2023-12-13 14:31:13
IN 2023, it is estimated that there will be 515,455 HIV sufferers in Indonesia. Therefore, massive treatment is needed to continue to reduce HIV cases in Indonesia. Head of the Ministry of Health’s HIV/AIDS work team, Endang Lukitosari, said that one of the keys to breaking the HIV chain is to prevent pregnant women. This is because the risk of HIV transmission from pregnant women is around 20-45%. “However, not all pregnant women undergo HIV screening. “Of those screened, 0.3% were HIV positive and only 46.3% started ARVs,” said Endang at the Denpasar 12 Discussion Forum, Wednesday (13/12). Also read: Getting to know the complications of HIV infection in the nervous system. He admitted that there are still many obstacles encountered in treating HIV. Apart from low screening, the problem of stigma and discrimination still exists. There is not only the stigma of discrimination among the community and health workers, but there is also quite a large stigma that exists internally among PLHIV. Also read: Handling HIV and AIDS needs to be done together “This causes more and more people to be afraid to seek treatment and there are still many HIV issues and there is no medicine that can maintain it, things like that become obstacles for us to achieve the indicators and targets set ,” he explained. Another problem is that only 40% of PLHIV then undergo ARV treatment. Even though the target is 95%. “The biggest obstacle is not continuing treatment because of many factors, one of which is not feeling sick, especially in the early stages because you don’t show symptoms of illness so you feel healthy, not continuing or being embarrassed and then also stopping because you have to take medicine every month and so on,” he explained. In fact, PLHIV who take medication regularly can no longer infect other people and the virus can no longer be detected. Within three months of taking ARV medication, 90% of the virus in the body of HIV sufferers can be suppressed. “What many people don’t know is that the HIV virus can be controlled and no longer transmitted,” he explained. Meanwhile, he explained that HIV cases, especially in children, do not stand alone. In children, HIV cases are closely related to infections in pregnant women. Therefore, it is important to screen pregnant women for HIV. “Treating HIV in children requires a comprehensive approach such as immunization, OI prevention, nutrition, ARVs and PASI,” he said. In fact, he continued, we can see success from the decline in the incidence of new cases, but not as much as we expected. In 2010, HIV cases in Indonesia were 48,487 cases. Then in 2020 it fell to 27,580 cases and in 2030 it is hoped that cases will decrease to 21,270 cases. “The hope is that with more massive screening, key and special groups including pregnant women can reduce the incidence of new cases,” he explained. Meanwhile, the Ministry of Health has set targets by 2030 so that 95% of cases can be prevented, 95% of PLHIV know their status, 95% of PLHIV receive treatment, 95% of PLHIV viruses can be eliminated by ARVs, 95% of HIV transmission chains are broken, 95% of women have access to HIV and reproductive health and 90% of PLHIV and people at risk have access to integrated services. “To achieve this target requires support from ministry/institution policies and support for case finding, outreach and advocacy by local governments. It is very much needed. Nurul Saadah Andriani from the Women, Disabled and Children’s Advocacy Center Foundation said that massive education is needed regarding preventing HIV/AIDS in pregnant women. “Often women who experience domestic violence are pregnant, whether they have the right to control themselves over their reproductive organs and think about not infecting other parties and controlling their sexual activity,” he explained. (Z-5)
IN 2023, it is estimated that there will be 515,455 HIV sufferers in Indonesia. Therefore, massive treatment is needed to continue to reduce HIV cases in Indonesia.
Head of the Ministry of Health’s HIV/AIDS work team, Endang Lukitosari, said that one of the keys to breaking the HIV chain is to prevent pregnant women. This is because the risk of HIV transmission from pregnant women is around 20-45%.
“However, not all pregnant women undergo HIV screening. “Of those screened, 0.3% were HIV positive and only 46.3% started ARVs,” said Endang at the Denpasar 12 Discussion Forum, Wednesday (13/12).
Also read: Recognizing the Complications of HIV Infection in the Nervous System
He admitted that there were still many obstacles encountered in treating HIV. Apart from low screening, the problem of stigma and discrimination still exists.
There is not only the stigma of discrimination among the community and health workers, but there is also quite a large stigma that exists internally among PLHIV.
Also read: Handling HIV and AIDS needs to be done jointly
“This causes more and more people to be afraid to seek treatment and there are still many HIV issues and there is no medicine that can maintain it, things like that are obstacles for us to achieve the indicators and targets set,” he explained.
Another problem is that only 40% of PLHIV then undergo ARV treatment. Even though the target is 95%.
“The biggest obstacle is not continuing treatment because of many factors, one of which is not feeling sick, especially in the early stages because you don’t show symptoms of illness so you feel healthy, not continuing or being embarrassed and then also stopping because you have to take medicine every month and so on,” he explained.
In fact, PLHIV who take medication regularly can no longer infect other people and the virus can no longer be detected. Within three months of taking ARV medication, 90% of the virus in the body of HIV sufferers can be suppressed.
“What many people don’t know is that the HIV virus can be controlled and no longer transmitted,” he explained.
Meanwhile, he explained that HIV cases, especially in children, do not stand alone. In children, HIV cases are closely related to infections in pregnant women. Therefore, it is important to screen pregnant women for HIV.
“Treating HIV in children requires a comprehensive approach such as immunization, OI prevention, nutrition, ARVs and PASI,” he said.
In fact, he continued, we can see success from the decline in the incidence of new cases, but not as much as we expected. In 2010, HIV cases in Indonesia were 48,487 cases. Then in 2020 it fell to 27,580 cases and in 2030 it is hoped that cases will decrease to 21,270 cases.
“The hope is that with more massive screening, key and special groups including pregnant women can reduce the incidence of new cases,” he explained.
Meanwhile, the Ministry of Health has set targets by 2030 so that 95% of cases can be prevented, 95% of PLHIV know their status, 95% of PLHIV receive treatment, 95% of PLHIV viruses can be eliminated by ARVs, 95% of HIV transmission chains are broken, 95% of women have access to HIV and reproductive health and 90% of PLHIV and people at risk have access to integrated services.
“To achieve this target requires support from ministry/institution policies and support for case finding, outreach and advocacy by local governments. It is very much needed.
Nurul Saadah Andriani from the Women, Disabled and Children’s Advocacy Center Foundation said that massive education is needed regarding preventing HIV/AIDS in pregnant women.
“Often women who experience domestic violence are pregnant, whether they have the right to control themselves over their reproductive organs and think about not infecting other parties and controlling their sexual activity,” he explained. (Z-5)
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