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Title Facing Up To The Challenges: Situation of STI and HIV/AIDS and the responses of the province in West Kalimantan, South Sumatera, West Java, and NTT
Edition
Call Number KAPAL Perempuan 613 DHA F
ISBN/ISSN 979-98235-0-1
Author(s) Nick G. Dharmaputra - Personal Name
Budi Utomo - Personal Name
Subject(s)
Classification 613
Series Title
GMD Text
Language English
Publisher Population Council
Publishing Year 2002
Publishing Place Jakarta
Collation 52 HLM; 25 CM
Abstract/Notes The HIV/AIDS and STDs Prevention and Management Project (HSPMP) aimed to use intensive pilot efforts to achieve two objectives: (a) develop HIV/AIDS and STD institutional mechanisms at the national and provincial levels; and (b) develop interventions capable of reducing transmission of HIV and STDs. The total Project cost of $35.2 million was to be financed with an IBRD loan of $24.8 million and government counterpart funding for the remaining $10.4 million. The HSPMP represented an effort to address the world-wide AIDS pandemic in Indonesia in the pre-epidemic stage of the disease. Prior to project preparation, in the early-mid 1990s, attention of policy makers in Indonesia and the Bank was gained for early intervention with comm ercial sex workers through epidemiological projections showing that, with no change in preventive efforts, Indonesia would have 500,000 sexually transmitted HIV infections within four years. These scenarios turned out to be quite inaccurate. Sexually transmitted HIV remains even today at a low level in Indonesia, while HIV transmission associ ated with drug use has grown rapidly. Despite the weakness of the analytic foundation for an emergency response to HIV in Indonesia, the conceptual design of the HSPMP was sound, and based on accepted practices of the time. Project preparation took about one year, for an activity that was entirely new for the Bank in the country. The Project emphasized behavior change interventions with high-risk groups (HRG), public goods such as disease surveillance, and participatory engagement of affected populations. Involvement of non-governmental organizations NGOs) in execution was a defining feature of the Project. The Project was expected to be an initial three-year phase of a longer Bank involvement. A Program Management Unit (PMU) was established in the Ministry of Health, with responsibility for coordination of all HIV- and STD-related activities of the Ministry, as well as for relevant donor-supported interventions, including the HIV/AIDS and STDs Prevention and Management Project.
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