RCBND HIV-AIDS Project Update

RCBND HIV-AIDS Project Update

HIV-AIDS ON BALI – OVERVIEW and BACKGROUND

Indonesia’s Provincial AIDS Control Commission reports that HIV and AIDS infections on Bali continue to increase each year and now is spreading into rural areas of the island. Indeed the latest reports show that the number of HIV/AIDS cases on Bali doubled from 50 new cases reported monthly in 2012 to 100 new cases reported every month in 2013.

The major method of transmission of HIV-AIDS on Bali is through heterosexual intercourse. Rough data estimates that there are 3,000 commercial sex workers in Bali, 20 percent of whom are HIV positive. The number of people who use their services is estimated to reach around 80,000 per year.

The Department of Health on Bali states that until now (September 2015) the registered number of People Living With HIV (PLWHA) on Bali is 8,141. However the true figure could be as high as 26,000. Women and children currently have the fastest growth rates of new HIV cases on Bali.

Women accounted for 50% of new cases in the 2012-2013 period while cases of children suffering from HIV have also risen dramatically. In the 2012 to 2013 period known cases of children with HIV have risen from 160 to 297. Fifty three cases are children between the ages of 1-4 years and 204 cases between 5-14 years. Most of the children contracted the disease from a parent. As of 2012, the HIV prevalence rate reached around 0.12 percent of the total population while the target for 2015 was to be less than 0.05 percent. The percentage of residents receiving HIV/AIDS information has also only reached some 29 percent, far below the government’s targeted 95 percent.

The majority of PLWHA are Female Sex Workers (FSW) and their male clients, but current trends indicate that the epidemic is shifting from a concentrated one (that is, restricted to ‘high risk’ communities such as intravenous drug users and female sex workers) to a generalized epidemic with increasing numbers of housewives and their children being affected. The majority of those affected by HIV-AIDS on Bali are also of productive age (see Graph 1)

GRAPH 1:
HIV-AIDS IN INDONESIA DIS-AGGREGATED BY AGE

graph1

HIV AIDS on Bali

Recent projections show that approximately 60,000 women in Bali are potentially vulnerable to HIV infection through the unsafe behaviors of their male partners (see Diagram 1). In addition, many of these women and children affected by the epidemic originate from impoverished rural backgrounds and have been widowed by their spouses who were previously the main income earners.

DIAGRAM 1:
FEMALE SEX WORKERS AS EPICENTRE OF THE SPREAD OF HIV-AIDS IN BALI

Female Sex Workers on Bali

Female Sex Workers on Bali



PAST and CURRENT PROGRAMS

For several years Rotary Club Bali Nusa Dua has worked at the forefront in the fight against HIV-AIDS spearheaded by our member and well-known anti-AIDS activist Ari Murti. Activities to date have included:

    Training of Midwives

      Workshops to train midwives on HIV prevention, particularly from mother to child. The pilot project of 20 midwifes was so successful and well received that it has been expanded with more than 200 midwives across Bali trained. The midwife training program, having received full recognition by the Department of Health, was adopted nationwide.

    Training of Counsellors

      Against the background of increasing HIV numbers in Bali a program was launched training counselors to work in non-government organizations, clinics and hospitals around the island. This program emphasized sustainability and focused on building the capacity of local health care workers. In total 20 counselors had been trained.

    Breast Milk Substitute

      Providing breast milk substitute to babies born to HIV mothers to reduce the incidence of infection to the babies.

    Scholarship

      Scholarships for HIV positive children from challenged socio-economic backgrounds in order to ensure that they have access to schooling.

    Financial Support for Clinic Amerta

      Clinic Amerta provides free medical service to patients with HIV and other diseases. The clinic depends and survives on donations. Rotary Club Bali Nusa Dua is currently one of Clinic Amerta’s largest financial supporters.

    Emergency funds

      Provision of emergency funds for immediate and un-bureaucratic help to HIV-AIDS patients.

OUR GOALS

    Documentary video on HIV/AIDS

      Producing a documentary video on HIV/AIDS to raise awareness among health officials and other organization. Broadcasting by local TV stations is also envisaged.

    Nutrition supplements for babies of HIV infected mothers

      In the past the provision of powdered milk for babies of HIV infected mothers has been funded. This program will come to an end soon and is to be continued and expanded covering 20 babies. Each baby will receive the milk powder over a period of18 months while the program will stretch over the period of two years. The costs are USD 30 per baby per month.

    Scholarship for HIV affected and/or infected children

      The HIV-AIDS epidemic continues to affect those living in already extremely difficult predicaments. Increasingly, those suffering from HIV-AIDS are of productive age and more often than not HIV-AIDS impacts upon the main bread winners of the family unit. As comprehensive information about HIV-AIDS has yet to reach the village and familial realm, many only begin to seek treatment and care when already in late the stages AIDS and, all too often, they are too ill to survive. As a result, many women are widowed and children orphaned.
      As the majority of those affected by HIV-AIDS in Bali originate from underprivileged backgrounds, when the sole or main income generator passes away, the situation of these families naturally becomes much worse. HIV+ infants and young children regularly suffer from illness making it impossible for the newly widowed mother to find employment as the responsibility of being main care giver falls upon her. HIV-AIDS also directly affects the family income as people living with HIV-AIDS are regularly ill and require costly hospital care. Usually children affected by HIV-AIDS discontinue schooling due to increasing financial pressure on families.
      Schooling is already a costly expense for underprivileged families without the added burden of HIV/AIDS. That being the case, with no regular income the parents of school age children cannot afford to cover school fees and other costs, such as uniforms and school books. Many young children will not have the opportunity to attend school and others who have just begun are forced to discontinue their schooling.
      Although expenses vary in each province, the average cost to school an elementary age child on Bali, including the purchase of schoolbooks and uniforms, is around USD 100 annually. Therefore the funds currently needed for the scholarship of 12 children for 6 years of elementary school will amount to USD 7.200.

    Financial support for Clinic Amerta

      As in the past the support for Clinic Amerta is to be continued for a period of 2 years. The funds needed are USD 3.000 per year. The payments will be made at 6 month intervals.

WHAT CAN YOU DO?

Rotary Club Bali Nusa Dua is inviting all interested parties to join us in the fight against HIV-AIDS on Bali. As global concerned citizens it is our responsibility to ensure that the next generations are well educated, empowered to make to the right decisions about their bodies and minds, and are given opportunity to achieve the life to which they aspire.

We ask for your assistance in achieving our goals by contributing to one or all of following programs:

Program / Specific Cost / Description / Duration / Total Program Cost

  1. Documentary Film US$ 1,200.-
  2. Milk Formula for 20 children (1-18 months) / USD 30.-/child/month for 2 years / USD 10,800.-
  3. Scholarships for 12 children / US$ 100.-/child/month for 6 years each child / US$ 7,200.-
  4. Clinic Supplies Clinic Amerta / US$ 250.-/month for 2 years / US$ 6,000.-

    Total All Programs: USD 25.200.-

The majority of the programs will be executed in close cooperation with the Kerti Praja Foundation.

Our activities are coordinated with the relevant authorities.

Yours in Rotary,
ROTARY CLUB BALI NUSA DUA

November 2015