Evaluation process for community-based drug treatment program in Indonesia
E. Wijoyo1, R. Sarasvita2, A. Rachman3. 1Kapeta Foundation, Indonesia; 2Indonesian Ministry of Health, Indonesia; 3National Aids Commission, Indonesia
Background: Many rehabilitation centers in Indonesia still assume that a Substance Use Disorder (SUD) program doesn’t need to integrate with a harm reduction program, due to worries it would encourage SUD patients to continuing using drugs. Community-based drug treatment program (CBDTP) is the first SUD treatment program in Indonesia which integrated harm reduction and demand reduction programs. Methods: Using descriptive analytic evaluation by analyzing primary and secondary data. Primary data were obtained from the respondents (n = 341) who had completed the rehabilitation program (n = 273) and still undergoing the program (n = 68). Primary data were obtained through a cross-sectional method and the secondary data were obtained from the assessment data of Addiction Severity Index (ASI), World Health Organization Quality of Life (WHOQoL) and Blood Borne Virus Transmission Risk Assessment Questionnaire (BBV-Traq). Results: There are significant differences for the composite score on ASI domains. It indicates after the respondents completed the program, they had better condition compared with the initial condition. There are also significant differences for the quality of life in advanced stages compared to early stages. Practice of risk behavior during past 30 days classified as minimum. Conclusions: This is the first study that evaluates the implementation of SUD treatment program which integrated with harm reduction program in Indonesia. The study also shows that the program implementation does not encourage SUD patients to continue using drugs, but helps them practice low-risk behavior gradually, particularly for people who inject drugs.