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NATIONAL STRATEGY
PREVENTION AND CONTROL HIV/AIDS AND DRUG ABUSE
INDONESIAN CORRECTION AND DETENTION
2005 – 2009

Ministry of Law and Human Right of Republic Indonesia


Directorate General Correction

2005
KEPUTUSAN
DIREKTUR JENDERAL PEMASYARAKATAN

NOMOR : E.55.PK.04.10 TAHUN 2005

TENTANG

STRATEGI PENANGGULANGAN HIV/AIDS DAN PENYALAHGUNAAN NARKOBA


PADA LEMBAGA PEMASYARAKATAN DAN RUMAH TAHANAN NEGARA
DI INDONESIA TAHUN 2005-2009

DIREKTUR JENDERAL PEMASYARAKATAN

Menimbang : a. bahwa penyebaran HIV/AIDS dan penyalahgunaan narkoba, sudah mencapai taraf
yang mengkwatirkan, tidak terkecuali pada Lembaga Pemasyarakatan/Rumah
Tahanan Negara;
b. bahwa untuk menanggulangi penyebaran HIV/AIDS dan penyalahgunaan narkoba
di Lembaga Pemasyarakatan/Rumah Tahanan Negara tersebut perlu disusun
perencanaan dan langkah-langkah terpadu agar dapat berhasil guna dan berdaya
guna;
c. bahwa sehubungan dengan hal tersebut diatas, dipandang perlu menetapkan Strategi
Penanggulangan HIV/AIDS dan Penyalahgunaan Narkoba pada Lembaga
Pemasyarakatan dan Rumah tahanan Negara di Indonesia.
Mengingat : 1. Undang-undang Republik Indonesia Nomor 8 Tahun 1981 tentang KUHAP;
2. Undang-undang Republik Indonesia Nomor 9 Tahun 1992 Tentang Keimigrasian;
3. Undang-undang Republik Indonesia Nomor 12 Tahun 1995 tentang Pemasyarakatan;
4. Undang-undang Republik Indonesia Nomor 23 Tahun 1995 tentang Kesehatan;
5. Undang-undang Republik Indonesia Nomor 5 Tahun 1997 tentang Psikotropika;
6. Undang-undang Republik Indonesia Nomor 22 Tahun 1997 tentang Narkotika;
7. Undang-undang Republik Indonesia Nomor 39 Tahun 1999 tentang Hak Asasi
Manusia;
8. Undang-undang Republik Indonesia Nomor 32 Tahun 2004 tentang Otonomi
Daerah;
9. Peraturan Pemerintah Nomor 27 Tahun 1983 tentang Pelaksanaan KUHAP;
10. Peraturan Pemerintah Nomor 27 Tahun 1999 Tentang Pembinaan dan
Pembimbingan Napi/Tahanan Pemasyarakatan;
11. Peraturan Pemerintah Nomor 32 Tahun 1999 tentang Syarat-syarat dan Tata Cara
Pelaksanaan Hak Napi/Tahanan Pemasyarakatan;
12. Keputusan Presiden RI No. 36 Tahun 1994 tentang Komisi Penanggulangan AIDS
(KPA);
13. Keputusan Presiden Republik Indonesia Nomor 17 Tahun 2002 Tentang Badan
Narkotika Nasional;
14. Instruksi Presiden RI Nomor 3 Tahun 2002 tentang Penanggulangan
Penyalahgunaan dan Peredaran Gelap Narkotika, Psikotropika, Prekusor dan Zat
Adiktif lainnya;
15. Keputusan Menteri Kehakiman RI Nomor : M.05.PW.09.02 Tahun 1995 tanggal 14
Maret 1995 tentang Karantina Imigrasi;
16. Keputusan Menteri Kehakiman dan Ham RI Nomor : M.75.PR.09.02 Tahun 2001
tanggal 13 Desember 2001 tentang perubahan Keputusan Menteri Kehakiman dan
HAM RI Nomor : M.01-PR.07.10 Tahun 2001 tentang Organisasi dan Tata Kerja
Departemen Kehakiman dan HAM RI;
17. Keputusan Menteri Kehakiman dan Ham RI Nomor E.04.PR.07.03 Tahun 2003
tanggal 16 April 2003 tentang Pembentukan Lembaga Pemasyarakatan Narkotika;
18. Keputusan Menteri Kehakiman dan HAM RI No. E.04.PR.09.03 Tahun 2004 tentang
Pembentukan Kelompok Kerja Penanggulangan HIV/AIDS di Lapas/Rutan di
Lingkungan Direktorat Jenderal Pemasyarakatan;
19. Keputusan Menteri Koordinator Bidang Kesejahteraan Rakyat/Ketua Komisi
Penanggulangan AIDS Nomor 9/Kep/Menko/Kesra/IV/1994 Tentang Strategi
Nasional Penanggulangan HIV/AIDS;
20. Keputusan Bersama Menteri Koordinator Bidang Kesejahteraan Rakyat selaku
Ketua Komisi Penanggulangan AIDS (KPA) Nomor
20/KEP/MENKO/KESRA/XII/2003 dan Kepala Kepolisian Negara Republik
Indonesia selaku Ketua Badan Narkotika Nasional (BNN) Nomor
B/01/XII/2003/BNN Tentang Pembentukan Tim Nasional Upaya Terpadu
Pencegahan Penularan HIV/AIDS dan Pemberantasan Penyalahgunaan Narkotika,
Prikotropika dan Zat/Bahan Adiktif Dengan Cara Suntik;

MEMUTUSKAN :
Menetapkan : KEPUTUSAN DIREKTUR JENDERAL PEMASYARAKATAN TENTANG
STRATEGI PENANGGULANGAN HIV/AIDS DAN PENYALAHGUNAAN
NARKOBA PADA LEMBAGA PEMASYARAKATAN DAN RUMAH TAHANAN
NEGARA DI INDONESIA TAHUN 2005-2009
PERTAMA : Menerbitkan Buku Strategi Penanggulangan HIV/AIDS dan Penyalahgunaan Narkoba
pada Lembaga Pemasyarakatan dan Rumah Tahanan Negara di Indonesia Tahun 2005-
2009 sebagaimana tersebut dalam lampiran yang merupakan bagian yang tidak
terpisahkan dari keputusan ini;
KEDUA : Buku Staregi sebagaimana tersebut pada Diktum PERTAMA, merupakan pedoman yang
wajib dijadikan acuan bagi Lapas/Rutan, LSM, maupun Instansi lainnya dalam
penyelenggaraan penanggulangan HIV/AIDS dan Penyalahgunaan Narkoba di
Lapas/Rutan;
KETIGA : Sumber pendanaan bagi pelaksanaan Strategi sebagaimana tersebut pada Diktum
PERTAMA Keputusan ini dapat berasal dari anggaran negara, swasta, maupun LSM
dalam dan luar negeri.
KEEMPAT : Keputusan ini mulai berlaku sejak tanggal ditetapkan, dengan ketentuan, apabila di
kemudian hari terdapat kekeliruan dalam keputusan ini akan diadakan perbaikan
sebagaimana mestinya.

Ditetapkan di : Jakarta
Pada tanggal : 27 J u n i 2005
----------------------------------------------------------------
DIREKTUR JENDERAL PEMASYARAKATAN,

Drs. MARDJAMAN, Bc.IP.


NIP. 040011877
EXECUTIVE SUMMARY

Drugs misuse in Indonesia shows a rapid increase every year, without multi-
dimensional management, drugs misuse can threaten the life of this nation and present the
danger of having a lost generation. The situation of drugs misuse in Indonesia tends to
increase not only in the communities but also in correctional institutions (Lapas)/remands
(Rutan). Further harms of the drugs misuse, especially due to injection drugs use, is the
spread of many infectious diseses, such as Hepatitis, TBC, and HIV/AIDS.
The spreading of HIV/AIDS epidemics and drugs misuse by injection in Indonesia is
relatively vast, it is influence the life of people in correctional institution or during their sentence
period. HIV/AIDS and drugs misuse are health problems that need prioritizing from the
Government of Indonesia. Therefore, ”Strategy for managing HIV/AIDS and Drugs Misuse
Cases in Correctional Institution and Remand in Indonesia” is greatly required to serve as the
guidelines to establish steps taken during 2005-2009 to reduce morbidity and mortality rates
among prisoners or communities in Indonesia by integrating multi-sectoral programs.

Based on the vision and mission of the Directorate for Narcotics, Directorate General of
Correction, therefore, the Strategy for managing HIV/AIDS and Drugs Misuse Cases in
Coorectional Institution and Remand in Indonesia for year 2005-2009 is developed, it covers
programs, those are Law Enforcement Program to the Drugs Misuser; Prevention and Care
Program; Research, Development, and Supervision Program; Development of Cooperation and
Multi-sectoral Coordination Program; Condusive Environment Program; Rehabilitation Program;
Legal Assistance Program; and Social Service Program.

The Directorate General of Correction responsible for the implementation of the


programs on HIV/AIDS and drugs misuse in the correctional institution/remand in collaboration
and coordination with the regional government, related institutions and the NGOS that concern on
HIV/AIDS and drugs misuse issue.

With the strategy, the final result of overall programs in correctional institution/remand is
to minimize the drugs distribution and the spread of infectious diseases such as HIV/AIDS and
STI. And the sick prisoners/detainees can have their rights to ask for health services and attend
activities on Legal Assistance or Social Service in the correctional institution/remand.

iii
TABLE OF CONTENT
Speech from the Minister of Justice and Human Rights of the Republic of i
Indonesia
FOREWORD ii
EXECUTIVE SUMMARY iii
CONTENT iv-vi

CHAPTER I INTRODUCTION 1-9


A. Background 1
B. General Condition 2
1. Drugs Misuse 2
2. The Spread of HIV/AIDS among Injection
Drugs Users (IDUs) 3
3. The Condition of the Spread of HIV/AIDS 4
in Correctional Institution/Remand
C. Coomon Terms 6
D. Legal 7

CHAPTER II CORE TASK, FUNCTION, AND 10-11


ORGANIZATIONAL STRUCTURE OF THE
DIRECTORATE FOR NARCOTICS
A. Task 10
B. Function 10
C. Organizational Structure 10

