Level of Follow Up Failed Numbers on PLHIV on ARV

Rosi Nurcahyani

West Java Province Health Service



Background: HIV/AIDS cases in West Java continue to increase year on year, the first case in West Java was recorded in Bandung in 1989, two years after AIDS cases had been seen in Indonesia. Cumulatively from 1989 to December 2018 there were as many as 10,370 AIDS cases reported and 37,485 HIV cases. Most of the cases were found in people who identified as heterosexual (47%) and injecting drugs (33%).


The cascade of ARV treatment in West Java shows that there is still poor access to antiretroviral drugs and Failure Follow-up in PLHIV: out of 37,485 who are known to be HIV-positive, only 12,975 patients are accessing ARVs (19%). This study aims to determine the level of failure to follow up in HIV patients. In addition this study also aims to determine the management of ARV drugs for PLHIV in PDP services.


Method: This study used qualitative methods with sampling techniques. Data collection techniques with in-depth interviews conducted on 10 participants in 2 PLHIV Reference Hospitals. The data analysis technique used wasthematic analysis.


Data collected: The study collected the subject's responses regarding taking ARV drugs, side effects of taking ARV drugs, taking medicines routinely and continuously, counselling related to ARV drug compliance, "Response to Giving accompanying infectious drugs", health efforts that had been undertaken, the existing support systems.


Result: The cohort of respondents on ART indicated that there decrease in the quality of PLHIV and a fall out of people regularly taking ARV drugs at 12-24 months due to PLHIV starting to get bored with their treatment and feeling that they were now healthy and able to carry out activities.


Conclusion: There needs to be an increase of PLHIV involving the families related to people taking ARV drugs and monitoring of health workers in the provision of ARV drugs and adherence counseling so that PLHIV do not find they have unexpectedly run out of drugs, abstain from taking drugs and not accessing ARV drugs.


Keywords: HIV, AIDS, Counselling, ARV access