Cross Cutting Issues

AIPHSS Cross Cutting Issues[1]:


[1] AIPHSS Program Design Document, November 2011

Gender

Significant gender-related issues affect the achievement of the AIPHSS program outcome. First, quality sex-disaggregated data on health status and health care use is essential for program and health system planning. Second, women and men face considerable different health issues, which require different planning at the district and primary health care levels. Those issues explain the focus of this health systems program on supporting improved maternal health outcomes. Surveys have demonstrated gender-related concerns for women accessing health services. In addition, women working in the health systems face gender-related barriers to enjoying a safe workplace free from the fear of violence, and equal employment and promotion opportunities. The program will develop a gender action plan in its first six month to identify, prioritise and implement activities to addresses the identified gender issues. The Ministry of Health nominated a gender focal point, who will assist in implementing and monitoring the action plan. The focal point will be involved in the development of strategies to increase the capacity of Ministry personnel and the integration of gender equity into all planning activities.

Anti-Corruption

The Government of Indonesia recognises the risks posed by corruption. The three main risks of corruption in Indonesia are:

  • Collusion and kickbacks in procurement processes
  • Collusion in recruitment of staff
  • Misuse of funds for in appropriate activities, activities not undertaken or false accounting

The program modality includes clear arrangements for managing fiduciary risk and ensuring sound financial management. The program modality was selected and designed specifically to minimise fiduciary risk while maximizing national leadership and ownership.

Environment

The main environment risk is unsafe disposal of contaminated medical waste at health facilities. The program will ensure that Ministry of Health standards for safe disposal of medical waste are adhered to in all program-supported facilities. The program complies with the Environment Protection and Biodiversity Conservation Act 1999.