印尼

By TWVillavert

ILOILO CITY, May 11 (PIA)--- Males are now the most vulnerable to HIV/AIDS infections.

Ms. Charity Perea, STI-Coordinator of the Department of Health in Western Visayas said that based on their record, most of the new cases are males who got the virus through sex with other males.Many of these men who were infected have wives, or have sex with women as well as men, and might have transmitted HIV to their female partners if they had been infected, Perea said.

DOH Western Visayas records show that sexual contact has been the usual mode of transmission of HIV or human immunodeficiency virus. Perea said that from "hiding but growing", the trend for HIV transmission in the country is now "fast and furious." The DOH National Epidemiology Center cumulative record from January to March 2011 showed that there were 483 reported cases and most of the cases (99%) were males.

Of the 483 HIV positive cases, seven were reported as AIDS cases. Eighty-six percent were males. The DOH AIDS Registry also showed that from 1984 to 2011, there were 864 AIDS cases of which 71 % of the said figure were males.For Western Visayas, Perea noted that the first case in Western Visayas came out in 1994 and since then it took eight years for others to come out in the open as a result of the advocacy of the government through the Regional multi-sectoral council formed by the DOH to reach out to the people living with HIV and AIDS.

 "The phasing of the coming out of the people with HIV/AIDS during this period was tagged as "low and slow" then in year 2005 it was "hiding and growing" and now it is "fast and furious," Perea said.

From 1994 to December 2009 some 86 cases were recorded in the region and by August 2010 it increased to 105 and on February 2011, the accumulated number of HIV/AIDS recorded in Western Visayas is 134. Of the said number, 32 died, leaving 102 who are now receiving government assistance and some of them are actively involved in the campaign to educate the public about HIV/AIDS.

This year, seven new HIV/AIDS cases surfaced in the region and are still being validated by the DOH, Perea said as she emphasized that this should not alarm everyone because "we did something good for them, our advocacy is gaining ground to convince those who are afflicted with the disease to come out in the open and avail of the health assistance by the government and by other NGOs".

Perea believes there may be many of the victims who are still afraid to come out in the open because of fear and stigma associated with AIDs. The DOH Western Visayas record shows that the mode of HIV transmission is sexual contact at 98.5% while 2 or 1.5% through blood transfusion.

"Of the 132 People Living with HIV in the region, 67 were infected through heterosexual relations; 20 bisexual; and 45 homosexual relations and 2 through blood transfusion.Forty-six percent of HIV infections were attributed to the overseas Filipino workers and out of the 32 seafarers recorded, 18 wives have been infected too.

"There is still no cure for AIDS, " Perea said as she explained that HIV stands for human immunodeficiency virus. It is the virus that causes AIDS. A member of a group of viruses called retroviruses, HIV infects human cells and uses the energy and nutrients provided by those cells to grow and reproduce, while AIDS stands for acquired immunodeficiency syndrome. It is a disease in which the body's immune system breaks down and is unable to fight off infections, known as "opportunistic infections," and other illnesses that take advantage of a weakened immune system.

Weblink:http://www.pia.gov.ph/?m=1&t=1&id=31816


Reuters

By Tan Ee Lyn and Fitri Wulandari

JAKARTA | Tue Apr 12, 2011 10:28am EDT

Liana, who holds an economics degree, is one of 300,000 Indonesians in the world's most populous Muslim nation who have fallen victim to widespread ignorance about AIDS, and the government's inability to campaign effectively against it for fear of being accused by conservatives of promoting promiscuity.

Social taboos and strict laws that ban prostitution also work against those most vulnerable to the incurable disease, because police often use condoms -- one of the best protection against AIDS -- as evidence against sex workers.

Although HIV prevalence in Indonesia's population is low at 0.2 percent, the government and health experts are worried because the number of newly confirmed cases has more than doubled to 4,158 in the five years to 2010.

"When I started the job, I did not know anything about HIV/AIDS or that condoms can prevent you from getting infected with the disease", said Liana, who quit her job and turned to prostitution after her husband died in 2007 because she needed to pay off a mortgage and support their daughter.

A few months after she started sex work, Liana heard about HIV and tried getting tested. But was turned away two times by healthcare workers, who often do not understand the disease and are afraid of getting infected themselves.

