2
Kasus baru HIV dan AIDS terus dilaporkan, seiring dengan
terjadinya penularan dan meningkatnya pelayanan penemuan
kasus HIV
32,711
30,935
29,037
11,493
10,362 9,793 10,659
7,195 7,392 8,133 7,875
6,048 6,610 6,081
5,234 4,762 5,231
3,642
859
s.d. 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015*
4
Rencana Aksi Nasional Pengendalian HIV-
AIDS, 2015 – 2019
Tujuan Umum
• Mencegah dan mengendalikan epidemi HIV AIDS di
Indonesia pada 2030.
Tujuan khusus mewujudkan “three zeros”, yaitu
a) menurunkan hingga mengeliminasi infeksi HIV baru;
b) menurunkan hingga mengeliminasi kematian terkait
HIVAIDS; dan
c) menurunkan stigma dan diskriminasi terhadap Odha.
5
Getting To Three Zeroes
90% Pop kunci
LKB & SUFA tahu status HIV Target 90/90/90
100% skrining EID
pd bayi dr Ibu
HIV+
2030
2012 2016 2019 2020 2027
2030
Tripel eliminasi HIV, getting to
Permenkes ttg
Sifilis & Hep pd zero
Skrining HIV,
bayi
Sifilis, bumil
Target Akselerasi Pengobatan Odha
Peran Penjangkau
• Pencegahan dan
Rujukan ke KT untuk 137,000
Tes HIV (Penemuan
Odha baru)
• Dukungan Psikososial 90,000
untuk meningkatkan
retensi pengobatan
Des 2015
63,066 Odha dengan
ART
Dukungan GFAIDS NFM
2016 - 2017
8
Bantuan hibah GFATM untuk TBHIV
2016 – 2017
Goal bantuan hibah ini adalah
• Berkurangnya angka kesakitan dan kematian akibat HIV dan TB di 34 provinsi di Indonesia
dan menguatnya sistem kesehatan dan sistem masyarakat untuk memperbaiki kinerja
pelayanan.
9
10 indikator dampak Prevalensi HIV & Sifilis,
Pencegahan infeksi baru dan Kematian
Target Target
Indikator Dampak Baseline Tahun Sumber
2016 2017
% LSL hidup dengan HIV 13.2% 2014 Modelled - 15.3%
% waria/transgender hidup dengan HIV 21.2% 2014 Modelled - 21.0%
% pekerja seks hidup dengan HIV 8.0% 2014 Modelled - 7.0%
% penasun hidup dengan HIV 39.0% 2014 Modelled - 30.0%
% pria risti (pekerja pelabuhan) dng HIV 0.4% 2013 IBBS - 0.3%
% LSL dengan sifilis aktif 12.1% 2013 IBBS & Ssurv - 9.1%
% pekerja seks dengan sifilis aktif 6.2% 2013 IBBS & S Surve - 4.7%
Jumlah orang tidak jadi meninggal sesuai
809 2014 Modelled - 11,647
model dengan data epidemiologi terakhir
Jumlah infeksi yang dicegah sesuai model
14,999 2014 Modelled - 75,300
dengan data epidemiologi terakhir
Angka kematian AIDS per 100,000 pddk 23 2014 Modelled - 16
10
6 Indikator Outcome
terhadap perubahan perilaku
Target Target
Indikator Outcome Baseline Tahun Sumber
2016 2017
% pria gunakan kondom pada anal seks
60.0% 2014 Modelled - 67.0%
terakhir dengan pasangan pria
% waria/transgender penjual seks
gunakan kondom dengan pelanggan 75.0% 2014 Modelled - 79.0%
terakhir
% pekerja seks gunakan kondom dengan
62.0% 2014 Modelled - 71.0%
pelanggan terakhir
% penasun gunakan alat suntik steril pada
71.0% 2014 Modelled - 79.0%
suntikan terakhir
% kelompok risti lain gunakan kondom
33.0% 2013 IBBS - 36.9%
pada hubungan seks terakhir
2014 Lap Kohort
% Odha dewasa dan anak masih berobat
71.3% (Kohort ART RS Pemberi 79.1% 87.0%
12 bulan setelah memulai ART 11
2012) ART
21 Indikator Output Hasil Kegiatan
Targets Jan Jul 2016 - Dec Jan 2017 - un Jul 2017 - Dec
Baseline
Indikator Output 2016-Jun 2016 2016 2017 2017
N#/D# % Year N #/D# % N #/D# % N #/D# % N #/D# %
% LSL dites HIV dan 21,287 9.9% 2014 23,260 10.9% 34,889 16.3% 38,378 17.9% 43,922 20.5%
