N/A

New/Continuing Activity: New Activity

Continuing Activity:

Program Budget Code: 17 - HVSI Strategic Information

Total Planned Funding for Program Budget Code: $190,000

Total Planned Funding for Program Budget Code: $0

Program Area Narrative:

The USG plays a critical role in assisting the Government of Indonesia (GOI) to strengthen Strategic Information (SI) activities by

collaborating with MOH and other international donors. Such collaboration is required while the GOI continues to develop the

capacity to take the lead in surveillance, data collection, and monitoring and evaluation processes. In FY08, the USG SI plan is

focused on providing technical assistance and capacity building for implementation of the National Monitoring & Evaluation

Framework at national and sub-national level in line with the Indonesia National HIV/AIDS Strategy. The USG will advise GOI and

NGO counterparts at both the national and provincial levels to undertake in-depth analyses and advocate the use of evidence-

based data for strategic planning and decision-making. As an integral part of USG prevention program implementation focused on

MARP, the USG continues to support the assessment of pilot sites implementing the general population Continuum of Prevention-

to-Care (CoPC) model and the integrated MARP sexual transmission prevention package model that includes Periodic

Presumptive Treatment (PPT) for STI for MARP. The USG will advocate and seek to leverage other resources from GOI and/or

international donors for potential national scale-up of successful models. Sustainability is a key component of the SI strategy and

the USG will focus on building local capacity for M&E with an emphasis on data quality and data use for performance

management and program quality improvement for NGOs, C/FBOs, and government at all levels.

USG Indonesia continues to refine the reporting system (that was developed in 2007) containing indicators that are aligned with

PEPFAR requirements. With recognition of the different stages of HIV epidemic in Indonesia, USG continues to work closely with

USAID partners to use the expanded program monitoring system which allows USG to disaggregate accomplishments by

provinces, particularly in Papua where the epidemic is generalized versus other provinces where it is still a concentrated epidemic

particularly among MARP. In addition, USG partners utilize the software and program monitoring system to keep track of

individuals served at delivery sites to avoid double counting. This information is useful in order to monitor the intensity of the

various interventions or monitor the quality of coverage targeting MARP.

Indonesia serves as a model for effective collaboration and leveraging of resources to implement its HIV/AIDS program. However,

a weak MOH continues to rely heavily on TA and financial resources from the USG implementing partners, as well as other

international, multi-lateral agencies including: GFATM, The World Bank, WHO, AusAID, DfID, and UNAIDS for strategic

information/monitoring and evaluation activities. The M&E Technical Working Group was established in 2007 and continues to

actively move forward "The Third One" (one national M&E system) agenda. National core indicators have been developed and

finalized. The National AIDS Commission (KPA) continues to use the unified data collection tools and systems to collect national

core indicators including information from facility level and community-based systems. This system was based on the FHI/ASA

program monitoring system.

To date, USG's partners have produced quarterly progress reports based on data from monthly reports from implementing

agencies, monthly program site visits and routine coordination meetings. Continued technical support was provided to

implementing sub-partners to assure proper functioning of the overall program monitoring system. Technical and financial support

was provided for development of the national M&E database maintained by National AIDS Commission. Analysis of the 2007

IBBS data was completed, and full dissemination of these data for measuring program effects and future program planning has

just taken place. Work also began on developing a comprehensive quality assurance/quality improvement system with a pilot of

the system completed and broader implementation scheduled.

In FY09, proposed USG supported monitoring and evaluation activities include:

• Technical Assistance on developing unified VCT, STI, ART, and community-based programs and systems. This activity will

leverage funds for implementation in collaboration with KPA, Ministry of Health (MOH), and other donors particularly Global Fund

and AusAID. The recent Round 8 award alleviates some of the funding pressure, although technical assistance for quality SI

becomes critical. In FY09, the USG TA will focus on improving a record-keeping system to manage individual patients on

palliative care and monitor the scale-up of ART services.

• Encourage the effective implementation of the M&E framework and corresponding M&E information management system at sub-

national level.

• Support development and implementation of capacity-building module including trainings for district and provincial staff to

develop a provincial M&E framework, how to effectively operate the information management system, and how to use data for

decision-making, strategic planning, and program improvement.

