Institutional Dimensions of Scaling Up Community-Led Total Sanitation in Indonesia


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Institutional Dimensions of Scaling Up Community-Led Total Sanitation in Indonesia

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Edy Priyono AKADEMIKA - Center for Public Policy Analysis, Bekasi, Indonesia

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The study was focused on the institutional dimensions of the scaling up of CLTS.The key research question to be answered in the study is: What are the impacts of institutional arrangements on CLTS (speed of implementation, success of implementation and spread)? The study was conducted in three districts namely Pandeglang in Banten Province, Muara Enim in South Sumatera Province, and Sambas in West Kalimantan Province. The study found different incentives for different involving institutions. For the government institutions, the most important incentive was that CLTS supports them to achieve the objectives of their regular program. There is an indication of trade-off between level of institutionalization and the effectiveness of CLTS as community participation based approach. Fast spread of CLTS could produce lack of ownership among community members that could be a danger for the effectiveness and sustainability of CLTS. In order to function well in implementing CLTS, government institution required enabling environment related to the roles of health centres in particular. Health centres should be assigned greater authority in resource allocation, particularly: (1) to allocate the use of user fees collected form patients, and (2) to arrange proper assignment of village midwives depend on to villages need and midwives’ performance.


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