AbstrakProvinsi Papua memiliki prevalensi HIV/AIDS tinggi, dimana terdapat 6957 wanita usia 15-49 tahun menderita HIV/AIDS. Masalah ini dapat menyebabkan penularan HIV/AIDS ke bayi bahkan kematian bayi karena HIV. Penelitian ini bertujuan menganalisa faktor yang mempengaruhi keberlangsungan program PPIA. Penelitian menggunakan metode kualitatif dengan pengumpulan data melalui wawancara mendalam. Penelitian dilakukan di Jayapura, Dinas Kesehatan Kota Jayapura dari Januari 2015 sampai Juni 2015. Populasi penelitian adalah semua tenaga kesehatan di dinas kesehatan kota Jayapura, dan sampel nya adalah 12 orang mencakup kepala UPT AIDS TB, kepala seksi P2PL, kepala puksesmas, kepala KIA, staf KIA dan penanggung jawab HIV puskesmas. Pengambilan sampel adalah purposif sampling dan data dianalisis dengan triangulasi. PPIA tidak berhasil karena rendah nya K1 dan juga K4, dimana ada puskesmas yang memiliki K4 hanya 58%. Di rumah sakit Abepura ditemukan 8 kelahiran bayi dengan HIV, hal ini karena ibu hamil positif yang tidak menkonsumsi ARV secara rutin sampai melahirkan. Rendah nya K1 juga disebabkan oleh beberapa faktor yaitu ibu hamil lebih tertarik ke dokter praktek, suami yang tidak setuju bila istri nya mendapatkan tes VCT, dan rendah nya kesadaran ibu hamil akan pentingnya K1 sampai K4 dan juga VCT. Begitu juga dengan SIHA yang tidak berjalan dengan baik. Abstract Papua province has high prevalence of HIV/AIDS where there was 6957 cases among women age 15-49 years old. Moreover, this increasedthe number of infants with HIV and impact the rise of infant mortality rate.This study aims to analize factors that affected this HIV prevention from mother to child. This study is qualitative using indeep interview, and located in Jayapura City

Kwaingga Public Hospital is categorized as type C hospital because there are several aspects need to be improved for management and quality in order to fill the standard from Ministry of Health. Especially for a medical waste management, hospital staffs said that an incinerator has potential to explode due to bad structure because its pillar consists wood. This study aimed to observe the management of medical waste and general waste in Kwaingga Public Hospital. This study is qualitative study where the population is all staffs that work in Kwaingga Public Hospital, and the study sample is six Hospital staffs including hospital director, planning division, treasurer, and sanitarians. They have been deep interviewed and recorded. Study took visual documentations. There are 20 trashes distributed in hospital for daily waste and it is end in a small landfill in hospital backyard. This managed by 10 cleaning services and the staffs said that that number is still inadequate. Sanitarian staffs are six and they all have background sanitation diploma, but they still have overload tasks and they don't get any training for development yet, the last training was in 2012. There are incinerator, wastewater treatment plant, septic tank, filtration for wastewater, and an old incinerator; there is no machine for destroyed needles. Unfortunately, the incinerator was rarely to use since its structure is bad and has potential to explode; also diesel fuel cost is expensive, so the medical waste burned manually including needles. Similarly, wastewater treatment plant is rarely used due to electricity cost, so it only runs if the wastewater is full. Wastewater treatment plant had bought from Local government Revenue costing 4.5 billion rupiah. Salary for contact staffs and cleaning services are also from local government revenue. Therefore, local government revenue must be increased its allocation for hospital waste management.