CHAPTER III SITUATIONAL ANALYSIS 12-14


A. Internal Condition 12
1. Strength 12
2. Weakness 13
B. External Condition 13
1. Challenges 13
2. Opportunity 14

CHAPTER IV STRATEGY ON HIV/AIDS AND DRUGS MISUSE 15-19


IN THE CORRECTIONAL
INSTITUTION/REMAND FOR YEAR 2005-2009
A. Vision 15
B. Mission 15
C. Objective 15
1. General 15

iv
2. Specific 15
D. Target 16
E. Strategy 17
F. Policy 17
G. Program 18

CHAPTER V PROGRAM FOR EYAR 2005-2009 20-33


A. Law Enforcement program Against Drug 20
Misuse
1. Prevention of Drugs Smuggling into 20
Correctional Institution/Remand
B. Prevention and Care Program 19
1. Prevention of HIV, STI, TBC, and other 19
Infectious Diseases
2. Care, support, and treatment for PLWHA 23
3. Prevention, Care, and Treatment for Drugs 24
Dependence
4. Treatment Service to Control HIV, STI, 25
TBC, and other Infectious Diseases
5. Occupational Health and Safety (K-3) 26
C. Research, Development, and Supervision 27
Program
1. Research and Development 27
2. Surveilance 28
D. Multi-sectoral Cooperation and Coordination 29
Program
1. Multi-sectoral Cooperation and 30
Coordination
2. Susatinable Problem Solving 30
E. Enabling Environment Program 31
F. Rehabilitation Program 31
G. Legal Education Program 31
H. Social Service Program 32

CHAPTER VI CLOSING 35 – 36
REFERENCE 37 – 47

APPENDIX 36-49

Appendix 1: 37-47
Profile of Strategy on HIV/AIDS and Drugs Misuse In Correctional Institution
and Remand in Indonesia, 2005 – 2009

v
Appendix 2: 48-51
Profile of Situational Analysis (Qualitative) on HIV/AIDS and Drugs Misuse
Strategy In Correctional Institution and Remand in Indonesia, Year 2005–
2009

Appendix 3. 52
Organizational Structure of the Directorate General of Correction

Appendix 4 . 53
Organizational Structure of the Directorate for Narcotics

Appendix 5 54
Team of National Strategy

vi
CHAPTER I
INTRODUCTION

A. Background.

Drug misuse in Indonesia has exploded in the past few years. Indonesia which was previously
only a transiting place for the illegal trade and circulation of drugs has lately been a potential
market and producer. Now Indonesia has even become an exporter of drugs. Without multi-
sectoral response, drugs misuse can threaten the life of this nation and present the danger of
having a lost generation.

The government can develop an optimum implementation of strategies to overcome drug misuse
by involving non-governmental organizations (NGO) and the private sector. Drug misuse in
Indonesia is increasing not only in communities but also in correctional institutions (Lapas) and
detention (Rutan).

The problems of the HIV/AIDS epidemic and the spread of injecting drug misuse in Indonesia
are relatively vast and they affect life in correctional institutions/detention. HIV/AIDS and drug
misuse are health problems that need prioritizing from the Government of Indonesia. Therefore a
”Strategy for managing HIV/AIDS and Drug Misuse Cases in Correctional Institution and
Detention in Indonesia” is greatly required to serve as a guide and to establish steps to be taken
during the 2005-2009 period to reduce morbidity and mortality rates among prisoners or
communities in Indonesia through integrated multi-sectoral programs. This strategy covers
various efforts to improve prisoners’ and communities’ health status with regard to HIV/AIDS
and drug misuse, as occurs in correctional institutions/detention.

1
B. General Condition.
1. Drugs misuse.
Drug misuse is a global phenomenon that occurs in almost every country in the world although
there is a difference of the level and degree in each country.

The global upward trend of drug misuse and injecting behaviour is estimated to involve 20
million people in 128 countries. Drug use has changed and keeps changing rapidly. One of the
biggest changes that has occurred is shift from inhaling opium to injecting heroin.

Developing countries especially in South and Southeast Asia and Latin America are those that
are undergoing rapid changes in drug dealing and the purity of available drugs. Most western
countries saw the start of a heroin injection epidemic in the end of the 1960s, which continued
throughout the 1980s and 1990s1. In the meantime, Asia countries saw the start of an injecting
epidemic in the end of the 1980s which continued into the 1990s. Currently, heroin injection
has become a problem in over 100 countries around the world; it is estimated that there are
approximately 10 million people who inject heroin routinely globally2. Out of the 100
countries, more than 80 have reported HIV infection among injection drugs users (IDUs).

Starting in the end of the 1990s, Indonesia has also seen an increase in the amount of
drugsmisuse including the number of IDU cases. The available estimates state that of the 1.3 to
2 million drugs users in Indonesia, 30,000 to 40,000 of them are injecting drugs users3.
Currently the proportion of prisoners and prisoners with drug offense who use drugs in
correctional institutions/detention is approximately 19.19% of the total number of prisoners
(88,887)4.

1
The Centre for Harm Reduction and Asian Harm Reduction. 2001. “Mengurangi dampak Buruk
Narkoba di Asia, Edisi Indonesia”, Jakarta: The Centre for Harm Reduction.
2
Ibid
3
Ministry of Health. 2003. “Hasil Surveilans HIV di Lapas/Rutan”, Jakarta: Ministry of Health.
4
Department of Justice and Human Rights. 2004.”Narapidana dan Tahanan di Lapas/Rutan”.Jakarta:
Department of Justice and Human Rights.
2
Table 1
Average Ratio of Annual Inhabitants of Correctional institutions/detentions in Indonesia
Year
Comparative Description
2000 2001 2002 2003 2004
Adult and Young
Detainees 19,73 20,474 25,133 25,720 31,664
Adolescent
756 973 945 865 880
Detainees
Inhabitants Prisoner 32,561 35,925 39,815 43,026 54,359
Correctional Person 1,824 2,116 2,067 1,976 1,984
Number 54,314 59,488 67,960 71,587 88,887
Prisoners and prisoners with drugs offense - - 7,211 11,973 17,060
Capacity 64,619 64,619 64,345 66,891 68,141
Percentage of Over Capacity - - 5,62 7,02 30,44
Source : Directorate General of Correction (March, 2005).

2. The Spread of HIV/AIDS among Injection Drugs Users (IDUs).


Some of the problems linked to drug misuse that have emerged includes: the increasing
number of crimes and violence, socially deviant behaviour, a need for drug dependence
treatment, and the possibility of HIV and Hepatitis infection, as well as other diseases due to
the increasing number of IDUs. It is estimated that out of approximately 13.2 million IDUs,
80% of them reside in developing countries or countries whose governments are in transition
(such as in Southeast Asia and Eastern Europe). In Eastern Europe, for example, up to 80%
of new HIV infections were caused by shared injecting paraphernalia5.
In the end of 2004, more than 7 million people in Asia and Pacific were infected by HIV,
including 1.1 million people newly infected in the last few years6.

In countries such as Indonesia, China, Thailand, Myanmar, Malaysia, Iran, Vietnam, and
Northeast India, there is evidence that an HIV epidemic explosion has occurred among IDUs.
The rate of HIV transmission among IDUs usually climbs to 60-90% within 6 months to one
year since the first case is found7.

In Indonesia HIV/AIDS cases due to drug misuse, especially through injecting, has increased
greatly since 19998.

5
UNAIDS. July 11-16, 2004.”Leadership Statement: Injecting Drug Use and HIV/AIDS, 15th
International AIDS Conference”, Bangkok, Thailand: UNAIDS
6
UNAIDS. 2004. “Portraits of Commitment: From Southeast Asia and The Pacific”. Bangkok: UNAIDS.
7
The Centre for Harm Reduction and Asian Harm Reduction. 2001. “Mengurangi dampak Buruk
Narkoba di Asia, Edisi Indonesia”, Jakarta: The Centre for Harm Reduction.
8
Ministry of Health Indonesia and The National AIDS Commission. 2002.”Special Cabinet Session on
HIV/AIDS: The Threat of HIV/AIDS in Indonesia is Increasingly Evident and Calls for More Concrete
3
The increase is seen in surveillance result from the Drugs Dependence Treatment Hospital
(RSKO) in Jakarta and it shows that there was a significant increase of HIV transmission
among drugs users, from 0% in 1997 to 48% in 20029.

3. The Condition of HIV/AIDS Spreading in correctional institutions/detentions.


As HIV/AIDS cases increase in the community, so too is an increase seen in Correctional
institutions/detention, as shown in the table below.

Table 2.
HIV Prevalence among Prisoners in Indonesia
NO PROPINSI PREVALENSI HIV PADA NAPI
1999 2000 2001 2002 2003
1 DKI 1.69 17.53 22 7.55 17.65
2 Jawa Barat 0.9 7 20.6 5 21.1
3 Jawa Timur - - 0.68 - 4.23
4 Bali 18.7 - 9.6 10.2 10.7
5 Lampung - - 2.5 2.3 2.8
6 Babel 1 - - - -
7 DIY - 2.8 - - -
8 Banten - - - 10.8 21.3
9 Kalimantan - - - - 0.36
Timur

Source : Ministry of Health ( September, 2004).

The above table shows an increase of HIV prevalence in correctional institutions/detention.


In DKI Jakarta there was an increase from 7.55% in 2002 to 17.65% in 2003; in West Java
from 5 % in 2002 to 21.1% in 2003; and in Banten from 10.8 % in 2002 to 21.3% in 2003.

Although HIV rates appear small compared to the overall population of the correctional
institutions/detention, the problem still requires attention. An estimate made in 2002 stated
that beween 8-12% of all prisoners were HIV positive10.

Measure of Prevention”. Jakarta: Family Health International and USAID.


9
Reid, G dan Costigan, G. 2002. Revisiting the Hidden Epidemic: A Situational Assessment of Drug Use
in Asia in the Context of HIV/AIDS The Centre for Harm Reduction.” Melbourne, Australia: The
Macfarlane Burnet Institute for Medical Research and Public Health Ltd.
10
Ministry of Health. 2003.”Estimasi Nasional Infeksi HIV Pada Orang Dewasa Indonesia, Tahun
4
Prisoners’/Detainees’ health is closely related to the health of the community. Without
appropriate health intervention, correctional institutions/detention can become potential
places for the spread of HIV. Even so, correctional institutions/detentions can also offer good
prevention opportunities by taking appropriate steps.

Pursuant to the community health strategy, correctional institutions/detentions also have the
goals to promote and protect health, to reduce disease and deaths among prisoners. The twin
epidemics of HIV/AIDS and drug misuse in the last few years have posed new and important
challenges for health care in correctional institutions/detention. Evidence in other countries
indicates that HIV transmission rates in prisons and detention are significantly higher than
those in the communities11.

Although some prisoners/detainees have been infected before they enter the correctional
institutions/detention, some are infected while in correctional institutions/detention. The
following are examples of behaviors that make prisoners vulenerable to HIV: risky
behaviors such as unsafe sexual practices, shared use of injecting or tattooing paraphernalia,
violence including rape and other common bloody violence. Although the rate of injecting
drug misuse in correctional institutions/detention is lower than that in the community, it is
still very dangerous12. Because of the scarcity of clean o injecting equipment for every
injection, usually the same needle will be shared and used collectively. This is the main
contributing factor for new HIV cases in correctional institutions/detention.

