Generating Cost and Program Impact Evidence to Strengthen the HIV Treatment Cascade in Jakarta, Indonesia

To address the paucity of data on HIV intervention costs in Jakarta—particularly by service delivery model or population served—HP+ conducted a cascade costing analysis in Jakarta and worked with the Provincial Health Office in Jakarta to adapt and apply the Local Epidemic Assessment for Prevention (LEAP) model. The costing analysis involved collecting primary data from the government, civil society organizations, puskesmas, and private clinics to describe the interventions, by service delivery model and targeted population, needed to overcome barriers along the HIV treatment cascade, quantify intervention costs, and assess cost efficiencies. Recommendations address identification of HIV-positive individuals, linkage to care and treatment, and retention in care and viral suppression. LEAP was used to estimate the impacts of improvements in HIV prevention and treatment on HIV incidence, prevalence, and mortality, including generating the cost of different scale-up scenarios.

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