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STATE NEWS
REPUBLIC OF INDONESIA
| No. 654, 2013 | THE HEALTH MINISTRY. HIV. AIDS. Repeal. |
REPUBLIC OF INDONESIA HEALTH MINISTER REGULATION
No. 21 YEAR 2013
ABOUT
HIV AND AIDS COUNTERMEASURES
WITH THE GRACE OF THE ALMIGHTY GOD
HEALTH MINISTER OF THE REPUBLIC OF INDONESIA,
Weigh: a. That with the increased incidence of HIV and AIDS, which varies from low epidemics, concentrated epidemics and widespread epidemics, which need to be carried out efforts to countermeasure HIV and AIDS in a unified, thorough and qualified process;
B. that Health Minister ' s Decision Number 1285 /Menkes/SK/X/2002 on the Guidelines for HIV/AIDS and Sexually Transmitted Diseases is no longer in compliance with the development and needs of the health care, as well as the legal needs;
c. that under consideration as intended in letter a and letter b need to establish a Health Minister Regulation on HIV and AIDS Withdrawal;
Given: 1. Act Number 29 of 2004 on the Practice of Medicine (Indonesian Republic of Indonesia 2004 Number 116, Additional Gazette of the Republic of Indonesia Number 4431);
2. Law No. 32 Year 2004 on Regional Governance (Sheet State Republic Indonesia Year 2004 Number 125, Supplementary Sheet Republic Indonesia Number 4437) as amended several times last by Act Number 12 Years 2008 (sheet Of State Of The Republic Of Indonesia 2008 Number 59, Additional Gazette Of The Republic Of Indonesia Number 4844);
3. Law No. 35 Year 2009 on Drugs (sheet State of the Republic of Indonesia Year 2009 Number 143, Additional Sheet of State of Indonesia Republic No. 5062);
4. Law No. 36 Year 2009 on Health (State Sheet of the Republic of Indonesia Year 2009 Number 144, Additional Sheet of State of Indonesia Republic No. 5063);
5. Law No. 44 Year 2009 concerning Hospital (Sheet State Republic Of Indonesia 2009 Number 153, Additional Gazette Republic of Indonesia Number 5072);
6. Government Regulation No. 32 of 1996 on Health Power (State Sheet of the Republic of Indonesia in 1996 No. 49, Additional Gazette of the Republic of Indonesia Number 3637);
7. Government Regulation Number 38 Year 2007 on the Partition of Government Affairs Between the Government, Provincial Local Government, and the District/City Local Government (Indonesian Republic of 2007) Number 82, additional State Sheet Republic of Indonesia No. 4737);
8. Government Regulation No. 7 of 2011 on Blood Services (State Sheet of Indonesia Year 2011 Number 18, Additional Gazette Republic of Indonesia Number 5197);
9. Government Regulation No. 25 of 2011 on Implementation Of The Mandatory Reporting Of Narcotics Addicts (sheet Of State Of The Republic Of Indonesia In 2011 Number 46, Additional Gazette Republic Of Indonesia Number 5211);
Ten. Government Regulation No. 33 of 2012 on the Granting Of Exclusive Mother Milk (sheet Of State Of The Republic Of Indonesia Year 2012 Number 58, Additional Gazette Of The Republic Of Indonesia Number 5291);
11. The decision of the Minister of Health Number 1116 /Menkes/ SK/VIII/2003 on the Guidelines for the Organizing System Of Health Epidemiology Systems.
12. Health Minister ' s Decision Number 1479/Menkes/SK/X/2003 on the Guidelines of the Staging System of Infectious Disease Epidemiology and Incommunicable Incommunicable Diseases;
Thirteen. "People's Welfare Coordinator Number 02/Per/Menko/Kesra/I/2007" on the National Policy of HIV and AIDS-AIDS through the reduction of the Bad Impact of Narcotic Use, Psychotropic Substances and Addictive Substances;
14. Minister of Health Regulation No. 269 /Menkes/ Per/III/2008 about the Medical Reclamation;
15. Decision of Health Minister Number 350 /Menkes/ SK/IV/2008 about the Redemption of the Strengthening Hospital and Satellite Metadon Therapy Program as well as the Metadon Rumatan Therapy Program Guidelines;
-16. Decision of the Minister of Health No. 378 /Menkes/ SK/IV/2008 about the Medik Rehabilitation Service Guidelines in the Hospital;
17. Ministry of Health Regulation Number 1144 /Menkes/ Per/VIII/2010 on the Organization and the Working Care of the Ministry of Health (State News of the Republic of Indonesia 2010 No. 585);
18. Regulation of Health Minister Number 001 of 2012 on the Personal Health Services System (2012);
DECIDED:
Sets: The Health Minister ' s Regulations On HIV Countermeasures And AIDS.
