Background: Based on Permenkes No. 65 the year 2017, the Banjarnegara Health Research and Development (R&D) Unit is one oft he units under the NIHRD Ministry of Health, which has the task of conducting research and development of health with the advantage of leptospirosis control. The working area includes four provinces: DI Yogyakarta, DKI Jakarta, West Kalimantan, and South Sulawesi. In addition to conducting excellent research, Banjarnegara Health R&D Unit also has to do health research based on program needs in the target area. The Banjarnegara Health R&D Unit needs to understand its strengths, weaknesses, opportunities, and challenges through the identification of internal and external environments that can be using as a basis for developing strategic planning for organizational development. Objective: Formulate alternative strategies for the development of The Banjarnegara Health R&D Unit. Methods: Research A descriptive case study by using a holistic single case design plan. Variable research is the internal and external factor of Banjarnegara Health R&D Unit, development issues, and the strategies of develepment. Data obtained through in-depth interviews with the related informants, observation, and study of documents. Results: Internal environmental analysis to see the strengths and weaknesses of the Banjarnegara Health R&D Unit. Based on the results of internal environmental analysis, the Banjarnegara Health R&D Unit has considerable strength in terms of organizational as pects, HR experience, a budget that continues to increase every year, and infrastructure. External environmental analysis opportunities that can be utilized by the Banjarnegara Health R&D Unit are excellent stakeholder support, opportunities to collaborate with various institutions, sources of research funding, availability of information technology, and regulations that support the research climate. While the threats identified, require large budgets to keep abreast of medical or laboratory equipment technology, the development of potential epidemic diseases, limited recruitment of human resources and the potential to reduce PNBP. Conclusion: Strategies that can be used Banjarnegara Health R&D Unit for development are the development of services and products according to the needs of the stakeholders, the development of cooperation with strategic stakeholders, and the development of organizations with public service agency financial management patterns.

Background: Indonesia is one of the countries with a high burden of TB and HIV. In response, countries adopted collaborative TB-HIVguidelines which recommending integrated services including diagnostic screening and care for TB-HIV patients. In Kulon Progo, onlyhalf of the target achieved for HIV testing on TB patients and efforts to improve services under the existing health system resources.Therefore, it is very important to understand its capacity to provide integrated TB-HIV services.Objective: This study aimed to assess the readiness for integration of TB-HIV services at the Puskesmas for the health system in Kulon Progo District.Methods: The research used mixed methods explanatory sequential design. The unit of analysis was the Puskesmas. Crosssectional observations using a modified SARA questionnaire followed by in-depth interviews explored the barriers and opportunitiesfor integration of TB-HIV services at the Puskesmas were conducted.Results: Overall from 21 Puskesmas, 93.3% (95% CI; 92.7%-93.9) Puskesmas had readiness to provide basic health services, 63.8%(95% CI, 60.7–66.8) Puskesmas had TB service readiness, 80.9% (95% CI: 73.6–88.2) Puskesmas had readiness for HIV testing counseling services, only 1 Puskesmas (4.7%) had good readiness forboth services. Based on the domain assessment, only 40.4% of Puskesmas have trained staff in TB diagnosis and treatment and61.9% of Puskesmas have trained personnel and guidance on HIV testing counseling. Leadership involvement had a positive effecton strengthening integration readiness, while negative responses from access to knowledge and training weaken service integration readiness.Conclusion: Puskesmas had good readiness for general services and HIV counseling services. However, readiness for TB serviceswas suboptimal, only one puskesmas had readiness in the good category for both services. Leadership involvement coordinatesthe two services and directs management support to strengthen integration readiness. Trained staff and the availability of TB-HIV guidelines must be met to support the integration of TB-HIV services.

