Guidelines for second generation HIV surveillance - World Health ...

Using data to plan programmes in Indonesia (Figure 4.7)
• Indonesia used several criteria to identify high epidemic priority areas:
• large concentrations of persons whose behaviour put them at high risk were estimated to comprise
more than 1% of the general population
• large number AIDS case reports
• high levels of HIV seroprevalence.
• Using these criteria, 71 districts (71 of 440, or 20% of all districts in Indonesia outside of Papua) were
identified as having high epidemic potential or mature, concentrated epidemics.
• These districts contain 80% of the cumulative AIDS cases that have been reported so far.
• These priority districts also cover approximately 60% of the estimated populations of sex workers
and persons who inject drugs.
• Provinces were grouped into three categories according to the number of high-priority districts in their
jurisdiction.
Evaluating a National Surveillance System
4.3.2. Amend maps, plans and trend predictions as needed
A second generation surveillance system is an ongoing process of planning, collecting, analysing,
interpreting and using data for planning, decision-making and dissemination. The system must continually
update the understanding of the HIV epidemic.
• Some data are collected and analysed according to a periodic schedule, such as annual sentinel
surveillance or integrated biological and behavioural surveys.
• Other data from ad hoc studies are analysed and incorporated when they become available. Such studies
may be conducted during sudden increases in STIs, HIV prevalence or HIV advanced case reports,
availability of new rapid situation assessment data or other sources of information.
Figure 4.7. Using data to plan programmes in Indonesia
• Districts with less than 1000 sex workers, and persons who
inject drugs; the size of these populations is >1% of the
general population
••
Level 1: Provinces requiring saturated coverage of key
populations at higher risk; scale up access to care and
treatment
• Level 2: Provinces requiring focused interventions in highpriority
kabupaten/kota ()
• Level 3: Provinces with low-level epidemics; programmatic
focus should be on monitoring the epidemic
Source: Indonesia Heterogeneity Synthesis by Pandu Riono, Virginia Loo, Pandu Harimurti, David Wilson, World Bank report June 2009
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