Selanjutnya

A.I.D. PROJECT NO. 497-0327 A.I.D. LOAN NO . 497-Q-077

and LOAN NO. 497-U-081

AMENDMENT NO. 1 TO

LOAN AGREEMENT

BETWEENJHE

REPUBLIC OF INDONESIA

AND THE

UNITED srATES OF AMERICA

FOR

FAMILY PLANNING DEVELOPMENT AND SERVICES II

DATED:

Julv 29, 1983

Dated:

July 29, 1983

This AMENDMENT NO. 1 is entered into between the REPUBLIC OF INDONESIA ("Borrower") and the UNITED STATES OF AMERICA, acting through the AGENCY FOR IN'rERNATIONAL DEVELOPMENT ("A. I. D."):

WHEREAS, the Borrower and A.I.D. entered into a Family Planning Development and Services II Loan Agreement, designated as A.I.D. Loan No. 497-Q-077 and No. 497-U-081 on June 17, 1983 ("Loan Agreement"), whereby A.I.D. agreed to lend to the Borrower up to Five Million Five Hundred Thousand United States ("U.S.") Dollars

(S5,500,000) ("Loan");

WHEREAS, the Borrower and A.I.D. desire to amend the Loan Agreement to add an additional S3,900,000 to the Loan;

NOW THEREFORE, the Borrower and A.I.D. hereby agree as follows: 1. The first paragraph of Section 3.1 is revised to read as follows:

"Section 3.1. The Loan. To assist the Borrower to meet the costs of carrying out the Project, A.I.D., pursuant to the Foreign Assistance Act of 1961, as amended, agrees to lend the Borrower

under the terms of this Agreement not to exceed Nine Million Four Hundred Thousand United States (U.S.) Dollars (S9,400,000)

("Loan"). The aggregate amount of disbursements under the Loan is referred to as "Principal"."

2. A revised amplified project description and financial plan is attached as Annex I to this Amendment.

is ratified, confirmed and continued in full force and effect in accordance with all of its terms.

IN WITNESS WHEREOF, the Borrower and the United States of America, each acting through its respective duly authorized

representative, have caused this Amendment No. 1 to be signed in their names and delivered as of the day and year first above written.

REPUBLIC OF INDONESIA

Signed

Atmono Suryo M.A. Director General

for Foreign Economic Relations Department of Foreign Affairs

UNITED STA'rES OF AMERICA

Signed

William P. Fuller Director

ANNEX I

AMPLIFIED DESCRIPTION OF THE PROJECT (AS AMENDED)

I. General Project Description

The purpose of the Project is to assist the Government of

Indonesia in its efforts to increase the prevalence of contraceptive use through the national family planning program to 58% of all

married women of reproductive age (ages 15-44 years) by March 1987.

Grant and loan funds will be used to support the national family planning program through six inter-related project

components. The six components are:

1. Expansion of village family planning services in 13 priority provinces;

2. Development of urban family planning programs in the 10 largest cities, with special emphasis on utilization of the private sector and cost-recovery activities;

3. Extension of voluntary sterilization services in 12 priority provinces;

4. Management and institutional improvement through training; 5 Management and institutional improvement through the

introduction of modern management technologies; and 6. Research and development support to measure program

progress, test new ways of delivering information and services, and strengthen monitoring and supervision of program operations.

The National Family Planning Coordinating Board (BKKBN), the Indonesian agency responsible for coordinating all family planning and population programs and activities, will be the implementing agency for all components under this project.

Project implementation will be concentrated in three Indonesian fiscal years. Most USAID-supported activities will begin in April 1984 and continue through March 1987. However, each component has its own implementation schedule. Some activities of specific

components will begin during the Indonesian fiscal year April 1983 -March 1984. Other activities, such as academic degree training,

will continue up to December 31, 1989.

A more detailed description of each project component together with the responsibilities of USAID and the GOI follows:

1. Village Family Planning

- 2

-family planning posts and to strengthen their information and service capacity. Efforts will be made to expand services in

low-performing areas which have potential for growth. Special focus will be on thirteen priority provinces selected by the BKKBN and USAID. The majority of villages and sub-villages in the provinces of West Java, Central Java, East Java, North Sumatra, West Sumatra, Lampung, South Sulawesi, and West Nusa Tenggara will be provided with high quality information and services. For the adminis-tratively and topographically more difficult provinces of South Sumatra, East Nusa Tenggara, Aceh, Riau, and West Kalimantan the expected village and sub-village coverage in each province will be 50% of the total.