Liana tested positive last year after falling ill and is now on AIDS drugs, which cost her 30,000 Indonesian rupiah ($3.5) a month as they are subsidized. Until today, she doesn't know how she became infected. Her 4-year-old daughter is uninfected.

"Thinking it over, I'm not lacking in education. But how is it that I never heard of this disease nor how to prevent it? Why does the government not spread the information," said Liana, a graduate of an East Java university who now insists all her clients use condoms.

"How can we prevent HIV/AIDS if we can't use the only protection that we have?

MAJOR OBSTACLES

There is no cure for Acquired Immune Deficiency Syndrome (AIDS), which is caused by the Human Immunodeficiency Virus (HIV), but drugs can help to control the replication of the virus and prolong life.

While Liana uses condoms, she says many of her friends do not as they are tempted by offers of more cash from clients who don't want to practice safe sex. They are also afraid they may be thrown in jail if police find condoms on them.

Health Minister Endang Sedyaningsih told Reuters the government faced enormous opposition in the fight against AIDS in this country of 238 million people. "We cannot put ads for condoms openly on television or promote their use, or people will say the Ministry of Health promotes promiscuity," she said in a recent interview.

Islam is the dominant religion in Indonesia and society remains largely conservative. "We have a program for methadone substitution and clean needle exchange (for drug users) but it's very difficult to expand it as it is seen as legalizing narcotics use."

Indonesia's approach is in sharp contrast to the aggressive interventions taken in nearby Thailand, which implemented a high-profile "100 percent condom use campaign" in the early 1990s to rein in an explosive HIV epidemic.

That campaign was hugely successful and brought down drastically new HIV infection rates particularly in young men.

The disease, which has killed 4,539 people so far in Indonesia, used to be spread mainly by injecting drug users. Eight out of 10 addicts have HIV. But in 2010, 65 percent of newly confirmed HIV infections came through unsafe heterosexual sex between sex workers and clients, who went on to infect their wives or girlfriends. The government estimates there are 200,000 female sex workers in the country and a male clientele of up to 3 million. Only 10 to 15 percent of clients use condoms.

A sharp jump in mother-to-fetus HIV infections is one of the clearest signs that the AIDS epidemic may be moving from particularly vulnerable groups, such as injecting drug users and sex workers, into the general population. These perinatal infections made up 3 percent of all newly confirmed HIV cases in 2010, up from 0.2 percent in the 1990s. "This means that HIV transmission within the family is increasing ... If we have no new approach for HIV prevention within the family, it (the HIV epidemic) may become generalized. We should think out of the box to protect the family from AIDS," said Inang Winarso, assistant deputy secretary of the National AIDS Commission for program coordination.

When HIV/AIDS becomes generalized and widespread, as in many parts of Africa, it takes a huge toll on countries, draining them of resources and economic productivity.

FEW TOOLS LEFT

In many parts of Asia, HIV has made a comeback in recent years among vulnerable groups. Governments and concerned groups in China, Hong Kong, Australia and Cambodia are battling hard to contain the epidemic. Through the use of high-profile campaigns, sometimes even involving state leaders as in China, they push hard for the use of condoms and clean needles to prevent the disease from spreading into the general community. But such high-profile interventions cannot be adopted in conservative Indonesia.

Winarso, who was involved in a successful campaign against HIV transmission among gay and bisexual men, hopes to stop the virus from spreading among sex workers through empowering the women, quietly. "In every story that was told to me, nobody said they liked or that they trained to be sex workers. They all started because of trafficking or because of poverty, but they have no awareness that they are victims," he said.

Winarso and his colleagues plan to reach out to sex workers in a pilot project in Semarang in East Java.

"We will visit brothels, we will avoid the pimps. We will spread awareness, get them to tell us their stories, so that they realize they are victims, and continue to be victims under their pimps," said Winarso. "How do they fight? They need to fight their customers (for condom use) and they must fight the government to provide them with jobs."

