LINKAGES Quarterly Report (July 1 – September 30, 2016)- Indonesia

The project definition of success is centered around increasing the availability of comprehensive prevention, care, and treatment services, including reliable coverage across the continuum of care. To achieve this goal, LINKAGES Indonesia leverages USAID resources to improve the continuum of prevention, care, and treatment (CoPCT) cascade performance in five districts in Jakarta and three districts in Papua. During the reporting period, LINKAGES supported or carried out clinical mentorship activities at eight facilities that provided technical assistance for service delivery improvement (TA-SDI). The project also disbursed 11.6 billion IDR (US$874,000) across 15 direct service delivery (DSD) implementing partners, with six of the sub-grantees achieving 100% of their performance targets during six months of implementation. The combined results from 24 DSD facilities/implementing partners and eight TA-SDI public facilities revealed that 3,471 female sex workers, 2,083 men who have sex with men, 272 waria, 429 people who inject drugs, and 4,859 priority populations were reached with HIV-prevention interventions. The project also worked closely with technical assistance partners WHO and UNAIDS to draft the parameters of the Jakarta Fast Track Roadmap, which consists of five components to help Jakarta-based implementers strategically and systematically bring together technical, financial, and programmatic resources to achieve 90-90-90 aims. The roadmap includes one set of targets at provincial, district, and facility levels, one set of common progress measures, one coordination body at each Fast Track level, one Fast Track action plan, and strategic focus across the national program on five technical CoPCT priorities. LINKAGES also extended sub-awards with eight civil society organizations (CSOs) and three clinic partners to implement DSD interventions for KP sub-populations across the CoPCT. The project developed the enhanced outreach approach (EOA) scope of work for community-based supporters, the outreach contact and needs assessment form based on the 6Ps, the referral and communications slip(s), and the clinic aggregation service uptake tools. The 6Ps are a mnemonic device to help community-based supporters improve the quality of their efforts, which includes targeting contacts to peers and their partners, promoting the benefits of HIV testing and ART, performing a personalized risk assessment, protecting sensitive information, providing a referral slip and targeted communications, and passing it on through a client's KP networks. The project also participated in field testing clinical mentoring materials, orienting health care personnel on the national clinical mentoring guidelines, and discussions of service provider feedback. LINKAGES plans to conduct further client consultations with critical segmented key sub-populations, particularly those who are young and have been relatively unexposed to services, in an effort to develop the GO! SBCC communications platform in the FY17/COP16 reporting period. The project aims to strengthen and standardize the work of provincial and district clinical mentoring teams in FY17/COP16.