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"Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor (faktor predisposisi yaitu umur, pengetahuan tentang HIV AIDS, sikap terhadap penggunaan kondom, faktor pendukung yaitu keterpaparan program HIV AIDS dan ketersediaan kondom, faktor penguat yaitu adanya kelompok dukungan sebaya yang berhubungan dengan praktek penggunaan kondom pada kelompok waria di Kota Tangerang tahun 2015. Penelitian ini menggunakan desain cross sectional dengan sampel berjumlah 151 waria yang diambil dari seluruh total sampel dan kuesioner sebagai alat ukur penelitian.Hasil penelitian ini menunjukan bahwa 55,6% responden selalu menggunakan kondom, 56,3% berumur sama dengan 30 tahun, 57,6% berpengetahuan baik, 51,7% bersikap negatif terhadap penggunaan kondom, 53,6% terpapar program HIV AIDS, 62,3% tersedia kondom, 76,2% ada Kelompok dukungan sebaya. Menurut uji chi square terdapat 4 variabel yang memiliki hubungan signifikan terhadap praktek penggunaan kondom pada waria yaitu pengetahuan mengenai HIV AIDS, keterpaparan program HIV AIDS, ketersediaan kondom, dan dukungan kelompok sebaya. Faktor yang paling dominan adalah keterpaparan program HIV AIDS terhadap praktek penggunaan kondom pada waria.

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The purpose of this study was to determine the factors (predisposing factors such as age, knowledge about HIV AIDS, attitudes towards condom use, enabling factors are exposure to HIV AIDS program and the availability of condoms, reinforcing factor is the existence of peer support groups associated with the practice of the use of condoms on transsexuals in Tangerang city in 2015. This study used cross sectional design with a sample totaling 151 transvestites taken of the total sample and questionnaire as a measuring tool of the study.

The results of this study showed that 55.6% of respondents always use a condom, 56.3 % of the same age to 30 years, 57.6% good knowledge, 51.7% negative attitudes toward condom use, 53.6% are exposed to HIV AIDS program, 62.3% provided condoms, 76.2% no peer support groups. According to chi square test there are four variables that have a significant relation to the practice of condom use on transsexuals that knowledge about HIV AIDS, exposure to HIV AIDS program, the availability of condoms, and peer support. The most dominant factor is the exposure of HIV-AIDS program to the practice of the use of condoms on a transsexual."

"[ABSTRAKPeer education lebih efektif dibanding dengan program lainnya dalammeningkatkan pengetahuan mahasiswa, dan memberikan nilai yang positif dalammeningkatkan pengetahuan siswa dalam mencegah dan menanggulangiHIV/AIDS. Penelitian bertujuan Untuk mengetahui pengaruh Peer Educationterhadap pengetahuan komprehensif tentang HIV/AIDS pada siswa SMA di KotaPontianak Propinsi Kalimantan Barat. Penelitian ini menggunakan jenis penelitianPre-Eksperimental Design dengan rancangan One Group Pre-Test, Post TestDesign. Analisis, uji t-test dependen dan regresi linier.Hasil penelitian menunjukkan gambaran skor tingkat pengetahuansebelum Peer Education nilai skor terendah adalah 12 dan nilai skor tertinggiadalah 30. Pada setelah diberikan peer education, nilai skor terendah adalah 13dan nilai skor tertinggi adalah 36. Nilai skor rata?rata sebelum diberikan peereducation adalah 19,85, sementara nilai skor rata?rata setelah diberikan peereducation adalah 27,0. Terdapat perbedaan yang signifikan antara skorpengetahuan sebelum diberikan peer education dengan setelah diberikan peereducation dengan selisih mean 7,1 dan standar deviasi 5,2. Pada analisismultivariate tidak ada interaksi peningkatan skor pengetahuan setelah dikontrolsumber informasi (p value = 0,138).Saran yang diperlukan kerjasama yang lebih kuat antara seluruhpengelola, pendidik sebaya, konselor sebaya, stakeholder, LSMKepemudaan/Keagamaan dan mitra kerja terkait demi terciptanyaremaja/mahasiswa yang berperilaku sehat dalam rangka mewujudkan GenerasiBerencana (GenRe). Meningkatkan kualitas modul dan materi pelatihan peereducation (pendidik sebaya). Memberikan wadah kegiatan untuk siswa dalammenuangkan kreatifitas remaja dalam mengembangkan pendidikan sebaya terkaitdengan pencegahan dan penanggulangan penyakit HIV/AIDS.