tahu hasilnya 214,005 214,005 214,005 214,005 214,005
K% Waria/TG dites HIV 12,396 32.6% 2014 5,717 15% 6,987 18.4% 7,197 18.9% 7,457 19.6%
dan tahu hasilnya 38,031 38,031 38,031 38,031 38,031
% pekerja seks dites 71,612 31.2% 2014 38,148 16.6% 51,049 22.2% 54,385 23.7% 58,780 25.6%
HIV dan tahu hasilnya 229,852 229,852 229,852 229,852 229,852
pria pekerja pelabuh- - 14% 2013 10,315 3.8% 24,069 8.8% 26,476 9.7% 40,327 14.8%
an dites HIV dan tahu
hasil 272,890 272,890 272,890 272,890
12
Targets Jan Jul 2016 - Dec Jan 2017 - un Jul 2017 - Dec
Baseline
Indikator Output 2016-Jun 2016 2016 2017 2017
N#/D# % Year N #/D# % N #/D# % N #/D# % N #/D# %
% penasun dites HIV 6,272 17.5% 2014 4,167 11.6% 4,862 13.6% 4,959 13.9% 5,008 14%
dan tahu hasilnya 35,795 35,795 35,795 35,795 35,795
% orang dapat PTRM 345 50% 2014 N/A 429 55% 593 60% 682 60%
sekurangnya 6 bulan 690 780 988 1,136
Jumlah penasun sedang 1,432 4% 2014 1,951 5.5% 2,470 6.9% 2,841 7.9% 3,211 9%
dapat PTRM 35,795 35,795 35,795 35,795
35,795
1,668,47
293,825 5.7% 2014 690,401 26.5% 1,380,803 26.5% 834,235 32% 31.7%
% ibu hamil tahu status 0
HIV nya 2,609,57 5,271,33
5,116,347 2,609,572 5,219,143
2 4
% ibu hamil HIV-positif 1,125 7.3% 2014 1,425 18.3% 2,850 18.3% 2,002 25.2% 4,004 25.2%
mendapat ARV 15,517 7,779 15,558 7,944 15,887
% bayi dari ibu HIV- 548 3.8% 2014 NA N/A 1,170 8% 1,120 15% 2,240 15%
positif dapat tes virologi
HIV 2 bln setelah lahir 14,586 NA 14,625 7,467 14,934
13
Targets Jan Jul 2016 - Dec Jan 2017 - un Jul 2017 - Dec
Baseline
Indikator Output 2016-Jun 2016 2016 2017 2017
N#/D# % Year N #/D# % N #/D# % N #/D# % N #/D# %
12.5 18.2
TCS-1: % Odha dewasa & 50,400 7.7% 2014 77,700 10.8% 90,000 113,000 15% 137,000
% %
anak dapat ART
658,510 722,008 722,008 751,832 751,832
TCS-2: % Odha memulai 3,420 68.6% 2014 7,500 60% 7,500 60% 8,500 50% 8,500 50%
ART dengan CD4 <200
sel/mm³ 4,986 12,500 12,500 17,000 17,000
TCS-4: % fasyankes ART - 0% 2014 - 0% - 0% - 0% - 0%
alami stock-out ARV 12
bulan terakhir 247 550 646 742 838
TCS-3: % Odha dewasa dan N/A - N/A 755 70% - N/A 5,100 85%
anak dengan ART, dengan
viral load 12 bulan <1000 N/A - 1,079 - 6,000
kopi/ml
Jumlah Odha mendapat 45,000 6.8% 41,958 5.8% 62,002 8.6% 71,190 9.5% 105,126 14%
dukungan psiko-sosial 658,510 722,008 722,008 751,832 751,832
14
Targets Jan Jul 2016 - Dec Jan 2017 - un Jul 2017 - Dec
Baseline
Indikator Output 2016-Jun 2016 2016 2017 2017
N#/D# % Year N #/D# % N #/D# % N #/D# % N #/D# %
TB/HIV-1: % pasien TB dites 15,074 4.7% 2014 54,557 30% 109,114 30% 82,331 40% 164,661 40%
HIV dengan hasil tercatat di
register TB 322,806 181,857 363,714 205,827 411,654
TB/HIV-2: % pasien TB tHIV- 624 26.5% 2014 2,728 100% 5,456 100% 4,117 100% 8,233 100%
positif dapat ART selama
pengobatan TB 2,355 2,728 5,456 4,117 8,233
TB/HIV-3: % pasien HIV- 266,270 83.5% 2014 N/A N/A 102,600 95% 135,600 100% 163,200 100%
positif diskrining TB di
layanan HIV 318,846 N/A 108,000 135,600 163,200
TB/HIV-4: % pasien HIV- 18.9
524 2014 1,550 10% 3,100 10% 3,500 7,400 20%
positif baru mulai terapi %
pencegahan INH 15,500 31,000 18,500 37,000
KP-: % warga binaan 15.7 19.2
16,340 10% 24,511 15% 25,736 31,455
Lapas/Rutan dites HIV dan % %
tahu hasilnya 163,404 163,404 163,404 163,404
