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Institutionalizing NGOs in the public health system to response the HIV epidemic among IDUs in West Java, Indonesia
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Institutionalizing NGOs in the public health system to response the HIV epidemic among IDUs in West Java, Indonesia

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    Institutionalizing NGOs in the public health system to response the HIV epidemic among IDUs in West Java, Indonesia Institutionalizing NGOs in the public health system to response the HIV epidemic among IDUs in West Java, Indonesia Presentation Transcript

    • Institutionalizing NGOs in the public health system to response the HIV epidemic among IDUs in West Java, Indonesia Patri Handoyo Indonesia HIV/AIDS Prevention and Care Project
    • HIV Case in West Java Province Source: West Java Provincial AIDS Commission 2005
    • Risk Factors Source: West Java Provincial AIDS Commission 2005
    • Early Response (2004)
      • None of government body responded
      • Three NGOs started NSP in Bandung
      • Underground program
      • Considered as criminal activity
      • Less than ten percent coverage
    • Police Harm Reduction Program
      • Together with provincial AIDS commission socialized HR to the police
      • MoU of provincial police and AIDS commission was initiated
      • A legitimate health institution needed to provide syringes
    • Provincial Public Health System
      • West Java has primary health centre in every sub district (561)
      • Three PHCs in Bandung City have been operating NSP since 2005
      • Political commitment by vice governor to scale up HR in 14 more districts
      • The initiative involved district authorities to plan local HR program
      • HR services were initiated in more than 30 PHCs
    • Bandung: Response to Province HR Scaling Up Plan
      • Experienced NGOs were involved to build a city HR program
      • Institutional role:
        • NGO: enhancing PHC staff’s skill and involving community to the program
        • PHC: delivering harm reduction service mainly NSP and basic health care
        • City government: participating more PHC and building sustainability of the program
    • Workshops and Trainings
    • Bandung 2006
      • Underground clients became public service clients
      • NGOs are integrated to city HR program
      • 12 PHC are operating NSP
      • City health office lead the response
    • HR recognized as a public health response run by local authorities
    • NGOs are not regarded as offender
    • Health care for IDUs widely accessible within communities