STIGMA DAN DISKRIMINASI TERHADAP ODHA (STUDI PADA TENAGA KESEHATAN DI PUSKESMAS TANAH PASIR ACEH UTARA)
Abstract
Penghapusan stigma dan diskriminasi terhadap ODHA merupakanbagian terpenting dalam Gerakan Nasional HIV/AIDS (GNHA). Melalui penghapusan stigma dan diskriminasi, proses preventif dan kuratif terhadap kasus HIV/AIDS menjadi lebih optimal. Oleh karena itu, penelitian ini bertujuan untuk menilai tingkat stigma dan diskriminasi pada tenaga kesehatan terkait penyakit HIV/AIDS di Puskesmas Tanah Pasir serta menganalisis faktor-faktor yang mempengaruhinya. Penelitian ini merupakan penelitian observasional dengan rancangan potong lintang (cross sectional study). Populasi penelitian ini adalah seluruh tenaga kesehatan di Puskesmas Tanah Pasir dan metode pengambilan sampel pada penelitian ini adalah dengan metode total sampling, dengan jumlah sampel dalam penelitian ini berjumlah 50 responden. Metode analisis data yang digunakan adalah analisis univariat dan analisis bivariat menggunakan Uji Chi Square. Hubungan tingkat pengetahuan HIV/AIDS dengan stigma ODHA diperoleh p-value = 0,03. Sementara itu hasil pengujian hubungan tingkat pengetahuan HIV/AIDS dengan diskriminasi ODHA juga diperoleh nilai p-value = 0,05. Hubungan ketakutan irasional terhadap transmisi HIV/AIDS dengan stigma tenaga kesehatan di Puskesmas Tanah Pasir terhadap ODHA diperoleh nilai p-value = 0,02. Sementara itu hubungan ketakutan irasional terhadap transmisi HIV/AIDS dengan diskriminasi tenaga kesehatan di Puskesmas Tanah Pasir terhadap ODHA diperoleh nilai p-value = 0,04. Penelitian ini menunjukkan bahwa tingkat pengetahuan tentang HIV/AIDS dan tingkat ketakutan irasional tentang transmisi HIV mempunyai hubungan dengan stigma dan diskriminasi tenaga kesehatan Puskesmas Tanah Pasir terhadap ODHA.
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Tenaga kesehatan di Puskesmas Tanah Pasir harus meningkatkan kapasitas pengetahuannya tentang HIV/AIDS, sehingga dengan adanya pengetahuan yang tinggi terkait HIV/AIDS akan dapat menurunkan stigma dan diskriminasi terhadap ODHA.
Dinas Kesehatan dapat mengadakan lebih banyak pelatihan dan seminar tentang HIV/AIDS kepada para tenaga kesehatan.
Ucapan Terima Kasih
Peneliti berterima kasih kepada fakultas kedokteran malikussaleh yang telah memfasilitasi penelitian ini, dan juga kepada para responden yang telah bersedia ikut dalam penelitian in.
Daftar Pustaka
Aisha Andrewin L-YC. Stigmatization of patients with hiv/aids among doctors and nurses in Belize. AIDS Patient Care and STDs 2008; 22(11).
Aggleton P. Comparative analysis. HIV and AIDS-related Discrimination, Stigmatization and Denial. Research studies from India and Uganda.Geneva: Joint United Nations Programme on HIV and AIDS, 2009. Available from: URL: http://data.unaids.org/publications/irc_pub02/jc650-companal_en.pdf.
Bermingham S, Kippax S. HIV-related Discrimination.ASurvey of New South Wales General Practitioners: Aust N Z J Public Health 2005; 22.
Bharat S et al. India: HIV and AIDS-related Discrimination, Stigmatization and Denial. Geneva: Joint United Nations Programme on HIV/AIDS, 2001;16-7. Available from: URL: http://data.unaids.org/publications/irc-pub02/jc587-india_en.pdf.
Budiarto, Eko. Biostatistika untuk Kedokteran dan Kesehatan Masyarakat. Jakarta: EGC, 2001.