M&E-1: % Kabkota unit 84.5 90.1 90.1
NA 120 84.5% 120 128 128
pelapor mengirim laporan % % %
tepat waktu 142 142 142 142 15
Wilayah Kegiatan
16
Wilayah Kegiatan di 34 Provinsi
231 kabkota, yaitu 141 kabkota SSF dan 90 kabkota baru
21
PENCEGAHAN & PENGENDALIAN HIV
Pengobatan
Kelompok Pencegahan Pengobatan
Pencegahan Tes HIV Lanjutan
Sasaran Lanjutan HIV
AIDS
23
Jejaring KPA, Spiritia dan DKK
Dukungan
Penjangkauan Psikososial
LSM ODHA
Tes HIV & IMS KDS KARANGANYAR
LSL, WARIA, WPS PEDULI
di
Klinik & mobile
clinic
21 Pusk. & 2 RS
24
Rangkuman WP 2016
No Pelaksana
Si S2 2016
BL Total Rp. BL Total Rp. Total budget
PR
Subdit AIDS & PIMS 91 49,139,264,636 44 17,008,958,154 66,148,222,790
SR Pusat
1 Dirkesga 1,394,386,100 675,515,049 2,069,901,149
2 Dir Fasyankes & Dir
600,888,500 1,683,715,012 2,284,603,512
Akreditasi
3 WHO ISAC 4,992,262,967 6,021,484,205 11,013,747,172
4 YPI 303,666,500 262,649,300 566,315,800
5 CHAI 5,037,342,800 4,534,555,000 9,571,897,800
6 PKVHI 2,320,946,950 2,485,230,782 4,806,177,732
7 Ditjen PAS 2,883,304,028 719,372,849 3,602,676,877
8 RED Inst 617,200,125 499,436,725 1,116,636,850
9 IPPI 673,226,000 39,000,000 712,226,000
25
Rangkuman WP 2016
Jml KK
No Pelaksana
Si S2 2016
Lm Br
BL Total Rp. BL Total Rp. Total budget
SR Provinsi
1NAD 2 2 49 1,275,580,047 35 509,169,663 1,784,749,710
2Sumatera Utara 4 5 62 3,310,900,915 50 2,119,158,848 5,430,059,763
3Sumatera Barat 3 51 1,216,140,144 41 584,054,704 1,800,194,848
4Riau 5 1 58 2,504,624,612 44 1,122,346,278 3,626,970,889
5Jambi 1 2 55 964,051,620 43 475,126,512 1,439,178,131
6Sumatera Selatan 4 1 58 2,115,634,634 45 937,245,984 3,052,880,618
7Bengkulu 2 39 811,420,610 29 338,882,768 1,150,303,378
8Lampung 1 4 55 1,367,787,705 43 715,424,663 2,083,212,367
9Bangka Belitung 1 2 47 876,447,668 35 386,630,478 1,263,078,146
10Kepulauan Riau 3 1 59 1,652,391,004 47 922,915,024 2,575,306,028
11DKI Jakarta 5 52 5,907,076,012 44 5,231,111,592 11,138,187,604
12Jawa Barat 24 2 62 11,977,197,335 49 7,116,687,126 19,093,884,461
13Jawa Tengah 25 6 63 11,902,251,160 49 5,906,854,184 17,809,105,344
14DI Yogyakarta 3 2 59 1,705,216,699 45 769,130,219 2,474,346,917
15Jawa Timur 10 28 62 9,458,115,897 50 5,464,156,215 14,922,272,112
26
16Banten 5 2 61 2,858,687,013 47 1,394,149,065 4,252,836,078
Rangkuman WP 2016
Jml KK
Si S2 2016
No Pelaksana
Lm Br BL Total Rp. BL Total Rp. Total budget
SR Provinsi
17 Bali 3 4 62 2,459,786,513 49 1,462,023,720 3,921,810,233
18 Nusa Tenggara Barat 3 3 56 2,172,350,873 42 1,054,807,451 3,227,158,325
19 Nusa Tenggara Timur 2 2 50 1,345,732,723 37 670,979,415 2,016,712,137
20 Kalimantan Barat 4 3 63 2,312,001,317 49 1,028,840,859 3,340,842,176
21 Kalimantan Tengah 2 1 49 1,092,332,659 35 406,108,405 1,498,441,064
22 Kalimantan Selatan 2 1 52 804,894,836 39 381,601,058 1,186,495,893
23 Kalimantan Timur 2 2 58 1,694,345,181 45 1,019,232,927 2,713,578,108
24 Kalimantan Utara 1 3 49 1,228,834,450 35 556,678,975 1,785,513,425
25 Sulawesi Utara 3 54 1,607,310,664 43 842,049,604 2,449,360,267
26 Sulawesi Tengah 1 1 52 765,689,366 39 342,050,186 1,107,739,552
27 Sulawesi Selatan 4 4 63 3,005,141,509 50 1,774,937,806 4,780,079,315
28 Sulawesi Tenggara 2 40 846,693,602 29 349,097,222 1,195,790,824
