DAMPAK IMPLEMENTASI KEBIJAKAN PENUTUPAN TEMPAT LAYANAN SOSIAL TRANSISI UNTUK PSK DAN PENUTUPAN PROSTITUSI TERHADAP PROGRAM PENANGGULANGAN HIV/AIDS DI KABUPATEN JEMBER

Abstract

Background : The Regency Decree number 188.45/39/012/2007 on the Transition Social Services Place Closure for the Commercial Sex Worker and the Prostitution Closure in Jember district, has adverse impacts in the implementation of HIV/AIDS transmission prevention especially through sexual transmission. Objection : The aims of this research is analyzing the Impact policy implementation of transition social services place closure for the commercial sex worker and the prostitution closure to the HIV/AIDS countermeasures program.

Methods : This research is descriptive analitic method used secondary data from the report of HIV/AIDS program in Jember Regency at 2012. Collected data is analized descriptively with table and narration. Result : The impacts of that Regency Decree on closing the transition social service place for the sex worker in Puger, Jember district include (1) The prostitution closure would lead the transition social service place for the illegal sex worker be increase and spread in Jember district, (2) Health coaching and behavior change communication to the sex worker become more hard, (3) The amount of HIV/AIDS cases each year be higher. In 2004, the amount of HIV/AIDS cases is 1 and be higher every year until in 2012 the cumulative amount cases of HIV/AIDS in Jember district are 822. By the data of the sufferer, according to the highest risk factor is through the heterosexual transmission with 685 cases (83.3 %). This suggest that the transmission occurred from the sex worker to the consumer and also from the consumer to the sex worker. So, the transmission to the house wife also increasing followed by the mother to baby transmission. Conclusion : Jember district Government needs to conduct a relevant review to the Regency Decree number 188.45/39/012/2007 on the Transition Social Services Place Closure for the Commercial Sex Worker and the Prostitution Closure in Jember district which have been predefined. Sugestion : For that, it's really needed the meeting among the stakeholders, Jember AIDS Commission, Health department of Jember district, SKPD, and also other institutions to review that Regency Decree. Methods : This research was applied in experimental method with quantitative approach by pre and post-test instrument, to know the change of knowledge and action in protecting themselves from sexual predator. Population and sample in this research are students of elementary school X in 4th, 5th and 6th class, total respondent are 80 students, 35 male students and 45 female students.