The construction of community participation: village family planning groups and the Indonesian state

Shiffman, Jeremy

doi:10.1016/s0277-9536(01)00090-9

Cited by 35 publications

(27 citation statements)

References 13 publications

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“…Furthermore, Shiffman has recently questioned whether the volunteers' contribution to the Indonesian family planning programme can be seen as genuine community participation because it is a heavily ''state-orchestrated initiative'' and has ''unfolded predominantly according to government plan'' . 31 We observed this to be the case in this study.…”

Section: Discussionsupporting

confidence: 64%

Village Family Planning Volunteers in Indonesia: Their Role in the Family Planning Programme

Utomo

Arsyad²,

Hasmi³

2006

Reproductive Health Matters

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Family planning was once a sensitive issue in Indonesia, but today it is considered essential. This paper reports on a study in 1997-98 of the role of village family planning volunteers and the cadres who worked under them in West Java, Central Java and DI Yogyakarta, in implementing the national family planning programme in Indonesia. A total of 108 village family planning volunteers, 108 family planning cadres, 108 local leaders and 324 couples eligible for family planning from 36 villages in the three provinces were interviewed. The volunteers and cadres have made a significant contribution to the implementation of the family planning programme. They promote family planning, organise meetings, provide information, organise income-generation activities, give savings and credit assistance, collect and report data and deliver other family welfare services. Teachers, wives of government officials and others recognised by the community as better off in terms of education and living conditions were most often identified to become family planning volunteers. Because they are women and because they are the most distant arm of the programme, their work is taken for granted. As their activities are directed towards women, especially in women's traditional roles, the programme tends to entrench the existing gender gap in responsibility for family planning and family welfare. A 2006 Reproductive Health Matters. All rights reserved.

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Section: Discussionsupporting

confidence: 64%

Village Family Planning Volunteers in Indonesia: Their Role in the Family Planning Programme

Utomo

Arsyad²,

Hasmi³

2006

Reproductive Health Matters

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“…With regards to the explicit inclusion of women, some articles detailed examples women were the main active agents supporting the intervention and supported planning and advisory processes [28, 55, 56, 66, 70], or women were selected alongside men as community health workers or intervention facilitators [51, 52, 71]. Successful participation by women either hinged upon the support of the male members of their households [72, 73] or was observed in roles that were coherent with their culturally prescribed responsibilities such as input on maternal and child health [22, 24, 27].…”

Section: Resultsmentioning

confidence: 99%

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

George

Scott

Mehra

et al. 2016

BMC Health Serv Res

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BackgroundCommunity capability is the combined influence of a community’s social systems and collective resources that can address community problems and broaden community opportunities. We frame it as consisting of three domains that together support community empowerment: what communities have; how communities act; and for whom communities act. We sought to further understand these domains through a secondary analysis of a previous systematic review on community participation in health systems interventions in low and middle income countries (LMICs).MethodsWe searched for journal articles published between 2000 and 2012 related to the concepts of “community”, “capability/participation”, “health systems research” and “LMIC.” We identified 64 with rich accounts of community participation involving service delivery and governance in health systems research for thematic analysis following the three domains framing community capability.ResultsWhen considering what communities have, articles reported external linkages as the most frequently gained resource, especially when partnerships resulted in more community power over the intervention. In contrast, financial assets were the least mentioned, despite their importance for sustainability. With how communities act, articles discussed challenges of ensuring inclusive participation and detailed strategies to improve inclusiveness. Very little was reported about strengthening community cohesiveness and collective efficacy despite their importance in community initiatives. When reviewing for whom communities act, the importance of strong local leadership was mentioned frequently, while conflict resolution strategies and skills were rarely discussed.Synergies were found across these elements of community capability, with tangible success in one area leading to positive changes in another. Access to information and opportunities to develop skills were crucial to community participation, critical thinking, problem solving and ownership. Although there are many quantitative scales measuring community capability, health systems research engaged with community participation has rarely made use of these tools or the concepts informing them. Overall, the amount of information related to elements of community capability reported by these articles was low and often of poor quality.ConclusionsStrengthening community capability is critical to ensuring that community participation leads to genuine empowerment. Our simpler framework to define community capability may help researchers better recognize, support and assess it.

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“…As use grew, fieldworkers could no longer handle resupply. Local volunteers were recruited to administer village posts that distributed condoms and pills supplied by family planning fieldworkers (Ministry of Health, 1990; Shiffman, 2002). These “Integrated Service Posts” ( posyandu or community health posts) take place once per month.…”

Section: Contextmentioning

confidence: 99%

Fertility Regulation in an Economic Crisis

McKelvey

Thomas

Frankenberg

2012

Economic Development and Cultural Change

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Substantial international aid is spent reducing the cost of contraception in developing countries, as part of a larger effort to reduce global fertility and increase investment per child worldwide. The importance for fertility behaviors of keeping contraceptive prices low, however, remains unclear. Targeting of subsidies and insufficient price variation have hindered prior attempts to estimate the effect of monetary and non-monetary contraceptive costs on fertility behavior. Using longitudinal survey data from the Indonesia Family Life Survey, we exploit dramatic variation in prices and incomes that was induced by the economic crisis in the late 1990s to pin down the effect of contraceptive availability and costs as well as household resources on contraceptive use and method choice. The results are unambiguous: monetary costs of contraceptives and levels of family economic resources have a very small (and well-determined) impact on contraceptive use and choice of method.

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The construction of community participation: village family planning groups and the Indonesian state

Cited by 35 publications

References 13 publications

Village Family Planning Volunteers in Indonesia: Their Role in the Family Planning Programme

Village Family Planning Volunteers in Indonesia: Their Role in the Family Planning Programme

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

Fertility Regulation in an Economic Crisis

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