National Secretariat:

Jl. Tebet Timur Dalam XI No. 94, Jakarta, Indonesia

Phone: 62 21 – 83797826

Fax: 62 21 – 83797825

E-mail: sekretariat@pkni.org

www.pkni.org

Monitoring Quality of Harm Reduction Services from Community

Perspective

Analysis of HIV Situation in Indonesia

Source : Ministry of Health

Estimated of PLHIV in 2009: 186.257 orang

Estimated of PLHIV in 2012 : 591.823 org

Almost all regions in Indonesia HIV epidemic is concentrated, but it is a widespread low-level

epidemic in Papua

HIV vulnerability mapping for IDU: Cities of monitoring the behavior of injecting drug users (IDU Estimated

number 2012: 74 326 people)

Source : Ministry of Health

Total IDU from 9 cities where Rapid Behavioural Survey conducted are 17.348 (23% from estimated in 2012)

3

IDU Client Satisfactory Assessment toward HR Services in 2009* - 2012

Source : Rapid Survey and IDU Client Satisfactory toward HR services, 2009 – 2012, HCPI

Catatan: There are missing data in 2009 by 3%

Knowledge and Safe

Behaviuor (%)

Program ‘HR’

Sexual Transmission

Program

4 Component of sexual

transmission

NSP, MMT, Community

Based Treatment

etc

- Condom Used (%)

SEXUAL

IDU

Coverage (%)

Coverage (%)

Prevalensi STI,

Prev HIV (%)

Input & Process Output Outcome

Impact

Input & Process Output Outcome

Impact

Conceptual Framework

Input(resource)

Proccess (activities/program)

Output(Result)

Outcome(Mid-term result)

Impact(Long term result)

Human Resources, Budget, facilities, Policies, Guidelines, Prevention and treatment materials, community network ,

Provision of human resources, provision of facilities, policy implementation,

distribution logistics, implementation of field activities, etc

The number of clients served, The number of a distributed logistics, number of activities carried out, etc..

Behavioral changes,Increased

knowledge,Environment that

enabling and conducive

The decrease in the prevalence of

HIV / STI, Decrease in

mortality

EvaluationMonitoring

M&E Framework

Monitoring quality of Harm Reduction Services

Monitoring Quality of Harm reduction Services

• To Ensure the quality of HR program and achieved the good result• Systematic and integrated method

with HR comprehensives program

Quality Assurance and Quality Improvement

Monitoring Quality of HR Services

• Developed a checklist that contains a minimum standard of service HR programs

• The approach is Participatory Self Administered (PSA) • Checklist was developed to:

NGO Community Health Center / Hospital Prisons City Health Department District AIDS Comission IDU community Also developed a questionnaire to portrait the beneficiary

satisfaction (Satisfaction Beneficiaries)

Stages :

Checklist MQ of HR Services Action Plan Form

Analysis Form of MQoHRS

Implementation

Recapitulation Form of the MQoHRS

implementation result

Komponen 1: Layanan Alat Suntik Steril (LASS)

Komponen 2:KIE terfokus pada penasun dan pasangannya

Komponen 3: Promosi Kondom Untuk Penasun dan Pasangannya

Komponen 4: Penjangkauan & Pendampingan (Outreach)

Komponen 5: Layanan Kesehatan Dasar

Komponen 6: Layanan Pencegahan dan Perawatan IMS

Komponen 7:Layanan Konseling dan Tes HIV Komponen 8: Perawatan, Dukungan dan Pengobatan (IO dan ART)

Komponen 9: Terapi Substitusi Opiat dan Rehabilitasi Ketergantungan Lainnya

Komponen 10:Vaksinasi, Diagnosis dan Terapi Hepatitis C

Komponen 11: Pencegahan, Diagnosis dan Terapi TB

Komponen 12: Pendidikan Sebaya

Komponen 13: Penatalaksanaan Overdosis

0

1

2

3

Component are assessed

Skor Rata-rata Skor Max

TERIMA KASIH