Pengalaman Negatif Pendidik Sebaya Kelompok Kunci Lelaki Seks dengan Lelaki dalam Memberikan Layanan Pencegahan HIV
Negative Experiences of Key Group Peer Educators of Men who have Sex with Men in Providing HIV Prevention Services
DOI:
https://doi.org/10.25077/njk.v20i2.51Keywords:
Focus Group, HIV Infections, Psychological, Sexual and Gender MinoritiesAbstract
Peer support programmes have been shown to have a substantial impact on overall HIV outreach efforts. Peer educators have played an essential part in the HIV response, despite a number of challenges and negative experiences throughout implementation. These adverse experiences are often ignored and poorly documented, leaving peer educators vulnerable. The aim of this study is to explore the negative experiences of peer educators in reaching out to men who have sex with men (MSM). This research used a qualitative phenomenological study design. This study involved thirty-six peer educators that work in several non-government organizations. Three focus group discussions were conducted in September 2023 to Desember 2023. The Stevick-Colaizzi-Keen data analytical method was used for data analysis. Five themes regarding the peer educators’ negative experiences whilst interacting with the MSM population were obtained from the data analysis. The themes were experiencing discriminatory conduct, abuse, humiliation, cancel the meeting, and incurred personal expenses. In order to accomplish HIV prevention through case finding and treatment milestones, peer educators are dedicated to working with a wide range of MSM groups. Peer educators may need to develop certain coping mechanisms to get through uncomfortable circumstances. In order to deal with unpleasant situations sensibly, it is vital to provide adequate support and protection recommendations, as well as having awareness of self-defence mechanisms.
References
Anderson, A. M., Ross, M. W., Nyoni, J. E., & McCurdy, S. A. (2015). High prevalence of stigma-related abuse among a sample of men who have sex with men in Tanzania: Implications for HIV prevention. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 27(1), 63–70. https://doi.org/10.1080/09540121.2014.951597
Babel, R. A., Wang, P., Alessi, E. J., Raymond, H. F., & Wei, C. (2021). Stigma, HIV Risk, and Access to HIV Prevention and Treatment Services Among Men Who have Sex with Men (MSM) in the United States: A Scoping Review. AIDS and Behavior, 25(11), 3574–3604. https://doi.org/10.1007/s10461-021-03262-4
Biello, K. B., Mimiaga, M. J., Santostefano, C. M., Novak, D. S., & Mayer, K. H. (2018). MSM at Highest Risk for HIV Acquisition Express Greatest Interest and Preference for Injectable Antiretroviral PrEP Compared to Daily, Oral Medication. AIDS and Behavior, 22(4), 1158–1164. https://doi.org/10.1007/s10461-017-1972-6
Cao, B., Saffer, A. J., Yang, C., Chen, H., Peng, K., Pan, S. W., Durvasula, M., Liu, C., Fu, H., Ong, J. J., Tang, W., & Tucker, J. D. (2019). MSM Behavior Disclosure Networks and HIV Testing: An Egocentric Network Analysis Among MSM in China. AIDS and Behavior, 23(5), 1368–1374. https://doi.org/10.1007/s10461-019-02404-z
Carey, C., O’Donnell, K., Davoren, M., Quinlan, M., Igoe, D., & Barrett, P. (2020). Factors associated with lower knowledge of HIV and STI transmission, testing and treatment among MSM in Ireland: findings from the MSM Internet Survey Ireland (MISI) 2015. Sexually Transmitted Infections. https://doi.org/10.1136/sextrans-2020-054469
Dawson-Rose, C., Gutin, S. A., Mudender, F., Hunguana, E., & Kevany, S. (2020). Effects of a peer educator program for HIV status disclosure and health system strengthening: Findings from a clinic-based disclosure support program in Mozambique. PLoS ONE, 15(5). https://doi.org/10.1371/journal.pone.0232347
Dong, M. J., Peng, B., Liu, Z. F., Ye, Q. N., Liu, H., Lu, X. L., Zhang, B., & Chen, J. J. (2019). The prevalence of HIV among MSM in China: A large-scale systematic analysis. In BMC Infectious Diseases (Vol. 19, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12879-019-4559-1
Dinas Kesehatan Kota Padang (2018). Laporan. Padang.