Unsafe sexual intercourse among prisoners is another important factor in HIV transmission.
The rate of homosexual sex in correctional institutions/detention is different from one
country to another. Although sexual contact is usually consenting, it can also happen by force
that includes an element of rape. The risk of getting HIV is higher in these cases, since there
is no condom use and injuries are often inflicted during intercourse.

2003”. Jakarta: Ministry of Health of the Republic of Indonesia, Directorate General for Communicable Disease
Control and Environmental Health.
11
UNAIDS. April 1997. “UNAIDS Best Practice Collection: UNAIDS point of view on Prisons and
AIDS”. New York: United Nations.
12
The Centre for Harm Reduction and Asian Harm Reduction. 2001.”Mengurangi Dampak Buruk narkoba di Asia, Edisi
Indonesia”, Jakarta: The Centre for Harm Reduction
5
Tattoo and other skin cutting practices occur in correctional institutions/detention and can be
a route of HIV transmission due to the scarcity of sterile equipment. There is also the risk of
HIV-positive mothers transmitting the disease to their children during pregnancy or breast-
feeding, if these prisoners do not receive appropriate health care.

Correctional institutions/detentions in Indonesia have played an active role in dealing with


HIV and drug misuse. Although some prisoners are already HIV positive when they enter
correctional institutions/detention, there is evidence that shows transmission also happens
among prisoners. Research shows that in Indonesia, as in other countries, HIV transmission
in correctional institutions/detention usually occurs due to shared injection paraphernalia and
unsafe sexual intercourse.

C. Common Terms
a. AIDS (Acquired Immune Deficiency Syndrome) is a group of symptoms (syndrome) of an
illness that indicate a reduction in the immune system due to HIV.
b. Correctional Institution, called Lapas, is a place to educate prisoners, who will then educate
their peers(article. 1 Law no. 12 in 1995 on Correction).
c. Detention, called Rutan, is a technical implementation unit in which suspects and defendants
are detained during the process of investigation, litigation and examination in court (The
decision of the Minister of Justice of the Republic of Indonesia No. M.02-PK.04.10 in 1990).
d. Narkoba is the abbreviation for narcotics, psychotropic and other addictive substance.
(Translators note, in English the general term “Drugs” has been substituted)
e. Narcotics are a type of substance or drug that comes from plants or non-plantoriginas, either
synthetic or semi-synthetic that lowers or change consciousness, eliminates sensitivity, dulls
or eliminates pain and causes addiction (Law No. 22 in 1997 on Narcotics).
f. Psychotropic is a substance or drug, either natural or synthetic that is not narcotic, has
psychotropic effects through selective effect on the main nervous system that causes typical
changes on mental and behavioral activities (Law No.5 in 1997 on Psychotropic).
g. Addictive substance is a substance whose misuse may cause psychic addiction (Law No. 23
in 1995 on Health).

6
h. Narcotics addiction is a symptom that encourages continuous usage of narcotics, tolerance
and symptoms of narcotic relapse when misuse is stopped (Law No. 22 in 1997 on
Narcotics).
i. Misuser is the person who uses narcotics without doctor’s knowledge and supervision (Law
No. 22 in 1997 on Narcotics).
j. HIV (Human Immunodeficiency Virus) is an AIDS causing virus. HIV is contained in an
infected person’s body fluids such as blood, semen or vaginal fluids and breast-milk.
k. Sexually Transmitted Infection (STI) are diseases that are transmitted through sexual
intercourse.
l. Voluntary Counseling and Testing (VCT) is a combination of two activities, voluntary
counseling and test for HIV, under one network for the benefit of the clients and the health
providers.
m. Informed consent is a written statement of willingness to get an HIV test.
n. Peer education is an educational program that involves a group of people with various social
status or background in which they learn from each other and share experience in a formal or
informal way, with a shared perspective about HIV/AIDS and injecting drugs.
o. Prisoner (Law no. 12/95) is a person who is being sentenced and lost his freedom in a prison.
p. Detainee is a suspect or accused person who is placed in a Rutan/Police Detention
(Government Regulation No. 58. in 1999).
q. Co-infection is an infection that comes along with the major infection.
r. Addiction therapy and drug substitution treatment is a form of medical treatment to manage
drug addiction, in which a substitute is used which is recommended by the government and
WHO (World Health Organization).
s. PEP (Post Exposure Prophylaxis) is an attempt to avoid the transmission of bacteria, virus,
pathogenic substance which can cause disease.

D. Legal
a. Indonesian Statutory Law 1945 and amendments.
b. The Law of the Republic of Indonesia No. 8 in 1981 on KUHAP.
c. The Law of the Republic of Indonesia No. 9 in 1992 on Immigration.
d. The Law of the Republic of Indonesia No. 12 in 1995 on Correction.
e. The Law of the Republic of Indonesia No. 23 in 1995 on Health.
7
f. The Law of the Republic of Indonesia No. 5 in 1997 on Psychotropic.
g. The Law of the Republic of Indonesia No. 22 in 1997 on Narcotics.
h. The Law of the Republic of Indonesia No. 39 in 1999 on Human Rights.
i. The Law of the Republic of Indonesia No. 32 in 2004 on Local Autonomy.
j. Government Regulation No. 27 in 1983 on KUHAP implementation.
k. Government Regulation No. 31 in 1999 about Assistance and Guidance of the
Prisoners/Detainees.
l. Government Regulation No. 32 in 1999 on Requirements and Regulations on Providing
Rights of Prisoners/Detainees.
m. The Decision of the President of the Republic of Indonesia No. 36 in 1994 on AIDS
Commission.
n. The Decision of the President of the Republic of Indonesia No. 17 in 2002 on National
Narcotics Board.
o. The Instruction of the President of the Republic of Indonesia No. 3 in 2002 on Narcotics,
Psychotropics, Precursors and other addictive substance trade.
p. The Letter of Decree of the Minister of Justice of the Republic of Indonesia No.
M.05.PW.09.02 in 1995 dated 14 March 1995 on Immigration Quarantine.
q. The Letter of Decree of the Minister of Justice and Human Rights of the Republic of
Indonesia No. M.75.PR.09.02 in 2001 dated 13 December 2001 on Amendment of the Letter
of Decree of the Minister of Justice and Human Rights of the Republic of Indonesia No.
M.01-PR.07.10 in 2001 on Organization and Operational Procedure in the Ministry of Justice
and Human Rights of the Republic of Indonesia.
r. The Letter of Decree of the Minister of Justice and Human Rights of the Republic of
Indonesia No. M.PR.07.10 in 2001, dated 13 December 2001 and No. M.04.PR.07.03 in
2003 dated 16 April 2003 on Establishing of Narcotics Prison.
s. The Letter of Decree of the Minister of Law and Human Rights of the Republic of Indonesia
No. E.04.PR.09.03 in 2004 on Establishing the Working Group on HIV/AIDS in correctional
institutions/detentions in the Directorate General of Correction, Department of Justice and
Human Rights of the Republic of Indonesia.
t. The Letter of Decree the Coordinating Minister for People’s Welfare/ the Head of National
AIDS commission No. 9/Kep/Menko/Kesra/IV/1994 on the HIV/AIDS National Strategy.
u. Collective Decision of the Coordinating Minister for People’s Welfare as the head of the
National AIDS commission (NAC) No. 20//KEP/MENKO/KESRA/XII/2003 and the Head
8
of the National Police Force of the Republic of Indonesia as the Head of the National
Narcotics Agency (NNA) No. B/01/XII/2003/BNN on Establishment of a National Team for
Integrated Attempts on the Prevention of HIV/AIDS Transmission and Elimination of
Narcotics, Psychotropic and Injection Addictive Substance Misuse
v. Memorandum of Understanding between the Directorate General of Correction, Department
of Justice and Human Rights and Directorate General of PPMPL Ministry of Health of the
Republic of Indonesia on Improvement of TBC Eradication in correctional
institutions/detentions, police detention all over Indonesia. (No. SK: KS.00.01.4.306 dan
NO.E.36.UM.06.07, dated 24 March 2004 on “Improving the Effort to Control Tuberculosis
Cases in Correctional institutions/detentions/police detention throughout Indonesia”).

9
CHAPTER II
THE CORE TASK, FUNCTION AND ORGANIZATIONAL STRUCTURE
OF THE DIRECTORATE FOR NARCOTICS

The R.I. Department of Law and Human Rights is a member of the National AIDS Commission. The
General Directorate of Corrections has the task to formulate and implement policy and technical
standardization in Correctional issues. One of the tasks of the General Directorate of Corrections is to
control HIV/AIDS and drug misuse which is technically implemented by the Special Directorate for
Narcotics.
A. Tasks.

The Directorate for Narcotics has the task to implement some of the tasks of the Directorate
General of Correction in healthcare, social services, legal guidance and partnership for prisoner
and community members on narcotics based on the technical policy of the Directorate General of
Correction.

B. Function.
To carry out the task, the Directorate for Narcotics performs the following functions:
a. To prepare the writing of policy design and technical guidance for healthcare for prisoner and
special community member on narcotics;
b. To prepare the writing of policy design and technical guidance for social service for prisoner
and special community member on narcotics;
c. To prepare the writing of policy design and technical guidance for legal guidance for prisoner
and special community member on narcotics;
d. To prepare the writing of policy design and technical guidance for partnership;
e. To carry out internal and household affairs of the Directorate.

C. Organizational Structure.
The Directorate for Narcotics incorporates:
a. The Director for Narcotics;
b. Internal affairs sub section

10
c. Sub directorate of Healthcare:
ƒ Identification of Narcotics Addiction Section;
ƒ Physical Care Section;
ƒ Mental and Spiritual Care Section.

d. Sub directorate of Legal Assistance:


ƒ Legal Consultation Section;
ƒ Legal Awareness Section;
ƒ Nationalism Improvement Section.

e. Sub directorate of Social Services:


ƒ Education and Continuing Guidance Section;
ƒ Skill and Business Establishment Section;
ƒ Art and Culture Section.

f. Sub directorate of Partnership:


ƒ Government Collaborative Institution Section;
ƒ NGOs and inter-country collaboration Section;
ƒ Monitoring and Evaluation Section.

11
CHAPTER III
SITUATIONAL ANALYSIS

A. Internal Condition
1. Strength.
a. The core task and function of the Directorate for Narcotic, the General Directorate of
Corrections.
b. The establishment of special prisons for narcotics offenders with their core tasks and
function based on the Decision of the Minister.
c. To encourage high motivation amongst staff of the Directorate for narcotics and
correctional institutions/detentions to improve their skill and knowledge.
d. The existence of the working group (Pokja) from the Directorate General of Correction
on HIV/AIDS that incorporates the General Directorate of Corrections, the National
AIDS Commission, the Ministry of Health, Social Department, National Narcotics
Board, non-governmental organization and donor institutions which has been established
since 2004.
e. Education for officers and prisoners on HIV/AIDS and drugs.
f. Consultation meeting between General Directorate of Corrections, the head of
correctional institutions/detentions and the Health Office on HIV/AIDS programs in
correctional institutions/detentions at the province level.
g. The existence of law on HIV/AIDS and drugs misuse.
h. The existence of HIV/AIDS working groups at the Provincial and district/city level.
i. Policy support from the General Directorate of Corrections in developing capacity of
human resources through learning duties.
j. Policy support from the General Directorate of Corrections in execution of social
rehabilitation for prisoners with drugs offense.

