Completion report 1997-2000 : HIV/AIDS prevention project (HAPP)

FHI worked in parallel with the Government of Indonesia and many partners, including, among others, 35 NGOs, 6 international PVOs, two universities, the National AIDS Commission (KPA), three Provincial AIDS Commissions (PKADs), and the U.S. Center for Disease Control (CDC). HAPP was implemented during a period of major economic, political, and social changes within Indonesia. At the beginning of HAPP, Indonesia was considered a low prevalence HIV/AIDS country. However, evidence was beginning to accumulate by the end of the project of a concentrated epidemic among a limited number of vulnerable populations in diverse geographic settings. HAPP activities took place primarily in three provinces that served as demonstration sites: North Jakarta; Surabaya, East Java; and Manado/Bitung, North Sulawesi. The main activities carried out during the project included information, education, and communication (IEC) for behavior change; condom social marketing; sexually transmitted disease (STD) management and control; and policy support and dissemination. An important focus of HAPP was to encourage collaboration with the national and provincial government offices and capacity building with partners. HAPP interventions concentrated on targeted high-risk populations such as sex workers, warias (drag queens), and their male clients. HAPP accomplished a number of activities associated with technical and non-technical outcomes that improved the overall capacity to make informed decisions about current and future HIV/AIDS and STD programming in Indonesia. Some of the specific accomplishments can be summarized as follows: (1) HAPP generated reliable and valid epidemiological data that was used to develop a national consensus on the epidemiology of HIV/AIDS. These data were foundational to long-range planning, designing, targeting, prioritizing and evaluating Indonesian HIV/AIDS prevention interventions. (2) HAPP partners created innovative IEC materials to enhance behavior change communication for HIV/AIDS prevention and conducted outreach education to a large number of individuals at risk. (3) HAPP partners were successful in condom social marketing and in facilitating the formation of a Consortium of Concerned Condom Manufacturers through a partnership approach, evidenced by the successful marketing of condoms in non-traditional outlets. (4) The Ministry of Health, HAPP, and the CDC effectively implemented the use of standard guidelines for the diagnosis and treatment of STDs, and there was evidence of improved capacity of health care providers in STD case management. (5) HAPP partners completed many capacity building activities with NGOs in cooperation with the PKADs, and supported policy development at the national and provincial levels. (6) HAPP collaboration with key partners assisted in the rapid assessment of populations whose vulnerability to HIV infection was emerging, including injecting drug users. Lessons are detailed in the areas of policy support, epidemiological surveillance, technical assessment, condom social marketing, sexually transmitted disease management and control, planning and coordination, capacity building, and partnerships and collaboration. Includes recommendations. (Author abstract, modified)