Kurniawan Rachmadi SKM, MSi - Health[e]Foundation · Kurniawan Rachmadi completed his study at the...
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Transcript of Kurniawan Rachmadi SKM, MSi - Health[e]Foundation · Kurniawan Rachmadi completed his study at the...
Born in Jakarta on March 3, 1970. Kurniawan Rachmadi completed his study at the School of Public Health at University of Indonesia in 1994, and finished Magister Degree Strategic Studies National Resilience Program at University of Indonesia in 2008. Working at Pokdisus AIDS since December 1994, he joined many kinds of training on HIV/AIDS related issues in Indonesia and Australia. He gained worthy know- how on HIV/AIDS care and support programs at India, Thailand, Malaysia, Vietnam, Chile and Philippine. As the HIV/AIDS cases continue to rise in the country, he is one of the pioneers of initiative on providing ARV in Indonesia. Currently, he is Candidate Doctor on Health Politics at Gajah Mada University
Sumber: Laporan Rutin Depkes RI, 2007
Jumlah Kumulatif Kasus HIV dan AIDS di Indonesia
2000 20041987 2007
Log. FrameHealth Educator/Promotion
hotline
Pre Test Counseling
Test
Post Test Counseling
negative positive
Doctor, Nurse (hospital)
Buddies
Family
Holistic Treatment:•ARV Treatment •Viral Load •CD4-CD8•Supportive
Masa
3 bln
Quality of life PLWHA
Community support
Initiative coming from clientVoluntaryConsent, Counseling, ConfidentialTake time Low coverage Access to treatment is very low
Initiative coming from providerEarly diagnosisInformation, Consent, Confidential, Post test Counseling Larger coveragePreventable deathIncreasing access to treatment and for all
“The process of helping a person (the client) to solve the problem with a counselor with the aim to empower clients to be able to face and take the best decisions for their own problems (client center)”
1990, First Counselor Training 1994, WHO program on free VCT Before ARV program from our government only small number Only test for surveillance program2004, number of VCT site increaseNumber of people who want to get test are increase
Total participants VCT = 158 persons free = 80 persons male = 29 Female = 51Pay = 78 persons male = 41 Female = 37
Children = 300.
Blood bank : 1 time screening Survey test : 2 times screeningDiagnostic Test (prevalence <30 %) : 3 times screening
Number of counselor : 5Information needed from our client: behavior risk assessment, HIV infection, test result, Married, children, PMTCT program, ARV drugs (adherents, resistance, etc)Capacity building for counselor related with quality of service of the clinic. Comprehensive Case Conferences
Since 1995Joint program with YPI 1999Increasing number (2008 around 60)Now we have 2 program (government & private)
VCT pay by themselves Free ARV CD4 pay by themselves Surgery pay by themselves Free formula milk (SGM)HIV test for children: VL pay by themselves (after 4 and 16 weeks)Free ARV drugs for children
VCT in private clinic (doctor / midwife) VCT in maternal hospitalsVCT in community (traditional midwife?)
Government and Donor Agency suppportneeded to build and developed laboratory (including HIV and CD4)Referall system for follow up VCT (especially VCT PMTCT) Comprehensive facilities can support access for all