The Intention of Men Who Have Sex With Men to Participate in Voluntary Counseling and HIV Testing and Access Free Condoms in Indonesia.

Nelsensius Klau Fauk, Anastasia Suci Sukmawati, Sri Sunaringsih Ika Wardojo, Margareta Teli, Yoh Kenedy Bere, Lillian Mwanri
Author Information
  1. Nelsensius Klau Fauk: 1 Institute of Resource Governance and Social Change, Kupang, Nusa Tenggara Timur, Indonesia. ORCID
  2. Anastasia Suci Sukmawati: 2 Stikes Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia.
  3. Sri Sunaringsih Ika Wardojo: 3 Department of Public Health, Taipei Medical University, Xinyi District, Taipei City, Taiwan.
  4. Margareta Teli: 4 Jurusan Keperawatan, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia.
  5. Yoh Kenedy Bere: 5 Kementerian Sosial Republik Indonesia, Jakarta Pusat, Indonesia.
  6. Lillian Mwanri: 6 College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Abstract

This study aimed to identify factors that influenced the intention of men who have sex with men (MSM) to participate in voluntary counseling and HIV testing (VCT) and in accessing free condoms. A qualitative inquiry using one-on-one in-depth interviews was conducted with MSM participants who were recruited using a purposive sampling technique. Data analysis was guided by a framework analysis for qualitative data by Ritchie and Spencer, and the Theory of Planned Behavior (TPB) framework was used to analyze the data. The findings were grouped into three themes-namely, (a) attitude encompassing knowledge about HIV/AIDS and HIV/AIDS services and the belief about the positive outcomes of the services; (b) subjective norms including support from MSM peers and family members and motivation to comply with the support; and (c) perceived behavioral control, which is associated with resource availability and having confidence and positive intention to participate in VCT and willingness to access free condoms. Findings indicated that personal, community, and structural factors were predictors to intention to accessing services. Interventions targeting large numbers of MSM population and further studies to understand what needs to be done by nongovernmental organizations and governmental institutions to halt the spread of HIV infections among MSM populations and increase their intention to use HIV/AIDS services are also recommended.

Keywords

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MeSH Term

Adult
Attitude to Health
Counseling
HIV Infections
Homosexuality, Male
Humans
Indonesia
Male
Middle Aged
Motivation
Patient Acceptance of Health Care
Qualitative Research
Young Adult

Word Cloud

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