Karminah Karminah
Universitas Negeri Yogyakarta

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Educational and Empowerment Processes in Community-Based Peer Facilitation for Supporting Antiretroviral Therapy Adherence among People Living with HIV Karminah Karminah; Luthfi Wibawa; Andi Hasdiansyah
Edcomtech: Jurnal Kajian Teknologi Pendidikan Vol. 11 No. 2 (2026): On Progress
Publisher : Universitas Negeri Malang in collaboration with APSTPI and IPTPI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um039v11i22026p354-372

Abstract

Community-based peer facilitation can support antiretroviral therapy (ART) engagement among people living with HIV (PLHIV), yet its educational and empowerment mechanisms remain insufficiently understood. This study examined peer facilitation within the Saburai Support Group (SSG), Indonesia. Using a qualitative intrinsic case study, eight participants were purposively selected, comprising two peer facilitators, two PLHIV, two organization managers, and two healthcare workers. Data were collected through semi-structured interviews, participant observation, field notes, and document analysis and analyzed using the interactive framework of Miles, Huberman, and Saldaña. The findings identified five interconnected processes: trust building, needs assessment and educational support, psychosocial support, collaboration and advocacy, and monitoring and strengthening independence. Peer facilitators functioned not only as treatment supporters but also as educators, learning facilitators, knowledge mediators, advocates, connectors, and community empowerment agents. These findings informed an empirically derived Community-Based Peer Facilitation Model organized around a trust–capacity–connection–independence pathway. The study highlights peer facilitation as a form of community-based and nonformal learning integrating health education, psychosocial support, and empowerment to support treatment engagement and self-management. Further research is required to examine the model’s transferability across different contexts.