AusAID Public Sector Linkages Program (PSLP)

Developing a Monitoring and Evaluation Strategy for the Indonesia Free from Pasung National Program

 

Picture showcasing individual with chain marks from pasung practiceThe Public Sector Linkages Program (PSLP) was a 12-month research program which was designed to strengthen the capacity of the Indonesian Ministry of Health (MoH) and the University of Indonesia to develop a monitoring and evaluation strategy for a major national health and human rights program, called the Indonesia Free from Pasung program.

The Indonesia Free from Pasung Program arose from mental health system development work in Aceh and throughout Indonesia supported by AusAID; a key finding of which was the widespread practice of using shackles and chains (known in Indonesia as Pasung). The practice of Pasung involves physically restraining persons with mental illness to control their behaviour, as a result of poverty in rural communities and lack of accessible mental health services. To address these severe human rights violations, MoH Indonesia has committed to the elimination of this practice across the country by 2014 and to provide appropriate medical treatment and care.

A program such as the Indonesia Free from Pasung has not been developed in any other low or middle-income country to date. Therefore, the lessons learned through an evaluation of this program will be of importance not only to Indonesia, but also other countries that are starting to focus on mental health and human rights.  

Aims, Outcomes and Outputs of the PSLP

 

The GCMH, the Indonesian MoH and the University of Indonesia have worked to collaboratively achieve a number of specific objectives through the PSLP:

  1. Finalisation of the design of the Indonesia Free from Pasung program in the form of a program logic framework.
  2. Strengthen inter-sectoral and international collaborations through community mental health system development.
  3. Develop an appropriate M&E strategy and an M&E implementation plan through an iterative process and consultation with relevant stakeholders. The strategy will include sufficient emphasis on capacity development to maximize its sustainability.
  4. Train key people in the skills required for M&E program design and in the implementation of the M&E strategy. The training programs are tailored to the needs of the MoH and UI and are delivered in Melbourne and Jakarta, respectively.
  5.  Evaluate the capacity building impact of the intervention itself.

The tables below describe the outcomes and outputs from the program.

OUTCOMES
  • Better understanding about basic situation of Pasung Free Program in the national and provincial levels
  • Strengthened capacity of the MoH and UI to monitor and evaluate national health development programs
  • A major improvement in the basic human rights of the mentally ill
  • Clear plans for the prevention of pasung in the future
  • Improved collaboration across government and non-government institutions. It is anticipated that the institutions/agencies that will participate actively in this Activity will include: The Directorate of Mental Health, MoH; the Department of Psychiatry, University of Indonesia; the National Human Rights Commission (Komnas HAM); other relevant Ministries including the Ministries of Justice and Human Rights and the Ministry of Social Services; and mental health NGOs and civil society organisations.

 

OUTPUTS
  • The final design of the Indonesia Free from Pasung program defines program objectives, outputs and outcomes in a form that is amenable to monitoring and evaluation, using both quantitative and qualitative methods.
  • A Planning Workshop on Indonesia Free from Pasung program and on monitoring and evaluation was held and a report written and disseminated
  • Monitoring and evaluation training needs for both M&E design and M&E implementation were identified and used to develop training programs that are responsive to identified needs.
  • A monitoring and evaluation strategy was designed and approved by the Ministry of Health.
  • A monitoring and evaluation implementation plan was developed, and resources for implementation of the M&E strategy are identified.
  • Five key people from MoH and UI who will be primarily responsible for designing the M&E strategy and implementation plan received training in Melbourne in principles and practice of health program monitoring and evaluation methods (A three week training program will be specifically developed for this Activity and will be delivered by GCMH staff, and the training manual that is developed for this program will be available for further training activities).
  • Approximately 30 people in Indonesia who will be directly involved in implementation of the M&E strategy and plan were trained in Indonesia (a two-week training program – including participation in the 2-day Planning Workshop - will be specifically developed for this Activity and will be delivered by UI and GCMH staff, and the training manual that is developed for this program will be available for further training activities).
  • Baseline assessment and follow up evaluation of capacity and resources for M&E development and implementation.
  • Outcomes of the Activity will be submitted for peer-review publication and relevant Policy Briefs for Government will be written and submitted.