COMPLIANCE WITH ANTIRETROVIRAL THERAPY AMONG MSM AT CLINIC X, JAKARTA

Abstrak Latar belakang: Kepatuhan terapeutik di Indonesia masih di bawah 80 persen dan dapat mengakibatkan peningkatan insidensi infeksi usus protozoanal, perkembangan AIDS yang lebih cepat, resistensi obat, kegagalan pengobatan, dan penularan virus ke orang lain. Tujuan: Tujuan penelitian ini adalah untuk menggambarkan kepatuhan terhadap terapi antiretroviral pada LSL yang mencari pengobatan di klinik swasta dan menyelidiki faktor pendukung dan hambatan untuk retensi ART. Metode: Penelitian ini menggunakan metode penelitian kualitatif dan data yang dikumpulkan melalui wawancara mendalam. Subjek penelitian dipilih dengan menggunakan purposive sampling. Data dianalisis menggunakan analisis isi. Hasil: Informan berjumlah 7 orang, 4 ODHA, dan 3 petugas kesehatan. Hasilnya menunjukkan bahwa sebagian besar ODHA patuh dalam menggunakan terapi ARV dan mengikuti saran dokter. Faktor-faktor yang mendukung kepatuhan terhadap terapi ARV meliputi tingkat pendidikan, akses informasi, motivasi internal, hubungan pasien dengan dokter, dan dukungan sosial. Hoax, faktor yang terkait dengan pekerjaan, dan stigma adalah hambatan bagi orang yang hidup dengan HIV dalam mempertahankan kepatuhan terhadap terapi ARV. Kesimpulan: Kepatuhan optimal terhadap terapi ARV perlu dipertahankan dan ditingkatkan karena dinamis dan dipengaruhi oleh berbagai faktor. Intervensi berbasis teknologi direkomendasikan dalam memantau kepatuhan ODHA dalam terapi ARV. Kata Kunci: kepatuhan, terapi antiretroviral, hambatan, LSL, ODHA. Abstract Background: Therapeutic compliance in Indonesia was still below 80 percent and may resulted in increased incidence of protozoanal intestinal infection, faster AIDS progression, drug resistance, treatment failure, and transmission of the virus to others. Objective: The purpose of this study was to describe adherence to antiretroviral therapy among MSM who seek treatment at private clinics and investigate facilitators and barriers to ART retention. Method: This study used qualitative research methods and data collected through in-depth interview. The study subjects were selected using a purposive sampling. Data were analyzed using content analysis. Results: The informants were 7 people include 4 PLWHA and 3 health workers. The results showed that most ODHA were compliant in taking ARV therapy and following doctor's advice. Factors supported adherence to ARV therapy include levels of education, access to information, internal motivation, patient relationships with doctors, and social support. Hoaxes, work related factors, and stigma are barriers to people living with HIV in sustaining ARV therapy adherence. Conclusion: Optimal adherence to ARV therapy needs to be maintained and improved because it is dynamic and influenced by various factors. Technological interventions are recommended in monitoring PLWHA compliance in ARV therapy Keywords: adherence, antiretroviral therapy, barriers, MSM, PLWHA.

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PERSEPSI TERAPI ARV (ANTI RETROVIRAL VIRUS) PADA ORANG YANG TERINFEKSI HIV/AIDS DI KOTA SALATIGA

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v3i2.62 ◽

2017 ◽

Vol 3 (2) ◽

pp. 46

Author(s):

Dewi Mayang Sari

Keyword(s):

