Indonesia HIV and Human Resources for Health (HRH) Assessment: Recommendations for implementing and scaling up the Test and Treat policy

Indonesia HIV and Human Resources for Health (HRH) Assessment: Recommendations for implementing and scaling up the Test and Treat policy

In 2018, Indonesia’s Ministry of Health estimated that 36% of people living with HIV (PLHIV) in Indonesia had been diagnosed as HIV-positive, 33% of whom were 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). Optimizing the quality and distribution of Indonesia’s human resources for health (HRH) could support more effective Test and Treat policy implementation and advance 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.

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Associated Content: Policy annexes; Site annexes; PowerPoint

Two-Page Brief: Recommendations for Implementing & Scaling Up Test and Treat

Blog: Optimizing Indonesia’s Health Workforce to Advance the “Test and Treat” Policy for Sustained Epidemic Control

Country Snapshot: HRH2030 in Indonesia

Indonesia Health Economics Journal Article: Health Workforce Assessment in Jakarta for Effective HIV Implementation: Challenges and Opportunities toward Epidemic Control

Country: Indonesia

Resource Type: Report

Topic: Performance and productivity, Skill mix and competency, Strengthening HRH in Indonesia