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ABSTRACTPeer education is more effective than other programs in improvingstudent knowledge, and give a positive value in improving students' knowledge inpreventing and combating HIV / AIDS. The study aims to determine the effect ofPeer Education on comprehensive knowledge about HIV / AIDS in high schoolstudents in the city of Pontianak, West Kalimantan Province. This research usesresearch Pre-Experimental Design with the design of One Group Pre-Test, PostTest Design. Analysis, dependent t-test and linear regression.The results showed balanced picture of the level of knowledge before thePeer Education lowest score is 12 and the value of the highest score is 30. In thefollowing peer education is given, the lowest score was 13 and the highest scorevalue is 36. Values the average score before the given peer education is 19.85,while the value of the average score after given peer education is 27.0. There aresignificant differences between the scores of knowledge before being given after agiven peer education with peer education with a mean difference of 7.1 and astandard deviation of 5.2. In the multivariate analysis no interaction increase inknowledge scores after controlling resources (p value = 0.138).Advice needed stronger cooperation between all managers, peereducators, peer counselors, stakeholders, NGO Youth / Religious and relatedpartners for the creation of adolescent / student healthy behaviors in order torealize Generation Planning (genre). Improving the quality of modules andtraining materials peer education (peer educators). Providing a forum for studentactivities in the pouring creativity youth in developing peer education related toprevention and control of HIV / AIDS., Peer education is more effective than other programs in improvingstudent knowledge, and give a positive value in improving students' knowledge inpreventing and combating HIV / AIDS. The study aims to determine the effect ofPeer Education on comprehensive knowledge about HIV / AIDS in high schoolstudents in the city of Pontianak, West Kalimantan Province. This research usesresearch Pre-Experimental Design with the design of One Group Pre-Test, PostTest Design. Analysis, dependent t-test and linear regression.The results showed balanced picture of the level of knowledge before thePeer Education lowest score is 12 and the value of the highest score is 30. In thefollowing peer education is given, the lowest score was 13 and the highest scorevalue is 36. Values the average score before the given peer education is 19.85,while the value of the average score after given peer education is 27.0. There aresignificant differences between the scores of knowledge before being given after agiven peer education with peer education with a mean difference of 7.1 and astandard deviation of 5.2. In the multivariate analysis no interaction increase inknowledge scores after controlling resources (p value = 0.138).Advice needed stronger cooperation between all managers, peereducators, peer counselors, stakeholders, NGO Youth / Religious and relatedpartners for the creation of adolescent / student healthy behaviors in order torealize Generation Planning (genre). Improving the quality of modules andtraining materials peer education (peer educators). Providing a forum for studentactivities in the pouring creativity youth in developing peer education related toprevention and control of HIV / AIDS.]"