Antiretroviral Therapy ◽

Side Effects ◽

Descriptive Analysis ◽

Sampling Technique ◽

Phenomenological Approach ◽

People Living With Hiv ◽

Purposive Sampling ◽

Rate Of Increase ◽

Living With Hiv ◽

Hiv Aids

Latar Belakang: Jumlah penderita HIV/AIDS di Indonesia setiap tahunnya terus bertambah. Menurut laporan tahunan terbaru dari Badan Dunia untuk penanggulangan HIV/AIDS atau UNAIDS, Indonesia kini berada diurutan nomor satu. Terkait laju peningkatan kasus HIV di Indonesia pada tahun 1998 jumlah kasus HIV baru 591 orang, tetapi pada bulan September 2007 jumlahnya telah mencapai 5.904 orang. Tujuan Penelitian: Mengetahui persepsi terapi ARV (Anti Retroviral Virus) pada orang yang terinfeksi HIV/AIDS di Kota Salatiga. Metode Penelitian: Jenis penelitian menggunakan pendekatan fenomenologi. Rancangan fenomenologi ini dilaksanakan dengan berpedoman pada tahapan deskriptif yaitu tahapan intuitif analisis dan deskriptif. Jumlah partisipan dalam penelitian ini sebanyak 3 orang penderita HIV/AIDS di Kota Salatiga atau sampai saturasi data. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Hasil penelitian: Persepsi dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik, mereka mengetahui tentang ARV dan mengetahui tentang efek samping yang ditimbulkan dari terapi ARV. Upaya orang yang terinfeksi HIV/AIDS dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga. ODHA mengatasi efek samping dengan konsultasi ke dokter dan minum obat yang diberikan dokter. Dukungan petugas manajemen kasus dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik. Dukungan kelompok sebaya terhadap orang yang terinfeksi HIV dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Dukungan suami terhadap istri yang dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Kata kunci : Persepsi; ARV; sikap; HIV/AIDS; kelompok sebaya PERCEPTION THERAPY ARV (ANTI-RETROVIRAL VIRUS) IN PEOPLE INFECTED WITH HIV / AIDS IN THE CITY SALATIGA ABSTRACT Background: The number of people living with HIV / AIDS in Indonesia each year continues to grow. According to the latest annual report of the World Agency for HIV / AIDS or UNAIDS, Indonesia now comes out number one. Related to the rate of increase in HIV cases in Indonesia in 1998, the number of new HIV cases 591 people, but in September 2007 the number had reached 5,904 people. Objective Research: Knowing perception of antiretroviral therapy (Anti Retroviral Virus) in people infected with the H IV / AIDS in Salatiga. Methods: Type research using a phenomenological approach. draft of this phenomenology is guided by the descriptive stage stages intuitive and descriptive analysis. The number of participants in this study were 3 people with HIV / AIDS in Salatiga or until saturation of data. The sampling technique used was purposive sampling. Results of the study: Perception in therapy ARV (Anti-Retroviral Virus) in Salatiga has been good, they know about the drugs and find out about the side effects of antiretroviral therapy. Efforts of people infected with HIV / AIDS in antiretroviral therapy (Anti Retroviral Virus) in Salatiga. PLWHA cope with the side effects consult a doctor and take medicine that doctors prescribe. Support case management officer in antiretroviral therapy (Anti Retroviral Virus) in Salatiga has been good. peers Support against people infected with HIV in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Support husbands against wives in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Keywords : Perception; antiretroviral therapy; attitude; HIV / AIDS; officers peer

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Adherence to Antiretroviral Therapy in Adults: A Guide for Trainers

10.31899/hiv15.1000 ◽

2004 ◽

Author(s):

◽

Keyword(s):

Antiretroviral Therapy ◽

Highly Active Antiretroviral Therapy ◽

Health Workers ◽

Treatment Plan ◽

Rapid Change ◽

Treatment Strategies ◽

People Living With Hiv ◽

Highly Active ◽

Therapy Program ◽

Living With Hiv

Over the last five years, there has been a rapid change in treatment strategies for HIV infection. With the advent of newer antiretrovirals, treatment has moved from mono-therapy and bi-therapy to triple drug therapy or Highly Active Antiretroviral Therapy. One of the foremost concerns of ARV programs is the ability of people living with HIV/AIDS to maintain near perfect adherence over the long term. To achieve the goal of antiretroviral therapy (ART), undetectable levels of the virus in the blood, patients are required to maintain more than 90–95% adherence. Adherence is defined as a patient’s ability to follow a treatment plan, take medications at prescribed times and frequencies, and follow restrictions regarding food and other medications. This Adherence Training Manual was developed by the Horizons Program of the Population Council for the Antiretroviral Therapy Program in Mombasa, Kenya. It was designed for health workers including physicians, clinical officers, and adherence nurse counselors in ARV programs. It consists of four modules to be conducted over four sessions, which can be conducted as part of a comprehensive ART training program.

