AIDS Prevention Programs Research Articles

Spatial-temporal distribution of newly reported HIV/AIDS cases in Henan Province, 1995-2020

Objective: To identify the spatial clustering and its temporal trends among newly reported HIV/AIDS cases in Henan Province during 1995-2020, and to provide evidence for strategies on prevention and control of the disease. Methods: Information about newly reported HIV/AIDS cases in Henan between 1995 and 2020 were obtained from China Information System for Disease Control and Prevention and to describe their demographic characteristics, spatial autocorrelation and changing trends. This program was conducted at county level, using the ArcGIS 10.2. Results: A total of 96 528 HIV/AIDS cases with complete current address information in counties (districts) were newly reported during 1995-2020 in Henan, and the spatial autocorrelation analysis showed that Global Moran's I index was 0.249, ZG value of the Global Getis-Ord G coefficient was 6.472 (all P<0.001), indicating that there was a high clustered positive spatial autocorrelation of HIV/AIDS. The newly reported HIV/AIDS cases from 1995 to 2000, 2001 to 2005, 2006 to 2010, 2011 to 2015, and 2016 to 2020 in Henan Province all exhibited high values of global spatial clustering. Their Moran's I indices were 0.197, 0.103, 0.491, 0.411 and 0.383, respectively. The ZG values of the Global Getis-Ord G coefficient were 4.580, 3.386, 10.246, 8.378 and 8.093, respectively. All of global spatial correlation were statistically significant (all P<0.001). The results of local spatial autocorrelation analysis showed that newly reported HIV/AIDS cases in Henan Province had high-high clustering areas at each time stage mentioned above. The number of high-high clustering counties/districts gradually increased from 6 in 2001-2005 to 21 in 2016-2020, spreading from Zhumadian City and Zhoukou City in southeast Henan to Nanyang City in southwest Henan, Zhengzhou City and its surrounding counties/districts in central Henan. Conclusions: In Henan Province, an increasing trend of clusters appeared on HIV epidemic among newly reported HIV/AIDS cases from 1995 to 2020, and high-high clustering areas gradually expanded from Zhumadian City and Zhoukou City to Nanyang City, Zhengzhou City and its surrounding counties/districts, indicating that it is necessary to strengthen the AIDS prevention and control programs in these areas in Henan.

Missionary Positions: How American Evangelicals Learned to Love Global AIDS Work, 1985–2005

Abstract: From the mid-1980s to mid-2000s, American missionaries conducted information campaigns across the United States to change US evangelicals’ perceptions of the AIDS epidemic and secure their support for global AIDS work. Drawing on colonial discourses about suffering foreign bodies and souls, missionaries conditioned US evangelicals to shift their feelings about AIDS from disgust to grief, which activated practices of compassion. Evangelicals then funded abstinence-only sex education courses packaged as AIDS prevention programs across the Global South. Missionaries’ messaging facilitated US evangelicals’ transformation in these decades from the most implacable foes of people with HIV/AIDS domestically to some of the biggest supporters of AIDS work internationally. Assessing US evangelicals’ changing attitudes about and involvement with the AIDS epidemic reveals how transnational religious networks linked US conservative political priorities to global health humanitarianism and how religious actors expanded American global power in a postcolonial context.

Perceptions of the Quality of HIV and AIDS-related Communication Materials among Key Population

Exploring the quality of communication materials from the perspectives of the target audiences is essential for the effectiveness of HIV and AIDS prevention programmes. In this context, a descriptive phenomenological study was carried out in Banke district of Nepal to explore the audiences’ perceptions of the quality of HIV and AIDS-related communication materials. In-depth interviews were carried out with nine participants selected through snowball sampling from sexual minority people and female sex workers. The participants were partially satisfied with the quality of the communication materials from the perspectives of attractiveness, credibility, empowerment, practical application, behaviour change and privacy. They were not satisfied with their quality from the perspectives of readability, sufficiency, comprehensibility and access. This study suggests that communication materials including precise and illustrative messages with familiar pictures, symbols and language should be easily available to the audiences maintaining privacy.

