The Health Services for The Poor ODHA “People living with HIV/AIDS” in Decentralized Era in Southeast Sulawesi, Indonesia

Early Moeis Wulandari (Badan Riset Propinsi Sulawesi Tenggara)
Fitrilailah Mokui (The Australian National University)

Abstract

The cases of HIV/AIDS in the Southeast Sulawesi (SES) Province have increased over years.  The first case of HIV/ reported in 2009 by The SES Provincial Health Department was 10 cases. A local Non Government Organization (NGO) based in Kendari called Advocacy Organization of HIV/AIDS (Ind. Lembaga Advokasi HIV/AIDS or LAHA) reported that in 2013 the SES province’s rank was 27th overall HIV/AIDS cases in Indonesia with 226 HIV and 212 AIDS. According to The Directorate General of Restructuring Infectious Disease and Environment Health of the Ministry of Health, in 2014, the SES Province occupied 26th rank in Indonesia with 330 cases of HIV and 266 cases of AIDS. The LAHA claimed that in December 2015 these numbers have increased to 605 HIV/AIDS cases across 12 districts and municipalities in the SES province.

The HIV/AIDS issues have become a public health concern for the SES Government.  The Provincial government has established the local regulation called Perda No.2 in 2013 about the Presentational and the countermeasures of HIV/AIDS. This regulation takes up issues about some strategies to strengthen the health system by employing local resources to combat HIV/AIDS. In addition, it also discuss the strategies to integrate all health programs with HIV/AIDS program through decentralize health services and cares to provide adequate health services for the people living with HIV/AIDS (Ind. Orang dengan HIV/AIDS or ODHA).

This paper is going to discuss how the ODHA who are categorized as the poor people perceive their diseases and how they access health services to cure their diseases. We also going to examine how the government from the central, provincial and district/municipal levels provide the health services for the disadvantaged ODHA. We will evaluate the regulations, health services infrastructures, health professional and health programs to support the elimination the spread of HIV/AIDS.

We will employ the theory of Foucault’s theory of power and governmentality. With the panoptical theorist, this paper will explain how the government’s regulations have been implemented in the health services for the poor ODHA in the SES province. This paper will inform policy for the health services for the poor who are living with HIV/AIDS to get appropriate and effective health services.