Sangen was about to give birth. Her husband, Ahadi and other family members took her to the Bayan Community Health Center (Pusat Kesehatan Masyarakat – Puskesmas), Lombok District. She had been warned that she was carrying a high-risk baby, so she was advised to arrange her BPJS Health (government health insurance scheme) in anticipation of any treatment costs needed after giving birth.
Sangen gave birth to Kamarsah on 25 June 2016. Kamarsah was born underweight and was later referred to Tanjung Regional General Hospital in North Lombok for further care. Kamarsah spent 22 days in an incubator.
Sangen and Ahadi are a young couple who have been married for a year. This couple, who never received formal education live with Jumenah, Ahadi’s mother, in a simple 3 x 6-meter house made of woven bamboo and a dirt floor. Ahadi is a farmer who plants corn once a year during the rainy season. In a single harvest, he earns Rp 2.5 million, which he later uses to buy seeds to meet their everyday needs for the entire year. Ahadi would not be able to afford Kamarsah’s intensive treatment, costing Rp 6.8 million.
This couple did not have a Family Card (KK) or National Identity Card (KTP), the necessary documents to obtain BPJS coverage to help them finance the necessary post-natal care. Having a legal identity is not a priority for Ahadi and Sangen. Not only are they unaware of the benefits of having a legal identity to receive basic services, Ahadi also encountered obstacles in obtaining the documents. “It’s far, one hour on a motorcycle. I don’t have a motorcycle. A motor-taxi costs 100 thousand rupiah for a round trip. It would not be done in one day only. I must come over and over again, and it may not even be finished then.” Ahadi said.
Adzam Riski is one among 50.9% children in North Lombok who have difficulties obtaining basic services because they don’t have documents on their legal identity.
Just like Ahadi and his family, Adzam's experience was similar. A year since his friends went to school at the Sekolah Dasar Negeri (SDN) 3 Pemenang Timur, Adzam still has not been able to go to school. One day he told his mother, "I want to go to school, mom," he sobbed.
Adzam’s mother, Maskiah, is a single mother who works as a sand carrier. Because of a lack of information, she was not aware that the KK needed to be renewed with her name as the head of the family since her divorce with his former husband seven years ago. Because she did not have a KK, Maskiah did not register the birth of Adzam. She then decided not to send Adzam to school because Adzam did not have a birth certificate, which was an administrative requirement for school registration.
Adzam bersama dengan ibunya (Foto: KOMPAK)
Motivated by Adzam's desire to go to school, Maskiah enrolled Adzam to school using a birth certificate (SKL) issued by the Puskesmas where Adzam was born) and KK form. After going through this process, Adzam was able to get an education at SDN 3 Pemenang Timur like his other friends. But it turns out that the SKL is only a temporary solution. Adzam was given one month to submit a birth certificate and KK to be able to continue his education. Adzam and Kamarsah represent around 30 thousand children in North Lombok who have difficulty accessing basic services due to the absence of legal identity documents. In North Lombok, only 49.1 percent of children aged 0 to 17 years have birth certificates.
The rarity of birth certificate ownership is found among the poor and vulnerable groups in Indonesia, which have resulted in many difficulties for them to gain access to basic services. To this day, only half of Indonesian children (under the age of 18) have birth certificates, which means that around 40 million births are not recorded. The government intends to increase birth certificate ownership for children from 56% (SUSENAS 2014) to 85% by 2019.
To fulfill the right to legal identity and basic services, North Lombok Regent Najmul Akhyar launched the 100% Birth Certificates for Students movement in North Lombok. KOMPAK has supported North Lombok in improving and accelerating basic education, health and legal identity services for the poor. Not only in North Lombok Regency, the KOMPAK branch office in West Nusa Tenggara will also support local governments in Bima, Sumbawa, North Lombok and East Lombok District to ensure the administration rights for the people, especially birth registration, to provide access to basic services.
Legal identity is a product of Civil Registration and Vital Statistics (CRVS). CRVS aims to increase ownership of legal identity documents and encourage the use of vital statistics for development planning. This is in line with government targets as stated in the Legal identity is a product of Civil Registration and Biological Statistics (CRVS). CRVS aims to increase ownership of legal identity documents and encourage the use of biological statistics for development planning. This is in line with government targets as stated in the RPJMN which focus on strengthening the quality of basic services. In this case, legal identity is the entrance for basic services.ional Medium-Term Development Plan (RPJMN) which focus on strengthening the quality of basic services. In this case, legal identity is the entrance for basic services.
The National Development Planning Agency has launched a study titled “Finding, Noting, Serving: Birth and Death in Indonesia.” This activity provides information on findings and program plans to institutionalize legal identity and CRVS systems for basic services. The event was held on July 28, 2016 with the support of the Australian Government through KOMPAK and the Center for Child Protection Studies (PUSKAPA) with a study conducted at the district level in Aceh, Central Java and South Sulawesi Provinces.
Research that analyzes the obstacles and opportunities in birth and death recording aims to provide evidence of obstacles, gaps, strengths, and opportunities in the existing system, as well as identifying models from various countries that can be compared with the Indonesian model to solve CRVS right.
In addition to launching the report, the event also aims to obtain feedback on findings related to civil registration, health, education and social services, and seek input on the role of sub-districts and villages in providing legal identity services, civil registration and biological statistics. The event invited representatives from relevant ministries, local governments where research was conducted, universities, research institutions, development partners and civil society organizations to get their input on effective approaches, as well as directions for policy planning processes in the context of increasing ownership of legal identity and strengthen CRVS through basic services.
According to Dra. Rahma Iryanti as the Deputy Minister for Population and Employment / Head of National Development Planning Agency, "It needs close cooperation between sectors, from institutions responsible for organizing services for population administration, health, education, and the social protection and assistance sector. Strengthening vertical cooperation is also needed to ensure the availability of accurate and dynamic data for government program planning at the central, provincial, district, sub-district and village level. With a good CRVS system, the government can easily measure the effectiveness of policies and programs that have been made. "