The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
EAST ASIA AND PACIFIC | Indonesia | Health, Nutrition & Population Global Practice | Requesting Unit: EACIF | Responsible Unit: HEAHN
IBRD/IDA | Program-for-Results Financing | FY 2023 | Team Leader(s): Pandu Harimurti, Somil Nagpal
Seq No: 2 | ARCHIVED on 01-Nov-2023 | ISR58413 | Created by: Yulia Nur Izati on 22-Oct-2023 | Modified by: Pandu Harimurti on 30-Oct-2023
Program Development Objectives
PDO Table
Program Development Objective (from Program Appraisal Document)
To improve coverage, quality and efficiency of tuberculosis services in Indonesia
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory
Implementation Status and Key Decisions
The Program's Loan Agreement has been effective since January 19, 2023, and is under implementation for over nine months. This is the second
ISR for the Program following the first formal implementation support mission in August 3 -11, 2023. Overall, the program implementation is
progressing well. Technical assistance is being planned to further improve implementation in strengthening performance-based transfers and
results-based provider payment, and in risk communication to address stigma in TB.
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P178517 IBRD-94640 Effective USD 300.00 300.00 0.00 75.00 225.00 25%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P178517 IBRD-94640 Effective 19-Dec-2022 13-Jan-2023 19-Jan-2023 31-Mar-2027 31-Mar-2027
DLI Disbursement
Achievement Disbursed amount in Disbursement % for
DLI ID DLI Type Description Coc DLI Amount
Status Coc DLI
Loan: IBRD94640-001
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
MOH desgned and
1.1 Regular USD 25,000,000.00 Not Achieved 0.00
implmnted BOK Kinerja-Y1
MOH permnce-based BOK
1.2a Regular USD 10,000,000.00 Not Achieved 0.00
paymnts to disrct-
MOH adptd transprnt
1.2b Regular USD 5,000,000.00 Not Achieved 0.00
apprch in implntng B
MOH adptd & appvd
1.2c Regular USD 10,000,000.00 Not Achieved 0.00
verifiction manual for
More distrct have improvd
1.3 Regular USD 40,000,000.00 Not Achieved 0.00
basd on TB ind
More pub primary healt
2.1 Regular USD 10,000,000.00 Not Achieved 0.00
facilities met se
MOH updated comphsve
2.2 Regular USD 5,000,000.00 Not Achieved 0.00
TB protocol
MOH devlpd trng
2.3a Regular USD 5,000,000.00 Not Achieved 0.00
mechanism (incl modules)
More prim health care
2.3b Regular USD 5,000,000.00 Not Achieved 0.00
provdrs registered
More prim health care
2.3c Regular USD 5,000,000.00 Not Achieved 0.00
provdrs registered
MOH enctd regu-lab
3.1 Regular USD 5,000,000.00 Not Achieved 0.00
specimen trans, etc.
