Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Vol 6, No 2 (2024): CONTAGION

Analysis of The Implementation System of The Health Service Program for People Living With HIV at The Bandar Khalipah Primary Health Center

Mifta Nurzannah Ritonga (Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan)
Fitriani Pramita Gurning (Faculty of Public Health, Universitas Islam Negeri Sumatera Utara, Medan)



Article Info

Publish Date
28 Dec 2024

Abstract

The global HIV/AIDS health crisis continues to pose significant challenges, particularly for people of productive age. In Indonesia, the disease imposes a significant social and economic burden, with high HIV prevalence exacerbating the strain on public health and socio-economic systems. At the Bandar Khalipah Health Centre, the high number of HIV cases underscores the inadequacy of existing prevention efforts and health services. This study analyses the delivery system of the HIV health services programme at the Bandar Khalipah Health Centre using a qualitative case study approach. Data were collected through in-depth interviews, observations and document analysis with key informants including the health centre head, programme manager and clinical staff. Data analysiFs was conducted using ATLAS.ti version 9 software, which allowed for the systematic identification and categorisation of themes. The study identified key challenges in three primary programme components: input, process and output. In terms of input, critical human resource constraints and the lack of routine training for health workers were highlighted. In terms of output, while patient satisfaction with services was generally high, adherence to treatment was particularly low due to social stigma and inadequate community outreach. The findings highlight the importance of strengthening all components of the HIV healthcare programme at Bandar Khalipah Health Centre in order to improve service quality and patient outcomes. This includes building the capacity of health staff, promoting community engagement, and addressing social stigma. These findings have important implications for public health policies and strategies aimed at optimising local HIV services and reducing health inequalities.Keyword: System analysis, Program Implementation, Healthcare Services, HIV Infected Individuals, VCT

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Journal Info

Abbrev

contagion

Publisher

Subject

Health Professions Public Health

Description

Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the ...