BAB I
UMUM CONDITIONS
Section 1
In this Minister ' s Rule, which is referred to:
1. The countermeasure is any effort that includes promotional, preventive, diagnostic, curative and rehabilitative services aimed at lowering the number of pain, death rates, limiting transmission and the spread of the disease to prevent outbreaks of disease. to other areas and to reduce the negative impact it has caused.
2. Human Immunodeficiency Virus (HIV) (HIV) is a virus that causes Acquired Immuno Deficiency Syndrome (AIDS).
3. Acquired Immuno Deficiency Syndrome ("AIDS") is a collection of symptoms of a reduction in self-defense capabilities caused by an influx of HIV virus in a person's body.
4. People with HIV and AIDS who are next abbreviated ODHA are people who have been infected with the HIV virus.
5. The next sexually transmitted infection (IMS) is an infection which is transmitted through vaginal intercourse, anal intercourse, anal or oral or oral/with oral sex.
6. HIV testing of the Health Care and Counseling Initiative which is next abbreviated as TIPK is HIV testing and counseling performed to a person for health and treatment purposes based on the initiative of the service provider Health.
7. Counseling and Volunteer HIV Tests which are next abbreviated as KTS are voluntary counseling and HIV testing process over the individual initiative concerned.
8. Counseling is information communication to help clients/patients in order to be able to take appropriate decisions for him and act according to the decisions he chooses.
9. Epidemiologic Surveilans is a continuous systematic monitoring and analysis of the disease or health problems and conditions that affect it to perform effective and efficient countermeasures.
Ten. The Central Government, later called the Government is the President of the Republic of Indonesia which holds the power of government of the Republic of Indonesia as referred to in the Basic Law of the Republic of Indonesia in 1945.
11. The Regional Government is the Governor, the Regent, the Mayor and the area's device as an element of the regional government's organizer.
12.Ministers is the Minister who organizes government affairs in the health field.
(2) In terms of no medical personnel and/or laboratory technicians as referred to in paragraph (1), bidan or trained nurse may perform an HIV test.
(3) The HIV test as referred to in verse (1) is carried out by the rapid diagnostic test (RDT) or EIA (Enzyme Immuno Assay) method.
Section 26
(1) Counseling is mandatory in each person who has performed HIV tests.
(2) Counseling as referred to in paragraph (1) consists of personal counseling, partner counseling, compliance counseling, behavioral change counseling, prevention of contacings including repeat HIV infection or cross infection, or Counseling for improvement of health conditions, reproductive health and family planning.
(3) Counseling as referred to in paragraph (1) is performed by trained counselors.
(4) trained counselors as referred to in verse (3) may be both health and non-health.
Section 27
Further provisions on HIV and AIDS Counseling and Counseling are set up with the Minister ' s Rules.
Section 28
(1) HIV testing on donor blood, blood products and body organs is performed to prevent transmission of HIV through blood transfusations and blood products as well as organ organ transplants.
th care teens;
B. reproductive health and family planning;
c. antenatal care checks;
D. sexually transmitted infections;
e. napza rehabilitation; and
f. Tuberculosis.
(4) Further provisions on the technical guidelines of the health promotion of HIV countermeasures and AIDS are governed by the Regulation of Ministers.
Third Part
HIV Reduction Prevention
Paragraph 1
General
Section 12
(1) The Prevention of HIV contacings can be effectively achieved by implementing a safe and not risky lifestyle.
(2) The Prevention as referred to in paragraph (1) includes efforts:
a. prevention of HIV transmission through sexual intercourse;
B. prevention of HIV transmission through non-sexual relationships; and
c. Prevention of HIV transmission from mother to child;
Paragraph 2
HIV Transmission Prevention Through Sexual Relations
Section 13
(1) The prevention of HIV transmission through sexual intercourse constitutes a range of attempts to prevent a person from infected with HIV and/or other IMS diseases transmitted through sexual intercourse.
(2) The prevention of HIV transmission through sexual intercourse is exercised primarily in a place of potentially risky sexual intercourse.
(3) The Prevention of HIV contacings through sexual intercourse is performed with 4 (four) integrated activities including:
a. increased stakeholder role;
B. behavior change intervention;
c. supply management of preventive health supplies; and
D. I'm an STI.
(4) The increased stakeholder role as referred to in paragraph (3) a letter is intended to create a social order in a key population environment that is conducive.