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Factors Associated with Adherence to Antiretroviral Therapy Among People Living With HIV & AIDS

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v18i1.19560 ◽

2019 ◽

Vol 18 (1) ◽

pp. 43-50

Author(s):

Nirmala Aryal ◽

Radha Paudel ◽

Sarita Adhikari ◽

Aruna Rai

Keyword(s):

Antiretroviral Therapy ◽

Successful Treatment ◽

Family Members ◽

People Living With Hiv ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated ◽

Adherence Counselling ◽

Living With Hiv ◽

Hiv Aids

Introduction: AIDS and STD is prioritised disease control program of Nepal. Successful treatment of HIV positive patient is fundamental to control the progression to AIDS and ART adherence is crucial for successful treatment. The objective of the study was to find out the factors associated with adherence to antiretroviral therapy among people living with HIV/AIDS. Methods: Descriptive cross sectional research design was adopted. A total of 195 people living with HIV who were above the age 18 years and taking ARV therapy for at least six months from the ART centre of Sukraraj Tropical and Infectious Disease Hospital were selected by using purposive sampling technique. Data was collected using interview technique with semi structured questionnaire. Collected data was analysed using descriptive and inferential statistics. Results: The findings showed that 91.28% of the respondents reported perfect adherence (≥95%) and 8.71% of the respondents reported non- adherence. Age (OR: 4.28; CI 1.00-18.26) and marital status (OR: 4.96; CI 1.67-14.75) were the socio-demographic factors associated with adherence to ARV therapy. Number of tablets per day (OR: 10.72; CI 1.21-94.4) and use of reminders tool (OR:11.14; CI 2.35-52.75) were the patient related factors significantly associated with the adherence to ARV therapy. Likewise, experience of no discrimination (OR 3.90; CI 1.11-13.69) and help for the intake of medicine from family members (OR 2.95; CI 1.95-9.19) were the psychosocial factors significantly associated with adherence to ARV therapy. Adherence counselling (OR 13.38; CI 2.99-59.75) and lower travelling cost (OR 3.99; CI 1.40-11.34) were the service factors significantly associated with adherence to ARV therapy. Conclusions: The prevalence of adherence found in this study was good. Help from the family members, adherence counselling and use of reminders tool for intake of medicine enhanced adherence. Whereas, side effects, alcohol use, burden of pills, experience of discrimination were the barriers for adherence to ART. For improving adherence government and as well as the hospital requires interventions which recognise these barriers.

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SIKAP MASYARAKAT PADA ODHA DI DESA SERANGKAT KABUPATEN BENGKAYANG PROVINSI KALIMANTAN BARAT

Jurnal Vokasi Kesehatan ◽

10.30602/jvk.v3i1.82 ◽

2017 ◽

Vol 3 (1) ◽

pp. 22

Author(s):

Uti Rusdian ◽

Agung Waluyo ◽

Riri Maria

Keyword(s):

Phenomenological Study ◽

Health Workers ◽

Public Attitudes ◽

Sampling Technique ◽

People Living With Hiv ◽

Cultural Perspective ◽

Purposive Sampling ◽

The Public ◽

Living With Hiv ◽

Hiv Aids

Abstract: Public Attitudes On People Living With Hiv/Aids In The Serangkat Village Of Bengkayang District Development Of West Kalimantan Province. Public attitudes have an impact to all aspects of the lives of people living with HIV/ AIDS (PLWHA), including their health status. This study aims to explore in depth about public attitudes on PLWHA. Phenomenological study with in-depth interviews and researcher field notes to 8 participants are use with purposive sampling technique. The results of thematic analysis found five themes, namely the public attitude of the PLWHA, knowledge and perceptions about HIV / AIDS, the meaning of religion, cultural perspective, and support and community expectations. Basically, the community (in the place of research) has been positive to PLWHA especially those who have existed in their neighborhood because of pity and high social unity. The influence of public leaders, dogma, traditions and sense of community influence the formation of public attitudes. The necessary support from government and health workers for the active role of the public, especially the provision of information, structuring prevention systems, as well as policies for the poor and neglected.Abstrak: Sikap Masyarakat Pada Odha Di Desa Serangkat Kabupaten Bengkayang Provinsi Kalimantan Barat. Sikap masyarakat berdampak pada segala aspek kehidupan ODHA termasuk status kesehatannya. Penelitian ini bertujuan mengeksplorasi secara mendalam tentang sikap masyarakat pada ODHA. Studi fenomenologi dengan wawancara mendalam dan catatan lapangan peneliti terhadap 8 partisipan yang terjaring berdasarkan tekhnik purposive sampling. Hasil tematik analisis ditemukan 5 tema yaitu sikap masyarakat pada ODHA, pengetahuan dan persepsi tentang penyakit HIV/AIDS, makna ajaran agama, pandangan budaya, dan dukungan serta harapan masyarakat. Masih terdapat persepsi yang kurang tepat yang didasari oleh pengetahuan yang belum memadai tentang konsep HIV/AIDS. Namun, pada dasarnya, masyarakat (ditempat penelitian) telah bersikap positif kepada ODHA khususnya yang pernah ada dilingkungan tempat tinggal mereka karena rasa kasihan dan kebersamaan sosial yang tinggi. Pengaruh tokoh masyarakat, ajaran agama, tradisi dan rasa kebersamaan berpengaruh terhadap pembentukan sikap masyarakat. Diperlukan dukungan dari pemerintah dan petugas kesehatan terhadap peran aktif masyarakat khususnya pemberian informasi, penataan sistem penanggulangan, serta kebijakan untuk masyarakat miskin dan terlantar.