MOH devlpd template
3.2 Regular USD 5,000,000.00 Not Achieved 0.00
agreemnts-specmn tra
More distrct signed SA 3rd
3.3 Regular USD 10,000,000.00 Not Achieved 0.00
party
More private PHC
3.4 Regular USD 20,000,000.00 Not Achieved 0.00
provders becme reg user
MOH devlpd logisticsto
4.1 Regular USD 10,000,000.00 Not Achieved 0.00
access TB prgrm d
More prmry PHC prvdrs
4.2 Regular USD 20,000,000.00 Not Achieved 0.00
have access
Revised PKBK to link
5.1a Regular USD 15,000,000.00 Not Achieved 0.00
capitation
Piloting non-capitation
5.1b Regular USD 15,000,000.00 Not Achieved 0.00
pymnt mech
MOH reformd InaCBG by
5.2 Regular USD 10,000,000.00 Not Achieved 0.00
amndng regulation
MOH simplies interface of
6.1 Regular USD 10,000,000.00 Not Achieved 0.00
TB prgrm info
MOH enhanced TB info
6.2a Regular USD 10,000,000.00 Not Achieved 0.00
system
MOH estab integration or
6.2b Regular USD 10,000,000.00 Not Achieved 0.00
interoperabilit
More prvate PHC provdrs
6.3 Regular USD 20,000,000.00 Not Achieved 0.00
use new info sys
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
MOH implntd national TFB
7.1 Regular USD 10,000,000.00 Not Achieved 0.00
prevalence
MOH published at lest 2
7.2 Regular USD 10,000,000.00 Not Achieved 0.00
process eval
Program Action Plan
Implementation of capacity building activities to health facilities and health workers, incl CHW & volunteers, for proper
Action Description
handling of specimens from TB related services, incl proper usage & disposal of PPE (online and/or offline activities)
Source DLI# Responsibility Timing Timing Value Status
• Dit of
Environmental and Social
Quality Improvement Recurrent Semi-Annually Not Yet Due
Systems
& NTP
Completion Measurement Number of training and capacity-building sessions delivered
MoH has carried out training and capacity building for health workers using (a) E-learning platform started in Q1-2
Comments 2023 and as of July 2023 has been accessed by 610 health workers. The in-person training recorded in 9 priority
provinces
Conduct need assessment on current practice in the health facilities and laboratories in provisioning adequate
Action Description number of PPE for health workers, health facilities and lab staff, and CHW for TB contact tracing, testing and
treatment
Source DLI# Responsibility Timing Timing Value Status
Environmental and Social Dit of Infectious
Recurrent Yearly Not Yet Due
Systems Disease Prev - NTP
Needs assessments of PPE adequacy in health facilities and laboratories at the central level as reference for
Completion Measurement
implementers at the subnational level
The PPE assessment for 2023 completed, and for 2024 will be conducted by the end of November 2023 to meet the
Comments
planning cycle timeline
Periodic screening and testing for healthcare workers, health facility and laboratory staff, and community health
Action Description
volunteers responsible for direct handling of TB suspects, confirmed cases, and testing specimens.
Source DLI# Responsibility Timing Timing Value Status
Environmental and Social Dit Productive & Old
Recurrent Yearly Not Yet Due
Systems Age, NTP, DTO
Develop guidelines that prescribe periodic screening & testing for health care workers (HCW) & facility staff; establish
Completion Measurement a data segregation record system for periodic screening & testing implementation (Y1); & record the number of HCW
screened (Y2-6)
The technical guidelines on periodic screening and testing is still in the progress for finalization. MoH targets to
Comments
finalize the guidelines by 2024
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Nominate responsible staff from the MOH whom in coordination with the MOEF to advise health facilities in managing
Action Description
the expected increase of volume of medical waste TB cases at the health facilities including through:
Source DLI# Responsibility Timing Timing Value Status
Within 3 months upon
Program effectiveness
Environmental and Social Directorate General
Other and to be maintained Completed
Systems of Health Service
throughout Program
implementation
Completion Measurement Letters that indicate the nomination of responsible staff (job title or position) from the MOH
Comments
a.Monitor current capacity/practice in the health facilities and laboratories in Provinces or Districts level to manage
Action Description medical waste and the expected volume of waste generated, including waste handling proper handling of sputum
collection activities
Source DLI# Responsibility Timing Timing Value Status
Directorate
Environmental and Social
Environmental Recurrent Yearly Not Yet Due
Systems
Health of MoH
Routine report on medical waste management of health facilities and laboratories at the central level as reference for
Completion Measurement implementers at the subnational level, which informs the need for alternative medical waste management advise (that
is, 4.b)...
MoH has carried out online capacity building session on medical waste management for nation-wide community
Comments
health centers (Puskesmas) on 11-13 July 2023
A protocol for communication for TB patients included in the TB clinical guidelines
incorporating data protection measures and consent is developed and disseminated to health workers and facilities
Action Description
Source DLI# Responsibility Timing Timing Value Status
Communication
Environmental and Social
Bureau of Health Recurrent Semi-Annually Not Yet Due
Systems
Service
Completion Measurement Clinical guideline with protocol for communication developed, disseminated and implemented.