29 Sulawesi Barat 1 30 461,752,458 22 207,611,427 669,363,885
30 Gorontalo 1 1 48 715,940,014 35 295,976,872 1,011,916,886
27
Rangkuman WP 2016
No Pelaksana
Jml KK Si S2 2016
Lm Lm BL Total Rp. BL Total Rp. Total budget
SR Provinsi
31Maluku Utara 1 1 48 736,851,844 35 314,029,790 1,050,881,634
32Maluku 1 1 52 769,299,584 39 343,809,142 1,113,108,726
33Papua Barat 4 3 60 1,965,135,721 44 949,942,666 2,915,078,387
34Papua 7 1 58 2,770,937,373 45 1,460,430,539 4,231,367,912
28
Kegiatan SR di Provinsi
29
Rencana S2, Jan- Jun 2016, SR Provinsi
BL No. Activity Description S1 S2
Conseling and HIV test incl ab consumble to detect new PLHIV including
1 √ √
adherence to ART (MSM)
2 Cost of HIV rapid test - for KAP and community (MSM) √ √
3 STI Gram stain for KAP and community (MSM) √ √
Mobile Counseling and test to detect HIV/STI new PLHIV at hotspot - for KAP
4 √ √
and community (MSM)
5 Lab consumable for HIV test to detect new PLHIV (TG) √ √
Mobile Counseling and test to detect new PLHIV at hotspot - for KAP and
6 √ √
community (TG)
7 Cost of HIV rapid test - for KAP and community (TG) √ √
8 STI Gram Stain for KAP and community (TG) √ √
Counselling and HIV Test to detect new PLHIV including tracing of DO cases
9 √ √
(PWID)/ Lab Consumable
Mobile Counseling and test to detect new PLHIV at hotspot - for KAP and
10 √ √
community (PWID)
11 Cost of HIV rapid test - for KAP and community (PWID) √ √
13 Family Meeting of MMT Client at MMT Clinic √ √
Conselling and HIV test to detect new PLHIV incl tracing DO cases (FSW)/ Lab
15 √ √
Consumable
Mobile Counseling and test to detect new PLHIV at hotspot - for KAP and
16 √ √
community (FSW)
17 Cost of HIV rapid test - for KAP and community (FSW) √ √
18 STI Gram Stain for KAP and community (FSW) √ √ 30
Rencana S2, Jan- Jun 2016, SR Provinsi
BL No. Activity Description S1 S2
Counseling and HIV test to detect new PLHIV incl Tracing DO cases (Seaport)/
19 √ √
Lab Consumable
Mobile Counseling and test to detect new PLHIV at hotspot - for KAP and
20 √ √
community (Sea Port)
21 Cost of HIV rapid test - for KAP and community (Sea Port) √ √
22 STI Gram Stain for KAP and community (Sea Port) √ √
29 Support for new CT clinics - service of KAP and community √ -
30 Support for new STI clinics - service of KAP and community √ -
31 Training of staff of new CT clinics - for CT clinic staff √ -
32 Training of staff of new STI clinics - for STI clinic staff √ -
Quarterly meeting of clinic staff of CT & STI clinic at clinic level - for CT & STI
33 √ √
clinic staff
55 Coordination meeting of HIV working group in hospital - for clinic staff √ √
60 Support for new CST/ART clinics - for service of PLHIV √ -
61 Training of staff of new CST/ART clinics - CST/ART clinic staff √ -
63 Training of LKB and SUFA for district team √ -
Retention ARV meeting of clinic staff of CST/ART clinic at clinic level - for CST
64 √ √
clinic staff
68 semesterly meeting of CoC/SUFA at district level √ √
80 CD4 test at CT and CST clinic - for PLHIV √ √
92 Lab Consumable for HIV Test - Pregnant woman √ √
104 On-site training RR ARV & IMS - district level √ √
121 Supervision to districts by SR - for program managers of province level √ √ 31
Rencana S2, Jan- Jun 2016, SR Provinsi
BL No. Activity Description S1 S2
