Antenatal care for pregnant women infected with hiv/aids in bonto bahari district, bulukumba regency, indonesia

Abstract

BACKGROUND: Cases of HIV transmission continue to increase in Bulukumba District. Of these cases, the most transmission is through sexual contact, which results from one person being transmitted to his family. Then integrated Antenatal Care (ANC) cannot be implemented in all Puskesmas, especially services for patients with HIV positive pregnant women. AIM: The purpose of this study was to determine the description of ANC in pregnant women infected with HIV/AIDS in Bonto Bahari District, Bulukumba Regency. METHODS: This study used a qualitative method with a phenomenological approach. Data were collected through in-depth interviews with snowballing sampling techniques. The number of informants was six people consisting of one key informant and five primary informants. Qualitative data analysis was carried out interactively through data reduction, display data, and verification processes. RESULTS: The knowledge of pregnant women about HIV was low. In areas where HIV-infected pregnant women live, the health service center is available such as a Public Health Centre (Puskesmas) that can be accessible. Pregnant women were looking for treatment at the Puskesmas around their area. Unfortunately, some pregnant women did not search for any treatment since they were afraid of their HIV status revealed by health workers and people in Puskesmas. At Puskesmas, they only obtained poor service and discriminated from other non-HIV pregnant women. Those pregnant women acquired support from the family emotionally, financially, and information support. However, some of them also had no support from their families after knowing their illness. CONCLUSION: Knowledge of HIV/AIDS by pregnant women with HIV positive was low. After realizing that their husbands were infected, they were furious and disappointed with their husbands. Besides, the health workers were not good at serving those pregnant women positively with HIV/AIDS. They tended to discriminate from other patients without HIV/AIDS. Family support for pregnant women was including emotional, financial, and information supports. The implication of this research is to increase health promotion in the form of counseling to increase public understanding of the importance of HIV/AIDS prevention education.