Peran Serta Masyarakat Dalam Upaya Pencegahan HIV AIDS Di Kelurahan Kalumpang

In Indonesia the development of the spread of HIV AIDS every year shows an increase. Many efforts have been made involving all stakeholders and even the community to reduce the rate of spread of this disease, but there is no sign that this epidemic will end. HIV AIDS prevention has been regulated through a Minister of Health Regulation, where the involvement of community participation in efforts to prevent and control HIV AIDS through AIDS Care Citizens. Objective: to empower the community through the establishment of WPA in support of the HIV AIDS prevention program at the sub-district level. Method: activities through training involving representatives of community leaders and youth. Result: establishment of WPA Kalumpang Village consisting of 20 representatives of community leaders (health cadres, RT) and youth. Conclusion: community empowerment through WPA to prevent HIV AIDS transmission and HIV AIDS prevention at the Kalumpang Village level.

Short-term Effect of Training in Increasing Midwives’ Knowledge, Attitudes, and Practices Related to HIV and AIDS Prevention

Introduction: The study aims to analyse the effect of the training intervention program on midwives’ HIV-related knowledge, attitudes, and practices in Central Java. The training focused on HIV epidemiology, transmissions, co-infections, PITC, risk contacts, and prevention of mother-to-child transmission (PMTCT). It was designed to improve midwives’ knowledge, positive attitudes, and HIV/AIDS prevention practices, including reducing fear and stigma concerning people living with HIV/AIDS (PLWHA). Material and Methods: This study employed a Quasi-experimental pre-post-test design. The respondents are 50 village midwives equally divided into experimental and control groups. Data were collected using a questionnaire adapted from WHO, and it included questions about participant demographic characteristics, knowledge, attitudes, and practices on HIV and AIDS prevention programs. Furthermore, training consists of lecturing, group discussion, simulation, conversation with PLWHA, and watching a film about HIV including practicum. Results: There was a positive effect on midwife knowledge, attitudes, and practices in the early detection of HIV cases for pregnant women and reproductive age groups and HIV/AIDS prevention programs. The improvement in knowledge, attitudes, and practices occurred significantly in the intervention compared to the control. The adjustment intervention effects were beneficial and statistically significant (p-value &lt;0.05), particularly the magnitude of the treatment effect for the knowledge score, which increased of 7.73% of the baseline mean knowledge. There was a significant association between knowledge and practices with a p-value of 0.002. Conclusion: Training midwives in HIV prevention was a beneficial program and positively impacted knowledge, attitudes, and practices. This study recommended the need for comprehensive training for village midwives, especially those related to their tasks in HIV prevention.

Implementation of Outreach and Mentorship Program of Pregnant Mothers in Prevention of Human Immunodeficiency Virus Transmission from Mother to Child in Rural Areas of Banyumas Regency

BACKGROUND : Outreach of pregnant women in the use of HIV testing is the target of prioritized HIV / AIDS prevention programs. Outreach of VCT services requires community social involvement in participating in efforts to detect early the spread of HIV / AIDS in their respective regions. The Banyumas District Government issued a policy of Citizens of AIDS Care to strengthen outreach and mentoring pregnant women in preventing HIV / AIDS transmission from mother to baby in rural areas of Banyumas District.&#x0D; AIM :The aim of the study is to describe the implementation of outreach and mentoring programs for pregnant women in the prevention of HIV / AIDS transmission from mother to baby in the rural areas of Banyumas Regency.&#x0D; METHODS: This study uses qualitative methods with a phenomenological approach. Research instruments use in-depth interviews. Research informants include, among others, AIDS care citizens, village midwives, village heads, community leaders, health cadres and pregnant women.&#x0D; RESULTS: The results showed that the implementation of outreach and mentoring programs for pregnant women in the prevention of HIV / AIDS transmission from mother to baby in rural areas of Banyumas District went well. The factors that drive the success of the program are the understanding of program implementers about the contents of the policy, individual communication methods carried out on pregnant women through prenatal checkups, counseling and classes of pregnant women as well as adequate communication intensity. Positive willingness and desire, as well as commitment from stakeholders at the village level to the program, clear Standard Operating Procedures on HIV / AIDS checks on pregnant women, as well as positive responses and adherence to pregnant women in the use of the program.&#x0D; CONCLUSIONS :The empowerment of the Caring AIDS Community's bureaucratic structure is not optimal in the program, even in some villages the organization has not been established as the main implementer of the program other than the village midwife.

