HIV Health Literacy Education (HALTRA-EDU): Strategies to Promote Social Acceptance toward People Living with HIV

Document Type : Original Article

Authors

Department of Nursing, Universitas Aisyiyah Bandung, Indonesia.

Abstract

Background and Objectives: Low social acceptance, accompanied by high levels of social stigma, gives rise to rejection by community members towards people living with HIV. Health literacy education to increase community awareness of people living with HIV is essential. This study aimed to evaluate the effect of HIV health literacy education on the social acceptance of people with HIV in society.

Materials and Methods: Quasy experiment design with pre-test and post-test with a control group was applied in these studies. Sample recruitment used purposive sampling in which 70 community members who were not HIV-infected from Bandung, Indonesia, participated in this study. The intervention provided was HIV health literacy education, which had four phases during four weeks of meetings. The data analysis used a Wilcoxon Signed Rank test and an ANCOVA analysis. 

Results: The HIV health literacy education strategy significantly influences the social acceptance of people with HIV. Significant differences were found in social acceptance of people with HIV between the intervention and control groups (F=22.300; p=0.001). The intervention group improved social acceptance, with the mean score rising by 5.88 points, from a pre-test score of 38.49 ± 6.71 to a post-test score of 44.37 ± 5.33.

Conclusion: The HIV health literacy education strategy contributes to the social acceptance of HIV in individuals. After attending HIV health literacy education, individuals have the potential to understand more about HIV disease comprehensively. Thus this strategy strengthens individuals to correct prejudices and grow behavior of acceptance, tolerance, and support for people with HIV.

Keywords

Acknowledgments: We express our profound appreciation to all the respondents involved in this study. We also thank the Majelis Pendidikan Tinggi Penelitian dan Pengembangan Pimpinan Pusat (Diktilitbang) Pimpinan Pusat Muhammadiyah and Universitas ‘Aisyiyah Bandung, for supporting this study. 


Availability of data and materials: The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.


Conflict of interest: The authors declare that they have no competing interests.


Consent for publication: Not applicable.


Ethics approval and consent to participate: This study received ethical approval from the Research Ethics Committee of Universitas ‘Aisyiyah Bandung, Indonesia (number 739/KEP. 01/UNISA-BANDUNG/III/2024) and adhered to the specified guidelines in the Declaration of Helsinki. Informed consent was obtained from all participants who decided to take part in this study. Participants were informed about the study's aim, advantages, risks, and procedures before the intervention. Participants were provided with a digital information sheet that contained written and verbal explanations of the study's contents. The researcher maintained the privacy of each participant's identity while safely storing the data for the necessary time.


Funding: This study was funded by the Majelis Pendidikan Tinggi Penelitian dan Pengembangan Pimpinan Pusat (Diktilitbang) Pimpinan Pusat Muhammadiyah, Indonesia (Grant Number 144/I.3/D/2024 and Contract Number 0258.241/I.3/D/2024).


Authors’ contribution: AW was responsible for the study design. AW and SS were supervising the study. AW and NSD were responsible for data, statistical analysis, and providing the data. AW wrote the initial draft of the manuscript. All authors reviewed and agreed upon the final version of the manuscript.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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