(5) Intervention of behavioral change as referred to in paragraph (3) letter b is intended to provide an understanding and change the behavior of the group collectively and the behavior of each individual in the group so that the vulnerability to HIV Less.
(6) The management of preventive health supply supplies as referred to in paragraph (3) of the letter c is intended to guarantee the availability of quality and affordable preventive health.
(7) IMS TM of IMS as referred to in paragraph (3) letter d to cure STIs in individuals by severing IMS's transmission chain eye through the provision of diagnostic and treatment services as well as change counseling Behavior.
(8) Further provisions on the guidelines of the IMS of IMS are set up with the Minister ' s Rules.
Section 14
(1) The Prevention of HIV contacings through sexual intercourse is made through an attempt to:
a. not to have sexual relations (Abstinence);
B. loyal to the pair (Be Faithful);
c. using condoms consistently (Condom use);
D. avoid misuse of drug/addictive substances (no Drug);
e. enhancing prevention capabilities through education including treating STIs as early as possible (Education); and
f. Do another precaution, among other things through the circumvyside.
(2) Not committing sexual intercourse as referred to in paragraph (1) the letter a is intended for an unmarried person.
(3) Setia with the spouse as referred to in paragraph (1) the letter b only sexual intercourse with a fixed partner is known to not be infected with HIV.
(4) Using a condom consistently as in paragraph (1) the letter c means always using a condom when it is forced to have sexual intercourse on the deviation of the terms of the verse (1) letter a and the letter b as well as the sex relationship with a couple who have been infected with HIV and/or STIs.
Paragraph 3
HIV Transmission Prevention Via Non-Sexual Relationship
Section 15
(1) The prevention of HIV transmission through non-sexual relations is aimed at preventing HIV transmission through the blood.
(2) The Prevention of HIV contacings through non-sexual relations as referred to in paragraph (1) includes:
a. the donor's blood filter test;
B. prevention of HIV infection in medical and non-medical actions that injure the body; and
c. Bad impact reduction in the napza user syringe.
(3) the donor's blood filter test as referred to in paragraph (2) the letter is performed under the provisions of the laws.
(4) The prevention of HIV infection in medical and non-medical actions that injure the body as referred to in paragraph (2) letter b is carried out with the use of sterile equipment and complying with the standard of operational procedures as well as paying attention to General vigilance (universal).
(5) The reduction of bad impact on napza users as referred to in paragraph (2) of the letter c includes:
a. a sterile syringe service program with behavioral change counseling as well as psychosocial support;
B. push for syringe users in particular opiates addicts undergo a formula therapy program;
c. encouraging napza users to inject sexual contacings; and
D. HIV counselling and HIV testing as well as prevention/immunization of hepatitis.
(6) The further provisions of the implementation of bad impacts on the use of napza syringe are regulated by the Regulation of Ministers.
Paragraph 4
Prevention of HIV Transmission from Mother to Child
Section 16
The prevention of HIV transmission from mother to child is carried out through 4 (four) activities including:
a. the prevention of HIV transmission in women of reproductive age;
B. Unplanned pregnancy prevention in women with HIV;
c. The prevention of HIV transmission from pregnant mothers with HIV to the baby in which it is held; and
D. Psychological, social, and medical support for the mother with HIV and her child and family.
Article 17
(1) Against pr ern of HIV transmission in key populations of mainly sex workers and Suntic Napza Users.
(2) Rehabilitation on the activities of HIV and AIDS treatment is carried out through medical and social rehabilitation
(3) Rehabilitation Activities on HIV and AIDS Tackling activities aimed at restoring quality of life to be economically and socially productive
(4) Rehabilitation of the key population of sex workers as referred to in verse (1) is carried out by means of the empowerment of work skills and the self-efficacy that can be done by the social sector, both the Government and the public.
(5) Rehabilitation in the key population of the syringe user as referred to in paragraph (1) is performed by outpatient, hospitalization and post-outpatient programs under the provisions of the laws.
BAB V
SURVEILANS
Section 39
(1) HIV and AIDS Surveilans are conducted for the monitoring and decision making in HIV and AIDS Distractions.
(2) HIV and AIDS Surveilans as referred to in paragraph (1) include:
a. the reporting of HIV cases;
B. AIDS case reporting;
c. sero surveilans sentinel HIV and syphilis;
D. IMS surveilans;
e. HIV surveilans are based on counseling and HIV testing;
f. biologically integrated surveillance and behavior;
G. fast survey of behavior; and
h. ARV resistance monitoring activities.