122 Supervision to clinics by District - for program managers of district level √ √
126 TB-HIV planning and budgeting meeting at provincial level √ -
127 Working Group coordination meeting at district level √ -
131 Provincial TB-HIV data validation meeting - √
136 Training DOTS or TB-HIV for Health care worker in ART hospital, provincial level √
-
141 Counselling and Testing workshop for TB officers at DOTS facilities √ -
Semesterly clinical evaluation of for side effect and complication treatment at
146 √ √
hospital
Semesterly clinical treatment evaluation of clinic staff and community network
147 √ √
for adherence at Puskesmas
179 Salary at Provincial Level, (34 Prov) √ √
181 Salary at District Level, (142 District) √ √
183 Offices Running Cost at Province Level √ √
184 Offices Running Cost at District Level √ √
187 Semester meeting on program evaluation at provincial level √ √
188 Semester meeting on program evaluation at district level √ √
203 CD4 test at CT and CST clinic - for PLHIV √ √
262 SR Prov 13th Salary √ -
263 SSR 142 13th Salary √ -
310 Lab consumble to detect new PLHIV among TB patients √ √
32
II. Rencana S1, Jan-Jun 2016 – SR Prov - 1
BL No. Activity Description S1
1 Conseling and HIV test incl ab consumble to detect new PLHIV (MSM) 369,740,417
2 Cost of HIV rapid test - for KAP and community (MSM) 157,002,300
3 STI Gram stain for KAP and community (MSM) 598,178,763
4 Mobile Counseling and test to detect HIV/STI new PLHIV at hotspot - (MSM) 1,632,823,920
5 Lab consumable for HIV test to detect new PLHIV (TG) 80,778,384
6 Mobile Counseling and test to detect new PLHIV at hotspot - (TG) 356,728,320
7 Cost of HIV rapid test - for KAP and community (TG) 34,300,800
8 STI Gram Stain for KAP and community (TG) 130,686,048
9 Counselling and HIV Test to detect new PLHIV (PWID)/ Lab Consumable 57,410,897
10 Mobile Counseling and test to detect new PLHIV at hotspot – for PWID 253,534,320
11 Cost of HIV rapid test - for KAP and community (PWID) 24,378,300
13 Family Meeting of MMT Client at MMT Clinic 145,860,000
15 Conselling and HIV test to detect new PLHIV (FSW)/ Lab Consumable 567,156,581
16 Mobile Counseling and test to detect new PLHIV at hotspot - (FSW) 2,504,640,528
17 Cost of HIV rapid test - for KAP and community (FSW) 240,830,820
18 STI Gram Stain for KAP and community (FSW) 917,565,424 33
II. Rencana S1, Jan-Jun 2016 – SR Prov
BL No. Activity Description S1
19 Counseling and HIV test to detect new PLHIV (Seaport)/ 218,630,664
20 Mobile Counseling and test to detect new PLHIV at hotspot (Sea Port) 965,502,720
21 Cost of HIV rapid test - for KAP and community (Sea Port) 92,836,800
22 STI Gram Stain for KAP and community (Sea Port) 353,708,208
29 Support for new CT clinics - service of KAP and community 3,807,000,000
30 Support for new STI clinics - service of KAP and community 3,375,000,000
31 Training of staff of new CT clinics - for CT clinic staff 5,239,820,000
32 Training of staff of new STI clinics - for STI clinic staff 4,719,460,000
33 Quarterly meeting of clinic staff of CT & STI clinic at clinic level 474,300,000
55 Coordination meeting of HIV working group in hospital - for clinic staff 881,875,000
60 Support for new CST/ART clinics - for service of PLHIV 2,538,000,000