The World Health Organization estimates there are 300,000 people in Indonesia living with HIV/AIDS, with the worst affected places being Jakarta and Papua province, where 2.3 percent of the population is infected. Some 50,000 HIV patients require drugs but only 20,000 are getting them. "There are several reasons: no access and shortage of drugs even though there are 200 (HIV drug distribution) sites all over the country," said Khanchit Limpakarnjanarat, the WHO's representative in Indonesia. The WHO has a 10-member team in Indonesia and one of its missions is to train medical personnel in treating HIV patients. "We need to strengthen the healthcare system in terms of human resources ... To provide HIV services requires human resources, like counseling and testing. Drug treatment is complicated. These remain a challenge," he said. ($1 = 8,677.5 Rupiah)

(Editing by Alan Raybould and Miral Fahmy)

Weblink: http://www.reuters.com/article/2011/04/12/us-indonesia-aids-idUSTRE73B18H20110412?feedType=nl&feedName=ushealth1100
【路透社】
2011年4月12日

    财务危机迫使丽阿娜在四年前从事性工作,但这名30岁的前会计人员表示她从不知道无防护措施的性行为会让她感染上艾滋病毒。拥有经济学学位的丽阿娜是印尼30万艾滋感染者中的一名,这个拥有世界最多穆斯林人口的国家对艾滋病毒缺乏足够的重视,同时政府由于害怕被保守党派指责为推动社会混乱而无法开展有效的宣传倡导。

    社会禁忌和严格的法律禁止色情行业,同时,由于警察常常拿安全套作为指控性工作者的证据,使得这个本来就处于边缘的群体在面对艾滋病毒侵袭时束手无策。虽然该国艾滋感染率只占全国人口的0.2%,但过去五年新增确认患者数量翻了一倍,达4158名,这一增长让政府和卫生专家担忧。

    "当我刚开始从事这个行业时,我对艾滋病一无所知,也不知道安全套可以防止感染",丽阿娜表示。在2007年丈夫去世后,因为需要付清葬礼花费以及抚养女儿,丽阿娜辞去工作,转行从事性服务工作。在从事性工作几个月后,丽阿娜听说了艾滋病毒并尝试检测,却两次遭到医疗人员的拒绝。这些医护人员本身对该疾病缺乏了解,同时也害怕自己被感染。去年莉安娜检测出已感染病毒,现在通过政府救济她每月花费三万印尼币(约3.5美元)买药。直到现在她仍不清楚自己是如何感染上病毒。她四岁大的女儿并未感染。

    "我反复思考过,我并非没接收过教育。但是为何我却从来没听说过这种疾病,也不知道如何预防?为什么政府没有对这些信息做宣传。"毕业于东爪哇大学的丽安娜现在坚持要求她所有顾客使用安全套。

    "如果我们连这仅有的保护都没有,那又如何防止艾滋感染呢?"

主要障碍
    由人类免疫缺陷病毒(HIV)引起的获得性免疫缺陷综合症(AIDS) 无法治愈,但药物可以帮助控制病毒细胞的复制,并延长生命。
虽然丽安娜使用安全套,但她表示许多客人为了避免使用,愿意向性工作者提供更多现金,因此丽安娜的许多朋友并不使用安全套。她们也担心如果安全套一旦被发现,她们将面临牢狱之灾。

    卫生部部长Endang Sedyaningsih向记者表示,在这个拥有2.38亿人口的国家,政府对抗艾滋的努力面临巨大的挑战。"我们无法公开在电视上播放安全套的广告,也不能倡导使用安全套,不然大家会说卫生部在宣传混乱的性关系。"她在一个最近的采访中表示。
 
    伊斯兰教是印尼的主要宗教,因此印尼社会也更为保守。而邻国泰国在对待该问题上却采用了更为激烈的方法,与印尼形成巨大反差。从上世纪90年代初,泰国展开"百分百安全套使用运动",对抗艾滋病毒传播。这场运动成效显著,新增艾滋病毒感染率明显降低,特别是在青年男性群体中。

    在印尼目前已有4539人死于爱滋病,大多数感染者为注射吸毒人员,其中80%为病毒携带者。但2010年65%的新增感染者通过与异性发生不安全的性行为而感染病毒,多存在于性工作者和顾客之间,在此之后其女友或妻子也被传染。根据政府统计,全国大约有20万女性性工作者,男性顾客高达300万人,而其中只有10%-15%使用安全套。

    目前,印尼艾滋感染已从注射吸毒人员和性工作者等高危人群向普通大众过度,母婴传播的增长成为这一现象的显著标志。该传染率从上世纪90年代初的0.2%增长至2010新增感染者中3%。国家艾滋委员会项目协调中心助理副秘书长Inang Winarso 表示:"这说明家庭内部的艾滋感染在不断增长。如果我们不采用任何新方法应对这种传播途径,艾滋感染将会进一步扩大化。我们需要跳出过去的条条框框,用新方法防止家庭内部成员间的传染。"