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2. Weaknesses.

a. The need to improve the knowledge and skills of correctional institutions/detention


officers to work in correctional institution/detention.
b. Indications of drug misuse and a hidden drug trade in correctional institutions/detention.
c. Funding support for the operation of the Special Directorate for Narcotics and special
Narcotics correctional institutions is not adequate.
d. There is no sub section for social rehabilitation in correctional institutions/detention.
e. Limited health equipment and tools.
f. Counseling Services and VCT are not optimal.
g. Equipment for treating HIV, drugs and infectious diseases are not optimally available.
h. The number of officers in correctional institutions/detentions does not balance with the
work load.
i. Not all correctional institutions/detention have a realistic number of prisoners who have
an background of injecting drug misuse.
j. Occupancy rate of most correctional institutions/detention in big cities exceeds capacity.

B. External Condition.
1. Challenges.
a. The danger of drug misuse and hidden trafficking has progressed rapidly in the life of
families, communities, the nation and country.
b. Indonesia is no longer a transit point for drug trafficking, it has now become a potential
market and producer of drugs.
c. The community’s lack of understanding on the danger of drug misuse.
d. High circulation of drugs has increased misuse in Indonesia.
e. Significant increase of HIV cases among drug misusers.
f. Lack of inter-sectoral coordination in HIV and drugs management.
g. Stigma and discrimination of the community towards people with HIV/AIDS.
h. High number of prisoners/detainees who are injecting drug users.

13
2. Opportunities.

a. Support from local government.

b. Opportunity to attend training and education on HIV/AIDS for staff in the General
Directorate of Corrections inside or outside Indonesia.
c. Support from the government policy and agreement between governmental institutions
on the management of HIV/AIDS and drug misuse.
d. NGOs dealing with AIDS have started activities in correctional institutions/detentions.
e. Existence of National AIDS Commission at the provincial and district/municipal level.
f. Existence of Provincial Narcotics Board at the province level and District Narcotics
Board at the district/city level.
g. Collaboration with stakeholders in the management and elimination of misuse and drug
trafficking drugs inside or outside Indonesia.
h. Availability of funding from international donor institution to carry out programs for
HIV/AIDS management (MKEP.MENKO. KESRA/XII/2003 No.20).
i. Open opportunity to improve coordination with other government institutions that focus
on HIV/AIDS management and drugs misuse.
j. Open opportunity to carry out advocacy activities by involving members of the House of
Representatives who will support HIV/AIDS management program and drug misuse
based on evidence through legislative activities.
k. Support from religious leaders, community leaders and mass media to control HIV/AIDS
and drug misuse.
l. Existence of local regulation on HIV/AIDS in several areas.

14
CHAPTER IV
STRATEGY FOR HIV/AIDS CASES
AND DRUGS MISUSE IN CORRECTIONAL INSTITUTIONS/DETENTIONS
2005-2009

Vision and mission in the control of HIV/AIDS and drugs in correctional institutions/detentions
related to the tasks and function of the Directorate for Narcotics are as follows:

A. Vision.
The realization of an independent human being who is free from HIV/AIDS and drug misuse.

B. Mission.

1. Providing healthcare.
2. Providing legal guidance.
3. Providing social service.
4. Establishing Partnership.

C. Objectives.
This strategy was established to direct and serve as guidelines for every effort to control
HIV/AIDS cases and drug misuse in correctional institutions/detention.

1. General Objective.
To prevent and reduce HIV transmission, to improve the quality life of people living with
HIV/AIDS, to improve law enforcement and develop drug rehabilitation treatment in
correctional institutions/detention.

2. Specific Objective.
a. To reduce HIV/AIDS transmission among prisoners and officers in correctional
institutions/detentions.
b. To provide care, treatment and support for people with HIV/AIDS in correctional
institutions/detentions.
c. To provide social rehabilitation that include legal guidance and social services for
prisoners/detainees.
15
d. To increase eradication efforts and manage misuse as well as to reduce drugs circulation in
correctional institutions/detentions.
e. To improve the knowledge and skills of the prison officials as therapists and rehabilitators
in correctional institutions/detentions.
f. To prevent, to provide care, and to cure the infectious diseases in correctional
institutions/detentions such as TB, Hepatitis, STI (Sexually Transmitted Infections), and
others.
g. To establish partnership and multi-sectoral coordination among Department of Law and
Human Rights with related parties in government, private sectors, or NGOs inside or
outside Indonesia.
h. To develop an accurate data base on the distribution of illegal drugs and the spread of
HIV/AIDS as well as other infectious diseases.

D. Target
a. To prevent the prisoners/detainees and correctional institutions/detentions officer to deal with
the drugs misuse.
b. To reduce the suffering experienced by people with HIV/AIDS and to prevent a wider
infection in correctional institutions/detentions.
c. To improve health staus of the prisoners/detainees through an infectious disease prevention
effort for HIV/AIDS and other communicable diseases in correctional institutions/detention.
d. To reduce transmission risks for HIV and other diseases by providing various services for
prevention, care, treatment, and post-treatment.
e. To improve the services to stop the transmission of HIV/AIDS and other infectious diseases in
the correctional institutions/detentions environment.
f. To improve the implementation of occupational health and safety activities in the workplace in
correctional institutions/detention.
g. To strenghten the quality of prevention, care and treatment programs for HIV/AIDS, other
infectious diseases and drug misuse at the correctional institutions/detention.
h. To collect data on the rates of infection, disease transmission and new risk behaviours for STI
and HIV transmission, which can be used in formulating policy and HIV/AIDS prevention
activities.
i. To set up a harmonious and integrated policy on the prevention, treatment and medication of
HIV/AIDS as well as drugs misuse in correctional institutions/detention.
16
j. To guarantee to overcome HIV/AIDS in a sustainable way for people living with HIV/AIDS
within correctional institutions/detentions.
k. To develop policy that creates a supportive environtment for the implementation of
comprehensive programs for the prevention and treatment of HIV/AIDS and drug misuse in
correctional institutions/detentions.
l. To improve the implementation of therapy and social rehabilitation programs for prisoners
with drugs offense through various reliable methods.
m. To improve the law orientation program so that prisoners to gain a greater understanding of
their responsibilities under the law and improve their national spirit as citizens.
n. To increase the provision of social services for prisoners with drugs offenses in order to
development their knowledge and skills, based on their interests and personal development
needs.

E. Strategy
Some strategies which will be conducted to achieve goal and objectives:
a. Establishing a harmonious relationship between the government, related institutions, private
sectors, local or foreign NGOs, professional organizations, business community, mass media,
religious leadesr, community leaders, as well as involving people living with HIV/AIDS and
their families in composing the Strategy for HIV/AIDS and drug misuse in correctional
institutions/detention;
b. Applying the Procedure of Universal Precautions or Prevention to each medical action at
correctional institutions/detention;
c. Identifying other funding resources and use the funds obtained from various groups which are
concerned about the issue of HIV/AIDS and drug misuse in correctional institutions/detention.
Either the fund should come from the central government, the local government, the
community, the private sector or assistance from outside the country;
d. Conducting a periodic and integrated monitoring and evaluation of the program using
achievement indicators annually or every five-year period;
e. Improving the knowledge of prison officers through various trainings on the management of
HIV/AIDS and drug misuse cases.

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F. Policy
Polices that act as guidelines on HIV/AIDS and drugs misuse prevention program in correctional
institutions/detentions in Indonesia during 2005-2009 are as follows:
1. Improving the management and enforcement against drug misuse and other dangerous drugs
by breaking its network and distribution;
2. Improving the implementation of HIV/AIDS programs in correctional institutions/detentions;
3. Keeping confidential the status of people living HIV/AIDS and giving them rights for
treatment, care, and support services without any discrimination;
4. Carrying out VCT to make diagnose HIV/AIDS infection in prisoners.
5. Improving the implementation of community-based development programs for prisoners with
drug offenses;
6. Improving the efficiency and effectiveness of prison officers’ work regarding their provision of
service and assistance;
7. Enhancing multi-sectoral cooperation among the government institutions by involving non-
governmental organizations and people care about HIV/AIDS and drug misuse;
8. Enhancing law enforcement for those who do not respect current policies;
9. Improving therapy and social rehabilitation activities with various methods as proven in the
correctional institutions/detention through a collaboration with competent parties on therapy or
rehabilitation of prisoner with drugs offenses;
10. Improve prisoners’ education about their legal responsibilities as an activity that supports
efforts of successfully overcome drug misuse, such as legal counseling and increased
awareness of citizenship under the law for drug misusing prisoners. .
11. Improve sustainable social services in correctional institutions/detentions for drug-offending
prisoners, such as vocational, cultural and creative activities, education and medical treatment
and care.

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G. Program
Eight programs are defined to overcome HIV/AIDS and drug misuse in correctional
institutions/detention:
1. Law enforcement against drug misuse;
2. Prevention and Treatment Program;
3. Research, Development and Surveillance
4. Multi-Sectoral Collaboration and Coordination;
5. Enabling environment
6. Rehabilitation
7. Legal education
8. Social service

19
CHAPTER V
PROGRAM FOR YEAR 2005-2009

A. Law Enforcement Program Against Drugs Misuse.


1. Eradication of Drugs Smuggling into Correctional institutions/detention.
Prisoners/detainees and officers who prove to be involved in drug misuse in correctional
institutions/detention will be dealt with in accordance with the prevailing legislation regulation.

a. Objective.
To have correctional institutions/detention free from drug misuse.

b. Activity.

Activities that can be implemented to reach this objective are as follows:

1) Improving coordination with police and National Narcotics Board/Provincial Narcotics


Board/District Narcotics Board;
2) Improving the quality of security in correctional institutions/detention;
3) Optimalize the function of the task-force for Prevention and Eradication of Misuse and
Illegal Distribution of Drugs in correctional institutions/detention.

B. Prevention and Treatment Program.


1. Prvention of HIV, STI, TB and Other Infectious Diseases

HIV is related to human behaviour such as unsafe sex intercourse and injecting drug misuse.
Sexual and injecting behaviour can cause anyone to become vulnerable to other infections and
eventually be vulnerable to HIV infection.

Prevention activites include the improvement of prisoners’ knowledge and skill that meet their
special needs before and during their sentence, and in preparation for release. Also, prevention
requires prisoners/detainees have access to the materials and information they require to
protect themselves.

The communication, information, and education program should be an evidence-based


program such as condom use, precaution implementation, harm reduction due to drug misuse
and others.