HIV /AIDs Knowledge and Factors Associated with Uptake of Contraceptives among Child Bearing Women in Bungoma County, Kenya

Uptake of contraceptives is generally low in Kenya.The study carried an investigation into the relationship between HIV/AIDs related knowledge and contraceptive uptake among married child-bearing women aged 15-34 .Female condom (FC) is the only safe and effective female-initiated method that provides simultaneous protection against unintended pregnancy as well as sexually transmitted infections (STIs), including HIV/AIDS. Knowledge of FC use among women and the perceptions and attitudes towards condom use can contribute to its uptake as an important public health strategy for HIV prevention in Kenya. Despite its effectiveness, the female condom use among Child –bearing women in Kenya remains low. The results of the study identify high levels of AIDS-related knowledge among women in Kimilili Sub-county, Bungoma County, Kenya. Unfortunately, this knowledge is yet to translate into practical and more so increased condom use. It suggested that the use of rationale choice models in AIDS prevention programs may not be adequate to change people’s sexual behavior, especially in societies where the prevailing cultural practices and norms encourage large families and discourage use of contraceptives of any type. In such settings, there is need to find appropriate mechanisms that could help increase the use of all types of contraceptives. As contraceptive use increases, it is likely that the use of condoms for AIDs prevention and also family planning purpose would increase in Kenya.

The Determinants Perception Of Male Sex With Man (Msm) Concerning The Utilization Of VCT (Voluntary Counselling And Testing) HIV / AIDS In Dili Municipality, Timor-Leste

Background and objectives: The spread of HIV / AIDS is still a major worrying problem at this time, not a single country in the world is free from HIV / AIDS. WHO has set a target of 90-90-90 which is expected that by 2020, 90% of people living with HIV will know their status, 90% of all people diagnosed with HIV will receive continuous antiretroviral treatment and 90% of all people who receive antiretroviral treatment obtains HIV viral suppression. The Government of Timor-Leste in its efforts to tackle HIV / AIDS in the future by improving coordination between related sectors in the context of implementing AIDS prevention programs with the hope of achieving targets, namely zero new infection, zero AIDS related death and zero discrimination. This study aims to determine the determinants of the perception of MSM in the use of VCT.&#x0D; &#x0D; Methods: This study used a cross-sectional analytic survey design with men having sex with men (MSM) aged ≥ 18 years as respondents. The study was conducted in Dili Municipality, Timor-Leste. The sample was selected using the convenient sampling method with a total of 150 respondents. Data collected by interview method. Data analysis was performed using logistic regression to determine the Adjusted Odd Ratio of each variable.&#x0D; &#x0D; Results: The results showed that respondents who had tested in the last 1 year were 64.7% and respondents who had never tested in the last 1 year were 35.3%. The results of multivariate analysis with logistic regression showed that the variables associated with VCT utilization were perceived vulnerability (AOR = 14.761; 95% CI = 1.976-110.242; p = 0.009) and information sources (AOR = 0.038; 95% CI = 0.005-0.284; p = 0.001).&#x0D; &#x0D; Conclusion: Perceptions of vulnerability and sources of information are related to the use of VCT in MSM. So it is hoped that health workers will collaborate with NGO administrators to be more active in educating MSM regarding the importance of using VCT through VCT mobile services, using approaches through online media and direct counseling.