     当艾滋病毒在社会中广泛传播时,将会给国家财政带来巨大的负担,榨干所有资源并阻碍经济增长。很多非洲国家对此深有体会。

缺乏工具
    最近几年来很多亚洲国家边缘人群的艾滋感染率出现增长趋势。中国、香港、澳大利亚政府和关怀组织正尽全力抗击该流行疾病。例如在中国,政府开展大量公共倡导活动,许多政府领导人也参与其中,呼吁公众使用安全套和干净的针头以防止艾滋病毒在社区内传播。可是这种高调的呼吁在保守的印尼社会却行不通。

    Winarso曾参与过一个针对男同性恋和双性恋群体艾滋预防的项目,该项目成效显著。现在,他希望通过对妇女的赋权来降低艾滋病毒在性工作者中的传播,当然,所有这一切都必须低调地进行。Winsor和他的同事计划在东爪哇岛三堡垄港市开展的示范项目中与性工作者合作。

    世界卫生组织预计印尼约有30万艾滋病感染者,雅加达和巴布亚省为重灾区,2.3%人口感染艾滋。5万名患者需要药物治疗,但只有其中2万人能获得所需的药品。世界卫生组织印尼代表Khanchit Limpakarnjanarat 表示:"即使印尼全国有超过200处艾滋药物发送站,但还是缺乏足够的药品和获得药品的途径"。世界卫生组织在印尼有10名工作人员,主要的任务之一是培训更多艾滋医护人员。他继续表示:"我们需要根据现有的人力资源增强卫生系统的能力。相关的艾滋服务要求足够的人力资源,例如开展咨询和检测的医护人员。药物治疗就更加复杂了,这些都是挑战。"


Asia Report 翻译

原文链接: http://www.reuters.com/article/2011/04/12/us-indonesia-aids-idUSTRE73B18H20110412?feedType=nl&feedName=ushealth1100


The Jakarta Globe

Dessy Sagita

Efforts to fight the spread of HIV/AIDS are being held back by health workers' reluctance to treat high-risk groups including transsexuals, gays and bisexuals, officials have warned.

Rohana Manggala, head of the Jakarta branch of the Commission on HIV/AIDS Prevention (KPA), said on Thursday that health facilities in the capital needed to be more inclusive.

"Generally, health services for HIV/AIDS tests and treatment is getting better, but we have to admit there are still many health workers who attach strong stigma to certain groups," she said.

To tackle this problem, she said Governor Fauzi Bowo had asked the KPA to draft policies that would allow transsexuals, gays and bisexuals to access health services more freely.

Rohana said the KPA would provide sensitivity training beginning in the middle of the year at five selected puskesmas , community health centers, in each of Jakarta's five municipalities.

She said health workers would be given a deeper understanding about the affected minority groups and how to treat them without discomfort or prejudice.

"This is just a pilot project. If it's successful, we'll continue to other puskesmas and hopefully the government will support us with funding," she said.

Tono Purnama Muhammad, national coordinator for a gay and transsexual network, said many of his group's members were reluctant to seek health services because of the stigma.

"Most health facilities in Jakarta provide health services for sexually transmitted infections and voluntary counseling and testing for HIV/AIDS, but only a few have proper understanding about gays, bisexuals and transgendered people," he said. "As a result, many people from this community are reluctant to have themselves checked because they don't want to be judged."

Rohana said getting the word out to gay men about the importance of health checks was difficult because they tended to conceal their sexual orientation.

"We're campaigning for greater awareness at schools so teenagers who are sexually active, with the same sex or the opposite sex, can protect themselves," she said.

The Health Ministry reported that as of December, there were more than 24,000 AIDS cases in Indonesia, of which about 4,000 were in Jakarta.

In 2008, the United Nations estimated that as many as 300,000 Indonesians were living with HIV/AIDS.


