GAMBARAN KEINGINAN KELOMPOK LELAKI SEKS LELAKI DALAM MEMANFAATKAN KLINIK VOLUNTARY COUNSELLING AND TESTING DI PUSKESMAS CIPUTAT

Kamila Rahmadiah, Fajar Ariyanti
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Abstract

Background: Men Who Have Sex with Men (MSM) is a high-risk group of people getting infected with HIV/AIDS due to their multiple sexual partner behaviour and their anal intercourse practices. The MSM group is the highest risk factor for HIV new cases in Indonesia. The VCT (Voluntary Counselling and Testing) clinic is the main entrance to HIV/AIDS prevention, maintenance, support, and treatment services. However, the MSM group that utilizes VCT clinic in Ciputat subdistrict decreased from the previous year. Objective: The purpose of this research was to thorouglhly identify about the overview of the intention of men who have sex with men groups in utilizing voluntary counselling and testing clinic in Ciputat public health center. Method: This research was a descriptive qualitative research using the case study method, which was conducted in February-November 2019 in the working area of the Ciputat public health center. The main informants were homosexual or bisexual groups, who were selected by purposive sampling. Data validation used source triangulation, and data were analyzed by content analysis. Result: The results showed that most of the informant had no intention to utilize the VCT clinic in Ciputat public health center, low knowledge of HIV/AIDS and VCT clinic, low susceptibility of perception and self-efficacy. All informants had barriers, high perception of severity, perception of good benefit, and quite large cues to act. Conclusion: The majority of informants had no intention to utilize the VCT clinic due to low knowledge of HIV/AIDS and VCT clinic. Public health center and NGOs are recommended to collaborate in increasing knowledge of community on HIV/AIDS and VCT clinic.
背景:男男性行为者(MSM)是由于其多个性伴侣行为和肛交行为而感染艾滋病毒/艾滋病的高危人群。在印度尼西亚,男同性恋群体是艾滋病毒新病例的最高风险因素。自愿咨询和检测(VCT)诊所是艾滋病毒/艾滋病预防、维持、支持和治疗服务的主要入口。然而,在Ciputat街道利用VCT诊所的MSM群体比前一年有所减少。目的:本研究旨在全面了解北京市公共卫生中心男男性行为人群利用自愿咨询检测诊所的意向概况。方法:本研究采用案例研究法,于2019年2 - 11月在市公共卫生中心工作区域进行描述性定性研究。主要调查对象为同性恋或双性恋人群,采用有目的抽样的方法。数据验证采用源三角法,数据分析采用内容分析法。结果:调查结果显示,大部分被调查者不打算利用公共卫生中心的VCT门诊,对HIV/AIDS和VCT门诊的认知程度较低,感知和自我效能感的易感性较低。所有的举报人都有障碍,对严重性的认知程度高,对良好利益的认知程度高,对行动的暗示也很大。结论:大部分被调查者对HIV/AIDS和VCT门诊的认知程度较低,不打算利用VCT门诊。建议公共卫生中心和非政府组织合作,提高社区对艾滋病毒/艾滋病的认识,并开展志愿ct诊所。
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