61 Training of staff of new CST/ART clinics - CST/ART clinic staff 2,924,420,000
63 Training of LKB and SUFA for district team 5,278,950,000
64 Retention ARV meeting of clinic staff of CST/ART clinic at clinic level 229,500,000
68 semesterly meeting of CoC/SUFA at district level 447,675,000
34
II. Rencana S1, Jan-Jun 2016 – SR Prov - 3
BL No. Activity Description S1
80 CD4 test at CT and CST clinic - for PLHIV 1,620,000,000
81 VL test at CST clinic - for PLHIV 1,912,500,000
92 Lab Consumable for HIV Test - Pregnant woman 1,319,685,207
104 On-site training RR ARV & IMS - district level 656,414,000
121 Supervision to districts by SR - for program managers of province level 584,208,000
122 Supervision to clinics by District - for program managers of district level 846,000,000
126 TB-HIV planning and budgeting meeting at provincial level 525,980,000
127 Working Group coordination meeting at district level 304,560,000
137 Workshop disemination and strengthening IPT to ART site in province level 823,328,000
141 Counselling and Testing workshop for TB officers at DOTS facilities 1,277,504,000
146 Semesterly clinical evaluation of for side effect treatment at hospital 220,000,000
147 Semesterly clinical treatment evaluation of clinic staff at Puskesmas 689,000,000
159 Comprehensive STI-HIV training for health facilities in 50 new Districts 4,641,264,000
Workshop to link health service and community for TB-HIV in 50 New
160 812,533,333
Districts
161 Meeting of CoC/SUFA at 50 New district level 158,750,00035
II. Rencana S1, Jan-Jun 2016 – SR Prov - 4
BL No. Activity Description S1
162 Case detection of new HIV case in the community in 50 New Districts 256,579,942
163 Case tracing and detection of PLHIV who LFU in 50 New Districts 32,071,999
Mobile Counseling and test to detect HIV/STI new PLHIV in 50 New
164 288,190,591
Districts
179 Salary at Provincial Level, (34 Prov) 3,229,939,760
181 Salary at District Level, (142 District) 3,074,209,054
183 Offices Running Cost at Province Level 805,800,000
184 Offices Running Cost at District Level 1,886,580,000
187 Semester meeting on program evaluation at provincial level 1,083,080,000
188 Semester meeting on program evaluation at district level 5,594,325,000
193 Office Running Cost of 50 New Districts 669,000,000
194 Salary of 50 New Districts 749,828,200
201 Comprehensive STI-HIV training for health facilities in 40 New Districts 5,019,840,000
203 CD4 test at CT and CST clinic - for PLHIV 1,620,000,000
204 VL test at CST clinic - for PLHIV 1,912,500,000
36
II. Rencana S1, Jan-Jun 2016 – SR Prov - 5
BL No. Activity Description S1
205 Workshop to link health service &community in 40 New Districts 744,640,000
206 Meeting of CoC/SUFA at 40 New district level 127,000,000
Case detection of new HIV case in community in 40 New
207 598,686,531
Districts
Case tracing and detection of PLHIV who LFU in 40 New
208 74,834,663
Districts
Mobile Counseling and test to detect HIV/STI new PLHIV in 40
209 672,444,712
New Districts
226 Salary of 40 New Districts 599,862,560
227 Office Running Cost of New Districts 535,200,000
310 Lab consumble to detect new PLHIV among TB patients 428,272,811
37
Biaya dan Kegiatan 1
Lab consumable dan mobile clinic
• Target dan Biaya Lab di SR Prov hanya untuk KAP, Bumil dan pasien TB.
