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International Resources Cities Program, Samarinda and Kutai, East Kalimantan, Indonesia Visit Report International Resources Cities Program Samarinda and Kutai, East Kalimantan, Indonesia Visit Report By City of Tigard and Washington County, Oregon, USA ICMA Project Number 702.001.01.IND The second visit to Indonesia occurred between September 25th and October 9th, 2002. The City of Tigard and Washington County both sent staff to work with Kota Samarinda and the County of Kuti which is located in the East Kalimantan Province on the Island of Borneo, Indonesia. ACTIVITIES WITHIN THE PARTNERSHIP PROGRAM: The visit with Samarinda was focused on the following(initial results of this visit are within the parenthesis): Train key manaaement staff in effective dispute resolution and communication techniques. (Tigard staff, with Anne Madden from Washington County, conducted a two day training program with key staff members from Mochdar Hasan's staff. The staff was open to the concepts and verbally committed to personally inviting citizens to the next set of training scheduled for early next year. The question Tigard staff has is: Is there adequate support by Samarinda's upper management group (see comments on Mochdar Hasan's lack of time in the next bulleted area) to promote Tigard training of 40 staff and citizens in a four day workshop in intensive skill-building in the following areas r Understanding benefits of improved citizen participation in local government; It Determining when and how to best involve citizens in a process; and I Learning to use effective communication skills (i.e., mediation,facilitation); If the answer is no to the above question, are there staff members from Samarinda that would be allowed to travel to Tigard for the workshop to "train the trainer" in the above areas to then take back to Samarinda and train other staff and citizens? (See attached reaort from Anne Madden, Washington County); Review and comment on Samarinda's 5-year plan for evaluation and update of their community's vision. (Tigard staff was unable to determine if more Samarinda staff was educated on the present City vision and a 5-year plan for updating Samarinda's vision was not available for review. No commitment was forthcoming on the timing of this due to Mochdar Hasan's appointment as Secretary in Samarinda - his time is more than used up trying to fill two jobs at once! Without a staff leader with adequate time to move this forward, it is unlikely this program goal area will be accomplished by the end of the program.); . Review proaress on community meetinas with trained city staff leadina the process on the vision. (See notes on item above. Also, if Samarinda wishes to move forward with citizen participation and City staff leading that process in the community, perhaps there is a different issue and staff leader that should take up this goal area. Ali Noor, Finance Director, has done very well in championing the financial updates. Perhaps there is some element of his Department's work that needs a citizen involvement emphasis.); e Review and comment of Samarinda's draft Citizen Involvement Plan for the Plannina Department. (Based on Mochdar Hasan's dual positions in the City of Samarinda now, does Samarinda wish to continue to develop a healthy citizen involvement process and require all department to embrace this new way of involving citizens? Before this goal can be implemented, a person of influence on Samarinda's staff needs to be designated the Citizen Involvement Coordinator and empowered to make change. Ali Noor, Samarinda's Finance Director, is working with Tigard next to review measurable and useful performance measures for inclusion in Samarinda's budget. Since this can be very effective in sharing information with citizens, does Samarinda wish to modify this goal area to have the Finance Department take the lead in showing the rest of staff how an informed citizenry is beneficial? What is Samarinda's interest in this goal area?); Train accounting staff to reinforce the double-entry accounting concept. (Roger Dawes and Tom Imdieke from the City of Tigard worked with Samarinda's Finance Director, Ali Noor and Rosita Hafiedz, Samarinda's Finance Officer on conducting formal training classes for the City's Finance staff as well as other City of Samarinda officials. Each class had approximately 30 attendees and was structured so that Tigard staff first presented an overview of accounting and other financial practices that are used at the City of Tigard as well as throughout the United States. These practices were based on current promulgated governmental generally accepted accounting principles for state and local governments. Tigard staff then followed up with specific examples and training on double-entry accounting. A PowerPoint presentation was used to reinforce this training and a copy of the presentation is available upon request. A Samarinda Finance Department staff member reinforced this training by following up with giving specific examples of using double-entry accounting by presenting their most recent financial statement in a double- entry format. Samarinda Finance Division staff did an excellent job of facilitating in-house training. Work is continuing with the Central Bank and Bank of America to address financial reporting information with the City of Samarinda. Samarinda's Finance Director, Ali Noor, has made contact with many other Finance Directors in Indonesia and is championing the double-entry accounting concept nationwide. Tigard staff remains available through email to answer questions and encourage Samarinda Finance staff); Develop a catalog of possible revenue sources that could be developed & implemented at the local level in Samarinda. (Discussion occurred during this visit about a revenue source catalog. Following are the steps that Tigard will do for the next effort in this area: Tigard will work with Washington County so work is not duplicated in this area. We have submitted the following information to Kemal Taruc to assist us in developing dates for the steps identified during the 10/02 visit to Samarinda by Tigard staff: 1. Develop a catalog of possible revenue sources that could be developed and implemented at the local level in the City of Samarinda. a. Develop draft catalog of potential revenues; b. Develop work plan and strategies for the adoption of Samarinda's selected revenue sources; and c. Train Samarinda staff on rate development methodologies and implementation strategies. 