Problem analysis of human immunodeficiency virus-acquired immune deficiency syndrome

Abstract

Problem analysis is a fundamental part of health program planning. In 2016, several HIV-AIDS new cases in Jember District was 566 cases, and in 2017 it increased to 637 occurrences, though in 2018 it decreased to 506 cases. This study aimed to analyze the problem priority of HIV-AIDS in Jember District in 2019. A descriptive observational study was conducted in Jember District Health Office in January 2019. The data collected from the Health Profile of Jember District in 2015-2018 and interviews with officers used questionnaire. Determination of problem priority used the criteria of Urgency, Seriousness, and Growth (USG). The cause of the problem was analyzed using Ishikawa method. Determination of the root of the problem on priority problems is done using the 5M theory (Man, Money, Method, Material, Measurement). However, the incidence of HIV cases in Jember District is seen based on influential factors that are Man, Method and Measurement to classify the causative factors. According to the USG method, HIV-AIDS was chosen as the main priority with score 189, and the finding of HIV cases which has not been optimum was selected as the main problem priority. The number of AIDS-related deaths had fluctuated, and there were 73 cases in 2017. HIV-AIDS facts mostly found in men and at the age range of 20-49 years. Based on the Ishikawa method, the root of the problem was the lack of public knowledge about HIV-AIDS and the lack of public awareness to carry out HIV testing. The finding of HIV cases which has not been optimum was the main problem priority. It is necessary to strengthen the cross-program and cross-sector collaboration, maximizing the role of health cadres and peer educators in the community to educate about HIV-AIDS to reduce stigma and discrimination.

References

  • Assogba, S., Noumavo, P. A., Dagbenonbakin, G., Agbodjato, N. A., Akpode, C., Koda, A. D., ... & Blanca, M. (2017). Improvement of Maize Productivity (Zea Mays L.) by Mycorrhizal Inoculation on Ferruginous Soil in Center of Benin. International Journal of Sustainable Agricultural Research, 4(3), 63-76.
  • Burhan, R. (2013). Pemanfaatan pelayanan kesehatan oleh perempuan terinfeksi HIV/AIDS. Kesmas: National Public Health Journal, 8(1), 33-38.
  • Culbert, G. J., Earnshaw, V. A., Wulanyani, N. M. S., Wegman, M. P., Waluyo, A., & Altice, F. L. (2015). Correlates and experiences of HIV stigma in prisoners living with HIV in Indonesia: a mixed-method analysis. Journal of the Association of Nurses in AIDS Care, 26(6), 743-757.
  • Del Giudice, G., Goronzy, J. J., Grubeck-Loebenstein, B., Lambert, P. H., Mrkvan, T., Stoddard, J. J., & Doherty, T. M. (2017). Fighting against a protean enemy: immunosenescence, vaccines, and healthy aging. npj Aging and Mechanisms of Disease, 4(1), 1-8.
  • Hardisman, H. (2009). HIV/AIDS di Indonesia: Fenomena Gunung Es dan Peranan Pelayanan Kesehatan Primer. Kesmas: National Public Health Journal, 3(5), 236-240.
  • Herman, M. J., Handayani, R. S., & Siahaan, S. A. (2013). Kajian praktik kefarmasian apoteker pada tatanan rumah sakit. Kesmas: National Public Health Journal, 7(8), 365-372.
  • Idele, P., Gillespie, A., Porth, T., Suzuki, C., Mahy, M., Kasedde, S., & Luo, C. (2014). Epidemiology of HIV and AIDS among adolescents: current status, inequities, and data gaps. JAIDS Journal of Acquired Immune Deficiency Syndromes, 66, S144-S153.
  • Idemudia, E. S., & Matamela, N. A. (2012). The role of stigmas in mental health: A comparative study. Curationis, 35(1), 1-8.
  • Porto, T. S. A. R., Silva, C. M., & Vargens, O. M. D. C. (2014). Caring for women with HIV/AIDS: an interactionist analysis from the perspective of female healthcare professionals. Revista gaúcha de enfermagem, 35(2), 40-46.
  • Putri, D. T. N., & Isnani, G. (2015). Pengaruh minat dan motivasi terhadap hasil belajar pada mata pelajaran pengantar administrasi perkantoran. JPBM (Jurnal Pendidikan Bisnis dan Manajemen), 1(2), 118-124.
  • Rahmalia, A., Wisaksana, R., Meijerink, H., Indrati, A. R., Alisjahbana, B., Roeleveld, N., ... & van Crevel, R. (2015). Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?. BMC research notes, 8(1), 757.
  • Rokhmah, D. (2014). Implikasi Mobilitas Penduduk dan Gaya Hidup Seksual terhadap Penularan HIV/AIDS. KEMAS: Jurnal Kesehatan Masyarakat, 9(2), 183-190.
  • Schneider, M. J. (2020). Introduction to public health. Jones & Bartlett Learning.
  • Silver, R. E. (2019). Sex, Schooling, and Moral Triage in Malawi. The University of Wisconsin-Madison.
  • Tufts, K. A., Clements, P. T., & Wessell, J. (2010). When intimate partner violence against women and HIV collide: Challenges for healthcare assessment and intervention. Journal of Forensic Nursing, 6(2), 66-73.
  • Van Dyk, A. C. (2010). HIVAIDS care and counselling: a multidisciplinary approach. Pearson South Africa.

License

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.