Qualitative analysis of financing HIV and AIDS program in Health Office of Jayawijaya District, Papua Province

ObjectiveThe purpose of this study is to see the financing of HIV and AIDS prevention programs in Jayawijaya District, Papua Province. MethodThis study used a qualitative research design with a case study approach. ResultsThe results of this study indicate that the source of HIV and AIDS prevention programs in the Jayawijaya Health Office comes from the Government (Special Autonomy Fund) and the State Budget (BOK Funds at Puskesmas) and assistance from international NGOs with a very large amount every year. ConclusionsThis study concludes that HIV and AIDS from the APBN and APBN data should be reviewed to improve with the decreasing number of donor agencies assisting in the Jayawijaya District. So that the HIV and AIDS program in Jayawijaya Regency, Papua Province, is reliable, balanced with a comprehensive coping program strategy.

Program for Optimizing the Role of WPA to Reduce the Stigma and Discrimination PLWHA in The Community

Stigma and discrimination remain significant obstacles in the management of HIV / AIDS prevention programs. The data shows there are stigma and discrimination within the health service, treatment is not going well. PLWHA tends to be ashamed and afraid to control or get medicine in the hospital, injustice to the provision of services, thus, low quality of care, and lack of respect for patients. The purpose of this study was to reduce the stigma and discrimination of HIV / AIDS patients in the community, through community empowerment programs. Long-term benefits were finding the right design to reduce stigma and discrimination toward HIV / AIDS patients, through community empowerment by integrating the concepts of social support, social networks, and social marketing. One group pretest-posttest design was used in this research. Seventy-five respondents were taken purposively. The intervention was "Optimizing Program of WPA's Role in reducing stigma and discrimination toward HIV AIDS patients in the community". The results showed that before and after the intervention, the average of community members did not have a negative attitude, did not perceived discrimination, and supported the equity. However, there were still hesitant and had a negative attitude within several community members to HIV / AIDS patient and the numbers decreased after the intervention. Based on the Wilcoxon signed-rank test, there were significant differences in negative attitudes, perceived discrimination, and support for equity before and after intervention with significance levels respectively p = 0.049, p = 0.006, and p = 0.000. Intensive coordination and evaluation of activities are needed to ensure the sustainability of the WPA Optimization program.&#x0D; &#x0D; Keywords: WPA optimization program; stigma; discrimination; HIV / AIDS

Desentralisasi Pelaksanaan Program Penaggulangan HIV/AIDS di Kota Makassar

The availability of qualified and professional health human resources (HRH) will greatly determine the success of implementing decentralization. This study aims to examine decentralization in the HIV / AIDS prevention program in Makassar City. This study uses a qualitative research method with a case study design. The informants in this study were the Chairperson of the Provincial AIDS Commission (KPAP) of South Sulawesi Province, the holder of the HIV-AIDS program at the Puskesmas, and the Head of the NGO organization concerned with HIV-AIDS in Makassar. The selection of informants in this study used the snowball technique. The data analysis technique in this study used qualitative data analysis. The results showed that human resources for the HIV / AIDS program in Makassar City had been fulfilled and were in accordance with the qualifications consisting of doctors, nurses, laboratories, pharmacists, and public health workers. Community empowerment in HIV / AIDS prevention has been running so that cadres are formed in the field but this empowerment has not been maximized in its implementation. In order for the decentralization of the HIV / AIDS prevention program to run optimally, stakeholder cooperation is needed in its implementation to run well to reduce cases of HIV / AIDS in Makassar City and it is necessary to strengthen the role of community empowerment in preventing the spread of HIV / AIDS cases. Keywords: Decentralization, Prevention Program, HIV / AIDS, Makassar City

Outlining Gay's Right to Health in Jember, Indonesia: Challenges and Opportunities

