TNI PEER LEADERSHIP ROLE IN THE PREVENTION OF HIV-AIDS PRESENTED BY : IRASARI LISTYAWATI, SKM LIEUTENANT COMMANDER

INTRODUCTION  HIV-AIDS is a serious problem related with public health issue now days in Indonesia.  Military personnel are deemed as a susceptible or even high risk group : * 4 M (Men, Mobile, Money and Macho) * Often stay far away from their family * Often live in uncertain condition with stress surrounding them * healthy and sexually active

Fact shows that there are some HIV-AIDS cases among Indonesian Military/TNI

HIV EPIDEMIC IN INDONESIA (PLHIV ESTIMATION IN 2014 : PEOPLE)

THE RATE OF HIV CASES IN THE TNI

INDONESIAN MILITARY (TNI) POLICY VISION : “to realize the healthy and free of HIV threat condition for all of the TNI members and their families” MISSION : a. To prevent the newly infection among TNI members and their families b. To enhance the early diagnosis program. c. To enhance the access of care, support and treatment (CST) service for Peer Leader (PL) HIV d. To create the conductive environment for PLHIV e. To improve cooperation across program and sector f. To enhance the surveillance capability

PROGRAM DEVELOPED  Strengthening the instruction (capacity building program)  IEC Program Including Behavioral Change communication  CST Program  Creating the conducive environment program (eliminate the Stigma)  Surveillance and case finding program

INDONESIAN MILITARY PROGRAM 1. Prevention 2. Early Detection 3. Care Support and Treatment 4. Conducive Environment 5. Monitoring Evaluation

PREVENTION  One of many program in prevention is Peer Leader TNI for HIV-AIDS  We have personnel TNI as Peer Leader (PL) and this year we will have new Peer Leader HIV-AIDS scattered throughout Indonesia.  PL should be able to transfer his knowledge about HIV-AIDS to peers, environmental and other Indonesian Armed Force

PER LEADER DISTRIBUTION OF HIV IN THE TNI PER PROVINCE

We begin with a small step to jump a big goal through PL With slogan : I proud, I know… To reduce, prevent infection and breaking the chain of transmission collaboration between governments, National AIDS commission Republic of Indonesia and NGO’s

PEER LEADERSHIP TRAINING ACTIVITY

PEER LEADER TRAINING ACTIVITY

PEER LEADER TRAINING AT TARAKAN NORTH OF KALIMANTAN

EXAMPLES OF POSTERS CREATED BY PEER LEADER IN TRAINING

PEER LEADER TRAINING TNI IN KUPANG (EAST NUSA TENGGARA)

CARE, SUPPORT AND TREATMENT

DISTRIBUTION OF VCT COUNSELORS TNI

CONSTRAINS  Condom promotion is deemed as promoting sex (difficulties promoting condom program)  Lack of technical assistant support  Geographic factors

FIGHTING EFFORTS 1. Prevention 2. Early finding cases 3. Caring, support and treatment 4. Create conducive environment 5. Monitoring and evaluation

FIGHTING EFFORTS 6. Information, education and communication 7. Universal precaution 8. Surveillance sexually transmitted infection 9. Access for services 10.Testing and Counseling

UPCOMING PROGRAM DEVELOPMENT  Continuing the HIV program that have been conducted  Decentralizing HIV-AIDS program  Enhancing the advocacy program  Building partnership between government, NGO’s and Community

UPCOMING PROGRAM GETTING THREE ZEROES  lowering the number of new cases of HIV-AIDS  Reducing Mortality  Decrease stiqma and discrimination IMPROVE THE QUALITY OF LIFE PLHIV