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[1].   Surbakti, A. R., & Matondang, M. M., 2023, The Effectiveness of Law No. 35 of 2014 Concerning Child Protection in Protecting Children’s Rights in the Educational Environment Using Analysis of Siyasah Dusturiyah (Case Study of Karo District). Indonesian Interdisciplinary Journal of Sharia Economics, 6(3), 2893–2905. https://doi.org/10.31538/iijse.v6i3.4051

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As the proportions of people living with HIV who do not know their HIV infection status decrease, reaching the first 90 will require effective and efficient HIV testing approaches. This project used an explanatory sequential mixed-methods study design to: 1) to understand the perceived facilitators and barriers to HIV partner testing from the perspective of the health-care provider; and 2) to propose interventions necessary for improved HIV case finding. At baseline, 452 index contacts (53.5%) tested HIV negative, 113 index contacts (13.4%) tested HIV positive. Following the intervention, 384 index clients were enrolled in the study. Total number of 668 contacts: 333 males and 335 females. The mean age of contacts was 34.5, ranging from 18 to 68 (SD = 8.638). HIV status: 320 tested positive, 240 tested negative, 29 not tested, 79 known positive. Positivity yield = 57% (320/560). Provider and client related challenges were addressed with the following key interventions: implemented were: Peer pairing approach using experienced counselors and hand holding mentorship; Training facility based volunteers and healthcare workers in Index Testing; Setting up network of counselors to reach contacts not in the same catchment as the index clients; Improving appointment system: After hours, week-ends and men’s clinics; Ensuring correct, complete and consistent documentation in all registers. As in several other literatures, our study findings show that following appropriate interventions addressing barriers to index testing, the testing positivity rate improved from 20% to 57%.

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