Weblink:http://www.thejakartaglobe.com/health/gay-stigma-hampering-hiv-treatment-experts/429888

Organization:the Commission on HIV/AIDS Prevention (KPA)


The Jakarta Globe

供稿:Dessy Sagita


有官员指出,医务人员不愿意对包括跨性别者、男同以及双性恋在内的高危感染人群治疗,阻碍了人们对抗击艾滋传播所做出的努力。

艾滋防治委员会雅加达分会的负责人Rohana Manggala指出,印尼首都的医疗服务应该更具包容性。"总体来说,艾滋检测与治疗等医疗服务均有所改善,但是我们不得不承认很多医护人员对某些群体仍持有偏见。"她说。



为了解决这个问题,她表示市长Fauzi Bowo先生已要求KPA起草相关政策,帮助跨性别者、男同以及双性恋群体更自由地获得医疗服务。Rohanna指出KPA将在雅加达市的5个行政区分别选出5个健康中心,从年中开始推出敏感性训练。



届时医护人员将对受影响的边缘群体获得全面深刻的理解,并学习在治疗过程中如何抛开对该群体的偏见和不安。"这只是一个试点项目,如果成功了,我们将会在其它健康中心推广这个培训,并希望能够得到来自政府的财政支持。"她表示。


男同与跨性别者网络的国家总协调人Tono Purnama Muhammad指出,由于医护人员所持有的偏见,导致该网络的很多成员不愿意寻求医疗救助。"雅加达的很多医护中心都提供性传播疾病的治疗、艾滋检测以及咨询。但是大部分工作人员都对跨性别者、男同以及双性恋群体缺乏理解。由于不愿被人指指点点,导致最终很多来自该群体的病患拒绝前往接受检查。"


Rohana
表示很难向男同性恋群体解释健康检查的重要性,因为他们倾向于掩饰其性向。"我们在学校里做宣传,提高正处于青春期的青少年对同性恋和异性恋的认识,帮助他们自我保护。"她说。


据印尼卫生部报告,截止201012月,全国艾滋病案例超过24千起,其中雅加达约为4000起。2008年联合国估计印尼约有30万艾滋病毒携带者。

 原文链接:http://www.thejakartaglobe.com/health/gay-stigma-hampering-hiv-treatment-experts/429888

机构:the Commission on HIV/AIDS Prevention (KPA)

未命名2.jpg

 "The cue ball should always be in between the cue and the pink ball. The same kind of protection you need between you and your partner."

Safe sex art by artist duo Tagra and Thukral : a billiard game. The table is covered with a flower pattern - and the cue ball symbolises a condom.


By Aletta Andre

At the duo's exhibition Put it on, again! it's hard to say if the group of visiting students are interested in the symbolism. But they certainly have fun playing the game.

Superman
Most of the work in the exhibition is less subtle. The prizes for the game winners, for example, include a pair of flip-flops featuring a picture of a condom, while one painting shows Superman surrounded by women in lingerie.

The most important goal, says Sumir Tagra, is to get people talking. "The government's effort to promote safe sex through campaigns is all very indirect. We think it should be more interactive. It's usually too removed from reality. People learn about HIV, but no one talks about the act that leads to it."


Reality
Students in particular were invited to the exhibition at Gallery Nature Morte in New Delhi. Anukar (19) says he knows "everything about sex". He gained his wisdom at school, but not from the teachers.

"I know from talking with my friends, and from the internet. The teachers just tell us what HIV means and that we should wait until marriage. But this is not the reality. All my friends have had sex already."

Wedding night
For Netu (22), who is accompanying a group of children from different schools, waiting until marriage was the reality. And before her wedding night two years ago, she says, she knew nothing about sex.

"It was not discussed at school, or amongst my friends or even my sisters and cousins. And we had no internet when I was in school. I wish I had known certain things earlier, but it's OK now."

Superman
Netu sounds confident and comfortable discussing the topic. The younger girls in the group, all around 17 years old, are more hesitant to speak out, but pay close attention when Jiten Thukral and Sumir Tagra tell the group about their art work.

They use Superman to represent the ideal man and he's wearing a latex suit for protection. He's surrounded by lots of women to point out that people do have multiple partners. And the women's different skin colours show the issue is universal.


Bollywood
Another painting is an image taken from an ancient Hindu temple that has sculptures of people in all kinds of sexual positions. The painting is half covered with a sheet. "Sex is there in Indian culture, but people don't talk about it," Tagra explains.

In a similar way, the duo has designed a wall paper with repeating figures of male and female limbs covered by two flowers - "just like in old Bollywood movies."


Encouraging
Anukar is impressed. "All my friends use condoms. But we are a bit hesitant to go to the shop for them. You never know what the shop keeper thinks about you, because condoms are for sex and we are not married. But seeing the image of the condom here is encouraging. It's good to see that art can be used for a message."


