To be able to fulfill these three strategies, various activities should be done in central/national level, provincial level, district level and Puskesmas level.
Role and activities on eacb level
I. Central/national level
A kind of coordination bodies/ working group/committee should be establish. DG of CDC will be a project director of this ADB Intensified CDC project who will have the overall responsibility for the project, Secretary DG- CDC project manager as well as the chairman of the Working Committee and head of PPL DG CDC will be the project officer as well as secrerary of the Committee.
The committe involve all DG in MOH and several “Pusat”/Center from Secretary general of MOH (Health Education Center, Health Laborarory Center, Health Data Center etc),CDC related medical professional association, hospital association, Consortium Health Sciences, MOI, MOF and other related institution.
This committe role is to formulating and planning the project, making guidance & advisory activities and perform monitoring and evaluation activities.
Managing the implementation of the project will be handle by Project Manager and Project Director's team which consisrt of project implementator,sectariat and several task force if needed.
There will also a fascilitator team who will provide a scientific support for the project, as well as performing audit in possible aspects.
Since from the begining all of the health institution outside CDC are already involve in planning and formulating the project,it is hope that everybody has a kind of reposibility fot CDC project and commitment will be built so all health institution will working hand in hand fighting communicable dissease problem covered in this project. All institution will formulate their role in the project, and wlll ask their provincial/district office or branches/member in province and district to piay their important role based on mutual guideline/ standard which has been set up.
Formal collobaration in a kind of MOU could be establish between CDC-MOH with national executive board of professional/hospital association,and this can serve as an “umbrella”to the activities in the provine and districts. One important aspect is that all recording and reporting activities - from Puskesrmas, hosprtal, clinic, private practitioners etc.- could be compiled in one could be analyzed all together.
II. Provincial level
The Kakanwil is the project Manager for provincial team, and KaBid PKPP is the project director. Working Group Comittee in provincial level could also be establish to formulate and evaluate the project in provincial setting.
One activities in the provincial level is to build colaboration with Faculty of Medicine,since mostof them are located in the province.
The role of provincial hospital and provincial laborotory in referreal system could also be more specified formulated by provincial level team.
III. District Level
District has a main activities in decentralisation activities in this project.
Project Director in the distric should be the Dokabu him/herself,since actually one of the aim of project is to strengthening the Dinas Kesehatan Kabupaten to play their role in controlling communicablediseases problem in their particular district.
That means,to cover the whole patients treated by various health institution/personal in the district ,Puskesmas, hospital,clinic,private practioner etc. Approaches and activities will be taken In the district has to discussed and formulated in the district itself based on peer review of various kind of health personal,based on national mutual guidelines.
It is important that all health institution in the distruct, not only CDC and Puskesmas selected,actively participated in each and every step of this project, starting from palnning to evaluation. Types and level of participation could be discussed among various institution in the district which are the member of Sterring Committee.
A variety of approaches can be used to maintain such communication. These approaches include peer review, coordination meeting, provide subsidized medicine to health institution outside CDC currently covered, requestiig them to submit standard recording and reporting form and performing operational research. The steerring committee will be encouraged to select the most promising approaches their area and their circumstances.
Dokabu will have a whole responsibility of the project in the district. He will also be a chairman of district working group comittee which mostly consist of staff from Bupati office, other related Dinas in the district, Director of district hospital,district branch of other proffesional NGOs etc. This steering committe will formulate a general aspect of implementing project in the district.
