HIV / AIDS is a killer disease that is growing rapidly in many countries around the world. In 2012, according to the World Health Organization (WHO), there are 35.3 million people living with HIV/AIDS worldwide and 1.6 million people died due to malignancy of the disease (WHO, 2013). They also estimate that approximately 0.8% of the young people and adults over the world suffer from this disease.
Indonesia is one of the countries that have fast rate of progression of HIV / AIDS. The discovery of new cases of HIV / AIDS increased rapidly, accounting for 29,000, 60,000 and 76,000 cases in 2001, 2006 and 2012, respectively (WHO, 2013). The number of people living with HIV / AIDS in Indonesia ...view middle of the document...
Although there was an increase in the number of additional people who voluntarily perform the test recent years, the number is still far from the expected. Many factors were behind this and most prominent is the ineffectiveness of health interventions provided by health workers in promoting the importance of the VCT program and in terms of treatment and care to patients in the VCT clinics (Butt, 2013)
Dealing with this issue, various interventions are needed. As the start of the action, in-depth assessment process contained in the planning process should be conducted to determine the root cause of the problem. This will give a complete picture of the problem there as a reference in planning intervention programs. Therefore, using the Precede-Proceed model this paper will describe several important findings gained from the assessment conducted on the issue and then using the Theory of Reasoned Action (TRA) and Social Cognitive Theory (SCT), it will explain the approach taken.
2.0 The problem of ineffectiveness health preventions
In the midst of heated political situation in Papua, due to the efforts of the majority of local people to separate from the Republic of Indonesia, health interventions experienced significant challenge. The low local people visit to VCT clinics were assessed occurred due to the ineffectiveness of health interventions provided by the health workers, who generally are migrants from outside Papua
Regarding health promotion intervention, in a study conducted by Simonin (...), it was found that the material provided by the migrant health workers do not fit the local context so that the health message is difficult to understand by the public which generally have high levels of knowledge lower. In general, the problem relates to the language used in the messages and images in the media campaign. Local Papuan languages are not yet fully considered in the creation of the media. Similarly, in the case of a poster or a physical description of the perpetrator in the media, the physical appearance of the person in the picture does not reflect the local Papuan with curly hair and black skin, yet physically describe people who come from outside Papua. This leads to errors, which the local people feel that the message is not addressed to them.
In terms of health care provided in clinics in the VCT, a study conducted by Butt (2013) found that stigma arises from the health workers against HIV- AIDS positive patients, increasing the tension between the two sides. Discrimination verbally or in the form of the action occurs in the VCT clinics. Words such as "HIV-AIDS sufferers are those who dirty" or the words "this disease is a punishment for them" are the forms of discrimination experienced by people with HIV/AIDS. This makes the patient does not feel comfortable to get treatment, even to visit these clinics.
The other thing that becomes the most important issue is the confidentiality of the status of patients who have tested positive...