20
In addition, IEC material should contain a clear messages appropriate to prison “culture” and
prisoners’ level of education.

HIV/AIDS information must be included in a systematic educational curriculum and delivered


through formal and non-formal education by the officer/trainer who has adequate competency.
Capacity building is required for Correctional officer to assist them to become better trainers..

Based on the stated concept, the target covers:

Vulnerable groups:

Vulnerables group are the group sof people whose physical condition makes them vulnerable
to HIV infection and other communicable diseases in correctional institutions/detention and it
it may be influenced by their health condition, age, sex, and sexual orientation. The vulnerable
groups consists of the pregnant woman, woman, teenagers, and transsexuals.

Risks Groups for infection:

This group consists of people who have high risk behavior or risk for infection due to their
health status or working environment. The group comprises:

• Injectiing drugs user;

• People having unsafe sexual intercourse;

• People having tattoos

• People who pierce part of their bodies;

• People who have sexually transmitted infections;

• People who treat and care for people living with HIV and AIDS at the correctional
institutions/detention (e.g. Paramedic, security officer and peer carers).

People Living With HIV/AIDS (PLWHA):

To provide a special assistance to people living with HIV/AIDS so that they can actively
participate in preventing HIV/AIDS transmission to other people.

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a. Objective.

To ensure people in tcorrectional institutions/detention can protect themselves from HIV


infection, and avoid transmitting the virus to others.

b. Activity.

Activities that can be implemented to achieve this objective are:

1) Conduct Communication, Information and Education Program;

To improve knowledge, change behaviour and promote positive behaviour to prevent


the infection.

2) Develop peer education through coordination with the prisoner/ex-prisoner who has
followed training.

As research indicates that the prisoner/detainee prefers to receive and put more trust in
information on the drug and sexual issues if given by the peer, therefore peer will be
used to provide education and information to prisoners regarding the HIV risk.

3) Carry out the prevention program on mother-to-child HIV transmission in correctional


institutions/detention;

Health service in correctional institutions/detention and coordination with external


health service must be improved to help prevent mother-to-child HIV infection. HIV-
positive pregnant and lactating woman in correctional institutions/detention should
obtain anti-retroviral therapy, safe delivery service; and have the skills and materials
available to them to provide subtitutes for breast milk.

4) Supply access to and method for having safer sexual intercourse

5) Apply Universal Precaution

Universal Precautions must be applied closely by all those who have direct exposure
such as medical staff, paramedic staff, security officer, and peer as well as those who
like piercing and tattooing.

For this reason, they must be given knowledge, skill and facility that enable them to
prevent the infection. Infrastructure, adequate resources, and workplace policy must be
strengthened to support the application of universal precautions at the correctional
institutions/detention.
22
6) Ehance the prevention of HIV infection for injecting drugs user.

Sharing needles, injecting equipment and injecting solutions can spread HIV directly
through blood. Therefore, injecting drug users must have access to subtitution therapy
and drug medication services while in correctional institutions/detention to reduce the
use of needles.

2. Care, support, and treatment for People Living With HIV/AIDS (PLWHA).

Care, treatment, and support for PLWHA at the correctional institutions/detention are
conducted through aclinical approach, coordination with various NGOs, peer-based treatment,
and establishment of support groups for PLWHA. Care, treatment, and support services are
targeted according to prisoner’s/detainee’s needs on each stage of disease progression.

a. Objective.

To relieve the suffering caused by HIV/AIDS, to prevent wider infection, and to raise
quality of life of the prisoner who is HIV/AIDS positive.

b. Activity.

Activities that can be implemented to reach this objective are as follows:

1) Intensifying advocacy to policy makers who are responsible for health services;

2) Intensifying the provision of education and training for those who are involved in care,
treatment, and support for PLWHA, as well as increase the number of medical officers,
counselor, and volunteer-nurse (including other prisoners);

3) Making care, treatment, and support available at the correctional institutions/detention;

4) Creating peer network as form of support and care for HIV positive among
prisoners/detainee;

5) Compiling, distribute and implement specific guideline for the treatement of male,
female and teenage prisoners.

23
3. Prevention, Care, and Treatment for Drug Dependence

Provide various options to reduce injecting risk, and to stop all drug misuse in order to give the
prevention and treatment service for the drugs user.

a. Objective.

Reduce HIV infection and other health risks through supplying various prevention,
treatment and post-treatment services.

b. Activity.

Acitivities that will be implemented such as:

1) Intensively upgrading the information, communication, and education regarding the


prevention of drug misuse;

Providing accurate information concerning the bad impacts of drug misuse needed by
prisoners as their reference to overcome HIV/AIDS and injecting drug use problems.

This includes the education for the injecting drugs user in which information is given to
help them avoid drugs or change their behaviour. This can be carried out through
various ways such as establishing universal awareness through campaigns, health
service procurement, peer education, and collaboration between governmental and non-
governmental organization.

2) Provide access to subtitution therapy for prisoners/detainees;

Uninterrupted subtitution services should be provided. Because much rsearch-based


evidence shows consistently and strongly that the subtitution medication is related to
the substantial decrease of drug misuse, crime, death caused by overdose, and HIV
infection-risk behaviour, injecting drugs user in correctional institutions/detention
should have an access to uninterrupted substituion services. To build sustainable drug
subtitution treatment between the correctional institutions/detention and public
community.

3) Strengthen and expand drugs treatment service;

The available drug treatment service and the development of new programs by
providing research-based medical, social, mental, and spiritual rehabilitation for
prisoners.

24
4) Create peer programs to implement educational activity on drugs, treatment, and post-
treatment;

Peer support program for prisoner/detainee are trying to stop drug misuse should also
be expanded.

The program is to assist drug misuserd in relapse-prevention and to develop adequate


behaviour and skill to form a positive change to a drug free lifestyle.

5) Strengthen and expand the post-treatment program for ex-prisoners within the
community;

Develop the referral system on drug treatment and self-help groups in correctional
institutions/detention which are the same as existing services in the community.

6) Develop prevention programs to prevent recurrent crime done by ex-prisoners/ex-


detainees with s drug misuse background by giving training and job placement
sponsored by an institution or agency.

Develop collaboration with Department of Social Affairs, non-governmental


organizations, private sectors (business community) to provide job skill program, job
placement, and sponsorship for ex-prisoners.

4. Treatment Services to Control STI, TBC, and other Infectious Diseases.

By controlling the interaction between HIV/AIDS and other communicable diseases, the
prisoner’s life whether or not HIV positive can be protected. The increased number of HIV
virus can cause other communicable diseases infection and create a new epidemic.

Some infectious diseases could make someone become more vulnerable to HIV, or on the
contrary, those who are HIV infected will also be vulnerable to get other diseases. PLWHA is
the highest risk people who can be infected to other communicable diseases.

STI increases HIV infection risk at minimum two up to five folds and increase HIV
transmission. If treatment is not in place, STI does not only increase infectious level to
someone but also affect those who is HIV negative to be more vulnerable to the infection.

25
Co-infection with HIV and other communicable diseases cause a serious impact to community,
either individually and the general population at the correctional institutions/detentions.

a. Objective.

To reduce interaction between HIV virus and other communicable disease inside correctional
institutions/detentions.

b. Activity.

Activities will be implemented are as follow:

1. Develop and strengthen STI prevention and treatment service;

Person who has STI tends to be more vulnerable 2-9 folds greater to get HIV infection
compare to those who does not have STI, efforts must be done to prevent new infection
through intervention, early detection, and treatment service.

2. Strengthen medicine supplier network for prisoners with drugs offense who are HIV
positive, have TBC, and opiat substitution;

To make sure the non stop medicine provision for prisoners, and maintain continuous
care for patients when they come, move and leave the correctional
institutions/detentions.

3. Integrating TBC treatment with anti retroviral therapy, and substitution therapy;

Treatment for TBC, HIV and opiat addict need long-term clinical supervision. Therapy
is implemented on integrated treatment method for prisoners/detainees.

4. Integrating health service with other services for prisoners.

Improve coordination between governmental and private health service to control


communicable disease that interact with HIV/AIDS inside the correctional
institutions/detentions.

5. Occupational Health and Safety


Relevant development and knowledge improvement is established with the right policy and
procedure so that the provider does not get injury and infected when performing the job in
correctional institutions/detentions.
26
a. Objective.
To develop and perform steps in the working healthiness and safetiness for provider in
correctional institutions/detentions.

b. Activity
Activities perform to achive the objective are:
1. Conducting education and training on K-3 for providers in correctional
institutions/detentions;
Education and training on K-3 include HIV/AIDS and drugs addict information, and
infection control procedure. Training target should specifically answer the needs of
each type of providers, including medical and paramedical staff, security staff and
administrative staff.

2. Improving awareness of the possibility of being infected when working;


Develop procedure and resources can be used to prevent the possibility of getting
infection when performing the work in correctional institutions/detentions and
immigration quarantine, including vaccination for the staff and provide post exposure
prophylaxis service.

3. Developing policy, guidelines and Standard Operational Procedure.


Develop policy, guidelines and standard operational procedure to support the
implementation of good K-3 program in correctional institutions/detentions.

C. Research, Development and Surveillance Program.


1. Research and Development.

Develop research capacity through collaboration among local, national, and international
research institution with the focus on HIV/AIDS and drugs misuse in correctional
institutions/detentions.

a. Objective.

Improve quality of the program on prevention, treatment and care to PLWHA and drugs
misuse through research and development.

27
b. Activity.

Activities can be implemented to achieve the objective are:

1) Conducting study on care management in correctional institutions/detentions;

The study is to identify the most appropriate approach model for clinical treatment for
HIV/AIDS cases and drugs or substitutional therapy for drugs user.

2) Conducting study on the impact of HIV/AIDS intervention and drugs misuse after the
prisoner leave the correctional institutions/detentions;

The research describes the social-economic condition of HIV/AIDS positive prisoners


and those who are drugs misuse in correctional institutions/detentions;

3) Conducting research;

The research is to give input for approcah and new programs set up for prevention,
treatment and peer program.

4) Strengthening HIV/AIDS network

Establish relationship between Department of Justice and Human Rights of the


Republic of Indonesia with related institutions/agencies national or international level.

2. Surveillance

Conducting epidemiology and behavior surveillance to get important information for setting up
program on HIV/AIDS and drugs misuse comprehensively.

a. Objective.

To obtain information about the level, distribution and tendency of new risky behavior,
HIV transmission, STI, TBC and other communicable diseases that can be used to create
policy and define activities on HIV/AIDS issue.

b. Activity.

Activities can be implemented to reach this objective are:

1) Improving coordination with other surveillance agency;

28
Improve coordination with Ministry of Health and Central Statistic Board for
conducting routine and unlinked and anonymous surveillance on HIV/AIDS, selected
STI, and TBC inside correctional institutions/detentions.