Comments
b.Advising health facilities on the alternatives to manage their wastes (in house and external services), support
Action Description approval of agreed options and develop the necessary work instructions for these alternatives. Based on agreed
options for medical waste
Source DLI# Responsibility Timing Timing Value Status
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Directorate
Environmental and Social
Environmental Recurrent Semi-Annually Not Yet Due
Systems
Health of MoH
Administrative records, may include records/log of meetings, discussions, dialogue with MOEF, PHOs, and DHOs;
Completion Measurement minutes of the meeting & other documentations; & record of outreach and socialization activities on medical waste
treatment alternatives
MoH continues to provide technical support in addition developing technical guidelines for subnational level and
Comments
health facilities
c. Providing capacity building for health workers, health facilities and laboratories staff, and community health
Action Description
volunteers and workers on the proper management of TB response wastes (offline and/or online training
Source DLI# Responsibility Timing Timing Value Status
Directorate
Environmental and Social
Environmental Recurrent Yearly Not Yet Due
Systems
Health of MoH
Completion Measurement Number of capacity-building sessions delivered and number of participants in the capacity-building sessions.
MoH has carried out online capacity building session on medical waste management for nation-wide community
Comments
health centers (Puskesmas) on 11-13 July 2023
Strengthening the existing communication strategy on public health messaging and community outreach on TB
Action Description related facts to reduce stigma, in coordination with media and civil society organizations.
Source DLI# Responsibility Timing Timing Value Status
Environmental and Social Directorate of Health
Recurrent Semi-Annually Not Yet Due
Systems Promotion and CE
Implementation of national communication strategy, using various mechanisms and channels.
Completion Measurement Include capacity buildings, monitoring and evaluation tools.
Public health messaging and community outreach on TB related facts have been carried out using various media
Comments channels and TB related educational materials are available at MoH webpage. Messaging to address stigma in TB is
yet to be developed
Strengthen the existing system regarding patients’ and health workers’ safety at health facilities, including on aspects
Action Description related to sexual exploitation and abuse/sexual harassment, such as safety during consultation and treatment, and
safe workplace
Source DLI# Responsibility Timing Timing Value Status
Environmental and Social Directorate of Health
Recurrent Semi-Annually Not Yet Due
Systems Care Quality
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Materials on patients’ security and safety and safe workplace environment developed and records of dissemination
Completion Measurement
activities delivered
MOH has produced a circular letter on respectful workplace, and a MoH Instruction No.HK.02.01/Menkes/ 1512/2023
Comments
regarding prevention and bullying toward medical interns.
Strengthen the existing public FGRM for TB care including complaints about drugs and diagnostic availability, quality
Action Description
of health service, stigma/discrimination during health service delivery, and so on.
Source DLI# Responsibility Timing Timing Value Status
Environmental and Social Directorate of Health
Recurrent Semi-Annually Not Yet Due
Systems Care Quality
Completion Measurement SOP on FGRM for TB care developed, monitored, and disseminated to relevant stakeholders
There are nine TB specific complaints collected from the official MoH FGRM platform during the first Semester of
Comments
2023, on pediatric drugs and test stock out, TB e-training, treatment protocol
MOH to require UKPBJs and PPK to check the WB debarment site and temp suspension lists and record verification
Action Description in the bid evaluation report before awarding the contract to a firm or individual that is under debarment and/or temp
suspension by WB.
Source DLI# Responsibility Timing Timing Value Status
Bureau of
Fiduciary Systems Procurement of Recurrent Continuous Not Yet Due
goods/service
Guidance provided to UKPBJ/procurement officers/PPK is implemented to ensure that no contract under the Program
Completion Measurement
is awarded to a firm or individual that is under debarment and/or temporary suspension by the World Bank.
