Implementation of HIV/AIDS prevention policies: The study in Bali Province, Indonesia

I Made Sumada, Azhari Aziz Samudra

Article ID: 2287
Vol 7, Issue 2, 2023

VIEWS - 179 (Abstract) 125 (PDF)

Abstract


This paper presents an overview of the policies and efforts of the Provincial Government of Bali, Indonesia, to tackle the development of HIV/AIDS. This study considers the socio-cultural context and analyzes the factors that are most likely to influence its spread, the response of the community, and the local government’s efforts to form Provincial AIDS commission whose movement is supported by the village government and the community to suppress the spread of HIV/AIDS. The authors observe the micro factors that most determine this program, such as attitudes, behaviors, and desires of policy-making actors, stakeholders, implementing organizations, adequacy of human resources, financial funds, information, education, communication, advocacy, regional languages, the role of students, and field workers, and local culture in preventing the spread of HIV/AIDS. Therefore, this research does not focus on just one dimension in efforts to deal with this outbreak. Following the application of the public policy theory, all potential contributing elements must be addressed simultaneously. This requires a truly interdisciplinary and multisectoral approach that requires to be comprehended by policymakers in other provinces where the prevalence of HIV/AIDS is quite high. This effort also requires commitment and strong political will from levels of government.


Keywords


local government policies; HIV/AIDS prevention; advocacy; communication; regional languages; the role of students; field workers; local culture

Full Text:

PDF


References


Ahmad M, Budiningsih I, Sukamto H, Suyanto B (2017). Factors affecting the successful implementation of bureaucratic reform in government institutions. International Journal of Economic Research 14: 203–220.

Balitopnews (2023). Quickly and accurately handling HIV/AIDS Bali Province wins 1st Best Award Certificate for achievements of HIV/AIDS program and PIMS 2022. Balitopnews, 1 February.

Basyir K (2019). The “acculturative Islam” as a type of home-grown Islamic tradition: Religion and local culture in Bali. Journal of Indonesian Islam 13(2): 326. doi: 10.15642/JIIS.2019.13.2.326-349

Batchelor K, Yoda L, Ouattara F, Hellewell O (2019). Multilingualism and strategic planning for HIV/AIDS-related health care and communication. Wellcome Open Research 4: 200. doi: 10.12688/wellcomeopenres.15584.1

Berenguera A, Pujol-Ribera E, Violan C, et al. (2011). Experiences about HIV-AIDS preventive-control activities. Discourses from non-governmental organizations professionals and users. Gaceta Sanitaria 25(3): 184–190. doi: 10.1016/j.gaceta.2010.10.015

Cao P, Zhang Y, Dong G, et al. (2022). Clinical oral condition analysis and the influence of highly active antiretroviral therapy on human salivary microbial community diversity in HIV-infected/AIDS patients. Frontiers in Cellular and Infection Microbiology 12: 937039. doi: 10.3389/fcimb.2022.937039

Collins FS (2019). NIH strategic plan for HIV and HIV-related research. Available online: https://www.oar.nih.gov/sites/default/files/NIH_StrategicPlan_FY2021-2025.pdf (accessed on 4 September 2023).

DeJonckheere M, Vaughn L (2019). Semistructured interviewing in primary care research: A balance of relationship and rigour. Family Medicine and Community Health 7(2): e000057. doi: 10.1136/fmch-2018-000057

DetikBali (2022). HIV cases in Badung are the second highest, dominated by 20–29 year olds (Indonesian). DetikBali, 29 August.

Detikhealth T (2022). Bali is among the top 10 provinces with the most HIV cases in Indonesia (Indonesian). https://www.detik.com/bali/berita/d-6258508/bali-masuk-10-besar-provinsi-dengan-kasus-hiv-terbanyak-di-ri/2 (accessed on 4 September 2023).

