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Prison Health

Indonesia

Prisons in Indonesia are overcrowded and health services are limited. Is quality prison health too expensive? Not according to findings from Atma Jaya University, who applied the method of 'economic modelling' to prison health services, including drug dependency programmes. The findings fed important advocacy messages to improve the prison system in 2021.

Moreover, Atma Jaya - via a 2021 implementation study - succesfully introduced motivational interviewing into the prison setting: an evidence-based method to assist people who are dependent on drugs and would like to reduce or quit their drug use.

These studies and advocacy work are part of the International Treatment Preparedness Coalition (ITPC) Consortium, which is funded by the Robert Carr Fund for Civil Society Networks. 


Research feeds advocacy

Mainlines long-time partner Atma Jaya Catholic University in Jakarta published a three-tier study in 2020.

Evaluation of Drug Treatment in Prison

Implementation Research on Drug Rehabilitation in Prison

Study on the Cost of Prison HIV TB and Drug Dependence Programmes

The summary with concrete recommendations from the three studies is used to improve the prison health system in Indonesia. 

Prison Health Studies Indonesia: Executive Summary


Motivational interviewing 

In 2021, Mainline and Atma Jaya Catholic University advocated with the relevant government bodies in Indonesia to get the research recommedations adopted and improve prison health in Indonesia. Atma Jaya also worked on a fourth study: an implementation research that aimed to introduce motivational interviewing as a method to support people who would like to reduce or quit their drug use while in prison.

The only form of drug treatment that is available in Indonesian prison is 'therapeutic community'. Through their study, Atma Jaya convincingly showed that motivational interviewing is more cost-effective and has a bigger impact on people's quality of life. The training guidelines - designed specifically for the study - help prison staff to familiarise themselves with motivational interviewing and can be used well beyond the project period. 
  

Implementation Study: Providing Alternative Drug Treatment Modalities in Indonesian Prison

Contact
Interested to learn more about this project? Contact us via info@mainline.nl.

Our current projects


internationaal

Services for Vulnerable Migrants who use Drugs in the EU

Netherlands, Belgium, Spain, Greece, Germany, France

Several risk factors increase the vulnerability of (new) groups of migrants to engage in problematic drug use. These risk factors include traumatic experiences, disengagement with society, unemployment and poverty. Services and municipalities throughout the European Union are faced with the urgent challenge to address these migrants’ needs. 

> Read more

Mainline - Technical Advice

Did Mainline become a supplier? Yes: a supplier of technical advice for the Global Fund. Harm reduction organisations and networks of people who use drugs across the world can now request a Mainline training or capacity building. Read more about how this works.

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internationaal

Gender-based violence

Kenya

Women who use drugs in Kenya face violence every day: At home. On the streets. By the police. In their communities. A unique study - conducted in Mombasa, Kenya - sheds light on the tough realities these women encounter. Urgent action is needed.

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internationaal

Chemsex

Global

The use of drugs during sex is a growing worldwide phenomenon among men who have sex with men (MSM). Mainline has built a unique track record while working in the frontline of the Dutch 'chemsex' scene. Now, we also apply this expertise in an international context. The best place to start? Our chemsex e-learning.  

> Read more
internationaal

Assessing the drug scene

Zimbabwe

Mainline have been asked to assess the drug scene in five provinces in Zimbabwe. A team of three researchers are currently working in collaboration with the Zimbabwe Civil Liberties Drug Network in the first quarter of 2022. The goal: to gain an insight into which drugs are commonly used and to recommend health interventions.

> Read more
internationaal

Love Alliance

Burkina Faso, Burundi, Egypt, Kenya, Marocco, Mozambique, Nigeria, South Africa, Uganda, Zimbabwe

Mainline is a partner in the Love Alliance programme. The Love Alliance brings together organisations led by communities most affected by HIV and AIDS.

> Read more
internationaal

Mindful Muscles

United Kingdom, Finland, Greece, Estonia, Serbia, Portugal, the Netherlands

Harm reduction approaches are rarely applied in a recreational sports setting. And why would we - sport equals health, right? Not always. Research shows that the use of performance and image-enhancing drugs (PIEDs) is quite common in various recreational sport scenes. And for those people who use frequently and in high doses, harm reduction can make a big difference.

> Read more
internationaal

Stimulant Harm Reduction - Field Lab

Vietnam

In 2021 and 2022, SCDI in Vietnam and Mainline can continue to strengthen and expand the available harm reduction offer for people who use meth-amphetamines. After establishing the regional field lab in 2019 and 2020 we now have the opportunity to push this innovative initiative to the next level. One important element: to improve and expand the community mental health response. Moreover, the skills that were built in Hanoi's field lab are ready to be further disseminated across the South East Asian Region.

> Read more
internationaal

Quality Harm Reduction

Iran

Iran is renowned for its harm reduction programme. It was one of the first countries in this geographical region to adopt a harm reduction approach. Government supports and funds the programme. But the drug scene in Iran has changed over the past 20 years. More people are using stimulant drugs and, due to economic circumstances, more people who use drugs have become homeless. Mainline sets out to see whether the current programme in Tehran still fits the needs of the local people who use drugs.

> Read more
internationaal

Prison Health

Indonesia

Prisons in Indonesia are overcrowded and health services are limited. Is quality prison health too expensive? Not according to findings from Atma Jaya University, who applied the method of 'economic modelling' to prison health services, including drug dependency programmes. The findings fed important advocacy messages to improve the prison system in 2021. Moreover, Atma Jaya - via a 2021 implementation study - succesfully introduced motivational interviewing into the prison setting: an evidence-based method to assist people who are dependent on drugs and would like to reduce or quit their drug use.

> Read more

Our finished projects

Understanding the needs of women who use drugs and their HIV+ children

Tanzania

Children Education Society (CHESO) in Tanzania has requested Mainline to assess the needs of women who use drugs and their (HIV positive) children. Between September and November two Mainline staff members will speak with women to ensure their needs for services will be taken up in the new national HIV and AIDS strategic plan. 

> Read more
internationaal

Young, Wild and... Free?

Kenya, South Africa

Young people use drugs - including minors. It's an inconvenient truth: societies usually seek to prevent young people from damaging their health and there is a big taboo on drug use among young kids. But are stigma, legislation or moral judgement keeping young people away from harm reduction services? This project aims to find and improve access to services.

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internationaal

Size estimation and service mapping: introducing harm reduction

Zambia

Harm reduction is new in Zambia. Mainline was asked to estimate how many people inject drugs in the country and to map the already existing harm reduction and HIV services for people who use drugs. Based on this information, we drafted practical service guidelines. In doing so, Mainline hopes to have contributed to the introduction of harm reduction in Zambia.  

> Read more
internationaal

Reducing harms in the work environment

South Africa

Together with activists and peer- and outreach workers in South Africa, Mainline worked on a practical guide about involving peers in harm reduction work.

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internationaal

Women Who Use Drugs & Peer Workers

South Africa

Women Who Use Drugs face additional problems compared to their male counterparts. The harm reduction field far too often neglects the needs of women. To some extent, the same is true for peer workers: incredibly valuable staff in any impactful service. How can local services make sure that peer workers are valued, supported and living up to their full potential? And how can access for women who use drugs be improved?

> Read more
internationaal

Hanoi field lab for stimulant harm reduction

Vietnam

October 2019 marked the start of a cutting edge new initiative. With the support of Open Society Foundation, Mainline and SCDI in Vietnam are building expertise to support people who use stimulant drugs. The core motivation to do so is the sharp rise in the use of crystal meth in the South Asian region and the lack of a coordinated harm reduction response.

> Read more
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