2) Providing and developing laboratory in the correctional institutions/detentions;

Improve laboratory activity in correctional institutions/detentions to help surveillance


activities and diagnose, and establish referral laboratory network.

3) Create and develop data base on the behavioral background of prisoners.

D. Multi-sectoral Cooperation and Coordination Program.


1. Multi-sectoral Cooperation and Coordination.

To establish cooperation and coordination on HIV/AIDS among governmental institutions,


NGOs, and private sectors to anticipate rapid increase of the HIV/AIDS cases.

a. Objective.
To harmonize policies on prevention, care, and treatment on HIV/AIDS and drugs misuse
specially for IDUs who uses unsterile needle in correctional institutions/detentions.

b. Activity.

Activities that can be implemented to reach the objective are:

1) Opening wider coordination with National AIDS Commission/Regional AIDS


Commission and National Narcotics Board/Provincial Narcotics Board/District
Narcotics Board;

Strengthening the existing coordination mechanism between Provincial AIDS


Commission and HIV/AIDS working group in Ministry of Justice and Human Rights of
the Republic of Indonesia and National Narcotics Board/ Provincial Narcotics
Board/District Narcotics Board.

2) Strengthening the HIV/AIDS and drugs misuse working group in correctional


institutions/detentions;

Improve the role of HIV/AIDS and drugs misuse working group in provincial level
inside the Department of Justice and Human Rights of the Republic of Indonesia.
29
3) Setting up strategy for sustainable HIV/AIDS and drugs misuse management;

Planning for a strategy on HIV/AIDS and drugs misuse should be prepared by asking
participation from all stekeholders. This plan will be mentioned in the annual plan.

4) Creating HIV/AIDS information network.

Develop strategy and network of drugs user and PLWHA which consists of many
parties to make policy, plan, budget and implementation of the program effectively and
optimally.

Good relationship among stakeholders through ad hoc meeting attended by various


institutions in the national, province, district and subdistrict level. Stakeholder meeting
is expected to define resources needed and use them efficiently and effectively.

2. Sustainable Problem Solving.

Establish commitment and maintain strong leadership at all administrative levels so that it
becomes source of motivation and inspiration for those involved in HIV/AIDS and drugs
misuse issue.

a. Objective.

To ensure a sustinable problem solving on HIV/AIDS and drugs misuse through strong
commitment and leadership with supportive information and resources.

b. Activity.

Activities that can be conducted to achieve the objective are:

1). Conducting advocacy on HIV/AIDS and drugs misuse to gain support from
stakeholder and community to overcome problems regarding HIV/AIDS and drugs
misuse in correctional institutions/detentions.

2). Implementing education and training with the focus on prevention, treatment and care
for drugs user that meet the stakeholder’s need.

3). Improving facility for overcoming HIV/AIDS and drugs misuse problems.

Provide access to service at the correctional institutions/detentions (including the


universal precaution).
30
4). Finding more fund resource for activities focus on controlling HIV/AIDS and drugs
misuse case either from the Goverment, Private, and Donor Agency.

E. Enabling Environment Program.

Formulating policy, regulation, and procedure for taking care of PLWHA and drugs misuse at the
correctional institutions/detentions to eliminate stigmatization, discrimination and practices that
break the human rights.

1. Objective.

To define the appropriate policy that can create supportive environment to support the
implementation of prevention and treatment program on HIV/AIDS comprehensively for drugs
user at the correctional institutions/detentions.

2. Activities.

Activities that can be implemented to achieve the objective are as follow:

a. Compiling procedure and mechanism for controlling HIV/AIDS and drugs misuse cases
based on the local correctional institutions/detentions needs;

b. Conducting advocacy effort to the government and parliament to change or revise the Law
that can create supportive atmosphere to implement the prevention and care program on
HIV/AIDS at the correctional institutions/detentions in the province and national level.

c. Capacity Building program for people in Ministry of Justice and Human Rights of the
Republic of Indonesia, to avoid stigmatization, discriminative and practices that break the
human rights in providing services for prisoners with HIV/AIDS and those who are drugs
user.

F. Rehabilitation Program.

Rehabilitation methods for HIV/AIDS and drugs misuse cases incorrectional


institutions/detentions are Criminon, Theurapeutic Community (TC), and other method that
supports the recovering condition.

31
1. Objective.

To grow behavior and personality of the prisoners with drugs offense to be able to avoid using
the drugs or do any crime.

2. Activity.

Activities can be perform to reach the objective are:

a. Improving rehabilitation program by the implementation of Criminon method, TC method


and other method in correctional institutions/detentions;
b. Improving coordination and cooperation with Criminon Indonesia, National Narcotics
Agency, Ministry of Social Affairs and NGOs;
c. Improving instructor competency to run the Criminon, TC and other method for
rehabilitation program.
d. Conducting evaluation and monitoring of the rehabilitation program.

G. Legal Education Program.

The legal education program provides legal counseling, improving nationalism spirit, and
awareness of the law.

1. Objective.

To create legal-aware behavior and high nationalism spirit.

2. Activity.

Activities that can be implemented to reach the objective are:

a. Providing legal consultation;


b. Providing assistance in improving prisoners nationalism spirit;
c. Providing education and assisstance on legal issue;
d. Providing counselor and assistance on legal issue.

H. Social Service Program.

Social Service Program provides education on art and culture, education and training about
entrepreneuship or business skill, and follow-up education and assistance.

32
1. Objective.

To provide social service as part of method to overcoming the problems on drugs misuse issue
that covers art, culture and business skill to prisoners so they will become an independent
person.

2. Activity.

Activities that can be implemented to reach the objective are:

a. Running a business in correctional institutions/detentions where the prisoners can learn and
have skill on business;
b. Implementing activities that will be used as event to improve the priosners’ socialization
ability, and improve their art and cultural skill;
c. Implementing educational activities in general or specific for the improvement of
prisoners’/detainees’ ability.
d. Providing skilled instructor on education, business, art, and culture.

33
CHAPTER VI
CLOSING

HIV/AIDS and drugs misuse control and prevention in Correctional Institution and Detention is
something that cannot be separated from the national and global HIV/AIDS and Narcotics strategy.
For the success of the program, it needs some systematic, focused and well planned steps mentioned in
the ’ HIV/AIDS and Durgs Misuse Strategy in Correctional Institution and Detention in Indonesia, for
Year 2005 – 2009.

Therefore, HIV/AIDS and Drugs Misuse Strategy in Correctional Institution and Detention in
Indonesia can be implemented effectively and gain an optimum result. Well-planned budget and
schedule is necessary to run the activities within the strategy.

34
REFERENCE
Departemen Kesehatan. 2003. “Hasil Surveilans HIV di Lapas/Rutan”, Jakarta: Departemen
Kesehatan Republik Indonesia.
---------------. 2003. ”Estimasi Nasional Infeksi HIV Pada Orang Dewasa Indonesia, Tahun 2003”.
Jakarta: Departmen Kesehatan Republik Indonesia, Direktorat Jenderal Pemberantasan Penyakit
Menular dan Penyehatan Lingkungan.
---------------. September 2004. ”Evaluasi Surveilans PMS dan HIV/AIDS”, Jakarta: Subdit AIDS
dan PMS, Departemen Kesehatan Republik Indonesia.
Departemen Kehakiman dan HAM. 2004. ”Narapidana dan Tahanan di Lapas/Rutan”. Jakarta:
Departemen Kehakiman dan HAM.
Departemen Kesejahteraan Rakyat.2003.”Agreement Between The Coordinationg Minister of
Welfare Affairs on Behalf of National Aids Commission and The Chief of National Police of
Narcotics Board.” Jakarta: Departemen Kesejahteraan Rakyat.
Direktorat Jenderal Pemasyarakatan. Maret 2005. ”Keadaan dan Masalah Penanggulangan
Narkoba dan HIV/AIDS di Lapas/Rutan”. Jakarta: Direktorat Bina Khusus Narkotika.
Lembaga Administrasi Negara Republik Indonesia. 2003. ”Pedoman Penyusunan Pelaporan
Akuntabilitas Kinerja Instansi Pemerintah”, Jakarta: Lembaga Administrasi Negara Republik
Indonesia.
Ministry of Health Indonesia and The National AIDS Commission. 2002. ”Special Cabinet
Session on HIV/AIDS: The Threat of HIV/AIDS in Indonesia is Increasingly Evident
and Calls for More Concrete Measure of Prevention”. Jakarta: Family Health
International and USAID.
Nota Kesepahaman Dirjen Pemasyarakatan, Departemen Hukum dan HAM RI dan Dirjen PPMPL
Departemen Kesehatan RI Tentang Peningkatan Upaya Penanggulangan TBC di
Lapas/Rutan/Cabang Rutan di Seluruh Wilayah Indonesia. (No.SK: KS.00.01.4.306
dan NO.E.36.UM.06.07, 24 Maret 2004, “Peningkatan Upaya Penanggulangan
Tuberkolosisdi Lapas/Rutan/Cabang Rutan di Seluruh Indonesia).
Reid, G dan Costigan, G. 2002. Revisting the Hidden Epidemic: A Situational Assessment of Drug
Use in Asia in the Context of HIV/AIDS The Centre for Harm Reduction.” Melbourne,
Australia: The Macfarlane Burnet Institute for Medical Research and Public Health
Ltd.

35
Sutomo, S. 2004. “The National Strategic Plan for Prevention and Control a DF/DHF Indonesia
2004 – 2008”, Jakarta: Ministry of Health Directorate General Communicable Disease
Control and Environmental Health and World Health Organization.
The Centre for Harm Reduction and Asian Harm Reduction. 2001. ”Mengurangi Dampak Buruk
narkoba di Asia, Edisi Indonesia”, Jakarta: The Centre for Harm Reduction.
The Centre for Harm Reduction and Asian Harm Reduction. 2001. “Mengurangi dampak Buruk
Narkoba di Asia, Edisi Indonesia”, Jakarta: The Centre for Harm Reduction.
UNAIDS. Juli 11-16, 2004. ”Leadership Statement: Injecting Drug Use and HIV/AIDS, 15th
International AIDS Conference”, Bangkok, Thailand: UNAIDS
---------------. 2004. “Potraits of Commitment: From Southeast Asia and The Pacific”. Bangkok:
UNAIDS.
United Nation Information Services (UNIS). 17 Mei, 2004. “Round Table on HIV-AIDS and
Prisons During The Commission on Crime Prevention and Criminal Justice.”.Vienna,
Austria: Vienna International Centre.

36
Appendix 1
Profile of Strategy
on HIV/AIDS and Drugs Misuse
In Correctional Institution and Remand in Indonesia, 2005 - 2009

Program 2005 - 2009


No. Policy Target
Program Objective Activity
1. Improve efforts to manage and hold To prevent drugs misuse by A. Law enforcement
law enforcement to narcotics and prisoners/detainees and the officers. agains drug misuse:
dangerous drugs misuse by
1. Eradiction of drugs
breaking its network and circulation.
smuggling into
To create drugs-free • Improving coordination with the police department and
correctional
correctional institution the National Drugs Agency/BNP/BNK
institutions/detentions
/remand. • Improving quality of security inside the correctional
institution/remand
• Optimalizing the function of the officers for P4GN
(Prevention, Eradication, Narcotics misuse and
Smuggling) in correctional institution/remand.

