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Peningkatan Cakupan IMS Sebagai Upaya Deteksi Dini Penyakit HIV dan AIDS di
Kabupaten Sidoarjo
Enhancing the Scope of Sexually Transmitted Infections (STIs) as Early Detections
to Prevent HIV and AIDS in Sidoarjo
Firman Suryadi Rahman1, Arief Hargono2, dan Fransisca Susilastuti3
1FKM UA,[email protected] 2Depertemen Epidemiologi FKM UA,[email protected]
3 BBTKL PP Surabaya,[email protected]
Abstrak
Latar Belakang :HIV adalah Human Immunodeficiency Virus. Yaitu virus yang menurunkan
kekebalan tubuh manusia. AIDS adalah Acquired Immune Defieciency Syndrome. Yaitu sekumpulan
gejala yang tibul karena turunnya kekebalan Tubuh. Provinsi Jawa Timur menempati urutan kedua
terbanyak dalam jumlah kumulatif penderita HIV dan AIDS di Indonesia pada Tahun 2014. Jumlah
penderita Kumulatif HIV adalah 19.249 penderita. Sedangkan jumlah penderita AIDS adalah 8976
penderita. Untuk kabupaten Sidoarjo, Jumlah Kasus HIV/AIDS cenderung meningkat selama empat
tahun terakhir. Selain itu Kabupaten Sidoarjo termasuk 6 kabupaten/Kota yang memiliki jumlah
penderita AIDS terbesar di Jawa Timur.
Metode :Metode yang digunakan dalam analisis masalah ini adalah observasi, studi dukumen,
penentuan prioritas masalah dengan Metode CARL, penentuan akar penyebab Masalah dengan
Fishbone. Rekomendasi diberikan berdasarkan hasil analisis akar penyebab masalah.
Hasil : Permasalahan yang teridentifikasi adalah 11 Permasalahan. Permasalahan yang menjadi
prioritas pertama adalah cakupan IMS pada tahun 2014 masih 21% dengan skor CARL 11472. program
yang telah mencapai target adalah pemberian kondom 100%, konseling dan testing, jumlah penderita
HIV yang diskrining TB. Program yang belum mencapai target antara lain, Capaian IMS masih 21%,
Capaian PPIA masih 0%, Capaian Odha yang dirujuk kembali ke LSM untuk pendampingan adalah
15%, pasien ODHA yang masih mengikuti ARV adalah 33, 5%.
Kesimpulan :Masalah yang menjadi prioritas adalah cakupan IMS yang masih 21%. Akar penyebab
masalahnya antara lain belum semua pemegang program di puskesmas tahu tentang form IMS, belum
mendapatkan pelatihan, merangkap jabatan lain, data record dari puskesmas non VCT tidak terecord ke
SIHA, tidak semua Puskesmas memiliki reagen dan rotator syphilis, masih ada pasien yang tidak tahu
tentang IMS dan malu untuk periksa, terbatasnya anggaran pelatihan.Rekomendasi yang perlu
dilakukan antara lain melakukan pelatihan bagi petugas, meningkatkan KIE dan kerjasama lintas sector
dan melakukan skrining HIV dan AIDS.
Keywords : IMS, SIHA, HIV/AIDS
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Abstract
Background: HIV (Human Immunodeficiency Virus) is a virus that causes immune deficiency in
human body. AIDS (Acquired Immune Deficiency Syndrome) is the group of symptoms caused by the
immune deficiency. East Java is the second province with the highest cumulative number of HIV and
AIDS sufferers in Indonesia in 2014. Its cumulative number of HIV sufferers is 19.249, while the
number of AIDS sufferers is 8.976. In Sidoarjo, the number of HIV/AIDS cases tends to increase in the
last four years. Besides, Sidoarjo is one of six regencies with the highest number of AIDS sufferers in
East Java.
Methodology: The methods used in the analysis of the problems were observation and documentation.
The determination of problem priorities was done by using CARL method. The determination of the
root causes of the problems was done by using Fishbone Diagram. Recommendations were given based
on the result of root causes analysis.
Results: The number of identified problems was 11. The problem that became the first priority problem
was the scope of STIs in 2014 which was still 21% with CARL score of 11472. The programs that
achieved the targets were condom distribution of 100%, and counseling and testing for the number of
HIV sufferers who were screened for TB symptoms. The programs that did not achieve the targets were
STIs scope that was still 21%, PMTCT scope that was still 0%, PLWHA scope that were sent to Civil
Society Organizations (CSOs) for care that was still 15%, and PLWHA patients that still had ARV
treatment of 33.5%.
Conclusion: The problem that became the priority was STIs scope that was still 21%. The root causes
of the problem were not all the program holders in Puskesmas (health center) knew about STIs form,
most program holders did not get any training yet, some program holders had double job, data record
from non VCT Puskesmas was not recorded in SIHA, not all Puskesmas had syphilis reagent and
rotator, there were still patients who did not know about STIs and felt ashamed to have themselves
examined, and the lack of training budget. Recommendations for a solutions are training for program
holdres, increasing CIE, and held a screening programs.
Keywords : STIs, SIHA, HIV/AIDS
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