HIV - AIDS National Action Plan for Migrant workers in Indonesia Dr. Fonny J. Silfanus,MSc Deputy Program, NAC, Indonesia Bangkok, 29 Nov 2011

Structure of presentation 1.HIV Epidemic in Indonesia 2.National Action Plan for Migrant Workers 3.Development Process 4.conclusion

A view of HIV Epidemic in Indonesia Estimate number of PLWHIV in 2009: 186,257 Estimation of HIV prevalence among adult population PLWHIV estimate number Data source: Estimation of HIV vulnerable adult population, 2009, MOH RI. Geographic mapping done by NAC, 2010 for 33 provinces and 440 districs.

Future trend of HIV epidemic in Indonesia (The modeling estimate PLWHIV in 2010 and 813,720 PLWHIV in 2014) 4 Intimate partner FSW MSM IDU Client

HIV PREVALENCE AMONG INDONESIA MIGRANT WORKERS  National HIV prevalence : 0,2 %.  HIV Prevalence among Migrant Workers around 0,11 % (160 HIV positif out of 145,289 in 2005, and 174 positif out of 162,027 in 2009)  Most of MWs tested are women form rural area.  Indomesia Migrant Workers around 6 million ( legal and illegal)

HIV - AIDS National Action Plan for Migrant Workers

1.Recruitment of 3 persons as a core writing Team 2.Defining the frame work of document with the MMP Working Group 3.Writing Process & Enrichment through consultative meeting with the Member of MMP Working Group. 4.Focus Group Discussion / Indepth Interview 5.Review Meeting with Expert Panel (BNP2TKI, MoMP, MoH, MoFA, SBMI and PPTKIS) 6.National Workshop 7.Sub National Workshop in two provinces. 8.Finalization the action plan ( Nov-Des 2011) Enactment Process

8 Target Inline with SRAN HIV-AIDS Main indicators  Program coverage  Program effectiveness  Program sustainability Targets by % of migrant worker populations reached by effective prevention programs 60% of migrant workers practice safe behaviours 70% budget covered by domestic funding

STRATEGIC PRIORITY FOCUS AREA – Prevention – Care Support & Treatment – Mitigation of Economic & Social Impact – Establishment of Conducive Environment GEOGRAFIC FOCUS 10 Provinces and 107 Districts & Cities

1.Prevention Area Scaling Up Prevention Program in Sending Areas & Transit areas Increase Quality of education  MWs Orientation Program (BLKLN) Increase Quality of education  Pre-Dep Orientation (PAP) Provision of Information Access to MWs during Employment. Scaling Up Community Empowerment Program Implementation of Migrant Friendly Testing & Counseling The Action Plan (1/4)

2.Care, Support & Treatment Scaling Up Counseling & HIV test for MWs in their Sending Areas (before they enter the transit areas) Development & Implementation of Proper Referral System for HIV Positive Migrant Workers Increase collaboration with Destination Countries in regard to Health Services & Access for MWs (during employment) Reguler Monitoring to Ensure Quality of Local MWs Medical Agents The Action Plan (2/4)

3.Mitigation of Social & Economic Impact Ensure all MW receive National / Local Medical Insurances and increase MWs access to other Insurances. Socio-economic support for Poor HIV Positive MWs. The Action Plan (3/4)

4.Establishment of Conducive Environment Review the National Law on Placement & Protection of Indonesia MWs ( UU 39/2004) Establishment of Accurate & Complete Database System of Migrant Workers Enhance Collaboration with Destination Country and Borders Authorities (traficking) Research on MWs Biological & Behavior Status of MWs The Action Plan (4/4)

Conclusion Migrant workers are vulnerable and high risk for HIV infection Coordination and collaboration of multi sectors to implement the Action plan at all level, is very crucial. Collaboration among SEA countries have important role to success the implementation 14

Thank You