37
Program 2005 - 2009
No. Policy Target
Program Objective Activity
2. Improving the implementation of Lessen the pain of PLWHA and B. Prevention and
HIV/AIDS prevention program in prevent wider infection in the treatment
correctional institution/remand. correctional institution/remand.
1. Prevention of HIV,
STI, TB and other To make sure those who • Provisions of Communication, Information, and
infectious diseases are in the correctional Education
institution/remand can
protect theirselves of • Developing peer education through coordination
getting HIV infection, and with prisoners/ex-prisoners who attended training
to avoid the transmission • Performing activities for the HIV prevention of
of the virus to others. mother-to-child transmission in the correctional
institution/remand
• Provisions of access and method of having safe
sexual intercourse.
• Applying Universal Precaution.
• Improving efforts on the prevention of HIV
transmission among the IDUs.

38
Program 2005 – 2009
No. Policy Target
Program Objective Activities
.. • Keep the secret of PLWHA Improvement on the quality of 2. Care, Support, and
health of prisoners/detainees Treatment for
To reduce suffers due to • Intensifying advocacy effort to policy makers who
and give rights to get
HIV/AIDS, to prevent deal with the health service.
treatment, care, and support through the prevention of wider PLWHA
wider infection, and to
without discrimination. HIV/AIDS infection in the • Improving education activities and training for those
improve quality of life of
correctional institution/remand. involve in care, treatment, and support forPLWHA,
the prisoners/detainees
• Conduct VCT to define who live with HIV/AIDS. and increase number of medical staff, counselor
HIV/AIDS infection diagnosis and volunteer-nurse (including
of prisoners/detainees prisoners/detainees).
• Making care, treatment, and support available for
PLWHA in the correctional institution/remand.
• Establishing peer network as form of support for
HIV positive and of care for people with AIDS
among prisoners/detainees.
• Compiling, distributing, and using specific
guidelines for providing care for male, female, and
teenager prisoners/detainees.

39
Program 2005 – 2009
No. Policy Target
Program Objective Activities
• Improve the implementation of Reduction of HIV/AIDS 3. Prevention, care, and • Intensively improving information,
To reduce HIV transmission and other
community-based assistance transmission and other health treatment for drugs communication, and education on the
helath risks through the provisions of
program (program risks through the provisions of dependence prevention of drugs misuse,
various services for prevention,
pembinaan) for drugs misuse- various services for prevention, • Providing access to drug
treatment, and post-treatment.
related prisoners/detainees. care, treatment, and post- substitution therapy for
treatment. prisoners/detainees
• Strengthening and expanding
drugs treatment services
• Creating peer program to hold
educational event about drugs,
treatment, and post-treatment
• Strengthening and expanding the
post-treatment program wihtin
community for the ex-
prisoners/detainees
• Developing recurrent crie/residivis
prevention within the community for ex-
priosners/detainees who had drugs
misuse cases by giving them skill and
job placement sponsored by an
institution or agency.

40
Program 2005 – 2009
No. Policy Target
Program Objective Activities
ƒ Improve the work efficiency Improvement on the service for 4. Treatment services to • Developing and strengthening STI
To reduce the interaction between HIV
and effectiveness of officers PLWHA and other infectious control STI, TBC, and prevention and treatment service
virus and other infectious diseases
for prisoners/detainees diseases in correctional other infectious diseases • Strengthening medicine supplier
inside correctional institution/remand.
service and assistance institution/remand. network for drugs-related
ƒ Improve cross-sectoral prisoners/detainees who have HIV
collaboration among infection, TBC, and opiat substitution.
governmental institution by • Synergizing TBC treatment with
involving the NGOs and anti retroviral therapy and medicine
individuals who care for substitution therapy.
HIV/AIDS and drugs misuse • Integrating more various health
problems services for prisoners/detainees

41
Program 2005 – 2009
No. Policy Target
Program Objective Activities
Improve the work efficiency and Improvement on the 5. Occupational health and To deveop and implement steps on • Providing education and K3 training for
effectiveness of officers for implementation of steps on safety (K3) health and security issue as officers at officers in correctional
prisoners/detainees sservice and health and security during the correctional institution/remand institution/remand;
assistance working in correctional • Improving awareness on the possibility
institution/remand. of getting infection during working;
• Developing policy, guidelines, and
Standard Operating Procedure (SOP).

42
Program 2005 – 2009
No. Policy Target
Program Objective Activities
Improvement on the quality of C.Research, development
programs for prevention, and surveillance :
Improve the work efficiency and treatment, and care for HIV and
3. effectiveness of officers for the prevention of drugs misuse
prisoners/detainees sservice and in correctional institution/remand 1. Research and • Conducting study about care
assistance Development To improve the quality of programs for management in correctional
prevention, treatment, and care for instiution/remand.
people with HIV/AIDS and the • Conducting study about the immpact
prevention of drugs misuse through of HIV/AIDS intervention program and
research and development. drugs misuse after the prisoners leave
the correctional institution/remand.
• Conducting reasearch.
• Strengthening HIV/AIDS network .

Obtain information about the 2. Surveillance To obtain information about the • Improving coordination with other
expansion, distribution and expansion, distribution and tendency surveillance agencies.
tendency of new risky behavior of new risky behavior for HIV, STI, • Providing and developing laboratory in
for STI and HIV/AIDS TBC and other infectious diseases, the correctional institution/remand.
transmission, that can be used that can be used to formulate policy • Building and developing data base of
to formulate policy and activities and activities for HIV/AIDS the background of prisoners’ and
for HIV/AIDS prevention. prevention. detainees’ behavior.

43
Program 2005 – 2009
No. Policy Target
Program Objective Activity
4. Improve cross-sectoral The realization of harmonious D. Multi-sectoral
collaboration among and synergy policy for the cooperation and
governmental institution by prevention, care, and treatment coordination: • Implementing wider coordination with the
involving the NGOs and for PLWHA and how to handle NAC /regional AIDS Commission and the
individuals who care for drugs misuse in the correctional 1. Multi-sectoral To make synergy of policies on the
National Narcotics Agency/BNP/BNK
HIV/AIDS and drugs misuse institution/remand. Cooperation and prevention, care and treatment of
• Strengthening the working group dealing
problems coordination PLWHA and drugs misuse specifically
HIV/AIDS and drugs misuse in correctional
the non-sterile injection drugs users in
institution/remand
the correctional institution/remand.
• Compiling the sustainable strategy on
HIV/AIDS and drugs misuse.
• Creating HIV/AIDS information network.

• Conducting advocacy on HIV/AIDS and


To ensure a sustainable rehabilitation
drugs misuse issues.
on HIV/AIDS and drugs misuse through
strong commitment and leadership with • Conducting education and training event that
Realization of a sustainable 2. Susatainable problem focus on the prevention, treatment, and care
supportive information and resources.
rehabilitation for those who have solving for drugs misuser that meet stakeholder’s
HIV/AIDS in the correctional want.
institution/remand. • Improving facility for HIV/AIDS and drugs
misuse program.
• Searching for fund resources.

44
No. Policy Target Program 2005 – 2009
Program
Objective Activity
5. Improve law enforcement to the The development of policy that E. Enabling • Setting up procedure and mechanism on how
To set up policy that may create a
misplaced of the defined policy. may create a supportive environment to manage HIV/AIDS and drugs cases based
supportive environment for the
environment for the on the local correctional institution/remand
implementation of the prevention and
implementation of the needs.
care program for PLWHA and drugs
prevention and care program for • Advocacy
misuser comprehensively in the
PLWHA and drugs misuser • Conduct advocacy for the the government
correctional institution/remand.
comprehensively in the and parliament to change or to revise Law
correctional institution/remand. that may create supportive environment on
the implementation of prevention and care for
PLWHA program in the correctional
institution/remand in provincial and national
level.
• Improving leader capacity.
• Capacity building for people in the Ministry of
Justice and Human Rights of the Republic of
Indonesia, avoid stigma, discriminative and
human rights misplace in the provisions of
service for prisoners/detainees with
HIV/AIDS and the drugs misuser.

45
No. Policy Target Program 2005 – 2009
Program
Objective Activity
6. Improve multi-sectoral cooperation Improvement of the F. Rehabilitation • Improving the rehabilitation with method
Trying to form behavior and personality
among governmental instiution by implementation of therapy and Criminon, TC and other method in the
of the drugs-related prisoners/detainees
involving the NGOs and people socail rehabilitation for correctional institution/remand:
to be able to avoid drugs misuse or other
who care on HIV/AIDS and drugs prisoners/detainees with drugs • Improving coordination and cooperation with
crimes by themselves.
misuse problems offences using various methods. Criminon Indonesia, NNA, Ministry for Social
Affairs and NGOs;
• Improving the competency of the instructors
to be able to run the Criminon, TC, and other
rehabilitation program;
• Conducting evaluation and monitoring on the
implementation of Criminon, TC and other
rehabilitation program.

