Awards in Indonesia - Short Term Award Tuberculosis Prevention and Elimination (cohorts I – III)

AAI Group 2 at the Alfred Medical Research and Education Precinct, Melbourne, with Course Facilitators Dr Philipp du Cros, Prof Steve Graham, Dr Suman Majumdar, Dr Khai Huang, Dr Trisasi Lestari and Stephanie Main. Photo: The .

Highlights Overview Three pre-course workshops in Seventy-six Indonesian health profes- The course leaders were Associate Makassar (Courses 1&2) and Surabaya sionals including doctors, nurses, Professor Anna Ralph, infectious (Course 3) community health workers, ministry diseases physician at the Menzies and local government’s health policy School of Health Research, Dr Steven Three two-week courses in Australia at makers participated in three Australia Graham, senior TB advisor and Dr the Menzies School of Health Research Awards Tuberculosis Prevention and Philipp du Cros, infectious TB special- and the Burnet Institute Elimination short term awards in 2018. ist at the Burnet Institute. Visits to The Centenary Institute, the The course equipped stakeholders Victorian Infectious Disease Reference and policy makers in Indonesia to Laboratory (Doherty Institute) and the control and eliminate TB infection, with Royal Darwin Hospital a long-term goal to further decrease the national TB prevalence and meet Award Project development and national targets by 2019. presentations Short Term Award (STA) Program Networking events attended by global health experts, Australia Awards in Beginning with a three-day pre-course Indonesia (AAI) Short Term Award workshop in Makassar (Courses 1 and malaria groups and AAI alumni 2) and Surabaya (Course 3), STA cohorts got off to a strong start, Three post-course workshops in AAI Group 1 completing the pre-course in dividing into groups and developing Yogyakarta (Courses 1&2) and Makassar Makassar show the “TOSS TB” hand sign. concept notes for their Award Projects (Course 3) based on situational, problem and Using key principles for tuberculosis solution analyses of current TB Expert panel discussions and keynotes (TB) elimination, the course was programs in Indonesia. This was delivered by global TB experts and accompanied by keynotes from Conference-style poster sessions health professionals from the Menzies Indonesian Ministry of Health staff and summarising Award Projects School of Health Research (Darwin), presentations on TB epidemiology the Burnet Institute (Melbourne) and and key international and national TB Ongoing communication and University Gadjah Mada (Yogyakarta). policies from global experts. networking on digital platforms Following the pre-course workshops, For the third post-course program, the STA cohorts travelled to Australia for newly-appointed head of the National intensive two-week courses conducted TB Program, Dr Imran Pambudi, joined in Melbourne and Darwin (STA Group the panel alongside Bey Sonata from 1) or Melbourne and (STA KNCV Tuberculosis Foundation and Groups 2&3), from 12 th – 23 rd of March course facilitators for an engaging (STA Group 1), 30 th April – 11th May conversation on case finding in Indone- (STA Group 2) and 10 th – 21st Septem- sia. This panel emphasised the huge ber (STA Group 3). engagement the courses have had in Indonesia and Australia, and the collab- The course program consisted of a orations they have fostered. comprehensive overview of TB in AAI Group 1 participants at the Burnet Institute, Indonesia and the world, focusing on Melbourne. AAI’s commitment to fund the three leading issues such as drug-resistant best award projects across three TB treatment, TB/HIV management, cohorts was welcomed by both partici- paediatric TB diagnosis, TB prevention Post Award pants and the Indonesian Ministry of and ‘missing’ TB cases/case notifica- Health. One of the three best posters tions. The course embedded leading Course 1 and 2 participants and went on to win the poster competition global health frameworks for TB facilitators met again in Yogyakarta, held by the Ministry of Health at the TB elimination such as the Search, Treat after a three-month project implemen- International Conference in Makassar. and Prevent strategy and used interac- tation period, at the post-course work- tive group work, analysis of cases and shop. Group 3 met in Makassar for the The three AAI STA Tuberculosis scenarios from the region, ‘Meet the third workshop. The workshops Prevention and Elimination courses Expert’ panel discussions, site visits, focused on reflecting on what the were a great success, creating endur- presentations and peer learning to participants had learned during the ing networks and relationships cement key course objectives. program, presenting the Award amongst Australian and Indonesian Projects, which included a poster health professionals and their institu- conference on the first day. This tions, strengthening the mission to end allowed STA Groups 1&2 to meet and the suffering from TB in Indonesia, the see what their colleagues had region and the world. designed and developed, which includ- ed innovative health promotion tools, case finding initiatives and a TB guide- lines smartphone application. Groups discussed the challenges they had faced and their next steps and learnt about tools for effective health commu- nication, writing policy briefs and academic papers.

