PENGUATAN KADER PENDAMPING SOSIAL DALAM MENURUNKAN KEJADIAN LOSS TO FOLLOW-UP TERAPI ANTIRETROVIRAL PADA ORANG DENGAN HIV AIDS

Dicky Endrian Kurniawan; Retno Purwandari; Baiq Lily Handayani

doi:10.36341/jpm.v6i2.2993

Dicky Endrian Kurniawan Faculty of Nursing, Universitas Jember
Retno Purwandari Universitas Jember
Baiq Lily Handayani Universitas Jember

: https://doi.org/10.36341/jpm.v6i2.2993

Abstract

Antiretroviral (ARV) therapy has become the standard of minimal care for people living with HIV. The length of treatment has an impact on the adherence toward ARV consumption. Non-adherence to ARV treatment will result in loss to follow-up and can worsen the condition. Social cadres are active in assisting the government in preventing loss to follow-up. The obstacles they face are the lack of optimal monitoring of ARV consumption and knowledge about ARV. This community service activity aimed to strengthening and optimizing the role of PLWHA social cadres. This activity consists of three stages: (1) focus group discussions with PLWHA mentoring cadres on challenges and problem-solving strategies, (2) drafting guidelines for monitoring ARV consumption for PLWHA that social cadres can use, and (3) training for PLWHA mentoring cadres on mastery of ARV concepts and loss to follow-up prevention management. The activity results show that there is a solution to the problems faced by social cadres in the form of a strategy for monitoring ARV consumption and increasing knowledge of PLWHA about ARV therapy and efforts to reduce the incidence of loss to follow-up. It is hoped that this activity will continue to evaluate the success of this problem-solving strategy and that social cadres can play an active role in reducing the incidence of loss to follow-up.

Keywords: social cadre, loss to follow-up, antiretroviral therapy, PLWHA

References

A. Gustyawan, E. W. Wuryaningsih, and D. E. Kurniawan, “Impact of Non-Governmental-Based Supporting Group toward Resilience Level among People with HIV AIDS in Indonesia,” Nursing and Health Sciences Journal (NHSJ), vol. 2, no. 2, pp. 130–136, 2022, [Online]. Available: https://doi.org/10.53713/nhs.v2i2.120

D. E. Kurniawan and L. Sulistyorini, “Self-Disclosure of HIV Status among HIV Positive-MSM (Men who Have Sex with Men) to Their Male Sexual Partnerin Pendalungan area of Jember, Indonesia,” Pakistan Journal of Medical and Health Sciences, vol. 13, no. 3, 2019.

S. G. Deeks, S. R. Lewin, and D. v. Havlir, “The end of AIDS: HIV infection as a chronic disease,” The Lancet, vol. 382, no. 9903. Elsevier B.V., pp. 1525–1533, 2013. doi: 10.1016/S0140-6736(13)61809-7.

L. Handayani, A. R. Ahmad, and Y. W. Subronto, “Faktor risiko loss to follow up terapi ARV pada pasien HIV,” Berita Kedokteran Masyarakat, vol. 33, no. 4, pp. 173–180, 2017.

Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Kemenkes RI, “Laporan Perkembangan HIV AIDS dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan III Tahun 2020,” Jakarta, 2020.

Kementerian Kesehatan Republik Indonesia, “Program Pengendalian HIV AIDS dan PIMS Fasilitas Kesehatan Tingkat Pertama.,” Jakarta, 2017.

Ministry of Health of Indonesia, Rencana Aksi Nasional Pencegahan dan Pengendalian HIV AIDS dan PIMS di Indonesia Tahun 2020-2024. Jakarta: Kementerian Kesehatan Republik Indonesia, 2020.

A. Fikrie, A. Rifai, and D. E. Kurniawan, “Improving Pregnant Mothers’ Intention toward HIV Testing through Home-based HIV Test and Education (HOPE) in Jember, Indonesia,” NurseLine Journal, vol. 6, no. 1, pp. 18–23, 2021, doi: https://doi.org/10.19184/nlj.v6i1.18521.

M. Amir et al., “Peningkatan Pemahaman Kader & Relawan tentang Kepatuhan Minum Obat Antiretroviral (ARV) pada Orang dengan HIV-AIDS (ODHA) oleh LSM Yayasan Plus Center Jakarta Pusat,” Jakarta, 2019.

D. E. Kurniawan, R. Purwandari, and B. L. Handayani, Buku Panduan Monitoring dan Pedoman Konsumsi Terapi Antiretroviral Bagi Kader Pendamping. Bondowoso: KHD Production, 2021.