(3) The reporting of the HIV case as referred to in paragraph (2) of the letter a aim is to determine the extent of the epidemic and prevent further contacings.
(4) The incidence of AIDS cases as referred to in paragraph (2) letter b aims for the treatment and improvement of quality of life.
(5) Sero surveilans sentinel of HIV and syphilis as referred to in paragraph (2) the c is aimed at monitoring the magnitude and inclination of the problem.
(6) Surveilans IMS as referred to in paragraph (2) the letter d aims to monitor the magnitude and inclination of IMS.
(7) The IMS Surveilans as referred to in paragraph (6) include:
a. case reporting in order to search the incident;
B. determination and monitoring of prevalens;
c. etiology determination of IMS syndrome;
D. Antibiotic resistance surveyances; and
e. Special study.
(8) The HIV-based Surveilans of Counseling and HIV testing as referred to in paragraph (2) of the letter e aim to know the tendency of HIV infection in a risky group that comes to HIV counseling and testing services.
(9) The biological and behavioral integrated Surveilans as referred to in paragraph (2) of the letter f aim to monitor the impact of impact and the tendency of the risk of HIV-infected behavior and IMS periodically.
(10) A quick survey of the behavior as referred to in paragraph (2) the letter g aims to get an overview immediately to start and/or evaluate a public health action.
(11) ARV resistance monitoring activities as referred to in paragraph (2) of the letter h include:
a. Threshold survey aims to see ARV drug resistance levels in people newly exposed to HIV;
B. monitoring survey aims to see resistance during the treatment of ARV; and
c. Early alertness indicators aim to see the optimization of the ART program function in preventing ARV resistance.
(12) Further provisions on HIV and AIDS Surveilans are governed by the Regulation of Ministers.
BAB VI
IMPACT MITIGATION
Section 40
(1) The impact Mitigation is an attempt to reduce the health and social impact of the economy.
(2) The government, local government, private and society alone and/or jointly carry out the economic impact mitigation of ODHA economies and families by the way:
a. providing a health guarantee;
B. eliminate discrimination in delivering services and in community life;
c. organizes assistance programs to increase family income; and
D. Include ODHA and family in the efforts of HIV and AIDS Tackling as a means for ODHA social and economic empowerment.
(3) The mitigation activities as referred to in paragraph (1) of the letter are performed under the provisions of the laws.
BAB VII
HEALTH RESOURCES
The Kesatu section
Health Care Facility
Section 41
(1) Each ODHA is entitled to obtain health care access.
(2) Each health care facility is required to provide health care to ODHA according to the capabilities it has.
(3) Each primary health care facility is required to perform promotional efforts, preventative, counseling, early detection and referencing cases that require referrals.
(4) Each hospital at least C-class is mandatory to diagnose, perform treatment and treatment of ODHA in accordance with the provisions in the referral system.
(5) Primary health care facilities and grade D hospitals can conduct the diagnosis, treatment and treatment of ODHA according to the capability and referral system.
Section 42
(1) Each health care facility is required to carry out preventative measures to prevent contacings of infection including HIV.
(2) preventative measures to prevent the transmission of infection as referred to in paragraph (1) include:
a. general vigilance (universal of the free);
B. compliance with the infection prevention program according to standard;
c. the safe use of blood from HIV; and
D. communications, information and education to patients.
(3) In terms of health care facilities that do not carry out preventative measures to prevent transmission of infection as referred to in paragraph (1) and verse (2), Minister, provincial local government and local government districts/cities as per their respective authority may charge an administrative action of:
a. oral reprimand;
B. written reprimand; and/or
c. revocation clearance.
Second Part
Human Resources
Section 43
(1) Human resources in HIV and AIDS Distractions include health and non-health personnel.
(2) The health of human resources as referred to in paragraph (1) is a health force that has the competence and authority in accordance with the provisions of the laws.
(3) In terms of an area no health force has a competence and authority, another trained health care can receive an assignment.
(4) The Assignment as referred to in paragraph (3) is performed by the head of the local health service after obtaining consideration of the related profession organization.
(5) Non-health, as referred to in verse (1) in the field of policy, welfare, health, education, social, culture, which covers all the problems of HIV and AIDS holistically.unistic infections, which choose Care at home.
(5) Home care as referred to in verse (4) aims to prevent infection, reduce complications, reduce pain/uncomfortable, improve self-acceptance facing the situation and understand diagnosis, prognosis and treatment, as well as improving self-reliance to achieve a quality life.