Weblink:http://www.rnw.nl/english/article/artists-get-india-talking-about-sex

 

Some might fear persecution being gay in the country that has the largest Muslim population in the world. But in Indonesia a huge gay film festival is held every year. What does is really mean to be gay in Indonesia?

John Badalu has been organizing the Q! Film Festival for the past 10 years. It is the biggest gay film festival in Asia and the only one of its kind in a country with a majority of Muslim inhabitants. The 38-year-old says it is possible to live a pretty free life as a homosexual in Indonesia's big cities but the challenges are increasing.

 

Last year, the Q! Film Festival was attacked by the radical Islamic Defenders Front (FPI), which accused Badalu and his team of showing pornographic films. They threatened to burn down the venues if the festival was not stopped.

 

Convinced that his organization was on firm ground, Badalu and his team refused and the festival was held in five big cities. A few months before, an international gay conference that was supposed to be held in Surabaya in East Java had been cancelled after coming under attack from the same radical group.

 

Badalu is not overly concerned. He says it is not just gay people that FPI is targeting, but also other minorities such as members of the Islamic movement Ahmadiyya.

 

"If anything is against Islam in their interpretation, they will go against it, they will go and bash them," explained Badalu further. However, according to Badalu, there has never been gay bashing in Indonesia.

 

No special treatment from the government

 

He also adds that Indonesia cannot be compared to other Muslim countries such as Iran where people have been executed because of their sexual orientation. In Indonesia, there is no law to do with homosexuality.


Many see this as an advantage but Hartoyo from "Our Voice," an NGO that fights for the rights of homosexuals and bisexuals in Indonesia, is of another opinion.

 

"The government does not give special protection to the Lesbian Gay Bisexual Transgender community,"  he complained. He added that they needed special treatment so they can finally access their civil rights, in the areas of politics, economics, social and culture.

 

Hartoyo was himself beaten up in public a few years ago when he was living with his partner in Aceh. When he went to the police station, he was "treated like an animal."

 

After waiting for more than 18 months, four of his seven tormentors were given probation and a 10-cent fine. Hartoyo says he is still traumatized by the incident, which he says is a clear example of the state not guaranteeing his rights as a citizen.

 

Big pressure to get married


The challenges are often from society. There are certain fields where gays are openly accepted, especially television and advertising but there have been cases of people being fired because of their sexual orientation in other sectors.

 

Many transsexuals do not have ID cards because they are reluctant to go through the bureaucratic procedures as they are often made fun of by civil servants. This means that many do not have access to free health insurance.

 

Dede Oetomo, the co-founder of the first homosexual organization in Indonesia, says that in the past 20 years societal pressure to marry generally has become stronger, and especially for gay people. Many families think that their children's sexual orientation might change if they get married.

 

"It's actually the family that is the scariest to many gay men and lesbians in Indonesia," Oetomo says. "Telling your mum and dad ' I'm not getting married, I'm not giving you children.'"

 

Because of this kind of pressure, there are mainly two alternatives - either gays and lesbians decide to get married just to please the family or they run away from them.

 

Strong feeling of shame

 

Laura Coppens, a film producer from Berlin who is making a film about lesbian women in Indonesia called the "Children of Srikandi," thinks most Indonesian people are generally tolerant towards homosexuals but prefer not to talk about it because of the strong culture of shame or malu in Indonesian.

 

She says that one woman in the film said that she was not accepted by her family anymore because she was a lesbian and the family felt ashamed.

 

The strong feeling of malu is very important in the Indonesian society, says Coppens who is also writing a thesis at the University of Zürich on lesbian women in Indonesia.

 

"It is funny though, because if you don't talk about stuff in Indonesia, then it doesn't bother anyone. There are cases of lesbian couples who live happily in their neighborhood and nobody cares about them."

 

"It becomes a problem only if you talk about it," she says.

 

Oetomo agrees on this point, mentioning the example of transsexuals who are popular as entertainers, but not if they are your relatives.

 

This is why many Indonesian transsexuals run away from home, without any educational background or skills, says Hartoyo.

 

Ironically, he adds, the place that is supposed to be the safest sometimes turns out to be a very dangerous one for transsexuals.

