Republic of Indonesia Ex - Post Evaluation of Japanese Technical Cooperation Project “ Project for Ensuring Maternal and Child Health Service with MCH HB Phase

External Evaluator: Hisae Takahashi, Ernst & Young Sustainability Co., Ltd. 0. Summary This project was conducted to integrate the Maternal and Child Health (hereinafter referred to as “MCH”) service by utilizing the MCH Hand Book (hereinafter referred to as “HB”) and strengthening a system for sustaining the MCH service through the MCH HB in Indonesia. The project direction was consistent with Indonesian policies and strategies, which have emphasized improving the MCH services, the development needs and Japanese assistance policy, hence the relevance is high. Furthermore, the MCH HB has functioned as an integrated tool for health management in the process of raising children, hence pregnant women who utilize the MCH HB have steadily increased. On the other hand, the expansion of use of the MCH HB among mothers with children under five years old has been limited and challenge still remains in terms of role sharing among the central and local Governments (hereinafter referred to as “LGs”). Therefore the effectiveness and impact is fair when considering the purpose to establish a system to continue the service by utilizing the MCH HB. The efficiency of this project is high since both project cost and period are within the plan. Its sustainability is considered fair, because there is some room to improve in the awareness of Health Volunteers who support the users of the MCH HB and in the operation of the monitoring system, and furthermore there is a concern for securing the printing and distributing budget for the MCH HB in the future, despite the fact that the system to maintain the use of the MCH HB by mothers and medical workers has been developed. In light of the above, this project is evaluated as satisfactory.