ID: HR25-1067
Presenting author: Ardhany Suryadarma

Presenting author biography:

People who use drugs actively to advocate National Narcotics Regulation and Budget for Harm reduction.

Toward Domestic Public Financing and a Social Contract for Harm Reduction Program in Indonesia

Ardhany Suryadarma, Raditya Raditya, Rin Aulia
Back ground
Funding for harm reduction in low and middle income countries (LMI) totaled USD 131 million in 2019, barely 5% of the USD 2.7 billion that UNAIDS predicts is needed year until 2025 to satisfy global targets to address HIV, viral hepatitis and sexually transmitted infections (STIs). Over the past ten years, as resource needs have grown and assistance from the limited number of foreign donors has decreased, funding constraints have gotten worse. If international targets are to be met, there will need to be a significant increase in domestic funding for high-quality harm reduction initiatives based on human rights. Governments must fund community-based, community-led Civil Society Organizations for damage reduction in order for them to effectively move away from funding from international donors.
Methods
Desk review on National Policy of Domestic Funding
Conclusion
Governments have three primary funding models for social contracts:
1. Funding based on results
2. Contracts and procurement
3. The capitation or grant model
Recommendation
Government agencies and national mechanisms on HIV, viral hepatitis and narcotics policy:
• Include a bold commitment to shift to domestic funding in national HIV, hepatitis and drug policy strategies
• Build relationships and open dialogue with technical partners and international donors on the transition to domestic funding
International donors and technical bodies:
• Support and encourage governments and national mechanisms on HIV, hepatitis and narcotics policy to include a firm commitment to shift to domestic funding in national strategies
• Building the capacity of Communities and Civil Society Organizations in receiving government funding and engaging in budget advocacy
Communities and Civil Society Organizations:
• Address capacity gaps to ensure your organization is ready to receive domestic funding for harm reduction
• Form advocacy alliances with Communities and other Civil Society Organizations