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IMPACT INDICATOR

Base Line Target


Impact indicator
(2014) 2017

HIV I-9a: Percentage of men who have sex with men who are living with HIV
13.2% 15%
*

HIV I-9b: Percentage of transgender people who are living with HIV * 21.2% 21%

HIV I-10: Percentage of sex workers who are living with HIV 8.0% 7%

HIV I-11: Percentage of people who inject drugs who are living with HIV 39.0% 30%

HIV I-12: Percentage of other vulnerable populations (male seaport worker)


0.4% 0.3%
who are living with HIV

HIV I-3b: Percentage of men who have sex with men with active syphilis 12.1% 9%

HIV I-3c: Percentage of sex workers with active syphilis 6.2% 5%


HIV I-6: Modelled lives saved based on latest epidemiological data 809 11,647

HIV I-7: Modelled infections averted based on latest epidemiological data 14,999 75,300

HIV I-4: AIDS related mortality per 100,000 population * 23 15.68


OUTCOME
1. Untuk meningkatkan efektifitas intervensi mencapai akses
universal untuk pencegahan infeksi HIV dan perawatan,
dukungan, dan pengobatan HIV untuk populasi kunci yang
terkena dampak, pasien TB dan wanita hamil.
2. Untuk meningkatkan pelayanan sektor kesehatan dalam
konteks HIV dan TB untuk mengatasi hambatan sistem
kesehatan
3. Untuk meningkatkan partisipasi bermakna dari organisasi
berbasis masyarakat dan orang-orang yang hidup dengan
HIV dan TB untuk memastikan bahwa dukungan sosial dan
intervensi yang efektif dan menjangkau populasi rentan dan
terpinggirkan (marginal).
OUTCOME INDICATOR
Base Line Target
Outcome Indicator
(2014) 2017

HIV O-4a: Percentage of men reporting the use of a condom the


60% 67%
last time they had anal sex with a male partner
HIV O-4b: Percentage of transgender people who sell sex
75% 79%
reporting the use of a condom with their most recent client
HIV O-5: Percentage of sex workers reporting the use of a condom
62% 71%
with their most recent client *
HIV O-6: Percentage of people who inject drugs reporting the use
71% 79%
of sterile injecting equipment the last time they injected *
HIV O-7: Percentage of other vulnerable populations who report
33% 37%
the use of a condom at last sexual intercourse
HIV O-1: Percentage of adults and children with HIV known to be
71% 87%
on treatment 12 months after initiation of antiretroviral therapy *
HIV PROGRAM MAP PR KPAN
The Global Fund

Kemenko PMK

Kementrian
Perhubungan
PR KPAN (Anggota KPANa) Kementerian dan
Lembaga (Anggota
KPAN)
4 SR NAS 1 SR NAS
Prog. WPS CSS-RLB

19 Lembanga
Pelaksana 33 SR – KPAP Pemerintah Prov
PABM

CBO/KAP di 75 K/K
utk CSS & 17 K/KRLB
Otoritas
54 IU 141 SSR KPA K/K Pelabuhan Pemerinta K/K
(24 Pelabuhan)

68 K//K LASS di Peer Alur Strategy


Peer Leaders &
Educators Alur Pelaporan
Peer Educators Puskesmas
Alur Penganggaran
Alur Logistik
NFM PROGRAM INTERVENSI KPA
1. Program Management
• Dukungan 33 KPAP, 141 KPA Kab/Kota
• Dukungan Koordinasi dan Monev
2. Program Pencegahan HIV pada WPS dan Pelanggan
• Intervensi FSW: 75 Kab/Kota prioritas
• Pekerja Pelabuhan: 24 Pelabuhan

3. Prog. Pencegahan HIV pada Penasun dan Pasangannya


• LASS: 18 Provinsi, 68 Kab/Kota
• PABM: 19 Lembanga PABM (9 Provinsi)

