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

2. 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

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

4. HIV EPIDEMIC IN INDONESIA (PLHIV ESTIMATION IN 2014 : 27.670 PEOPLE)

5. THE RATE OF HIV CASES IN THE TNI

6. 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

7. 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

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

9. PREVENTION  One of many program in prevention is Peer Leader TNI for HIV-AIDS  We have 2.478 personnel TNI as Peer Leader (PL) and this year we will have 2.000 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

10. PER LEADER DISTRIBUTION OF HIV IN THE TNI PER PROVINCE

11. 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

12. PEER LEADERSHIP TRAINING ACTIVITY

13. PEER LEADER TRAINING ACTIVITY

14. PEER LEADER TRAINING AT TARAKAN NORTH OF KALIMANTAN

15. EXAMPLES OF POSTERS CREATED BY PEER LEADER IN TRAINING

16. PEER LEADER TRAINING TNI IN KUPANG (EAST NUSA TENGGARA)

17. CARE, SUPPORT AND TREATMENT

18. DISTRIBUTION OF VCT COUNSELORS TNI

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

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

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

22. 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

23. 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