 

Like in many other countries, life for homosexuals is not easy in Indonesia. Experts also see the need for the Indonesian government to improve conditions by fostering a culture of discussion or providing more sexual education.

 

But for film festival organizer John Badalu, it is also the duty of each homosexual to fight for his or her own freedom and to say - I have the same right to live as any other citizen.

 

Author: Anggatira Gollmer

Editor: Ziphora Robina


Weblink:http://www.dw-world.de/dw/article/0,,6456222,00.html


Organization: Q-Munity


沉默的印尼同性恋们

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作者: Anggatira Gollmer

编辑: Ziphora Robina


在世界上穆斯林人口最庞大的国家,很多人害怕因公开自己的同性恋性向而遭到指责。但是印尼每年都举办盛大的同性恋电影节,那么在印尼同性恋到底意味着什么?

       约翰·巴达鲁在过去十年中已组织了十届Q!电影节。这是亚洲最大的同性恋电影节,也是在以穆斯林为主要居民的印尼唯一的跟同性恋有关的电影节。38岁的巴达鲁说在印尼的大城市,同性恋还是可以生活地很自在,但挑战依然不断增加。

       去年,Q!电影节遭到遭到激进组织"伊斯兰防卫者战线"(Islamic Defenders Front)攻击,他们谴责巴达鲁和他的工作团队播放色情电影,并威胁如果不立即停止将烧毁剧院。

       几个月前,同样受到"伊斯兰防卫者战线"的攻击,原定于在东爪哇泗水市举行的一个关于同性恋的国际会议被迫取消。


 政府缺乏对该群体提供特殊关怀

      他也补充道,印尼和其它穆斯林国家不一样,例如在伊朗,人们因为其所持的性倾向遭受制裁。印尼并没有和同性恋相关的法律。

       很多人认为这是一个优势,但来自致力于为印尼同性恋和双性恋争取权利的非政府组织"我们的声音"(Our Voice)的Hartoyo有不同的意见。

       "政府并没有给男、女同性恋、双性恋以及变性人群体(LGBT)给予足够的保护",他抱怨道。他继续补充说,他们需要特别的照顾以确保能最终获得应有的公民权利,例如政治、经济、社会和文化权。

       几年前Hartoyo因与自己的同性恋伴侣同居而当众遭到毒打,当他去警察局报案时,却"受到非人的对待"。

      在等待了18个月后,7个攻击者中的3人被处以缓刑以及10分钱的罚款。Hartoyo表示他仍然无法从那次事件的阴影中走出来,这是一个政府无法保障他作为公民而享受应有的权利的典型的案例。


 结婚的巨大压力

      因害怕遭到公务人员的耻笑, 很多变性者不愿意申请身份证。这就意味着他们无法获得免费医疗保险。

       印尼第一个同性恋组织的发起人之一--迪迪·欧托摩表示,在过去20年中,普遍来说结婚的社会压力越来越重,特别对于同性恋人群来说。很多家庭认为通过结婚也许能改变孩子的性向问题。

       这种压力导致两种情况出现:1.形式婚姻:很多男女同性恋决定结婚,以取悦其父母对儿女婚姻的渴望。或者2. 干脆直接离家出走。


 强烈的羞耻感

      来自柏林的电影制作人 劳拉·柯本制作了关于印尼的女同电影《Srikandi的孩子们》,她表示在印尼,通常人们对同性恋是持有容忍态度的,但因为印尼文化中强烈的羞耻感,大部分人选择不公开谈论同性恋问题。

       柯本说,这种羞耻感在印尼社会中非常常见。柯本同时在苏黎世大学撰写关于印尼女同的论文。她说"这很有趣,因为在印尼如果你不谈论这些,大家就不会把它当一回事。就曾有这样的例子,一对女同性恋人同居在一起,而周围的邻居并没有大惊小怪。"

       "如果你讨论那就会变成一个问题"柯本补充道。欧托摩同意这个观点,她提到一些变性人在印尼是受大众喜爱的娱乐明星,但这种情况只是因为他们不是你自己的亲戚。


      

    和很多别的国家一样,在印尼同性恋的生活并不容易。专家们认为印尼政府有必要为公众创造一个可以公开讨论的环境,或是提供更多的性教育。

       但是对于电影节策展人 约翰·巴达鲁来说,为争取更多的自由是同性恋群体自身的责任。


Asia Report编译

原文:http://www.dw-world.de/dw/article/0,,6456222,00.html


机构:Q-Munity









组织:

