Public Health Aspects of HIV/AIDS in Haiti: Epidemiology, Prevention and Care

Author(s):  
Serena Koenig ◽  
Fernet Leandre ◽  
Dan Fitzgerald ◽  
Paul Farmer ◽  
Joia Mukherjee ◽  
...  
Keyword(s):  
Author(s):  
Endang Susilawati

ABSRACTAbstractPolicy implementation of HIV/AIDS Countermeasures in the Melawi Regency Health Office. The aim of this research is to describe and analyze the process of implementing HIV/AIDS policy in Melawi Regency in terms of communication, resources, disposition and bureacucratic structure. The research subjects include the Head of Health Office, Secretary of Health Office, the Division and Section Heads, Technical staff managing HIV/AIDS, Hospital director including the VCT Team and Private Hospitals, 11 Regency Public Health Center Heads, VCT Staff at the Nanga Pinoh Public Health Center, community Leaders, PLWHA and Key Population. Research results indicate that the implementation of HIV/AIDS countermeasures in Melawi Regency has not been as expected. It is observed from the communication stage that has not been well established in the response to the aforementioned illness, the inadequate resources of supporing infrastructure and funds that have not been focused. Human Resources have not been trained. Data collection, program managers, and the role disposisition of officers are not optimal. The bureaucracy structure has not been prepared properly, including SOP and SPM. This is observed from the different perceptions of the officers managing the HIV/AIDS program. The application system has not been well apprehended due to the absence of technical staff and PLHIV/key population unwilling to volunteer to be treated. Key words : The Implementation Policy, HIV/AIDS Countermeasures.


2020 ◽  
Vol 11 (1) ◽  
pp. 22-37
Author(s):  
Rheina Magvira

Based on data of Health Office of Palu City in 2019 about HIV/AIDS cases, it reached 818 cases of HIV and 306 cases of AIDS, and 109 of sufferers died. The highest cases of HIV/AIDS were in Talise Public Health Center with 13 of HIV. The factor that causes the highest number of HIV/AIDS cases in Talise Public Health Center is the lack of patients participation in counseling, mobile VCT, and many of them do not follow the instruction of Public Health Center in conducting the treatment to the patients of HIV/AIDS. Another factor is the lack of human resources as counselors and lab staff, there is no special room for HIV/AIDS patients inside or outside the Health Center, and there is no incentive provided by the Health Center for the field workers. This study aims to describe the Implementation on Regulation of Ministry of Health Number 21 of 2013 about HIV/AIDS Prevention in work area of Talise Public Health Center, Mantikulore Subdistrict. The study applied qualitative research using a case study approach. Technique of selecting the informants was purposive sampling. There were 6 informants, nameley key informant (Head Of Public Health Center). Ordinary informants (HIV/AIDS program holders), and additional informants were HIV/AIDS patients. Data collection techniques were through triangulations: indept interview, observation and ducumentation using interview guidelines. The result of the study shows that communication is one of an obstacle. Many patients are shy and do not want to take part in examining the reproductive organs. Therefore, they do not receive the status as PLHIV patient. Resources and disposition are not good enough because health center  does not allocate addition staff as well as rewards to officers, the budget only for operational, the bureaucratic structure is good enough, and the cross-sector role is supportive. It is expected that Talise Publich Health Center can improve more about the management and standards releted to the Regulation of Ministry of Health Number 21 of 2013 concerning the tackling of HIV/AIDS.


2011 ◽  
Vol 14 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Agung Waluyo ◽  
Prima Agustia Nova ◽  
Chiyar Edison

AbstrakDiskriminasi dan stigmatisasi terhadap ODHA telah dilaporkan terjadi di beberapa rumah sakit di Jakarta.\Tujuan dari penelitianini adalah untuk mengetahui pengetahuan HIV, keyakinan agama, dan persepsi perawat tentang HIV-stigma mempengaruhisikap terhadap ODHA. Studi deskriptif korelatif dengan menggunakan mix method dalam pengumpulan data yang digunakan.Sampel 326 perawat yang merawat ODHA dari 4 rumah sakit dan 5 pusat kesehatan masyarakat di Jakarta, direkrut menggunakanteknik convenience. Hasilnya menunjukkan bahwa sikap terhadap ODHA secara signifikan berbeda antara perawat yang memilikipelatihan HIV dan yang tidak (p= 0,001; α= 0,05), bekerja di rumah sakit dan Puskesmas (p= 0,01; α= 0,05), perawat dengan latarbelakang pendidikan yang berbeda (p= 0,05; α= 0,05), dan perawat yang merasa kompeten atau tidak kompeten untuk merawatODHA (p= 0,001; α= 0,05). Peningkatan pengetahuan HIV diperlukan perawat untuk menurunkan stigma pasien ODHA.Kata kunci: Indonesia, perawat, stigma HIVAbstractDiscrimination and stigmatization towards PLWH has been documented in some hospitals in Jakarta. The purpose of thisstudy is to determine the extent to which the nurses’ HIV knowledge, religious beliefs, and their perception of HIV-stigmaaffect their attitudes toward HIV/AIDS. Descriptive correlative study with using mixed method in collecting data was used. Aconvenience sample of 326 nurses who are working with PLWH from 4 hospitals and 5 public health centers in Jakarta,Indonesia were recruited. The result shows that attitudes toward PLWH were significantly different between nurses who hadHIV training and not (p= 0.001; α= 0,05), works in hospitals and public health centers (p= 0.01; α= 0.05), nurses withdifferent educational background (p= 0.05; α= 0.05), and nurses who perceived that they are competent or not competent tocare PLWH (p= 0.001; α= 0.05). Increase of HIV knowledge required nurses to reduce PLWH patient’s stigma.Keywords: Indonesia, Nurses, HIV-stigma


Author(s):  
Diane Prentiss ◽  
Rachel Power ◽  
Gladys Balmas ◽  
Gloria Tzuang ◽  
Dennis M. Israelski

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