In order to get Indonesia on track to achieve
the new 2025 targets, particularly the first 95% testing target,
Indonesia needs to implement innovative approaches to increase testing
and treatment coverage, including through HIVST.
In 2025, the world is committed to achieve the 95-95-95 testing,
treatment, and viral suppression targets. In order to achieve the first
target on 95% of people living with HIV (PLHIV) to know their status, a
set of priority actions must take place. One of which is increasing the
uptake of differentiated HIV testing strategies, including HIV
self-testing, and strengthening the linkage of people who access testing
services to HIV prevention and treatment services.
HIV self-testing (HIVST) is an innovative testing option recommended by
WHO in 2016 that can be used to reach people who may not test otherwise,
including men, young people, and key populations (men who have sex with
men/MSM, people who inject drugs, transgender people, and sex workers).
HIVST allowed a person to collect his or her own specimen (oral fluid
or blood) and then perform a test and interpret the result, often in a
private setting, unassisted or assisted by trained providers or peers.
HIVST increased patient autonomy, decentralize services, and create
demand for HIV testing among populations unreached through existing
services. Following the release of WHO guidelines in 2016, as of June
2018, 59 countries have adapted the HIVST policies, and many others are
developing them, including Indonesia.
Indonesia’s testing coverage is currently at 66% of PLHIV know their
status in 2020. In order to get the country on track to achieve the new
2025 targets, particularly the first 95% testing target, Indonesia needs
to implement innovative approaches to increase testing and treatment
coverage, including through HIVST. At present, the country, through the
Ministry of Health (MoH), is developing a guideline to adopt and
implement community/self-testing. A scaled-up pilot implementation is
aimed to take place in 2022 with the support from the Global Fund.
Additionally, to prepare the pilot project, various implementation
research on community/self-testing among KPs using an oral fluid rapid
diagnostic test (RDT) have taken place. In 2020, Yayasan Spiritia, with
the support from the Global Fund, conducted a research study on
community-based HIV self-screening among MSM, transgender, and people
who inject drugs in 10 selected districts. Key uptakes from the study
showed high acceptability among key populations and strong linkage with
Furthermore, the MoH estimated that in 2019, non-key populations
accounted a larger majority of new infections (an estimated 64%) than of
key populations. And in 2020, the majority of PLHIV in Indonesia
(512,956 out of 543,100) is in productive age of 15-49 years old. With
that in mind, the workplace becomes an important setting where HIVST
needs to also be promoted and implemented. This is particularly for
certain industries with high risk of HIV, such as mining, construction,
petroleum, and many others. The workers in such industries may not have
easy access to HIV testing services, and the workplace may be the best
place to reach them. Responding to this situation, ILO Indonesia is
collaborating with two Indonesian state-owned companies to implement HIV
self-testing at the workplace.
To that end, UNAIDS and ILO are intending to hold a webinar with the
theme of “HIV Self-Testing at the Workplace”. This webinar is supported
by the United Nations COVID-19 Response and Recovery Multi Partner Trust
Fund (UN COVID-19 MPTF). This project aims for the recovery and
improvement of economy and livelihood of vulnerable groups of people who
are most affected by the pandemic, including women, youth, refugees,
migrant workers, people living with HIV, key populations most vulnerable
to HIV and people living in disadvantaged regions.
The objective of this webinar are the following:
- To share and discuss on the progress and implementation plan of HIV self-testing in Indonesia, including at the workplace;
- To strengthen cross-sectoral collaboration and coordination on the national implementation of HIV self-testing at the workplace.
||Opening remarks by Krittayawan (Tina) Boonto, UNAIDS
Country Director for Indonesia and Kazutoshi Chatani, Employment
||International Guideline on HIV Self-Testing at the Workplace by Early Dewi Nuriana (National Project Officer HIV/AIDS - ILO)
||HIV Self-Testing Implementation Plan in Indonesia by Ratna Budi Hapsari (Head of AIDS Sub-Directorate - Ministry of Health)
||Results from the Research Study on Community Based HIV
Self-Screening (Assisted and Unassisted) by Daniel Marguari (Executive
Director - Yayasan Spiritia)
||Companies’ testimonies on the implementation plan of HIV
self-testing at the workplace (PT Pertamina (Persero) Tbk and PT
Waskita Karya (Persero) Tbk
||Q & A
||Closing by the MC
dr. Bagus Rahmat Prabowo (Prevention Adviser - UNAIDS)