• Biaya Lab KAP, Bumil dan TB tidak bisa dialihkan untuk kelompok (BL) lain.
• Biaya Lab KT dibayar sesuai capaian orang dites HIV, Lab IMS sesuai orang
diperiksa Lab (pewarnaan Gram dan Sifilis)
• Di prov tertentu, ada target KAP, tidak ada biaya lab karena
– Target dihitung dari jumlah target kabkota lama + kabkota baru
– Biaya Lab dihitung dari target kabkota lama saja
– Biaya Lab untuk kabkota baru diharapkan berasal dari sumber lain (APBD),
jika tidak tersedia targetnya dapat diabaikan.
• Biaya mobile clinic di kabkota lama ada untuk tiap kelompok
• Biaya mobile clinic di kabkota baru digabung untuk semua KAP di BL164 /BL209
• Penjangkauan KAP oleh kader di kabkota baru di BL162 dan 207
• Penemuan Odha LFU oleh kader di kabkota baru di BL163 dan 208
Layanan di Lapas
• Target dan Biaya Lab untuk WB Lapas tersedia di SR Ditjenpas untuk klinik KT di
Lapas dan klinik KT yang berkunjung ke Lapas
• Biaya mobile clinic ke Lapas tanpa KT disediakan oleh SR Ditjenpas 38
Biaya dan Kegiatan 2
• Pelatihan Klinik Baru untuk kabkota lama (BL 31,32,61) disertai dengan paket
Dukungan Klinik (Komp, Printer, AC/others) (BL29,30,60).
• Biaya Pelatihan Klinik Baru dan Kader di kabkota baru dengan pola
Comprehensive STI-HIV training tersedia di BL159 ,160 atau BL 201, 205
• Akan ada TOT untuk pelatihan komprehensif dan Modul masih disiapkan
• Pengadaan Komp & Printer (BL29,30,60), agar sesuai spec, AC dapat diganti
dengan alat lain selain mebel.
• PR berencana menyerahkan tambahan dana pengadaan untuk
– 243 komputer untuk SIHA di 34 SR dan 141 SSR kabkota lama (BL106)
– 105 komputer untuk 4 SR Baru, 11 SSR PP&PB dan 90 SSR kabkota baru
(BL192)
• On site RR ART Training (BL104) adalah pelatihan RR ARV dilakukan di prov.
Anggarannya terpecah dalam 4 kuartal (pecahan <1 untuk kabkota yang sedikit)
dapat disatukan di Q2 atau Q3.
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Biaya dan Kegiatan 3
• Pertemuan semester di Prov (BL187) dapat mengundang kabkota baru dengan
mengurangi unit cost, hari, menambah orang, tanpa menambah biaya.
