Our partners in Indonesia

We proudly present our four partners in Indonesia: Karisma, LBHM, Atma Jaya and PKNI.

harm reduction for methamphetamine users    

Karisma foundation, in cooperation with Mainline and Atma Jaya University, piloted a project providing harm reduction interventions for people who use methamphetamine (PWUM) in Jakarta. The goal of the project is to develop intervention strategies for PWUM. Establishing trust and relationships are key issues. PWUM often do not see their shabu use as problematic and relate drug dependence only to heroin use. However, a series of physical and mental issues can arise among frequent and long-term shabu users. Recent research also shows higher HIV, STI and HCV prevalence among shabu users - even for those who have never in their life injected their drugs.

Collaborations with other organisations were established to access other at risk populations, such as sex workers and men who have sex with other men. However, the need for further intervention for both population groups still needs to be investigated and considered.

A total of 194 individuals have been contacted and documented through outreach activities in 2016, ranging in ages from 16 to 61 years old (143 males and 51 females).

2. LBHM:

obligation to report and drug treatment

Together with one of the leading human rights organisations in Indonesia, Lembaga Bantuan Hukum Masyarakat (LBHM), Mainline started a survey in 2015 to look into the ‘obligation to report’ – legislation which requires all PWUD to report and enter treatment for their drug use. The regulation is controversial.

Mainline wondered what the obligation to report is really about. What sort of treatment is offered? Is it one size fits all? And do people benefit from this system or is there a serious need for a revision of the system?

Mainline supported LBHM to look into the effectiveness of the obligation to report, and to see whether there are any human rights violations caused by this system which need to be addressed. Our partners in Indonesia use the findings to advocate for better treatment and access to health care at the national and regional level. Read the report here

In 2016 and 2017, LBHM worked on a report to describe the drug treatment system in Indonesia. Drug treatment is offered via different government institutes: the Ministry of Health, the Ministry of Social Affairs, the national drug authorities (BNN) and the department of corrections. This results in a complex system of drug treatment centres that use various methods. They range from community treatment to therapeutic communities and from treatment based on local wisdom to religiously inspired rehabilitation. Read the full report (English) here

3. Atma Jaya:
HIV-risks among people who smoke crystal-meth

Together with the Atma Jaya Catholic University in Jakarta, Mainline researches the HIV risks associated with the use of crystal meth. Although most crystal meth users prefer to smoke their drug instead of injecting it, Atma Jaya’s 2016 research shows there are increased risks of contracting HIV among this group. These risks are strongly related to sexual risk-taking behaviour - not related to sharing of needles and direct blood contact.

Crystal meth can increase sexual desire and is often used in a sexual setting. The substance is popular among sex workers, but also among various other groups such as students, mine workers, housewives and people who work night shifts.

The first Atma Jaya study included showcased (health) risk behaviours associated with crystal meth and provided insight in the structural, interpersonal and personal factors related to the patterns of crystal meth use in Indonesia. The full report can be found here

A second, more quantitative study conducted by Atma Jaya includes testing for HIV, Hepatitis B and C and Syphilis. The research combines a bio-behavioural survey with clinical tests. With close to 1,500 respondents, the study is unique in the world. HIV prevalence among the respondents is 10.15% and HCV prevalence is 14.23%. For those who have never injected – which is a root cause for HIV transmission – the HIV prevalence was 4%. This group of respondents is infected via sexual contact. The report provides insight in risk behaviours, drug using patterns and sexual networks. It provides important insights to direct prevention programmes and flags important groups at heightened risk to contract HIV: shabu smokers, prisoners and the regular partners of people who use shabu. Read the full report (English) here.

4. PKNI: improving legal aid

The Indonesian network of People Who Use Drugs (PKNI) has successfully set up a network of paralegals to support PWUDs who have been arrested. The Indonesian laws on drug possession have changed, but the implementation of these laws is faltering.

Moreover, the legal aid institutions often refuse to provide legal support to PWUD. A peer network of paralegals jumps into this gap and offers support to individuals throughout the entire process from arrest to pre-trial to conviction or diversion. In this way, they make sure that the right to legal aid and right to health for PWUD are met during a legal case. 

In addition to handling individual cases, the paralegal network works together with other legal aid institutions to provide community legal educations. They actively raise awareness about new policies to divert drug-related court cases.

PKNI’s aim is to expand the legal assistance by registering as a legal aid institute. If they succeed, PKNI will be able to sustainably fund their work via government resources. Together with the International Network of People who Use Drugs (INPUD), Mainline is determined to continue providing support for this important work.

Want to know more?

Our work in Indonesia

Indonesia in context

News from Indonesia

Contact project leader Indonesia: Hatun Eksen

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