Evaluation of Voluntary Counseling and Testing (VCT) Program in the Prison (A Study inClass IPrison of Surabaya)

Abstrack:

Voluntary Counseling and Testing (VCT) is one of the efforts of prison to minimize the risk of HIV/AIDS on injecting-drug-user prisoners. There, however, are still obstacles in the implementation of the program. The purpose of this study is to evaluate the VCT in Surabaya Prison Class I. This study uses qualitative and quantitative method. The samples to evaluate the VCT program among officer; Clinical Officers who carry out VCT, NGOs, and the four IDU prisoners, are selected using the purposive sampling. The representative number of samples to describe prisoner?s characteristic and risk factor of HIV/AIDS from behavior aspect are 60 prisoners. The data was collected through filling out the questionnaire and from depth interview. The results were analyzed by qualitative descriptive narration. The result of this study is to answer what the major behavioral factors that leads the injectingdruguser prisoners into HIV/AIDS; injecting drug use behaviors, unsafe sexual behavior, or tattooing. However, the evaluation of VCT was not performed well. In terms of input, the human resources sector and source of funds and independent laboratory facilities were deemed less. On the process aspects, the sector of pre- and post-test counseling and support programs was still not optimal. In the aspect of output, an indicator to measure the success of VCT, patient satisfaction questionnaire coverage and effort to VCT client was still not implemented. It is necessary to enhance the implementation of VCT and to realize a program especially for drug-user prisoners to prevent and control the transmission of HIV/AIDS such as Harm Reduction program.

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