Stigma-Reduction Program to Prevent Care Disengagement Among Indonesians Living with HIV in Muslim Communities

What this Trial Is About

Researchers are investigating how stigma and cultural factors in Indonesia influence the engagement of people living with HIV PLH with healthcare services and their health status. The study focuses on reducing HIV-related stigma, which is a major barrier to care engagement, especially in Muslim communities. Findings aim to inform strategies to improve HIV care retention both in Indonesia and in similar populations in the U.S. The study tests a culturally adapted stigma-reduction intervention based on Islamic teachings, delivered through a nurse-led, low-intensity, four-session program. Participants receive either this adapted intervention or usual care involving care coordination and support from public health nurses. Additional components include interviews and focus groups with Indonesians living with HIV to refine the intervention, though these groups are not followed for outcomes. Participants will attend study visits to assess changes in perceived and internal stigma, adherence to treatment, healthcare engagement measured by clinic visit attendance, and patient activation over 26 weeks. The study evaluates feasibility, acceptability, and preliminary effectiveness of the intervention while monitoring participants health and engagement in care. The total study duration includes baseline measurements and follow-up through the intervention period.

Care Disengagement Prevention in PLWH in Indonesia