Hesty Tumangke, Melkior Tappy


Stakeholders are people and institutions that have interest and influenced by ongoing policy, especially for HIV/AIDs policy; there are several stakeholders that have roles to implemented the HIV/AIDS interventions including government, private sectors, community, NGO, and all groups that care for preventing and reducing HIV/AIDS prevalence. In Jayapura, there are local regulation number 8 2010 and number 11 2012 about HIV/AIDS preventing and intervention in Jayapura City. However, in 2013 there was 3279 HIV/AIDS prevalence, this shows that those interventions still not implement maximally. Therefore, this study aims to analyze stakeholders’ performance as key actors for HIV/AIDS intervention measured their roles, interests, and resources in order to reduce HIV/AIDS cases.

The method of tis study is qualitative study with induction approach.The population is all stakeholders of HIV programs in Jayapura City; the sample is 29 informants that come from Papua health department, non-government organizations, hospitals and HIV/AIDS patients. Samples are collected with purposive sampling technic through deep interview and focus group discussion, then data assessed with triangulation.

The study result shows that Jayapura Health Department played the biggest role where it has high interest, high sources and high power; followed by HIV/AIDS government commission (KPAD) who has high interest, moderate source, and high power.  In addition, hospitals and local primary health cares have high interest, moderate source, and moderate power since they have limited financial support and don’t have power to do law enforcement. Jayapura Social Department must improve its performance since this institution has several responsibilities but in implementation they didn’t perform well with moderate interest, low source, and moderate power. All NGO have high interest for prevent HIV/AIDS but they have lack of resource such limited financial and limited logistics. In the same way, people with HIV/AIDS are have low power even they want to live longer since the problem is many of them come from vulnerable community such as sex workers and low income families; they have free test, concealing, and free medication, but sometimes they cannot afford to eat healthy food, also they don’t have power to influence the HIV/AIDS policy.


Keywords : Stakeholders, HIV/AIDS, Jayapura.

Full Text:



Atun, R., Bataringaya, J. 2011. Building a durable response to HIV dan AIDS: Implications for health system. J. Acquir Immune Defic Syndr, 57:S91-S95.

Atun, R., de Jogh, T., Secci, F., Ohiri, K., Adeyi, O. 2010a. Integration of targeted health interventions into health systems: A conceptual framework for analysis. Health Policy and Planning, 25:104-111.

Atun, R., Lazarus, J.V., Van Damme, W., Coker, R. 2010b. Interactions between critical health system functions and HIV/AIDS, tuberculosis and malaria programmes. Health Policy and Planning, 25:i1-i3.

Ayuningtyas, 2014, Kebijakan Kesehatan; Prinsip dan Praktik, PT RajaGrafindo Persada Jakarta.

Butt, L., Morin, J., Numbery, G., Peyon, I., Goo, A. 2010. Stigma dan HIV/AIDS di Wilayah Pegunungan Papua. Jayapura: Universitas Cendrawasih dan University of Victoria.

BPS, JOTHI & UNDP. 2010. Socioeconomic Impact of HIV at the Individual and Household Level in Indonesia: a seven-province study. Jakarta: BPS

Coker, R., Balen, J., Mounier-Jack, S., Shigayeva, A., Lazarus, JV., Rudge, J.W., Naik, N., Atun, R. 2010. A conceptual and analytical approach to comparative analysis of country case studies: HIV and TB control programmes and health systems integration. Health Policy and Planning, 25 (suppl 1): i21-i31 doi:10.1093/heapol/czq054

Conseil, A., Mounier-jack, S., Coker, A. 2010. Integration of health systems and priority health interventions: a case study of the integration of HIV and TB control programmes into the general health system in Vietnam. Health Policy and Planning, 25:i32-i36.

Creswell, J.W. 2003. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, CA: Sage Publications.

Desai, M., Rudge, J.M., Adisasmito, W., Mounier-Jack, S., Coker, R. 2010. Critical interactions between global fund-supported programmes & health systems: a case study in Indonesia. Health Policy and Planning, 25:i43-i47.

Dongbao, Yu., Souteyrand, Y., Banda, M.A., Kaufman, J., Perriëns, J.H. 2008. Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries? Globalization and Health doi: 10.1186/1744-8603-4-8.

