scholarly journals Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal

2014 ◽  
Vol 3 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Preeti K Mahato ◽  
Peng Bi ◽  
Teresa Burgess
Keyword(s):  
Rural Areas ◽  
Health Care Services ◽  
Service Providers ◽  
Group Discussion ◽  
Cultural Issues ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
The Government ◽  
Most At Risk Populations ◽  
Hiv Aids

HIV/AIDS has emerged as a serious epidemic in Nepal, concentrated amongst the most-at-risk populations. Volun-tary Counseling and Testing (VCT) is a proven strategy for the prevention and management of HIV/AIDS especially in developing countries. Given that the utilization of VCT is low in Nepal, it is important to understand the barriers and challenges that Nepal is facing in the provision and utilization of these services. This study aimed to provide recommendations for policy makers to improve the utilization of VCT services in Nepal. A qualitative study of VCT health service providers and government officials was undertaken in 4 cities of Nepal. Sixteen interviews, three joint interviews and one focus group discussion were conducted, audio recorded and transcribed verbatim. Data were then analyzed using a thematic analysis framework and major themes were identified. Various barriers including socio-cultural issues, geography, the presence of stigma and discrimination faced by people with HIV/AIDS and a lack of knowledge and awareness were identified as important factors limiting the utilization of VCT services. Current gov-ernment efforts to improve VCT service provision, although promising, require ongoing development. Systemic barriers included the sustainability of the temporary NGO VCT services, lack of staff and training, inadequate moni-toring and evaluation and limited access to services for people living in rural areas. To increase the sustainability and utilization of VCT services, the Government can intervene in a number of areas including the integration of VCT services with existing primary health care services and addressing ongoing education and quality assurance. South East Asia Journal of Public Health 2013; 3(1): 10-16 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17705

Penguatan Intervensi Perilaku terhadap Pencegahan HIV pada Kelompok Berisiko: Sistematik Review

2021 ◽  
Vol 9 (4) ◽  
pp. 439
Author(s):  
Suarnianti Suarnianti ◽  
Yusran Haskas
Keyword(s):  
Focus Group ◽  
Focus Group Discussion ◽  
Behavioral Intervention ◽  
Group Discussion ◽  
Electronic Database ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Hiv Aids

Intervensi perilaku sangat penting dilakukan dalam pencegahan HIV sebagai intervensi dalam upaya meningkatkan status kesehatan. Tujuan: Mengetahui bentuk intervensi perilaku untuk mengukur outcome dari pencegahan terjadinya HIV terutama pada kelompok berisiko. Metode:  Electronic database dari jurnal yang telah dipublikasikan melalui ProQuest, PubMed., dan ScienceDirect. Hasil: Review dari delapan jurnal yang telah dipilih menyatakan bahwa intervensi perilaku memberi pengaruh terhadap peningkatan pengetahuan tentang HIV/AIDS, konseling bagi kelompok dengan rIsiko tinggi seperti pada Lelaki Seks dengan Lelaki (LSL) dan juga pelaksanaan tes HIV atau yang dikenal dengan Voluntary Counseling and Testing (VST). Instrumen penelitian yang  digunakan untuk mengukur behavioral intervention pada penelitian kuantitaif yakni kuesioner, instrumen berbasis komputer dan internet seperti sosial media, sedangkan pada penelitian kualitatif menggali informasi dengann indepth interview dan Focus Group Discussion (FGD). Hasil penelitian menunjukkan bahwa penguatan intervensi perilaku dalam pencegahan HIV memberi manfaat dalam peningkatan pengetahuan, persepsi dan perilaku pencegahan HIV positif, serta penurunan stigma bagi ODHA. Simpulan: Penguatan intervensi perilaku dapat mencegah terjadinya HIV pada kelompok berisiko sehingga dapat meningkatkan derajat kesehatan.Kata kunci: intervensi perilaku, pencegahan HIV, LSL

scholarly journals Student perception about working in rural United States/Canada after graduation: a study in an offshore Caribbean medical school

