Australia-Indonesia Maternal & Newborn Health & Nutrition Program – Cover Note 
                  The Australia-Indonesia Maternal & Newborn Health & Nutrition Program concept note has passed 
                  internal AusAID peer review.  
                  The concept note outlines a new AUD200 million program of support for maternal and newborn health 
                  in Indonesia over eight (8) years.  The overarching program goal is to assist the Government of Indonesia 
                  to close the socio-economic and geographical equity gap in reducing maternal and neonatal deaths and 
                  childhood stunting in Indonesia. AusAID support will contribute to the following end-of-program 
                  outcomes in selected provinces and districts: 
                       •   Reduced number of maternal deaths, particularly among poor and near poor women. 
                       •   Reduced number of neonatal deaths, particularly among poor and near poor populations. 
                      •    Reduced prevalence of stunting, particularly among poor and near poor children under five. 
                  The concept note for Australia-Indonesia Maternal & Newborn Health & Nutrition is provided for the 
                  information of individuals/organisations.  
                  Based on the Concept Note, and in a collaborative effort to ensure the quality of the investment, 
                  individuals/organisations are encouraged to submit views and/or issues that they would like to see 
                  further considered/clarified during the design process. All  submissions submitted, and received by 
                  AusAID, are done so with the individual’s/organisation’s understanding of the Submission Conditions 
                  detailed below. Submissions should be sent to mnch@ausaid.gov.au
                                                                                              .  
                  Submissions are welcomed before 30 June 2013. AusAID cannot guarantee that submissions received 
                  after this date will be considered by the design team.  
                   
                  Submission Conditions 
                       •        Individuals/Organisations submit, and AusAID receives, submissions on the understanding 
                                that the individual/organisation, owns the material and any intellectual property (IP) in the 
                                material, and grants to AusAID a permanent, irrevocable, royalty-free worldwide, non-
                                exclusive licence to use, reproduce, adapt and otherwise exploit such material or IP in 
                                conjunction with the design or the Maternal & Newborn Health & Nutrition Program, 
                                Indonesia. The licence granted includes the right for AusAID to sub-licence any material or IP 
                                to any of its employees, agents or contractors to use, reproduce, adapt and otherwise 
                                exploit the material or IP incorporated in the submission for the purposes of performing 
                                functions, responsibilities, activities or services for, or on behalf of, AusAID. 
                       •        AusAID may in its absolute discretion decide whether to use, reproduce, adapt and 
                                otherwise exploit such material or IP. 
                       •        The individual/organisation warrants that the submission of the material, for the purposes 
                                permitted by the submission conditions, will not infringe the moral rights of any person.  
                       •        AusAID and the design team will not respond directly to any issues or views raised by 
                                individuals/organisations. 
                  Individual submissions will not be referenced/identified in the design document but may be referred to 
                  generically as representing a market opinion. 
                                                                                                                          
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
                                                   
                                     
        
        
                                              
        
        
        
        
          Australia-Indonesia Maternal  and  Newborn Health and 
          Nutrition Program  
        
          Draft concept note 
           
          Health Unit, AusAID Jakarta, facilitated by Kathy Attawell 
          and AusAID Health Resource Facility 
        
          17 January 2013 
               
                              
        
        
        
        
                                              
                       
                      Contents 
                       
                      ACRONYMS ............................................................................................................................................................. I 
                      EXECUTIVE SUMMARY .......................................................................................................................................... III 
                      1.    INTRODUCTION ............................................................................................................................................. 7 
                      2.    SITUATION ANALYSIS .................................................................................................................................... 7 
                         2.1.      MATERNAL AND NEONATAL HEALTH AND NUTRITION IN INDONESIA ......................................................................... 7 
                         2.2.      PROBLEM ANALYSIS ................................................................................................................................... 10 
                      3.    GOVERNMENT OF INDONESIA PRIORITIES AND PLANS ............................................................................... 14 
                      4.    OTHER DONOR SUPPORT ............................................................................................................................ 17 
                      5.    RATIONALE FOR AUSAID INVESTMENT ........................................................................................................ 19 
                      6.    EVIDENCE AND LESSONS LEARNED .............................................................................................................. 21 
                         6.1.      GLOBAL EVIDENCE .................................................................................................................................... 21 
                         6.2.      LESSONS FROM GOI PROGRAMS ................................................................................................................... 23 
                         6.3.      AUSAID EXPERIENCE AND LESSONS LEARNED ................................................................................................... 25 
                      7.    PROGRAM DESCRIPTION ............................................................................................................................. 29 
                         7.1.      GOAL AND OUTCOMES ............................................................................................................................... 29 
                         7.2       AREAS OF ACTIVITY ................................................................................................................................... 30 
                         7.3.
                                   PROGRAM DELIVERY COMPONENTS ............................................................................................................... 32 
                         7.4       PROGRAM STRATEGIES ............................................................................................................................... 35 
                         7.5.
                                   PROGRAM BENEFICIARIES ........................................................................................................................... 37 
                         7.6.      STRATEGIC OPTIONS AND ECONOMIC APPRAISAL ............................................................................................... 39 
                         7.7.      LINKS WITH OTHER AUSAID PROGRAMS ......................................................................................................... 43 
                         7.8.      WHAT AUSAID WILL NOT FUND ................................................................................................................... 45 
                      8.    TIMEFRAME, BUDGET AND MODALITIES ..................................................................................................... 45 
                         8.1.      TIMEFRAME ............................................................................................................................................ 45 
                         8.2.      BUDGET ................................................................................................................................................. 46 
                         8.3.      GOVERNANCE AND IMPLEMENTING PARTNERS ................................................................................................. 46 
                         8.4.      MODALITIES ............................................................................................................................................ 46 
                         8.5.      AUSAID RESOURCE IMPLICATIONS ................................................................................................................ 47 
                      9.    PERFORMANCE MANAGEMENT, MONITORING AND EVALUATION ............................................................. 48 
                      10.  RISKS AND RISK MANAGEMENT .................................................................................................................. 49 
                      11.  NEXT STEPS AND DESIGN PROCESS .............................................................................................................. 52 
                      ANNEX 1: RESULTS AND LESSONS FROM THE AIPMNH ........................................................................................ 55 
                      ANNEX 2: TABLE OF POTENTIAL AUSAID – GOI PARTNERSHIP PROVINCES AND BENEFICIARIES  .......................... 56