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"ABSTRAKPerilaku berobat dalam penelitian ini ialah perilaku ODHA dalam meminum obat ARV. Penggunaan ARV menuntut ODHA untuk patuh menjalankan pengobatannya. Sedikit pelanggaran dari ketentuan dapat menyebabkan kegagalan proses pengobatan dan memicu munculnya resistensi. Di Indonesia, angka kejadian kegagalan dalam pengobatan ARV masih tinggi. Hingga September 2014, ada 38.399 orang yang berhenti melakukan pengobatan ARV dan tidak ter-followup. Tujuan dari penelitian ini ialah memperoleh gambaran yang mendalam tentang perilaku berobat ODHA Yayasan Kotex Mandiri yang berkaitan dengan pengetahuan, self efficacy, riwayat efek samping obat, akses layanan kesehatan, pengalaman mendapat stigma dan diskriminasi di layanan kesehatan, dukungan tenaga kesehatan, dan dukungan kelompok. Penelitian ini merupakan jenis penelitian kualitatif dengan menggunakan desain studi kasus. Metode yang digunakan adalah wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa sebagian besar ODHA Yayasan Kotex Mandiri memiliki pengetahuan yang baik mengenai HIV, memiliki self efficacy yang tinggi, mengalami riwayat efek samping obat namun dapat diatasi dengan baik dan tidak menimbulkan putus obat, mendapat akses layanan kesehatan mudah, tidak mengalami stigma dan diskriminasi di layanan kesehatan, mendapat dukungan dari tenaga kesehatan, dan kelompok (keluarga, teman, dan LSM). Adanya program pendampingan dari Yayasan Kotex Mandiri di layanan kesehatan memberikan dampak seperti peningkatan pengetahuan dan motivasi berobat ODHA.

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ABSTRACTThe treatment behavior in this study is the behavior of ODHA in taking ARV drugs, starting from taking ARV in health services to their consumption. The use of antiretrovirals requires ODHA to comply and carry out their treatment regularly. Few violations of the provisions for taking these drugs can cause a failure of the treatment process and trigger resistance. In Indonesia, the incidence of ARV treatment failure is still high due to poor adherence to treatment. Until September 2014, there were 38,399 people who stopped taking ARV treatment and were not followed up. The purpose of this study was to obtain an in-depth picture of the treatment behavior of the ODHA of Kotex Mandiri Foundation relating to knowledge, self efficacy, history of drug side effects, access to health services, experience of getting stigma and discrimination in health services, support of health workers, and group support. This research is a type of qualitative research using case study design. The method used is in-depth interviews and document review. The results showed that most ODHA in Kotex Mandiri Foundation had good knowledge about HIV, modes of transmission, and ARV treatment, had high self efficacy, experienced a history of drug side effects such as nausea, fever, rashes, but could be treated well and does not cause drug breaking behavior, gets access to health services very easily, does not experience stigma and discrimination in health services where he is treated, gets support from health workers, and groups (family, friends and NGOs). The existence of a mentoring program from Kotex Mandiri Foundation in health services has had an impact such as increasing the knowledge and motivation of ODHA treatment."

"ABSTRACTThe main purpose of the study was to determine which characteristics and factors affect the pattern of treatment-seeking behavior in the sub district. The achievement of this objective was intended to add knowledge of treatment-seeking behavior to existing knowledge on both behavioral epidemiology and health services research as well as to provide useful information to formulate interventions in extending treatment services from the Lilirilau Sub district Health Center to the whole sub district.In early 1982, the data were collected from a representative sample of 1347 households with 472 sick household members. The data were analyzed using univariate, bivariate and discriminant analysis.The main results of the study are: The decision maker who preferred the sick person to be treated at home was more likely to choose home treatment than to seek treatment, to seek treatment from traditional healers than modern health services, and from paramedical personnel than the health center. Those who knew about the medications needed for a sickness were more likely to conduct self-treatment than choose no treatment. Most of those living more than 3 km from the health center were more likely to choose the policlinic and health promoter in the village concerned than the sub district health center.Most of those from families with lower wealth and with occupations in the FHLN (farmers, housewives, laborers and no job) category were more likely to seek treatment from traditional healers than modern health services, and to seek treatment from paramedical personnel than at the health center when compared with those from families with higher wealth and with occupations in the GEMS (government employees, businessmen, merchants and skilled workers) category. The decision makers for under-fives were more likely to-seek treatment from traditional healers than modern health services. Most of those with occupations in the FHLN category and who were uneducated were more likely to seek treatment at the policlinic and health promoter in the village concerned than at the health center. The household head was most often the decision maker for sick persons of all ages, while the housewife had a more important role in making decisions for children under-five than older children.The preference to be treated at home that was associated with knowledge about the medication needed and may be related to the habits of the community, while that associated with the age of the sick person may be related to the beliefs in the community. In line with these habits and beliefs, the sick persons undertake home treatment or seek treatment from paramedical personnel and traditional healers. Thus, the health center should undertake interventions to make self-treatment safe and effective. In addition, the health center should consider and implement alternative interventions so that both paramedical personnel and traditional healers extend treatment services safely and effectively. This intervention should be directed especially toward the target population: those with occupations in the FHLN category in the community, and household heads and housewives at the household level."