Increased HIV prevalence in gay populations is a warning that needs to get government attention. AIDS prevention programs in gay populations have been implementing various methods to change high-risk behavior. However, HIV prevalence in gay populations continues to rise. The Indonesian Constitution affirms human rights, including the right to life, the right against discrimination, and other fundamental rights protected by the state. The research results showed that the fulfillment of the right to health in gay is not going well or less effective. It was evidenced by the percentage of gay that reaches out to health services was still limited. Gays were reluctant to access health services because of the lack of confidentiality and privacy of the services of health workers, the general public, and the limited facilities. Besides, stigma and discrimination are still often received both from health workers and families and communities. They worried other gays would know the result of the test of VCT. There is a need for standardization of services at all subdistrict health centers and hospitals providing VCT services for gay in Jember.&#x0D; KEYWORDS: Constitutional Rights, Human Rights, the Right to Health.

Efektifitas Video Berdialek Bahasa Jambi untuk Meningkatkan Pengetahuan tentang Penyakit HIV/AIDS pada Remaja di SMAN 8 Kabupaten Muaro Jambi

The highest cumulative proportion of HIV / AIDS cases is at the age of 20-29 years (32.5%), 30-39 years (30.7%), 40-49 years (12.9%), 50-59 years (4.7 %), and finally 15-19 years of age (3.2%). This data indicates that adolescents 15-29 years are a vulnerable population and need to be targeted in the HIV AIDS prevention program in Indonesia and provide an illustration that adolescents need correct health information so as not to be infected by HIV. This study aims to improve adolescent knowledge through health education using video media. This research is a quasi-experimental research (quasi-experiment) that is providing health education about HIV / AIDS using video media. The videos used in this study are conventional HIV / AIDS videos and Jambi HIV / AIDS video dialogue. Data analysis uses bivariate analysis of T test for unpaired groups. The results showed that the average knowledge of students about HIV / AIDS after being given health education using Conventional Video media in SMA Negeri 8 Murao Jambi Regency in 2018 was 64.24. While the average knowledge of students about HIV / AIDS after being given health education using the Jambi Language Dialogic Video media in SMA Negeri 8 Muaro Jambi in 2018 was 76.44. There is a significant difference between respondents' knowledge given health education using conventional video media and using the Jambi Language Dialogic video media (p-values 0.00 and α 0.05). This means that the use of the Jambi Language Dialogic Video media is more effective than the Conventional Video media in providing information about HIV / AIDS to students of SMA Negeri 8 Muaro Jambi Regency in 2018.

Knowledge and Attitudes of Health Care Team towards AIDs Patients at Assiut Fever Hospital

Background: Health-care professionals occupy a potential forefront position in HIV/ AIDS prevention programs and the management of AIDS patients. Aim of the study: to assess knowledge and attitudes of health care team at Assiut Fever Hospital towards AIDs Patients. Material and Methods: A cross sectional study was conducted at Assiut Fever Hospital. A convenient sample of 202 of health care team participated in the study. Self-administered questionnaire used for data collection it include three sections; 1- socio-demographic characteristics. 2- Questions regarding knowledge about AIDs. 3- Attitudes of health care team towards AIDs Patients. Results: the study revealed that 66.3% of studied participants were females, 47% had ten years or more, 56.4%of the studied health care team had attending training about AIDs, while 73.3% of them are dealing with AIDS patients as a part of work.44.6% of studied health care team had good knowledge about AIDS and 63.9% of them had negative attitude towards AIDS patients. Conclusions: Although the health care team had a good level of knowledge; they had negative attitudes towards AIDs Patients. Recommendation: Continuing in-service trainings on HIV/AIDS for health care team is needed.

Roles of role players in the implementation of school-based human immunodeficiency virus and acquired immunodeficiency syndrome prevention programmes in local high school settings.