Sixth Part
Rehabilitation
Section 38
(1) Rehabilitation of HIV and AIDS treatment is conducted against every transmission patt
(1) The health care facility is mandatory reporting on HIV cases, the case of AIDS and its treatment to the county/city health service.
(2) The county/city health service conducts a compilation of reporting as referred to in paragraph (1), and conducts analysis for policy taking and follow-up as well as reporting it to the provincial health service.
(3) The provincial health service is compiling reporting as referred to in paragraph (2), and conducting analysis for policy taking and follow-up as well as report it to the Minister.
(4) Reporting as referred to in paragraph (1), paragraph (2) and paragraph (3) is performed each month.
BAB XII
COACHING AND SUPERVISION
Section 57
(1) Minister, National AIDS Intrusion Commission, provincial government and district/city regional government conducting the coaching and supervision of HIV and AIDS Tackling activities.
(2) The mechanism of coaching and supervision of HIV and AIDS countermeasures is carried out with monitoring and evaluation activities.
(3) In order to carry out the coaching and supervision, the Minister, the National AIDS Suspension Commission, provincial government and district/municipal governments may impose sanctions according to their respective authority.
BAB XIII
TRANSITION PROVISIONS
Section 58.
Any health care facility which has not yet had the appropriate capability as defined in Article 41, must conform to the provisions of the Regulation of this Minister the slowest in time 1 (one) year since the Ordinance of this Minister Applicable.
BAB XIV
CLOSING PROVISIONS
Section 59
At the time the Minister 's Ordinance came into effect, the Health Minister' s Decision Number 1285 /Menkes/SK/X/2002 on the Guidelines for HIV/AIDS and Sexually Transmitted Infections was revoked and declared not applicable.
Section 60
The Regulation of the Minister comes into effect on the date of the promulctest.
For each person to know it, order the invitation of the Order of the Minister with its placement in the News of the Republic of Indonesia.
Specified in Jakarta
on March 21, 2013
HEALTH MINISTER
REPUBLIC OF INDONESIA,
HEY, HEY, HEY, HEY.
It is promulred in Jakarta
on 30 April 2013
MINISTER OF LAW AND HUMAN RIGHTS
REPUBLIC OF INDONESIA,
AMIR SYAMSUDIN
) Special partnership and partnership of HIV and AIDS as referred to in paragraph (1), paragraph (2) and paragraph (3) are led and coordinated by the National AIDS Commission of AIDS, the Provincial AIDS Governing Commission and the The District/City AIDS Countermeasures Commission.
Each person must participate actively to prevent and orchestrate the HIV epidemic according to their respective abilities and roles.
(2) A healthy living behavior as referred to in paragraph (1) a letter is performed by avoiding sexual and non-sexual behavior at risk of HIV transmission.
(3) The family prisoner as referred to in paragraph (1) the letter b is done in a way:
a. loyal to the pair; and
B. Compassion, compassion and compassion in the family to a healthy life, especially the reproductive health and the avoidance of Napza.
(1) Citizens of the AIDS Concern as referred to in Article 51 of the paragraph (1) of the letter d constitute the role and society's platform for the conduct of HIV and AIDS.
(2) Citizens of AIDS as referred to in verse (1) may be formed at the level of sub-district, agility/village, hamlet/village, senile of the citizens, and the neighbor's room.
(3) Citizens Care Activities as referred to in paragraph (1) can be integrated with the standby desa/RW activities.
(2) The role of ODHA as referred to in paragraph (1) the letter b is done through:
a. obligation to use condoms correctly and consistently;
B. using a disposable sterile injectable device;
c. Active participation on the transmission prevention services of mother to child for pregnant mothers who are infected with HIV; and
D. does not become a blood donor, blood products and/or organs as well as other tissues of the body.
(1) To improve the efforts of HIV and AIDS-based evidence and improvements in its implementation, conducted operational research and research in the field:
a. epidemiology;
B. health humanities;
c. disease prevention;
D. treatment and treatment management;
e. drugs and traditional medicine;
f. biomedic;
G. economic social impact;
h. basic technology and applied technology; and
i. The other fields are set by the Minister.
(2) The research and development as referred to in paragraph (1) is carried out by the Government, local governments and the public.
(3) The implementation of research and development as referred to in paragraph (2) may be performed in collaboration with foreign institutions and/or researchers in accordance with the provisions of the laws.
(1) All HIV and AIDS countermeasures activities must be conducted on record and reporting according to the applicable guidelines.
(2) The health care facility is required to perform treatment records, the follow-up treatment of HIV patients and the awarding of ARV as well as documenting it in a medical record.
