THE IMPLEMENTATION OF MOTHER-TO-CHILD TRANSMISSION PREVENTION PROGRAM IN ANTE NATAL CARE (A QUALITATIVE STUDY IN PUBLIC HEALTH CENTER OF SLEMAN REGENCY)

Abstract

HIV epidemic still becomes a public health problem in the world, especially in developing countries such as Indonesia. One of the efforts that have been done to break the chain of HIV transmission is the Mother-To-Child Transmission (MTCT) prevention program. This is a qualitative study with case-study approach which involves policy maker, specifically the Public Health Office and Public Health Center (PHC) in Sleman Regency and also pregnant women as MTCT prevention program service users.This study conducts in-depth interviews and observation then the content analysis. In terms of service, the implementation of MTCT prevention program at PHC is in accordance with the policy from the Ministry of Health as to integrate MTCT prevention program in the Mother and Child Health (MCH) services, Family Planning (FP) and Adolescents Counseling on every level of health service. However, there are still some irrelevant technical matters to the HIV test offered by health facilities to pregnant women, pre and post-examination counseling and the importance of further testing to pregnant women. Generally, the implementation of MTCT prevention program in PHC did not experience significant obstacles that could affect service quality. However, longstanding examination of pregnant women made them physically weak, as well as the negative stigma in the society about HIV /AIDS. The implementation of MTCT prevention program has been carried out based on the Ministry of Health program which was socialized through Sleman Public Health Office.

Keywords: implementation, MTCT prevention program, Ante Natal Care