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 11/1/2023 Page 1 of 19 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 11/1/2023 Page 2 of 19 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 11/1/2023 Page 3 of 19 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 11/1/2023 Page 4 of 19 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 11/1/2023 Page 5 of 19 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. 11/1/2023 Page 6 of 19 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 11/1/2023 Page 7 of 19 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 11/1/2023 Page 8 of 19 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 11/1/2023 Page 9 of 19 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 11/1/2023 Page 10 of 19 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%) 11/1/2023 Page 11 of 19 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 11/1/2023 Page 12 of 19 The World Bank Implementation Status & Results Report 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%) 11/1/2023 Page 13 of 19 The World Bank Implementation Status & Results Report Indonesia: Strengthening National Tuberculosis Response Program (P178517) 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 11/1/2023 Page 14 of 19 The World Bank Implementation Status & Results Report 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: 11/1/2023 Page 15 of 19 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 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 11/1/2023 Page 16 of 19 The World Bank Implementation Status & Results Report Indonesia: Strengthening National Tuberculosis Response Program (P178517) ►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 -- 11/1/2023 Page 17 of 19 The World Bank Implementation Status & Results Report Indonesia: Strengthening National Tuberculosis Response Program (P178517) 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 11/1/2023 Page 18 of 19 The World Bank Implementation Status & Results Report 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 11/1/2023 Page 19 of 19