Efforts in Fighting HIV and AIDS in Papua
The number of HIV/AIDS cases in Papua until December 1, 2021 reached 46,967 cases. The daily chairman of the Papua Province AIDS Commission (KPA) Anton Mote, as reported by kbr.id, said the cases were spread across 28 districts and one city.
According to Anton, with this number, Papua is fourth among provinces with the highest HIV cases in Indonesia, and the top rank for AIDS cases. Moreover, this is indeed quite threatening. Anton Mote said that the two areas in Papua that have the highest number of HIV/AIDS figures are Jayapura City and Nabire Regency. Until early December 2021, the number of HIV/AIDS cases in Jayapura reached 508 people and Nabire Regency 466 people.
KPA Papua continues to campaign for the prevention of HIV/AIDS transmission by involving NGOs, religious leaders, people with HIV/AIDS (ODHA), and various elements of society. Referring to the report from http://www.healthpolicyplus. com/, prevention program interventions that have coverage in Papua during 2019–2023 include ART, HIV testing and counseling, voluntary medical circumcision for men, distribution of condoms along with information and education, prevention of violence gender-based, outreach to key populations and highrisk youth, and HIV prevention programs in the workplace.
The Papua Provincial Health Office actually has an ambitious plan to expand access and improve the quality of HIV prevention and treatment services by 2020. For this analysis, three scenarios of intervention coverage were used. First is scenario 1 or the scenario of maintaining effort. This scenario represents a basic condition or baseline with minimal intervention expansion, namely the increase in the number of people reached between 2019 and 2023 by only 5 percent, which is lower than the population growth rate.
Next is scenario 2 or a quick expansion scenario. This scenario describes the ambitious targets of the Papua Provincial Health Office and the ART Acceleration Plan, which assumes that targets will be achieved in 2023, and not in 2020 as originally set out. The final scenario is scenario 3, or an expansion scenario with a target. In this scenario, the number of people to be reached is the same as in scenario 2, but coverage of ART, voluntary medical circumcision in men, and testing in high-risk and high-altitude groups is expanded overall.
Consistency in Achieving Program Targets
Papua needs to be more consistent in achieving the program targets that have been set and reduce the 10 performance decline throughout the HIV service cascade so that more ODHA in Papua can achieve virus suppression. In the medium term, these efforts will help control the epidemic. Given the limited resources available, prevention and treatment interventions need to be more focused and targeted to have a greater impact.
The second point to note is that increasing HIV service coverage by 250 percen by 2020 to realize the ART Acceleration Plan is a formidable challenge. Even if service coverage increases significantly, primary prevention efforts must still be expanded so that the epidemic does not spread further and Papua can begin to control the HIV epidemic in its territory.
The Papua Provincial Health Office together with partners also need to address the performance decline that occurs along the HIV service cascade, expand interventions in the highlands, and provide services more efficiently. In addition to a more intensive approach, Papua also needs to address problems in various aspects of the program that hinder access to health services, while optimizing the cost of providing services, which to date is the highest cost component compared to all regions of Indonesia outside Jakarta.
Third, controlling the HIV epidemic in Papua requires a strategic and intensive approach, and for this, additional funding is needed from local, national and international aid sources. Papua has many remote areas with difficult to reach terrains and the strengthening of health infrastructure is urgently needed. Only with additional investment will the situation of the HIV epidemic improve.