Estimasi Nasional Infeksi HIV pada Orang Dewasa di Indonesia Tahun 2002
Deskripsi: The HIV epidemic level in Indonesia is currently concentrated in a number of high risk subpopulations, and in the last few years its expansion has been largely driven by injecting drug use. Prison is considered as one of the concretrated most at risk populations. This is due to the convergence of a number of factors, including the high proportion of inmates who have been convicted for drug possession or use, the reported use of non-sterile needles (for drug use and tattooing). The severe overcrowding , which may cause unsafe sex among inmates, and also the minimal health services in prisons.
An example of the problem can be seen in the province of DKI Jakarta.In 2006, some 60% to 65% of Jakarta inmates had been convicted on drug offenses and 72.5% were drug users. Figures on deaths in prisons reveal alarmingly high death rates among drug users: in four prisons in Jakarta, 90% of those who died were drug users. Nationwide, 70 to 75% of the 813 people who died in Indonesian prisons in 2006 had been convicted of drug offences, while approximately 29% of the total prison population in 2006 were serving sentences for drug-related crimes. The majority of deaths in prisons were due to respiratory infections, TB, hepatitis and chronic diarrhea, all of which maybe associated with the HIV infection. However, the prison system's capacity to deal with such health issues is very limited. As an example, the number of people incarcerated in Jakarta prisons rose from 10,140 in 2005 to 19,652 in 2006. Such numbers put a severe strain on prison health personnel and resources that are already overstretched.
In response to this and other evidence that suggest a growing HIV related problems in prisons, a number of risk reduction and HIV prevention interventions have been implemented in prisons, since 2005, primarily supported by the Ministry of Law and Human Rights and two bilateral donor programs, FHI-ASA and IHPCP. These have ranged from the provision of IEC materials to inmates and staff to comprehensive risk reduction services, ARV and methadone therapy.
This report provides a broad outline of the national plans to overcome HIV and AIDS problem in prisons, activities with partners that have already been carried out and what has already been achieved, as well as some of the constraints and challenges, and plans for follow up action.