Indonesia

Key Results in 2022-2023

A national EMTCT roadmap for 2024-2030 was developed as guidance to eliminate vertical transmission of HIV, syphilis, and hepatitis B.
The Government passed the Ministerial Decree No 88/2023 on the Prevention and Harassment and Violence in the Workplace strengthening access and equity in the workplace.
Stigma Index 2.0 study generated strategic evidence for the HIV response.
Pilot social contract mechanisms for the HIV response are implemented in 10 cities with plans for expansion to 24 districts in 2024.

Joint Programme Results

The Government embarked on expanding pre-exposure prophylaxis (PrEP) across the nation following successful results from pilot programmes in 34 healthcare facilities; review of guidelines, enactment of PrEP regulation; and capacity building of healthcare providers and community workers (UNAIDS Secretariat). Awareness and demand creation materials were also disseminated using online platforms, including Saya Berani, Tanya Marlo and TestJKT increasing uptake among vulnerable key populations. As a result, 47.8% of the 8000 people accessing PrEP in 2023 were influenced to avail of these services through social media campaigns (UNAIDS Secretariat). In addition, over 7700 condoms were distributed to refugees to prevent HIV transmissions; and 46 refugee representatives and volunteers were trained as HIV peer counsellors and supported to promote HIV prevention and treatment and provide support services among refugees (UNHCR).

Access and quality of antiretroviral treatment (ART) has improved though the development of the 3-6 month multimonth dispensing (MMD) and HIV drug resistance (HIV-DR) protocols; standard operating procedure for redistribution of ART; and HIV-DR surveillance in 40 selected healthcare facilities (UNDP, WHO). In addition, the national elimination of vertical transmission of HIV, congenital syphilis, and hepatitis B (EMTCT) roadmap for 2024-2030 was developed and the revised EMTCT guidelines were aligned with latest international testing, treatment and care standards for pregnant and lactating women, infants and children (UNICEF, UNWomen, UNAIDS Secretariat).

HIV incidence per 1000 uninfected populations

Source: AIDSinfo

AIDS mortality per 1000 population

Source: AIDSinfo

To improve access to HIV and sexual and reproductive health (SRH) information and services, three provinces launched an out-of-school comprehensive sexuality education campaign. Besides, over 900 young people from key populations in nine provinces were reached with similar topics during the 2022 World AIDS Day youth festival which was organised in collaboration with the national network of young people Inti Muda (UNFPA, UNAIDS Secretariat).

Indonesia took encouraging steps to scale up HIV services among marginalised and key populations in line with the leave no one behind principle, thanks to the significant support from the Joint Programme. For instance, the first national HIV prevention guidelines for female sex workers with disabilities was developed drawing evidence from data collected through community responses (UNFPA). Finally, the Ministry of Manpower passed the Ministerial Decree No 88/2023 on the Prevention and Harassment and Violence in the Workplace strengthening access and equity in the workplace; and launched the National Action Plan on HIV Prevention and Handling at the Workplace (ILO).

Through a partnership with the national network of people living with HIV, Jaringan Indonesia Positif, the Stigma Index 2.0 study was conducted and generated strategic evidence, including types and level of stigma experienced by people living with HIV, barriers to services and recommendations for addressing stigma in HIV programme (UNAIDS Secretariat). In addition, DELILA, an online reporting system for women living with HIV was updated to address stigma towards this group (UN Women).

In terms of human rights and social protection, more than 250 transgender people from five provinces obtained Indonesian identification cards and benefited from the national health and employment insurance mechanisms, thanks to intense advocacy and technical support from the Joint Programme (ILO).

In 2023, the Government implemented pilot social contract mechanisms for the HIV response in 10 cities with plans for expansion to 24 districts in 2024. Civil society organizations working on HIV were also empowered to advocate for scale up of social contracting at district level through the IMPACT+ initiative (UNAIDS Secretariat).