"ABSTRAKCryptococcus sp. adalah jamur yang sering menginfeksi penderita imuno-kompromis, termasuk AIDS. Jamur tersebut tersebar luas dan memiliki keragaman hayati (bio-diversity). Penelitian ini bertujuan untuk mengetahui keragaman karakteristik molekular, faktor virulensi dan hubungan kepekaan isolat Cryptococcus dengan obat antijamur. Metode: Penelitian ini menggunakan desain eksploratif-analitik dan dilakukan di Departemen Parasitologi FKUI dan CBS, Utrecht, Belanda pada tahun 2011-2014. Sebanyak148 isolat tunggal Cryptococcus yang berasal dari 108 cairan otak pasien dan 291 isolat multipel Cryptococcus dari 48 sampel klinik (cairan otak, darah, cairan perikard) dilakukan penentuan spesies dan serotype. Sampel tunggal diidentifikasi menggunakan PCR dan sampel multiple dengan MALDI-TOF MS. Identifikasi genotipe pada sampel tunggal menggunakan RFLP-URA5 dan sampel multipel dengan AFLP. Uji kepekaan amfoterisin B, flusitosin, flukonazol, vorikonazol dan ketokonazol dilakukan dengan metode difusi cakram. Hasil: Sampel tunggal: Seluruh isolat tunggal adalah C. neoformans. Hasil identifikasi serotipe/varietas menunjukkan serotipe A 136 (91,9%) dan serotipe AD 12 (8,1%). Matingtype α (85,8%) lebih banyak dibanding matingtype a (14,2%). Dari identifikasi genotipe diperoleh AFLP1/VN I (86,5%), genotipe AFLP3/VN III (8,1%), dan AFLP1A/VN II (5,4%). Pada umumnya genotipe masih sensitif terhadap antijamur, kecuali terhadap flusitosin (100% resisten). Terhadap amfoterisin B terdapat isolat yang susceptible dose dependent (SDD), yaitu AFLP1/VN I (10,2%) dan AFLP1A/VN II (25%), sedangkan terhadap flukonazol diperoleh isolat SDD dan resisten. Sampel multipel: Seluruh isolat multipel adalah C. neoformans; 269 isolat serotipe A, 6 isolat serotipe D, 16 serotipe AD dan 1 isolat serotipe AB. Sebanyak 18 (60%) pasien disebabkan oleh strain yang sama, 10 pasien (33,3%) disebabkan dua strain dan dua pasien (6,7%) disebabkan oleh tiga strain. Uji kepekaan menunjukkan 100% isolat sensitif terhadap amfoterisin B dan ketokonazol, 16 (21%) isolat resisten terhadap vorikonazol, 19 (24%) isolat resisten terhadap flukonazol dan 100% isolat resisten terhadap flusitosin. Kesimpulan: Terdapat keragaman karakteristik molekular dan faktor virulensi Cryptococcus. Seluruh isolat sensitif ketokonazol, namun resisten terhadap flusitosin. Terhadap amfoterisin B ada isolat yang SDD dan terhadap flukonazol ada yang resisten.

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ABSTRACTCryptococcus sp. is a fungus that commonly infect immunocompromised patients, including AIDS. The fungus is cosmoplite and known has biodiversities. This study aim is to determine the characteristics of molecular diversity, virulence factors and its relation to Anti fungal Pattern.Methods: This study use exploratory-analytical design and performed at the Department of Parasitology, Faculty of Medicine and CBS, Utrecht, the Netherlands in 2011-2014. Out of 148 single Cryptococcus isolates originated from 108 patients and 291 cerebrospinal fluid Cryptococcus multiple isolates of 48 clinical samples (cerebrospinal fluid, blood, pericardial fluid) is the determination of the species and serotype. Single isolates were identified using PCR and multiple isolates were identified by MALDI-TOF MS. Identification of genotype on a single isolates using RFLP-URA5 and multiple isolates by AFLP. Susceptibility testing amphotericin B, flucytosine, fluconazole, voriconazole and ketoconazole performed by disc diffusion method. Results: Single sample: The entire single isolates are C. neoformans. Identification of serotype/variety shows serotype A 136 (91.9%) and the serotype AD 12 (8.1%). Matingtype α (85.8%) more than matingtype a (14.2%). Identification of genotypes obtained AFLP1/VN I (86.5%), genotype AFLP3/VN III (8.1%), and AFLP1A/VN II (5.4%). In general, all isolates are still sensitive to the anti-fungal, except against flucytosine (100% resistant). Some isolates show susceptible dose-dependent (SDD) to amphotericin B, they are AFLP1/VN I (10.2%) and AFLP1A/VN II (25%). Some isolates also obtained SDD and resistant to fluconazole. Multiple samples: The whole samples are C. neoformans; 269 isolates of serotype A, 6 isolates of serotype D, 16 serotype AD and 1 isolate serotype AB. 18 (60%) patients caused by the same strain, 10 patients (33.3%) due to two strains and two patients (6.7%) is caused by three strains. Susceptibility testing showed 100% of isolates are sensitive to amphotericin B and ketoconazole, 16 (21%) isolates were resistant to voriconazole, 19 (24%) isolates were resistant to fluconazole and 100% of isolates were resistant to flucytosine. Conclusion: There is a diversity of molecular characteristics and virulence factors of Cryptococcus. All isolates are susceptible to ketoconazole, but resistant to flucytosine. Some isolates SDD to amphotericin B and resistant to fluconazole."