Dubov, A., Galbo, P., Altice, F. L., & Fraenkel, L. (2018). Stigma and Shame Experiences by MSM Who Take PrEP for HIV Prevention: A Qualitative Study. American Journal of Men’s Health, 12(6), 1843–1854. https://doi.org/10.1177/1557988318797437
Gedela, K., Luis, H., Wignall, F. S., Fridayantara, W. D., & Irwanto. (2020a). A social context perspective to the increasing HIV epidemic in MSM in Indonesia. In International journal of STD & AIDS (Vol. 31, Issue 13, pp. 1327–1329). https://doi.org/10.1177/0956462420949795
Gedela, K., Luis, H., Wignall, F. S., Fridayantara, W. D., & Irwanto. (2020b). A social context perspective to the increasing HIV epidemic in MSM in Indonesia. International Journal of STD and AIDS, 31(13), 1327–1329. https://doi.org/10.1177/0956462420949795
Grimsrud, A. T., Pike, C., & Bekker, L. G. (2020). The power of peers and community in the continuum of HIV care. In The Lancet Global Health (Vol. 8, Issue 2, pp. e167–e168). Elsevier Ltd. https://doi.org/10.1016/S2214-109X(19)30544-3
Guadamuz, T. E., Cheung, D. H., Wei, C., Koe, S., & Lim, S. H. (2015). Young, online and in the dark: Scaling up HIV testing among MSM in ASEAN. PLoS ONE, 10(5). https://doi.org/10.1371/journal.pone.0126658
Guimarães, M. D. C., Magno, L., Ceccato, M. D. G. B., Gomes, R. R. de F. M., Leal, A. F., Knauth, D. R., Veras, M. A. de S. M., Dourado, I., de Brito, A. M., Kendall, C., Kerr, L. R. F. S., Pontes, A. K., Camillo, A. C., Motta-Castro, A. R. C., Merchan-Hermann, E., Diaz, X. P., Lima, L. N. G. C., Veras, M. A., de Oliveira, L. C., … Pascom, A. R. P. (2019). HIV/AIDS knowledge among MSM in Brazil: A challenge for public policies. Revista Brasileira de Epidemiologia, 22. https://doi.org/10.1590/1980-549720190005.supl.1
Hamilton, A., Shin, S., Taggart, T., Whembolua, G., Budhwani, H., Conserve, D., Hill, C., Sciences, B., & Haven, N. (2020). HHS Public Access. 96(3), 189–196. https://doi.org/10.1136/sextrans-2018-053932.HIV
Hatzenbuehler, M. L., Lattanner, M. R., McKetta, S., & Pachankis, J. E. (2024). Structural stigma and LGBTQ+ health: a narrative review of quantitative studies. In The Lancet Public Health (Vol. 9, Issue 2, pp. e109–e127). Elsevier Ltd. https://doi.org/10.1016/S2468-2667(23)00312-2
Huang, Y., Yu, B., Jia, P., Wang, Z., Yang, S., Tian, C., Lai, W., & Yang, S. (2020). Association between Psychological Factors and Condom Use with Regular and Nonregular Male Sexual Partners among Chinese MSM: A Quantitative Study Based on the Health Belief Model. BioMed Research International, 2020(2007). https://doi.org/10.1155/2020/5807162
Jose, J. E. D. C., Sakboonyarat, B., Kana, K., Chuenchitra, T., Sunantarod, A., Meesiri, S., Mungthin, M., Nelson, K. E., & Rangsin, R. (2020). Prevalence of HIV infection and related risk factors among young Thai men between 2010 and 2011. PLoS ONE, 15(8 August), 1–16. https://doi.org/10.1371/journal.pone.0237649
Kebede, H. K., Gesesew, H. A., Mwanri, L., & Ward, P. (2021). The impact of peer educators or community health workers on the progress of the unaids 90-90-90 targets in africa: A systematic review and meta-analysis protocol. International Journal of Environmental Research and Public Health, 18(8). https://doi.org/10.3390/ijerph18083917