Brown L et al.Interventions to Reduce HIV/AIDS Sigma.What Have We Learned?. AIDS Educ Prev 2003;15:49-69.
Chandra, Budiman. Metodologi Penelitian Kesehatan. Jakarta: EGC, 2008.
Chen WT, Han, M., & Holze, W.L.mer. Nurses, Attitudes and Practice Related to HIV Transmission in Northeastern China, AIDS Patient Care & Stds, . Quoted in : Webber, GC, (2007) Chinese Health care providers attitude about HIV : a review, AIDS Care 2004;19 (5):685 - 91.
Collymore Y. 2002. Rooting Out AIDS-related Stigma and Discrimination. Available from:URL:http://www.prb.org/Articles/2002/RootingOutAIDSRelatedStigmaandDiscrimination.aspx
Deacon & Boulle. Comment in: Factors Affecting HIV/AIDS-related Stigma and Discrimination by Medical Professionals. Int J Epidemiol 2006; 36:185–186.
Depkes RI. Pedoman Penyelenggaran Sistem Surveilans Epidemologi Penyakit Menular dan Penyakit Tidak Menular. Jakarta :KepMenKes no.1479/MENKES/SK/X/2003, 2003.
Depkes RI. Rencana Strategi Penanggulangan HIV/AIDS Indonesia 2000-2007.Jakarta : Ditjen PPM dan PL, 2004.
Depkes RI. Gambaran Situasi HIV/AIDS Tahun 1987-2011. Jakarta :Pusat Data dan Informasi Departemen Kesehatan RI. 2012, 2005.
Dinas Kesehatan Kota Lhokseumawe. sebaran kasus HIV/AIDS di Kota Lhokseumawe 2006-2011. Lhokseumawe :Badan statistik dan seksi penanggulangan penyakit menular, 2012.
Herek GM et al. HIV-related Stigma and Knowledge in The United States.Prevalence and Trends, 1991-1999 :Am J Public Health 2002; 92:371-7.
Hossain MB, Kippax S. HIV-related Discriminatory Attitudes of Healthcare Workers in Bangladesh : J Health Popul Nutr 2010; 28(2):199-207.
Hossain MB, Kippax S. Stigmatized Attitudes Toward People Living With HIV in Bangladesh. Health Care Workers’ Perspectives: Asia-Pacific Journal of Public Health 2010; 3(2): 171-82.
Joint United Nations Programme on HIV and AIDS. HIV-related stigma, discrimination and human rights violations. case studies of successful programmes. Geneva: Joint United Nations Programme on HIV and AIDS, 2005. Available from: URL: http://data.unaids.org/publications/irc-pub06/jc999-humrightsviol_en.pdf.
KPA. Laporan KPA Nasional Tahun 2010, 2010. Available from: URL: http://www.aidsindonesia.or.id/laporan-kpa-nasional-tahun-2010.html.
Lau JTF, Tsui HY. Discriminatory Attitudes Towards People Living With HIV/AIDS and Associated Factors. Sex Transm Infect. A Population Based Study In The Chinese General Population 2005;81:113-9.
Letamo G.Prevalence of, and Factors Associated with, HIV/AIDS-Related Stigma and Discrimination In Botswana : J Health Popul Nutr 2003; 21:347-57.
Li L et al. Using Case Vignettes to Measure HIV-Related Stigma Among Health Professionals In China : Int J Epidemiology 2007; 36:178–84.
Mahendra VS, et al. Reducing Stigma and Discriminationin Hospital : Positive Findings from India. Horizons Research Summary, 2006.
Major B, O’Brien L. The Social Psychology of Stigma: Annu Rev Psychol 2005; 56:393-421.
Murray SR. 1972. Elementary Sampling Theory, Theory and Problems of Statistic : Mc. Graw Hill Book, Company, 1972.
N. Varas-Díaz TBN, S. Malavé Rivera, and E. Betancourt. Religion and HIV/AIDS Stigma. Implications for Health Professionals In Puerto Rico: NIH Public Access Author Manuscript, 2011;1–18.
