[논문]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

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

Journal of preventive medicine and public health = 예방의학회지, v.56 no.3, 2023년, pp.238 - 247

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

Abstract ▼ AI-Helper

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.

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표/그림 (4)

표 Table 1. Summary of the participants' age group and category
그림 Figure 1. Key challenges in the PMTCT program from the perspectives of patients with HIV, peer facilitators, and health workers. PMTCT, prevention of mother-to-child transmission; HIV, human immunodeficiency virus; ARV, antiretroviral; IEC, information, education and communication.
그림 Figure 2. Factors influencing individuals' knowledge, perception, acceptance, and motivation to adhere to human immunodeficiency virus (HIV) treatment.
그림 Figure 3. Mini-counseling by peer facilitators as a potential intervention to address psychosocial barriers in pregnant women with human immunodeficiency virus (HIV).

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