"Berdasarkan data terakhir dari Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Kementerian Kesehatan per Desember 2014, secara kumulatif jumlah kasus HIV dan AIDS berdasarkan provinsi telah mencapai angka 32.711 kasus HIV dan 5.494 kasus AIDS, pada periode tersebut DKI Jakarta menempati posisi pertama, disusul Jawa Timur, dan Jawa Barat. Pengobatan bagi pasien HIV/AIDS untuk meningkatkan mutu dan harapan hidupnya adalah dengan menjalani Terapi ARV. Skripsi ini membahas hubungan antara Faktor Predisposisi (umur, jenis kelamin, tingkat pendidikan, pekerjaan dan status marital), Faktor Pemungkin (jarak ke layanan kesehatan), Faktor Penguat (faktor risiko, lama terapi dan dukungan keluarga) dengan Ketidakpatuhan Pasien HIV/AIDS dalam meminum obat ARV. Penelitian ini menggunakan data rekam medis pasien yang aktif terapi ARV sampai dengan Januari 2015 sebagai data sekunder dengan desain studi cross sectional. Subjek penelitian dalam penelitian ini berjumlah 105 pasien HIV/AIDS di wilayah kerja Puskesmas Kecamatan Jatinegara dan Kramatjati. Hasil penelitian menunjukkan bahwa 34,3% pasien tidak patuh dalam berobat. Variabel yang memiliki hubungan yang signifikan dengan ketidakpatuhan pasien adalah status bekerja (Bekerja, PR= 2,6, 95%CI=1,0-6,7) dan status marital (Belum Menikah, PR=0,3, 95%CI=0,1-0,7). Banyaknya pasien HIV/AIDS dengan status bekerja tidak patuh dalam minum obat ARV diperlukannya peningkatan akses pengambilan obat di layanan kesehatan, dengan waktu pengambilan obat diluar jam pelayanan diharapkan mampu meningkatkan kepatuhan minum obat ARV pada pasien HIV/AIDS dengan status bekerja.

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Based on the latest data from the Directorate General of disease control and environmental health Ministry of health per December 2014, cumulatively the number of cases of HIV and AIDS on the basis of the province has reached 32711 cases of HIV and AIDS cases, 5494 from the Jakarta ranked first, followed by East Java and West Java. Treatment for HIV/AIDS patients to improve the quality of its life expectancy and is to undergo Therapy ARV. In all regions of Indonesia in HIV treatment HIV amounted to 166,919 people, and are eligible to receive ARV therapy as much as 119,017 people or about 71,30%, receive ARV therapy as much as 93964 or 78.95% of all HIV sufferers who are eligible to receive ARV therapy, and amounted 21.05% 25053 or haven't received ARV therapy. This research discuss the relation about lot of factor, predispositions factors (age, sex, education, job status and marital status), enabling factors (distance to health services), Amplifier Factors (Risk Factor, length of therapy and family support) with the Non-Adherent HIV/AIDS patients following ARV Therapy. This research conducted using secondary data just as medical record with the design of study Cross Sectional. This research recorded 105 HIV/AIDS patients as sample at Puskesmas Jatinegara and Puskesmas Kramatjati. Result of this research is 34,3% patients is disobey the ARV Therapy. Result show 2 variable had association with non-adherent is working status (p=0,045, OR= 3,6) and marital status (p=0,001,OR=6,7)."

"Skripsi ini membahas diskriminasi petugas layanan kesehatan terhadap Orang dengan HIV/AIDS (ODHA). Studi ini merupakan studi kasus dengan pendekatan kualitatif terhadap tiga orang ODHA yakni Wina, Zacky dan Sisil. Skripsi ini menggunakan teori stigma Goffman yang terdiri dari tiga jenis stigma yaitu kecacatan tubuh, perusakan karakter dan tribal stigma. Kemudian juga menggunakan tiga jenis hubungan individu yaitu orang yang distigmatisasi, orang normal, dan orang yang dilabel sebagai pendukung. Skripsi ini mencari jawaban mengapa masih adanya diskriminasi petugas layanan kesehatan. Temuan penelitian ini terdiri dari tiga yakni (1) stigma sebagai penyebab masih adanya diskriminasi yang dilakukan oleh petugas layanan kesehatan, (2) adanya perbedaan persepsi diskriminasi antara petugas layanan kesehatan dan ODHA, (3) dan perlunya hubungan komunikasi yang baik antara pasien dan ODHA agar keberlangsungan perawatan ODHA semakin baik.

