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Agenda Penanggulangan HIV Post-2015 pada era BPJS/ UHC

Agenda Penanggulangan HIV Post-2015 pada era BPJS/ UHC. I Made Darmayasa Sub- Divisi Obstetri & Ginekologi Sosial FK Unud /RSUP Sanglah Denpasar. Topik. Pendahuluan Global health sector-strategy for HIV 2011-2015 Unfinished business

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Agenda Penanggulangan HIV Post-2015 pada era BPJS/ UHC

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  1. Agenda Penanggulangan HIV Post-2015 pada era BPJS/UHC I Made Darmayasa Sub-DivisiObstetri & GinekologiSosial FK Unud/RSUP Sanglah Denpasar

  2. Topik • Pendahuluan • Global health sector-strategy for HIV 2011-2015 • Unfinished business • Universal Health Coverage & Post-2015 HIV Agenda • Kesimpulan

  3. Pendahuluan Typology of HIV Epidemics(WHO, UNAIDS) • Low-level HIV Epidemics; • Tidakmenyebar, hanyapadakelompokrisiko, tidakmelebihi 5% pada sub-populasi. • Concentrated HIV Epidemics; • Menyebarcepatpada sub-populasitetapitidakdiketahuipastipadapopulasiumum, > 5% pd 1 sub-populasi, <1% padaibuhamil. • Generalised HIV Epidemics; • Sudahditentukanangkapadapopulasiumum, > 1% padaBumil.

  4. Pendahuluan

  5. Pendahuluan • Sejak 2000, MDGs menjadipanduan Negara di seluruhdunia(Kebijakan, Program) • Jumlahkasusbaruturun 19%. • Insiden di 15 high burden countriesturun 25%(usia 15-24 tahun). • Aksesterhadap antiretroviral di Negara-negaramiskinmeningkat • AIDS-related deathmenurun 19%(2004-2009). • 53% ibuhamilmempunyaiaksesterhadap anti-retroviral sehinggamenurunkantransmisidariIbu – Bayi.

  6. Global health sector-strategy for HIV 2011-2015

  7. Summary of the Global health sector-strategy for HIV 2011-2015 WHO(2011): Global health sector-strategy for HIV 2011-2015

  8. Unfinished business: • MDGs 4: • Menurunkankematianbayi • MDGs 5: Meningkatkankesehatanibu; • KematianIbu • Cakupan KB • MDGs 6: memerangi HIV, Malaria, penyakit lain

  9. UHC & Post-2015 HIV Agenda • Melibatkanbanyak Negara, konsultanberbagaipihak • Proses intergovernmental post-2015 development framework • Sepakat; • Pencapaian MDGs tidaklengkap, • Perludilanjutkan/ditingkatkansetelah 2015 “Healthy Live for All at All Age” • Terdapat 17 focus areadalamrangka SDGs WHO(2014): HIV, UHC and Post-2015 Agenda

  10. WHO(2014): HIV, Universal Health Coverage & The Post-2015 Development Agenda

  11. UHC & Post-2015 HIV Agenda • Specific health goals; • Unfinished business(MDGs 4, 5, 6) • Non-Communicable Diseases & Mental Health • Promoting universal health coverage(kesetaraan & hakasasi)

  12. UHC & Post-2015 HIV Agenda Ending AIDS Epidemic by 2030

  13. 3 Sub target: • Turunkaninfeksibarupada orang dewasadanhentikankasusbarupadaanak-anak. • Hilangkan stigma dandiskriminasipada ODHA &Key Population • Turunkankematian yang berhubungandengan AIDS

  14. Sasaran: Key Populations: • LSL • Penjara(Narapidana, Tahanan) • Pekerjaseks • PenggunaNarkobasuntik • Transgender people • Unprotective anal sex, multipartner, IDU • Unsafe sex, IDU, tattooing WHO(2014): Consolidated Guideline on HIV prevention, diagnosis, treatment, and Care for Key Populations

  15. Aktivitas • HIV Prevention WHO(2014): Consolidated Guideline on HIV prevention, diagnosis, treatment, and Care for Key Populations

  16. Harm reduction for People who use drugs • VHTC/VCT WHO(2014): Consolidated Guideline on HIV prevention, diagnosis, treatment, and Care for Key Populations

  17. Treat & Care • Prevention & Management of Coinfections and Co-morbidities • Sexual & Reproductive Health WHO(2014): Consolidated Guideline on HIV prevention, diagnosis, treatment, and Care for Key Populations

  18. WHO(2014): Consolidated Guideline on HIV prevention, diagnosis, treatment, and Care for Key Populations

  19. Tigadimensi UHC: • Providing Health Services:Seluruhpelayanankesehatanharusdijangkausesuai dg kebutuhanuntukmeningkatkanderajatkesehatan • Covering Cost:Mekanismeperlindunganrisikobiayamenjaminpesertatidakmerasaberat • Covering Population:Sesuaiasaskesetaraanuntukpalayanankesehatan, mengkaversemuanya, tidak yang mampumembayarsaja.

  20. HIV Interventions and UHC • Pada era BPJS(Universal Health Coverage) • Pastikanpaketpelayanan, intervensikomprehensifdibiayaimllpublic system • PenguatanQuality Assurance & Quality Improvement • Teruskan, kembangkanmultisectoral costing • Championing health access strategies • Pioneering innovative financing model & investment in health • Amanatkankesetaraandibidangkesehatan, termasukthd Key Populations

  21. HIV Interventions and UHC • Pastikanpaketpelayananmenjangkau program HIV/AIDS. • Integrasikandengan program kesehatan lain, termasukevaluasi & monitoringnya • Identifikasipendekatanbaruuntukmenjagakeberlangsunganpembiayaan program. • Singkirkanhambatanygdapatmengganggukesetaraanaksespelayanan. • Tingkat efisiensimelaluiintegrasidandesentralisasipelayanan

  22. HIV Interventions and UHC JKN, menjagipeluanguntukmemfokuskankembaliResponbidangkesehatanterhadap HIV/AIDS secarakomprehensif.

  23. Kesimpulan • Keberhasilandalampencapaian MDGs pentingdiusahakan • Masihada target yang tidaktercapai(MDGs 4, 5, dan 6), termasukuntuk program HIV/AIDS • Ending AIDS epidemic tahun 2030 menjaditujuan yang ingindicapaipasca 2015

  24. Kesimpulan • Paketpelayanan, intervensikomprehensifdibiayaimllpublic system • PenguatanQuality Assurance & Quality Improvement • Teruskan, kembangkanmultisectoralcosting • Healthy Live for All at All Age” • Ending AIDS Epidemic by 2030

  25. MaturSuksme

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