Background: HIV/AIDS sufferers in Sintang Districts recorded the number of new cases from 29 people in 2012 to 63 people in 2017. Funding for the HIV/AIDS program from the Global Fund is uncertain, while funding from the Sintang Regency APBD tends to decrease. These data indicated that the dependence on funding for the HIV/AIDS program from donors, namely the Global Fund, is large enough that a study on the sustainability of the HIV/AIDS program is required if funding support from donors ceases. This can be a consideration for local governments and managers of the HIV/AIDS program to maintain the sustainability of the HIV/AIDS program to achieve the benefits and objectives to be achieved in the HIV/AIDS prevention program. Objective: To describe capacity sustainability (funding stability, or ganizational capacity, program evaluation, program adaptation and communication) of HIV/AIDS programs in Sintang District. Methods: This research used a qualitative approach with descriptive research type. Subjects of this study were 21 people. This research used purposive sampling and snowballing sampling for People living with HIV/Aids (PLWHA), with data analysis used is content analysis. Results: The sustainability of HIV/AIDS programs has not been supported by varied funding sources and the ability to obtain funding through the private sector (CSR). Priority setting of the proposed funding program is not evenly distributed, especially on cross-sectoral OPD and lack of NGO independence in terms of funding. Increased availability of health personnel and improvement of facilities at puskesmas to be able to perform HIV / AIDS testing. Standard evaluation report formats are still not getting attention, not yet supported by the local monitoring and evaluation team as well as some OPD across sectors have not benefited from the evaluation. weak aspects of prevention of HIV/AIDS transmission and cross sectoral involvement in monitoring. lack of availability of counselors and weak cross-sectoral involvement in communicating programs. Conclusion: The capacity of funding stability, organizational capacity, program evaluation, program adaptation and communication still require improvement and improvement with priority setting policy and funding through the private sector, support for the role of stakeholders related to the HIV/AIDS program.

Background: COVID-19 requires all parties to adapt to an unprecedented situation. Meanwhile, the implementation of the Pulmonary TB Control Program activities must continue to support the success of the Pulmonary TB Control Program in East OKU Regency. Coaching which is usually done face-to-face but is now very difficult to do because the COVID-19 has not subsided. Modern technology that reaches all aspects of life, including supervision activities. Objective: To describe the virtual supervision mechanism carried out by the Regional Health Department to the primary health care during the Covid-19 pandemic in the Pulmonary TB Control Program in East OKU Regency. Methods: A descriptive case study approach through a single case holistic design. Qualitative information was obtained through in depth interviews and documentation studies on April-Mei 2021. The research subjects were taken by the purposive sampling method. The subjects were 16 people. Results: The implementation of virtual-based supervision activities was carried out via WhatsApp and telephone from the Regional Health Department to the primary healthcare. Virtual supervision made it easier to access communication between the Health District Office and the TB Program Manager at the puskesmas because there are no restrictions on funds, distance and time. The Health District Office were able to monitor MSS achievements through the SITB report and monitor the availability of drug stocks virtually through coordination with the TB Program Manager at the puskesmas. However, the Health District Office was unable to monitor the use of logistics and reports related to slide numbering at the puskesmas in addition to the limited guidance provided during the COVID-19 pandemic. Conclusion: Social media is used as a means of exchanging data and information. Virtual monitoring of activities and coaching has not been carried out optimally. Coaching needs to be done virtually to improve the ability and skills of a TB Programmer in terms of recording and reporting TB programs during the pandemic of COVID-19.    

BackgroundIn 2008, we created the ‘Switching The Poles’ Clinical Research Network, by joining the forces of non-commercial clinical research groups in Benin, Burkina Faso, Cambodia, Cuba, the Democratic Republic of Congo, Ethiopia, India, Indonesia, Nepal, Peru, Rwanda, The Gambia and Vietnam. Our aim was to strengthen capacity to conduct non-commercial clinical trials that comply with ethical/regulatory standards.MethodsOur capacity building initiatives were designed to directly benefit the implementation of clinical trials, including various EDCTP-sponsored projects, e.g. 4ABC (7 countries), PREGACT (4), Microbicide Safety Biomarkers (3) and Ring Plus (1). Our training, coaching and networking activities targeted young researchers from the South as well as research professionals who are traditionally ‘neglected’ in trainings, such as data managers and laboratory staff. There were several thematic packages: Good Clinical Practice (GCP), Good Clinical Laboratory Practice, data management (DM), monitoring, and informed consent.ResultsWe developed a theoretical and practice-based GCP training that was adopted by WANETAM Plus in 2013, and a set of standardised DM procedures. Data managers used to working on their own, now benefit from an e-platform (admitnetwork.org) for collaboration and peer advice. We started coaching clinical monitors, for facilitating reciprocal monitoring schemes. We publicly spoke out about ethical issues, e.g. ethical review of externally-sponsored trials, voluntariness in informed consent in vulnerable populations, and provided recommendations to the International Conference of Harmonization in its revision of GCP Guidelines. The inclusion of partners from so many diverse countries and settings resulted in cross-fertilisation and mutual learning. The Networks' small size facilitated interpersonal collaboration.ConclusionsOur experience shows that a relatively small, but focused international network provides an excellent platform for supporting young researchers across different professional disciplines and helps to strengthen capacity for clinical research. This approach has enabled partners in low- and middle-income countries to successfully conduct harmonised GCP-compliant clinical trials.