syphilis (+)

1
Syphilis (+) Method s Interview Center Screening, informed consent Free coupo n 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) 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, 2 IMPACT (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) 14,0 (2,8) 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) 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 problems, sought for help for their psychological problems Bandung City

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Psychological Problems Among Injecting Drug Users (IDUs) in Bandung, West Java, Indonesia. 5. 1. 3. 4. 3. 11. 1. 16. 2. 7. 4. 2. 16. 1. 10. 5. 1. 7. 5. 2. 31. 7. 6. 3. 17. 10. 3. 4. 3. 11. PKM Salam (interview place). - PowerPoint PPT Presentation

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Page 1: Syphilis (+)

Syphilis (+)

MethodsInterview Center

Screening, informed consent

Free coupon for free

testingReward & 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

Interview

IMPACT (5-year program for HIV care and drug addiction in West Java, Indonesia) is funded by the European Union

S. Iskandar1,2, T. Hidayat1,2, I.M.P. Siregar1,2, Tri Hanggono Ahmad1, A.J.A.M. Van der Ven3, C.A.J. de Jong5

1Padjajaran 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 3Radboud University Nijmegen Medical Centre, the Netherlands

4Nijmegen 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

Introduction

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) 14,0 (2,8)Age first time inject (SD) 18 (3,1)Years of injecting in life time (SD) 7,1 (3,8)GenderMale (%) 194 (92)Female (%) 16 (8)

Marital StatusEver married (%) 91 (43)Never married (%) 119 (57)

EducationJunior high school or under (%) 12 (6)Senior high school (%) 164 (77)Diploma or higher (%) 34 (17)

Results (3)

Living AreaResults (2)

Conclusion• 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

AcknowledgmentsWe 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

103

4

3

3

1

16

1 3

4

3

111

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 suicideOnly 26 IDUs (16%) of those who have ever had psychiatric problems, sought for help for their psychological problems

Bandung City