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A web-based survey finds low antiretroviral therapy adherence in approximately 35% of Japanese people living with HIV

10.21203/rs.3.rs-289544/v1 ◽

2021 ◽

Author(s):

Yoji Inoue ◽

Shinichi Oka ◽

Seiji Yokoyama ◽

Koichi Hasegawa ◽

Joerg Mahlich ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Severe Depression ◽

Treatment Decision ◽

Healthcare Team ◽

People Living With Hiv ◽

Related Factors ◽

Web Based ◽

Adherence Scale ◽

Living With Hiv

Abstract Background: Long-term medical care for people living with HIV/AIDS (PLHIV) is critical for treatment efficacy, and various studies have examined causes of antiretroviral therapy (ART) non-adherence. Physicians are assuming that patients are maintaining high adherence. However, little is known about situation of the real-world adherence. Methods: We conducted an anonymous self-administered web-based survey that asking their adherence for a total of 1,030 Japanese PLHIV who were currently on ART. The adherence was judged in terms of the 8-item Morisky Medication Adherence Scale (MMAS-8). Data were analysed based on patient-related factors, therapy-related factors, condition-related factors, and healthcare team/system-related factors.Results: A total of 821 PLHIV responded to the survey were analysed further. Among them, 291 responders (35%) were identified as being in the low adherence group. The study showed a statistically significant relationship between the number of missed anti-HIV drug doses within the previous 2-week and the long-term adherence by the MMAS -8 score. Risk factors for low adherence included age (younger than 21 years), moderate to severe depression, and drug dependence. Adherence was also influenced by the shared decision-making process, including treatment selection, doctor-patient relations, and treatment satisfaction.Conclusions: A web-based survey found low ART adherence in approximately 35% of Japanese PLHIV. The adherence was mainly affected by factors for treatment decision. A medical team support is critical to improve adherence.

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A Secondary Analysis of Peer Support and Family Acceptance Among Homosexual Living with HIV and Antiretroviral Therapy: Quality of Life Perspectives

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v24i1.1095 ◽

2021 ◽

Vol 24 (1) ◽

pp. 1-8

Author(s):

Ina Martiana ◽

Agung Waluyo ◽

Sri Yona ◽

Edianto Edianto

Keyword(s):

Quality Of Life ◽

Antiretroviral Therapy ◽

Peer Support ◽

Secondary Analysis ◽

People Living With Hiv ◽

Cross Sectional ◽

Purposive Sampling ◽

Family Acceptance ◽

Living With Hiv

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results showed that peer support was positively correlated with QOL (p= 0.023; OR= 2.070), and also, family acceptance was significantly related to QOL (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important factors affecting the well-being and QOL of MSM living with HIV and ART. This finding can be used for the improvement of QOL in people living with HIV. Abstrak Dukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup Homoseksual dengan HIV dan Terapi Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Menilai kualitas hidup (QOL) pada LSL mungkin berbeda dari populasi lainnya. Penelitian ini merupakan analisis sekunder dari penelitian sebelumnya. Kami menguji apakah dukungan sebaya dan penerimaan keluarga berdampak pada kualitas hidup pada LSL dengan HIV dan ART (terapi antiretroviral). Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data kuesioner yang sudah terisi komplit, akan dilakukan analisa. Hasil penelitian menunjukkan bahwa dukungan sebaya berhubungan positif dengan kualitas hidup (p= 0,023; OR= 2,070) dan juga penerimaan keluarga secara signifikan berhubungan dengan kualitas hidup (p= 0,001; OR= 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ART. Temuan ini dapat digunakan untuk peningkatan QOL pada orang dengan HIV. Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga

