Wednesday, October 28, 2015

Balancing Benefits & Harm: Chemical Use & Bodily Transformation among Indonesia's Transgender Waria

Members of Indonesia's diverse male-to-female transgender community often describe themselves as waria.Waria do not equate being feminine with being female. They do not want to be women; they aspire to be likewomen. It entails cultivating mannerisms and wearing make-up and women's clothes, shaving one's legs and styling one's hair. But some go further in their practices of self-administered, chemically assisted bodily transformation.

Field research took place in Makassar, the capital city of South Sulawesi; in a smaller town in the regency of Bulukumba on the south coast of Sulawesi; and in the special region of Yogyakarta in Java. Data were collected through repeated in-depth interviews with ten waria youths aged between 18 and 26 in each site; interviews with pharmacists, drug and cosmetics store clerks; three focus group discussions at each site; and participant observation.

Our respondents saw their bodies as ‘projects’ they can manipulate with pharmaceutical products and cosmetics. To lighten their skin, they experimented with different brands of exfoliating liquid, whitening cream, powder, foundation, face soap and skin scrub. To grow breasts and reduce muscle mass, they experimented with different brands and dosages of contraceptive pills and injections in order to get faster, better and longer-lasting results.

Harm reduction programs often neglect chemicals that are not narcotics, not related to sexually transmitted infections, and which are legally and freely available. Safety issues arise when otherwise safe products are used off-label in large quantities. Drug policy-makers are paying insufficient attention to the safety of cosmetics.

Below:  The most popular brands for pills and injections


Table 1

Contraceptive products used to feminize bodies.


ProductManufacturer/licenceContentProduct information
Andalan pillMarketing: DKT IndonesiaEach tablet contains:
0.15 mg Levonolgestrel
0.03 mg Ethinylestradiol
Begin taking on the first day of menstruation
Manufacturer: PT Sydna Farma, Jakarta, IndonesiaIndication: low dosage oral contraceptive for breast-feeding mothers
License: NV Organon, NetherlandsBy prescription only

Marvelon 28 pillMarketing: DKT IndonesiaEach pack consists of 21 large tablets, each containing:
0.150 mg Desogestrel
0.030 mg Ethinylestradiol
No active ingredient in the small tablets
By prescription only
Manufacturer: PT Sydna Farma, Jakarta, Indonesia
License: NV Organon, Netherlands

Trinordiol pillManufacturer: Wyeth, Germany & Republic of IrelandEach light brown tablet contains:
0.03 mg Ethinylestradiol
0.05 mg Levonorgestrel
Synthetic oestrogen and Levonorgestrel is a synthetic form of progesterone
Each white tablet contains:
0.04 mg Ethinylestradiol
0.075 mg Levonorgestrel
Each ochre tablet contains:
0.03 mg Ethinylestradiol
0.125 mg Levonorgestrel
Each 21-day pack contains three types of tablets (six light brown, five white, ten ochre), each with a slightly different hormone dosage

Microgynon pillManufacturer: Schering do Brasil Quimica Farmaceutica Ltda, Sao Paolo, Brazil21 Sugar-coated tablets, each containing:
0.15 mg Levonorgestrel
0.03 mg Ethinylestradiol
7 Sugar-coated tablets, each containing 48.25 mg Lactosa
By prescription only
Importer: PT Bayer Indonesia

Microdiol 30 pillManufacturer and distributor: Kimia Farma IndonesiaEach small tablet contains: 0.150 mg Levonorgestrel 0.030 mg Ethinylestradiol
No active ingredient in the large tablets
By prescription only

Cyclogynon pillMarketing: PT Tunggal Idaman Abdi, IndonesiaEach tablet contains:
0.15 mg Levonorgestrel
0.03 mg Ethinylestradiol
Manufacturer: PT Sunthi Sepuri, Indonesia

Andalan Laktasi pill KBMarketing: DKT IndonesiaEach tablet contains:
0.15 mg Levonorgestrel
0.03 mg Ethinylestradiol
By prescription only
Manufacturer: PT Sydna Farma, Indonesia
License: NV Organon, Netherlands

Andalan contraceptive injectionManufacturer: Harsen, Indonesia, incorporated under DKT IndonesiaEach 1 ml contains: 150 mg Medroxyprogesterone acetateBy prescription only
Sterile suspension of Medroxyprogesterone acetate in water

Cyclofem contraceptive injectionManufacturer: PT Tunggal Idaman Abdi, IndonesiaEach vial contains:
25 mg Medroxyprogesterone acetate
5 mg Estradiol USP sterilized micronized
By prescription only
License: Concept Foundation, Thailand

Below:  A shelf in a market cosmetics stall in Makassar



Below:  Exfoliating products



Full article at: http://goo.gl/22f55E

aDepartment of Anthropology, Faculty of Social and Political Sciences, Hasanuddin University, Makassar, Indonesia
bEuropean Research Council Chemical Youth project, University of Amsterdam, The Netherlands
Corresponding author at: Department of Anthropology, Faculty of Social and Political Sciences, Kampus Unhas Tamalanrea, KM 10, Makassar 90245, Indonesia. Email: moc.oohay@surdiimlilurun
   



No comments:

Post a Comment