• Di kabkota lama tersedia biaya Pertemuan Semester (BL188) dan Rapat
CoC/LKB dan SUFA (BL68)
• Di kabkota baru tidak tersedia dana Pertemuan Semester, untuk itu agar Pert
Semester disatukan dengan Rapat CoC/LKB dan SUFA (BL 161 atau 206)
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Tanggung Jawab
PR dan SR di Provinsi
a. PR Komisi Penanggulangan AIDS Nasional dan SR KPA Provinsi –
Pencegahan dan penemuan kasus HIV pada Pekerja Seks di 75 kabkota,
Pencegahan dan penemuan kasus HIV Pekerja Pelabuhan (ABK dan TKBM) di 24
kota
Penguatan sistem mayarakat /CSS dan menghilangkan hambatan peraturan/ RLB
Pengadaan kondom, pelicin, alat suntik steril dan IEC material
b. PR Spiritia dan SR regionalnya (LSM)
Pencegahan dan penemuan kasus HIV pada LSL, Waria dan Penasun di 141 Kabkota
Pendampingan Odha di 141 kabkota dan 40 kabkota baru (luar Jawa)
c. PR Kementerian Kesehatan dan SR Dinkes Provinsi,
Penemuan kasus HIV & IMS pada LSL, Waria dan Penasun bersama LSM Spiritia,
Penemuan kasus HIV & IMS pada WPS dan Pekerja Pelabuhan, bersama KPA
Penemuan kasus HIV & IMS pada Warga Binaan Lapas Rutan, bersama SR Ditjen
Pemasyarakatan
Penemuan kasus HIV ibu Hamil, anak dari ibu dengan HIV dan pasien TB dan IMS
Pengobatan kasus HIV semua Odha dan Pencegahan TB (dengan INH/PPI)
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SR dari LSM Spiritia di Provinsi
No Region Nama Provinsi SR Terpilih
1 Region 1 Aceh, Sumatera Utara, Sumatera Barat, Jambi, Persaudaraan Korban Napza
(12) Bangka Belitung, Riau, Kepulauan Riau, Indonesia (PKNI)
Bengkulu, Lampung, Sumatera Selatan, DIY
2 Region 2 Sulawesi Utara, Sulawesi Tengah, Gorontalo, Yayasan Pelita Ilmu (YPI)
(10) Sulawesi Tenggara, Sulawesi Selatan, Bali, NTT,
NTB, Papua, Papua Barat
3 Region 3 Kalimantan Tengah, Kalimantan Barat, Lembaga Kesehatan-Pengurus
(7) Kalimantan Timur, Kalimantan Selatan, Maluku, Besar Nahdlatul Ulama (LKNU)
Maluku Utara, Jawa Timur
4 Region 4 DKI, Banten, Kab dan Kota Bekasi, Kab. dan Gaya Warna Lentera Indonesia
(2+) Kota Bogor, Kota Depok (GWL-INA)
5 Jawa Jawa Barat (kecuali Bekasi, Bogor dan Depok) Perkumpulan Keluarga
Barat Berencana Indonesia (PKBI)
(1-) Prov Jawa Barat
6 JATENG Jawa Tengah Pengurus Wilayah Nahdlatul
(1) Ulama (PWNU) Prov Jawa
Tengah 42
9 SR Pusat Kemenkes
1. WHO Perwakilan Indonesia, ISAC – WHO, TA dalam penyusunan pedoman,
perencanaan, monitoring dan evaluasi untuk Program Pengendalian HIV
2. Perkumpulan Konselor VCT HIV Indonesia, PKVHI mutu konselor HIV
3. Dit Mutu dan Akreditasi, Ditjen Yankes, Kemenkes, mutu Lab HIV
4. Dit Kesehatan Keluarga, Ditjen Kesmas, Kemenkes, integrasi ANC Terpadu
dan PPIA
5. Yayasan Pelita Ilmu, YPI, KIE dan rujukan bumil untuk tes HIV melalui bidan
swasta
6. Ikatan Perempuan Positif Indonesia (IPPI), pengembangan pedoman PPIA dan
jejaring bagi komunitas
7. Ditjen Pemasyarakatan, Ditjenpas, Kemenkumham, (sebelumnya SR dari KPA),
melakukan KIE Pencegahan, fasilitasi tes HIV dan penanganan Odha Warga
Binaan di Lapas
8. RED Institution (LSM) , (sebelumnya SR dari TB), melakukan KIE dan rujukan
Warga Binaan di 12 Lapas dan 8 RS di Jabar & DKI
9. Clinton Foundation, CHAI, melakukan Pengendalian HIV di 9 kabkota di prov
Papua yaitu Tolikara, Yahukimo, Membramo Tengah dan Keerom.
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Mari bersama mencapai tujuan
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TERIMA KASIH