BackgroundWorldwide, a large proportion of all new HIV infections occur in people under the age of 25. HIV and AIDS remain the leading cause of deaths among adolescents in sub-Saharan Africa and second leading cause of death globally. Preventing new HIV infections and AIDS-related deaths are at the heart of South Africa’s National Strategic Plan on HIV and AIDS, STIs and TB 2017-2022.AimsExplore and describe the roles of the local role players in the implementation of the school-based HIV and AIDS prevention programmes in local high school settings.SettingsThe study was conducted in the Bushbuckridge local municipal area in Mpumalanga Province.MethodsA qualitative, explorative, descriptive design and contextual study was used. Individual interviews and focus group interviews were conducted with the purposively selected participants from the clinic, health centre, high schools and community members. Data was analysed using Tesch’s method of data analysis.ResultsAlthough all the local role players were found to have important roles to play in the implementation of the school-based HIV and AIDS prevention programme, gaps exist in the rendering of youth friendly services (YFS); accessible clinic times; HIV and AIDS education; life skills education; Life Orientation (LO) and health education; information sessions; counselling; school health programmes; campaigns as well as collaborative working strategy.ConclusionSuccessful development and collaborative implementation of the school-based HIV and AIDS prevention programme can result in significant changes in knowledge and attitudes that affect sexual behaviour of young people, leading to significant decrease in HIV infection among young people.

Integrasi Program Pencegahan HIV/AIDS melalui Transmisi Seksual ke dalam Sistim Kesehatan di Kota Kupang

Background: HIV and AIDS prevention efforts in Indonesia could not be denied that it is still influenced by global health initiatives. As global initiatives continue to decline, efforts to integrate HIV and AIDS programs into the framework of the national health system are both challenges and hopes for achieving program effectiveness and sustainability. This study aims to explore how far the integration of HIV transmission program through sexual transmission into the health system contributes to the effectiveness of programs at the Kupang City level. Method: The method used in this research is qualitative analysis with case study design as an effort to understand more deeply the relationship between the integration and effectiveness of AIDS prevention program. In this study the 'case' chosen was HIV prevention programs through sexual transmission for Female Sex Workers. Results: The results of the study showed that in the prevention of HIV transmission programs through sexual transmission as many as five sub-systems of health were partially integrated, including sub-systems of management and regulation, health financing, human resource management, provision of pharmaceuticals and medical devices and sub-systems for community participation management, while the strategic information sub sub-system is not integrated in the health system. The integration of some sub-systems into the health system does not contribute to the effectiveness of the program. Therefore, it was necessary to strengthen each sub-systim, especially in regions ranging from regulation, planning and budget including human resources to increase regional independence and not rely on foreign funds for the implementation of HIV prevention programs through sexual transmission, besides that it also increases collaboration with stakeholders.

Perception, Awareness, Knowledge, Attitude and Practices of Prevention, Control and Management of HIV and AIDS Amongst Online Persons Seeking Sexual Partners in Kenya

The current study was carried out to assess the level of perception, awareness, knowledge, attitude and practice (PAKAP) towards HIV and AIDS scourge amongst sexually active online partners through Nation Media Company in Kenya. The data obtained from 820 advertisements (equivalent to 820 field respondents) while considering their educational levels, age, ethnicity, socio-economic backgrounds etc were utilized. The Pearson Chi-Square and Fisher’s Exact Tests were used to analyze data. Results showed that persons involved had a statistically significant perception towards HIV and AIDS (p < 0.05). Knowledge and awareness of HIV and AIDS were significant by level of education and economic status and not by gender, age, marital status, type of relationship sought and getting children before marriage. Attitude towards HIV and AIDS was significant by level of education (p < 0.05) and not by gender, age, economic status, marital status, type of relationship sought and getting children before marriage (p > 0.05). Practices to manage, control and prevent HIV and AIDS were significant by gender (p = 0.01) and not by age, level of education, economic status, marital status, type of relationship sought and getting children before marriage (p > 0.05). Since the results indicated PAKAP was significant (p < 0.05), efforts should be made by all stakeholders in HIV and AIDS management, control and prevention programmes to equally target persons dating through social media in order to have a wider coverage for this kind of dating is increasingly becoming the most common practice amongst the sexually active group.