Participants and course facilitators at a Participants appreciated a panel Parliamentary Reception Hosted by Northern discussion focusing on TB policy, Territory Minister of Health Natasha Fyles. research and elimination tools present- AAI Group 2 at the Burnet Institute’s research ed by Dr Yodi Mahendradhata, Dr laboratories. Clinical, community health, health Pandu Riono, A/Prof Anna Ralph, Dr systems, research and public health Philipp du Cros, Dr Rina Triasih and Dr Linkages experts delivered the program. They Trisasi Lestari. Likewise, a keynote from A collaboration has been forged covered a spectrum of key topics to Dr Aamir Khan, Executive Director of between Dr Rina Triasih (co-facilitator equip course participants with the Interactive Research and Development from University Gadjah Mada), Dr knowledge and practical skills to (IRD) (which is implementing the Donnie Ahmad (guest speaker from design, implement, monitor and Search, Treat & Prevent approach in University Gadjah Mada at the evaluate innovative TB projects in Karachi, Pakistan, arguably one of the post-course program in Yogyakarta), Indonesia. Further, throughout the most comprehensive TB elimination the Centre for Tropical Medicine in course, participants gained extensive programs in the world) was an inspiring Yogyakarta, the Burnet Institute, project development and design skills, call to action to conclude the course. Menzies School of Health Research, devoting 1.5 hours a day to Yogyakarta stakeholders (District comprehensively developing their Health Offices and NGOs) and Dr Amir Award Projects. Concluding the course, Khan from IRD to implement a Zero TB participants presented their Award Cities program in Yogyakarta. This has Projects to the group. been endorsed by the Yogyakarta Finally, site visits and networking mayor, and is a promising TB collabo- evenings in Australia at Menzies School ration between Australian, Indonesian of Health Research, the Burnet Institute, and regional organisations that came the Royal Darwin Hospital’s Infectious together during the course. Disease Department, Northern Territory Parliament House, the Victorian Since the combined post-course, Infectious Disease Reference Mimika Provincial Health Office in AAI Group 2 at the Alfred Medical Research and Papua, where A/Prof Anna Ralph is Laboratory and the Centenary Institute Education Precinct, Melbourne, with Course delivery team principal investigator gave the participants personal insights Facilitators Dr Philipp du Cros, Prof Steve and Dr Trisasi Lestari is the TB into the everyday workings of a TB Graham, Dr Suman Majumdar, Dr Khai Huang, Dr reference laboratory, infection control in Trisasi Lestari and Stephanie Main. Photo: The an Australian hospital and world-class Burnet Institute. research institutions. Participants’ testimonials “Never once in my life have I experienced “Everything was beyond expectation: to an institution concerned so much about obtain learning materials from Australian TB my needs as a wheelchair user. I was experts who've had many international very thankful that you provided an electric publications was one thing that wouldn't wheelchair and accessible apartment for have happened to me if I didn't get the STA me. It had a great impact for me as I felt from AAI. I felt very lucky to have been really respected by all of you.” trained in such excellent facilities. Visiting Melbourne was a very memorable experience - what a beautiful and friendly city. Thank you, AAI and Burnet.”

AAI Group 2 participants discussing the Tubercu- losis BCG vaccine and new vaccine innovations with Prof Warwick Britton at The Centenary Institute, .

Award Project Poster Conference at the contact screening and management post-course workshop in Yogyakarta. project manager, have been collaborat- ing with a STA project team to imple- Contacts ment their “puzzle” health promotion tool in Timika. In addition, a number of GASAK Group presenting their Award Project A/Prof Anna Ralph, AAI participants from other Papuan poster to fellow participants and discussing the challenges and next steps. Course Lead, Menzies School of districts have visited Timika to learn Health Research about the TB preventive therapy “Very impressed with the comprehensive Email: [email protected] program being implemented there. program arrangement, great facilitators, This is another example of promising punctuality, amazing experts, appreciation Dr Philipp du Cros, collaboration forged from the network- for both individuals and group, healthy Course Lead, the Burnet Institute ing amongst Indonesian participants, lifestyle of Australians ... felt like a dream.” Email: [email protected] Indonesian health professionals and Australian organisations through the courses.

Official completion of the post-course program in Yogyakarta.

“We weren't only learning about TB, but also about teaching-learning processes, AAI Group 2 enjoying the Australian sites at how to be respectful of other's opinions, how Taronga Zoo in Sydney. to show respect, discipline, work ethic, community awareness, government involvement, and the economics of TB.”