National Consultant – HIV Clinical Guidelines (PNPK) and Permenkes Writer

The Lead Writer shall be responsible for producing a comprehensive, fully revised PNPK document covering the following thematic areas (non-exhaustive):

The Lead Writer shall draft proposed amendments to Permenkes No. 23/2022 to:

1.      Align the legal/regulatory text with the updated clinical standards reflected in the revised PNPK, including reference to the WHO Consolidated HIV Guidelines 2025 as the international evidence base.

2.      Update the list of ARV drugs and diagnostics covered under BPJS schemes to reflect current formularies and global availability, including the inclusion of triple combo RDT and POCT-VL (Point-of-Care Viral Load testing) within the covered diagnostic framework.

3.      Clarify eligibility criteria for ART initiation and monitoring to remove ambiguities in BPJS reimbursement claims (outpatient and inpatient).

4.      Mandate and operationalize Viral Load (VL) testing at Puskesmas level using Point-of-Care Testing (POCT) platforms: the Permenkes shall include a provision explicitly permitting and enabling Puskesmas to conduct VL monitoring using validated POCT-VL devices, specifying the minimum technical and quality assurance requirements. This is intended to support decentralized care and reduce barriers to viral load monitoring for stable patients managed at Puskesmas.

5.      Establish the regulatory basis for HIV testing by trained community health cadres (kader kesehatan) in geographically isolated, frontier, and outermost areas (Daerah Terpencil, Perbatasan, dan Kepulauan / DTPK): the Permenkes shall specify the conditions, training requirements, supervision protocols, and quality assurance mechanisms under which cadres may conduct rapid HIV testing, as a task-shifting measure to expand access in areas with geographic difficulty.

6.      Define PrEP financing policy: the Permenkes shall state that PrEP services are currently provided through donor support (to be specified) and shall include a regulatory framework and transition roadmap for the planned shift toward non-donor financing, which may include out-of-pocket payment, JKN/BPJS coverage, or alternative domestic financing mechanisms. The Permenkes shall specify the transition timeline and responsible implementing parties.

7.      Update provisions on service delivery mechanisms including formalization of Puskesmas as the primary care site for stable PLHIV, multi-month dispensing, community-based ART delivery, and differentiated service delivery models.

8.      Incorporate special provisions for pediatric and obstetric HIV care consistent with the revised PNPK, including regulatory recognition of triple combo RDT use in ANC settings.

9.      Ensure terminological and structural consistency with other relevant Permenkes and BPJS regulatory frameworks including INA-CBG coding for HIV services.

Timeline

Phase 1 (30%) – Month 1–2

Deliverables:

·         Inception report (workplan, methodology, engagement plan, and schedule).

·         Literature review and gap analysis of PNPK HIV-IO and Permenkes No. 23/2022.

·         Draft outline of revised PNPK HIV-IO and proposed Permenkes amendments.

·         First stakeholder coordination meeting and meeting documentation.

Phase 2 (60%) – Month 3–5

Deliverables:

·         First drafts of the revised PNPK HIV-IO and Permenkes amendments.

·         Consolidation of specialist inputs and expert consultations.

·         Revised drafts incorporating feedback from WHO and Kementerian Kesehatan RI.

·         Coordination meetings and validation workshop (if required), with supporting documentation.

Phase 3 (10%) – Month 6

Deliverables:

·         Final revised PNPK HIV-IO and Permenkes amendment drafts ready for official review.

·         Final report summarizing the revision process, key updates, and recommendations.

·         Submission of all final documents and supporting materials to WHO Indonesia.

Full Terms of Reference are available here [link removed].

Qualifications, experience, skills and languages 

Educational Qualifications 

Essential: Medical Doctor (MD/dr.) with postgraduate qualification; Specialist or sub-specialist in Infectious Diseases, Internal Medicine, or directly relevant clinical HIV diseases

Desirable: N/A

Experience 

Essential:

•        Active affiliation with an accredited Indonesian university or academic medical center at the time of application

•        Demonstrated expertise in HIV clinical management, with a minimum of 10 (Ten) years of relevant clinical and/or research experience in the field

•        Prior direct engagement with MoH  in a guideline development or policy advisory capacity

•        Proven track record in producing clinical guidelines, policy documents, or peer-reviewed scientific publications related to HIV/AIDS or infectious diseases

•        Strong knowledge of Indonesian health system structures, including Kemenkes regulatory frameworks and BPJS Kesehatan mechanisms

•        Ability to work independently under tight deadlines and manage a multi-stakeholder coordination process

Desirable:

•        Prior experience in national guideline development processes in Indonesia (PNPK or equivalent)

•        Prior collaboration with or consultancy for WHO, other UN agencies, or international health organizations

•        Understanding with BPJS Kesehatan or knowledge of INA-CBG coding systems for HIV services

•        Knowledge of WHO global HIV treatment guidelines and UNAIDS frameworks

•        Existing professional networks with pediatric HIV and ObGyn specialists in Indonesia

Languages and Level Required 

Fluency in Bahasa Indonesia (required for document drafting) and working proficiency in English (required for WHO coordination and reference to international literature)

Location  

Remote / Home-based (Indonesia) with limited on-site meetings.