2. Examples of the following will be provided by Tigard to Samarinda Finance Director: a. Investor-owned utilities structure and finance; b. Water rate methodologies; and c. Primary&secondary school curriculum on water conservation.); 40 Follow up on the interest by Samarinda staff to create a solid waste recvclina program and initiate community education on the benefits and practices of recycling. (Tigard staff was unable to determine any specific interest in this goal area. During citizen involvement training sessions, the example of educating children in the early elementary grades about the importance of recycling was discussed by Tigard. There was some discussion about how teachers might develop this type of education by Samarinda. There was some interest expressed by the cemetery maintenance staff about learning how to effectively compost materials for use around plantings. Tigard's question, that has been posed to Kemal is, "what is Samarinda's interest in pursuing anything further under this goal area?"); The visit with Kutai was focused on the following(initial results of this visit are within the parenthesis): . Analyze staff training needs within the Hospital and District Health Offices. /See attached report from WendvShelden, FNP dated 10/29/02). Loreen\H:\DOCS\Indonesia\10-02 trip\Trip Report for ICMA.doc October 30,2002 To: Whom it may concern From: Anne H.Madden, Sr.Program Educator Washington County Department of Land Use and Transportation Re: Sept. 25-Oct.9 ICMA-sponsored training mission to Indonesia I was sent to Indonesia, the island of Borneo, East Kalimantan province, City of Samarinda, County of Kutai, as part of an 18-month partnership between local governments in Oregon (Washington County and the City of Tigard) with the above-mentioned jurisdictions in Indonesia. The partnership is sponsored by the International County and City Management Association (ICMA) and paid for by the United States State Depai tiuent Agency for International Development(USAID),in order to foster the flourishing of local government in Indonesia. Our delegation was the second to visit Indonesia. Four of our members were from the City of Tigard; they brought expertise in finance, public works and citizen involvement. The other delegate from Washington County was Wendy Shelden, the director of our Public Health Clinics. My mission was to aid the city staff in their training and interactions with City of Samarinda staff, especially in the area of citizen involvement, communications, media, public relations, etc. Secondarily I made myself available to help Wendy with her fact-finding mission re the public health situation in Kutai. It is important to understand that the relationship between these two Indonesia jurisdictions is not close. Although physically contiguous, they share little in the way of planning, resources, etc. One of our delegation's goals was to model closer county-city partnerships, which came easily and naturally to us. With a foot in both worlds, I took this commitment very seriously. Of the 10 days we actually spent in Indonesia, six were spent at two major festivals, two weddings, on an overnight boat trip, visiting a leading official's country home, at meals with officials, etc. Although this may sound like a lark, it was anything but. Much of this time was spent in close conversation with Indonesians, learning their concerns and situations and sharing our own experiences. It is the consensus of our group that the relationships we are building will result in the most lasting fruit from this inter-governmental, international partnership. I spent two days in actual training, in a conference room situation, in the Planning Department of the City of Samarinda. Top management from most city depattments attended and were quite satisfactorily attentive. Along with Ed Wegner, Tigard's Public Works Director, and Loreen Mills, Tigard's Risk Manager with years of experience in citizen outreach, we first heard from them their greatest needs and concerns. Typical were the following: • Lack of citizen awareness • Low community participation—too busy trying to make a living • Lack of transportation infrastructure,and of master plan for same • Unsystematic road maintenance • Lack of equipment • Lack of training in traffic planning • Trash removal and recycling efforts minimal • No master plan for irrigation and drainage • Lack of land use planning • Environmental degradation, with money from natural resource harvesting going elsewhere • Difficulty with land records,public land claims,right of way records • Lack of awareness of value of public relations efforts Trying not to be discouraged, we presented the basics of citizen involvement to them, then shared our own stories: i.e., building a contentious road and trying to reach community consensus on a new water source. We wanted them to hear that civic life in America was surely not perfect, that we could sympathize with their problems, and that we had some good ideas that might be of help to them. We stressed that involving citizens was not easy or particularly efficient—but that it did make for better, more long lasting results. We reminded them that our democracy was over 226 years old, and that it was still evolving. I was impressed with the abilities of the communications/public relations staff, and hope they are more and more seen as a good resource for all city departments. I offered close e-mail contact to them,to be their"consultant", so to speak, on matters of English translation, etc. We also visited the Samarinda Post, where we met with the editor and her young, dedicated, idealistic staff. I was the spokesperson, congratulating them on their efforts and on the crucial role they play in the strengthening of their democracy. I spoke about the importance of a healthy, respectful relationship between them and government—not too distant,not too close. O One of their reporters is keeping in close e-mail touch with me. I spent another day with the Tigard delegation, driving inland an hour or so to the site on the Mahakam River where the city has recently built a new intake facility for their water supply. Financed by an $8.5 million IMF loan, the water is piped overland to Samarinda to supplement their older