46
No. Policy Target Program 2005 – 2009
Program
Objective Activity
7. Improve law enforcement to those Improvement on the • Providing legal consultation;
G. Legal Assisatance To try to create law sensitive behavior
breaking the defined policy. implementation of legal assistance • Conducting assistance for nationalism spirit
and have high nationalism spirit.
activity so the prisoners/detainees improvement for prisoners or detainees;
know law information and have • Conducting education and assistance
high nationalism spirit program on legal issue;
• Preparing information officer and adviser for
legal issue.
8. ƒ Improve therapy and social Improvement of social service for • Trying to open a business in the correctional
H. Social Service To provide social service to deal with
rehabilitation program using drugs-related prisoners/detainees institution/remand which can be used as
dugs issue covering art, culture and
various field-tested methods to help them to be able to have learning and skill center for
business skill for drugs-related
in the ccccorrectional business skill and ability without prisoners/detainees with drugs offences:
prisoners/detainees so they will
institution/remand through leaving personality aspect. • Conducting activity that is able to improve
become an independent individual.
collaboration of competent socialization ability for narcotics
parties on therapy or prisoners/detainees in art and culture;
rehabilitation. • Conducting general education activity or
ƒ Improve social sservice at the courses to improve skill of drugs-related
correctional institution/remand prisoners/detainees.
as a continuous service for • Trying to have skillful instructor in education,
drugs-related business, art, and culture matter.
prisoners/detainees

47
Appendix 2

Profile of Situational Analysis (Qualitative) on HIV/AIDS and Drugs Misuse Strategy


In Correctional Institution and Remand in Indonesia, Year 2005–2009
Internal Condition Exsternal Condition Program
Vision Mission 2005 - 2009
Strengths Weaknesses Challenges Opportunities
• Tasks, main points and • There is a need for A. Law enforcement for the
functions of the skill and knowledge • The bad immpact of • Support form regional Based on the tasks and • Implementation of Drugs Misusers:
drugs misuse and government function of Directorate for health care service. 1. Prevention of drugs
Directorate for Narcotics. improvement of the
distribution has rapid Narcotics, therefore, the • Implementation of smuggling into Correctional
Directorate General of officer at the • Opportunity to attend
development within vision of the strategy on legal assistance Institution/Remand
Correction. correctional training and education on
the familiy, HIV/AIDS and drugs program.
• Build Narcotics prison with institution/remandon HIV/AIDS for officers B. Prevention and Care
community, and the misuse in correctional • Implementation of
the description of its how to handle the within the Directorate of
country. institution and remand in social service. 1. Prevention of HIV, STI
tasks, main points and tasks there. Correction inside or
• Indonesia is no longer Indonesia for year 2005- • Establish and other infectious
functions based on • There is an indication outside the country. diseases
as transit place for 2009 is: partnership.
Ministry Decision of drugs misuse and • Support from the 2. Care, support and
trading and the « To have independent
• Grow high interest to illegal trade in the government policy or MoU Indonesian people that treatment for PLWHA
correctional circulation of the
improve the knowledge of among governmental free of HIV/AIDS and 3. Prevention, Care, and
institution/remand. drugs but it is now
the officer of the institutions on the drugs misuse.” Treatment for Drugs
become market place
Directorate for Narcotics • Fund support from the management of HIV/AIDS Addict.
and moreover
and Narcotics Prison. Directorate for and drugs misuse cases. 4. Service, treatment to
become drugs
Narcotics and drugs • NGOs care on AIDS start control STI, TBC, and
producer.
correctional implementing their other infectious disease.
institution/remandis • Lack of
understanding on the program activitites in the 5. Working Healthiness and
not yet enough. correctional Safetiness (K3)
dangerous of the
• Social rehabilitation institution/remand.
drugs in the
subsection in the • Formation of Provincial
community.
correctional AIDS Commission and
institution/remand is District/Municipal AIDS
not yet available Commission.

48
Internal Condition Exsternal Condition Program
Vision Mission 2005 - 2009
Strengths Weaknesses Challenges Opportunities
• Working Group on • There is a limitation of • High circulation of • Formation of Provincial A. Law enforcement for the
HIV/AIDS that consists of health facilities drugs causes Narcotics Board and
Based on the tasks and • Implementation of Drugs Misusers:
function of Directorate for health care service. 1. Prevention of drugs
Directorate of Correction, • Counseling and VCT improved drugs Dictrict Narcotics Board in
Narcotics, therefore, the • Implementation of smuggling into Correctional
National AIDS service are not yet misuse in Indonesia. the district/municipal.
vision of the strategy on legal assistance Institution/Remand
Commission, Ministry of optimum. • HIV cases raised • Collaboration among
HIV/AIDS and drugs program.
Health, Ministry for Social significantly among related parties on the
misuse in correctional • Implementation of B. Prevention and Care
Affairs, National Narcotics drugs misusers. eradication of drugs
institution and remand in social service. 6. Prevention of HIV, STI
Agency, NGOs and Donor misuse and drugs
Indonesia for year 2005- • Establish and other infectious
Agency, and was formed distribution inside or
2009 is: partnership. diseases
in 2004. outside the country.
« To have independent 7. Care, support and
• Prisoner officers have treatment for PLWHA
Indonesian people that
conducted education 8. Prevention, Care, and
free of HIV/AIDS and
session on HIV/AIDS and Treatment for Drugs
drugs misuse.”
drugs to the Addict.
prisoners/detainees 9. Service, treatment to
control STI, TBC, and
other infectious disease.
10. Working Healthiness and
Safetiness (K3)

49
Internal Condition External Condition Program
Vision Mision
Strengths Weaknesses Challenges 2005 – 2009
• Meeting between the Directorate • Facility for • Lack of cross- • Availability of fund C. Reseach,
Based on the tasks • Implementation of Development and
of Correction, Head of HIV, Drugs, sectoral from international
and function of health care
Correctional Institution/Remand and coordination in the donor agencies for the Supervision:
Directorate for service.
and Ministry of Health on infectious management of implementation of 1. Research and
Narcotics, therefore, • Implementation of
HIV/AIDS program in disease HIV and drugs HIV/AIDS programs Development
the vision of the legal assistance
Correctional Institution/Remand testing is not issues. (MKEP.MENKO. 2. Supervision.
strategy on HIV/AIDS program.
in the province level. yet sufficient • Stigma and KESRA/XII/2003
and drugs misuse in
• Existence of Regulation and Law enough. discrimination is No.20). • Implementation of D. Multi-sectoral
correctional social service.
on HIV/AIDS and drugs misuse. • Number of still exist in the • Opportunity to improve Cooperation and
institution and • Establish
• Availability of the working group officers in community to coordination with other Coordination:
remand in Indonesia partnership.
on HIV /AIDS in province and the PLWHA. governmental 1. Multi-sectoral
for year 2005-2009
district/Municipal level. correctional institution that focus on Cooperation and
is:
institution/re HIV/AIDS and drugs Coordination.
« To have
mand are not misuse issues. 2. Sustainable program
independent
balance with • Opportunity to do Indonesian people
the advocacy by involving E. Conducive Environment
that free of
workingload. member of the HIV/AIDS and drugs F. Rehabilitation
more than parliament which misuse.”
the room support the evidence- G.Legal Assistance
capacity. based program on
HIV/AIDS drugs users H. Social Service.
through legislative
activities.

50
Internal Condition External Condition Program
Vision Mision
Strengths Weaknesses Challenges 2005 – 2009
• Policy support from the • Not all • High number of • Opportunity to do C. Reseach,
Based on the tasks • Implementation of Development and
Directorate General of correctional prisoners and advocacy by involving
and function of health care
Correction in the development of institution/re detainees whose member of the Supervision:
Directorate for service.
human resources skill mand has background was parliament which 3. Research and
Narcotics, therefore, • Implementation of
improvement trhough learning real number IDUs. support the evidence- Development
the vision of the legal assistance
tasks. of priosners based program on 4. Supervision.
strategy on HIV/AIDS program.
• Availability of policy support from or detainees HIV/AIDS drugs users
and drugs misuse in
the Directorate General of whose through legislative • Implementation of D. Multi-sectoral
correctional social service.
Correction in the implementation background activities. Cooperation and
institution and • Establish
of social rehabilitation for drugs- was IDUs. • Support from religious Coordination:
remand in Indonesia partnership.
related prisoners/detainees. • Majority figure, community 3. Multi-sectoral
for year 2005-2009
correctional figure and mass media Cooperation and
is:
institution/re on HIV/AIDS and Coordination.
« To have
mand in big drugs problems and 4. Sustainable program
independent
cities have issues. Indonesian people
prisoners • The availability of E. Conducive Environment
that free of
more than regional regulation on HIV/AIDS and drugs F. Rehabilitation
the room HIV/AIDS. misuse.”
capacity. G.Legal Assistance

H. Social Service.

51
Appendix 3

ORGANIZATIONAL STRUCTURE
DIRECTORATE GENERAL OF CORRECTION

DIRECTORATE GENERAL OF CORRECTION

DIRECTORATE GENERAL
SECRETARIATE

DIRECTORATE DIRECTORATE DIRECTORATE


OF DIRECTORATE OF DIRECTORATE FOR OF INTERNSHIP FOR SAFETY DIRECTORATE
REGISTRATION CARE COMMUNITY AND AND PUBLIC FOR NARCOTICS
AND ASSISTANCE PRODUCTION ORDER
STATISTICS

52
Appendix 4 ORGANIZATIONAL STRUCTURE
DIRECTORATE FOR NARCOTICS

DIRECTORATE
FOR NARCOTICS

INTERNAL AFFAIRS
SUB DIVISION

LEGAL ASSISTANCE SOCIAL SERVICE PARTNERSHIP


HEALTH CARE SUB DIVISION SUB DIVISION SUB DIVISION SUB DIVISION

SECTION SECTION SECTION SECTION


Drugs Addict Identification Legal Consultation Advanced Education Governmental Institution
and Assitance Cooperation

SECTION SECTION SECTION SECTION


Body Care Legal Awareness Assistance Skill and Business Cooperation with NGOs and
Bilateral Cooperation

SECTION SECTION SECTION SECTION


Mental and Spiritual Care Nationalism Spirit Art and Culture Monitoring and Evaluation

53
54
Lampiran 5

TEAM NATIONAL STRATEGY


PREVENTION AND CONTROL HIV/AIDS AND DRUG ABUSE
INDONESIAN CORRECTION AND DETENTION
2005 – 2009

Penasehat : Drs. MARDJAMAN, Bc.IP (Direktur Jenderal Pemasyarakatan)


Penanggung Jawab : Drs. UNTUNG SUGIYONO, Bc.IP, MM (Direktur Binsustik)
Konsultan : ADI SOEJATNO, Bc.IP, SH, MH

Tim Pelaksana :
1. Ketua : dr. HENDRA SALIM (Kasubdit Perawatan Kesehatan)

2. Sekretaris : 1. Dra. EMI SULISTYATI (Kasi Identifikasi Ketergantungan


Narkotika)
2. SRI YUWONO, Bc.IP, S.IP (Kasi Perawatan Jasmani)
3. Anggota :
1. Drs. DZULHAQQILLMUBIN,MSi
2. Drs. SISWADI KARDJAREJA,Bc.IP
3. SYAHRIR SUAIB, SH (Kasubdit Bimbingan Hukum)
4. Dra. MARTHA MASSELENG (Kasi Kerjasama LSM dan Antar
Negara)
5. Dra. HERNA LUSY, MM (Kasi Pendidikan dan Bimbingan
Lanjutan)
6. Drs. YUSMAR K, MM (Ditjen Perlindungan HAM)
7. INANG WINARSO (IHPCP)
8. CIPTASARI PRABAWANTI, MSc (ASA)
9. HENRI PUTERANTO, S.Sos (ASA)
10. ELISABETH EMRYS, MPH (CHR)
11. JOLANDA M.H SUMUAL BEEBY, MSi (CHR)
12. BEBI R SUTOMO, Ir. MSi (CHR)
13. DEVI KARYADI, S.Sos (CHR)
14. SANDY PERMANA S.Hum(CHR)
15. JULI MARINTAN SINAGA (CHR)
16. DIENA OKTORIANI, SE. MAAC (CHR)
17. KESTER SUMUAL, SH (Asian Harm Reduction Network)

DIRECTOR OF DIRECTORATE
GENERAL COORECTION

Drs. MARDJAMAN, Bc.IP.


NIP. 040011877

54