Community Intervention Model “GEBRAK” for Optimalize Teenager Participation on Voluntary Counseling and Test in Yogyakarta

  • Rizka Ayu Setyani Universitas Respati Yogyakarta
  • Fika Lilik Indrawati Universitas Respati Yogyakarta
  • Dewi Prabasari V Puskesmas Mlati 1
Keywords: GEBRAK, inovation, empowerment, teenager, VCT

Abstract

The high stigma and discrimination against the prevention of HIV/AIDS transmission in Indonesia is influenced by a less precise understanding of HIV/AIDS. This is the background of the innovation of Community Empowerment called GEBRAK (Do with Cadres). Research aims to determine the influence of GEBRAK on youth participation in VCT (Voluntary Counseling and Test). Experimental research posttest only group control design conducted in 50 youth of  Sinduadi Village as a group of treatment and 50 youth of Sendangadi Village as a control group in April to September 2019. There are two stages of GEBRAK, namely the establishment of SETIA (Adolescent Cadres of HIV/AIDS) at the village. Furthermore, the implementation of community education, both at the village and rural level. The series of events are Zumba gymnastics, HIV/AIDS talkshow, and VCT free. After the intervention was given, the posttest was conducted in the form of VCT implementation in both groups. Data collection via the VCT table master, and analyzed with the Mann-Whitney u test. As a result, there are differences in VCT participation between teenagers in Sinduadi Village and the youth of Sendangadi Village or the influence of GEBRAK innovations on the youth participation in the VCT (Asymp. Sig value < 0.05). GEBRAK has been agreed by the Department of Health, Primary Health Care, Subdistrict, and Village as the acceleration program Getting to Three Zeroes: Zero New HIV Infection, Zero AIDS Related Death, and Zero Stigma and Discrimination.

