Triangle of Safety Prevent HIV / AIDS

End of 1991, the city of Surabaya shocked by news of a female commercial sex workers (CSWs) in brothel complexes Dolly declared HIV positive. As a result, prostitution was so quiet complex. The trouble, the women of the street had been moved from Dolly. After he was found in another brothel complex in the south of Surabaya, he was "secured" at Headquarters Koramil Sawahan as a "surrogate" Head Sawahan for sexual service business as usual at Dolly again.There is a wrong perception that the poor prostitute who is the source of transmission of HIV / AIDS, whereas it is actually the victim of "infected" by their customers who are reluctant to use condoms. In turn, they then did transmit HIV to other customers who are also reluctant to use condoms. And other customers, when having sex with his wife, the wife had come to catch. If she is pregnant, it will infect the fetus.Currently, there are thousands of mothers who had never had an affair and thousands of babies are born infected with HIV in Indonesia. All of this happened because of a campaign of condom use is constrained by the puritanical attitude of some people who view that promoting the use of condoms for AIDS prevention is the same as promoting adultery and free sex.Until now almost all TV stations in Indonesia are reluctant to broadcast public service announcements (PSAs) about the need for condom use for men who are fond of "snack". They may still be traumatized when ILM condoms with singer Harry Roesli protested and demanded to stop showing.Already a mature stageThe phenomenon of thousands of mothers and infants infected with HIV in Indonesia showed the country's AIDS epidemic has reached a mature stage, is mainly concentrated in several provinces, such as Jakarta, West Java, East Java, Bali, Papua and West Papua. According to Dr. Nafsiah Mboi, SpA MPH, Secretary of the National AIDS Commission, which triggers the transmission of HIV in Indonesia is 3.1 million adult men who buy sexual services from around 230,000 female commercial sex workers. This situation threatens 1.6 million married women.Health Ministry data also showed that the cumulative number of AIDS cases among women in Indonesia until the end of December 2009 showed a record held by housewives (as many as 1970 cases), while only 604 cases of sex workers.The man who used to buy real commercial sexual services is a "bridge" (bridge) in a network or chain of transmission of HIV, not the women of the streets are more static and passive. This is where the central role of men, whether they are willing or unwilling to protect yourself with safe sex behaviors, including using condoms when having sex is not safe.Why condoms really are internationally recognized as the most potent means of stemming the spread of HIV through sexual intercourse have been less popular in Indonesia? In addition to the condom campaign was blamed as the promotion of free sex and myth of condoms is porous, very low habit (habitus) to use condoms in Indonesia is also the fault of family planning (FP) in Indonesia that marginalize the role of men. As a result, the use of condoms as a contraceptive is only less than 1 percent.Closure of one after another brothel also indirectly complicate HIV / AIDS in Indonesia. Kramat Tunggak in Jakarta for example, closed in 1999. Word got out, Dolly was going to follow in the footsteps Kramat Tunggak. Raids against the women of the street is also rife everywhere.Prostitution as a "profession" of the oldest on Earth will always be tough. Closed and raided somewhere, it will be popping up in other places. All of them follow the laws of supply and demand (supply and demand). During the men's sexual intent demand still high, then the supply will always keep up. Evidenced by the closure of Kramat Tunggak, prostitution was moved to the cafes on the main road not far from Kramat Tunggak.Welcoming the World AIDS Day which falls on today, would have to think about how we no longer opposes the moral and legal approaches on the one hand with a public health approach, on the other.Moral approach commonly associated with sex campaigning efforts of "halal" (only between husband and wife are legitimate). For example, the campaign "Say No to Sex Outside of Marriage" which is a form of demand reduction (for commercial sex that is not "kosher").However, the undeniable reality of a nation as religious anything, it is still about 20 percent of adult men having sex with regular partners or not their wives.Approach is evident in the form of legal brothel closures and raids of the PSK, which is a form of supply reduction. In fact, the practice of prostitution is dammed just downstream impossible if not tilled in the upper reaches, the poverty in the urban / rural suppliers so the PSK.While still quite a lot of men "snack" and difficult to eradicate prostitution, condom use is an attempt to reduce harm (harm reduction), especially for men who could not contain their sexual hunger.Should the law approach (supply reduction) and moral (demand reduction) in the response to AIDS in Indonesia is not necessarily opposed to a public health approach (harm reduction). Ideally, these three approaches are combined into "Safety Triangle". Adherents of the first two approaches should not feel they are the most correct approach and cornered a third approach. Unfortunately, the public health approach is still a stepchild in Indonesia.Will we allow more and more housewives, babies infected with HIV?