Percepatan Penanggulangan AIDS melalui Penelusuran ODHA Lost to Follow Up di Kabupaten Banyumas

Abstract

HIV/AIDS is considered to be a serious problem in Banyumas Regency. The number of new cases continues to increase. In 2024 there were 348 HIV cases and 125 of them AIDS cases. The main strategy for preventing and controlling HIV is to achieve Triple 95s by 2030. In 2024, 92% of people with HIV know their HIV status, 37% of all people with diagnosed HIV infection receive sustained antiretroviral therapy, and 75% of all people receiving antiretroviral therapy have viral suppression. One of the obstacles in leveraging ARV therapy coverage is the large number of cases of people with HIV who drop out of treatment (lost to follow up). It was recorded that by the end of 2024 the total lost to follow up reached 2,040 cases, of which 85% of cases could be traced and the remaining were not traced. Of the many causes of difficulty in returning people with HIV who drop out of treatment, one of the most dominant is due to the lack of tracing efforts. Cases that are lost or fail to be followed up will potentially become a source of new transmission. Of the several causal factors that become obstacles in efforts to trace lost to follow up, one of the most dominant causes that must be addressed is how to ensure that parties who are competent in tracing efforts can access data (identities) of people with HIV in health facilities that are strictly limited to confidentiality. This problem needs to be addressed with the intention of describing the various obstacles faced in tracing people with HIV who have dropped out of treatment, and aiming to find solutions in the form of policy alternatives to overcome these problems. The methodology used in the process of preparing this policy paper is qualitative descriptive analysis. From the results of SWOT analysis and selection of policy alternatives, the choice of recommendations obtained is to establish local regulation product, namely Surat Edaran/Keputusan, in an effort to trace people with HIV who have dropped out of treatment.