Alisjahbana Bachti, Susanto Herman, Roesli Rully, Yusuf Hadi, Hinduan Zahrotur, Mase Johannes C, Surahman Eri, van der Ven Andre
Health Research Unit, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital. Jl. Pasirkaliki no. 190 Bandung 40151, Indonesia.
Acta Med Indones. 2009 Jul;41 Suppl 1:65-9.
Indonesia is facing a growing HIV-epidemic that in many areas is driven by injecting drug use (IDU). IDUs underutilize health services, partly because of legal aspects which also cause that many are held in prison, where further HIV- transmission may take place. Most HIV-infected patients present with advanced HIV-AIDS and many deaths before starting antiretroviral treatment. The growing HIV-epidemic in Indonesia has socio-economical implications for individual patients as well as for the health system and for society. IMPACT, a multidisciplinary university-based program in Bandung, West-Java, integrates HIV-prevention and treatment, combining research and implementation. Biomedical, public health and sociobehavioral expertise is used for educational programs for adolescents; scaling-up HIV-testing, harm reduction strategies and care for HIV/AIDS in hospital, community and prison; and institutional as well as individual capacity building related to IDU and HIV/AIDS. It is expected that these activities can make a significant contribution to control of HIV-AIDS in the context of injecting drug use in West-Java and Indonesia as a whole.
印度尼西亚正面临着日益严重的艾滋病疫情，在许多地区，注射吸毒是疫情蔓延的主要驱动因素。注射吸毒者很少利用医疗服务，部分原因是法律方面的问题，这也导致许多人被关押在监狱中，而监狱中可能会发生艾滋病病毒的进一步传播。大多数感染艾滋病病毒的患者在开始接受抗逆转录病毒治疗之前就已发展为晚期艾滋病，并有许多人死亡。印度尼西亚不断蔓延的艾滋病疫情对个体患者、卫生系统以及整个社会都产生了社会经济影响。IMPACT是西爪哇省万隆一个以大学为基础的多学科项目，它整合了艾滋病预防与治疗，将研究与实践相结合。生物医学、公共卫生和社会行为学方面的专业知识被用于针对青少年的教育项目；扩大艾滋病检测、减少伤害策略以及在医院、社区和监狱中对艾滋病患者的护理；以及与注射吸毒和艾滋病相关的机构及个人能力建设。预计这些活动能够为在西爪哇省乃至整个印度尼西亚控制注射吸毒背景下的艾滋病疫情做出重大贡献。
