Fast-Track Cities Initiative for the Acceleration of HIV AIDS Control in Jakarta
UNAIDS Indonesia Country Office
(
United Nations / Multilateral body
)
#SDGAction46651
Description
The Fast-Track Cities Initiative started as a global partnership between the Joint United Nations Programme on HIV/AIDS (UNAIDS), the International Association of Providers of AIDS Care (IAPAC), the United Nations Human Settlements Programme (UN-Habitat), the City of Paris, and cities across the world. Since its launch on World AIDS Day 2014 in Paris, more than 350 cities from every region of the world have joined the Initiative by signing the Paris Declaration on Fast-Track Cities Ending the AIDS Epidemic, pledging to accelerate their AIDS responses, to reach ambitious targets, to forge strategic partnership and to address significant disparities in access to services, social justice and economic opportunity. In 2015, the governor of Jakarta signed the Paris Declaration and formally urged the mayors of the five Jakarta municipalities to develop their workplans and budgets in line with the Fast-Track Targets. Jakarta is the capital of Indonesia and its largest city, with more than 10 million inhabitants. Of those, an estimated 66 000 are living with HIV. This represents 12% of the national HIV burden, making Jakarta the heart of Indonesia’s HIV epidemic. Current data for Jakarta suggest that around 98% of people living with HIV know their status, but only 43% of those are on treatment. The overall aim of the project is to provide essential technical support over a five-year period to 15 priority high-burden cities, including Jakarta, to accelerate their HIV responses towards achieving ambitious Fast-Track targets and to deliver on the commitments of the Paris Declaration. The implementation of activities in Jakarta is coordinated by the UNAIDS Country Office Indonesia and the IAPAC Jakarta City Programme Officers, in close collaboration with local and national stakeholders and partners, including the Jakarta Provincial Health Office and Ministry of Health. Yearly workplans are developed in the context of Jakarta specific epidemics and needs in order to fill the gap, in agreement with city health authorities and other stakeholders. Jakarta’s successes from FTC initiative show how effective working with a broad range of city and non-city partners can be. The strength of the city’s HIV response lies in working with communities and harnessing community expertise to reach more people with better services; empowering stakeholders to use information; and building collaboration among the city, community and civil society partners.
The Fast Track Cities initiative contributes to the achievement of SDG no. 3, related with Health and wellbeing. It will also help to accelerate the achievement of the Fast Track target (95-95-95) to reduce the new HIV infections, AIDS related deaths and stigma and discrimination (10-10-10). City and municipal governments can play an important role in curbing the national rate of the new HIV infection and AIDS related deaths. For example, in the spirit of reaching out to the younger generation, in 2018 UNAIDS Indonesia developed "Tanya Marlo", a chat robot (chatbot) based on Artificial Intelligence, which is designed for conversations about HIV and AIDS. Tanya Marlo is connected to the LINE chat messaging app. The impact of the Tanya Marlo platform is continuously measured with a monthly monitoring report, which recaps the reach of the campaigns on all the social media platforms. The monthly monitoring report is able to provide insights into what topics and issues are most frequently sought after by the public. As of February 2022, Marlo campaign reaches more than 17,800 users in all platforms. In addition to this, the Tanya Marlo platform also refers users to counselling services that link them to access services. The counselling, provided by the network of PLHIV, is also monitored regularly and saw a decline due to Covid-19 pandemic decreasing people’s willingness to visit health facilities.
DKI Jakarta Provincial Health Office, Ministry of Health and the International Association of Providers of AIDS Care (IAPAC)
SDGS & Targets
Goal 3
Ensure healthy lives and promote well-being for all at all ages
3.1
3.1.1
Maternal mortality ratio
3.1.2
Proportion of births attended by skilled health personnel
3.2
3.2.1
Under-five mortality rate
3.2.2
Neonatal mortality rate
3.3
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
3.3.1
Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations
3.3.2
Tuberculosis incidence per 100,000 population
3.3.3
Malaria incidence per 1,000 population
3.3.4
Hepatitis B incidence per 100,000 population
3.3.5
Number of people requiring interventions against neglected tropical diseases
3.4
3.4.1
Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease
3.4.2
Suicide mortality rate
3.5
Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
3.5.1
Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders
3.5.2
Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol
3.6
3.6.1
Death rate due to road traffic injuries
3.7
By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes
3.7.1
Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods
3.7.2
Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group
3.8
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
3.8.1
Coverage of essential health services
3.8.2
Proportion of population with large household expenditures on health as a share of total household expenditure or income
3.9
3.9.1
Mortality rate attributed to household and ambient air pollution
3.9.2
Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)
3.9.3
Mortality rate attributed to unintentional poisoning
3.a
3.a.1
Age-standardized prevalence of current tobacco use among persons aged 15 years and older
3.b
Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all
3.b.1
Proportion of the target population covered by all vaccines included in their national programme
3.b.2
3.b.3
Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis
3.c
3.c.1
Health worker density and distribution
3.d
Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks
3.d.1
International Health Regulations (IHR) capacity and health emergency preparedness
3.d.2
Percentage of bloodstream infections due to selected antimicrobial-resistant organisms
SDG 14 targets covered
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Deliverables & Timeline
1. Tanya Marlo chatbot. In the spirit of reaching out to the younger generation, in 2018 UNAIDS Indonesia developed "Tanya Marlo", a chat robot (chatbot) based on Artificial Intelligence, which is designed for conversations about HIV and AIDS.
2. Quarterly coordination meetings among Jakarta stakeholders. Jakarta has also re-energized coordination of its HIV response through new quarterly coordination meetings by involving national and local governments, CSOs and other DPs.
3. Strategic information – including HIV estimates and projections and an Investment Case Analysis. Strategic information supports Jakarta policymakers to decide on the priority actions and resources needed to reach key targets, and to advocate for them.
4. Jakarta HIV Strategic Plan 2021-2024. This strategic plan will serve as a reference for key city stakeholders to undertake strategic planning and implementation until 2024.
Resources mobilized
Partnership Progress
Feedback
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Timeline
Entity
SDGs
Region
- Asia and Pacific
Other beneficiaries
Implementation of activities takes place in close collaboration with relevant partners and stakeholders, including Jakarta Provincial Health Office, national government partner (including Ministry of Health), United States Government partners and the Global Fund. Civil society organisations, communities, academia, health care providers, members of networks of people living with HIV, key populations and young people have also played an active role in the planning and implementation of activities as well as become the beneficiaries of this initiative.
More information
Countries
Contact Information
Lely, Strategic Information Adviser at UNAIDS Indonesia Country Office