United Nations Public Service Award Winners


 

 

 

 

 

 

 

Initiative: SANPIISAN (Outreach Service for Maternal Care and Stunted Children in Semarang City) 

 

Institution: Semarang City Government

 

Overview: Before the introduction of SANPIISAN (the Outreach Service for Maternal Care and Stunted Children), health service provision in Semarang City was passive. That is, it relied on pregnant women and mothers to seek out care at health facilities for themselves and their young children when health issues arose. This approach led to both low community access to and use of health services and a high maternal mortality rate.


In 2015, the SANPIISAN innovation was introduced to advance equal rights in maternal and child health. Centered around the concept of proactive care and service provision, the initiative emphasizes prevention and comprehensive monitoring and incorporates several key strategies:

 

  1. Continuum of care approach: The comprehensive care model covers all life stages, including prenatal care, support for prospective parents, and care for children from birth through age five, as well as ongoing support throughout pregnancy and early-years motherhood.
  2. Collaboration across sectors and society: The initiative fosters collaboration among government agencies, community leaders and members, and non-governmental organizations to build diverse support from multiple stakeholders.
  3. Community participation: Through mobilization of the local community (including, Camat, or sub district leaders) the initiative contributes to broader cultural awareness and knowledge of the importance of maternal and child health. Through outreach and home visits, the Women's Family Welfare Empowerment and the Village Health Forum serve as active reporters and companions for pregnant women to health facilities.
  4. Capacity building: Training, education, and outreach programmes are provided for cadres, community leaders, and health workers to enhance their knowledge and skills in caring for pregnant women, babies, and toddlers.
  5. Utilization of technology: The Sayang Bunda app facilitates appointments and enables access to mentoring and educational resources. The Teman Bunda app enhances system monitoring, improves data accessibility and accuracy, and transforms how people interact with and access health services.

 

Impact:  From 2015 (pre-initiative) to 2022 (ongoing implementation), the following impacts have been documented:

 

  1. Maternal Mortality Rate (MMR): Decreased from 128 to 67 per 100,000 live births
  2. Infant Mortality Rate (IMR): Reduced from 8.38 to 5.6 per 1,000 live births
  3. High-Risk Pregnancy Cases: Fell from 43% to 12%
  4. Antenatal Care (ANC) Coverage: Increased from 53% to 100%
  5. Health Services Access: All prospective brides and grooms, as well as 100% of working mothers, received health services
  6. Digital Health Services: Accessible without face-to-face visits via the Sayang Bunda and Teman Bunda applications
  7. Chronic Energy Deficiency (CED) in Pregnant Women: Decreased from 11.9% to 2.9%
  8. Anemia in Pregnancy: Dropped from 17.24% to 7.6%
  9. Stunting Cases: Reduced from 4.10% to 1.63%, correlating with improvements in anemia and CED prevalence

 

Website: https://semarangkota.go.id/

Video: VIDEO SANPIISAN FOR GENDER RESPONSIVE PUBLIC SERVICES.mp4 - Google Drive

 

 

 

 

 

 

 

 

 

Category 2:

Gender-Responsive Public Services

 

Related SDGs: 

SDG2 SDG3 SDG5

 

UNPSA Year:

2024

 

Country:

Republic of Indonesia

 

Region:

Asia

 

Quick Links