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The Community’s Role in Getting to Zero: Looking Back, Moving Forward

The Community’s Role in Getting to Zero: Looking Back, Moving Forward. Dédé Oetomo GAYa NUSANTARA doetomo@gmail.com. Satellite Session @ AIDS 2014 Indonesia: Looking Forward to the Next Five Years Melbourne, 20 July 2014. Looking Back: Case of MSM & TG (1).

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The Community’s Role in Getting to Zero: Looking Back, Moving Forward

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  1. The Community’s Role in Getting to Zero:Looking Back, Moving Forward Dédé Oetomo GAYa NUSANTARA doetomo@gmail.com

  2. Satellite Session @ AIDS 2014Indonesia:Looking Forward tothe Next Five YearsMelbourne, 20 July 2014

  3. Looking Back: Case of MSM & TG (1) • Existing community-based organizations in 1980s • Transgender women (wadam, waria) started organizing in the late 1960s • Gay men started organizing in the early 1980s • 1993: Indonesian Network of Lesbian & Gay Organizations • Early engagement with initial pilot programs

  4. Looking Back: Case of MSM & TG (2) • “Out in the Cold” (1993-1999), except AusAID funded programs in Bali & Makassar (Ujung Pandang) (IHPCP) • (Mutual?) suspicion of CBOs & NGOs and government • Reformation, 1998 => initial feelers • Proper programs started in 2002 (FHI-ASA, IHPCP/HCPI)

  5. Looking Back: Case of MSM & TG (3) • GWL-INA Network Formation, 2007 (http://www.afao.org.au/library/hiv-australia/volume-10/vol.-10-number-2/regional-feature-the-gwl-ina#.U8ryBruXTFE) • Program scale up >< community preparedness

  6. Current Situation • Vibrant communities, mostly young people, throughout the country • 122+ organizations • Structured collaboration with NAC & GF PRs (IPPA, Nahdlatul ‘Ulama) • Some good collaboration with local commissions; challenges with others; also with GF PRs • General challenge: homophobia & transphobia (or at least ignorance) still widespread, in some ways increasing.

  7. Epidemiological Situation: Overview (1) • HIV prevalence among MSM is still increasing • Increased from 5.3% in 2007 to 12.4% in 2011 (IBBS Block A) • Increased from 7.0% in 2009 to 12.8% in 2013 (IBBS Block B) • HIV prevalence among waria remains somewhat stable • 24.3% in 2007 and 23.2% in 2011 (IBBS Block A) • 9.2% in 2009 and 7.4% in 2013 (IBBS Block B) • Significant increase of HIV prevalence among MSM in two cities surveyed in 2013: • Yogyakarta: 7.0% in 2009 and 20.3% in 2013 • Tangerang: 9.5% in 2009 and 18.8% in 2013

  8. Epidemiological Situation: Overview (2) • Recent survey (RDS) among MSM in West Papua and Papua highlighted high level of HIV and syphilis (MoH supported by CHAI, 2013): • HIV rates range from 1.0% - 8.5% • Highest level in: Manokwari (8.5%) and Jayapura (7.8%) • Active syphilis rates range from 1.3% - 5.2% • Highest level: Jayapura: 5.2%; Sorong: 4.4% (HIV: 1.6%); Manokwari: 3.4%; Fak Fak: 3.1% (HIV: 1%) • HIV test in past 12 months: 11.6% • Papua: 26.2% and West Papua: 7.1%

  9. Moving Forward • Strengthening of network, organizations & communities • Capacity building • Improvement of collaboration with GF PRs • Strengthening enabling environment • human rights • social change(?)

  10. Terima Kasih!Thank You!

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