Djellouli N, Quevedo-Gómez MC (2015). Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia. Social Science & Medicine 133: 36–44. doi: 10.1016/j.socscimed.2015.03.048

Dzinamarira T, Kamanzi C, Mashamba-Thompson TP (2020). Key stakeholders’ perspectives on implementation and scale up of HIV self-testing in Rwanda. Diagnostics 10(4): 194. doi: 10.3390/diagnostics10040194

Etikan I (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics 5(1): 1–4. doi: 10.11648/j.ajtas.20160501.11

Fang X, Li X, Yang H, et al. (2008). Can variation in HIV/STD-related risk be explained by individual SES? Findings from female sex workers in a rural Chinese county. Health Care for Women International 29(3): 316–335. doi: 10.1080/07399330701738382

Finsterwalder J, Kuppelwieser VG, Fisk RP (2022). Dynamics of individual actors’ self, social, and task pre-dispositions in multi-actor service ecosystems. Journal of Business Research 147: 518–531. doi: 10.1016/j.jbusres.2022.04.023

Francis DP (2012). Deadly AIDS policy failure by the highest levels of the US government: A personal look back 30 years later for lessons to respond better to future epidemics. Journal of Public Health Policy 33: 290–300. doi: 10.1057/jphp.2012.14

Gedela K, Wirawan DN, Wignall FS, et al. (2020). Getting Indonesia’s HIV epidemic to zero? One size does not fit all. International Journal of STD & AIDS 32(3): 290–299. doi: 10.1177/0956462420966838

Haakenstad A, Moses MW, Tao T, et al. (2019). Potential for additional government spending on HIV/AIDS in 137 low-income and middle-income countries: An economic modelling study. The Lancet HIV 6(6): E382–E395. doi: 10.1016/S2352-3018(19)30038-4

Handayani F, Nurhayati AK (2021). Disposition role on adolescent reproduction health policy implementation. In: Proceedings of the 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020); 15 March 2020; Bandung, Indonesia. doi: 10.2991/assehr.k.210304.109

Ishtiaq M (2019). Book Review: Creswell, J. W. (2014). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th ed.). Thousand Oaks, CA: Sage. English Language Teaching 12(5): 40. doi: 10.5539/elt.v12n5p40

Keogh S, Stillman M, Awusabo-Asare K, et al. (2018). Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: Case studies of Ghana, Kenya, Peru and Guatemala. PLoS ONE 13(7): e0200513. doi: 10.1371/journal.pone.0200513

Khan MS (2018). Exploring the role of transformational leadership in human capital effectiveness: Empirical evidence from the Malaysian healthcare sector. World Journal of Entrepreneurship, Managementand Sustainable Development 14(2): 191–204. doi: 10.1108/WJEMSD-10-2017-0075

Khodayari-Zarnaq R, Ravaghi H, Mosadeghrad-Rad AM, et al. (2021). HIV/AIDS policy‐making in Iran: A stakeholder analysis. The International Journal of Health Planning and Management 36(6): 2351–2365. doi: 10.1002/hpm.3313

Khosla N, Marsteller JA, Hsu YJ, Elliott DL (2016). Analysing collaboration among HIV agencies through combining network theory and relational coordination. Social Science & Medicine 150: 85–94. doi: 10.1016/j.socscimed.2015.12.006

Knoepfel P, Larrue C, Varone F, Hill M (2011). Public Policy Analysis. Policy Press. pp. 38–61.

Koesbardiati T, Kinasih SE, Mas’udah S (2017). Integrating the roles of stakeholders in preventing the HIV/AIDS transmission in East Java, Indonesia. Indonesian Journal of Tropical and Infectious Disease 6(5): 124. doi: 10.20473/ijtid.v6i5.4792

Kurniawan A, Tamtomo D, Murti B (2017). Evaluation of community health center management information system (SIMPUS), primary care (P care), and bridging data system in Sukoharjo District. Journal of Health Policy and Management 2(2): 157–164. doi: 10.26911/thejhpm.2017.02.02.07

Lai J, Pan P, Lin Y, et al. (2020). A survey on HIV/AIDS-related knowledge, attitudes, risk behaviors, and characteristics of men who have sex with men among university students in Guangxi, China. BioMed Research International 2020: 7857231. doi: 10.1155/2020/7857231

Mahapatra T (2014). Role of information, education and communication materials in HIV control: A perspective. Annals of Tropical Medicine and Public Health 7(1): 3–4. doi: 10.4103/1755-6783.144996

