Bridging the Gaps: Indonesia
Bridging the Gaps: Indonesia
Bridging the Gaps is alliance of nine international organisations and networks and more than 80 local and regional organisations, working towards the end of the AIDS epidemic among key populations.
Supported by global and regional level work, Bridging the Gaps works with over 80 partner organisations in 15 countries in three regions:
• Sub-Sahara Africa: Botswana, Kenya, Mozambique, South Africa, Tanzania, Uganda, and Zimbabwe.
• South East Asia: Indonesia, Myanmar, Nepal, Vietnam.
• Eastern Europe and Central Asia: Georgia, Kyrgyzstan, Tajikistan and Ukraine.
In Indonesia, the programme works with, and for the health and human rights of, sex workers, LGBT people and people who use drugs, including those living with HIV.
Java (Jakarta, Bandung), South Sumatra (Bandar Lampung), North Sulawesi (Manado), Medan, Manado, Jogjakarta, Padang, Banten, Jambi
Bridging the Gaps partners in Indonesia work towards ending AIDS among key populations through (1) a strengthened civil society that holds government to account; (2) increased fulfilment of human rights of key populations; and (3) increased SRHR and fewer infections.
People who use drugs, LGBT people and sex workers
Around 380,000 people are living with HIV in Indonesia, which has the fastest growing epidemic in Asia. This number has risen sharply in recent years and is expected to more than double if approaches to HIV prevention are not improved. This rise is due to several factors including the country’s extensive sex industry, limited testing and treatment clinics, a highly mobile population, a rapidly growing population of PWID, the denial of SRH services to unmarried people, and the challenges created by major economic and natural crises. HIV prevalence remains high among key populations, notably 36.4% among PWID, 9.0% among sex workers, and 8.5% among MSM. In 2012, the Indonesian government issued compulsory licenses allowing local drug companies to legally bypass drug patents and make their own, cheaper versions for the treatment of HIV and Hepatitis. Indonesia is engaged in the process of ensuring effective decentralisation and functioning of the health system while at the same time responding to urgent health needs brought about by natural disasters, as well as emerging and re-emerging communicable and non-communicable diseases. In line with the national development plan, Indonesia has developed its longer-term Health Strategy document which dates from 2005-2025. Implementation of universal health coverage through a national health insurance system has been in place since January 2014, with the aim of reaching the entire population of Indonesia by 2019. Prevention of non-communicable diseases is being given special priority. The increased level of maternal mortality is a great concern and the government is putting emphasis on improving access and quality of maternity services. There are big differences between islands because of a strong decentralised system.
After more than two decades of epidemic spread, the AIDS epidemic in Indonesia is still young, but alarming. Despite the fact that the prevalence at general population is still low, Indonesia has one of the fastest growing infection rates in Asia because it lags behind in some essential aspects of prevention, such as low use of condoms and insufficient utilisation of services, and has a weak capability in policy implementation. Insufficient utilisation of services continues, partly caused by stigma and discrimination both by public and by some health service providers.