Comprehensive AIDS prevention programs in prisons: A review study

Objective Since prisoners may acquire AIDS and transmit HIV because of highly risky behaviors, implementation of educational and therapeutic programs is important in decreasing the prevalence of AIDS and transmission of HIV. This study was conducted to recognize different types of interventions and compare their effectiveness regarding prevention of AIDS and its control in prisons. Methods The ISI, PubMed, Google Scholar, databases were searched with use of “AIDS,” “prison,” “HIV,” and “incarceration” as keywords from January 2000 to March 2017, with access to free full text and English language as limitations. Related articles, including observational, epidemiological, case, and interventional studies, were extracted and those inconsistent with the study’s goals were excluded. Results Forty-three studies were finally selected. The effectiveness of interventions related to AIDS prevention and control in prisons was studied. Conclusion It seems that theory-based studies conducted with stakeholders participation and evaluated summatively are more successful, because they give a sense of ownership. In addition, considering prison as a setting can lead to more success of these programs.

Sustainability Capacity of HIV Programs in National Capital Region, Philippines

&lt;span lang="EN-US"&gt;Across all the regions in the Philippines, the National Capital Region (NCR) got the highest percentage (37%) for HIV newly diagnosed cases based from the July-August 2017 HIV/AIDS and ART Registry of the Philippines’ report. The National HIV, AIDS, and STI Prevention and Control Program (NASPCP) of the Department of Health (DOH) lead the different health services in the prevention of HIV transmission. Anchored with the NASPCP, different HIV programs of DOH’s selected partner institutions and organizations within NCR continuously exist. However, due to the increase on the number of newly diagnosed HIV cases in the country, ensuring its sustainability through assessing the different domains of their program was in need to be studied. This article was based from an undergraduate thesis study which aimed to assess the sustainability capacity of HIV programs among DOH’s selected partner institutions and organizations within NCR, Philippines, scoping the eight domains specifically the environmental support, funding stability, partnerships, organizational capacity, program evaluation, program adaptation, communications, and strategic planning. The study used a quantitative approach; 17 government institutions specifically city health offices and 13 non-government HIV-related organizations for a total of 30 respondents. Survey method was utilized using the standardized Program Sustainability Assessment Tool adapted from the Washington University in St. Louis. Based from the results and findings of the study, generally, all the domains were leaning either in great and greater extent as verbally interpreted. From the conclusion, all the domains of the HIV programs of the respondents were sustainable. However, the study recommended to the DOH and all the HIV program implementers the developed and proposed narrative-type action plan. By that means, future researchers can assess again and see if the NCR achieved the vision of the Health Sector Plan for HIV and STI for the year 2015-2020 to have zero new infections, zero discrimination, and zero AIDS-related deaths.&lt;/span&gt;

The Difference Of The Results Of Tests To Diagnose VCT Counselor ln The Examination Of HIV In Public Health Office Turen

Background: A person's HIV-positive status can only be proven by a voluntary blood test conducted by VCT (Voluntary Counseling and Testing). Communities can only know if PLWHA discloses HIV positive status to counselor with confidentiality. VCT is a major component in HIV / AIDS prevention programs, will now VCT has not been a great strategy in developing countries including Indonesia in particular. Voluntary enthusiasm factors have been the determinants of the current low VCT visits, and the diversity of results to diagnose HIV-infected HIV-AIDS is still “tabu” and disgrace of condemnation by society is also one of the supporting factors. The purpose of this study was to determine differences in the conformity of the results of the examination of counselors in VCT examination to diagnose HIV. Methods: The research design uses categorical comparative analysis with sampling technique using purposive sampling. The number of research subjects consisted of 4 counselors who were in Puskesmas Turen. The results of the study by comparing the results of interviews and observations between VCT counselors. Results: Based on the test results with Kappa test, the value of Kappa coefficient = 0.39 means that the agreement observed by the counselor between 39% between the perfect agreement. The conclusion in this research is the suitability of kappa test result among VCT counselor examination. Conclusion: The nursing implication in this research is that counselors are expected to verify data verification and validation of other counselor checkers to ensure a predetermined HIV diagnosis.