Published date: Mar 07 2019

Journal Title: KnE Life Sciences

Issue title: The 2nd International Meeting of Public Health 2016 (IMOPH) – Part II

Pages: 136–143

DOI: 10.18502/kls.v4i10.3779

W Wulansariwiniws1744@gmail.com

M Rahmaniati Makful

At first, Methadone Maintenance Therapy Program (MMTP) was created to handle the increasing problem of HIV caused by used drug through injection. The spread of HIV through the needle is so fast that requires a comprehensive therapy effort. In 2003, Indonesia made a project pilot at drug dependence hospital in Jakarta and public hospital in Bali. The results of the project had positive impacts. There was behavior
changing to stop using drugs. MMTP was firstly launched in 2006. The program used methadone dosage of liquid by drinking. The implementation of MMTP in Indonesia wasn’t maximized. Based on data from the Ministry of Health in 2015, the number of active patients was 2,300 and in 2013, there was 2,457. There was a decrease in the number of patients in the two years amounted to 6.38%. The research method used quality research by literature review and an in-depth interview with IDUs. The subjects of study had improvements of methadone services and evaluation of the therapeutic program implementation. The results of the research had a non-compliance with service guidelines, lack of psychosocial services, the performance of officers not optimal, and there were external influences on the adherence of patients — the conclusion needed
capacity building, the involvement of stakeholders in this program, monitoring client through task shifting of an officer.

Keywords: Methadone; drugs; HIV; IDU

[1] Herman Joseph, Ph.D.; Sharon Stancliff, M.D; John Langford, Ph.D. 2000. ”Methadone Maintenance Therapy: A Review of Historical and Clinical Issues.” PubMed 1, 13-15.


[2] HIV & AIDS Research Center of UNIKA Atma Jaya. 2015. Operation Research: Evaluation and Intervention Treatment of Methadone Maintenace Therapy (MMT). 2015: HIV & AIDS Research Center of UNIKA Atmajaya.


[3] Ministry of the Health Republic of Indonesia and the World Health Organization. 2011. Opioid Substitution Therapy (OST) Review Implementation in Indonesia. Jakarta: Ministry Of Health.


[4] Ministry of the Health Republic of Indonesia: Directorate Control and Prevention of Mental Health. 2015. Methadone Maintenance Therapy in Indonesia. Jakarta.


[5] Ministry of the Health Republic of Indonesia: Directorate General of Disease Control and Environmental. 2011. IBBS 2011: Integrated Biological and Behavioural Survey. Jakarta.


[6] Ministry of the Health Republic of Indonesia: Directorate General of Disease Control and Environmental. 2013. IBBS in Risk Group. Jakarta.


[7] Myers, Lynn B., and Kenny Midence. 1998. Adherence to Treatment in Medical Conditions. Amsterdam: Harwood Academic Publishers.


[8] Roz Azinur Che Lamin; Che Noriah Othman; Nursyuhadah Othman. 2013. ”Behavior Study of Methadone Maintenance Therapy: Awareness Amongst Public in Malaysian Hospital.” Science Direct 9-10.


[9] Setiyawati, Linda Susilaningtyas, Anik Nurcahyuni, Danang Sutawijaya. 2015. Buku Seri Bahaya Narkoba Jilid 5. Surakarta: PT. Tirta Asih Jaya.


[10] UNIKA Atma Jaya. 2015. Mau Sampai Kapan Saya Metadon?. Jakarta: Pusat Penelitian HIV & AIDS Unika Atma Jaya.