References

1. UNAIDS. How AIDS Changed Everything, MDG 6: 15 years, 15 lesson of hope from AIDS response; 2015
2. Kemenkes, RI. Laporan Perkembangan HIV-AIDS dan IMS Triwulan I Tahun 2018; 2018. Kementerian Kesehatan Republik Indonesia. Jakarta
3. Data Kasus HIV AIDS DI. Yogyakarta Periode 1993-2018
4. Profil Kesehatan Dinas Kesehatan Kabupaten Sleman 2017
5. Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2013 Tentang Penanggulangan HIV dan AIDS
6. Peraturan Menteri Kesehatan Republik Indonesia Nomor 74 Tahun 2014 Tentang Pedoman Pelaksanaan Konseling dan Tes HIV
7. Kang’ethe SM. Exploring Feminization of HIV/AIDS and Millenium Development Goals (MDGs) with examples from Botswana and South Africa, Journal of Human Ecology; 2013
8. Aderemi TJ, Mac-Seing M, Woreta SA, Mati KA. Predictors of voluntary HIV counselling and testing services utilization among people with disabilities in Addis Ababa, Ethiopia.AIDS Care. 2014; 26(12): 1461-1466
9. Apanga PA, Akparibo R, Awoonor-Williams JK. Factors influencing uptake of voluntary counselling and testing services for HIV/AIDS in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana: a cross-sectional household survey. Journal of Health, Population & Nutrition. 2015; 33: 1-7
10. Sanga Z, Kapanda G, Msuya S, Mwangi R. Factors influencing the uptake of Voluntary HIV Counseling and Testing among secondary school students in Arusha City, Tanzania: a cross sectional study. BMC Public Health. 2015; 15(1): 1-9
11. Teklehaimanot HD, Teklehaimanot A, Yohannes M, Biratu D. Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: a cross sectional study. BMC Public Health. 2016; 16(1): 1-13
12. Mudzofar, A. 13 Kader Peduli AIDS Dikukuhkan; 2016. diakses pada tanggal 25 Februari 2018 dari http://www.krjogja.com/web/news/read/18575/13_Kader_Peduli_AIDS_Dikukuhkan
13. Mulyawan, I.K. Pemberdayaan Masyarakat Melalui Kader Peduli AIDS (KPA) Dalam Layanan Komprehensif HIV Berkesinambungan (LKB) di Kota Mataram, Nusa Tenggara Barat; 2014. diakses pada tanggal 25 Februari 2018 dari http://www.kebijakanaidsindonesia.net/id/artikel/artikel-kontribusi/913-pemberdayaanmasyarakat-melalui-kader-peduli-aids-kpa-dalam-layanan-komprehensif-hivberkesinambungan-lkb-di-kota-mataram-nusa-tenggara-barat
14. Sri, L. Kelurahan Sukabakti Melibatkan Kader Posyandu dalam Penanggulangan HIV AIDS; 2016. diakses pada tanggal 25 Februari 2018 dari http://www.kpakabtangerang.or.id/2016/03/16/kelurahan-sukabakti-melibatkan-kaderposyandu-dalam-penanggulangan-hiv-aids/
15. Tarta. Kader Posyandu Dilibatkan Penanggulangan HIV/AIDS; 2015. diakses pada tanggal 25 Februari 2018 dari http://poskotanews.com/2015/11/23/kader-posyandu-dilibatkanpenanggulangan-hivaids/
16. Widiyanto D. Peduli HIV, Kader di Dusun Bayen Kalasan Dibentuk; 2018. diakses pada tanggal 10 Agustus 2018 dari http://www.krjogja.com/web/news/read/74282/Peduli_HIV_Kader_di_Dusun_Bayen_Kalasan_Dibentuk
17. Sismulyanto, Supriyanto, S., Nursalam. Modele to Reduce HIV Related Stigma among Indonesian Nurses, International Journal of Public Health Science. 2015; 4(3): 184-191
18. Matković Puljić V, Kosanović Ličina, ML, Kavić M, Nemeth Blažić T. Repeat HIV Testing at Voluntary Testing and Counseling Centers in Croatia: Successful HIV Prevention or Failure to Modify Risk Behaviors? PLoS ONE. 2014; 9(4): 1-8
19. Cawley C, Wringe A, Slaymaker E, Todd J, Michael D, Kumugola Y, Urassa M, Zaba B. The impact of voluntary counselling and testing services on sexual behaviour change and HIV incidence: observations from a cohort study in rural Tanzania. BMC Infectious Diseases. 2014; 14(1): 1-26
20. Witzel TC, Lora W, Lees S, Desmond N. Uptake contexts and perceived impacts of HIV testing and counselling among adults in East and Southern Africa: A meta-ethnographic review. PLoS ONE. 2017; 12(2): 1-16
21. Woldeyohannes D, Asmamaw Y, Sisay S, Hailesselassie W, Birmeta K, Tekeste Z. Risky HIV sexual behavior and utilization of voluntary counseling and HIV testing and associated factors among undergraduate students in Addis Ababa, Ethiopia. BMC Public Health. 2017; 17(1):1-10
22. Mehra B, Bhattar S, Bhalla P, Rawat D. HIV/AIDS Awareness among VCT Clients: A Cross-Sectional Study from Delhi, India. BioMed Research International. 2014; 1-8
23. Bowen P, Govender R, Edwards P, Cattell K. HIV testing of construction workers in the Western Cape, South Africa. AIDS Care. 2015; 27(9): 1150-1155
24. Fikadie G, Bedimo M, Alamrew Z. Prevalence of Voluntary Counseling and Testing Utilization and Its Associated Factors among Bahirdar University Students. Advances in Preventive Medicine. 2014; 1-9
25. Daniels J, Komárek A, Makusha T, Van Heerden A, Gray G, Chingono A, Mbwambo JKK, Coates T, Richter L. Effects of a Community Intervention on HIV Prevention Behaviors among Men Who Experienced Childhood Sexual or Physical Abuse in Four African Settings: Findings from NIMH Project Accept (HPTN 043). PLoS ONE. 2014; 9(6): 1-7
Published
2020-01-29
How to Cite
[1]
Setyani, R., Indrawati, F. and V, D. 2020. Community Intervention Model “GEBRAK” for Optimalize Teenager Participation on Voluntary Counseling and Test in Yogyakarta. Jurnal Ilmiah Bidan. 4, 3 (Jan. 2020), 1.
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Articles