Indonesia has a high prevalence of HIV in the Asia-Pacific region. Treatment coverage remains a challenge in the HIV cascade, particularly in terms of access to treatment and high rates of lost follow-up among newly diagnosed individuals.
A Differentiated Services Delivery (DSD) Strategic Initiative, supported by the Global Fund, has allowed the Ministry of Health and the consortium IQVIA-Angsamerah to pilot the Public Private Community Partnership (PPCP) at 20 private big chain hospitals in Java, Indonesia.
The pilot project, which ran from June to December 2023, aimed to increase stakeholder capacity and promote a comprehensive approach to prevention, testing, treatment, and support for HIV, TB, and STIs. The project officially kicked off on July 25, 2025, with key stakeholders providing input for the PPCP.
During the project preparation phase, IQVIA and Angsamerah engaged with public health officials and the management of six big chain hospitals to finalize work plans and implementation strategies. Capacity-building sessions were conducted for healthcare workers from the 20 hospitals, followed by mentoring visits to support their engagement with local communities and encourage the provision of stigma-free services for people living with HIV and key populations.
The project also facilitated sharing sessions and learning exchanges among hospitals under the same management chain to ensure sustainability. Overall, the mentoring and capacity-building efforts under the PPCP project have increased the capacity of hospital teams to provide comprehensive HIV services, fostered engagement with local organizations, and received co-financing support from the government for training initiatives.
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We managed brief analysis on the strength and challenges at the end of the project. The strengths in the area of concept include the availability of PPCP concept, guidance to newly trained hospitals, and IEC materials. In the area related to resources, the expansion of HIV services to private hospitals is expanding the possibility of the private sector providing funding support for HIV response, as we know that private sector funding is not dependent on government allocation.
In addition to it, we get huge commitment from the big chain hospital management to expand HIV comprehensive services under their hospital management. We expect that the synergy and expertise of the private sector, communities, and government sectors will accelerate the HIV response in Indonesia.
Some challenges we found during the project implementation are that the that the hospital activation process is quite different from one to another in districts and provinces, there is a lack of turn-over of newly trained staff, stigma and discrimination among the health care workers still exist in some areas due to limited access to updated information on HIV and STI infections, and there is a and there is a negative perception among health care providers that if HIV services are provided, other patients will hesitate to come.
An important challenge found on the ground was also due to private insurance to cover HIV. Some private insurance covers HIV care and treatment, but some still cannot. Some providers prefer to ask patients to access HIV services to other providers, just to ensure that insurance will not be able to track patients’ status on HIV.
After a six-month implementation period, we identified numerous prospects to deepen and intensify the robust collaboration between the public, business, and community sectors in the fight against HIV.
One way to increase the number of people receiving HIV and STI treatments is through knowledge exchange (south to south collaboration) across hospitals run by the same management (BCH). But, in order to streamline the HIV activation process, government regulations must enable this kind of collaboration. We also acknowledge that the management of Big Chain Hospital (BCH) is very supportive of the expansion of services for TB, STIs, and HIV.
As a private organization, Angsamerah is dedicated to helping freshly trained healthcare workers in 20 hospitals expand and enhance their capacities. The most productive and efficient way for HCWs to communicate is through WhatsApp groups. We extend our communication with HCW from 20 hospitals through this WA communication channel to ensure if they need immediate assistance, can be simply channelled and supported.