PENDEKATAN PSIKIATRI KOMUNITAS PADA ORANG DENGAN HIV DAN POPULASI KUNCI MELALUI YAYASAN INSET DI KOTA MATARAM, NUSA TENGGARA BARAT
DOI:
https://doi.org/10.51878/community.v6i2.9215Keywords:
HIV, Populasi Kunci, Psikiatri Komunitas, Kesehatan Mental ODHIVAbstract
ABSTRACT
People living with HIV (PLHIV) and key populations are at high risk of mental health problems due to persistent stigma, discrimination, and psychosocial stress. Limited availability of community-based mental health services highlights the need to integrate a community psychiatry approach into HIV care. This community service program aimed to identify mental health issues among PLHIV, key populations, and HIV service providers, as well as to implement community-based mental health interventions through Yayasan INSET in Mataram City, West Nusa Tenggara. The program was conducted in June 2025 using a community psychiatry approach. Interventions included mental health screening of service providers using the Depression Anxiety Stress Scales-42 (DASS-42), self-care classes, basic counseling training for peer supporters, and mental health education and consultation integrated with Mobile Voluntary Counselling and Testing (VCT) services. The results showed that most service providers were in a normal psychological condition, with some experiencing symptoms ranging from mild to severe, and there was an improvement in mental health literacy, coping capacity, and psychosocial support skills following the intervention. The integration of mental health services with Mobile VCT also expanded service coverage and enhanced community acceptance. This approach proved effective in supporting the mental health of PLHIV, key populations, and HIV service personnel, and shows potential for replication in similar settings.
ABSTRAK
Orang dengan HIV (ODHIV) dan populasi kunci berisiko tinggi mengalami gangguan kesehatan mental akibat stigma, diskriminasi, dan tekanan psikososial yang berkelanjutan. Keterbatasan layanan kesehatan jiwa berbasis komunitas menegaskan perlunya integrasi pendekatan psikiatri komunitas dalam layanan HIV. Kegiatan pengabdian masyarakat ini bertujuan menggambarkan permasalahan kesehatan mental pada ODHIV, populasi kunci, dan petugas layanan HIV, serta pelaksanaan intervensi kesehatan jiwa berbasis komunitas melalui Yayasan INSET di Kota Mataram, Nusa Tenggara Barat. Kegiatan dilaksanakan pada Juni 2025 dengan pendekatan psikiatri komunitas. Intervensi meliputi skrining kesehatan mental petugas menggunakan Depression Anxiety Stress Scales-42 (DASS-42), kelas self-care, pelatihan konseling dasar bagi pendukung sebaya, serta edukasi dan konsultasi kesehatan jiwa yang terintegrasi dengan layanan Mobile Voluntary Counselling and Testing (VCT). Hasil menunjukkan sebagian besar petugas berada pada kondisi psikologis normal dengan variasi gejala dari ringan hingga berat, serta terjadi peningkatan literasi kesehatan mental, kapasitas coping, dan keterampilan dukungan psikososial setelah intervensi. Integrasi layanan kesehatan jiwa dengan Mobile VCT juga memperluas jangkauan layanan dan meningkatkan penerimaan komunitas. Pendekatan ini efektif dalam mendukung kesehatan mental ODHIV, populasi kunci, dan tenaga pendukung layanan HIV serta berpotensi direplikasi di wilayah dengan karakteristik serupa.
Downloads
References
Anindhita, M., Haniifah, M., Putri, A. M. N., Karnasih, A., Agiananda, F., Yani, F. F., ... & Wingfield, T. (2024). Community-based psychosocial support interventions to reduce stigma and improve mental health of people with infectious diseases: a scoping review. Infectious diseases of poverty, 13(1), 90. https://doi.org/10.1186/s40249-024-01257-6
Asyari, D. P., Wahyuni, A., & Harmen, E. L. (2024). Stigma Sosial dan Dampaknya pada Akses Layanan Kesehatan bagi Penderita HIV/AIDS Di Indonesia. Applicare Journal, 1(4), 50–56. https://applicare.id/index.php/applicare/article/view/11?utm
Azuma, H., Yeh, P. T., Kennedy, C. E., Fonner, V. A., O’Reilly, K. R., & Sweat, M. D. (2025). Integration of mental health and HIV service delivery in low-and middle-income countries: A systematic review of effectiveness. Cambridge Prisms: Global Mental Health, 12, e112. https://doi.org/10.1017/gmh.2025.10066
Caswell, G., Dubula, V., Baptiste, S., Etya’ale, H., Syarif, O., & Barr, D. (2021). The continuing role of communities affected by HIV in sustained engagement in health and rights. Journal of the International AIDS Society, 24, e25724. https://doi.org/10.1002/jia2.25724
Conteh, N. K., Latona, A., & Mahomed, O. (2023). Mapping the effectiveness of integrating mental health in HIV programs: a scoping review. BMC Health Services Research, 23(1), 396. https://doi.org/10.1186/s12913-023-09359-x
Fauzi, A., Anggraini, N., & Fatkhurohman, N. (2021). Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia. Belitung Nursing Journal, 7(5), 395. https://doi.org/10.33546/bnj.1554
