Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia
Background: Melanesians are indigenous Papuans racially and culturally different from most Indonesians. The Melanesia region is characterised by high poverty and inequalities, even though it has the highest revenue. Furthermore, Papua has the highest HIV prevalence rate, 24-fold higher than that of...
Saved in:
Main Authors: | , , , , , , , , |
---|---|
Format: | Article PeerReviewed |
Language: | English |
Published: |
CSIRO
2022
|
Subjects: | |
Online Access: | https://repository.ugm.ac.id/284103/1/184.pdf https://repository.ugm.ac.id/284103/ https://www.publish.csiro.au/SH/SH21206 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Universitas Gadjah Mada |
Language: | English |
id |
id-ugm-repo.284103 |
---|---|
record_format |
dspace |
spelling |
id-ugm-repo.2841032023-11-28T03:14:40Z https://repository.ugm.ac.id/284103/ Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia Sianturi, Elfride Irawati Latifah, Elmiawati Soltief, Sitti N. Sihombing, Robert B. Simaremare, Eva S. Effendy, Christiantie Probandari, Ari Suryawati, Sri Taxis, Katja Primary Health Care Background: Melanesians are indigenous Papuans racially and culturally different from most Indonesians. The Melanesia region is characterised by high poverty and inequalities, even though it has the highest revenue. Furthermore, Papua has the highest HIV prevalence rate, 24-fold higher than that of other regions. Therefore, this study aimed to examine the resistance of indigenous people residing in eastern Indonesia towards HIV programs. Methods: This is a qualitative study analysed using grounded theory. Data were collected from July to September 2018 through semi-structured face-to-face interviews involving 23 Papuans. The interviews were conducted in Bahasa Indonesia, audio-recorded, summarised and transcribed for analysis. Results: The results showed that being a good Papuan emerges from four interconnected categories, including culture and religion, dealing with modernisation, integrated HIV program and stigma reduction. As a substantive theory underpinning the indigenous people’s experiences with HIV programs, ‘Keep being a good Papuan’ was a way of overcoming problems and dealing with modernism to eliminate HIV. This largely focuses on the local culture, implying any adjustment should keep their tradition and welcome modernism. Conclusions: The future of the HIV programs should be agreed upon, funded, implemented, measured and achieved by stakeholders. This could be achieved by elaborating a supportive culture and community-based interventions. Furthermore, the implementation should be prioritised to integrate and improve the programs’ quality to take into account community needs and the available resources. CSIRO 2022-06-23 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/284103/1/184.pdf Sianturi, Elfride Irawati and Latifah, Elmiawati and Soltief, Sitti N. and Sihombing, Robert B. and Simaremare, Eva S. and Effendy, Christiantie and Probandari, Ari and Suryawati, Sri and Taxis, Katja (2022) Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia. Sexual Health, 19 (4). pp. 367-375. ISSN 14485028 https://www.publish.csiro.au/SH/SH21206 10.1071/SH21206 |
institution |
Universitas Gadjah Mada |
building |
UGM Library |
continent |
Asia |
country |
Indonesia Indonesia |
content_provider |
UGM Library |
collection |
Repository Civitas UGM |
language |
English |
topic |
Primary Health Care |
spellingShingle |
Primary Health Care Sianturi, Elfride Irawati Latifah, Elmiawati Soltief, Sitti N. Sihombing, Robert B. Simaremare, Eva S. Effendy, Christiantie Probandari, Ari Suryawati, Sri Taxis, Katja Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
description |
Background: Melanesians are indigenous Papuans racially and culturally different from most Indonesians. The Melanesia region is characterised by high poverty and inequalities, even though it has the highest revenue. Furthermore, Papua has the highest HIV prevalence rate, 24-fold higher than that of other regions. Therefore, this study aimed to examine the resistance of indigenous people residing in eastern Indonesia towards HIV programs.
Methods: This is a qualitative study analysed using grounded theory. Data were collected from July to September 2018 through semi-structured face-to-face interviews involving 23 Papuans. The interviews were conducted in Bahasa Indonesia, audio-recorded, summarised and transcribed for analysis.
Results: The results showed that being a good Papuan emerges from four interconnected categories, including culture and religion, dealing with modernisation, integrated HIV program and stigma reduction. As a substantive theory underpinning the indigenous people’s experiences with HIV programs, ‘Keep being a good Papuan’ was a way of overcoming problems and dealing with modernism to eliminate HIV. This largely focuses on the local culture, implying any adjustment should keep their tradition and welcome modernism.
Conclusions: The future of the HIV programs should be agreed upon, funded, implemented, measured and achieved by stakeholders. This could be achieved by elaborating a supportive culture and community-based interventions. Furthermore, the implementation should be prioritised to integrate and improve the programs’ quality to take into account community needs and the available resources. |
format |
Article PeerReviewed |
author |
Sianturi, Elfride Irawati Latifah, Elmiawati Soltief, Sitti N. Sihombing, Robert B. Simaremare, Eva S. Effendy, Christiantie Probandari, Ari Suryawati, Sri Taxis, Katja |
author_facet |
Sianturi, Elfride Irawati Latifah, Elmiawati Soltief, Sitti N. Sihombing, Robert B. Simaremare, Eva S. Effendy, Christiantie Probandari, Ari Suryawati, Sri Taxis, Katja |
author_sort |
Sianturi, Elfride Irawati |
title |
Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
title_short |
Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
title_full |
Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
title_fullStr |
Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
title_full_unstemmed |
Understanding reasons for lack of acceptance of HIV programs among indigenous Papuans: A qualitative study in Indonesia |
title_sort |
understanding reasons for lack of acceptance of hiv programs among indigenous papuans: a qualitative study in indonesia |
publisher |
CSIRO |
publishDate |
2022 |
url |
https://repository.ugm.ac.id/284103/1/184.pdf https://repository.ugm.ac.id/284103/ https://www.publish.csiro.au/SH/SH21206 |
_version_ |
1783956561907941376 |