A sustainable comprehensive service through greater involvement of people living with HIV/AIDS in the HIV/AIDS management Program in Surakarta City of Indonesia

Abstract

This research aimed to find out the demographic, social and economic characteristics of people living with HIV/AIDS (PLWHA); stakeholders' knowledge, attitude, and behavior toward HIV/AIDS and people with HIV/AIDS; comprehensive and sustainable support and service, the application of Greater Involvement of People With HIV/AIDS (GIPA) as well as the contribution of stakeholders to the HIV/AIDS management program in Surakarta City. The research method employed was an exploratory one. The sampling technique used was purposive sampling one. The data collection was conducted using observation, in-depth interview, Focus Group Discussion, and documentation. Technique of analyzing data used was an interactive model of analysis. The result of research showed that in Surakarta, generally PLWHA were productive, male, heterosexual and working as employees, having medical problem and social culture such as developing opportunistic infection, antriretroviral (ARV) drug side effect, depression, experiencing discrimination, negative stigma, isolation by the family and society member. The stakeholders of sustainable and comprehensive service in dealing with HIV/AIDS in Surakarta City had good knowledge about HIV/AIDS, caring and responsiveness to the PLWHA. A comprehensive and sustainable support and service started during undertaking test; ARV drugs procurement, ethical and non-discriminatory treatment; opportunistic infection prevention and treatment; non-medical therapy and Peer-Group Support. GIPA program and activities through Peer Support Group included treatment consultation; drug compliance supervising service; home visit and hospital visit; socialization of HIV/AIDS to the community and sharing activity. The stakeholders contributed to the HIV/AIDS management program, particularly in the terms of program implementation policy, structure, and process, thereby it could run well through good cooperation, coordination and communication among the stakeholders on the basis of mutual interest and objective.