MINISTRY OF HEALTH

REPUBLIC OF INDONESIA

HIV Testing for All TB Patients Dyah Kusworini , Merry Samsuri , Ayu Har�ni �ramadyani ,
1 2 3

Jono Wasinudin1, Muhammad Sulthony1, Lusi Febriani1, Suhar�ni3,

in Jember District, Indonesia: A�sandi Lu�ianto3
Mission Possible 1
District Health Office Jember, East Java, Indonesia,
2
FHI360, CHALLENGE TB, Indonesia,
3
KNCV TB Founda on, CHALLENGE TB Indonesia

Dyah Kusworini: dyah_ki@yahoo.co.id

Indonesia
Background
• Indonesia aims to accelerate the uptake of HIV tes ng among TB
pa ents
• Challenges leading to low uptake:
§ Lack of decentraliza on of HIV tes ng to TB treatment sites
Jember District (East Java Province)
§ A weak pa ent referral system
§ Challenges recording HIV test results in the TB repor ng system Jember District (East Java Province)
6
2013 3,300 (0.2%)
In 2015
• In 2015,the
the USAID-funded
USAID ChallengeTBTB(CTB)
supported, Challenge project, working
project, working out of TB patients known
HIV status
closely with the DHO in Jember District, began providing technical
2014 44
3,104 (1.4%)
TB patients known
out of
assistance and capacity building to support implementa on of the
HIV status
na onal TB program

Ÿ PITC Training for TB Staff Ÿ HIV tes ng expansion to all 59 health facili es
Intervention Ÿ Targeted technical assistance to under-
where TB treatment is ini ated (50 Primary
Health Centre, 5 Public Hospitals, 3 Private
performing health facili es
Hospitals and 1 prison clinic) with co funding
Ÿ Regular workshops to ensure correctness from the Global Fund
and completeness of the data
Ÿ During expansion phase, TB staff from health
Ÿ Rou ne DHO monitoring and supervision facili es without HIV tes ng capacity collected
and transported blood specimens for HIV
tes ng to nearby facili es
Photo credit : Yulianto

Result Conclusions
Ÿ In 2017, Jember District was
one of the first districts in
2013 2015 2017 Indonesia to achieve 100%
5 health
14 59 health coverage of HIV tes ng Photo credit : Robi Dwi Kurnia
health
facili es facili es facili es(all)
availability at TB sites Ÿ There is s ll an ongoing need to
Availability of HIV testing for TB patients Ÿ In Indonesia, universal HIV strengthen the capacity of TB staff
in Health Facilities 2013 - 2017 tes ng in TB clinics is feasible to offer HIV tes ng, especially for
and high HIV tes ng rates are pediatric TB pa ents, and to
possible once HIV laboratory further support TB recording and
• TB staff do not yet rou nely offer HIV tes ng
services are available. repor ng systems.
to pediatric TB pa ents, with HIV tes ng
uptake in this group is as low as 48% in 2017

Acknowledgement
2013 2014 2015 2016 2017 • Head of Jember District
• Head of Jember District Health Office
– dr. Si Nurul Qomariyah, M.Kes
• Head of East Java Provincial Health Office
– Dr. dr. Kohar Hari Santoso, Sp.An.KIC.KAP
dr. Hj. FAIDA, MMR
• Head of Disease Preven on & Control Division, East Java PHO Head of Jember District
– drg. Ansarul Fahrudda, M.Kes
• TB sub directorate, Ministry of Health
0.2 % 1.4 % 42 % 57 % 74 % • HIV sub directorate, Ministry of Health
• The Global Fund
Number of TB Patients with Known HIV Status in Jember District • USAID - CHALLENGE TB