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Abstrak :
Penerapan model pelayanan sosial penyandang HIV-AIDS berbasis masyarakat merupakan replikasi dari model yang telah ditemukan sebelumnya melalui uji coba. Tujuan penerapan model ini adalah untuk memantapkan model yang telah ditemukan tersebut, agar lebih memiliki nilai aksesibilitas dan aksesibilitas dan akseptabilitas, sehingga dapat dimanfaatkan oleh siapapun sebagai media untuk memberikan pelayanan terhadap penyandang HIV-AIDS....

Abstrak :
HIV/AIDS epidemic in Indonesia has been taken place for more than 15 years and still be prolonged because of the determinant factors that easily transmission of the disease. An effort to prevention HIV/AIDS trnasmission program is to promote information to individual as well as communities, which spwcial attention to certain characteristic.

Abstrak :
In the developing countries, millions of HIV positive-infected women of childbearing age are currently not using contraceptive to delay or terminate pregnancy. Prevention of unintended pregnancy among HIV positive-infected women is very important to improve these women and their baby`s quality of life. This study aimed to analyze factors related to the unmet need among HIV positive-infected women of childbearing age. This study used cross-sectional method with 130 samples taken consecutively. This study was conducted on March 24 to June 30, 2015 at Mawar Clinic in Bandung City. Interviews using a questionnaire were performed to collect data that were then analyzed by using chi square test and multiple logistic regression. The results showed that desire to have children (OR= 2.67; 95%CI= 1.034 - 6.891, husband`s support (OR= 7.803; 95%CI = 2.037 - 29.884) affected the unmet need and husband`s HIV status (OR= 0.168; 95%CI= .064 - 0.44) had lower effect to the unmet need. The husband`s support was found as the most influential factor to the unmet need in this study. The husband`s role is important in reducing the unmet need among the HIV positive-infected women, so that contraceptive counseling in pair should be performed.

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Jutaan wanita usia subur (WUS) dengan HIV positif di negara berkembang saat ini tidak menggunakan kontrasepsi untuk menunda atau mengakhiri kehamilan. Pencegahan kehamilan yang tidak diinginkan pada WUS dengan HIV positif sangat penting untuk meningkatkan kualitas hidup ibu dan anak. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berpengaruh terhadap unmet need pada WUS dengan HIV positif. Metode penelitian adalah cross sectional dengan sampel berjumlah 130 WUS dengan HIV positif yang diambil secara consecutive sampling. Penelitian dilakukan pada 24 Maret - 30 Juni 2015 di Klinik Mawar Kota Bandung. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner, kemudian data dianalisis dengan uji kai kuadrat dan regresi logistik ganda. Hasil penelitian menunjukkan bahwa keinginan memiliki anak dengan OR= 2,67 (CI 95%= 1,034 - 6,891), dukungan suami dengan OR= 7,803 (CI95%= 2,037 - 29,884) berpengaruh terhadap unmet need dan status HIV suami dengan OR= 0,168 (CI95%= 0,064 - 0,44) berpengaruh lebih rendah untuk terjadi unmet need. Dukungan suami merupakan faktor yang paling berpengaruh terhadap unmet need. Peran suami merupakan faktor penting untuk menurunkan angka unmet need pada WUS dengan HIV positif sehingga disarankan untuk dilakukan konseling kontrasepsi berpasangan.

Abstrak :
Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p = 0.033; OR = 2.762) with risky sexual behavior. No significant relationship was noted between income (p = 0.244), knowledge (p = 0.110), attitude (p = 0.978), drug use (p = 0.150), alcohol consumption (p = 0.642), and sexual violence (p = 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities.