Firman, F., Yona, S., & Waluyo, A. (2025). Resilience, Social Support, and Quality of Life Among People Living with HIV/AIDS. Jurnal Keperawatan Indonesia, 28(1), 35–44. https://doi.org/10.7454/jki.v28i1.1337
Grimes, K. E., Ebasone, P. V., Dzudie, A., Nash, D., Wainberg, M. L., Pence, B. W., ... & Parcesepe, A. M. (2024). Factors influencing integration of mental health screening and treatment at HIV clinic settings in Cameroon: a qualitative study of health providers’ perspectives. BMC Health Services Research, 24(1), 519. https://doi.org/10.1186/s12913-024-10775-w
Hudzaifah, A. F., & Ningrum, T. P. (2021). Hubungan Stigma HIV dengan Kualitas Hidup Penderita HIV/AIDS. Jurnal Keperawatan BSI, 9(1), 68-73. https://ejurnal.ars.ac.id/index.php/keperawatan/article/view/482?utm
Hutahaean, B. S., Stutterheim, S. E., & Jonas, K. J. (2023). Barriers and facilitators to HIV treatment adherence in Indonesia: perspectives of people living with HIV and HIV service providers. Tropical medicine and infectious disease, 8(3), 138. https://doi.org/10.3390/tropicalmed8030138
Iryawan, A. R., Stoicescu, C., Sjahrial, F., Nio, K., & Dominich, A. (2022). The impact of peer support on testing, linkage to and engagement in HIV care for people who inject drugs in Indonesia: qualitative perspectives from a community-led study. Harm Reduction Journal, 19(1), 16. https://doi.org/10.1186/s12954-022-00595-8
Kamila, A., Widyawati, W., Hasanbasri, M., & Hakimi, M. (2024). Capturing the HIV-related social exclusion practices experienced by key populations through photovoice: an interpretative phenomenological study. Reproductive Health, 21(1), 107. https://doi.org/10.1186/s12978-024-01832-y
Lestari, S. A., Yunitri, N., Hazrina, F. A., & Kamil, A. R. (2023). Hubungan Stigma yang Dirasakan dengan Depresi pada Pasien HIV/AIDS di RS Islam Jakarta Cempaka Putih. Indonesian Journal of Nursing Sciences and Practice, 6(1), 17-21. https://doi.org/10.24853/ijnsp.v6i1.17-21
McCombe, G., Lim, J., Van Hout, M. C., Lazarus, J. V., Bachmann, M., Jaffar, S., ... & Cullen, W. (2022). Integrating care for diabetes and hypertension with HIV care in sub-Saharan Africa: a scoping review. International Journal of Integrated Care, 22(1), 6. https://pmc.ncbi.nlm.nih.gov/articles/PMC8815447/
Miltz, A. R., Sewell, J., Nakagawa, F., Rein, S. M., Sherr, L., Rodger, A., ... & Lampe, F. C. (2025). Evidence from high?income countries on the effectiveness of psychosocial interventions to improve mental health, wellbeing and quality of life for adults living with HIV: a systematic review and meta?analysis. Journal of the International AIDS Society, 28(4), e26424. https://doi.org/10.1002/jia2.26424
Ninef, V. I., Sulistiyani, S., Situmeang, L., & Da Costa, A. (2023). Stigma dan Diskriminasi Sosial Terhadap Pengidap HIV-AIDS: Peran Masyarakat di Wilayah Timur Indonesia. Health Information: Jurnal Penelitian, 15(2). https://doi.org/10.36990/hijp.v15i2.1385https://myjurnal.poltekkes-kdi.ac.id/index.php/hijp/article/view/1385?utm
Njau, T., Mwakawanga, D. L., Sunguya, B., Minja, A., Kaaya, S., & Fekadu, A. (2024). Perceived barriers and opportunities for implementing an integrated psychological intervention for depression in adolescents living with HIV in Tanzania. BMC Health Services Research, 24(1), 672. https://doi.org/10.1186/s12913-024-11118-5
Remien, R. H., Patel, V., Chibanda, D., & Abas, M. A. (2021). Integrating mental health into HIV prevention and care: a call to action. Journal of the International AIDS Society, 24(Suppl 2), e25748. https://doi.org/10.1002/jia2.25748
Remien, R. H., Stirratt, M. J., Nguyen, N., Robbins, R. N., Pala, A. N., & Mellins, C. A. (2019). Mental health and HIV/AIDS: the need for an integrated response. Aids, 33(9), 1411-1420. https://doi.org/10.1097/QAD.0000000000002227
Sheikh Mahmud, M. H., Zaki, R., Kusumoputri, T. P., Devika, D., Retno, D., Altice, F. L., & Kamarulzaman, A. (2025). Factors Influencing the Success of Community-Based Participatory Approach in Implementing an HIV Stigma Reduction Intervention in Indonesia. medRxiv, 2025-12. https://doi.org/10.64898/2025.12.23.25342924
Sudastri, N. K., Wulandari, L. P. L., & Januraga, P. P. (2025). Manifestation and Markings of HIV Stigma in Indonesia: A Scoping Review. International Journal of Environmental Research and Public Health, 22(6), 840. https://doi.org/10.3390/ijerph22060840
Susanto, T., Yunanto, R. A., Rasni, H., & Susumaningrum, L. A. (2021). Multi-level intervention for HIV/AIDS caring in Indonesian community. HIV & AIDS Review. International Journal of HIV-Related Problems, 20(2), 78-84. https://doi.org/10.5114/hivar.2021.107217
Tran, V. T. N., Phung, L. K., Nguyen, H. H., Pham, L. T. D., Nguyen, D. T. N., Nguyen, T. T. T., ... & Gaynes, B. N. (2025). Evidence-based interventions targeting mental health problems in adolescents living with HIV: A scoping review. AIDS care, 37(8), 1208-1220. https://doi.org/10.1080/09540121.2025.2534534
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 COMMUNITY : Jurnal Pengabdian Kepada Masyarakat
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