Comments Complied with. MoH has provided the Bank the procurement and contract data related to the Program.
The MOH to provide the World Bank information of procurement profiles and contract information regularly or at least
Action Description
every 6 months of Program implementation.
Source DLI# Responsibility Timing Timing Value Status
Bureau of
Fiduciary Systems Procurement of Recurrent Semi-Annually Not Yet Due
goods/ services
Procurement activities under the NTP is compiled as well as procurement and contract data are provided to the Bank
Completion Measurement
according to the agreed timeline
Comments
MOH to ensure that 100% PPK, PPSPM, and staff positions for the Program (esp in DG Disease Prevention and
Action Description Control & DG Pharmacy and Medical Devices) are held by staff who have already completed training on payment
verification for goods from BPPK.
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Source DLI# Responsibility Timing Timing Value Status
Bureau of Finance
Fiduciary Systems and Assets, and Recurrent Semi-Annually Not Yet Due
Budget
Report on update training completion status of PPK, PPSPM and staff for the program (especially in DG Disease
Completion Measurement
Prevention & Control and DG Pharmacy and Medical Devices).
The World Bank has received data on the current status of PPK, PPSPM and staff members of the relevant working
Comments units involved in the TB program who have completed the required training on payment verification for goods from
BPPK (33 percent trained)
MoH IG to conduct internal audit on NTP implementation and its related procurement process financed under the
Action Description
Program.
Source DLI# Responsibility Timing Timing Value Status
Inspectorate III and
Fiduciary Systems Recurrent Semi-Annually Not Yet Due
Inspectorate for
Report on the internal audit conducted by the MOH IG on the implementation of the NTP activities from all the
Completion Measurement
relevant working units/satuan kerja within the MOH
Comments
MOH to inform WB promptly of all credible and material allegations or other indications of fraud and corruption in
Action Description connection with the Program that come to its attention, together with the investigative and other actions that it
proposes to take.
Source DLI# Responsibility Timing Timing Value Status
Inspectorate III and
Fiduciary Systems Recurrent Semi-Annually Not Yet Due
Inspectorate for
Semiannual reports provided to the World Bank on allegations of fraud and corruption under the Program received
Completion Measurement
during such period and any related investigations and actions taken.
Comments MoH has submitted data on F&C allegations, none on TB related activities
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance Moderate Moderate Moderate
Macroeconomic Moderate Moderate Moderate
Sector Strategies and Policies Moderate Moderate Moderate
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Technical Design of Project or Program Substantial Substantial Substantial
Institutional Capacity for Implementation and
Substantial Substantial Substantial
Sustainability
Fiduciary Moderate Moderate Moderate
Environment and Social Moderate Moderate Moderate
Stakeholders Moderate Moderate Moderate
Other Moderate Moderate Moderate
Overall Moderate Moderate Moderate
Results
PDO Indicators by Objectives / Outcomes
Improve coverage and quality of the national TB program
IN01358163
►Increased TB treatment coverage rate (%) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 55.00 55.00 74.00 70.00
Date 31-Dec-2021 31-Dec-2021 30-Jun-2022 31-Mar-2027
TB treatment coverage defined in accordance with the WHO definition of number of new and relapse TB
cases that were notified and treated in a given year (numerator), divided by the estimated number of
Comments incident TB cases in the same year (denominator), expressed as a percentage increase from the (agreed)
baseline. The data is updated with the latest available annual data. Disaggregated by gender is available
Improve quality and efficiency
IN01358164
►Increased TB treatment success rate (%) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 74.00 74.00 82.00 85.00
Date 31-Dec-2021 31-Dec-2021 30-Jun-2023 31-Mar-2027
Treatment success rates for drug sensitive TB are calculated from cohort data (outcomes in registered
patients) as the proportion of new smear-positive TB cases registered under DOTS in a given year
Comments
(denominator) that successfully completed treatment (numerator), whether with (“cured”) or without
(“treatment completed”) bacteriologic evidence of success. Disaggregated by gender
Improve coverage, and efficiency
IN01358165
►Increased number of notified TB cases managed at private primary care level (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 1,138.00 1,138.00 9,298.00 100,000.00
Date 31-Dec-2021 31-Dec-2021 30-Dec-2022 31-Mar-2027
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Total number of notified TB cases managed (identified and initiated treatment) at private primary care level
Comments providers; In addition the percentage (with numerator the total number of TB cases notified) will be
monitored as a derived indicator
Improve coverage, quality, and efficiency
IN01358191
►A functional, integrated information system linked to a citizen mobile health application is in place (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
TB information system
TB information system not TB information system TB information system integrated or
Value
integrated not integrated not yet integrated interoperable and
functioning
Date 19-Aug-2022 19-Aug-2022 11-Aug-2023 31-Mar-2027
The information system for TB case management is interoperable with a citizen mobile health application
and is functioning to inform the NTP. The citizen health application here can be described as an integrated
Comments
health information platform that serves individuals to access their personal health information and to obtain
information to maintain optimal health.
