Latar belakang: Voluntary Counselling and Testing (VCT) merupakan entry point untuk memberikan perawatan, dukungan dan pengobatan bagi ODHA. VCT juga merupakan salah satu model untuk memberikan informasi secara menyeluruh dan dukungan untuk merubah perilaku berisiko serta mencegah penularan HIV/AIDS. Tujuan: Untuk mendapatkan gambaran tentang pelaksanaan Voluntary Counseling and Testing (VCT). Metode: Penelitian ini adalah studi kasus dan lokasi penelitian di RSUP Dr. Sardjito dengan unit analisnya klinik edelweis. Variabel dependen dalam penelitian ini adalah pelaksanaan VCT yang terdiri dari konseling pre tes, testing HIV dan konseling post tes sedangkan variabel independen adalah staf (staff), dana (fund), kebijakan (policy), peralatan (equipment) dan ruang pelayanan VCT (space of VCT services). Responden dalam penelitian ini 17 responden teridiri dari Ketua Panitia HIV/AIDS, konselor, petugas administrasi, petugas laboratorium dan klien. Hasil: Dari penelitian ditemukan bahwa pelaksanaan konseling pre tes, tes HIV dan konseling post tes sudah baik namun masih terdapat banyak kendala dalam pelayanan VCT. Secara umum ada 3 kendala yang mempengaruhi pelaksanaan VCT di RSUP Dr. Sardjito yaitu faktor konselor sendiri, faktor dari klien, faktor manajemen. Faktor dari konselor antara lain; a) menggali faktor risiko; b) konselinng post tes diberikan oleh konselor yang berbeda; c) mutu konseling pre tes yang kurang baik; d) perlakuan yang kurang empati ; e) bahasa yang digunakan konselor terkadang tidak dipahami klien; f) pengambilan sampel darah diluar ruangan. Faktor dari klien antara lain a) klien yang kritis; b) klien adalah tokoh masyarakat; c) klien tidak datang untuk mengambil hasil. Faktor manajemen antara lain; a) klinik edelweis belum berdiri sebagai satu unit organisasi otonom; b) konselor masih rangkap tugas; c) waktu tunggu klien yang lama; d) ruang konseling yang belum menjamin konfidensialitas dan kenyamanan klien; e) belum ada tenaga community coordinator; f) belum ada program penjangkauan di masyarakat; g) media KIE yang masih terbatas; h) pemasaran sosial VCT masih kurang; i) sarana dan prasarana masih terbatas. Kesimpulan: Pelaksanaan VCT di klinik edelweis RSUP Dr. Sardjito sudah baik dan mengikuti pedoman VCT. Kata kunci: voluntary counseling and testing

Background: Voluntary Counselling and Testing (VCT) is an entry point for the provision of nursing, support and medication of people living with HIV/AIDS. VCT is also a model for the dissemination of comprehensive information and support to change risk behavior and prevent HIV/AIDS infection. Objective: To get overview on the implementation of Voluntary Counseling and Testing (VCT). Method: This was a case study. The location of the study was Dr. Sardjito Hospital and the analysis unit was Edelweis Clinic. Dependent variable of the study was the implementation of VCT which consisted of pre test counseling, HIV testig and post test counseling where as independent variables were staff, fund, policy, equipment and space of VCT services. There was as many as 17 responent consisting of chairman of HIV/AIDS committee, counselors, administrative staff, laboratory staff and clients. Result: The implementation of pretest counseling, HIV test and post test counseling was relatively good, however there were some constraints in VCT service. In general there were 3 factors affecting the implementation of VCT at Dr. Sardjito Hospital, i.e. the counselor, the client and the management. Factors related to the counselor were a) finding risk factors; b) post test counseling was given by different counselors; c) the quality of pretest counseling was not so good; d) treatment lacked empathy; e) the language used by the counselor was not properly understood by the client; f) the taking of blood sample was conducted outside the room. Factors related to the client were a) the clinet was critical; b) the client was public figure; c) the client did not come back to take the result of the test. Factors related to the management were a) Edelweis Clinic was not an autonomous unit; b) the counselor had double duties; c) the client waited for long; d) the counseling room had not ensured confidentiality and convenience of the client; e) there was no community coordinator; f) there was no program to outreach the community; g) media of communication, information and education were limited; h) the socialization of VCT was insufficient; i) facilities were limited. Conclusion: The implementation of Edelweis Clinic at Dr. Sardjito Hospital was relatively good and conformed to VCT guideline.

Kata Kunci : Layanan Kesehatan,Rumah Sakit,HIV/AIDS,VCT, voluntary counseling and testing, HIV/AIDS, people living with HIV/AIDS.