4. Penguatan Sistem Komunitas (CSS)


• 21 provinsi, 75 Kab/kota

5. Removing Legal Barriers


• 10 Provinsi, 17 Kab/Kota
Workshop Evaluasi Koordinasi Meeting Pelaksana
Program TB-HIV (21 Prov LKB-SUFA)
Program Pelabuhan - Semesterly

Pertemuan Evaluasi
Nasional (3 PR) Supervisi Program

KPAP/K
KPAN

Evaluasi Program
PMTS Evaluasi Program PMTS

Workshop Nasional Pertemuan Koordinasi


Program Pelabuhan (Semesterly)

Evaluasi Program Management Assistance


PABM SR KPA to SSR, SSR to IU
2. Program Pencegahan pada Wanita
Pekerja Seks dan Pelanggan
• Asistensi Teknis
• Pengembangan Strategi
KPAN • Evaluasi Program

• 4 SR Program Penjangkauan:
4 SR • PKBI DKI Jakarta, Kalandara, YKP, PKBI Papua
Nasional

• 54 IU Area Kerja 75 K/K


• Program Pelabuhan di 24 Pelabuan (SSR KPAK)
Tingkat
K/K • Penjangkauan oleh PL dan PE
KEGIATAN PROG. SEX WORKER
• Salary for PL
• IEC Materials and IT outreach
• Training for PL support for FSW & Seaport
• SWs to group intervention and HRM
STI testing • Training SR Nasional dan 75 IU
• Training for SW Empowerment • Condom and Lubricant
in Papua Procurement
• Mentoring and Supervision • PMTS Program Evaluation
SR NAS
National SR to IUs
& IU KPAN • Technical Assistance for FSW
Program Development

• Pertemuan Stakeholder untuk


pengembangan kebijakan KPAK KPAP
• Bi-Monthly (every two months)
meeting among PE, Pokja • Management
hotspot and services in 75 Assistance SR KPA to
Districts/Cities
SSR to ensure quality
• Quaterly meeting PMTS Working
Groups in 141 Districts/Cities assurance of activity
• Management Assistance SSR KPA implementation
to IUCondom Creative Promotion
TANTANGAN
1. Saat ini ada 29 Kab/kota yang didukung penjangkauan WPS namun
belum ada dukungan layanan sehingga capaian mobile VCT rendah 
Akan ada surat dari Kemkes untuk addendum workplan Dinkes dengan
memasukkan target mobile test HIV untuk WPS di 76 Kab/Kota PR
KPAN
2. Adanya penutupan lokalisasi  melakukan studi kualitatif bersama
Perguruan Tinggi untuk Dampak Peutupan Lokalisasi. Saat ini sedang
diproses penyusunan fact sheet untuk advokasi kepada Kemensos dan
stakeholder terkait lainnya
3. Capaian program rendah  menerapkan model baru penjangkauan
WPS, menitikberatkan penjangkauan kepada peer leader dan peer
educator, memanfaatkan teknologi informasi untuk penjangkauan
4. Turn over PE yang tinggi  penerapan strategi coaching pada PL-PE-IU,
tidak membenai PE dengan informasi yang terlalu banyak
KEGIATAN PROGRAM PELABUHAN
Intervention Key Activities Pelaksana
Program • Initiation Meeting of stakeholders • KPAK
untuk • Workshop on Seaport Program
Pelabuhan Implementation
• Workshop on program sustainability
• Seaport Working Group Meeting
• Replacement transportation cost for
management seaport
• Seaport Program Officers (One PO per
Seaport)
• Training for Peer Educator at Seaport
• Group Education by Peer Educator (PE)
TANTANGAN
 Perekrutan PP baru April 2016 & belum dilatih.
 Pendanaan baru dikirimkan pada bulan Mei 2016
 Kegiatan awal baru dimulai rata rata per juni 2016
 Pelatihan PE belum dilakukan
 Belum semua KKP input SIHA
RTL SEM 2:
 Penambahan PL Seaport (Koordinator PE) --> usulan repograming
 Training PP dan PE in Seaport
 Koordinasi Kemkes (Subdit AIDS & Karantina) untuk peran KKP
dalam Test & input SIHA.
 Pelatihan PP Pelabuhan
 Kampanye test di Bulan Kemerdekaan, Bulan Maritim dan HAS 2016
 Perkuat kerjasama Lintas Sektor (KKP-Dinkes-KPAK)  ada usulan
pertemuan tk. Nas (repro)
KEGIATAN PROG. PENASUN
LASS PIC PABM PIC
• Workshop to review the prevention and outreach to KPAN • Capacity development for KPAN
PWID including counseling module CBDDT officers and Counselor
• Condom & Lubricant Procurement Addiction trainning national
• Needle syringes procurement level
• Harm Reductioan Working Group in National • CBDDT Program evaluation
• IEC material development, Printing and Publishing on (2016)
Hepatitis management for PWID • Revision of CBDDT Guideline
• Workshop on testing, diagnose and treatment of Hep based on CBDDT evaluation
B and C in 12 city/districts result
• Technical Assistance for PWID program Development
• Community Lead Monitoring

