Stakeholders' point of view in regards to HIV/AIDS prevention and control efforts among IDUs in Indonesia.
Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. E11481)
Sucahya PK, Sari K Center for Health Research University of Indonesia, Jakarta, Indonesia
It can be seen in Indonesia that stakeholders work by themselves without clear direction and coordination when narcotics and drugs become problems that should be quickly addressed, because number of drug users infected by HIV increased sharply in last 2 years. The objectives of this study are to acquire level of understanding, point of view, and attention of the stakeholders in HIV/AIDS mitigation efforts. The study design is qualitative, using informants from various stakeholders as follows: medical rehabilitation center, police department, village leader, elected provincial level assembly, NGO, teacher, national narcotics coordinating board republic of Indonesia, and Injecting Drug Users (IDUs). This study was conducted from August to September 2000. There were various responses from the informants when addressing legal issues, especially to IDUs. Law enforcements (police department and court) have not applied justice in law that can be seen from management of some cases. On demand reduction aspect, implementation of IEC program needs to consider target and age of its audiences. Strengthening family role is other thing should be intervened. Rehabilitation aspect becomes the most important issue among poor community, from whom come more victims because the high level of rehabilitation cost. Although there is a government regulation that 10% of beds in hospital allocated for poor patients, the fact it does not work because there is no socialization from hospital management. Drop-in center concept is still controversial issue among informants if it is implemented openly. In regards to harm reduction, especially needle sharing, almost all informants do not agree with it because it can be assumed as legalization of narcotics. This study found heterogeneity of stakeholders' knowledge level, while programs implemented by each sector separate prevention and control concepts between drugs and HIV/AIDS, and the programs are still fragmented.
Keywords: AEGIS, Acquired Immunodeficiency Syndrome, HIV Infections, Needle Sharing, HIV Seropositivity, Health Services Needs and Demand, Indonesia, Human, prevention & control