Kitetele, F. N., Lelo, G. M., Akele, C. E., Lelo, P. V. M., Mafuta, E. M., Tylleskär, T., & Kashala-Abotnes, E. (2022). “The Peer Educator Is the Game-Changer of My Life”: Perceptions of Adolescents Living with HIV in DR Congo on Involving Peer Educators in the Process of HIV Disclosure. Children, 9(8). https://doi.org/10.3390/children9081239
Kushwaha, S., Lalani, Y., Maina, G., Ogunbajo, A., Wilton, L., Agyarko-Poku, T., Adu-Sarkodie, Y., Boakye, F., Zhang, N., & Nelson, L. E. (2017). “But the moment they find out that you are MSM…”: a qualitative investigation of HIV prevention experiences among men who have sex with men (MSM) in Ghana’s health care system. BMC Public Health, 17(1), 770. https://doi.org/10.1186/s12889-017-4799-1
Latkin, C., Yang, C., Tobin, K., Roebuck, G., Spikes, P., & Patterson, J. (2012a). Social network predictors of disclosure of MSM behavior and HIV-positive serostatus among African American MSM in Baltimore, Maryland. AIDS and Behavior, 16(3), 535–542. https://doi.org/10.1007/s10461-011-0014-z
Latkin, C., Yang, C., Tobin, K., Roebuck, G., Spikes, P., & Patterson, J. (2012b). Social network predictors of disclosure of MSM behavior and HIV-positive serostatus among African American MSM in Baltimore, Maryland. AIDS and Behavior, 16(3), 535–542. https://doi.org/10.1007/s10461-011-0014-z
Li, Y., Jiao, K., Wang, L., Liao, M., Gao, L., & Ma, W. (2022). The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing. American Journal of Men’s Health, 16(2). https://doi.org/10.1177/15579883221095719
Lou, J., Cheng, J., Li, Y., Zhang, C., Xing, H., Ruan, Y., & Shao, Y. (2018a). Comparison of different strategies for controlling HIV/AIDS spreading in MSM. Infectious Disease Modelling, 3, 293–300. https://doi.org/10.1016/j.idm.2018.10.002
Lou, J., Cheng, J., Li, Y., Zhang, C., Xing, H., Ruan, Y., & Shao, Y. (2018b). Comparison of different strategies for controlling HIV/AIDS spreading in MSM. Infectious Disease Modelling, 3, 293–300. https://doi.org/10.1016/j.idm.2018.10.002
Lyons, C. E., Schwartz, S. R., Murray, S. M., Shannon, K., Diouf, D., Mothopeng, T., Kouanda, S., Simplice, A., Kouame, A., Mnisi, Z., Tamoufe, U., Phaswana-Mafuya, N., Cham, B., Drame, F. M., Aliu Djaló, M., & Baral, S. (2020). The role of sex work laws and stigmas in increasing HIV risks among sex workers. Nature Communications, 11(1). https://doi.org/10.1038/s41467-020-14593-6
Mabaya, S., Ncube, R., Tweya, H., Timire, C., Edwards, J. K., Ameyan, W., Zwangobani, N., Makoni, T., Mangombe, A., Xaba, S., & Samuelson, J. (2022). Retention and performance of peer educators and sustainability of HIV prevention services for adolescents in the Zimbabwe Smart-LyncAges project: an ecological study. Pan African Medical Journal, 41. https://doi.org/10.11604/pamj.2022.41.131.29539
Magno, L., Silva, L. A. V. da, Guimarães, M. D. C., Veras, M. A. de S. M., Deus, L. F. A. de, Leal, A. F., Knauth, D. R., Brito, A. M. de, Rocha, G. M., Lima, L. N. G. C., Kendall, C., Motta-Castro, A. R. C., Kerr, L. R. F. S., Mota, R. M. S., Merchan-Hamann, E., & Dourado, I. C. (2019). Discrimination based on sexual orientation against MSM in Brazil: a latent class analysis. Revista Brasileira de Epidemiologia = Brazilian Journal of Epidemiology, 22Suppl 1(Suppl 1), e190003. https://doi.org/10.1590/1980-549720190003.supl.1
