Title:
Health Systems’ Supply and Demand Side Factors that Influence Access to Continuum of HIV Care Services among the General Population in Papua, Indonesia
Authors:
Supriyadi, Meytha Nurani
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
x, 33
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
HIV, ART, testing, treatment, adherent
Abstract:
Background: The generalized epidemic occurred in Papua, Indonesia, with prevalence of 2.4% compared to 0.4% at national level. The government has a challenge in access of the HIV Continuum of Care (CoC) services. PLHIV who were diagnosed were 33%, 17% enrolled on ART and 7% was adhere. This study identify the influence factors from supply and demand side that contribute access to CoC services in Papua and provide recommendations on effective interventions. Method: Literature and desk review were used for this study. Ecological and WHO health system building blocks were also used as part of methodology. Result: It was identified that many Papuan has low HIV knowledge and high traditional beliefs about sickness and HIV treatment. Patriarchy culture, stigma and discrimination from family, community and health workers still exist and affected Papuan to access of COC cervices. Lack capacity of HIV care and limited number of health give contribution to the low number of COC attendance. The dissolution of NAC and discontinue of the international fund by 2017 become a big challenge for the GOI to respond HIV epidemic in the futre. Four intervention was identified to respond the main barrier of COC: gender and stigma response, capacity building for health workers, community health worker involvement, and increase local HIV budget allocation at district level. Conclusion and Recommendation: The low access of CoC in Papua were influenced by two factors, 1) demand side: low knowledge and attitude about HIV, stigma and discrimination, and 2) supply side: lack of HR capacity and resource allocation. Integrate the SGBV component into the HIV program, increase capacity CHW through church, increasing local budget allocation for the HIV program, research access and effectiveness, anthropological study.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Indonesia
Region:
Southeast Asia
Training:
Mater of Public Health
Category:
Research
Right:
@ 2017 Supriyadi
Document type:
Thesis/dissertation
File:
aBupEo3MT3_20180412150348912.pdf