Gender-based violence in Kenya | Prison Health in Indonesia

In 2020 and 2021, Mainline had the honour to work closely with ITPC. Alongside the Robert Carr consortium, Mainline focused on gender-based violence against women who use drugs (Kenya) and prison health for people who use drugs (Indonesia).

Read more about the work in Kenya

Read more about the work in Indonesia

The work in Kenya was completed in close collaboration with MEWA, researcher Habil Otanga of Nairobi University and the John Moores Liverpool University. Together we discovered shocking levels of violence against women who use drugs in Kenya.

Women reported intimate partner violence, violence and abuse from family members and in-laws, but also from community members and police. MEWA has since worked to integrate several responses to support women who experience violence into their existing harm reduction offer. Women themselves have evaluated these interventions as very valuable. The project also allowed MEWA to raise awareness about violence against women who use drugs at district and state levels, and to influence policies that should better protect women.

In Indonesia we had the opportunity to work with Atma Jaya Catholic University. They have had a long interest in prison health, as the conditions in Indonesian prisons are grim due to limited resources and overcrowding.

The team at Atma Jaya first evaluated the various drug treatment options in prison, implemented alternatives to the existing models and studied the costs of HIV, TB and drug treatment in prison. In 2021 the team then undertook an ‘implementation study’ and introduced motivational interviewing as a new offer in two Indonesian prisons. This evidence-based intervention was founds to be both more cost-effective and to have a greater impact on quality of life compared to the existing practice of therapeutic communities.

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