Mahamboro, D. B., Fauk, N. K., Ward, P. R., Merry, M. S., Siri, T. A., & Mwanri, L. (2020). HIV stigma and moral judgement: Qualitative exploration of the experiences of HIV stigma and discrimination among married men living with HIV in Yogyakarta. International Journal of Environmental Research and Public Health, 17(2), 1–15. https://doi.org/10.3390/ijerph17020636
Mbeda, C., Ogendo, A., Lando, R., Schnabel, D., Gust, D. A., Guo, X., Akelo, V., Dominguez, K., Panchia, R., Mbilizi, Y., Chen, Y., & Chege, W. (2020). Healthcare-related stigma among men who have sex with men and transgender women in sub-Saharan Africa participating in HIV Prevention Trials Network (HPTN) 075 study. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 32(8), 1052–1060. https://doi.org/10.1080/09540121.2020.1776824
Muccini, C., Crowell, T. A., Kroon, E., Sacdalan, C., Ramautarsing, R., Seekaew, P., Phanuphak, P., Ananworanich, J., Colby, D. J., & Phanuphak, N. (2019). Leveraging early HIV diagnosis and treatment in Thailand to conduct HIV cure research. AIDS Research and Therapy, 16(1), 1–8. https://doi.org/10.1186/s12981-019-0240-4
Murray, A., Gaul, Z., Sutton, M. Y., & Nanin, J. (2018a). “We hide…”: Perceptions of HIV Risk Among Black and Latino MSM in New York City. American Journal of Men’s Health, 12(2), 180–188. https://doi.org/10.1177/1557988317742231
Murray, A., Gaul, Z., Sutton, M. Y., & Nanin, J. (2018b). “We hide…”: Perceptions of HIV Risk Among Black and Latino MSM in New York City. American Journal of Men’s Health, 12(2), 180–188. https://doi.org/10.1177/1557988317742231
Neema, S., Atuyambe, L. M., Otolok-Tanga, E., Twijukye, C., Kambugu, A., Thayer, L., & Mcadam, K. (2012). Using a clinic based creativity initiative to reduce HIV related stigma at the infectious diseases institute, Mulago national referral hospital, Uganda. African Health Sciences, 12(2), 231–239. https://doi.org/10.4314/ahs.v12i2.24
Nevendorff, L., Schroeder, S. E., Pedrana, A., Bourne, A., & Stoové, M. (2023). Prevalence of sexualized drug use and risk of HIV among sexually active MSM in East and South Asian countries: systematic review and meta-analysis. Journal of the International AIDS Society, 26, 26054. https://doi.org/10.1002/jia2.26054/full
Newman, P. A., Akkakanjanasupar, P., Tepjan, S., Boborakhimov, S., van Wijngaarden, J. W. de L., & Chonwanarat, N. (2022). Peer education interventions for HIV prevention and sexual health with young people in Mekong Region countries: a scoping review and conceptual framework. In Sexual and Reproductive Health Matters (Vol. 30, Issue 1). Taylor and Francis Ltd. https://doi.org/10.1080/26410397.2022.2129374
Nugroho, A., Erasmus, V., Krier, S. E., Reviagana, K. P., Laksmono, P. A., Widihastuti, A., & Richardus, J. H. (2020b). Client perspectives on an outreach approach for HIV prevention targeting Indonesian MSM and transwomen. Health Promotion International, 35(5), 916–924. https://doi.org/10.1093/heapro/daz075
Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Lean, R. M., Mitchell, E. M. H., Nelson, L. R. E., Sapag, J. C., Siraprapasiri, T., Turan, J., & Wouters, E. (2019). Stigma in health facilities: why it matters and how we can change it. BMC Medicine, 17(1), 25. https://doi.org/10.1186/s12916-019-1256-2