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 301
Author(s):  
P Ravi Shankar ◽  
Arun K Dubey ◽  
Atanu Nandy ◽  
Burton L Herz ◽  
Brian W Little
Keyword(s):  
United States ◽  
Rural Areas ◽  
Professional Growth ◽  
Student Perception ◽  
Medical Schools ◽  
The United States ◽  
Rural Practice ◽  
Growth Potential ◽  
Cultural Issues ◽  
The Government

Introduction: Rural residents of the United States (US) and Canada face problems in accessing healthcare. International medical graduates (IMGs) play an important role in delivering rural healthcare. IMGs from Caribbean medical schools have the highest proportion of physicians in primary care.  Xavier University School of Medicines admits students from the US, Canada and other countries to the undergraduate medical (MD) course and also offers a premedical program. The present study was conducted to obtain student perception about working in rural US/Canada after graduation.  Methods: The study was conducted among premedical and preclinical undergraduate medical (MD) students during October 2014. The questionnaire used was modified from a previous study. Semester of study, gender, nationality, place of residence and occupation of parents were noted. Information about whether students plan to work in rural US/Canada after graduation, possible reasons why doctors are reluctant to work in rural areas, how the government can encourage rural practice, possible problems respondents anticipate while working in rural areas were among the topics studied.Results: Ninety nine of the 108 students (91.7%) participated. Forty respondents were in favor of working in rural US/Canada after graduation. Respondents mentioned good housing, regular electricity, water supply, telecommunication facilities, and schools for education of children as important conditions to be fulfilled. The government should provide higher salaries to rural doctors, help with loan repayment, and provide opportunities for professional growth.  Potential problems mentioned were difficulty in being accepted by the rural community, problems in convincing patients to follow medical advice, lack of exposure to rural life among the respondents, and cultural issues.Conclusions: About 40% of respondents would consider working in rural US/Canada. Conditions required to be fulfilled have been mentioned above. Graduates from Caribbean medical schools have a role in addressing rural physician shortage. Similar studies in other offshore Caribbean medical schools are required as Caribbean IMGs make an important contribution to the rural US and Canadian health workforce.

scholarly journals ANALISIS PEMANFAATAN PELAYANAN VCT (VOLUNTARY CONSELING AND TESTING) HIV/AIDS DI RSUD LABUANG BAJI KOTA MAKASSAR TAHUN 2019

2019 ◽  
Vol 14 (3) ◽  
pp. 262-266
Author(s):  
Rika Kurnia Kandacong ◽  
Samsualam Samsualam ◽  
Andi Surahman Batara
Keyword(s):  
Voluntary Counseling ◽  
Voluntary Counselling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

Salah satu upaya dalam strategi nasional penanggulangan HIV/AIDS di Indonesia Tahun 2010-2014 adalah program pelayanan konseling dan testing HIV sukarela (Voluntary Counselling and Testing-VCT) (KPA, 2010). Jumlah orang dengan HIV dan AIDS (ODHA) semakin meningkat sehinggah kebutuhan terhadap layanan kesehatan juga semakin meningkat. Penelitian ini bertujuan untuk mendapatkan informasi, mengkaji dan menganalisis secara mendalam tentang perilaku pasien HIV/AIDS terhadap pemanfaatan pelayanan Voluntary Counseling and Testing ( VCT)  dan analisis strategi pemanfaatan pelayanan VCT (Voluntary Conseling And Testing) di Rumah Sakit Labuang Baji. Jenis Penelitian ini adalah penelitian Kualitatif. Informan dalam penelitian ini adalah 2 orang konselor VCT, Kepala Ruangan VCT, dan 5 Pasien HIV/AIDS. Hasil penelitian menunjukkan pengetahuan pasien HIV/AIDS terhadap pemanfaatan pelayanan VCT sudah baik, Motivasi pasien HIV/AIDS terhadap pemanfaatan pelayanan VCT adalah karena adanya risiko terkena HIV/AIDS. Dukungan keluarga terhadap pemanfaatan pelayanan VCT pada pasien HIV/AIDS sudah baik, Strategi dilakukan petugas kesehatan agar pasien HIV/AIDS mau memanfaatkan pelayanan VCT yang ada di Rumah Sakit adalah melakukan Screening pada semua pasien yang dirawat di Rumah sakit Labuang Baji dengan mengajak pasien yang berisiko untuk ikut konseling secara privasi dan rahasia, Sarana dan Prasarana tehadap pemanfaatan pelayanan VCT di Rumah Sakit Labuang Baji sudah cukup lengkap namun belum maksimal, jumlah konselor yang melayani masih kurang apalagi di lihat dari peningkatan pasien HIV/AIDS yang datang berobat.