The program will include: strengthening or expanding the number of village or sub-village service points; education and training; pilot testing of new techniques or approaches; information and motivation services; strengthening management, logistics, and

reporting capabilities; equipment and supplies; essential operating costs; supervision and consultation support. An annual plan

incorporating these elements will be developed for each province, tailored to the specific needs of that province, and agreed to by BKKBN and USAID. BKKBN will provide supporting staff salaries, facilities, contraceptives, operating and supervisory costs, materials and supplies, training courses and workshops, and

information services. AID funds will be provided for limited commodity procurement and local cost financing for training, workshops, and specific family planning programs.

AID funds will permit greater attention to areas of low

prevalence as well as more intensive activity in the outer islands; including decentralized activities and local program initiatives.

2. Urban Family Planning

Project loan funds will be used to expand information and services in the ten largest cities in Indonesia where family

planning performance and contraceptive prevalence rates have been below the national average. The ten cities are Jakarta, Surabaya,

Bandung, Medan, Semarang, Palembang, Ujung Pandang, Malang, Padang, and Surakarta (Solo). Jakarta will receive priority attention and a larger share of funds because of its size and low performance.

Experimentation with a few selected cities near the ten largest cities will also be undertaken.

The program will include the development and expansion of both public and private clinic and service networks; experiments with fee-for-service techniques; training of physicians and midwives; new approaches to the distribution and sale of contraceptives; expanded information and education campaigns; technical assistance for

- 3

-BKKBN will provide funds for staff salaries, facilities,

program contraceptives, operating and supervisory costs, materials and supplies, training courses and workshops, and information

services. AID funds will be provided for technical assistance and local cost financing for training, and specific urban family

planning programs which are designed throughout the life of the project.

3. Voluntary Sterilization

Project grant funds will enable the BKKBN, in collaboration with the Ministry of Health, the private Association for Secure Contraception (PKMI), and other institutions, to extend voluntary sterilization services to provincial and regency (kabupaten) level hospitals and sub-district (kecamatan) clinics in areas of high contraceptive prevalence, and where demand for more permanent methods of family planning is growing steadily. Hospitals and clinics will be upgraded in regencies and sub-districts in Jakarta, and in the three largest Java provinces following a needs assessment funded by the project. Priority Outer Island provinces will also have hospitals and clinics upgraded. Selection of sub-districts

will be based on the level of contraceptive prevalance, the potential demand for voluntary sterilization, and the degree of support from provincial and sub-district officials and informal leaders. Facilities in both hospitals and clinics will provide information and a full range of contraceptives to insure each family planning acceptor can make an informed choice. All voluntary

sterilization programs under this project will be in full compliance with A.I.D. Population Policy Determination No.3 (PD-3).

Comprehensive family planning centers including voluntary

sterilization facilities will be established in approximately 173 hospitals and 346 clinics over a three year period. USAID project funds will be used to renovate and equip these facilities and

provide training of physicians and paramedical personnel and technical assistance where appropriate.

BKKBN will fund payments for physicians and staff, medicines and supplies, and operating costs of newly-created facilities over a three year period. AID funds will be provided for the local

currency and foreign exchange financing of commodities related to the upgrading of sterilization facilities. USAID and BKKBN will agree on annual plans for specific activities under this component.

4. Training

Grant and loan funds will (1) enable approximately 65 persons to complete the master's degree, and 16 persons to complete doctoral degrees in the United States; (2) enable approximately 90 persons to complete master's degrees and 14 persons to complete doctoral

degrees in Indonesia; (3) develop and adapt at least eight

4

-academic training and specifications of library and other reference requirements.

AID project funds will be provided for academic training and related support costs in the U.S. and in Indonesia; technical assistance for the BKKBN's Center for Education and Training, the development of new schools of public health, and books and equipment

for library development at the public health schools. BKKBN will provide funds for salaries of persons in training, and air fares for long-term participants. A prime goal of this assistance is to

institutionalize BKKBN's capacity to manage independently overseas training of its personnel.

5. Modern Management Technology

Project grant and loan funds will be used to assist the BKKBN develop computer and word processing capabilities in sixteen

provincial BKKBN offices, in headquarters offices, and in selected training and research institutions. A needs assessment, expected to be completed by late 1983, will form the basis for a detailed plan

for determining specifications, procurement, installation, and

utilization of computer and word processing hardware, software, and related training of professional and secretarial staff. BKKBN will fund maintenance and operational expenses involved in installing and maintaining this data processing capability. AID funds will permit the acquisition of additional sofware/hardware needed for BKKBN as well as permit expansion in training and provision of technical assistance.

