Syphilis
(+)
Metho
ds
Interview
Center
Screening,
informed
consent
Free
coup
on
for
free
testi
ng
Reward & 2
coupons for
recruiting other
IDUs
HIV (+)
Free ARV
treatment
Free Syphilis
Treatment
Free CD4
test &
Chest
X-ray
This process (respondent driven
sampling) is continued until the number
of IDUs recruited reach 210
Int
erv
iew
IMPACT
(5-year program
for
HIV care and drug addiction
in
West Java, Indonesia) is
funded
by the European Union
S. Iskandar
1,2
, T. Hidayat
1,2
, I.M.P. Siregar
1,2
, Tri Hanggono Ahmad
1
,
A.J.A.M. Van der Ven
3
, C.A.J. de Jong
5
1
Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia,
2IMPACT (Integrated
Management for Prevention Control and Treatment of HIV-AIDS), Health Research Unit,
Medical Faculty, Padjadjaran University / Hasan Sadikin Hospital, Bandung, Indonesia
3
Radboud University Nijmegen Medical Centre, the Netherlands
4
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands
•
Most common view was that drug addicts are weak
and/ or bad people unwilling to control their
behavior
•
Addictive drugs affect the brain circuity controlling
the motivated and learned behavior
•
Some of drug users start using drug to “cure” their
psychological problems
•
Psychiatric disorders and addiction are often
dubbed ‘dual disorders’.
To explore the common psychological problems
among injecting drug users (IDUs) in Bandung,
West Java, Indonesia
a better understanding of
these co-morbidities may contribute to the design
of specifically tailored programs
Characteristics of IDUs
(n=210)
Objective
Introduct
ion
Free HIV, HBV,
HCV, Syphilis
Test
Get a
coupon
Payment for
recruiting other
IDUs
New
respondents
Results
(1)
Characteristics
IDUs
Age (SD)
27,8
(3,8)
Age first time use drug
(SD)
(2,8)
14,0
Age first time inject (SD) 18 (3,1)
Years of injecting in life
time (SD)
7,1 (3,8)
Gender
Male (%)
194 (92)
Female (%)
16 (8)
Marital Status
Ever married (%)
91 (43)
Never married (%)
119 (57)
Education
Junior high school or
under (%)
12 (6)
Senior high school (%)
164 (77)
Diploma or higher (%)
34 (17)
Results
(3)
Living Area
Results
(2)
Conclusi
on
•
High psychological problems among IDUs
•
Further research on contributing factors to psychological
help seeking behavior is needed
•
Providing information about psychological problems and
their treatment is required by IDUs
•
Those who deliver addiction care have to be aware of
psychiatric
co-morbidity
•
Addressing psychological problems in the general
community probably can reduce the chance to become a
drug user
Acknowledgments
We would like to thank Prof. Cissy B. Sudjana Prawira, Director of Hasan
Sadikin General Hospital, and Prof. Eri Surahman, Dean of the Medical
Faculty Padjadjaran University for encouraging and accommodating research
in their institutions. Municipal Health Department, the interviewers, staffs
and ORC from Salam Primary Health Center. Rumah Cemara, Bahtera, PKBI,
and Grapiks are thanked for their valuable help
31
2
11 7
1
10
5
5
7
6
5 17
10 3
4
3
3 1
16
1 3
4
3 11
1
PKM Salam
(interview
place)
16
2
7 4
2
Notes :
1.Kecamatan Sukasari 2.Kecamatan Sukajadi 3.Kecamatan Cicendo 4.Kecamatan Andir 5.Kecamatan Cidadap 6.Kecamatan Coblong 7.Kecamatan Bandung Wetan
8.Kecamatan Sumur Bandung
9.Kecamatan Cibeunying Kaler
10.Kecamatan Cibeunying Kidul
11.Kecamatan Kiara Condong
12.Kecamatan Batununggal 13.Kecamatan Lengkong 14.Kecamatan Regol
15.Kecamatan Astana Anyar 16.Kecamatan Bojongloa Kaler
17.Kecamatan Bojongloa Kidul
18.Kecamatan BACIP (Bababakan Ciparay) 19.Kecamatan Bandung Kulon
20.Kecamatan Cicadas 21.Kecamatan Arcamanik 22.Kecamatan Ujungberung 23.Kecamatan Cibiru
24.Kecamatan Rancasari 25.Kecamatan Margacinta 26.Kecamatan Bandung Kidul
Psychological problems
among IDUs
in the last 30 days (N = 210)
Psychological problems
among IDUs
in life time days (N = 210)
37% of all IDUs have ever had serious thought of committing
suicide
More than 50% of those who had serious thought
attempted
suicide
Only 26 IDUs (16%) of those who have ever had psychiatric
