Introduction: People living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) (PLWHA), especially men who have sex with man (MSM) suffer from double stigma because of their sexual behavior and HIV status; therefore, many of them do not reveal their status to others. Unfair treatment of health workers experienced by MSM negatively impacts their health, particularly their adherence to antiretroviral therapy. Non-compliance with therapy leads to poor conditions of PLWHA and increased transmission of HIV to their sexual partners. The aim of this study was to examine whether perceived stigma and disclosed HIV status are associated with antiretroviral therapy (ART) non-adherence among MSM. Material and methods:A cross sectional study was conducted from April to July 2018 in two private clinics in DKI Jakarta, which are often visited by MSM. Thirty-eight adult MSM who had been on ART for ≥ 6 months with a complete medical record were included in this study, using a purposive sampling method. Quantitative data were collected with a structured direct interview and recorded in STATA v.14 for analysis. Results:The average age was 31 years (SD ± 5.38), 94.74% of participants did not have a formal employment and were not married, and 65.79% completed undergraduate education. 50% felt a high stigma related to their HIV status; however, 63.16% revealed their status to others, especially health workers and 52.63% had a good relationship with doctors. There was no significant relationship between perceived stigma and disclosure of status with adherence to ART therapy. Conclusions:Perceived stigma should be minimized by establishing a good patient-doctor relationship. Therefore, MSM would be willing to disclose their HIV status and sexuality, and hence help to achieve optimal adherence to antiretroviral therapy.

The importance of reproductive health education in Islamic boarding schools is often overlooked. Whereas the prevalence of reproductive health issues among teenage females in Islamic boarding schools remains high, including anemia, vaginal discharge, dysmenorrhea, premenstrual syndrome, and personal hygiene. These difficulties have an impact such as absenteeism at school, wasting and infertility. Peer education is seen to be capable of addressing these issues since adolescents in Islamic boarding schools engage with their peers more frequently than with their families, instructors, or health workers. The purpose of this activity is to increase participants' knowledge, attitudes, and skills on peer education and adolescent reproductive health. Adolescent reproductive health education, peer education training, and assistance in extracurricular activities that have the potential to help establish healthy madrasas are among the activities carried out. Thirty students who wanted to become peer educators took part in this activity. The results of the activities were evaluated using pre-test and post-test questionnaires, as well as the practice of health education and counseling. The result of this activity is an increase in participants' knowledge about adolescent reproductive health by 8.28 and peer education by 5.17 after participating in the activity. Participants are also able to recognize reproductive health issues that commonly arise in teens and how to prevent them.

Abstrak Latar belakang: Kepatuhan terapeutik di Indonesia masih di bawah 80 persen dan dapat mengakibatkan peningkatan insidensi infeksi usus protozoanal, perkembangan AIDS yang lebih cepat, resistensi obat, kegagalan pengobatan, dan penularan virus ke orang lain. Tujuan: Tujuan penelitian ini adalah untuk menggambarkan kepatuhan terhadap terapi antiretroviral pada LSL yang mencari pengobatan di klinik swasta dan menyelidiki faktor pendukung dan hambatan untuk retensi ART. Metode: Penelitian ini menggunakan metode penelitian kualitatif dan data yang dikumpulkan melalui wawancara mendalam. Subjek penelitian dipilih dengan menggunakan purposive sampling. Data dianalisis menggunakan analisis isi. Hasil: Informan berjumlah 7 orang, 4 ODHA, dan 3 petugas kesehatan. Hasilnya menunjukkan bahwa sebagian besar ODHA patuh dalam menggunakan terapi ARV dan mengikuti saran dokter. Faktor-faktor yang mendukung kepatuhan terhadap terapi ARV meliputi tingkat pendidikan, akses informasi, motivasi internal, hubungan pasien dengan dokter, dan dukungan sosial. Hoax, faktor yang terkait dengan pekerjaan, dan stigma adalah hambatan bagi orang yang hidup dengan HIV dalam mempertahankan kepatuhan terhadap terapi ARV. Kesimpulan: Kepatuhan optimal terhadap terapi ARV perlu dipertahankan dan ditingkatkan karena dinamis dan dipengaruhi oleh berbagai faktor. Intervensi berbasis teknologi direkomendasikan dalam memantau kepatuhan ODHA dalam terapi ARV. Kata Kunci: kepatuhan, terapi antiretroviral, hambatan, LSL, ODHA. Abstract Background: Therapeutic compliance in Indonesia was still below 80 percent and may resulted in increased incidence of protozoanal intestinal infection, faster AIDS progression, drug resistance, treatment failure, and transmission of the virus to others. Objective: The purpose of this study was to describe adherence to antiretroviral therapy among MSM who seek treatment at private clinics and investigate facilitators and barriers to ART retention. Method: This study used qualitative research methods and data collected through in-depth interview. The study subjects were selected using a purposive sampling. Data were analyzed using content analysis. Results: The informants were 7 people include 4 PLWHA and 3 health workers. The results showed that most ODHA were compliant in taking ARV therapy and following doctor's advice. Factors supported adherence to ARV therapy include levels of education, access to information, internal motivation, patient relationships with doctors, and social support. Hoaxes, work related factors, and stigma are barriers to people living with HIV in sustaining ARV therapy adherence. Conclusion: Optimal adherence to ARV therapy needs to be maintained and improved because it is dynamic and influenced by various factors. Technological interventions are recommended in monitoring PLWHA compliance in ARV therapy Keywords: adherence, antiretroviral therapy, barriers, MSM, PLWHA.

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Lack of knowledge and information on sexual and reproductive health has led to an increase in reproductive health problems, such as sexual violence and abuse, marriage and teenage pregnancy. There are several government programs related to youth health, but only a few young people can use and take advantage of these programs. This study aims to outline the needs and expectations of adolescents in sexual education and reproductive health. The method used is a qualitative method and an in-depth interview was conducted. Use deliberate sampling techniques to determine samples. The interview results showed that all adolescents had heard of adolescent reproductive health (KRR), but they could not fully explain the definition and scope of KRR. The availability of KRR information and services around the residence is still poor, and although there is no regular schedule and incomplete, most are obtained from the school. The services that young people need include youth-friendly counseling, counseling and health checks. The expected facilities are easy-to-use facilities, affordable costs and flexible service hours. Support from policy makers, plan implementers, schools and youth residential communities are needed to provide youth-friendly and easily accessible KRR services.