Writing: SOCIAL HEALTH DETERMINANTS OF HIV-VULNERABLE CHILDBEARING-AGED WOMEN IN INDONESIA

SOCIAL HEALTH DETERMINANTS OF HIV-VULNERABLE CHILDBEARING-AGED WOMEN IN INDONESIA

NAJMAH ^1,2, SARI ANDAJANI ², SHARYN GRAHAM DAVIES ³

¹ Faculty of Public Health, Sriwijaya University

² Faculty of Health and Environmental Science, Auckland University of Technology

³ Faculty of Social Science, Auckland University of Technology

Correspondence contact:

thn2949@aut.ac.nz(najmah); sari.andajani@aut.ac.nz (Sari); sharyn.davies@aut.ac.nz (Sharyn)

ABSTRACT

Heterosexually married women currently have the fastest growing prevalence rates of HIV/AIDS in Indonesia. This growth rate is worrying on many levels, not least because it will result in a greater number of children being born with HIV. This paper discusses the social determinants of health among women of childbearing-age who are vulnerable to getting HIV. A literature review was conducted using the Auckland University of Technology (AUT) library database and grey literature in English and Indonesian languages. Thematic analysis were undertaken manually to group codes and themes of 32 selected articiles/books/reports and regulations in this review. Previous literature and studies on HIV in women in Indonesia are used to identify four spheres of social health determinants: individual, intimate family network, community/social, and public policies. We argue that three key determinants contribute to women’s vulnerability: lack of information, stigma and prejudice, women’s lack of power within marriage, and limited implementation of integrated health services and monitoring related to HIV within maternal services. We further argue that these issues must be addressed in order to limit the spread of HIV among women of childbearing age in Indonesia.

Key words: HIV, women of childbearing age, vulnerability, Indonesia, determinants.