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Term of Reference

Conducting Identification and sensitization for all CSOs are in Jayawijaya District

A. Background
Since 1995, Indonesia has implemented the DOTS Strategy to fight TB based on WHO
recomendation. Since then, the Program DOTS has expanded and accelerated on the entire
health care units and related institutions. Limitations of the government and the magnitude of
the challenges of the TB program, requires an active role with the spirit of partnership of all
stakeholders. One third of people estimated to have TB are either not reached for diagnosis and
treatment by the current health systems or are not being reported. Even in patients who are
identified, TB is often diagnosed and treated late. However, based on Prevalence Survey 2015,
less than 80% community knows about TB symptom, but only 21% known TB Treatment is free
in Puskesmas, care seeking behavior only 32% patient access treatment in public hospital, 33
% treated in Private hospital/clinic and 35% missing cases (they dont get treatment). The
surveys explained higher of community knowledge about HIV is not inline with care seeking
In order to reach the unreached and to find TB patients early in the course of their illness, a
wider range of stakeholders already involved in community-based activities needs to be
engaged. These include the civil society organizations (CSOs) that are active in community-
based development, particularly in primary health care, HIV infection and maternal and child
health, but have not yet included TB in their priorities and activities.
There are many CSO working for TB in Indonesia, however there is no strong coordination
and referal system, restricted working area (some of CSO only work on 3-6 sub district in a
Province), donor dependant and weak of sustainability.
The strengths of CSOs active in health care and other development interventions at the
community level include their reach and spread and their ability to engage marginalized or
remote groups. A more decentralized approach that formally recognizes the critical role of CSOs
as partners addressing gaps through support to community-based actions will expand TB
prevention, diagnosis, treatment and care activities.
In accordance with the vision and mission of the Ministry of Health to encourage the
movement of community to engage health programs, more over in National Strategic Plan
(NSP) some of the activities being undertaken are involving of community-based organizations
through capacity building, empowering the Civil Society Organization (CSO) to increase
community awareness, reducing stigma and involving community on TB control in Indonesia
Related to the above, Challenge TB will subcontract the CSOs to increase CSO
participation on community monitoring, referal, and increase care seeking behaviour through:
Community awareness, stigma reduction, increase case finding, and increase quality of
services through providing feedback based on patients perspective.
B. Objective
Recognizing the potential of CSOs in TB advocacy, the potential for integrating community-based
TB activities into the work of CSO development programs.
Enhancing the Role of Civil Society Organizations:
1. Increase community awareness and reducing stigma about TB
2. Effective early care seeking behavior on TB
3. Actively involve of CSO on active case finding, case holding at Puskesmas Level
4. Develop TOSS TB Network, in District Level with patients Organization as leader

Specific Objective
1. Identify Potential CSO can be involve on TB Program at disrict level
2. Increase the Capacity of Civil society Organization about TB in District Level.
3. Develop SOP and implementation for community based intervention on case finding,
case holding at puskesmas Level
4. Support CSO to insert TB issue/messages on their existing activities, such as:
community awareness, reducing stigma, case finding and holding etc.
5. Develope SOP for CSO engagement on case finding, case holding at district level
C. Metodologi
Civil society organizations are expected to identify potential CSO, increase the capacity of
the CSO, develop and implement model of community based intervention on case finding,
case holding at puskesmas level, increase care seeking behaviour through conduct
community awareness, stigma reducing and TB advocacy, documented progress, analysis,
best practices, lesson learned, and models for internalize TB issues on CSO .

D. Key activities
Under the direct supervision of KNCV/Challenge TB and Ministry of Health :
1. Identify potential CSO and Develope model for integrated community based intervention
on case finding and holding at Puskesmas Level
2. Increase capacity of CSO through training and horizontal learning process to implement
TB program on Community Monitoring and community awareness, reducing stigma,
case finding, holding and TB advocacy.
3. Develop Guideline or SOP for community engagement in Puskesmas on Case finding
and holding
4. Develop the progress report regularly
5. Final report writing
E. Deliverable
At the end of the contract, the CSO must be deliver documents which written in English and
Bahasa Indonesia is follow:
a. Assestment and reviewed report of guideline and adding TB Issue on their guideline
b. Activity report, guideline, and training material on increase capacity of CSO on TB
c. SOP for community based intervention models on active case finding, holding at
puskesmas level
d. Progress Report, which include: challenging, and solution based on activities
e. Trips report for each field visit to Provinces/district.
f. Financial report as regularly
g. Final report, covered lesson learned, strategy of implementation, recomendation of
improving CSO engagement on TB program
F. Term of Payment

Payment Percentage Amount Output/Deliverable

First Payment 20% At beginning consultancy work
Strategy, Workplan and
timeline , List of the
Second 40% Assestment and
Payment recomendation report
Training modules and
Capacity building report

SOP for models of community
based intervention on case
finding and holding at
Puskesmas Level
Approved TOR for Capaciry
Financial report
Third/final 30% Financial report
Final report
Total 100%

G. Schedule (Tentative):
NO Activities Time PIC
1 Announcement of Sub grant 22 April 2017 KNCV/Subdit TB
2 Proposal submission 23 April -1 Mei 2017 KNCV
2 Selection process 1- 7 Mei 2017 KNCV
3 Administration process and fix 1.7 Mei 2017 CSO terpilih dan
planning for CSO selected KNCV
4 Program Implementation 7 Mei -1 Agustus Selected CSO
5 Final report, include activity report 2-17 Agustus 2016 CSO terpilih dan
and financial KNCV

H. Criteria of candidate of selected CSO :

1. Legal CSO
2. CSO who have district and national network, can implement activities at community
3. CSO working on health and promote of good governance
4. CSO work specifit target, especially man, elderly and children
5. CSO who have experience working with international grant
I. Place: Jakarta
J. Person in Charge: TO AKMS-CTB
Suhardini GKemenkes
K. Funding