Dudley, L. and Garner, P. (2011). Strategies for Integrating Primary Health Services in Low- and Middle-income Countries at the Point of Delivery (Review). The Cochrane Collaboration, 7.

Gilson, L., Raphaely, N. 2008. The terrain of health policy behaviour take us? Health Policy and Planning, analysis in low- and middle-income countries: a review of published literature 1994– 2007. Health Policy and Planning, 23(5):294–307.

Glaser, B. G., and A. L. Strauss. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research. Mill Valley, CA: Sociology Press.

Godwin, P. and Dickinson, C. (2012). HIV in Asia – Transforming the agenda for 2012 and beyond: Report of a Joint Strategic Assessment in ten countries. Canberra: AusAID Health Resource Facility. Integrasi upaya penanggulangan HIV&AIDS-final version 33

Hannes K. Chapter 4: Critical appraisal of qualitative research. In: Noyes J, Booth A, Hannes K,Harden A, Harris J, Lewin S, Lockwood C (editors), Supplementary Guidance for Inclusion of Qualitative Research in Cochrane Systematic Reviews of Interventions. Version 1 (updated August 2011). Cochrane Collaboration Qualitative Methods Group, 2011. Available from URL

Health Systems 20/20. 2012. The Health System Assessment Approach: A How-To Manual. Version 2.0.

International Committee of Medical Journal Editors (

Kawonga, M., Blaauw, D., Fonn, S. 2012. Aligning vertical interventions to health systems: a case study of the HIV monitoring and evaluation system in South Africa. Health Research Policy and Systems, 10:2 (26 January 2012)

Kementrian Kesehatan Republik Indonesia. 2012a. Estimasi Epidemi HIV dan AIDS Indonesia. Jakarta: Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan.

Kementerian Kesehatan Republik Indonesia, Raker Litbangkes. Peraturan Presiden 72/2012. Sistem Kesehatan Nasional. 2012b. Jakarta: Litbangkes.

Komisi Penanggulangan AIDS Kota Jayapura. 2010. Profil Komisi Penanggulangan AIDS Kota Jayapura, tahun 2010, Jayapura : KPA Kota Jayapura

Komisi Penanggulangan AIDS Kota Jayapura, 2011, Rencana Strategi Penanggulangan dan Pencegahan HIV dan AIDS Kota Jayapura Tahun 2011-2015, Jayapura, KPA Kota Jayapura.

Nadjib, M., Megraini, A., Ishardini, L., Rosalina, R. 2013. National AIDS Spending Analysis 2011 – 2012. Jakarta: UNAIDS-NAC.

Shakarishvili G, Atun R, Berman P et al. 2010. Converging health systems frameworks: towards aconcepts-to-actions roadmap for health systems strengthening in low and middle incomecountries. Global Health Governance Spring III: 2.

Strauss, A., & Corbin, J. 1998. Basics of qualitative research: Grounded theory procedures andtechniques (2nd ed). Thousand Oaks, CA: Sage Publications.

Trisnantoro, 2005, Desentralisasi Kesehatan di Indonesia dan Perubahan Fungsi Pemerintah : 2001 – 2003, Gadjah Mada University Press Yogyakarta.

Wali Kota Jayapura, 2011, Peraturan Daerah Kota Jayapura Nomor 16 tahun 2011 tentang Pencegahan dan Penanggulangan IMS dan HIV AIDS do kota Jayapura, Kota Jayapura,

Walt G et al. 2008. ‘Doing’ health policy analysis: methodological and conceptual reflections and challenges. Health Policy and Planning, 23(5):308-317.

World Health Organization. 2007. Everybody’s Business: Strengthening Health System to Improve Health Outcomes: WHO’s Framework for Action. Geneva: WHO. Integrasi upaya penanggulangan HIV&AIDS-final version 34

Joint United Nations Programme on HIV/AIDS (UNAIDS). Laporan epidemi AIDS di Indonesia, update. 2012. Geneva: UNAIDS.

Yayasan Spirita. 2005. Dokumentasi tentang pelanggaran hak asasi manusia terhadap orang dengan HIV dan AIDS di Indonesia. Jakarta.


  • There are currently no refbacks.