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This thesis discusses about public health workers? discrimination against people living with HIV/AIDS. This thesis is case studies based on qualitative approach of three PLWH which are Wina, Zacky and Sisil. This thesis uses Goffman?s theory on three types of stigma which are abominations of the body, blemishes of individual character and tribal stigma. Three types of individual relationship between the stigmatized/own, the normal and the wise is also used. This thesis seeks out an answer of why there is still public health workers? discrimination against PLWH/A. The result of this study is covered in answers stigma as the cause of as to why there is still public health workers? discrimination, (2) different perceptions about discrimination among public health workers? and PLWH/A, (3) and there is a need of good communication between public health worker?s and PLWH/A which can guarantee the healthcare of PLWH to be continuously better."

"HIV/AIDS masih menjadi masalah kesehatan prioritas di Indonesia, dimana mayoritas ODHA berusia dewasa. Diskriminasi dari masyarakat masih sering terjadi dan bisa menjadi stresor bagi ODHA. Dampaknya membuat ODHA tertutup dan menarik diri dari masyarakat serta rentan kehilangan sense of community belonging-nya. Penelitian ini bertujuan untuk mengetahui hubungan usia, stres, dan diskriminasi dengan sense of community belonging pada ODHA. Desain penelitian yang digunakan adalah analitik observasional. Penelitian ini dilakukan kepada 81 ODHA di Yayasan Pelita Ilmu, Jakarta dengan teknik sampling consecutive sampling. Data penelitian dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan 64,2% ODHA berada pada usia dewasa muda (21-35 tahun), 55,6% ODHA mengalami stres ringan, 77,8% ODHA mengalami diskriminasi ringan, dan 63% ODHA memiliki sense of commmunity belonging tinggi. Hasil penelitian menunjukkan terdapat hubungan antara stres dengan sense of community belonging namun tidak ada hubungan antara usia dan diskriminasi dengan sense of community belonging pada ODHA. Hal ini berarti stres memengaruhi sense of community belonging serta usia dan diskriminasi bisa menjadi faktor risiko tingkat sense of community belonging ODHA. Rekomendasi selanjutnya adalah mencari faktor lain yang berhubungan dengan sense of community belonging pada ODHA.

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HIV/AIDS is priority health problem in Indonesia, where the majority of PLWHA is in adult age. Discrimination from the community still occur and can be stressor for PLWHA. The impact are make them to be closed off, withdraw from the society, and vulnerable to lose their sense of community belonging. The purpose of this study is to identify the relationship between age, stress, and discrimination with sense of community belonging among PLWHA. This study using analytic observational design.

This study was conducted to 81 PLWHA in Pelita Ilmu Foundation, Jakarta. Consecutive sampling used as sampling technique. Data were analyzed using Chi-square test. The results showed 64,2% of PLWHA were in young adult age (21-35 years old), 55,6% of PLWHA experienced a mild stres, 77,8% of PLWHA experienced a mild discrimination, and 63% of PLWHA have high sense of community belonging.

These results indicate there is relationship between stres and sense of community belonging, but there is no relationship between age and discrimination with sense of community belonging among PLWHA. It means that stress affects sense of community belonging and the age and discrimination can be risk factor for the level of sense of community belonging among PLWHA. Suggestion for the future is to look for other related factors of sense of community belonging among PLWHA."

"Despite the growing number of new cases of HIV and AIDS in Indonesia, the progress ofprevention programs has been slow. Low prevalence is always stated as a reason for delayingHIV prevention programs and to justify slow progress in implementation. Prevention programsare moreover based on a high-risk group paradigm. They focus on female sex workers asresponsible for the spread of HIV, leading to its stigmatization as a hooker?s disease. This articledescribes how seropositive mothers interpret and respond to HIV and AIDS as women, in lightof the fact that most of them have not experienced full-blown AIDS. Some women had alreadyexperienced severe illnesses caused by HIV but defined their ill health by the symptoms theyexperienced, revealing that they did not really feel as if they were living with HIV and AIDS.Despite the fact that some members had died due to AIDS, many still could not believe thatthey were suffering from HIV and AIDS or that their illnesses were caused by it; rather, theirsymptoms were of other diseases such as diarrhoea, tuberculosis, or hepatitis. And thoughthey realized that their past (or present) behaviours put them at risk, they maintained thatthey were victims who had contracted the disease from their promiscuous or drug-injectinghusbands. Even when they did admit that their own behaviour had something to do with it,they did not consider HIV and AIDS as a disease but a curse from God, a punishment fortheir immoral behaviour.Keywords: Women, Infectious Disease, Interpretation, HIV and AIDS, Support Group,Indonesia"

