BARRIERS TO THE PREVENTION OF HIV AND AIDS TRANSMISSION AMONG HIV-POSITIVE PREGNANT WOMEN IN COASTAL AREAS: A PHENOMENOLOGICAL STUDY
Contributors
Ita Roossinta
Dewi Rokhmah
Ristya Widi Endah Yani
Hadi Prayitno
Keywords
Proceeding
Track
General Track
License
Copyright (c) 2026 International Symposium of Public Health and International Conference of Epidemiology Public Health

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Abstract
Background: Pregnant women in coastal areas represent a vulnerable group at risk of HIV/AIDS infection, particularly concerning mother-to-child transmission. Limited knowledge of infectious disease prevention and the tendency to conceal HIV status highlight the need for further exploration of prevention barriers. This study aims to explore in greater depth the barriers to HIV/AIDS prevention among pregnant women with HIV in coastal areas. Method: This qualitative study was conducted in Jember Regency, East Java, an area with one of the highest HIV/AIDS case burdens in the province. A phenomenological approach was employed, with in-depth interviews conducted among six HIV-positive pregnant women aged over 18 years who reside in coastal communities. Three supporting informants were also included: two HIV program officers at the primary health center and one midwife in the area. Subjects were selected purposively. Data analysis was performed using interpretative phenomenological analysis. Source triangulation was used to obtain the validity of the information. Result: There are seven major barriers to preventing HIV/AIDS transmission in HIV-positive pregnant women, including: insufficient knowledge about HIV/AIDS prevention; HIV-positive pregnant women tend to be secretive; high community mobility; limited access to health services; mining, industrial, and port activities; the practice of siri marriage; and limited access to health education and information. Conclusion: Barriers to HIV/AIDS prevention among HIV-positive pregnant women in coastal areas remain significant, making it difficult to control the spread of HIV/AIDS. Intensive dissemination of accurate information on HIV/AIDS prevention by both the government and the private sector is needed.