A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia

Artha Camellia; Plamularsih Swandari; Gusni Rahma; Tuti Parwati Merati; I Made Bakta; Dyah Pradnyaparamita Duarsa

doi:10.3961/jpmph.22.516

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자료유형: 학술저널

저자정보: Artha Camellia (Department of Health UNICEF Indonesia Jakarta Indonesia) Plamularsih Swandari (Department of Research and Community Centre AIDS Research Center Atmajaya University Jakarta Indon) Gusni Rahma (Department of Public Health STIKes Alifah Padang Padang Indonesia) Tuti Parwati Merati (Department of Internal Medicine Faculty of Medicine Udayana University Denpasar Indonesia) I Made Bakta (Department of Internal Medicine Faculty of Medicine Udayana University Denpasar Indonesia) Dyah Pradnyaparamita Duarsa (Department of Public Health Faculty of Medicine Udayana University Denpasar Indonesia)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제56권 제3호

발행연도: 2023.5

수록면: 238 - 247 (10page)

DOI: 10.3961/jpmph.22.516

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Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers’ knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services.Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants.Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs’ side effects; and the quality of health workers and HIV services.Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.

#Human immunodeficiency virus #Acquired immunodeficiency syndrome #Mini-counseling #Pregnant women with HIV #Peer facilitators

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