• Harm Reduction Working Group in Province KPAP


• Buffer Stock for condom and needle syringes
• Monitoring and Supervision

• Harm Reduction Working Group in Districs/Cities KPAK • CBDDT Implementation Lembaga


• Needle syringes distribution PABM
• Operational NSP in PHC
• Medical Waste Disposal Box
• Monitoring and Supervision to IUs
TANTANGAN
 Penangkapan pengguna Napza suntik oleh Kepolisian & BNN (takut
ke LASS Puskesmas)
 Target penjangkauan Spiritia lebih rendah dari target LASS.
 Waktu LASS di Puskesmas terbatas, sebab mengikuti alur prosedur
rawat jalan
 Outreach Penasun belum maksimal memotivasi Penasun ke LASS
(kualitas)
RTL Sem. 2:
 Pengembagan Satelit LASS oleh LSM
 Pemetaan potensi penasun & LASS di 68 KK
 Optimalisasi peran Pokja HR di daerah.
 Supervisi dan asistensi KPA P/K/K ke Puskesmas dan SSR Spiritia
 Evaluasi Nasional PABM
 Revisi Pedoman PABM
 Pelaksanaan Community Lead Monitoring (CLM)
INDIKATOR CSS
# Key Activities WP Tracking Measures Note

Measuring implementation progress during the


reporting period:
Not started (0) = No progress against planned The implementation
Applying
milestone or target will be managed by
Patient
Started (1) = Research Agency recruited and NAC (for HIV related)
Satisfaction
contracted and Aisyiyah (for TB
Index for
Advancing (2) = National Workshop to related).
Monitoring
developed and consensus the indicators, Results will be
extent of
methods, data analysis and 17 districts area presented and
1 clients'
intervention selected by TB and HIV community. discussed in the
satisfaction
quarterly
toward HIV and Completed (3) = Study Tools for Monitoring
Clients Satisfaction finalized and approved by coordination TB-HIV
TB related
the key stakeholders. meeting at district
services in 17
and provincial level;
cities in 10
in order to advocate
Provinces
Completed (3) = Study report finalized, for better services.
approved and disseminated to GF and other
stakeholders (HIV and TB TWG)
INDIKATOR CSS
# Key Activities WP Tracking Measures Note

Completed (3) = Study Tools for The implementation will be


Applying
PLHUV Stigma Index finalized managed by NAC (for HIV
PLHIV Stigma
and approved by the key related) and Aisyiyah (for
Index for
stakeholders (HIV TWG). TB related).
Monitoring
Results will be presented
extent of
2 and discussed in the
Stigma
quarterly coordination TB-
experienced Completed (3) = Study report HIV meeting at district and
by PLHIV n 25 finalized, approved and provincial level; in order to
cities, 13 disseminated to GF and other advocate for better
Provinces stakeholders. services.
INDIKATOR CSS
# Key Activities WP Tracking Measures Note

