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03 Dec 2018 Adi Wahyono Articles 21
According to data from the National AIDS Commission (KPA) shows, in 1987 the number of AIDS patients in Indonesia was still five cases. In the span of 10 years, it only increased to 44 cases. But since 2007, AIDS cases suddenly jumped to 2,947 cases and the June 2009 period increased eightfold, to 17,699 cases. Of that number, those who died reached 3,586 people.
    Estimated, in Indonesia in 2014 there will be 501,400 cases of HIV / AIDS. HIV / AIDS sufferers already exist in 32 provinces and 300 districts / cities. Most sufferers are found in productive age, namely 15-29 years. In fact, reducing HIV / AIDS cases is one of the targets of the Millennium Development Goals (MDGs).
    The facts show that Papua is no longer the province that has the highest number of HIV / AIDS cases, although the prevalence per population is still the highest. Precisely in West Java (West Java) the number of cases of people with HIV / AIDS was ranked first. West Java reaches 3,213 cases, followed by DKI Jakarta 2,810 cases, East Java 2,753 cases, then fourth Papua with 2,605 cases.
    The presence of VCT is very instrumental in preventing the spread of the disease. The World Health Organization (WHO) has launched a VCT guide that is useful in detecting and managing HIV globally. The guidelines are then applied in various countries, especially developing countries.
    In principle, VCT is confidential and carried out voluntarily. This means that it is only carried out on the initiative and approval of someone who came to the VCT service provider to be examined. The results of the inspection are kept confidential.
After signing a written agreement, VCT can be done immediately. The main processes in handling HIV / AIDS through VCT are as follows:
•    Counseling Pre-Test
This stage is to provide information about HIV and AIDS. Then the counselor starts the discussion and the client is expected to honestly recount previous activities suspected of being at risk of exposure to the HIV virus, such as work or daily activities, a history of sexual activity, injecting drug use, having received a blood transfusion or organ transplant, having a tattoo and previous medical history.
•    HIV test
After the client gets clear information through pre-test counseling, the counselor will explain the checks that can be done, and ask the client for approval for an HIV test. After obtaining written approval, a test can be conducted. When the test results are available, the test results will be given directly (face to face) by the counselor.
•    Post-Test Counseling
After receiving the test results, the client will undergo the post-counseling stage. If the test results are negative, the counselor will still provide an understanding of the importance of reducing the risk of HIV / AIDS. For example, having sex more safely and using condoms. However, if the test results are positive, the counselor will provide emotional support so that the patient is not discouraged. The counselor will also provide information about the next steps that can be taken, such as handling and treatment that need to be undertaken. Including how to maintain a healthy lifestyle, and how not to transmit it to others.

Who should be tested for HIV?
    The Centers for Disease Control and Prevention (CDC) recommends that every person aged 13 to 64 years be tested for HIV at least once as part of routine health care. As a general rule, people at high risk for HIV infection must be tested every year. Sexually active gay and bisexual men can benefit from being tested more often, such as every 3 to 6 months.
Factors that increase the risk of HIV infection include:
• Having vaginal or anal sex with someone who is HIV positive or whose HIV status you don't know
• Inject drugs and share syringes, syringes, or other drug equipment with others
• Having sexually transmitted diseases (STDs), such as syphilis
• Having hepatitis or tuberculosis (TB)
• Having sex with anyone who has one of the HIV risk factors listed above
Talk to your doctor about the risk of HIV infection and how often you have to be tested for HIV.

Are HIV tests confidential?
HIV testing can be confidential or anonymous.
• Testing confidential means that your HIV test results will include your name and other identifying information, and the results will be included in your medical record. The results of an HIV positive test will be reported to the local or state health department to be counted in the statistical report. The health department removes all personal information (including name and address) from the results of an HIV test before sharing information with the CDC. CDC uses this information for reporting purposes and does not share this information with other organizations.
• Anonymous testing means you do not need to give a name when you do an HIV test. When you take the test, you receive a number. To get your HIV test results, you give a number not your name.