Policy Analysis and Interventions for HIV AIDS Programs Related to Factors Causing Failed Antiretroviral Treatment in PLWHA at Assolokobal Health Center Jayawijaya Regency

Abstract

This study aims to analyze the policies and interventions of the HIV AIDS program related to the
factors causing the failure of antiretroviral treatment in people living with HIV at the Assolokobal
Public Health Center, Jayawijaya Regency. This research was conducted in the Assolokobal
Community Health Center, Jayawijaya Regency. This type of research is a qualitative research using
in-depth interview techniques, observation and document review. There were 7 informants involved in
this study. The results of the study show that stigma and culture influence the factors causing ARV
failure in PLWHA at the Assolokobal Health Center, knowledge is the cause of ARV failure in
PLWHA at the Assolokobal Health Center, Attitudes and Perceptions of PLWHA greatly determine
the decision to return for ARV therapy in this study the attitudes and perceptions of PLWHA are still
low. In terms of decision making for ARV Return, family and environmental support for PLWHA is
quite good, there is a good relationship in terms of communication between officers and PLWHA as
well as the availability of adequate facilities at the Assolokobal Health Center, and also the
Confidentiality of PLWHA on ARV is strongly influenced by the causal factors of PLWHA
themselves and from outside that influence their decision to seek treatment again or to drop out, in
other words, ARV failure. Suggestions for this research are that it is hoped that there will be a tiered
and continuous provision of information in terms of ARV therapy to PLWHA at the beginning of the
visit by the counselor, in this case health workers.