McRobie E, Wringe A, Nakiyingi-Miiro J, et al. (2017). HIV policy implementation in two health and demographic surveillance sites in Uganda: Findings from a national policy review, health facility surveys and key informant interviews. Implementation Science 12: 47. doi: 10.1186/s13012-017-0574-z

Mehra B, Bhattar S, Bhalla P, Rawat D (2014). HIV/AIDS awareness among VCT clients: A cross-sectional study from Delhi, India. BioMed Research International 2014: 269404. doi: 10.1155/2014/269404

Melkote SR, Moore D, Velu S (2014). What makes an effective HIV/AIDS prevention communication campaign? Insights from theory and practice. Journal of Creative Communications 9(1): 85–92. doi: 10.1177/0973258613517441

Mohammadi Y, Mirzaei M, Shirmohammadi-Khorram N, Farhadian M (2021). Identifying risk factors for late HIV diagnosis and survival analysis of people living with HIV/AIDS in Iran (1987–2016). BMC Infectious Diseases 21(1): 390. doi: 10.1186/s12879-021-06100-z

Nigar N (2020). Hermeneutic phenomenological narrative enquiry: A qualitative study design. Theory and Practice in Language Studies 10(1): 10–18. doi: 10.17507/tpls.1001.02

Ocran B, Talboys S, Shoaf K (2022). Conflicting HIV/AIDS sex education policies and mixed messaging among educators and students in the Lower Manya Krobo Municipality, Ghana. International Journal of Environmental Research and Public Health 19(23): 15487. doi: 10.3390/ijerph192315487

Owan VJ, Akah LU, Ekpo AJ, et al. (2022). Socioeconomic factors and the evaluation of HIV/AIDS prevention programs: A psychometric analysis of an instrument. Electronic Journal of General Medicine 19(6): em405. doi: 10.29333/ejgm/12320

Runiari N, Sipahutar IE, Hartati NN, et al. (2018). Traditional balinese youth groups as peer educator to improving knowledge and attitude adolescents about reproductive health in South Denpasar. Indian Journal of Public Health Research & Development 9(8): 1483. doi: 10.5958/0976-5506.2018.00942.7

Simooya C, Silumbwe A, Halwiindi H, et al. (2023). Exploring communication and implementation challenges of the HIV/AIDS policy change to test-and-treat-all in selected public health facilities in Lusaka District, Zambia. Implementation Science Communications 4: 51. doi: 10.1186/s43058-023-00430-6

Stonbraker S, Smaldone A, Luft H, et al. (2018). Associations between health literacy, HIV-related knowledge, and information behavior among persons living with HIV in the Dominican Republic. Public Health Nursing 35(3): 166–175. doi: 10.1111/phn.12382

Suparmi S, Hardjanti TS, Kurniasih H (2020). Policy implementation for HIV/AIDS and sexually transmitted infectious disease programs in the first level of health facility. Jurnal Riset Kesehatan 9(2): 148–153. doi: 10.31983/jrk.v9i2.5702

UNAIDS (2019). Global HIV & AIDS statistics—Fact sheet. Available online: https://www.unaids.org/en/resources/fact-sheet (accessed on 4 September 2023).

Yang H, Li X, Stanton B, et al. (2005). Workplace and HIV-related sexual behaviours and perceptions among female migrant workers. AIDS Care 17(7): 819–833. doi: 10.1080/09540120500099902

WHO (2023). HIV and AIDS. Available online: https://www.who.int/news-room/fact-sheets/detail/hiv-aids (accessed on 4 September 2023).

Zakumumpa H, Kwiringira J, Katureebe C, Spicer N (2023). Understanding Uganda’s early adoption of novel differentiated HIV treatment services: A qualitative exploration of drivers of policy uptake. BMC Health Services Research 23(1): 343. doi: 10.1186/s12913-023-09313-x




DOI: https://doi.org/10.24294/jipd.v7i2.2287

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 I Made Sumada, Azhari Aziz Samudra

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This site is licensed under a Creative Commons Attribution 4.0 International License.