Persepsi Kualitas Pelayanan Pada Pasien LSL Positive HIV/AIDS Di Kota Medan

Abstract

Background: Men who have sex with men (MSM) are a key population in the HIV epidemic in Indonesia but continue to face multiple barriers in accessing healthcare services, including stigma, lack of privacy, and limited facilities and human resources. Objective: This study aims to explore the perceptions of MSM living with HIV regarding the quality of healthcare services at community health centers (Puskesmas) in Medan City, as well as to identify the supporting and hindering factors in service utilization. Methods: This qualitative study employed in-depth interviews with 21 HIV-positive MSM and four VCT program officers at Puskesmas Helvetia, Padang Bulan, Teladan, and Medan Deli. Data were thematically analyzed through manual coding to identify key patterns and themes. Results: Services such as education, counseling, outreach, and peer support were perceived as beneficial, particularly due to collaboration with NGOs like Medan Plus, Galatea, and PKBI. However, challenges remain, including lack of privacy during registration and medication pickup, and fear of being recognized. Positive interactions with healthcare workers emerged as a key factor in fostering patient comfort and trust. Conclusion: Although healthcare services for HIV-positive MSM in Medan have been implemented relatively well, improvements are still needed, especially in ensuring privacy, comfort, and the active involvement of the MSM community in service delivery to enhance access, adherence, and their overall quality of life.