Intermediate Results Indicators by Results Areas
Strengthened Subnational Tuberculosis Response
IN01358193
►Decreased loss to follow up of diagnosed cases to treatment – reduced number of TB cases diagnosed and not put on treatment (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 30,000.00 30,000.00 88,727.00 22,500.00
Date 31-Dec-2021 31-Dec-2021 30-Dec-2022 31-Mar-2027
The proportion of diagnosed TB cases who have not started treatment in a given year to the total TB cases
Comments
diagnosed during the same time period.
IN01358196
►Decreased loss to follow up of diagnosed cases to treatment – reduced share of TB cases diagnosed and not put on treatment
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 7.00 7.00 12.00 5.00
Date 31-Dec-2021 31-Dec-2021 30-Dec-2022 31-Mar-2027
The proportion of diagnosed TB cases who have not started treatment in a given year to the total TB cases
Comments
diagnosed during the same time period.
Strengthened TB care among public and private health providers
IN01358194
►Increased number of private primary care providers that notify TB cases to the NTP (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 216.00 216.00 1,133.00 7,500.00
Date 31-Dec-2021 31-Dec-2021 30-Dec-2022 31-Mar-2027
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Comments Private primary care providers who notify TB cases
IN01358197
►Increased number of private providers that have ever used the relevant TB program information system for TB notification (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 1,300.00 1,300.00 4,327.00 10,000.00
Date 31-Dec-2021 31-Dec-2021 30-Dec-2022 31-Mar-2027
Expressed in number of private providers that have ever used (‘ever’ that will be translated as at least 5 -
Comments
five patients )
IN01358199
►Increase in the number of private primary care providers who received capacity building support on TB management (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 9,000.00 12,000.00
Date 31-Dec-2021 31-Dec-2021 30-Jun-2023 31-Mar-2027
Number of private primary care providers received the NTP’s standardized TB case management capacity
Comments
building
IN01358201
►Increase number of private primary care providers who have access to TB program drugs (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 346.00 346.00 644.00 7,500.00
Date 31-Dec-2021 31-Dec-2021 30-Jun-2023 31-Mar-2027
Expressed in total number of private primary care providers who have signed MOU to access program
Comments
drugs and have treated patients using TB program drugs
Enhanced digital systems for TB and evidence-informed policy
IN01358192
►A template for agreements for specimen transport services that can be used between districts and third-party service providers. (Text,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
No template or modality No template or modality No template or modality Modality/template is in
Value
exists exists exists regular use
Date 31-Dec-2021 31-Dec-2021 11-Aug-2023 31-Mar-2027
The development and establishment of agreements and/or regulations including memorandum of
understanding, contracts, and technical guidelines for engaging/contracting a third party or more than one
Comments such party for specimen transport services for public and private health facilities with no in-house WRD
capacity to those with such capacity to be issued at the central level/by MOH as reference for implementers
at the sub national level
IN01358195
►The number of sub-national level units (districts) using the laboratory specimen transport system in the reporting period (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 41.00 41.00 290.00 345.00
Date 31-Dec-2021 31-Dec-2021 11-Aug-2023 31-Mar-2027
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Expressed in total number of sub national administrative level i.e districts (Kabupaten/Kota) that developed
diagnostic linkage and mechanism arrangement of specimen transport or under the signed-contract/MoU
Comments
between PHO/DHO with courier service for specimen transport services in its area or had it used by private
