HIV - AIDS National Action Plan for Migrant workers in Indonesia
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Transcript of HIV - AIDS National Action Plan for Migrant workers in Indonesia
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HIV - AIDS National Action Plan for Migrant workers in Indonesia
Dr. Fonny J. Silfanus,MSc
Deputy Program, NAC, IndonesiaBangkok, 29 Nov 2011
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Structure of presentation
1. HIV Epidemic in Indonesia
2. National Action Plan for Migrant Workers
3. Development Process
4. conclusion
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A view of HIV Epidemic in Indonesia Estimate number of PLWHIV in 2009: 186,257
Estimation of HIV prevalence among adult population
PLWHIV estimate number
Data source: Estimation of HIV vulnerable adult population, 2009, MOH RI.Geographic mapping done by NAC, 2010 for 33 provinces and 440 districs.
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Future trend of HIV epidemic in Indonesia(The modeling estimate 186.257 PLWHIV in 2010 and 813,720 PLWHIV in 2014)
4
Intimate partner
FSW
MSM
IDU
Client
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HIV PREVALENCE AMONG INDONESIA MIGRANT WORKERS
National HIV prevalence : 0,2 %. HIV Prevalence among Migrant Workers
around 0,11 % (160 HIV positif out of 145,289 in 2005, and 174 positif out of 162,027 in 2009)
Most of MWs tested are women form rural area.
Indomesia Migrant Workers around 6 million ( legal and illegal)
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HIV - AIDS National Action Plan
for Migrant Workers 2012-2015
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1. Recruitment of 3 persons as a core writing Team
2. Defining the frame work of document with the MMP Working Group
3. Writing Process & Enrichment through consultative meeting with the Member of MMP Working Group.
4. Focus Group Discussion / Indepth Interview
5. Review Meeting with Expert Panel (BNP2TKI, MoMP, MoH, MoFA, SBMI and PPTKIS)
6. National Workshop
7. Sub National Workshop in two provinces.
8. Finalization the action plan ( Nov-Des 2011)
Enactment Process
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Target Inline with SRAN HIV-AIDS 2010-2014
Main indicators Program
coverage
Program
effectiveness
Program
sustainability
Targets by 2014• 80% of migrant worker
populations reached by effective prevention programs
• 60% of migrant workers practice safe behaviours
• 70% budget covered by domestic funding
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STRATEGIC PRIORITY
• FOCUS AREA– Prevention– Care Support & Treatment– Mitigation of Economic & Social Impact– Establishment of Conducive Environment
• GEOGRAFIC FOCUS10 Provinces and 107 Districts & Cities
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1. Prevention Area• Scaling Up Prevention Program in Sending Areas
& Transit areas • Increase Quality of education MWs Orientation
Program (BLKLN) • Increase Quality of education Pre-Dep
Orientation (PAP)• Provision of Information Access to MWs during
Employment. • Scaling Up Community Empowerment Program• Implementation of Migrant Friendly Testing &
Counseling
The Action Plan (1/4)
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2. Care, Support & Treatment• Scaling Up Counseling & HIV test for MWs in
their Sending Areas (before they enter the transit areas)
• Development & Implementation of Proper Referral System for HIV Positive Migrant Workers
• Increase collaboration with Destination Countries in regard to Health Services & Access for MWs (during employment)
• Reguler Monitoring to Ensure Quality of Local MWs Medical Agents
The Action Plan (2/4)
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3. Mitigation of Social & Economic Impact
• Ensure all MW receive National / Local Medical Insurances and increase MWs access to other Insurances.
• Socio-economic support for Poor HIV Positive MWs.
The Action Plan (3/4)
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4. Establishment of Conducive Environment
• Review the National Law on Placement & Protection of Indonesia MWs ( UU 39/2004)
• Establishment of Accurate & Complete Database System of Migrant Workers
• Enhance Collaboration with Destination Country and Borders Authorities (traficking)
• Research on MWs Biological & Behavior Status of MWs
The Action Plan (4/4)
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Conclusion
• Migrant workers are vulnerable and high risk for HIV infection
• Coordination and collaboration of multi sectors to implement the Action plan at all level , is very crucial.
• Collaboration among SEA countries have important role to success the implementation
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Thank You