Travel  

The consultant is expected to travel for coordination meetings with the Ministry of Health and university-based specialists. Approximately 18 travel days are anticipated.

Remuneration and budget  

IDR 26,760,000 per month, excluding travel costs. Payments will be made in instalments upon satisfactory completion of the agreed deliverables at Months 2, 4, and 6.

Currency: Rupiah

Additional Information 

•        This vacancy notice may be used to identify candidates for other similar consultancies at the same level.

•        Only candidates under serious consideration will be contacted.

•        A written test may be used as a form of screening.

•        If your candidature is retained for interview, you will be required to provide, in advance, a scanned copy of the degree(s)/diploma(s)/certificate(s) required for this position. WHO only considers higher educational qualifications obtained from an institution accredited/recognized in the World Higher Education Database (WHED), a list updated by the International Association of Universities (IAU)/United Nations Educational, Scientific and Cultural Organization (UNESCO). The list can be accessed through the link:http://www.whed.net/ [link removed]. Some professional certificates may not appear in the WHED and will require individual review. 

•        For information on WHO's operations please visit: http://www.who.int [link removed].

•        The WHO is committed to creating a diverse and inclusive environment of mutual respect. The WHO recruits workforce regardless of disability status, sex, gender identity, sexual orientation, language, race, marital status, religious, cultural, ethnic and socio-economic backgrounds, or any other personal characteristics.

•        The WHO is committed to achieving gender parity and geographical diversity in its workforce. Women, persons with disabilities, and nationals of unrepresented and underrepresented Member States (https://www.who.int/careers/diversity-equity-and-inclusion [link removed]) are strongly encouraged to apply for WHO jobs.  
Persons with disabilities can request reasonable accommodations to enable participation in the recruitment process. Requests for reasonable accommodation should be sent through an email to reasonableaccommodation@who.int [link removed] 

•        An impeccable record for integrity and professional ethical standards is essential. WHO prides itself on a workforce that adheres to the highest ethical and professional standards and that is committed to put the WHO Values Charter (https://www.who.int/about/who-we-are/our-values [link removed]) into practice.

•        WHO has zero tolerance towards sexual exploitation and abuse (SEA), sexual harassment and other types of abusive conduct (i.e., discrimination, abuse of authority and harassment). All members of the WHO workforce have a role to play in promoting a safe and respectful workplace and should re-port to WHO any actual or suspected cases of SEA, sexual harassment and other types of abusive conduct. To ensure that individuals with a substantiated history of SEA, sexual harassment or other types of abusive conduct are not hired by the Organization, WHO will conduct a background verification of short-listed candidates.

•        WHO has a smoke-free environment and does not recruit smokers or users of any form of tobacco.

•        Consultants shall perform the work as independent contractors in a personal capacity, and not as a representative of any entity or authority.

•        WHO shall have no responsibility for any taxes, duties, social security contributions or other contributions payable by the Consultant. The Consultant shall be solely responsible for withholding and paying any taxes, duties, social security contributions and any other contributions which are applicable to the Consultant in each location/jurisdiction in which the work hereunder is performed, and the Consultant shall not be entitled to any reimbursement thereof by WHO.

•        Please note that WHO’s contracts are conditional on members of the workforce confirming that they are vaccinated as required by WHO before undertaking a WHO assignment, except where a medical condition does not allow such vaccination, as certified by the WHO Staff Health and Wellbeing Ser-vices (SHW). The successful candidate will be asked to provide relevant evidence related to this condition. A copy of the updated vaccination card must be shared with WHO medical service in the medical clearance process. Please note that certain countries require proof of specific vaccinations for entry or exit. For example, official proof /certification of yellow fever vaccination is required to enter many countries. Country-specific vaccine recommendations can be found on the WHO inter-national travel and Staff Health and Wellbeing website. For vaccination-related queries please directly contact SHW directly at shws@who.int [link removed].

In case the recruitment website does not display properly, please retry by: (i) checking that you have the latest version of the browser installed (Chrome, Edge or Firefox); (ii) clearing your browser history and opening the site in a new browser (not a new tab within the same browser); or (iii) retry accessing the website using Mozilla Firefox browser or using another device. Click the link for detailed guidance on completing job applications: Instructions for candidates [link removed].