Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia
Abstract
Purpose
The purpose of this paper is to describe HIV-related risk behavior and knowledge of HIV among inmates of Kerobokan prison Bali, Indonesia.
Design/methodology/approach
A cross-sectional survey of inmates of using a structured questionnaire and sample framework to reflect narcotic use among inmates and the prison gender mix.
Findings
Among 230 inmates recruited to the study self-reported prevalence of injecting drug use was 7.4 percent (95 percent CI 4.0-10.8percent). Respondents who participated in a prison based methadone treatment program were all still injecting drugs, these made up 13/17 of the IDU. In total, 47 percent (95 percent CIs 45-55 percent) of respondents who reported injecting also reported sharing needles within the last week. Sexual intercourse while in prison was reported by 3.0 percent (95 percent CI 0.82-5.26 percent) of study respondents. One-third of non-injectors were unaware of the preventative role of condom use. This study suggests that despite harm reduction initiatives within Kerobokan prison HIV risk behavior continues and there is a considerable lack of awareness of the importance of condom use in preventing HIV.
Research limitations/implications
The authors relied on self-reported risk behavior that may be subject to reporting bias. The sampling strategy may not reflect the true ratio inmates using or not using narcotics.
Practical implications
The current harm reduction approach, including methadone substitution treatment should be optimized within the Indonesian prison setting.
Originality/value
This is the first study reporting HIV-related risk behavior from an Indonesian prison with an established methadone substitution program.
Keywords
Acknowledgements
This study was funded by the Indonesian National Aids Commission. The authors would like to thank the study respondents who took part in the survey and to the prison staff who facilitated the work.
Citation
Sawitri, A.A.S., Hartawan, A.A.G., Craine, N., Sari, A.K., Septarini, N.W. and Wirawan, D.N. (2016), "Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia", International Journal of Prisoner Health, Vol. 12 No. 1, pp. 27-38. https://doi.org/10.1108/IJPH-05-2014-0011
Publisher
:Emerald Group Publishing Limited
Copyright © 2016, Emerald Group Publishing Limited