Strengths, weaknesses, opportunities, and threats (SWOT) Analysis of Provider Initiated HIV Testing and Counseling (PITC) Implementation of Patients During the Covid-19 Pandemic at Primary Health Centers (Puskesmas) Indonesia

Abstract

Background: Primary Health Centers (Puskesmas) are the first places to go for people to obtain HIV testing and counselling. However, one of the major problems faced during the Covid-19 pandemic was reluctance to get tested due to fear of contracting Covid-19. Objective: The research was to evaluate with SWOT (Strengths, weaknesses, opportunities, and threats) in implementing HIV Counseling and Testing services during the COVID-19 pandemic in Jember Regency Indonesia. Methods: This research was a qualitative study. The data was collected through in-depth interviews with the health workers who responded to HIV Counseling and Testing. Sample conducted this research in 30 Puskesmas at Jember Regency with 30 participants to identify the SWOT on the PITC (Provider Initiated Testing and Counseling) in several puskesmas in Jember Regency. Results: The result is presented as a SWOT to formulate the proper strategic planning. The availability of health workers and reagents for HIV testing at puskesmas is essential in establishing a patient's HIV status. However, there were several limitations to implementing PITC, such as a lack of knowledge about HIV. Conclusions: Providing training concerning PITC, properly wearing PPE (Personal protective equipment), enhancing health promotion, and increasing covid-19 vaccination coverage can prevent Covid-19 transmissions and raise HIV counselling and testing services coverage in the Jember regency.