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Stigma dan diskriminasi serta strategi koping pada orang dengan HIV dan AIDS (ODHA) di kota Medan, Sumatera Utara

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v13i4.1824 ◽

2020 ◽

Vol 13 (4) ◽

pp. 396-401

Author(s):

Eva Kartika Hasibuan ◽

Novita Aryani ◽

Galvani Volta Simanjuntak

Keyword(s):

Health Workers ◽

Psychological Impact ◽

Sampling Technique ◽

Phenomenological Approach ◽

People Living With Hiv ◽

Health Provider ◽

Purposive Sampling ◽

Stigma And Discrimination ◽

Living With Hiv ◽

Hiv Aids

People living with HIV/AIDS (PLWHA), battling stigma, discrimination and coping strategies in Medan, IndonesiaBackground: People living with HIV/AIDS have a multiple problem, PLWHA has a decreased physical abilities effect immunodeficiency, but also having a psychological and social problems also increase their burden. The health provider should be a place for PLWHA to get the right information about HIV/AIDS, but they follow to stigmatize and discriminate against them.Purpose: To describe coping PLWHA face up to stigma and discrimination in health provider.Methods: A qualitative with a descriptive phenomenological approach with population of this research was people living with HIV/AIDS (PLWHA) in Medan, Indonesia. The number of samples was of 10 respondent by purposive sampling technique. The criteria of the sample were PLWHA get treatment for ≥ 6 months and able to communication in Indonesia is well. Data collected with in-depth interviews and analysis by Nvivo version 12.0 trial.Result: Finding that four themes, the first; get stigmatize and discriminate from health workers, second; have a psychological impact, third; continue treatment to the health provider and fourth; Hoping in health services well.Conclusion: People living with HIV/AIDS (PLWHA) in Medan Indonesia still having a positive coping to face stigma and discrimination in health provider and they keep continue to get treatment in health provider.. Keyword: People Living With HIV/AIDS (PLWHA); Battling; Stigma; Discrimination; Coping StrategiesPendahuluan: Pelayanan kesehatan yang seharusnya menjadi tempat orang dengan HIV/AIDS mendapatkan pengobatan dan informasi yang benar mengenai penyakitnya, justru ikut menstigma dan mendiskriminasikan mereka.Tujuan: Untuk menggambarkan stigma, koping dan harapan ODHA di pelayanan kesehatan.Metode: Penelitian kualitatif dengan pendekatan fenomenologi deskriptif dengan populasinya orang dengan HIV/AIDS (ODHA) di Kota Medan. Jumlah partisipan sebanyak 10 orang yang diambil dengan teknik purposive sampling. Pengumpulan data dengan wawancara mendalam dan data dianalisis dengan menggunakan software N.Vivo versi 12 trial.Hasil: Di dapatkan empat tema yaitu 1) Pernah mendapatkan stigma dan diskriminasi dari petugas kesehatan, 2) Pernah mengalalami dampak secara psikologis, 3) Tetap melanjutkan pengobatan ke pelayanan kesehatan, 4) Harapan pada layanan kesehatan.Simpulan: Orang dengan HIV/AIDS ODHA di kota Medan masih memiliki koping yang positif dalam menghadapi stigma dan diskriminasi sehingga ODHA tetap melanjutkan pengobatan di pelayanan kesehatan.

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Relations of pursuance taking drug of HIV patients with the success of Antiretroviral Therapy (ART) in Poli Serunai Hospital Dr. Achmad Muchtar Bukittinggi Year 2014

Jurnal Endurance ◽

10.22216/jen.v1i2.937 ◽

2016 ◽

Vol 1 (2) ◽

Author(s):

YELMI RENI PUTRI

Keyword(s):

