The document evaluates Indonesia's GAVI HSS project implementation using the Paris Declaration principles. It finds that fund channeling was unclear, grant utilization was suboptimal, and disbursement schedules were unpredictable and not prioritized by partners. It recommends that the Ministry of Health, Ministry of Finance, and National Development Planning Board develop mechanisms to better align direct grants with national budget planning cycles to ensure timely disbursement.

1. AN EVALUATION OF THE GAVI HSS PROJECT
IMPLEMENTATION USING PARIS DECLARATION
PRINCIPLES
Australasian Aid Conference
February 10th – 11th 2016
Australian National University, Canberra
Budi Perdana
Ministry of Health Republic Indonesia

2. PROPORTION OF FOREIGN FUND
IN MOH BUDGET 2012 - 2015
-
1,000
2,000
3,000
4,000
5,000
6,000
2012 2013 2014 2015
MoH Budget
Loan
Grant
1,88 %
1,54 %
1,8 %
0,8 %
1,46 %
0,03 %
1,71 %
0,02 %

3. GLOBAL ALLIANCE FOR VACCINE AND IMMUNIZATION -
HEALTH SYSTEM STRENGTHENING PROJECT
- Started in 2002 (2002 – 2007 : phase 1)  NVS, ISS, INS
- 2007  policy from Geneva to support HSS in strengthening
immunization
- HSS proposal approved to be funded for 2 years : 2008 – 2009
(phase 2), total grant : USD 24 M
- 4 original objectives : community mobilization to support
MCH, improve management capacity, partnership with NGO,
operational research for critical barriers.
- Reprogramming 2012  focusing in WHO building blocks of
Service Delivery, Information and Health Workforce
- Central level (MoH), 5 Provinces and 39 Districts

4. DISBURSEMENT AND EXPENDITURE
Year Disbursement
(plan)*
Disbursement
(actual)**
Expenditure***
2008 7,96 7,69 0
2009 16,86 0,27 0
2010 0 0 6,69
2011 0 0 3,0
2012 0 3,72 2,44
2013 0 3,72 0,94
2014 0 0 1,67
Total 24,82 15,4 14,76
* : amount of disbursement in the original proposal
** : actual disbursement, from GAVI to MoH
*** : actual expenditure from the amount that has been disbursed
In Million USD

5. METHOD
• Case study, qualitative, purposive sampling
• Data collection:
 Observation
 Interview with senior managers from key stakeholders
 Review project documents
• Review journals
• Source triangulation
• Process evaluation using PD principles and indicators

6. FINDINGS
• Fund channeling was not clear
• Grant utilization strategy implemented sub
optimally
• Unpredictable schedule of disbursement
• Not prioritized by partners

7. RECOMMENDATIONS
• National Board of Planning , MoF and MoH (internally) are
expected to develop mechanism to align direct grants with
the national budget planning cycle.
• To ensure timely disbursement:
1. GAVI must require stronger readiness criteria.
2. Ministry of Health should ensure the fund channeling
before sending proposal to donor.
3. Ministry of Health and GAVI should pay close attention to
the time synchronization of the GoI schedule and GAVI
schedule.

8. Thank you

9. Planning Documents within
National Development Planning System
National
• Long Term Plan (RPJP)
• Medium Term Development Plan (RPJMN)
• Annual Development Plan (RKP)
Ministerial Level
• Ministerial Strategic Plan (Renstra)
• Ministerial Work Plan (Renja)
• Ministerial Work and Budget Plan (RKA)
Sub-national level
• Similar to national level
9

10. RPJMN is placed strategically in
the National Development Planning System
Diacu Diperhatikan
Diserasikan melalui
MUSRENBANG
RKP
RPJM
Nasional
RPJP
Nasional
Renstra KL Renja - KL
RAPBN
RKA-KL
APBN
Rincian
APBN
Pedoman Dijabarkan Pedoman
Pedoman
Pedoman
Pedoman
Diacu
Central
Government
RPJM
Daerah
RPJP
Daerah
RKP
Daerah
Renstra
SKPD
Renja -
SKPD
RAPBD
RKA -
SKPD
APBD
Rincian
APBD
Pedoman
Pedoman
Pedoman Dijabarkan
Pedoman
Pedoman
Diacu
Law SPPN (No.25/2004)
Sub-National
Governmenty
Bahan
Bahan (diserasikan
dlm RAKORPUS &
Trilateral Meeting)
Bahan Bahan
Law KeuNeg (No.17/2003)