Ogden et al. Common at Its Core: HIV-Related Stigma Across Context, 2005. Available from: URL: http://www.icrw.org/publications/common-its-core-hiv-related-stigma-across-contexts.pdf.
Parker R et al. HIV/AIDS-Related Stigma and Discrimination. A Conceptual Framework and An Agenda for Action. New York: Horizon Program, Population Council, 2002. Available from: URL: http://pdf.usaid.gov/pdf_docs/Pnacq832.pdf.
Parker R, Aggleton P. HIV and AIDS-Related Stigma And Discrimination. A Conceptual Framework and Implications for Action : Social Science and Medicine 2003;57, 13-24.
Pratikno H. Stigma dan Diskriminasi oleh Petugas Kesehatan terhadap ODHA Di Kabupaten Bengkalis, Propinsi Kepulauan Riau. Yogyakarta: Universitas Gadjah Mada; 2006.
Wan Yanhai ea. Discrimination against People with HIV/AIDS in China : The Equal Rights Review 2009; 4:15-25.
PBS & Depkes RI. Laporan Hasil Survei Surveilans Perilaku 2002-2003 di indonesia. Jakarta : PBS & Depkes RI, 2004.
Pulerwitz, J et al. Measuring and Addressing HIV/AIDS Stigma Among Truckers in Brazil. Paper presented at the XV International AIDS Conference Bankok, Thailand.Thailand : The 132nd Annual Meeting (November 6-10, 2004) of APHA, 2004.
Sayles J et al. The Association of Stigma with Self-Reported Access to Medical Care and Antiretroviral Therapy Adherence in Persons Living with HIV/AIDS : J Gen Intern Med 2009; 24(10):1101-8.
Setiati S, Harimurti K, Govinda A.Infeksi HIV/AIDS. Buku Ajar Ilmu Penyakit Dalam. Jakarta Pusat : Interna Publishing, 2009.
Stutterheim SE et al. HIV-Related Stigma and Psychological Distress: The Harmful Effects of Specific Stigma Manifestations In Various Social Settings. AIDS, 2009; 23:17.
UNAIDS. HIV And AIDS-Related Stigmatization, Discrimination and Denial. Forms, Contexts and Determinants Research Studies from Uganda and India.India : Joint United Nations Programme on HIV/AIDS (UNAIDS), 2000. Available from: URL: http://data.unaids.org/Publications/IRC-pub01/jc316-uganda-india_en.pdf.
AIDS Epidemic Update. Joint United Nations Programme on HIV/AIDS (UNAIDS) : UNAIDS/04.45E. ISBN 92 9173390 3, 2004. Available from: URL: http://whqlibdoc.who.int/unaids/2004/9291733903.pdf.
AIDS Epidemic Update. Joint United Nations Programme on HIV/AIDS (UNAIDS) : UNAIDS/05.19E. ISBN 92 9 173439 X, 200. Available from: URL: http://www.unaids.org/epi/2005/doc/EPIupdate2005_pdf_en/Epi05_00_en.pdf
Van Griensven J et al. Trends in HIV Prevalence, Estimated HIV Incidence, and Risk Behavior Among Men Who Have Sex with Men In Bangkok, Thailand 2003–2007 : AIDS, 2010;53:234–239.
WHO. Towards Universal. Scaling Up Priority HIV/AIDS Interventions In The Health Sector. Progress report, June 2008. Geneva :World Health Organization, 2009. Available from: URL: http://www.who.int/hiv/pub/2008progressreport/en/index.html.
WHO. Towards Universal Access. Scaling Up Priority HIV/AIDS Interventionsin The Health Sector. Progress report 2010. Geneva : WHO. 2010a. Available from: URL: http://whqlibdoc.who.int/publications/2010/9789241500395_eng.pdf.
WHO. Classifying Health Workers. Geneva : 2010b.
DOI: https://doi.org/10.29103/averrous.v2i1.423
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