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All Journal Jurnal Ilmu Kesehatan Masyarakat
Yudhi Setiawan
Palembang City Health Office
Health Professions Public Health

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HIV Testing and Access in Palembang, South Sumatra, Indonesia During the 2021 COVID-19 Pandemic Najmah Najmah; Namirah Adelliani; Mawaddah Dyah Popita; Ajeng Fathia Nurqanita; Amrina Rosyada; Iwan Stia Budi; Fenty Aprina; Yulyana Kusuma Dewi; Yudhi Setiawan; Sari Andajani
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 2 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.2.249-268

Abstract

HIV testing is one of the most effective strategies for accelerating access to prevention and treatment services, supporting efforts to end the AIDS epidemic by 2030 through the 95-95-95 targets. This study describes the socio-demographic characteristics and spatial distribution of HIV cases and screening among key and general populations in Palembang City in 2021. Data were extracted from the HIV/AIDS Information System and analyzed using descriptive and ecological spatial analysis within the key and general populations. Findings indicate the rates of HIV are 4.2 per 100 among Men having Sex with Men (MSM) and 7.8 per 100 transgender individuals accessing HIV testing. Among women and pregnant women, rates were zero and 1.04 %, respectively, while among children (0-19 years old), the rate was nearly 2 per 100 children. A higher level of HIV testing in health facilities was correlated with increased detection of HIV cases. Among low-risk groups of women and children, one subdistrict, Kemuning, reported 30 HIV- positive cases in women and children – markedly higher than the 0 to 6 HIV-positive cases reported in other subdistricts. The observed disparity underscores a critical public health challenge: the potential for a hidden HIV epidemic among pregnant women in Palembang, a situation likely exacerbated by service disruptions during the COVID-19 pandemic.
Non-Disclosure of Sexual Orientation of Men Having Sex With Men (MSM): A Hidden Threat of HIV Transmission in Palembang, Indonesia Namirah Adelliani; Najmah Najmah; Zico Ariesandi; Fenty Aprina; Yudhi Setiawan; Misnaniarti Misnaniarti; Yulyana Kusuma Dewi; Adeleine Silva Vanessa; Sari Andajani
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.147-161

Abstract

Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who are  MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.
Co-Authors Adeleine Silva Vanessa Ajeng Fathia Nurqanita Amrina Rosyada Fenty Aprina Iwan Stia Budi Mawaddah Dyah Popita Misnaniarti Misnaniarti Najmah Najmah Najmah, Najmah Namirah Adelliani Namirah Adelliani Sari Andajani Yulyana Kusuma Dewi Zico Ariesandi