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Open Access Commentary

Public health the leading force of the Indonesian response to the HIV/AIDS crisis among people who inject drugs

Fabio Mesquita1*, Inang Winarso2, Ingrid I Atmosukarto1, Bambang Eka1, Laura Nevendorff1, Amala Rahmah1, Patri Handoyo3, Priscillia Anastasia3 and Rosi Angela4

Author Affiliations

1 Indonesia HIV/AIDS Prevention and Care Project, Jakarta, Indonesia

2 Indonesian National AIDS Commission, Jakarta, Indonesia

3 Indonesia HIV/AIDS Prevention and Care Project, Bandung, Indonesia

4 Indonesia HIV/AIDS Prevention and Care Project, Bali, Indonesia

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Harm Reduction Journal 2007, 4:9 doi:10.1186/1477-7517-4-9

Published: 17 February 2007

Abstract

Issue

Indonesia has an explosive HIV/AIDS epidemic starting from the beginning of this century, and it is in process to build its response. Reported AIDS cases doubled from 2003 – 2004, and approximately 54% of these cases are in people who inject drugs.

Setting

Indonesia is the 4th largest country in population in the world, a predominantly Muslim country with strong views on drug users and people living with HIV/AIDS. Globally speaking, Indonesia has one of the most explosive epidemics in recent years.

The project

IHPCP (Indonesia HIV/AIDS Prevention and Care Project) is a joint support project (primarily AusAID-based) that works in partnership with the Government of Indonesia. IHPCP has been a key player of in the country's response, particularly pioneering NSP; stimulating and supporting methadone programs, and being key in promoting ARV for people who currently inject drugs. The project works via both the public health system and NGOs.

Outcomes

It is still early to measure the impact of current interventions; however, this paper describes the current status of Indonesia's response to the HIV/AIDS crisis among people who inject drugs, and analyses future challenges of the epidemic in Indonesia.