The Australia Indonesia Health Security Partnership (AIHSP) is a bilateral program between the Government of Australia and the Government of Indonesia. AIHSP’s overarching goal is to increase national health security in Indonesia so that women, men and communities are at less risk and experience less impact from Emerging Infectious Diseases (EIDs)/Zoonoses, thereby contributing to Australian, regional and global health security, as well as supporting sustainable economic development and food security in Indonesia.

AIHSP provides high-quality advice, implementation support, facilitate cross-sectoral coordination between human and animal health, and independent monitoring and evaluation services at the program and portfolio level for DFAT Health Security Programs in Indonesia and the Indo-Pacific Region. The AIHSP is a five-year program (2020–2025) designed to increase national health security in Indonesia.

Supported by the Australian Government and implemented by DT Global, the AIHSP has been established as a One Health program that embraces human, animal, and wildlife health issues in Indonesia. Specifically, this important strategic partnership aims to strengthen the systems in Indonesia that prevent, detect, and respond to public and animal health emergencies resulting from emerging infectious diseases, and improve coordination of responses to national, regional, and global health threats.

Preparedness:

• Commissioned analytical works that underpin and inform Indonesia’s longer-term planning and policy development, including a review of the National Health System and a cost analysis of the Minister of Health’s proposed Integrated Primary Healthcare arrangements
• Developed modules on emergency preparedness and One Health are now a mandatory part of national healthcare training
• Facilitated the establishment of cross-sectoral working groups and coordination between human and animal health sectors, improving communication and disease prevention efforts.

Detection:

• Improved and upgraded the surveillance systems for animal health (Indonesia’s Integrated Animal Health Information System, iSIKHNAS) and human health (Aplikasi Sehat Indonesia-Ku, ASIK) that are now being used by 98% of community health centers (Puskesmas) and Ministry of Agriculture, enable them to strengthen their evidence-based decisions and improved management of health resources
• Facilitated the adoption of standard health terminology through the Commonwealth Scientific and Industrial Research Organisation’s (CSIRO) Ontoserver and supported the piloting of user-friendly integration of data systems through the Secure and Interoperable Surveillance and Health Information System (SISHIS) in Bali
• Enhanced laboratory capabilities, including the development of pathogen genome sequencing under Indonesia’s Biomedical and Genome Science Initiative (BGSi) and integration of iVLab (the Indonesian Veterinary Labs Information System) with iSIKHNAS for improved disease investigation.

Response:

• Improved risk communication strategies and facilitated vaccine distribution to marginalized hard-to-reach populations
• Piloted the integration of health education on zoonotic diseases into the Family Hope Program (PKH)
• Fit for purpose guidelines and SoPs in Health Emergency Operations Centres (HEOC) in four provinces (Bali, Central Java, South Sulawesi, and Yogyakarta).

Coordination:

• Supported the establishment and development of coordination structures such as subnational coordination teams (TIKOR) and community health centres of human health (Puskesmas) and of animal health (Puskeswan) forums. It helped establish 37 coordinating structures from the national through to the community level, which are embedded in government legal frameworks
  and have resulted in improved response to infectious diseases documented throughout this report
• Administered COVID-19 vaccinations as part of the Vaccine Access and Health Security Initiative (VAHSI) and the Quad, focusing on outreach to marginalised and vulnerable communities, including people with disability and elderly.