BARRIERS TO THE PREVENTION OF HIV AND AIDS TRANSMISSION AMONG HIV-POSITIVE PREGNANT WOMEN IN COASTAL AREAS: A PHENOMENOLOGICAL STUDY


Date Published : 15 September 2026

Contributors

Ita Roossinta

Universitas Jember
Author

Dewi Rokhmah

Universitas Jember
Author

Ristya Widi Endah Yani

Universitas Jember
Author

Hadi Prayitno

Universitas Jember
Author

Keywords

Barrier Pregnant Women HIV AIDS

Proceeding

Track

General Track

License

Copyright (c) 2026 International Symposium of Public Health and International Conference of Epidemiology Public Health

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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.

References

Afanin, I., & Syarafuddin, M. (2023). Pernikahan Penderita Hiv Aids Dalam Tinjauan Maqashid Syariah. Ar-Risalah Media Keislaman Pendidikan Dan Hukum Islam, 21(2), 198. https://doi.org/10.69552/ar-risalah.v21i2.2071
Amadea, W., Rahmawaty, A., Amin, M., Saci, A., & Munadi, M. C. (2025). Analisis Ketersediaan Sarana Pemeriksaan HIV pada Ibu Hamil di Kecamatan Gelumbang. Jurnal Kesmas Dan Gizi, 7(2), 213–222.
Anne-Cécile Zoung-Kanyi Bissek, et al. (201 C.E.). Knowledge of Pregnant Women on Mother-to-Child Transmission of HIV in Yaoundé. AIDS Journal, 5, 25–28. https://doi.org/10.1155/2015/960830
Ansori, A. (2024). Self Disclosure Dalam Komunikasi Antarpribadi Pada Orang Dengan Hiv/Aids (Odha) Di Pekanbaru [Universitas Islam Negeri Sultan Syarif Kasim Riau]. http://repository.uin-suska.ac.id/85387/.
Langdridge, D. (2007). Phenomenological Psychology: Theory, Research and Method. Harlow: Pearson Education.
Mohammed, H., Kebir, M. S., Obiribea, C., Essuman, M. A., & Ahinkorah, B. O. (2024). Knowledge of HIV transmission during pregnancy among women of reproductive age in Ghana. BMC Infectious Diseases, 24(1), 1–8. https://doi.org/10.1186/s12879-024-09325-w
Nacer, N., Ouzennou, N., El Fatimi, N., & Rkha, S. (2023). Knowledge and Attitudes about Mother-to-Child Transmission of the Human Immunodeficiency Virus in a Context of Social Vulnerability: The Case of the Province of Essaouira, Morocco. Ethiopian Journal of Health Sciences, 33(3), 403–412. https://doi.org/10.4314/ejhs.v33i3.3
Prasilo, D. (2013). Analisis Faktor Perilaku Ibu Hamil Terhadap Motivasi Pemeriksaan Tes HIV/AIDS Di Puskesmas Medaeng Sidoarjo [Universitas Airlangga Surabaya]. https://repository.unair.ac.id/121949/%0Ahttps://repository.unair.ac.id/121949/1/Dieny Prasilo_131111179 SEC.pdf
Pujilestari, N. I. (2021). Hubungan Keterbukaan Status Hiv Dengan Stigma Diri Pada Orang Dengan Hiv/Aids. Media Husada Journal Of Nursing Science, 1(1), 31–42. https://doi.org/10.33475/mhjns.v1i1.8
Rabrageri, A. K. S., Siswosudarmo, R., & Soetrisno, S. (2017). Faktor Risiko Transmisi Virus Hiv Pada Ibu Hamil Di Papua. Jurnal Kesehatan Reproduksi, 4(1), 23. https://doi.org/10.22146/jkr.35433
Rochmawati, Lusa; Kuswanti, Ina; Prabawati, S. (2017). Pencegahan Penularan HIV Dari Ibu Ke Anak (PPIA) (Y. S. Rosyad (ed.)). Zahir Publishing.
Rochmawati, L., Kuswanti, I., & Prabawati, S. (2021). Efektifitas Media Promosi Kesehatan Video Dengan Leaflet Terhadap Pengetahuan Ibu Hamil Tentang Pencegahan Penularan Hiv Dari Ibu Ke Anak. Jurnal Kebidanan Indonesia, 12(2), 49–58. https://doi.org/10.36419/jki.v12i2.495.
Rokhmah, D. (2016). Fenomenologi: Sebuah Pendekatan dalam Penelitian Kualitatif. Jember: Universitas Jember.
Rosnita, R., Murni, N. S., & Wahyudi, A. (2024). Kejadian Human Immunodeficiency Virus (HIV) di Kota Palembang. Jurnal Akademika Baiturrahim Jambi, 13(2), 385–395. https://doi.org/10.36565/jab.v13i2.863
Saraswati, N. L. A. (2020). Hubungan Dukungan Keluarga Dengan Self Disclosure Pada ODHA Di Yayasan Kesehatan Bali [Institut Teknologi Dan Kesehatan Bali Denpasar]. https://repository.itekes-bali.ac.id/medias/journal/2020_16C11806_Ni_Luh_Anik_Saraswati_Skripsi.pdf
Suriana, A. D. S. E. D. (2024). Penelitian Tentang Self Disclosure Pasien ODHA RSUD Banyumas. Jurnal Ilmiah Kesehatan, 12(1), 1–10.
Syahri, M. S. (2023). Program Pelayanan Persalinan. Jurnal Kesehatan Tambusai, 4(3), 2177–2184. http://www.jamsostek.co.id/content/i.php?mid=3&id=175.
(WHO), W. H. O. (2022). Mother-to-child transmission of HIV. Global HIV Programme.
Yeshaneh, A., Abebe, H., Tafese, F. E., & Workineh, A. (2023). Knowledge, attitude, and practice towards prevention of mother-to-child transmission of HIV among antenatal care attendees in Ethiopia, 2020. PLoS ONE, 18(2 February), 1–15. https://doi.org/10.1371/journal.pone.0277178
Yuliarini, N. W., Astiti, N. K., & Tedjasulaksana, R. (2024). Overview Hasil Skrining Prevention Mother to Child Transmission (PMTCT) pada Ibu Hamil yang Mengalami HIV. Jurnal Penelitian Perawat Profesional, 6(6), 329–336.

Downloads

How to Cite

Roossinta, I., Rokhmah, D., Ristya Widi Endah Yani, R. W. E. Y., & Prayitno, H. (2026). BARRIERS TO THE PREVENTION OF HIV AND AIDS TRANSMISSION AMONG HIV-POSITIVE PREGNANT WOMEN IN COASTAL AREAS: A PHENOMENOLOGICAL STUDY. International Symposium of Public Health and International Conference of Epidemiology Public Health, 24-37. https://e-conference.unair.ac.id/isoph/paper/view/1561