Odeny, T. A., Penner, J., Lewis-Kulzer, J., Leslie, H. H., Shade, S. B., Adero, W., Kioko, J., Cohen, C. R., & Bukusi, E. A. (2013). Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya. AIDS Research and Treatment, 2013, 485715. https://doi.org/10.1155/2013/485715
Philbin, M. M., Hirsch, J. S., Wilson, P. A., Ly, A. T., Giang, L. M., & Parker, R. G. (2018). Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access. PLoS ONE, 13(4), 1–16. https://doi.org/10.1371/journal.pone.0195000
Rich, A. J., Lachowsky, N. J., Sereda, P., Cui, Z., Wong, J., Wong, S., Jollimore, J., Raymond, H. F., Hottes, T. S., Roth, E. A., Hogg, R. S., & Moore, D. M. (2018). Estimating the Size of the MSM Population in Metro Vancouver, Canada, Using Multiple Methods and Diverse Data Sources. Journal of Urban Health : Bulletin of the New York Academy of Medicine, 95(2), 188–195. https://doi.org/10.1007/s11524-017-0176-8
Sumarsih, G., & Mahathir, M. (2020). The Reason Why People Living with HIV Perform Delayed Test in High Density Stigma City of Indonesia: A Qualitative Study. Enhancing Capacity of Healthcare Scholars and Professionals in Responding to the Global Health Issues, 57–62. https://doi.org/10.2478/9783110680041-008
UNAIDS. (2019). UNAIDS Data 2019.
van der Elst, E. M., Mudza, R., Onguso, J. M., Kiirika, L., Kombo, B., Jahangir, N., Graham, S. M., Operario, D., & Sanders, E. J. (2020). A more responsive, multi-pronged strategy is needed to strengthen HIV healthcare for men who have sex with men in a decentralized health system: qualitative insights of a case study in the Kenyan coast. Journal of the International AIDS Society, 23(S6), 126–132. https://doi.org/10.1002/jia2.25597
Varas-Díaz, N., Rivera-Segarra, E., Neilands, T. B., Carminelli-Corretjer, P., Rivera, F., Varas-Rodríguez, E., Ortiz, N., Pedrogo, Y., & Díaz, M. R. (2019). HIV/AIDS stigma manifestations during clinical interactions with MSM in Puerto Rico. Journal of Gay & Lesbian Social Services, 31(2), 141–152. https://doi.org/10.1080/10538720.2018.1548325
Verboom, B., Melendez-Torres, G., & Bonell, C. P. (2018). Combination methods for HIV prevention in men who have sex with men (MSM). Cochrane Database of Systematic Reviews, 2018(4). https://doi.org/10.1002/14651858.CD010939.pub2
Waage et al. (2017). 乳鼠心肌提取 HHS Public Access. Physiology & Behavior, 176(1), 139–148. https://doi.org/10.1177/1090198118796880.Information
Weiss, K. M., Jones, J. S., Anderson, E. J., Gift, T., Chesson, H., Bernstein, K., Workowski, K., Tuite, A., Rosenberg, E. S., Sullivan, P. S., & Jenness, S. M. (2019). Optimizing Coverage vs Frequency for Sexually Transmitted Infection Screening of Men Who Have Sex with Men. Open Forum Infectious Diseases, 6(10). https://doi.org/10.1093/ofid/ofz405
WHO. (2019). Progress report on HIV, viral hepatitis and sexually transmitted infections, 2019. In Who (Vol. 53, Issue 9). https://doi.org/10.1017/CBO9781107415324.004
Wu, Z., Wang, Y., Detels, R., Bulterys, M., & McGoogan, J. M. (2019). HIV/AIDS in China: Epidemiology, prevention and treatment. HIV/AIDS in China: Epidemiology, Prevention and Treatment, 1–685. https://doi.org/10.1007/978-981-13-8518-6
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