scholarly journals IMPLEMENTASI PROGRAM LAYANAN VOLUNTARY COUNSELING AND TESTING (VCT) HUMAN IMMUNODEFICIENCY VIRUS/ ACQUIRED IMMUNO DEFICIENCY SYNDROME (HIV/AIDS) DI PUSKESMAS SUMBERPUCUNG KABUPATEN MALANG

2017 ◽  
Vol 2 (2) ◽  
pp. 112
Author(s):  
Maya Dinama ◽  
Supriyadi Supriyadi ◽  
Nurnaningsih Herya Ulfah
Keyword(s):  
Drug Users ◽  
Deficiency Syndrome ◽  
Research Subjects ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Descriptive Research ◽  
Counseling And Testing ◽  
Immunodeficiency Virus ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

Abstract :The incidence of HIV/AIDS in Malang Regency in 2008-2014 hasincreased prevalence. The distribution of HIV/AIDS cases in Malang Regency is based on the risk factor of heterosexual 74%, 13% injecting drug users, 4% homosexuals, 5% from mother, 0%, 0% bisexual, and 3% unknown. Sumberpucung Sub-District was ranked second highest with 79 new cases. One of the prevention efforts of HIV / AIDS is through the service Voluntary Counseling and Testing (VCT). The study aims to find out the implementation of HIV/AIDS VCT service program at Sumberpucung CHC of Malang Regency. This research is descriptive research using quantitative method. Variables in research are input, process andoutput. Determination of research subjects using non probability samplingtechnique. Data collection is done by direct observation and documentation. The instrument used is a checklist. Data analysis uses descriptive statistics to calculate mean, median, mode. Categorization is done on each subvariabel using Paretto theory. The result of the research of the input variable on the availability of human resources is less good, the availability of facilities is less good, the availability of infrastructure is good, and the availability of the forms is good. The results ofresearch on the process variables in pre-testing counseling are less good and post-testing counseling is less good. The results of the output variables on sustainable support services are less good.Key Words :Implementation, VCT Services, HIV/AIDSAbstrak: Angka kejadian HIV/AIDS di Kabupaten Malang pada tahun 2008-2014 mengalami peningkatan prevalensi. Distribusi kasus HIV/AIDS di Kabupaten Malang berdasarkan faktor resikonya yaitu heteroseksual 74%, pengguna narkoba suntik 13%, homoseksual 4%, tertular ibunya 5%, mantan TKW 0%, biseksual 1%, dan tidak diketahui penyebabnya 3%. Kecamatan Sumberpucung menempati urutan kedua tertinggi dengan 79 kasus baru. Salah satu upaya preventif penanganan HIV/AIDS adalah melalui layanan Voluntary Counselling and Testing (VCT). Penelitian bertujuan untuk mengetahui implementasi program layanan VCTHIV/AIDS di Puskesmas Sumberpucung Kabupaten Malang. Penelitian inimerupakan penelitian deskriptif menggunakan metode kuantitatif. Variabel dalam penelitian adalah input, proses dan output. Penentuan subyek penelitian menggunakan teknik non probability sampling. Pengumpulan data dilakukan dengan observasi langsung dan dokumentasi. Instrumen yang digunakan adalah checklist. Analisis data menggunakan statistik deskriptif untuk menghitung mean,median, modus. Pengkategorian dilakukan pada setiap subvariabel menggunakan teori Paretto. Hasil dari penelitian variabel input pada ketersediaan SDM tergolong kurang baik, ketersediaan sarana tergolong kurang baik, ketersediaan prasarana tergolong baik, dan ketersediaan form-form tergolong baik. Hasil penelitian variabel proses pada konseling pra-testing tergolong kurang baik dan konseling pasca-testingtergolong kurang baik. Hasil penelitian variabel output pada pelayanan dukungan berkelanjutan tergolong kurang baik.Kata Kunci :Implementasi, Layanan VCT, HIV/AIDS

