The Community’s Role in Getting to Zero: Looking Back, Moving Forward Dédé Oetomo GAYa NUSANTARA

Satellite AIDS 2014 Indonesia: Looking Forward to the Next Five Years Melbourne, 20 July 2014

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

Looking Back: Case of MSM & TG (2) “Out in the Cold” ( ), 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)

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

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.

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

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%

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

Terima Kasih! Thank You!