Eurasian Journal of Biosciences

Problem analysis of human immunodeficiency virus-acquired immune deficiency syndrome


Problem analysis is a fundamental part of health program planning. In 2016, several HIV-AIDS new cases in Jember District was 566 cases, and in 2017 it increased to 637 occurrences, though in 2018 it decreased to 506 cases. This study aimed to analyze the problem priority of HIV-AIDS in Jember District in 2019. A descriptive observational study was conducted in Jember District Health Office in January 2019. The data collected from the Health Profile of Jember District in 2015-2018 and interviews with officers used questionnaire. Determination of problem priority used the criteria of Urgency, Seriousness, and Growth (USG). The cause of the problem was analyzed using Ishikawa method. Determination of the root of the problem on priority problems is done using the 5M theory (Man, Money, Method, Material, Measurement). However, the incidence of HIV cases in Jember District is seen based on influential factors that are Man, Method and Measurement to classify the causative factors. According to the USG method, HIV-AIDS was chosen as the main priority with score 189, and the finding of HIV cases which has not been optimum was selected as the main problem priority. The number of AIDS-related deaths had fluctuated, and there were 73 cases in 2017. HIV-AIDS facts mostly found in men and at the age range of 20-49 years. Based on the Ishikawa method, the root of the problem was the lack of public knowledge about HIV-AIDS and the lack of public awareness to carry out HIV testing. The finding of HIV cases which has not been optimum was the main problem priority. It is necessary to strengthen the cross-program and cross-sector collaboration, maximizing the role of health cadres and peer educators in the community to educate about HIV-AIDS to reduce stigma and discrimination.


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