The Correlation between Perception of Stigma of HIV/AIDS and Utilization of Voluntary Counseling and Testing and Care, Support and Treatment Polyclinic at Djoelham Hospital, Binjai

Ratih Sufra Rizkani, Surya Utama, Erna Mutiara

Abstract

Background: The health care services for people living with HIV/AIDS (PLWH; hereinafter is referred to as PLWHA) at Polyclinic of Vo­luntary Counselling and Testing (hereinafter is referred to as VCT) and Care, Support and Treat­ment (hereinafter is referred to as CST) are not optimally utilized because of the large number of Follow-Up Loss by PLWHA. The utilization of the services in 2018 was only 47% of the determined target of 90%. The objective of this study was to analyze the influence of individual characteristics such as age, sex, education level, marital status, and perception of HIV/AIDS negative stigma on the utilization of health services for HIV/AIDS at Polyclinic of VCT and CST.

Subjects and Method: This is a cross-sectional study. The population was all visitors at the Poly­clinic who were diagnosed with HIV not later than March, 2018. Sixty eight patients were selec­ted by using total sampling technique. The inde­pen­dent variables consisted of individual charac­te­ris­tics (age, sex, education level, marital status) and perception of HIV/AIDS negative stigma, whereas the dependent variables were the utilization of VCT and CST Polyclinic. The data were collected through questionnaires and were analyzed by multiple logistic regression method.

Results: the perception of high negative stigma of HIV/AIDS has led PLWHA to underutilize the health services of VCT and CST Polyclinic (OR= 18.20; 95%CI= 3.89 to 85.19; p< 0.001). The male PLWHA underutilized the health care ser­vi­ces at VCT and CST Polyclinic (OR= 4.91; 95%CI=1.19 to 20.23; p= 0.028).

Conclusion: the perception of high negative stigma of HIV/AIDS and being a male PLWHA allowed the underutilization of the health services at VCT and CST Polyclinic.

Keywords: perception of stigma, HIV, utiliza­tion

Correspondence: Ratih Sufra Rizkani. A Student at Master Program of Public Health Faculty in University of Sumatera Utara, Medan. ratih86rizkani@gmail.com. Mobile: 0852617­76718

Journal of Health Promotion and Behavior (2020), 5(1): 26-34
https://doi.org/10.26911/thejhpb.2020.05.01.04

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References


Andersen R, Newman J (1973). Societal and individual determinant of medical care utilization in the united stated. The Milbank Memorial Fund Quarterly: Health and Society, 51(1): 95-124.


Aminuddin A (2017). Hubungan stigma terhadap ODHA dengan minat melakukan VCT pada ibu rumah tangga di RW 14 Sosmenduran Gedongtengen Yogyakarta. Skripsi. Yogyakarta: Fakultas Ilmu Kesehatan Universitas Aisyiyah Yogyakarta.


Ardani I, Handayani S (2017). Stigma terhadap orang dengan HIV/AIDS (ODHA) sebagai hambatan pencarian pengobatan: Studi Kasus pada Pecandu Narkoba Suntik di Jakarta. Buletin Penelitian Kesehatan 45 (2): 81-88.


Dever GEA (1984). Epidemiology in health services management. Marylan: Aspen Systems Corporation.


Ditjen Bina Gizi and KIA (2014). Pedoman pelaksanan pencegahan penularan HIV dan sifilis dari ibu ke anak bagi tenaga kesehatan. Jakarta: Kementerian Kesehatan RI.


Ditjen P2PL (2012). Pedoman penerapan layanan komprehensif HIV/IMS berkesinambungan. Jakarta: Kementerian Kesehatan RI.


Ditjen P2P (2018). Laporan perkembangan HIV/AIDS penyakit infeksi menular seksual (PIMS) triwulan I tahun 2018. Jakarta: Kementerian Kesehatan RI.


Effendi U (2016). Psikologi konsumen. Jakarta: Rajawali Press.


Green CW, Setyowati H (2004). Terapi alternatif. Jakarta: Yayasan Spiritia.


Holzemer WL, Human S, Arudo J, Rosa ME, Hamilton MJ, Corless I, et al. (2009). Exploring HIV stigma and quality of life for persons living with HIV infection. J Assoc Nurses AIDS Care. 2009; 20(3): 161–168. doi: 10.1016/j.jana.2009.02.002


Lesmana JM (2005). Dasar-dasar konseling. Fakultas Psikologi UI: UI Press.


Ministry of Health (2012). Buku pedoman penghapusan stigma dan diskriminasi bagi pengelola program, petugas layanan kesehatan dan kader. Jakarta: Bakti Husada


Mokoae LN, Greeff M, Phethu RD, Uys LR, Naidoo JR, Kohi TW, et al. (2008). Coping with HIV/AIDS stigma in five African countries. J Assoc Nurses AIDS Care. 19(2): 137–146. doi: 10.1016/j.jana.2007.11.004


Murni S, Green CW, Djauzi, Setiyanto A, Okta S (2013). Hidup dengan HIV seri buku kecil. Jakarta: Yayasan Spiritia.


Nasronudin (2014). HIV AIDS pendekatan biologi molekuler, klinis dan sosial edisi 2. Surabaya: Airlangga University Press.


Permenkes RI No.74 Tahun 2014. Pedoman pelaksanaan konseling dan tes HIV. Jakarta.


Sangadji EM, Sopiah (2013). Perilaku konsumen pendekatan praktis disertai himpunan jurnal penelitian. Yogyakarta: ANDI.


Shaluhiyah Z, Musthofa SB, Widjanarko B (2015). Stigma masyarakat terhadap orang dengan HIV/AIDS. Jurnal Kesehatan Masyarakat Nasional 9(4): 333-339.


Stangl AL, Grossman CI (2013). Global action to reduce HIV stigma and discrimination. J Int AIDS Soc.16: 2. doi: 10.7448/IAS.16.3.18934


Valdiserri RO (2012). HIV/AIDS stigma: an impediment to public health. Am J Public Health. 92(3): 341–342.


WHO (2009). Homebased care for people living with HIV. Geneva: World Health Organization.


WHO (2017). Kajian nasional respon HIV di bidang kesehatan republik Indonesia laporan 2017. Jakarta: Kementerian Kesehatan RI.


Wulandari Y (2015). Hubungan karakteristik pasien dengan tingkat kepatuhan terapi ARV di rawat jalan UPIPI rumah sakit Dr. Soetomo. Jurnal KESMAS 9(1): 1-6.


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