Key facts on the Indonesia show that changes in program management and better interventions coupled with demonstration projects are affecting positively. New infections in 2016 from UNAIDS state that there are 48 000, people living with HIV/AIDS are 620 000 and 77748 (13%) of these is the ART coverage. While a general decline in infection is a good indicator, People Living with HIV AIDS and AIDS related deaths are increasing. eMTCT in 2016 indicated 12 000 pregnant women living with HIV. Requested by USAID to support and assess the status of Viral Load Scale Up (VLSU) within six provinces in the country, to identify gaps and challenges, to propose recommendations and potential areas for collaboration and to develop a National Laboratory Strategy appropriate for the National AIDS Program (NAP).
The EQUIP team assisted with the development of the Global Fund concept note and assisted with the drafting of their National Laboratory Strategic Plan (NLSP). The work EQUIP undertook will support creating a funding stream to scale up viral load testing and draft the policies that will govern such implementation in the country to improve patient treatment and care.
Further EQUIP undertook laboratory assessments performed in Jakarta, Palembang, Surabaya, Jayapura and Makassar, numbering some thirteen. The recommendations of Viral Load Scale Up were presented to the Indonesian Ministry of Health. The program is really targeted to Viral Load Scale Up and the impact from EQUIP is our global expertise acquired in the South African National Health Laboratory Services, running and managing the public health care laboratories of South Africa. Of course they are a key partner to EQUIP in supporting all Viral Load Scale Up across all EQUIP countries, which are introducing this patient monitoring protocol.
Undertaking assessments requires a huge logistical coordination and resource planning. An assessment to scale up viral testing will be done using GIS mapping of facilities and laboratories, examining existing supply chain systems, evaluating the integrity of specimen transportation and collection, and the turnaround times resulting in reporting to patients with appropriate management based on their results outcomes.
The Indonesia Assessment project has been successfully concluded and EQUIP may engage in further work should this develop.
Indonesia is the third largest democracy in the world, the largest economy in Southeast Asia and is home to some of the world’s richest biodiversity. Indonesia enjoys steady economic growth and has emerged as a regional leader; however, the country faces environmental and other development challenges.