DOI: https://doi.org/10.14710/jpki.12.2.209-228

Praktik Dokter Dalam Pemberian Pelayanan Kesehatan Pada Pasien HIV dan AIDS di Rumah Sakit Rujukan di Kota Semarang

*Miralda Septri Dewi  -  Alumni Magister Promosi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Zahroh Shaluhiyah  -  Magister Promosi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Antono Suryoputro  -  Magister Promosi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Open Access Copyright (c) 2018 JURNAL PROMOSI KESEHATAN INDONESIA

Citation Format:
Abstract

Background: Semarang City had a highest cases of HIV and AIDS in Central Java. In order to provide health care service for People with HIV and AIDS (PLWHA), three from the five designated hospitals were actively providing Care, Support and Treatment (CST) as a referral hospital for PLWHA in Semarang City. HIV-related discrimination is one of the barrier in the response to HIV and AIDS that influenced PLWHA to seek HIV treatment and lost of HIV treatment because they were afraid of getting stigma and discrimination in health care facilities. Some research have indicated that there were stigma and discrimination by health workers, including doctors. This study aims to find out doctors practices in providing health care to patients with HIV and AIDS in a referral hospital in Semarang City.

Method: This study used qualitative methods. The data collecting used indepth interview. The data was collected from 13 doctors as a primary informants and triangulation with 3 HIV team leader.

Results: The results showed that the majority of doctors practice was good, they did not discriminate when providing care or treatment to patients with HIV and AIDS. However, there were still a some doctors who discriminate when providing care for patients with HIV and AIDS such as the use of Personal Protective Equipment (PPE) was more strictly when dealing with patients of PLWHA like using double gloves. Most doctors have a good knowledge and positive attitudes towards HIV and AIDS. However, there were some doctors who has less understanding of HIV and AIDS.

Keywords : doctor practice, HIV and AIDS patients, hospitals 

Fulltext View|Download
Keywords: doctor practice, HIV and AIDS patients, hospitals

Article Metrics:

Article Info
Section: Research Article
Recent articles
Hubungan Pengobatan Antiretroviral dengan Stres pada Orang Dengan HIV/AIDS Di Rumah Singgah X Kota Jayapura Tahun 2016 Analisis Faktor Yang Mempengaruhi Persepsi Tentang Kondom Pada Kalangan Pria Beresiko Di Malang Jawa Timur Peningkatan Pengetahuan dan Ketrampilan Kader Pemantauan Tumbuh Kembang Balita di Posyandu dengan Metode BBM dan Mind Mapping (MM) More recent articles
Most cited articles
Pengaruh Perilaku Menggosok Gigi terhadap Plak Gigi Pada Siswa Kelas IV dan V di SDN Wilayah Kecamatan Gajahmungkur Semarang Niat Tenaga Kerja Indonesia (TKI) di Jawa Tengah Dalam Upaya Mencegah Tertular HIV dan AIDS Kepercayaan Masyarakat terhadap Penolong Persalinan di Wilayah Halmahera Utara Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari Perbedaan Efektifitas Metode Demonstrasi Dengan Pemutaran Video Tentang Pemberantasan DBD Terhadap Peningkatan Pengetahuan Dan Sikap Anak SD Di Kecamatan Wedarijaksa Kabupaten Pati More cited articles
  1. Alexander R and Fitzpatrick J. Variable Influencing Nurses’ Attitudes Towards AIDS and AIDS Patients. AIDS Care. 1991;5(6):315-20
  2. Andrewin A, Chien LY. Stigmatization of Patients with HIV/AIDS among Doctors and Nurses in Belize. AIDS Patient Care and STDs. 2008;22(11):897-906
  3. Bradley J, et al. Changes in HIV Knowledge, and Socio-Cultural and Sexual Attitudes in South India from 20032009. BMC Public Health. 2009;11(Suppl.6):S12
  4. Chase E and Aggleton P. Stigma, HIV/AIDS and Prevention of Mother To Child Transmission : A Pilot Study in Zambia, India, Ukraine, and Burkina Faso. UNICEF. London. 2001
  5. Cock KMD, Mbori-Ngacha D and Marum E. Shadow on the continent : Public Health and HIV/AIDS in Africa in the 21st century. The Lancet. 2002;360(9326):67-72
  6. Deacon H, Stephney I, and Prosalendis S. Understanding HIV/AIDS Stigma: A Theoritical and Methodological Analysis. HSRC Press. Cape TownSouth Africa. 2005
  7. Dinas Kesehatan Kota Semarang. Laporan Situasi HIV AIDS di Kota Semarang 2013. Dinas Kesehatan Kota. Semarang. 2014
  8. Dinas Kesehatan Kota Semarang. Profil Kesehatan Kota Semarang 2013. Dinas Kesehatan Kota. Semarang. 2014
  9. Graeff JA, Elder JP, and Booth EM. Komunikasi untuk Kesehatan dan Perubahan Perilaku. Gadjah Mada University Press. Yogyakarta. 1996
  10. Glanz K, Rimer BK, and Lewis FM. Health Behavior and Health Education: Theory, Research, and Practice. Jossey-Bass, San Fransisco, 2002
  11. Green LW, Kreuter, and Marshal W. Health Promotion Planning An Educational and Environmental Approach 2nd Edition. Mayfield Publishing Company. Mountain View-TorontoLondon. 2000
  12. Harapan H, Feramuhawan S, Kurniawan H, Anwar S, Andalas M, and Hossain MB. HIV-related Stigma and Discrimination: A Study of Health Care Workers in Banda Aceh, Indonesia. Med J Indones. 2013;22(1):22-29
  13. Harapan H, et al. Discriminatory Attitudes Toward People Living With HIV Among Health Care Workers in Aceh, Indonesia: A Vista From A Very Low HIV Caseload Region. Clinical Epidemiology and Global Health. 2013;08(001):1-8
  14. Herek GM, Capitanio JP and Widaman KF. HIV-Related Stigma and Knowledge in the United States: Prevalence and Trends, 1991–1999. American Journal of Public Health. 2002;92(3)
  15. International Labour Organization & World Health Organization. Pedoman Bersama ILO/WHO Tentang Pelayanan Kesehatan dan HIV/AIDS
  16. Direktorat Pengawasan Kesehatan Kerja. Jakarta. 2005. Kementerian Kesehatan RI. Statistik Kasus HIV/AIDS di Indonesia: dilapor sampai dengan Juni 2013. Diakses melalui:URL: spiritia.or.id/Stats/StatCurr.pdf diakses pada Maret, 2014
  17. Kementerian Kesehatan Republik Indonesia. 2012. Keputusan Menteri Kesehatan Republik Indonesia Nomor 451/ Menkes/ SK/ XII/ 2012 tentang Rumah Sakit Rujukan Bagi Orang Dengan HIV dan AIDS
  18. Kementerian Kesehatan RI. Laporan Situasi Perkembangan HIV & AIDS di Indonesia Tahun 2013