Abstrak :
Latar Belakang : Infeksi Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) merupakan penyakit imunodefisiensi sekunder terbanyak dan masih merupakan masalah kesehatan penting di dunia. Terapi antiretroviral (ART) diharapkan dapat mengurangi angka kejadian baru dan angka kematian karena HIV/AIDS. Data untuk mengevaluasi keberhasilan ART, gambaran pola viral load (VL) sebagai respos ART serta faktor-faktor yang memengaruhi keberhasilan terapi belum ada di Indonesia. Metode : Penelitian kohort retrospektif, memakai data rekam medis di Poliklinik Alergi-Imunologi Anak RSCM Jakarta sejak Juli 2003 sampai September 2022 pada anak sampai usia 18 tahun yang terdiagnosis HIV dan minimal mempunyai 3 hasil pemeriksaan VL. Hasil : Terdapat 137 anak yang memenuhi kriteria inklusi dan eksklusi. Keberhasilan ART setelah 12 bulan terapi sebesar 50,36% dan setelah 24 bulan terapi sebesar 64,23%. Pola VL terbanyak sebagai respons ART adalah Pola VL tersupresi 48,2%, kemudian early viral failure sebesar 34,3%, persistent low level viremia sebesar 15,3%, 1,5% sebagai viral failure dan 0,7% sebagai viral blips. Faktor-faktor yang memengaruhi keberhasilan terapi setelah 12 bulan terapi secara bermakna adalah status nutrisi baseline gizi baik dengan RR : 2,15 (IK 95% : 1,07-2,59) nilai p : 0,026. Setelah 24 bulan terapi adalah status nutrisi baseline gizi baik dengan RR 1,66 (IK 95% 1,09-1,86) dengan nilai p : 0,024. Kesimpulan : Keberhasilan terapi ARV setelah 12 bulan 50,36% dan 64,23% dicapai setelah 24 bulan. Faktor-faktor yang memengaruhi keberhasilan terapi secara bermakna pada 12 bulan dan pada 24 bulan adalah status nutrisi baseline gizi baik. Pelaksanaan pemeriksaan VL untuk diagnostik dan pemantauan terapi ARV memerlukan dukungan ketersediaan fasilitas diagnostik yang konsisten. Didapatkan 3 pola VL terbanyak adalah virus tersupresi, early viral failure dan persistent low level viremia. ......Background : Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS is still main health problem in the world. The use of antiretroviral therapy (ART) is expected to reduce new cases, and mortality of HIV/AIDS. Data to evaluate the success of ART, description of Viral Load (VL) patterns in response to ART and factors that affected VL suppression doesn’t yet exist in Indonesia. Methods: A retrospective cohort study, using medical record at the Pediatric Allergy-Immunology outpatient clinic RSCM Jakarta from July 2003 to September 2022 in children up to 18 years of age who were diagnosed with HIV and had at least 3 VL test results Results: There were 137 children who met the criteria. The success of ART after 12 months was 50.36% and after 24 months was 64.23%. The highest VL pattern in response to ART was a suppressed VL pattern of 48.2%, then early viral failure of 34.3% and persistent low-level viremia of 15.3%, viral failure of 1.5% and 0.7% as viral blips. Factors that significantly affected the success of therapy after 12 months of therapy was good nutritional status RR 2.15 (95% CI : 1.1-4.2) p : 0.026. After 24 months of therapy was good nutritional status with RR 1.66 (95% CI : 1.07-2.59) p : 0.024. Conclusion: The success of therapy after 12 months was 50.36% and 64.23% after 24 months. Factors that affected the success of therapy at 12 months and 24 months of therapy was good nutritional status. The VL examination as confirmation of the diagnostic and success of therapy required consistent diagnostic tools availability. It was found 3 most patterns of VL was virus suppression, early viral failure and persistent low level viremia.

Abstrak :
Latar belakang: Orang dengan HIV (ODHIV) termasuk dalam populasi risiko tinggi untuk terjadi COVID-19 derajat berat. Vaksinasi merupakan salah satu modalitas penting dalam melawan penyakit ini akibat ketiadaan terapi yang efektif. Tujuan: Mengetahui intensi penerimaan vaksin COVID-19 pada orang dengan HIV berbasis integrated behavior model. Metode: Penelitian ini melalui dua fase,kualitatif dan kuantitatif. Pada fase kualitatif, kuesioner berbasis IBM dibuat berdasarkan hasil in-depth interview. Penelitian dilakukan di RS Cipto Mangunkusumo, RS Kramat 128, dan RS Kanker Dharmais dari September sampai Desember 2021. Kriteria inklusi adalah ODHIV ≥ 18 tahun dan eksklusi tidak dapat membaca atau menulis dan tidak mengisi kuesioner secara lengkap pada bagian IBM. Pengambilan data berbasis kertas atau dalam jaringan dengan metode acak sederhana. Analisis korelasi dan regresi linier dengan SPSS 25. Hasil: Dari total 470 partisipan, 75,6% pasien ingin melakukan vaksin. Model yang telah dibuat dapat menjelaskan 43,4% varians pada intensi untuk melakukan vaksinasi COVID-19 pada ODHIV (adjusted R2 = 0,434). Sebagai tambahan, determinan yang bermakna adalah sikap instrumental (B = 0,006, p < 0,05), norma yang dirasakan (B = 0,026, p < 0,01), dan kendali yang dirasakan (B = 0,019, p = 0,008). Kesimpulan: Integrated Behavior Model dapat memprediksi intensi ODHIV untuk melakukan vaksinasi COVID-19. ......Background: People Living with HIV (PLHIV) are considered a high-risk population for severe COVID-19. Vaccination is an important modality in combating this disease due to the lack of effective therapies. Objective: To determine the intention of COVID-19 vaccine acceptance among people with HIV based on the Integrated Behavior Model (IBM). Method: This study went through two phases, qualitative and quantitative. In the qualitative phase, an IBM-based questionnaire was developed based on the results of in- depth interviews. The research was conducted at Cipto Mangunkusumo Hospital, Kramat 128 Hospital, and Dharmais Cancer Hospital from September to December 2021. Inclusion criteria were PLHIV ≥ 18 years old, and exclusion criteria were individuals who were unable to read or write and did not complete the IBM questionnaire fully. Data collection was done on paper or online using a simple random sampling method. Correlation and linear regression analyses were performed using SPSS 25. Results: Out of a total of 470 participants, 75.6% of patients expressed the intention to receive the vaccine. The developed model could explain 43.4% of the variance in the intention to receive the COVID-19 vaccination among PLHIV (adjusted R2 = 0.434). Additionally, significant determinants were instrumental attitude (B = 0.006, p < 0.05), perceived norm (B = 0.026, p < 0.01), and perceived control (B = 0.019, p = 0.008). Conclusion: The Integrated Behavior Model (IBM) can predict the intention of PLHIV to receive the COVID-19 vaccination.