"Keberhasilan terapi ARV sangat ditentukan oleh kepatuhan minum obat ARV. YPImerupakan salah satu yayasan peduli HIV/AIDS tertua di Indonesia yang terletak diTebet, Jakarta Selatan. Beberapa pasien HIV/AIDS di YPI ditemukan pernahmengalami putus obat yang dapat berisiko kematian akibat kegagalan terapi ARV. Penelitian ini bertujuan untuk melihat gambaran kepatuhan minum obat ARV padapasien HIV/AIDS di YPI. Penelitian ini merupakan penelitian kualitatif denganmenggunakan wawancara mendalam. Pengambilan data dilakukan pada 10 orang darikelompok ODHA, keluarga, dan pihak YPI. Penelitian ini menunjukkan bahwa masih terdapat pasien yang tidak patuh minum obat ARV. 5 informan yang penelitiwawancarai, 2 informan menyatakan pernah mengalami putus obat, 2 informan lainpernah terlambat minum obat dan 1 informan patuh minum obat. Penelitian ini menunjukkan faktor penyebab ketidakpatuhan minum obat ARV yaitu kesibukan, kejenuhan minum obat, takut efek samping, dan merasa sudah sehat.

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The success of antiretroviral therapy is largely determined by the adherence of taking an tiretroviral drugs. YPI is one of the foundation care HIV AIDS located in Tebet,South Jakarta. Several HIV AIDS patients in YPI have been found to have experienced drug withdrawal that could be at risk of death due to ARV therapy failure.

This study aims to look at the picture of adherence to taking ARV drugs and factors that influence adherence in HIV AIDS patients at YPI. This research is a qualitative research using in depth interviews. Data were collected on 10 people from HIV patients, family, andYPI groups.

This study shows that there are still patients who do not adhere to taking ARV drugs. 2 of 5 informants had a drug break, 2 informan not on time in taking medication. This study shows the factors that cause non adherence to take medication ARV that is busy, saturation of medicine, fear of side effects, and feel healthy."

"Infeksi HIV pada tubuh bertindak sebagai stresor yang akan menimbulkan permasalahan bagi individu yang terinfeksi di ataranya masalah fisik, psikologis dan psikososialnya. Permasalahan fisik terkait dengan perjalanan penyakit dan komplikasi sistem saraf pusat, mulai dari munculnya gejala penyakit, turunnya sistem kekebalan tubuh. Masalah psikosial dan psikologis yang dialami oleh penderita HIV diantaranya adalah munculnya stigma dan diskriminasi baik didalam keluarga maupun di masyarakat.Tujuan dari penelitian ini untuk mengetahui gambaran kualitas hidup Orang Dengan HIV/AIDS (ODHA) dan faktor -faktor yang mempengaruhi kualitas hidup ODHA di Rumah Sakit Penyakit Infeksi Prof Dr Sulianto Saroso.Penelitian ini menggunakan desain cross sectional, teknik pengambilan sample menggunakan cara consecutive sampling dengan jumlah sample sebanyak 420 orang. Analisis bivariat menggunakan chi-Square dan analisis multivariat menggunakan regresi logistik.Hasil penelitian menunjukkan ada hubungan yang bermakna antara pekerjaan (nilai p = 0,001), Spiritual (nilai p = 0,003), Depresi (nilai p 0,000), kepatuhan minum ARV (nilai p 0,000), lama terapi ARV (nilai p 0,002), Stigma (nilai p 0,000), dukungan sosial (nilai p 0,003), dukungan keluarga (nilai p 0,001), dukungan sebaya (0,002) dengan kualitas hidup ODHA. Faktor yang paling mempengaruhi kualitas hidup ODHA adalah kepatuhan minum ARV dengan OR 4,250 . yang berarti ODHA yang patuh dalam meminum ARV akan memiliki kualitas hidup yang tinggi 4,250 kali daripada ODHA yang tidak patuh dalam meminum ARV.

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HIV infection in the body act as stressors that will cause problems for individuals infected among physical, psychological and psychosocial. Physical problems related to the course of the disease and complications of the central nervous system, starting from the symptoms appearance of the disease, the decline of the immune system. Psychosocial and psychological problems experienced by HIV sufferers include the emergence of stigma and discrimination within the family and in society.

The aims of this study were to quality of life of People Living With HIV/AIDS and factors influencing the quality of life People Living With HIV/AIDS In Infectious Disease Hospital Prof Dr Sulianti Saroso.

This study used a cross sectional design, the sampling technique used consecutive sampling method with a total sample of 420 people. Bivariate analysis used chi-square and multivariate analysis used logistic regression.

The results showed significant correlation between work (p = 0.001), Spiritual (p = 0.003), Depression (p value 0.000), adherence to taking ARV (p value 0.000), duration of ARV therapy (p value 0.002), Stigma (p value 0,000), social support (p value 0.003), family support (p value 0.001), peer support (0.002) with quality of life People Living With HIV/AIDS. The most influencing factor for the quality of life People Living With HIV/AIDS is the adherence to taking ARV with OR 4.250 which means that People Living With HIV/AIDS who are obedient in taking ARVs will have a high quality of life of 4.250 times than People Living With HIV/AIDS who are not obedient in taking ARV."

"ABSTRACTHuman immunodeficiency virus (HIV) is one example of an emerging infection with total of 386 district of all province in Indonesia reported having such infection; with cumulative number of HIV infected patient from the year 1987 to 2014 is 150,296 while AIDS is 55,799 patients. The access to care only available for 153,887 patients among all HIV/AIDS patients of whom 70% are eligible for anti-retroviral (ARV) treatment and of these only half adhered to ARV treatment. In addition to that, there is an increased risk of other emerging diseases such as Zika virus, Monkey pox or Hanta pulmonary syndrome since a sporadic cases were reported around the region. Beside new diseases, tuberculosis, dengue virus, malaria and diphteria are continuously reported in Indonesia and classified as re-emerging illnesses. On this edition data on diphteria epidemiology in Indonesia will be shown by Karyanti et al.6 A recent outbreak of diphteria in Indonesia which involved almost all province in the country has led to a response named ORI (outbreak response of Immunization). Regardless of immunization, proper treatment including the distribution of anti-toxin and antibiotics are needed to stop the spread of this particular bacteria, further decreasing the mortality rate. In conclusion, the author of this paper mentioned that immunization gap needs to be handle systematically. Immunization data released on 2017 showed that complete immunization was given only to 20% of targeted group, while almost 75% were either unvaccinated or unknown. During the outbreak of diphteria in Indonesia, the WHO also reported several countries with similar problem such as Bangladesh, Haiti and Yamen. It was shown that a coordination between doctors in clinic/hospital with public health officer to conduct an epidemiological investigation, in conjunction with giving prophylaxis and assuring the logistics of anti-diphteria toxin and antibiotics were accessible were the key of success in eliminating diphteria like it was in Bangladesh.Adherence to treatment are multifactorial for all illnesses. First, is the duration of treatment and the potential adverse event due to the medication. The Ministry of Health of the Republic of Indonesia has support the early diagnosis of HIV and delivering treatment as soon as possible, in order to avoid transmission of the disease. Second, looking at another side of the story for HIV infected patients, receiving ARV treatment as a long life treatment could possibly cause an adverse event somewhere along the line. Budiman et.al reported factors that might contribute to liver injury. His study shows that measuring baseline liver function test AST routinely might minimize the toxicity of ARV to patients particularly with a low body mass index. Last, despite the adherence to treatment and procedures in minimizing the risk of adverse event to medication, we are now facing the primary resistance virus that transmitted in the community as mentioned by Megasari et al.8 on her report regarding the transmission of drug resistance HIV virus to naïve patients in Bali.The Indonesian government through the Indonesian Ministry of Health has established a collaboration and one health approaches to tackle the threat of diseases in the country, particularly in infectious diseases."