primary care providers in its catchment area
IN01358198
►The number of laboratory samples transported using the new mechanism (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 560,000.00 1,000,000.00
Date 31-Dec-2020 31-Dec-2020 30-Jun-2023 31-Mar-2027
Comments Expressed in total number of TB specimen transported using the new transport specimen arrangement
IN01358200
►Functioning interoperable TB information systems that have the ability to produce gender disaggregated data (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Fragmented TB Fragmented TB Fragmented TB
information system and information system and information system and Interoperable TB
Value
interoperabiity is not interoperabiity is not interoperabiity is not information system
established established established
Date 31-Dec-2021 31-Dec-2021 31-Dec-2021 31-Mar-2027
Existing TB reporting systems that includes information system from service delivery points (SITB, WIFI TB,
Comments SITRUST), demand side/community based information system (Empati), and the BPJS-K (pCare) are
interoperable. Text indicator stated annually, and gender disaggregated data will be final year objective
IN01358202
►Specific communication measures that focus on addressing stigma and discrimination towards female TB patients, are devised and
implemented (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
The communication
Communication strategy Communication strategy Communication strategy
strategy to address
Value to address stigma in TB is to address stigma in TB to address stigma in TB
stigma is developed
not yet developed is not yet developed is not yet developed
and implemented
Date 31-Dec-2021 31-Dec-2021 31-Dec-2021 31-Mar-2027
The communication strategy for the national TB program has included a strategy to address stigma in the
Comments first year of the Program, which particularly focuses on stigma and discrimination faced by female TB
Patients.. The strategy is implemented in the following year throughout the duration of the Program
IN01358203
►Number of presumptive TB cases access laboratory testing (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 560,000.00 1,000,000.00
Date 31-Dec-2021 31-Dec-2021 30-Jun-2023 31-Mar-2027
Expressed in total number of presumptive TB cases tested with the WRD test at the end of the Program
Comments
implementation December 2025, monitored annually
Disbursement Linked Indicators
DLI_IND_TABLE
►DLI 1 An intergovernmental fiscal transfer mechanism being linked with TB key performance indicators (Output, 90,000,000.00, 0%)
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The World Bank Implementation Status & Results Report
Indonesia: Strengthening National Tuberculosis Response Program (P178517)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The
intergovernmental
The intergovernmental
The intergovernmental The intergovernmental fiscal transfer
fiscal transfer scheme for
fiscal transfer scheme for fiscal transfer scheme for scheme for
Puskesmas operations is
Puskesmas operations is Puskesmas operations is Puskesmas
Value not yet linked with both
not yet linked with both TB not yet linked with both TB operations has been
TB notification and
notification and success TB notification and success linked with both TB
success TB treatment
treatment rate TB treatment rate notification and
rate
success TB
treatment rate
Date -- 31-Dec-2021 29-Sep-2023 --
Comments
IN01358205
DLI 1.1 MOH has designed and implemented the BOK Kinerja that includes improvements of a focused and balanced set of indicators,
including TB notification and successful treatment. (Process, 25,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The TB performance
The TB performance linked transfer final design
The TB performance linked
Value linked transfer not yet is up for discussion with NA
transfer not yet designed
designed the responsible unit at the
Ministry of Finance
Date -- 31-Dec-2021 29-Sep-2023 --
Comments
IN01358206
