PENGETAHUAN DAN SIKAP TENAGA KESEHATAN PUSKESMAS KOTA YOGYAKARTA DALAM MENINGKATKAN CAKUPAN TES HIV DENGAN PENDEKATAN PROVIDER INITIATED HIV TESTING AND COUNSELING (PITC)

RIZKA AYU SETYANINGRUM, Ema Madyaningrum, S.Kep., Ns., M.Kes

2014 | Skripsi | ILMU KEPERAWATAN

Jumlah kasus HIV/AIDS semakin meningkat dan terlambat terdiagnosis. Provider Initiated HIV Testing and Counseling (PITC) merupakan pendekatan tes dan konseling HIV pada layanan kesehatan yang diprakarsai oleh tenaga kesehatan. Pengetahuan dan sikap tenaga kesehatan tentang prinsip PITC penting dalam meningkatkan cakupan tes HIV. Tujuan: Mengetahui Pengetahuan dan sikap tenaga kesehatan yaitu perawat, bidan dan dokter Puskesmas Kota Yogyakarta tentang PITC dan 3 Prinsip PITC yaitu counseling, consent, confidentiality. Metode: Penelitian ini adalah penelitian deskriptif dengan rancangan crossectional.Instrument berupa kuesioner disusun dari pedoman penerapan PITC WHO 2007 dan P2PL 2010. Sampel diambil dengan teknik proportional random sampling yang terdiri dari perawat 33 orang, bidan 40 orang, dan dokter 32 orang. Analisis data menggunakan distribusi frekuensi dan uji chi square. Hasil: Sebanyak 62,5% bidan dan 56% dokter memiliki tingkat pengetahuan baik, namun 51,5% perawat dalam kategori cukup. Sebanyak 66% dokter dan 67,5% bidan memiliki sikap positif namun 51,5% perawat bersikap negatif. Tidak terdapat perbedaan pengetahuan dan sikap antara tenaga kesehatan Puskesmas yang mendapatkan tugas Layanan Komprehensif HIV-IMS Berkesinambungan (LKB) dengan yang belum (p≥0,05). Kesimpulan: Pengetahuan tenaga kesehatan mayoritas dalam kategori baik dan memiliki sikap mendukung penerapan 3 prinsip PITC, serta tidak ada perbedaan pengetahuan dan sikap.

The number of cases of HIV/AIDS was increasing and late diagnosis. Provider Initiated HIV Testing and Counseling (PITC) is an approach to HIV testing and counseling in health services initiated by the health worker. Knowledge and attitudes of health workers are important to improve the coverage of HIV testing. Objective: To determine knowledge and attitudes of health workers are nurses, midwives and physician of primary health care about the PITC and 3 principals of PITC are counseling, consent, and confidentiality. Methods: This study was a cross sectional descriptive study design. The instrument as a questionnaire arranged from the guideline of PITC by WHO 2007 and P2PL 2010. Samples were taken with a proportional random sampling techniqueconsisted of 33 nurses, 40 midwives and 32 physician. Analysis of data used frequency distribution and chi square test. Results: A total of 62.5% of midwives and 56% of physician have a good level of knowledge, but 51.5% of nurses in enough. As many as 66% of physicians and 67.5% of midwives have a positive attitude, but 51.5% of nurses being negative. There was no difference in knowledge and attitudes between health workers of primary health care who had gotten a duty of HIV-STI Services Comprehensive Continuous or yet. (p ≥ 0.05) Conclusion: Majority of health workers were good knowledge and had positive attitudes to support the 3 principal application of PITC, also there was no difference in knowledge and attitude.

Kata Kunci : pengetahuan, sikap, tenaga kesehatan, PITC