• Although the specifics of the next USG HIV program are yet to be determined due to the TBD procurement, USG will continue to

support routine monitoring and reporting as well as develop rigorous program evaluation for any new prevention and care and

support models developed with an emphasis on determining effectiveness in the new HIV program design.

Potential contributions include,

* Use assessment findings from pilot sites implementing the CoPC model to improve program implementation and planning.

Support the replication of the model in other priority provinces/districts as appropriate by leveraging of resources from other

donors, GOI.

* Use assessment findings of the PPT implementation as a part of the sexual transmission prevention package model to improve

program implementation and planning. Support the replication of the model in other priority provinces/districts as appropriate by

leveraging of resources from other donors, GOI.

Building M&E capacity with local NGOs and C/FBOs is a fundamental component of the USG program for sustainability. By

strengthening local capacity for M&E, it ensures that local implementing partners collect high quality information for use in

program planning and improvement. In FY 2009, USG will continue to provide mentorship support to USAID partners and sub-

partners to improve routine program monitoring system for tracking individuals served as well as monitor intensity of intervention,

conduct training or refresher training on data quality, and build capacity of USAID sub-partners to effectively use data for

performance management and program quality improvement.

In FY09, USG would like to focus on use of surveillance data and support the continued strengthening of surveillance capacity of

GOI. The level of intensity for such activity will be dependent upon collaboration with other donors and the newly awarded GFATM

Round 8 proposal, as well as funding from any potential PEPFAR Partnership Compact. Illustrative activities are as follows:

• Technical support to the GOI for the continued dissemination of the IBBS findings.

• General surveillance TA to GOI for strengthening bio-behavioral surveillance, updating size estimations among MARP using the

most recent IBBS data in 2008. If needed, work with KPA and MOH, to conduct primary data collection in order to improve

accuracy of the estimations as well as support the GOI to convene a consensus building workshop among all stakeholders.

• Continuation of TA to GOI for general data analyses and data use activities, such as secondary data analyses and synthesis

activities at national level using existing surveillance data as well as routine program data from various sources to triangulate

information and identify outcomes/impacts of collective responses to combat HIV/AIDS among MARP in Indonesia as well as

identify gaps for future program improvement.

• Work with GOI to conduct analysis of the qualitative assessment of transactional sexual behavior and sexual networks among

general population in Papua (conducted 2008). This information will be critical for interpretation of recent Papua IBBS results,

improvement of IBBS methodology, and for improving intervention strategy.

• Continuation of TA to develop TB/HIV passive surveillance to the GOI. This activity will be an integral part of TB/HIV program

implementation.

• Collaborate with the other global, multi-lateral donors in the creation and support of a "Global Donors Surveillance Advisory

Group" to work closely with the MOH, KPA, National Surveillance Technical Working Group, and GFATM on the national

surveillance strategy as well as develop a plan for the continuity and quality of second generation surveillance activities in

Indonesia.

• A new priority for DOD activities will be to include support for SI. Funding will be used to enhance the in-country monitoring and

evaluation skills of TNI and provide a level of quality assurance for all program activities.

During the Mini-COP development process, all program area targets and target justifications were developed by the integrated

USG Indonesia SI Team. Because of the TBD procurement process, the USG SI Team held general discussions with USAID

partners to get current information regarding their programs in order to set downstream and upstream targets for FY 2009 based

on their projected FY 2008 program results. Information was also obtained from KPA and UNAIDS on updated national level

reporting data. Additionally, a meeting was held with the KPA to understand future directions for the national SI activities and

GFATM priorities.

USG Indonesia currently does not have dedicated SI staff in country. In FY 2009, the USG team proposes to hire an additional

FSN Program Specialist who will work part-time on program management and part-time on SI/M&E related activities (see also the

Management & Staffing section).

Finally, a successful Partnership Compact agreement will allow USG to work with GOI and GFATM to provide focused

surveillance TA for the next rounds of IBBS among general population in Tanah Papua and IBBS among MARP across Indonesia.

USG will also support all M&E requirements related to the Partnership Compact itself.

Table 3.3.17: