Persepsi Lelaki Seks Lelaki (LSL) tentang HIV AIDS dan VCT dalam Peningkatan Demand pada Pelayanan Voluntary Counseling and Testing (VCT) di Klinik IMS dan VCT Puskesmas Teladan Kota Medan
ABSTRAK
Permasalahan HIV/AIDS belakangan ini menjadi isu yang semakin
mengemuka di berbagai negara di dunia, tidak hanya menyangkut aspek
kesehatan, akan tetapi juga menyangkut aspek kehidupan lainnya. Pola hidup
Lelaki Seks Lelaki (LSL) yang cenderung memiliki banyak pasangan seks
sehingga memberikan kontribusi penularan IMS dan HIV yang signifikan.
Penanganan tidak hanya dari segi medis tetapi juga dari psikososial dengan
melalui pelayanan Konseling dan Testing HIV/AIDS Sukarela (VCT). Masih
sedikit LSL yang mau menggunakan klinik VCT yang tersedia di Puskesmas
Teladan menjadi masalah latar belakang penelitian. Oleh karena itu, dibutuhkan
persepsi dan respon yang positif dari LSL terhadap demand pelayanan VCT.
Penelitian survey yang bersifat deskriptif dengan metode pendekatan
kualitatif ini dilakukan bertujuan untuk menjelaskan persepsi Lelaki Seks Lelaki
(LSL) tentang HIV/AIDS dan VCT dalam peningkatan demand pada pelayanan
Voluntary Counseling and Testing (VCT) di Klinik IMS dan VCT Puskesmas
Teladan Kota Medan. Data primer diperoleh melalui wawancara mendalam
(indepth interview) sesuai panduan pertanyaan yang telah dipersiapkan,
sedangkan data sekunder diperoleh dari observasi atau dokumentasi Puskesmas
Teladan. Analisis data menggunakan teknik analisa isi (content analysis).
Pemilihan informan dalam penelitian ini dilakukan dengan menggunakan teknik
snowballing.
Hasil penelitian menunjukkan bahwa persepsi LSL tentang HIV/AIDS dan
VCT, persepsi kerentanan dan keparahan LSL terhadap HIV/AIDS, pengetahuan,
pengalaman, dan media massa terhadap pelayanan VCT membentuk persepsi
yang menghambat demand pelayanan VCT Puskesmas Teladan. Sedangkan
persepsi ancaman LSL terhadap HIV/AIDS, informasi, penilaian, kepercayaan,
dan teman seprofesi mampu meningkatkan demand pelayanan VCT Puskesmas
Teladan.
Disarankan pihak Puskesmas Teladan dibantu oleh Dinas Kesehatan Kota
Medan harus meningkatkan upaya promosi kesehatan tentang HIV/AIDS dan
Pelayanan VCT melalui berbagai media. Peningkatan pengetahuan dan
ketrampilan perlu dilakukan kepada petugas Klinik IMS dan VCT Puskesmas
Teladan agar mampu mengarahkan dan mendampingi LSL untuk demand
pelayanan VCT. Manajemen VCT Puskesmas Teladan perlu membangun
kepercayaan dan meningkatkan kualitas pelayanan bagi setiap kalangan yang
memakai layanan VCT di Klinik IMS dan VCT Puskesmas Teladan.
Kata Kunci : Persepsi, HIV/AIDS, VCT, Demand, Lelaki Seks Lelaki (LSL).
iv
Universitas
Sumatera Utara
ABSTRACT
The Problems of HIV/AIDS has recently become more prominent issues in
various countries in the world, is not only about to the health aspects, but also
about other aspects of life. The lifestyle of Men Sex Men (MSM) who are likely to
have multiple sex partners and give contribution to the STI and HIV transmission
significantly. The handling is not only the medical aspect but also from the
psychosocial support through the Voluntary Counseling and Testing (VCT)
services. There are still a bit of MSM who want to use VCT clinics at Teladan
health centre to be a problem of research background. Therefore, it takes a
perception and positive response of MSM to demand VCT services.
The research used descriptive survey with a qualitative approach which
was done and aims to explain the perception of Men Sex Men (MSM) about
HIV/AIDS and VCT in increasing demand on Voluntary Counseling and Testing
(VCT) services in the STI and VCT Clinic of Medan City Teladan Health Center.
The primary data obtained through indepth interview according to the questions
guide that have been prepared, meanwhile the secondary data obtained from
observation or documentation Teladan Health Center. Data analysis will use
content analysis of technique. Selection of informants in this research was done
by using the technique of snowballing.
The result of research showed that the perception of MSM about
HIV/AIDS and VCT, the perception on susceptibility and seriousness of MSM to
HIV/AIDS, knowledge, experience, and mass media on VCT services to create
perceptions which obstruct to demand VCT services at the Teladan Health Care.
Meanwhile, the MSM perception on threat to HIV/AIDS, information, judgments,
trust, and profession friends can improve to demand the VCT services at Teladan
Health Center.
It is recommended to Teladan Health Center assisted by Medan City
Health Department should improve the health promotion efforts on HIV / AIDS
and VCT services through various media. Increasing the knowledge and skills
should be done by officers of STI and VCT Clinic, Teladan Health Center, to be
able to direct and accompany MSM to demand VCT services. The VCT
management of Teladan Health Center should build trust and improve a quality
services for each of the people who use VCT services in the STI and VCT Clinic,
Teladan Health Center.
Keywords: Perception, HIV/AIDS, VCT, Demand, Men Sex Men (MSM)
v
Universitas
Sumatera Utara
Permasalahan HIV/AIDS belakangan ini menjadi isu yang semakin
mengemuka di berbagai negara di dunia, tidak hanya menyangkut aspek
kesehatan, akan tetapi juga menyangkut aspek kehidupan lainnya. Pola hidup
Lelaki Seks Lelaki (LSL) yang cenderung memiliki banyak pasangan seks
sehingga memberikan kontribusi penularan IMS dan HIV yang signifikan.
Penanganan tidak hanya dari segi medis tetapi juga dari psikososial dengan
melalui pelayanan Konseling dan Testing HIV/AIDS Sukarela (VCT). Masih
sedikit LSL yang mau menggunakan klinik VCT yang tersedia di Puskesmas
Teladan menjadi masalah latar belakang penelitian. Oleh karena itu, dibutuhkan
persepsi dan respon yang positif dari LSL terhadap demand pelayanan VCT.
Penelitian survey yang bersifat deskriptif dengan metode pendekatan
kualitatif ini dilakukan bertujuan untuk menjelaskan persepsi Lelaki Seks Lelaki
(LSL) tentang HIV/AIDS dan VCT dalam peningkatan demand pada pelayanan
Voluntary Counseling and Testing (VCT) di Klinik IMS dan VCT Puskesmas
Teladan Kota Medan. Data primer diperoleh melalui wawancara mendalam
(indepth interview) sesuai panduan pertanyaan yang telah dipersiapkan,
sedangkan data sekunder diperoleh dari observasi atau dokumentasi Puskesmas
Teladan. Analisis data menggunakan teknik analisa isi (content analysis).
Pemilihan informan dalam penelitian ini dilakukan dengan menggunakan teknik
snowballing.
Hasil penelitian menunjukkan bahwa persepsi LSL tentang HIV/AIDS dan
VCT, persepsi kerentanan dan keparahan LSL terhadap HIV/AIDS, pengetahuan,
pengalaman, dan media massa terhadap pelayanan VCT membentuk persepsi
yang menghambat demand pelayanan VCT Puskesmas Teladan. Sedangkan
persepsi ancaman LSL terhadap HIV/AIDS, informasi, penilaian, kepercayaan,
dan teman seprofesi mampu meningkatkan demand pelayanan VCT Puskesmas
Teladan.
Disarankan pihak Puskesmas Teladan dibantu oleh Dinas Kesehatan Kota
Medan harus meningkatkan upaya promosi kesehatan tentang HIV/AIDS dan
Pelayanan VCT melalui berbagai media. Peningkatan pengetahuan dan
ketrampilan perlu dilakukan kepada petugas Klinik IMS dan VCT Puskesmas
Teladan agar mampu mengarahkan dan mendampingi LSL untuk demand
pelayanan VCT. Manajemen VCT Puskesmas Teladan perlu membangun
kepercayaan dan meningkatkan kualitas pelayanan bagi setiap kalangan yang
memakai layanan VCT di Klinik IMS dan VCT Puskesmas Teladan.
Kata Kunci : Persepsi, HIV/AIDS, VCT, Demand, Lelaki Seks Lelaki (LSL).
iv
Universitas
Sumatera Utara
ABSTRACT
The Problems of HIV/AIDS has recently become more prominent issues in
various countries in the world, is not only about to the health aspects, but also
about other aspects of life. The lifestyle of Men Sex Men (MSM) who are likely to
have multiple sex partners and give contribution to the STI and HIV transmission
significantly. The handling is not only the medical aspect but also from the
psychosocial support through the Voluntary Counseling and Testing (VCT)
services. There are still a bit of MSM who want to use VCT clinics at Teladan
health centre to be a problem of research background. Therefore, it takes a
perception and positive response of MSM to demand VCT services.
The research used descriptive survey with a qualitative approach which
was done and aims to explain the perception of Men Sex Men (MSM) about
HIV/AIDS and VCT in increasing demand on Voluntary Counseling and Testing
(VCT) services in the STI and VCT Clinic of Medan City Teladan Health Center.
The primary data obtained through indepth interview according to the questions
guide that have been prepared, meanwhile the secondary data obtained from
observation or documentation Teladan Health Center. Data analysis will use
content analysis of technique. Selection of informants in this research was done
by using the technique of snowballing.
The result of research showed that the perception of MSM about
HIV/AIDS and VCT, the perception on susceptibility and seriousness of MSM to
HIV/AIDS, knowledge, experience, and mass media on VCT services to create
perceptions which obstruct to demand VCT services at the Teladan Health Care.
Meanwhile, the MSM perception on threat to HIV/AIDS, information, judgments,
trust, and profession friends can improve to demand the VCT services at Teladan
Health Center.
It is recommended to Teladan Health Center assisted by Medan City
Health Department should improve the health promotion efforts on HIV / AIDS
and VCT services through various media. Increasing the knowledge and skills
should be done by officers of STI and VCT Clinic, Teladan Health Center, to be
able to direct and accompany MSM to demand VCT services. The VCT
management of Teladan Health Center should build trust and improve a quality
services for each of the people who use VCT services in the STI and VCT Clinic,
Teladan Health Center.
Keywords: Perception, HIV/AIDS, VCT, Demand, Men Sex Men (MSM)
v
Universitas
Sumatera Utara