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11th INTERNATIONAL CONGRESS ON AIDS IN ASIA AND THE PACIFIC INDONESIAN POLICE AND NARCOTICS BOARD RESPONSE TO HIV AND DRUG USE Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

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Page 1: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

11th INTERNATIONAL CONGRESS ON AIDS IN ASIA AND THE PACIFIC

INDONESIAN POLICE AND NARCOTICS BOARD RESPONSE TO HIV AND DRUG USE

Brigjen Budyo Prasetyo - Natonal Narcotics Control BoardLt Col Lastri Rinyanti - Indonesian National Police

Page 2: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

BACKGROUNDBNN RESEARCH FINDINGS General population surveys:2004: Prevalence of Illicit Drug Use is 1.75% (2.8 Million people) 79% Men & 21% Women 61% Regular Users31% Drug dependent

Page 3: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

2008: Estimated of 1.9% of population aged 10 - 59 yrs (3,362,572) are drug users:o26% have tried drugs (872,929 people),

o27% regularly use (894,490 people) o7% have injected drugs (236,172 people)

• 2011 : Prevalence of illicit drug use increased in 2011 to 2.2%

Page 4: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

HIV prevalence among female injecting drug users was 57% while for men is 52% of injecting drug users, Integrated Biological and Behavioral Survey, 2009

Overall prevalence fell to 41% overall in 2011

HIV prevalence continued to increase in Jakarta

Page 5: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

National Police HIV activities Capacity building for officers in Java, Bali

and North SumatraTraining in HIV and harm reduction

approachesInvolved 3 directorates to develop

network within police command to implement an effective response to policing narcoticsNarcotics directorateDetention and confiscated goods

directorateMedical and health directorate

Page 6: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

Police response to HIV Need to respond to huge volume of

narcotics arrests with HIV management implications

HIV and drug use are not a matter only for arrests but also for police personnel

New Regulations developed on:Narcotics arrests HIV

Regulations already endorsed in East Java and in process of being approved nationally

Page 7: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

Medical response to HIV and drug dependency Police medical staff trained to assess and

diagnose addictionTo facilitate referral to treatmentAn alternative to incarceration

Courts and prisons currently overwhelmed with narcotics cases

Police hospitals certified by MoH to be rehabilitation providers for these cases

Page 8: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

National narcotics board strategies to improve access to drug treatment1. Developed rehabilitation facilities run by

both government and CBOs increased human resources

2. Established new rehabilitation centres in two regions in 2013

New centres are planned for:Tanah Merah - East Kalimantan Nongsa - Riau archipelago

Page 9: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

3. National Narcotics Board encourages drug law reform and supports decriminalization of drug use & abolition of imprisonment of drug users.

4. BNN is building a collaborative approach with health ministry and related organizations to improve access to treatment including the handling HIV cases.

Page 10: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

5. Increase productivity of former drug users through partnerships with business community

Increased training and apprenticeships as well as creating suitable positions for post-rehabilitation program

Page 11: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police
Page 12: Brigjen Budyo Prasetyo - Natonal Narcotics Control Board Lt Col Lastri Rinyanti - Indonesian National Police

TERIMA KASIH

THANK YOU