Completed (3) =CSO Participation The implementation will


Applying CSO Index protocol and implementation be managed by NAC (for
Participation plan developed and HIV related) and Aisyiyah
Index for agreed/approved by the (for TB related).
Monitoring of stakeholders (HIV and TB TWG) Results will be presented
CSO and discussed in the
3
participation and quarterly coordination
documentation TB-HIV meeting /
of best practice Completed (3) = Community Best Partnership forum at
in LKB-SUFA in Practices & CSO participation index district / provincial level;
75 cities/districts reported finalized, approved and in order to advocate for
disseminated to GF and other better CSO participation.
stakeholders (HIV and TB TWG)
INDIKATOR CSS
# Key Activities WP Tracking Measures

• Development of Joint
Community Advocacy Completed (3) = Joint advocacy strategy TB - HIV
Strategy TB-HIV finalized, approved HIV and TB TWG and
• Collect & analyze Data disseminated (including advocacy materials) to GF
TB/HIV and developing and other stakeholders in 75 districts, during the
policy prepare for advocacy skill mentoring; and utilized for advocacy
District level at district/cities level.
4
• Advocacy skills
mentoring, Public
Completed (3) = Letter of commitment on increase
Hearing at City, district
of fund for at least 20% from the local government
and National level for
signed in 70% in Y1 and 80% in Y2 of the targeted
increase of funds
districts (TB-75 in Y1 and 160 in Y2; HIV-35 in Y1
and/or access to
and 75 in Y2)
services
INDIKATOR CSS
# Key Activities WP Tracking Measures
• Development of
Partnership Strategy Completed (3) = Final Partnership
with Private Sector strategy finalized, approved by HIV
and FBOs and TB TWG and disseminated to GF
• Partnership Mentoring and other stakeholders.
with Private Sector
5 and FBO (Supervision
& Mentoring)
• TB-HIV CSOs Completed (3) = Partnership
partnership meeting agreements in all 75 districts signed
with FBOs & Private (by Dec 2017)
Sectors
INDIKATOR RLB
# Key Activities WP Tracking Measures Note
Measuring implementation progress during
the reporting period: This
Establishment and
Not started (0) = No progress against planned intervention
functioning of
milestone or target cover both TB
Paralegal and/or
Started (1) = Training material and paralegal & HIV PRs.
Legal Aid Workers
scope of work to reflect their role developed Implemented
(5 cities; Jakarta,
Advancing (2) = 10 paralegals in 5 cities are in their
Surabaya, Medan,
1 recruited and trained respective
Denpasar,
Completed (3) = 10 paralegals in 5 cities are in areas. It will
Makasar)
place with a documented revised scope of increase
work to reflect their role access to
Audience with Completed (3) = Annual report with justice of TB
Legal Aid documentation of KAP cases and the follow up patients/KAP.
Organization in action taken produced and shared with
local area relevant key stakeholders (HIV and TB TWG).
INDIKATOR RLB
# Key Activities WP Tracking Measures Note

Conducting Completed (3) = Final review


National Review report produced and Legal review
on policies on agreed/approved among all conducted for both TB
Health (incl. stakeholders and shared with GF & HIV issues; not only
JKN), Labor & and relevant stakeholders (HIV legal documents but
Education and TB TWG). also review on the
implementations. It
2
Consultative will also provide key
meetings recommendations to
Completed (3) = Final advocacy better improve the
plan agreed/approved and shared protection of rights of
with GF and relevant TB & HIV patients /
Policy dialogue stakeholders (HIV and TB TWG). KAP.
INDIKATOR RLB
# Key Activities WP Tracking Measures Note
• Development of
Monitoring .
tools for legal Completed (3) = Monitoring
rights; tools are finalized and
• Tutorial training approved for use by (HIV and Issues covered
for monitoring TB TWG). by the
3 tools use, data monitoring
gathering, tools include
analysis; Completed (3) = Final Annual both TB & HIV
• Dissemination report is produced and shared
of the with the GF and relevant
monitoring stakeholders.
result.
TANTANGAN
• Pada project CSS-RLB ini Cost untuk Project management relative kecil (8 %
dibandingkan total dana yang dikelola).
• Berimbas kepada:
– Beban kerja masing-masing officer sangat tinggi, karena perbandingan aktivitas yang hrs
dijalankan dengan jumlah staff tidak berimbang.
– Kualifikasi staff yang di hired, tidak sesuai dengan expectasi kami dikarenakan budget.
– Proses Disbursement relative kecil.