DLI 1.2 (a) MOH has made performance-based BOK payments directly to districts, (b) MOH has adopted a transparent approach in
implementing BOK Kinerja (c) MOH prepared, approved and adopted verification manual (Output, 25,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value MOH has not made MOH has not made MOH has not NA
performance-based BOK performance-based BOK implemented
payments directly to payments directly to performance-based BOK
districts in accordance with districts in accordance payments directly to
the BOK Kinerja designed with the BOK Kinerja districts in accordance
under DLR 1.1 and as per designed under DLR 1.1 with the BOK Kinerja
the associated technical and as per the designed under DLR 1.1
guideline; a transparent associated technical and as per the associated
approach in implementing guideline; a transparent technical guideline; a
the BOK Kinerja by approach in transparent approach in
providing a breakdown of implementing the BOK implementing the BOK
the performance linked Kinerja by providing a Kinerja by providing a
payments to the relevant breakdown of the breakdown of the
districts and Puskesmas is performance linked performance linked
not yet done; Verification payments to the relevant payments to the relevant
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Indonesia: Strengthening National Tuberculosis Response Program (P178517)
and counterverification districts and Puskesmas districts and Puskesmas is
manual is not yet available is not yet done; not yet done; Verification
Verification and and counter verification
counterverification manual is not yet available
manual is not yet
available
Date -- 31-Dec-2021 29-Sep-2023 --
Comments
IN01358207
DLI 1.3 More districts have improved performance (as specified in the Verification Protocol) based on the relevant TB case notification
and treatment success rate indicators over the baseline year 2022 (Output, 40,000,000.00, 0%)
Unit of Measure: Percentage
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 0.00 0.00 0.00 68.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
►DLI 2 Improved supply side readiness (Output, 30,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358209
DLI 2.1 More public primary health care facilities have met service readiness criteria as specified in the Verification Protocol for TB
services. (Output, 10,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
10 percentage point
Value 80% 80% 80%
increase
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358210
DLI 2.2 MOH has updated a comprehensive TB service protocol and made appropriate decision support tools available for primary health
care facilities, laboratories, and hospitals. (Output, 5,000,000.00, 0%)
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Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value Not available Not available Not available NA
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358211
DLI 2.3 (a) MOH has developed an updated training mechanism; (b) more public primary providers have completed capacity building; (c)
more private primary providers have completed capacity building (Output, 15,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
(b) More public
primary health care
providers have
registered at MOH to
No public primary health complete capacity
No public primary health care providers have No public primary health building program
care providers have registered at MOH to care providers have developed under
registered at MOH to complete capacity registered at MOH to DLR 2.2.
complete capacity building building program and complete capacity building (c) More private
Value
program and contracted contracted with JKN to program and contracted primary health care
with JKN to complete complete capacity with JKN to complete providers have
capacity building program building program capacity building program registered at MOH
developed under DLR 2.2. developed under DLR developed under DLR 2.2. and contracted with
2.2. JKN to complete
capacity building
program developed
under DLR 2.2.
