Executive Summary

To reduce the morbidity and mortality of HIV in Indonesia, the Global Fund has initiated funds to the HIV and AIDS response program since July 2009 for intervention at 10 provinces in Indonesia. The three major objectives of the interventions includes: (1) Universal Access for HIV prevention and STI’s services, (2) Health System Strengthening, and (3) Community System Strengthening.

In order to specifically review the third intervention which is the community sector strengthening, the Center for Health Policy and Management (CHPM) is proposing a research to the National AIDS Commission. This research aimed to: (1) provide a mapping of the function of community based groups in the AIDS response, (2) to measure the effectiveness of these groups intervention in terms of increasing the coverage, effectiveness and sustainability of the Indonesian AIDS response, and (3) to discover the possible strategies to increase the effectiveness of civil society in the AIDS response.

The output of this study will include:

• a policy analysis focusing on:
  o the role and functions of civil society in the implementation of prevention and care, support and treatment programs,
  o community based analysis of KAP’s perception with regards to the HIV and AIDS services received so far,
  o a map of approaches, advocacy and programs by and focusing on key populations that contributed to the increasing the effectiveness and sustainability of HIV & AIDS programs,
• case studies from each provinces focusing on highlighted issues on the role of community in the prevention, care, support and treatment of HIV& AIDS, and
• recommendations of strategic approaches to increase the quality of community based groups’ role in increasing coverage, effectiveness and sustainability of the AIDS response.

The research method will utilize a logical framework adapted from the Community Systems Strengthening developed by the Global Fund (2014). This logical framework will enable the researchers to measure how certain inputs create functional and effective community systems, as well as for enabling the community organizations and actors to fulfill their role in contributing to health outcomes, which in this case is specific to HIV and AIDS.

The research will develop an instrument for primary qualitative data collection through interviews and focused group discussions with key informants at the national and subnational levels. Primary data will be used to provide better understanding on the aspects of input, process, and output of the CSOs using the CSS framework. While secondary data will be used to map the outcome, which is the proportion of MARP reached and served.

Relevant to the Terms of Reference, the locations that will be covered in this review are the 10 provinces. In order to ensure that the review can cover these designated provinces in a cost-effective way, innovative but credible research designs will be employed such as telephone interviews and web survey.

To ensure quality of the result of this research, CHPM has prepared quality assurance steps to be followed throughout the research.