Antiretroviral Therapy ◽

Health Workers ◽

Antiretroviral Drugs ◽

Hiv Treatment ◽

People Living With Hiv ◽

Hiv Patients ◽

Number Of Patients ◽

Hiv Antiretroviral Therapy ◽

Living With Hiv ◽

Hiv Aids

<div class="WordSection1">Relations of pursuance taking drug of HIV patients with the success of Antiretroviral Therapy (ART) in Poli Serunai Hospital Dr. Achmad Muchtar Bukittinggi Year 2014 Yelmi Reni Putri, AdrianiProgram Studi Ilmu Keperawatan STIKes Fort De Kock BukittinggiEmail : <a href="mailto:[email protected]">[email protected]</a> ABSTRACT1st of of December is the day each year is celebrated as a day of HIV / AIDS this year themed "prevent HIV / AIDS, protect workers, families and the nation", this is when the right moment for us health workers give a good contribution to overcome or provide suggestions for improving services to patients with HIV / AIDS. The increasing number of patients with HIV / AIDS today is not only to make our health care workers need to be vigilant, even patients and families also need to work together to overcome this proble.The purpose of this study was to identify the level of compliance of patients taking antiretroviral drugs and HIV-positive people do with the success of antiretroviral therapy, the study sample taken in accident sampling with the number of respondents 40 patients idODHA of the month from May to October 2014. The study design using qualitative and quantitative method Mix , measuring instrument used in this research is a questionnaire that contains the characteristics of patients living with HIV, guided interviews to assess the role of the KPA, manager of HIV RSAM, and people living with HIV patients themselves.The result showed 57.5% of patients did not obey, and as much as 52.5% of patients successfully in HIV treatment, but there is no relationship between adherence with therapy success with value value 0.583 and 0.677 OR it is associated with the patient's anxiety and fear to know the results of which he repeated CD4 CD4 is one measure of the success of therapy. The conclusion of this study is important to know the patients' adherence PLWHA still low this will impact on the occurrence of resistance will even increase mortality, it is recommended that the family, NGOs, health workers to be more proactive in reaching out cases there and in people who risk to exposed HIV, then motivate PLWHA for routine treatment. Keyword: HIV / AIDS, Compliance, people living with HIV, Antiretroviral Therapy (ART)</div>

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Barriers to HIV service utilisation by people living with HIV in two provinces of Zimbabwe: Results from 2016 baseline assessment

Southern African Journal of HIV Medicine ◽

10.4102/sajhivmed.v19i1.721 ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 7

Author(s):

Taurayi A. Tafuma ◽

Nyikadzino Mahachi ◽

Chengetai Dziwa ◽

Tafara Moga ◽

Paul Baloyi ◽

...

Keyword(s):

Health Workers ◽

Waiting Times ◽

Male Involvement ◽

Hiv Care ◽

People Living With Hiv ◽

Service Utilisation ◽

Access To Health Services ◽

Related Factors ◽

Hiv Services ◽

Living With Hiv

Background: The emergence of antiretroviral therapy (ART) transformed HIV from a terminal illness to a chronic disease. However, limited access to health services remains one of many barriers to HIV service utilisation by people living with HIV (PLHIV) in low-resource settings. The goal of this study was to describe the barriers to HIV service utilisation in two provinces of Zimbabwe.Methods: A qualitative descriptive study was conducted with PLHIV and village health workers (VHW) in eight districts within the two provinces. Convenience sampling was used to select the participants. This sampling was limited to communities supported by health facilities with more than 500 PLHIV enrolled into HIV care and treatment. Interviews were audio-recorded and transcripts were subjected to thematic content analysis.Results: A total of 22 community focus group discussions (FGDs) were conducted. Barriers to using HIV services cited in PLHIV and VHW FGDs were similar. These were categorised as health system-related barriers, which include user fees, long waiting times, lack of confidentiality and negative attitudes by healthcare providers, and lack of consistent community-based HIV services. Community-related barriers cited were stigma and discrimination, food insecurity, distance to facilities and counterproductive messaging from religious sectors. Client-related factors reported were inadequate male involvement in HIV-related activities and defaulting after symptoms improved.Conclusion: Our assessment has indicated that there are several barriers to the utilisation of HIV services by PLHIV in the two provinces of Zimbabwe. As new strategies and programmes are being introduced in the current resource-constrained era, efforts should be made to understand the needs of the clients. If programmes are designed with an effort to address some of these challenges, there is a possibility that countries will quickly achieve the 90-90-90 targets set by The Joint United Nations Programme on HIV/AIDS.