intakes that often are infiltrated with salt water, due to persistent droughts. It is a remarkable facility, very impressive, very powerful. We next returned to Samarinda to tour their water treatment plant, a pretty enough area, but inadequate to the task. Their filters, for example, made Ed very nervous, as they were so clogged with sludge. However, they have to cope with a 37% silt rate in the river water. The finished product looked quite clean, but we were told it was still laden with bacteria. And the pipes in the delivery system are another question all together. My fourth day I spent again up the river in Kutai, in the (capitol?) town of Tenggarong, accompanying Wendy on her fourth day with public health officials. Her plan was to document the conditions in the hospital with my assistance. Excellent Kutai staffer Totok took the photographs,Wendy directed, and I took notes and interacted with patients and staff with my new Indonesian language phrases. It is a Class C hospital, attractive enough in a tropical, open air style, with devoted staff but woefully lacking in equipment. One of our goals now is to put together a Power Point presentation to help Oregon medical people recognize these needs and offer some resources to help. In sum, I am very grateful for this life-changing travel opportunity. I was impressed by the beauty of the land and the good hearts and positive attitudes of the people. The poverty,trash, heart and humidity were much more problematic than I had expected. I did come up with four fairly simple, concrete ideas I shared with some of their leadership that I thought might help improve their communities: • Plant ironwood trees! This signature tree is widely praised but never seen, as they have been harvested and are not economical to grow (100 years to maturity). My idea is to give each family a sapling to nurture, not for themselves but for their grandchildren. It would improve the environment, beautify the landscape and challenge the people to think ahead. • Paint the wooden houses! Perhaps 90% of people's dwellings are small wooden shacks, unpainted, lining the roadways and streams and rivers. They are not at all attractive. However they could be - with a fresh coat of color added. If the jurisdiction could provide the paint, each family could provide their own labor. Perhaps it could begin with a few villages and spread as others take notice. I think it would go a long way towards improving appearance and morale. • Manufacture souvenir "Lembuswana's"—the mythical beast of Kutai—to sell to tourists (I wanted to buy one), then use some of the proceeds to support the hospital/public health. This would go over very well with tourists! • Recycle the ubiquitous clear plastic water containers. I realize that recycling can be a thankless task, hard to find products, etc. But you have to start somewhere, and this item is clean and plentiful and presently thrown away everywhere. It could be recycled into plastic street furniture? Trash barrels? Fencing? It would be a place to start the recycling ethic—"Don't be a litterbug"worked here at last! October 29, 2002 A Preliminary Report on the Cooperative Action Plan (CAP) between Washington County, Oregon and RSUD AM Parikesit Hospital,Kutai Kartanegra Goal: To cooperatively work together to further the Vision and Mission of RSUD AM Parikesit: ➢ Provide high quality, accessible and affordable health services to the Kutai Kartanegara Regency ➢ Work to provide continuing education for the hospital employees' ➢ Increase hospital employee's motivation and ability to make independent decisions based on an International Standard of Care Our Cooperative Action Plan (CAP) was created to help support and enhance the Hospital and District Health Office's Mission and goals for their future. This was accomplished with the invaluable assistance of ICMA. There were four primary areas where we all felt cooperation was possible to enable the Hospital to meet its goals. 1. Health staff training 2. Translation of the Medical Service Standard for Emergency Hospital Care 3. Creation of a Medical Information System hospital-wide 4. Procurement of medical equipment (this will include extensive training on maintenance and repair),textbooks and alternative media(e.g. CD ROMS)for further specialist training A copy of the CAP is attached. The CAP needs further development in Washington County as to how best to implicate the Plan. Anne Madden and Wendy Shelden, Washington County, will be working with Tom Imdieke, City of Tigard, to create a Power Point presentation with the findings from the Indonesian Delegation's recent trip to Kutai in October 2002. The aim is to use this presentation to gather support, donations and information to further the CAP. A copy of the presentation will also be forwarded to Kutai to complement the Plan's implementation in Kutai, Samarinda and Jakarta. As part of ICMA goal to further good governance it is our long-term goal to create lasting linkages between local hospitals, local medical and nursing schools and the Hospital. It is hoped that these partnerships will provide the support necessary to sustain Kutai's health care infrastructure and supply quality and ongoing continuing education, equipment and resources for hospital staff. These initial steps will build the stability needed for the Regency and the hospital to create a health care community that takes care of its citizenry and professional staff for the long term. Our final consideration is how to sustain and build communications over the long distances between Kutai, Indonesia and Oregon. When our Indonesian colleagues visited Oregon in June 2002 they visited Portland Community College (PCC) at Sylvania and Oregon Health Sciences University (OHSU). Both of these schools offered the delegation different but potentially powerful tools to offer continuing education over long distances. PCC's Center for Health Professionals provides continuing education for health care providers all over Oregon. OHSU serves the State via a phone line system that allows an interactive classroom situation with health care professionals. Both of these programs have the potential to be valuable models for spanning the distances involved in Kutai and Indonesia. Wendy Shelden,FNP, Community Health Supervisor-wendy sheldenAco.washington.or.us Washington County, Oregon- 503-846-6667 12550 SW 2nd'Beaverton,Oregon 97005 USA