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
►DLI 3 Strengthened access to diagnostic and regular sample transport mechanisms (Output, 40,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358213
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Indonesia: Strengthening National Tuberculosis Response Program (P178517)
DLI 3.1 MOH has enacted a regulation to strengthen laboratory specimen transport practice, including that of private primary health care
providers (Output, 5,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The review and
The review and development of The review and
development of regulation regulation needed for development of regulation
needed for centrally centrally negotiated lab needed for centrally
Value NA
negotiated lab specimen specimen transport negotiated lab specimen
transport service is not yet service is not yet transport service is not yet
conducted and completed conducted and conducted and completed
completed
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358214
DLI 3.2 MOH has developed a template for agreements for specimen transport services that can be used between districts and third-party
service providers. (Output, 5,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Template for agreements Template for agreements Template for agreements
Value for specimen transport for specimen transport for specimen transport NA
services is not available services is not available services is not available
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358215
DLI 3.3 More districts have signed service agreements with third-party service providers for specimen transport services that serve all
engaged public and private health care facilities in their area (Output, 10,000,000.00, 0%)
Unit of Measure: Percentage
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 8.00 8.00 8.00 68.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358216
DLI 3.4 More private primary health care providers have become new regular users of the services provided by third-party service
providers for specimen transport services. (Output, 20,000,000.00, 0%)
Unit of Measure: Percentage
Indicator Type:
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Indonesia: Strengthening National Tuberculosis Response Program (P178517)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 0.00 0.00 0.00 50.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
►DLI 4 Improved access to TB program drugs among private primary health care providers (Output, 30,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358218
DLI 4.1 MOH has developed logistics and arrangements to access TB program drugs for private primary health care providers by: a)
issuing a guideline; and b) issuing a revised agreement template (Output, 10,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Access to TB Program Access to TB Program
Access to TB Program
Value Drugs is not yet Drugs is not yet NA
Drugs is not yet established
established established
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358219
DLI 4.2 More private primary health care providers have had access to TB program drugs. (Output, 20,000,000.00, 0%)
Unit of Measure: Percentage
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 3.00 3.00 3.00 50.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
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►DLI 5 Strengthened payment mechanism links to TB notification and treatment (Output, 40,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358221
DLI 5.1 MOH has implemented new payment arrangements to increase the rates of TB notifications and treatments by: a) revising the
PKBK to include TB indicators; b) piloting a non-capitation payment for TB (Output, 30,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The new payment The new payment The new payment
Value arrangement for TB is not arrangement for TB is not arrangement for TB is not NA
yet implemented yet implemented yet implemented
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358222
DLI 5.2 MOH has reformed InaCBG by amending the relevant regulation to the effect that a large part of hospital payments will be made
to hospitals only upon completion of each TB treatment course. (Output, 10,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The revisions to the The revisions to the The revisions to the
Value InaCBG system have not InaCBG system have not InaCBG system have not NA
been carried out been carried out been carried out
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
►DLI 6 An integrated TB transaction-based information system (Output, 50,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
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Comments
IN01358224
DLI 6.1 MOH has implemented a simplified interface of the TB program information system to notify of TB cases. (Output, 10,000,000.00,
0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Complex and
Complex and burdensome Complex and burdensome
Value burdensome TB reporting NA
TB reporting system TB reporting system
system
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358225
DLI 6.2 (i) Enhance the existing TB information system to have more automated data entry interfaces for data inputs; and (ii)
Integration/Interoperability of TB applications/information systems with IHS (Output, 20,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Fragmented and manual Fragmented and manual Fragmented and manual
Value entry-reliance TB entry-reliance TB entry-reliance TB NA
information system information system information system
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358226
DLI 6.3 More private primary health care providers have become new users of the TB program information system implemented under
DLR 6.1 for TB notification. (Output, 20,000,000.00, 0%)
Unit of Measure: Number
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 0.00 0.00 0.00 60.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
►DLI 7 Improve use of evidence in decision making (Output, 20,000,000.00, 0%)
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
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Indonesia: Strengthening National Tuberculosis Response Program (P178517)
Value No No No Yes
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358228
DLI 7.1 MOH has implemented the national TB prevalence survey and used it to estimate local-level TB prevalence. (Output,
10,000,000.00, 0%)
Unit of Measure: Text
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
The national TB
prevalence survey is
National TB prevalence National TB prevalence National TB prevalence
implemented and
Value survey is not implemented survey is not survey is not implemented
used to estimate
yet implemented yet yet
local-level TB
prevalence
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
IN01358229
DLI 7.2 MOH has completed and published at least two process evaluations of the newly introduced design features under this Program.
(Output, 10,000,000.00, 0%)
Unit of Measure: Number
Indicator Type:
From January 1,
2025 to December
Baseline Actual (Previous) Actual (Current) 31, 2025
Value 0.00 0.00 0.00 2.00
Date -- 31-Dec-2021 31-Dec-2021 --
Comments
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