Q-Munity

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    印尼同性恋电影节--Q!Film Festival由Q-Munity组织召开。Q-Munity成立于2002年。一群关注印尼艺术管理的自由撰稿记者在一次闲聊中萌发出成立该组织的主意。他们希望增进公众对表演艺术和电影的认识和欣赏。Q-Munity的第一个项目是组织Q!电影放映(Q! Film Screening)活动,20029月,他们组织了一个为期5天的电影放映,向公众播放了20余部男、女同性恋和变性者有关的电影。该次放映吸引了1500多名观众,根据所收到的回执中反映,大部分观众对该次放映的回响都非常好,很多人甚至建议在今后应该定期举办此类活动。因此,Q-Munity决定把放映活动设置为一年一次,并准备扩展到印尼其他城市。

 

    20039月,Q-Munity将放映活动以电影节的形式展开。称其为电影节的原因是Q! Film Festival无论从影片数量、放映场次、场馆数量以及放映期间来说都超过很多国际电影节,例如雅加达国际电影节、英国电影节、法国电影界等。除此以外,电影节期间还举办了丰富多彩的活动,例如画展、6名男、女同性恋摄影师的摄影展、纽约小说家Jamie James的座谈会等。长达10天的电影节吸引了4000名观众。

 

网址:http://q-filmfestival.tripod.com/index.html

Emailqfilmfestival@yahoo.com

CARAM Asia


Foreward

  The unprecedented economic growth and social and economic inequalities that Asia is experiencing combine to create complex  push and pull factors that have led to large movements of people in the region.  At any given point in time, there are an estimated 54 million people on the move outside of their home countries within Asia and beyond, and almost half that number, are estimated to be women. Asia is one of the largest suppliers of international migrant women who serve as domestic workers.

Outside Asia, the countries of the Arab States region are the primary destination for a majority of migrant workers from the Philippines, Bangladesh, Sri Lanka and Pakistan. The economic gains generated by migrant workers to both countries of origin and host countries are considerable reaching almost 8% of GDP in Sri Lanka and as high as 17% of the national GDP in the Philippines.  Yet, there is a major disconnect between the economic contribution of migrant workers and the poor conditions and meager support many receive throughout their migration journey.

A key issue of concern with cross border and overseas migration is HIV and AIDS. In recent years, an increasing number of migrant workers from Asia have been diagnosed with HIV in various countries in the Arab States. Deportations due to HIV status have resulted in severe economic loss for migrant workers and their families, who have been declared by local authorities as "unfit" to work abroad.

Governments from Asian countries have also been concerned about this issue. The Ministers of Health from the Governments of Pakistan, Sri Lanka, Indonesia, India, the Philippines and Bangladesh called for a meeting on the issue at the time of the World Health Assembly of 2007 highlighting the need to engage in inter regional dialogue with countries from the Arab States region to find ways to reduce the risks and vulnerabilities to HIV that migrant workers face..

 

  The purpose of this study was commissioned to shed light on the complex relationship between migration and HIV vulnerability, with a special focus on the vulnerabilities faced by Asian migrant women.

Through in-depth and focus group discussions, the study discloses the vulnerabilities that Asian migrant women encounter throughout the migration cycle. They often leave for overseas work under unsafe conditions, live in very difficult circumstances, and are often targets of sexual exploitation and violence before they depart, during their transit and stay in host countries and on return to their countries of origin. With little or no access to health services and social protection, these factors combine to make Asian women migrants highly vulnerable to HIV.

Confronted with inadequate policies and legislation that are not enforceable in host countries, migrant women often have limited or no access to justice and redress mechanisms, especially in Gulf countries. If they are found HIV positive, they face deportation and back in their countries of origin they experience discrimination and social isolation in addition to the difficulty of finding alternative livelihoods.

  As the research shows, there are several good practices from both countries of origin  and host countries that are making a difference to migrant's lives, from the bilateral agreements negotiated between the Philippines and host countries, to social protection afforded to migrants in Lebanon. It is the intention of this study to highlight emerging good practice, deepen our understanding of the linkages between HIV and migration to inform and shape more effective policy and programme responses for Asian migrant women that will ensure safe mobility with dignity, equity and justice.


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Organization: CARAM ASIA


 

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