Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Correlation between Behavior with HIV and Syphilis Status to TNI Personnel based on Integrated Behavior and Biological Surveillance in 2017
Yuli Subiakto, Dimas Budi Wicaksono, Ciptasari Prabawanti

Last modified: 2018-08-20

Abstract


Background

Indonesian Military (TNI), as the main component of country’s defense, has a susceptibility to infectious diseases – in these cases are HIV and Sexually Transmitted Infections (STIs) – whether they are in an operation/training or during their work in the office/home base.

Indonesia's Ministry of Defense (MoD) and TNI have performed prevention and promotion efforts by disseminating the information about the mode of transmission and how to prevent it. The MoD and SG office of TNI are also equip the peer leaders with knowledge and skills to educate others, providing CST (Care, Support, Treatment) services, establishing PITC (Provider Initiating Treatment and Counselling) services, increasing treatment literacy and doing mandatory testing in a continuous and sustainable manner for TNI personnel and their family. The Integrated Behavior and Biological Surveillance Survey is a way to know about the level of achievement of eradication and prevention HIV and STIs (Sexual Transmitted Infections) programs for TNI personnel.

Materials and methods

IBBS Survey in 2017 was conducted towards TNI personnel in 6 locations, namely Riau Islands, DKI Jakarta, West Java, East Java, Bali and Papua. The survey was used cross-sectional design, by using inclusion and exclusion criteria. The data consist of behavioral data, which collected by using an application called as Lime survey, and examined biological sample of HIV and Syphilis. The ethical clearance approved by Research and Development Health Agency of the Ministry of Health. The data analysis of IBBS in 2017 has been compared to IBBS in 2012 and proceeded by using Statistical tests STATA 13.

 

Results

The participants in this survey are 3.728 personnel, with subject respond rate as follows: Riau Island 622 (94.2%), West Java 610 (92.4%), DKI Jaya 566 (85.8%), East Java 654 (99.1%), Bali 621 (94.1%) and Papua 655 (99.2%). Overall, the comprehensive knowledge among the respondents in the 2017 IBBS are two times higher than the respondents in the 2012 survey, increasing from 9% to 19%. Compared to the previous survey (IBBS 2012), the HIV prevalence showed a decreasing trend down to 0.21%. This decrease could be due to the success of HIV infection control program in TNI, where new HIV infection is suppressed. Or, there might be some bias due to the recruitment of respondents was not as planned. The differences in the respondents’ characteristics may also cause the prevalence appeared to be declining. For example, the average age of the IBBS 2017 respondents tended to be older with longer time in service compared to the previous survey.

STIs are the port of entry for the virus that will cause HIV infection. The result showed 0.15% reduction of Syphilis prevalence: from 0.5% in 2012 down to 0.35% in 2017. The surveyed provinces showed different ranges of Syphilis prevalence, with 0.61% as the highest. Respondents with positive Syphilis tests showed a significantly high prevalence of HIV at 7.69%.

 

 

Conclusions

The 2017 TNI IBBS shows that the HIV prevalence is 0.21%, showing a decrease compared to the results in 2012 TNI IBBS of 0.35% and 2007 TNI IBBS of 0.5% in five provinces (Riau Islands, DKI Jakarta, East Java, Bali, and Papua). For Syphilis prevalence, the 2017 TNI IBBS presents a prevalence of 0.35%, which shows a reduction from the results in 2012 TNI IBBS of 0.5% in six provinces (Riau Archipelago, DKI Jakarta, West Java, East Java, Bali, and Papua). The 2007 TNI IBBS, the Syphilis testing was not done in those six provinces. The 2017 TNI IBBS shows an increase in comprehensive knowledge (consists of 5 questions on perception of HIV and STI transmission and prevention) compared to the 2012 TNI IBBS (from 9% to 19%).          Overall, the survey shows a reduction on the level of behaviour at risk of acquisition/ transmission of HIV and STI in six provinces (Riau Islands, DKI Jakarta, West Java, East Java, Bali, and Papua). The 2017 TNI IBBS showed an increase in the coverage of the HIV and STI control program compared to the results of the 2012 TNI IBBS in six provinces (Riau Islands, DKI Jakarta, West Java, East Java, Bali, and Papua). This resulted in the increasing understanding on the danger of HIV and HIV prevention.

 

Acknowledgements

Director General of Defense Force - Indonesia's MoD, Surgeon General TNI, Director of Research & Development Health Agency, Assistance Personnel Army, Navy and Air Force. Yayasan Siklus Indonesia.

 

Keywords: behavior, IBBS, HIV and Syphilis prevalence, TNI  personnel