scholarly journals Abortion: Still Unfinished Agenda in Nepal

2018 ◽  
Vol 16 (1) ◽  
pp. 93-98 ◽  
Author(s):  
Dirgha Raj Shrestha ◽  
Shibesh Chandra Regmi ◽  
Ganesh Dangal
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Service Providers ◽  
Health Care Cost ◽  
Abortion Service ◽  
Unsafe Abortion ◽  
Safe Abortion ◽  
Government Structure ◽  
Women And Girls ◽  
The Government

Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. However, more than half of abortion in Nepal are performed clandestinely by untrained or unapproved providers or induced by pregnant woman herself. Knowledge on legalization and availability of safe abortion service among women is still very poor. Stigma on abortion still persists among community people, service providers, managers, and policy makers. Access to safe abortion, especially in remote and rural areas, is still far behind as compared to their peers from urban areas. The existing law is not revised in the spirit of current Constitution of Nepal and rights-based approach. The existence of abortion stigma and the shifting of the government structure from unitary system to federalism in absence of a complete clarity on how the safe abortion service gets integrated into the local government structure might create challenge to sustain existing developments. There is, therefore, a need for all stakeholders to make a lot of efforts and allocate adequate resources to sustain current achievements and ensure improvements in creating a supportive social environment for women and girls so that they will be able to make informed decisions and access to safe abortion service in any circumstances.

scholarly journals Isyarat Bertindak sebagai Faktor Pendorong Lelaki Seks Lelaki dalam Melakukan Voluntary Counseling and Testing

2018 ◽  
Vol 13 (2) ◽  
pp. 101
Author(s):  
Cahyo Nugroho ◽  
Tanjung Anitasari Indah Kusumaningrum
Keyword(s):  
Voluntary Counseling ◽  
Voluntary Counselling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Peer Educator ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

Latar Belakang: Berdasarkan data Komisi Penanggulangan AIDS Kabupaten Sukoharjo pada tahun 2017, Lelaki Seks dengan Lelaki (LSL) merupakan kelompok risiko HIV tertinggi. Voluntary Counselling and Testing (VCT) merupakan salah satu strategi deteksi dini HIV dan sebagai pintu masuk ke seluruh layanan kesehatan HIV/AIDS. Penelitian ini bertujuan untuk mendeskripsikan perilaku pemanfaatan Klinik VCT oleh LSL di Sukoharjo.   Metode: Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus terhadap lima LSL sebagai informan utama yang rutin dan tidak pernah tes HIV.  Teknik pengumpulan data dengan cara wawancara mendalam kepada informan utama dan dua informan triangulasi terdiri dari satu orang Peer Educator dan satu orang Koordinator Lapangan.Hasil: Hasil penelitian menunjukkan bahwa seluruh informan sudah pernah melakukan VCT walaupun dengan mandatory melalui perkumpulan LSL, namun hanya empat orang yang melakukannya secara rutin. Faktor-faktor yang menjadi penyebab informan rutin dalam melakukan VCT setiap 3 bulan adalah persepsi kerentanan yang besar, persepsi keseriusan yang tinggi, persepsi manfaat tes yang cukup besar, persepsi hambatan terhadap tes yang rendah, serta cukup banyaknya isyarat untuk bertindak yang terpapar kepada informan dan tingginya persepsi kemampuan diri untuk tes. Tetapi bila didalami lagi banyaknya isyarat bertindak yang dialami informan terutama adalah contoh yang diperlihatkan oleh teman sebaya. Sedangkan bagi informan yang tidak melakukan VCT secara rutin penyebabnya adalah rendahnya kemampuan diri untuk tes. Sehingga peneliti menyarankan kepada petugas perlu peer educator yang rajin untuk memotivasi kelompoknya untuk melakukan tes dan memberikan informasi yang lebih lengkap terhadap dampak penularan HIV kepada LSL dan pasangannya untuk mencegah penularan serta mengurangi stigma dan diskriminasi oleh petugas kesehatan dalam layanan kesehatan.Kata Kunci: HIV/AIDS, Lelaki Seks dengan Lelaki, tes HIV, persepsi, HBM

scholarly journals Hiv/ Aids Prevention Program: A Mixed Method Study on the Implementation of Voluntary Counseling and Testing Services at Primary Health Center, Jambi

