Indonesia has made significant increasein rural sanitation access and services from 20.64 percentin 2006 to 44.09 percent in 2013. A study conducted in 2012estimated a capacity gap of 12,000-18,000 sanitationprofessionals (from engineers to community workers) to meetthe 2015 millennium development goal (MDG) targets, with 30percent of community health centers not having frontlinesanitation personnel. Capacity building programs have so farbeen largely conducted by technical units, projects, andlocal government offices. Following an assessment on how andwhere to best address the issues, the technical assistance(TA) recommended a transformative approach, away fromproject-based cascading training where training is done atnational level and then repeated and cascaded to provincial,district, sub-district, and village levels to aninstitutionalized capacity building program. Theinstitutionalization of capacity building program targetedtwo primary audiences: future professionals (pre-service)addressed through integrating national strategy forcommunity-based total sanitation (STBM) modules into healthpolytechnic schools curriculae and current professionals(inservice) addressed through accredited and certifiedtraining programs, with an additional e-learning scheme toreach out to a wider group of professionals and interestedparties. The support to scale-up the use of the STBM humanresource capacity building system can be provided via acircular letter of Ministry of Health (MoH) to local healthoffices and STBM partners. Continuous support through theMoH system to follow-up and evaluate outcomes of trainingand education will be key to sustainability and roll-outacross all provinces of Indonesia.
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