South Jakarta, Bogor Regency (West Java) and Mataram (West Nusa Tenggara).
The local context
Although smoking is declining worldwide, smoking rates in Indonesia are increasing. Many people take up the habit when young – 11% of 15-19 year olds smoke every day, rising to 27% aged 20-24. Tobacco usage is almost exclusively male. This is seen as the greatest public health challenge for young people.
The Indonesian Ministry of Health is already engaged in the fight against non-communicable diseases (NCDs) through a special programme for adolescent health known as Pelayanan Kesehatan Peduli Remaja (PKPR) run by the Community Health Centres (Puskesmas) and owned by local government Health Agencies (Dinkes).
Puskesmas staff also provide services through village-level Posyandu Ramah Remaja (PRR) health centres. In 2016 the Indonesian Government launched Germas as a national programme to improve the quality of life and wellbeing of Indonesian citizens, with a particular focus on NCDs.
To contribute to improved health and gender equality of young people 10-24 years old in Indonesia by reaching:
• 14,000 ‘direct’ beneficiaries - young people living in the three cities, plus parents, caregivers, teachers and healthcare professionals through multiple YHP activities, including information sessions on the risk behaviours
• 106,000 indirect beneficiaries - young people and members of the community through wider interventions such as government ‘replication’ of YHP activities and community campaigns.
• Working with 18 existing PRR centres (six in each city) to ensure that they are able to support young people, equipping them with resource libraries and basic sports equipment and running peer educator activities, events and community meetings.
• Recruiting, training and equipping peer educators to work with 12 Junior High Schools and 12 Senior High Schools (eight schools per city) to reach 12,000 young people with peer-to-peer activities.
• Bringing peer educators from different PRRs together at least quarterly to share ideas, knowledge, best practice and experiences. The YHP will establish one network in each city that uses activities such as art sessions, seminars, performances, music, drama, video sessions, and guest speakers to engage young people.
These activities will be supported by teacher and other community leader training, work with school health units, and participation in events such as World No Tobacco Day.
The YHP team will also:
• Train 195 health workers (15 workers in each of 13 Puskesmas over the three cities) on issues of health and gender for young people to build their capacity to deliver Youth-Friendly Services (YFS).
• Provide advocacy and leadership training for a cohort of 150 youth advocates (50 per city) and equip them to represent the YHP in relevant forums; to present a youth perspective; and to engage with stakeholders
• Engage and work with city governments and health authorities (Dinkes) throughout their planning processes to help strengthen their approach to NCDs and prevention and reduction of risk behaviours
• Contribute to the production of a Ministry of Health manual to promote young people-friendly, and gender-sensitive, risk behaviour prevention and reduction methods