Kecukupan Tenaga Kesehatan dan Permasalahannya dalam Pelayanan Kesehatan Anak dengan HIV-AIDS di Rumah Sakit pada Sepuluh Kabupaten/Kota, Indonesia

Abstract

The number of HIV infections in 2010-2014 in the age group < 14 years is increased when compared to the year 2010-2013. The increase of HIV number requires health professionals to provide optimal health services. Therefore, the adequacy of health personnel and their problems in providing services to children with HIV infections have become important factors to be studied. This is qualitative study using in-depth interviews. Locations were referral hospital HIV-AIDS in DKI Jakarta (Jakarta Utara, Jakarta Barat), East Java (Surabaya, Malang), Bali (Denpasar, Buleleng), Papua (Jayapura, Kabupaten Jayapura), and North Sumatra (Medan, Deli Serdang) which selected by purposive sampling. Informans were doctors, nurses, pharmacists, medical laboratory workers and case managers. Data were analyzed using content analysis. The problem of health care of children with HIV-AIDS in most hospitals in ten districts/cities is the inadequacy of health personnel because of the number of health personnel is limited, but with work concurrently. Some health personnels have not participated in training related to health care for children with HIV-AIDS, including laboratory examination. It is needed to do the mapping of the health personnels for health services, especially for children with HIV-AIDS. Besides, health personnels need training related to the accuracy of dosing/ comparison drug, how to handle children with HIV-AIDS patients, and laboratory tests of HIV-AIDS to maintain service quality