  19. Kemenkes RI. Jakarta. 2013. Diakses melalui:URL: http://www.aidsindonesi a.or.id/ck_uploads/files/Laporan%20 HIV%20AIDS%20TW%202%20201 3%20FINAL.pdf diakses pada Maret, 2014
  20. Kementerian Kesehatan RI. Pedoman Penghapusan Sigma dan Diskriminasi Bagi Pengelola Program, Petugas Layanan Kesehatan dan Kader. Kemenkes RI. Jakarta. 2012
  21. Kinsler JJ, Wong MD, Sayles JN, Davis C, and Cunningham WE. The Effect of Perceived Stigma from a Health Care Provider on Access to Care Among a Low-Income HIV-Positive Population. Journal AIDS Patient Care and STDs. 2007;21(8)
  22. Komisi Penanggulangan AIDS Nasional. ODHA dan Akses Pelayanan Kesehatan Dasar: Penelitian Partisipatif. KPAN. Jakarta. 2006. Diakses melalui:URL: http://www.spiritia.or.id/Dok/odhaaks es.pdf diakses pada Oktober, 2013
  23. Li L, Wu Z, Wu S, Zhaoc Y, Jia M and Yan Z. HIV-Related Stigma in Health Care Settings: A Survey of Service Providers in China. AIDS Patient Care STDS. 2007;21(10):753–62
  24. Mahendra V, et al. Understanding and Measuring AIDS-Related Stigma in Health Care Settings: A Developing Country Perspective. Journal of Social Aspects of HIV/AIDS. 2007;4(2):616-25
  25. Mardiati R, Handayani S. Ringkasan Eksekutif: Penelitian Peran Dukungan Sebaya Terhadap Peningkatan Mutu Hidup ODHA di Indonesia Tahun 2011. Yayasan Spiritia. Jakarta. 2011. Diakses melalui:URL: http://spiritia.or.id/Dok/ Ringkasan_Penelitian_Peran_Dukung an_Sebaya.pdf diakses pada Desember, 2013
  26. McCann TV. Willingness to Provide Care and Treatment for Patient with HIV/AIDS. Journal of Advanced Nursing. 1997;25(5):1033-9
  27. Merati TP and Supriyadi FY. The Disjunction Between Policy and Practice: HIV Discrimination in Health Care and Employment in Indonesia. AIDS Care. 2005;17 (Suppl.2):175-9
  28. Murni S, Green CW, Okta S, and Setyowati H. Pasien Berdaya. Yayasan Spiritia. Yogyakarta. 2003
  29. Notoatmodjo S. Pengantar Pendidikan Kesehatan dan Ilmu Perilaku. Rineka Cipta. Jakarta. 2007
  30. Nurhayati E. Stigma dan Diskriminasi Terhadap ODHA di Kota Bandung Tahun 2012. Pustaka Universitas Padjadjaran. Bandung. 2013
  31. Paryati T, Raksanagara AS, Afriandi I. Faktor-faktor yang Mempengaruhi Stigma dan Diskriminasi kepada ODHA(Orang dengan HIV/AIDS) oleh Petugas Kesehatan : Kajian Literatur. Pustaka Universitas Padjadjaran. Bandung. 2013
  32. Purwaningtyas A, Subronto YW, and Hasanbasri M. Pelayanan HIV/AIDS di RSUP Dr. Sardjito Yogyakarta. Universitas Gadjah Mada Press. Yogyakarta. 2007. Robinson N. People with HIV/AIDS: Who Cares?. Journal of Advanced Nursing. 1998;28(4):771-8
  33. Rostini. Faktor-Faktor yang Berhubungan dengan Sikap Petugas Puskesmas Terhadap Orang Dengan HIVAIDS (ODHA) dalam Pelayanan Kesehatan HIV-AIDS di Kota Bandung Tahun
  34. Tesis (Universitas Indonesia). Depok. 2010
  35. Webber GC. Chinese Health Care Providers' Attitude About HIV: A Review. AIDS Care. 2007;19(5):685-91. Yayasan Spiritia. Lembaran Informasi tentang HIV/AIDS untuk Orang Yang Hidup Dengan HIV/AIDS (ODHA) – Kewaspadaan Standar. Yayasan Spiritia. Jakarta. 2013
  36. Yayasan Spiritia. Dokumentasi tentang Masalah Diskriminasi terhadap Orang dengan HIV/AIDS di Indonesia: Tahap Kedua. Yayasan Spiritia. Jakarta. 2005. Diakses melalui:URL: http://www.spiritia.or.id/Dok/HRDok2.pdf diakses pada Oktober, 2013

Last update:

  1. Antenatal Care for Pregnant Women Infected with HIV/AIDS in Bonto Bahari District, Bulukumba Regency, Indonesia

    Sitti Raodhah, Sukfitrianty Syahrir, Nildawati Nildawati, Andi Nuryana, Abd. Majid H.R. Lagu. Open Access Macedonian Journal of Medical Sciences, 9 (E), 2021. doi: 10.3889/oamjms.2021.6211

  2. Pandangan Sosok Ideal dalam Menegakkan Keadilan di Film Gabbar Is Back: Analisis Strukturalisme-Genetik Lucien Goldmann (An Ideal Figure in Raising Justice: A Lucien Goldmann Genetic-Structuralism Analysis)

    Firdha Yanti. SSRN Electronic Journal , 2018. doi: 10.2139/ssrn.3307328

Last update: 2024-11-21 23:31:43

No citation recorded.