2020 ◽  
Author(s):  
Hubaybah Hubaybah ◽  
◽  
Evy Wisudariani ◽  
Usi Lanita ◽  
◽  
...  
Keyword(s):  
Health Center ◽  
Prevention Program ◽  
Aids Prevention ◽  
Risk Groups ◽  
Primary Health Center ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Primary Health ◽  
Counseling And Testing ◽  
Hiv Aids

Background: The number of people infected HIV/ AIDS continues to increase, including in Jambi. The reports from January to September showed 51 people with HIV infection occurred in Jambi. The accessibility of HIV/ AIDS voluntary counseling and testing (VCT) services are important in high risk area. This study aimed to investigate the HIV/ AIDS prevention program through the implementation of voluntary counseling and testing services at primary health center, Jambi. Subjects and Method: The mix-method study was conducted at three locations, including Tanjung Pinang, Rawasari, and Pakuan Baru Community Health Centres, from March to May 2020. The study’s informants were HIV/ AIDS counselors, laboratorian/ pharmacists, and HIV / AIDS risk groups who visited the VCT clinic. The data were collected through in-depth interviews and direct observations. The data were reported descriptively. Results: The implementation of the VCT program was generally good (82%), i.e., counselors had attended the training at least once, and the education level of health workers was standard. The health professionals were friendly and used simple and understandable language to communicate with clients. The facilities and infrastructure showed that the cleanroom was clean, but the other facilities were still incomplete. There was only one door in the counseling room and the absence of an information board for the VCT service flow. Some of these HIV/ AIDS counselors also had responsibility for some other programs besides VCT services. There was a WhatsApp group with risk groups. Conclusion: The VCT program is well implemented. Some improvements in terms of periodic evaluation of the implementation of VCT services, upgrading staff skills and providing an adequate number of facilities and infrastructure. Keywords: VCT, HIV/ AIDS, counsellor Correspondence: Hubaybah. Faculty of Medicine and Health Sciences, Universitas Jambi. Jl. Letjend Soeprapto No 33 Telanai Pura Jambi. Email: [email protected]. Mobile: +628117453224. DOI: https://doi.org/10.26911/the7thicph.02.35

scholarly journals HIV and HBsAg Seropositivity Amongst Patients Presenting for Ocular Surgery at a Tertiary Eye Care Hospital in Nigeria

2013 ◽  
Vol 7 (1) ◽  
pp. 18-19 ◽  
Author(s):  
M B Alhassan ◽  
P Unung ◽  
GO Adejor
Keyword(s):  
Horizontal Transmission ◽  
Care Hospital ◽  
Ophthalmic Surgery ◽  
Ocular Surgery ◽  
Eye Surgery ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Sub Saharan ◽  
Hbsag Seropositivity ◽  
Hiv Aids

Background: The prevalence of HIV/AIDS and HBsAg sero-positivity is very high in sub-Saharan African. There is a risk of horizontal transmission of these diseases amongst ophthalmic patients. Aim: To determine the proportion patients for eye surgery who are HIV/AIDS and HBsAg sero-positive at the National Eye Centre, Kaduna, Nigeria. Methods: Patients selected for eye surgery during a surgical camp at the National Eye Centre, Kaduna were counseled for Voluntary Counseling and Testing (VCT) and HBsAg to determine their viral status. Results: A total of 650 patients who were selected were screened. The distributions of the indications for selection were as follows: cataract 483 (74.3%); glaucoma 44 (6.8%) and pterygium 123 (18.9%). Two patients (0.2%) were found to be HIV seropositive while 11 (1.5%) were HbsAg positive. Conclusion: Pre-operative screening of all patients going for ophthalmic surgery for HIV and HbsAg may be desirable in our environment.

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