6. Research and Development

Project grant funds for research and development will be divided between bio-medical research and operations and social science research. It is anticipated that the project will support twenty-five research and development studies, a nationwide 1985 intercensal survey, twelve seminars and workshops on special

population research methodology-related topics, and 32 consultations on research project design and review. The BKKBN will fund in the

form of staff time and facilities research and development activities under the project. AID will fund local costs and technical assistance to support such research.

II. Evaluation

ｾＱ･＠ project will be evaluated periodically in accordance with A.I.D. evaluation procedures. A major evaluation scheduled for 1984 will be conducted by a team composed of persons from BKKBN,

- 5

-strengthen program effectiveness and guide program design. For this, the BKKBN will continue to maintain and make available

recurring and development costs, acceptor rates, and other data from on-going and pilot programs.

BKKBN's monthly service statistics system will provide the basis for regular reviews of program performance. Other regular reporting and sampling systems of the BKKBN will provide additional information for monitoring program performance. BKKBN and USAID will conduct an ad hoc assessment of voluntary sterilization progress in mid-1986 with external assistance; and in early 1987, USAID and BKKBN again with external assistance, will evaluate the

impact of project-funded village family planning, urban family planning, and research and development inputs.

III. Financial Plan

While overall responsibility rests with BKKBN, the project will delegate substantial responsibility to provincial, urban, and other

implementors. Local costs expenditures will be made pursuant to annual plans mutually agreed to in Project Implementation Letters

(PILs) and Project Implementation Orders (PIOs). The BKKBN/USAID Financial Procedures Manual titled "Pedoman Prosedur Kerja Bantuan USAID" will be used as the basis for disbursement and reimbursement procedures and will apply for both Loan and Grant funds. All A.I.D. funding under the project will follow A.I.D. regulations.

Additional information on specific financial and procurement procedures will be supplied in PIL's.

Village Family Planning Urban Family Planning Voluntary Sterilization Training

Ivbdern Management Technology

ResearCh & Development

Total

Attachment I (a)

FAMILY Pll\NNIN3 DEVEI.OPMEm' AND ｾｃｅｓ＠

PROJECI'ED PROJEcr INPl1l'S R{ ｆｉｾ＠ YFAR OF O.ELIGATION

(USS 000 's)

1983 1984*

GRANT ImN GO! GRANI' .IDI\N GO!

162 2,500 12,481 633 1,155 12,481

-

2,500 4,282

-

-

4 , 710

1,636

-

3 , 426 1,458

-

3,768

-

3,900 233 125 2,345 223

569 500

-

150

-

52

633

-

483 634

-

483

3,000 9,400 20,905 3,000 3,500 21,717

1985*

GRANI' ImN GO!

104 1,500 13,730

-

1,500 5,181

488

-

4,522

125

-

228

150

-

52

633

-

531

1,500 3,000 24,244

*Future obligations are subject to B1e availability of funds and mutual agreement of the parties to ｾｯ｣･･､Ｎ＠

, I

ｾ＠ "

( •'j

TOI'AL

44,746 18,173 15,298 7,179

1,473 3,397

Village Family Planning

Urban Family Planning

Voluntary Sterilization

Training

M::xlern Management Technology

Research and Development

'IDrAL

"' '

Attaclunent 1 (b) FAMILY PIJ\NNIOO DE.VEI.DPMENI' AND S!:RVICES

aJMMl\RY OF GOI/AID C'CM.fiTI'ED INPUrS BY _{PROJEcr <XMPONENTS}

(US

S

000 's)

umm

I

I

1 GOI 1 TOrAL

GRAN!'

I

I..().L\N

I

T 0 T A L

FX

ILC

I

FX

I

LC

I

I LC

I

_r ______ _

I

I

I

I

I

I

I

I

162

I

-

I

-

I

21soo

I

21662

I

381692

I

411354

I

I

I

I

I

I

I

I

I

I

-

I

-

I

100

I

21400

I

21soo

I

141173

I

161673

I

I

I

I

I

I

I

I

I

I

453

I

11183

I

-

I

-

I

11636

I

111716

I

131352

I

I

I

I

I

I

I

I

I

I

-

I

-

I

31230

I

₆₇₀

I

31900

I

₆₈₄

I

41584

I

I

I

I

I

I

I

I

I

I

422

I

147

I

so

I

450

I

11069

I

104

I

11173

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

100

I

533

I

-

I

-

I

633

I

11497

I

21130

I

I

I

I

I

I

I

I

I

I

I---

r

-1

1 I 13 7

I

1, 863

I

3 I 380

I

6 I 020

I

12 I 400

I

66 I 866

I

79 I 266

I

I

I

I

I

I

I

I

I