• Pembagian peran pelaksanaan modul CSS-RLB yang dipecah ke beberapa


organisasi berdampak:
– Eksekusi kegiatan terhambat  Penyerapan dana kecil

RTL:
• IAC mencari sumber dana lain untuk menutupi GAP cost Project Management 
other donor.
• Mencarikan TA untuk mengisi GAP activity yang dihilangkan dari proposal awal 
Other Donor
Peer Leaders Peer Educators:
• Supervise Peer Educators • Outreach to KAP + intimate partners
• Community Organizers for KAP • Conduct HIV Prevention Education

LKB - SUFA Coordination at District Level


> Stakeholder Routine Meeting at District

Key Affected Referral to HTC, STI, TB, etc PKM or Referral to ART Initiation
Population NGO /Private Hospital / PKM
(MSM, TG, FSW,
Referral to community-based Clinic Referral to ARV
PWID, HRM’), TB maintenance
psychosocial support

Prevention Outreach Management Clinical Case Management at Clinic/PKM/Hospital


> Routine Meeting at District > Routine Meeting at Service Points

Community (KAP) Outreach Community (KAP-PLHIV) Support for CST


PLHIV Peer Support
Outreach Workers || Peer Educators|| Peer Leaders
Operational Definition:
Operational Definition:
• Peer PLHIV
• Peer / Non Peer
Main Roles:
Main Tasks:
• Mapping of KAP
• Managing clients transition from prevention outreach to treatment initiation with KAP Outreach
• Outreach to KAP + intimate partners
Workers including referral to community-based psychosocial support
• Conduct HIV Prevention Education
• Managing lost of follow-up cases with KAP Outreach Workers for clients tracing
• Distribute Prevention kits (condom, lubricants, clean needles, etc)
• Conduct routine coordination meeting at Clinic/PKM/Hospital to monitor progress of Community
• Conduct community counselling, promote HIV Test & refer KAP to Health Services
Treatment Cascade with Health Providers (Clinical case managers) with KAP Outreach Workers
• Refer KAP to JKN/BPJS and other relevant social & legal protection schemes

Key Affected Population Network PR – SR - SSR (NGO HIV - TB)


Operational Definition: Peer Network
Tasks: Operational Definition: PR-SR-SSR NGO HIV-TB
• Monitor community participation in the LKB implementation and quality of services Tasks:
received by KAP/PLHIV beneficiaries • Managing prevention outreach to KAP & TB Patients
• Conduct Community-sensitization to service providers including on specific KAP needs, • Managing treatment adherence and psychosocial support to PLHIV
patients rights, gender-sensitive programming, etc • Active participation in the routine LKB coordination meeting (TB-HIV)
• Conduct Community Empowerment to know their rights and responsibilities, including • Managing routine coordination meeting among all community-based services
provision of legal literacy training for KAP and provision of legal aid • Managing capacity building for NGO SR SSR for GF related programme and financial
• Conduct community advocacy to address legal barriers and sustainability of the AIDS management.
response Peran KPA:
• Conduct community capacity building on programme and financial management, • Fasilitasi dan Koordinasi terlaksananya linkages kegiatan dari komunitas ke layanan
strategic information, media & advocacy, and resource mobilization dan dari layanan ke komunitas (LKB framework)