointly organized by 7 villages being the sites of WSLIC-2 project that have completed construction Source:BP as an expression of thankfulness for a clean water system for the community. tem has not been finalized though the one at the primary school. The transfer of asset to each of the vil- community has enjoyed the clean water But as the new village headman lage is intended to build a sense of service. It is expected that the manage- began assuming office there arise belongingness so that the community ment unit together with the community seedlings of discord within the commu- would manage the facility O&M in sus- could work out a management system nity. This causes the Community tainable manner. including the subscription dues. What is Implementation Unit divided in two, Up to this time the village obtained certain is, as a result of water availability may even lead a negative effect to the water from the deep wells filled in by the production of brick baking industry sustainability of the facility. Worse still infiltration from the irrigation system. is increasing. Before this, water for mix- is the fact that the construction was exe- Water is flowed regularly one every ing brick mold was difficult to obtain. cuted through pressing the budget at the month. expense of its technical quality. There are two water supply systems. Friction is apt to happen This situation indicates that commu- The first is pumping up water from a 130 The community of Tanah Putih vil- nity participation at village plays a very metre-deep well into a big reservoir and lage, Kecamatan Sape, Kab. Bima (NTB) important role lowering construction then water is distributed using 2 pumps obtain their water from a river. The budget especially in a difficult location. which are located far from each other. source is located not far from their But in a certain condition, an overly The second is deep pit wells. There are 9 homes but it is difficult to reach because economized budget may adversely affect such wells dug manually 50-60 m below of the steep slope. Only a small fraction the quality of construction. ground. The construction works for both of the population have had access to There is a general notion up to this systems were done by the community. piped water system, but the discharge is time that a village community is always To supply oxygen for men working too little. About 5,4 km from the village, homogenous and cannot easily be divid- underground while digging the wells, air there are two water sources but accessi- ed. This fact has proven that village was pumped into the pit through a plas- bility is very difficult. One of the sources community is also susceptible to frag- tic hose from the ground surface. The is being used by the neighbour village mentation. soil of Totokan is made of rock so that with permission and without any com- from a 50 m well, 3-4 truckloads of rock pensation. WSLIC-2 installed a piping In September 2003, WSS Working could be mined. connection from the source and public Group together with the World Bank Unfortunately, the subscription sys- taps at 5 distribution points including made a field visit to several SANIMAS 17 Percik October 2003