25 Jan Indonesia HIV and Human Resources for Health HRH Assessment
Of the estimated 652,349 people living with HIV (PLHIV) in Indonesia, only 36% have been diagnosed, and only 12% are on antiretroviral therapy (ART). Strategic efforts are needed to achieve PEPFAR’s “90-90-90” goals: 90% of all PLHIV know their status; of these, 90% maintain ART; and of these, 90% achieve viral suppression. In 2018, the Ministry of Health launched the “Test and Treat” policy, guaranteeing that any Indonesian with a positive status can start immediately on antiretrovirals (ARVs). However, a less-than-optimal quality and distribution of Indonesia’s human resources for health (HRH) could prevent advances toward HIV epidemic control.
To understand the health workforce challenges and identify opportunities for scaling up HIV services, HRH2030 conducted a two-pronged HIV-HRH assessment:
At the policy level, the assessment analyzed HRH policies, protocols, scopes of practice, and task shifting practices that have hindered or supported the health workforce implementing Indonesia’s 2014 “Strategic Use of Anti-Retrovirals” (SUFA) policy as well as, moving forward, the Test and Treat policy. The analysis consisted of a policy search and validation, inventory process, and text analysis, complemented by key informant interviews.
At the site level, the assessment focused on a sample of 10 PEPFAR-supported sites in five “Fast Track” districts in Jakarta. The facilities included eight district Puskesmas, one sub-district Puskesmas, and one large, private key population-friendly clinic.
Results and recommendations can be found in the full report, at right.
Resource Type: Report
Topic: Performance and productivity, Skill mix and competency, Strengthening HRH in Indonesia