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PERAN WARGA PEDULI AIDS CAHAYA CARE TUREN DALAM MENINGKATKAN KUALITAS HIDUP ODHA

Jurnal Kesehatan Mesencephalon ◽

10.36053/mesencephalon.v3i1.37 ◽

2017 ◽

Vol 3 (1) ◽

Author(s):

Tri Nurhudi Sasono

Keyword(s):

Quality Of Life ◽

Antiretroviral Drugs ◽

P Value ◽

People Living With Hiv ◽

Purposive Sampling ◽

Significant Difference ◽

Development Goals ◽

Living With Hiv ◽

Hiv Aids

Abstract : Indicator of the health welfare through Sustanable Development Goals (SDGs) is to reduce the incidence of HIV-AIDS, decrease the rate of the epidemic and maintain the quality of life of people living with HIV-AIDS (PLWHA). Trend cases of HIV-AIDS is the most recent spread among people, especially housewives. In Malang until 2015 found 278 Housewife of 409 cases of AIDS. The prevalence of HIV-AIDS in Malang Regency is ranked second after Surabaya city in East Java. For the importance of public participation and citizen care AIDS Cahaya Care Turen take responsibility for the condition. Determination Rule Goverment number 2 2015 year on the Participation of the community response to HIV-AIDS in Malang as a legal rule. Concerned Citizens activities AIDS (WPA). WPA Cahaya Care Turen is increases HIV risk and quality of life PLWHA. The purpose of this study was to determine the role of Citizens AIDS Cahaya Care Quality of Care Turen against people living with HIV in Puskesmas Turen Malang. The study design using a quasi-experimental, with purposive sampling using a sampling technique. Total number of research subjects 23. Based on test results obtained with the Wilcoxon p value <0.005, which means that there is a significant difference before and after PLWHA joining participated in the WPA Cahaya Care Turen. The conclusion of this study is WPA activities involving people living with HIV and at risk groups can optimize compliance with antiretroviral drugs that have an impact on improving the quality of life of PLHIV. Suggestions in this research is done WPA Program activities are structured and ongoing cross-sector in order to improve the quality of life and empower PLWHA.Keywords : WPA Cahaya Care Turen, Quality of life, PLWHA Abstrak : Salah satu indikator kesejahteraan kesehatan melalui Sustanable Development Goals (SDGs) adalah menekan angka kejadian HIV-AIDS, menurunkan laju epidemik dan mempertahankan kualitas hidup Orang dengan HIV-AIDS (ODHA). Trend kasus HIV-AIDS terkini terbanyak adalah menjangkit dikalangan masyarakat khususnya pada ibu rumah tangga. Kabupaten Malang sampai dengan tahun 2015 ditemukan 278 Ibu Rumah Tangga dari 409 kasus AIDS. Prevalensi HIV-AIDS di Kabupaten Malang ini merupakan peringkat kedua di Jawa Timur setelah Kota Surabaya. Untuk itu pentingnya peran serta masyarakat dan warga peduli AIDS Cahaya Care Turen ikut bertanggung jawab terhadap kondisi tersebut. Penetapan Peraturan Bupati Malang no.2 th.2015 tentang Peran serta masyarakat penanggulangan HIV-AIDS di Kabupaten Malang diharapkan dapat mengurangi risiko penularan HIV dan meningkatkan kualitas hidup ODHA. Tujuan dari penelitian ini adalah untuk mengetahui Peran Warga Peduli AIDS Cahaya Care Turen terhadap Kualitas ODHA Di Wilayah Kerja Puskesmas Turen Kabupaten Malang. Desain penelitian menggunakan quasi eksperimen, dengan teknik sampling menggunakan purposive sampling. Jumlah subyek penelitian sejumlah 23. Berdasarkan hasil uji dengan Wilcoxon didapatkan nilai p value < 0.005 yang berarti bahwa terdapat perbedaan bermakna sebelum dan sesudah ODHA bergabung mengikuti kegiatan WPA Cahaya Care Turen. Kesimpulan dalam penelitian ini adalah kegiatan WPA dengan melibatkan ODHA dan kelompok beresiko dapat mengoptimalkan kepatuhan obat ART sehingga berdampak terhadap peningkatan kualitas hidup ODHA. Saran dalam penelitian ini adalah dilakukannya Program kegiatan WPA yang terstruktur dan berkesinambungan lintas sektor guna meningkatkan kualitas hidup dan memberdayakan ODHA. Kata kunci : WPA Cahaya Care Turen, kualitas hidup, ODHA

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