LINKAGES Semi-Annual Report (April 1 to September 30, 2021) - INDONESIA

The project transitioned ASAP service delivery components to the Meeting Targets and Achieving Epidemic Control (EpiC) program in June 2021. During the semi-annual period, the project carried out above-site activities across two programmatic objectives: Objective 1 and Objective 2. Objective 1 focused on accelerating HIV treatment coverage in DKI Jakarta and Greater Jakarta, and building capacities to institutionalize and scale PEPFAR minimum program requirements. The project compiled client risk segmentation data to identify the characteristics of clients facing elevated risks and to improve HIV services for improved outcomes. The success story detailed client segmentation data for men who have sex with men outreach, index testing, and re-engagement in HIV treatment services. The project also refreshed the Update Status portal to incorporate an information page for community-based case files, a refresh of the Frequently Asked Questions (FAQ) section, an improved navigation bar, a redesigned layout, and a complete privacy section. Additionally, the project adapted the EpiC QuickRes.org application to track discrete online service booking interventions for different projects, initiatives, or organizations within Indonesia. The project provided support to the national program to disaggregate, record, and report provider-initiated testing and counseling (PITC) modalities by population type. Following the revision of PITC reporting forms and associated capacity development by LINKAGES Indonesia, the national program is now able to report disaggregated HIV testing data for STI and HIV patients. Objective 2 focused on strengthening the system for collaborating, implementing, and assuring the quality of HIV programming. The project carried out structured data validation exercises at 137 facilities through the LINKAGES-developed Pertemuan Validasi, Analis, Visualisasi, and Interpretasi Data (PERS) participatory approach. The project saw 77% of sites in Jakarta meet data verification technical performance thresholds of 95-105%. The project also established and operationalized a private sector partnership with Dharma hospital to ensure viral load testing coverage in North and Central Jakarta during a period of viral load reagent stockouts. Dharma hospital provided subsidized viral load tests for 900 people living with HIV, which helped the program reach 74% viral load coverage among eligible PLHIV at 60 Regional Operational Plan (ROP)-supported facilities by the end of quarter 4/FY21. The project carried out 168 Greater Jakarta capacity-building activities, including coordination and socialization meetings, clinical mentoring, and training sessions on various topics such as partner notification, rapid ART, differentiated outreach, community-based care management, TLD optimization, viral load testing, treatment continuity, and TB/HIV. The project also developed and published a paper titled "How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria in Global Health Science & Practice." The project drew on data from LINKAGES in Indonesia, Nepal, and Laos, and the SIDHAS project in Nigeria, to illustrate how these countries designed and successfully implemented ART home delivery models to meet emergency needs brought on by the pandemic. The project also finalized parameters of the SeHATI/Lost and Link database that will collect and link treatment interruption and re-engagement data between facilities and community-based implementers. The project completed video tools and other SBC materials for enhanced program implementation, including instructional videos and job aide materials on e-clinical mentoring, SeHATI/Lost and Link, motivational interviewing, and TLD rollout. The project also supported 28 CSO master trainers in conducting motivational interviewing for 274 CSO implementers across Jakarta and Greater Jakarta to assist their service delivery and navigation efforts. The project supported the national program to develop index testing training modules and to carry out index testing training sessions for doctors, nurses, recording and reporting staff, and health workers in East Java and Kalimantan provinces. The project also established and operationalized a private sector partnership with Dharma hospital to ensure viral load testing coverage in North and Central Jakarta during a period of viral load reagent stockouts. The project reached 74% viral load coverage among eligible PLHIV at 60 ROP-supported facilities by the end of quarter 4/FY21. The project also carried out 168 Greater Jakarta capacity-building activities, including coordination and socialization meetings, clinical mentoring, and training sessions on various topics such as partner notification, rapid ART, differentiated outreach, community-based care management, TLD optimization, viral load testing, treatment continuity, and TB/HIV. The project developed and published a paper titled "How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria in Global Health Science & Practice." The project drew on data from LINKAGES in Indonesia, Nepal, and Laos, and the SID