Gede Arya Bagus Arisudhana, Ni Putu Dita Wulandari, Nyoman Eta Risnawati, Desak Putu Cristine Monica


Adherence to taking medication was so important to suppress HIV suppression. Maintaining compliance can be done using a peer support intervention approach. The purpose of this study was to determine the effect of peer leader support on medication adherence of people living with HIV/AIDS. The research method used is one group pre-test post-test. The sample in this study was determined using a consecutive technique, with a total sample of 25 respondents. The Antiretroviral Adherence Scale was used to measure the adherence level. The peer leader support treatment procedure was based on empowerment, self-management, experience exploration, motivation, and problem-solving in a systematic way and administered for 14 weeks. The data analysis used paired t-test. The results showed that there was an increase in the average value of adherence before being given the intervention (3.04) and after being given the intervention (4.40). The bivariate analysis result obtained p-value < 0.000 (α = 0.05). Based on the value of p<α, the peer leader support was affected adherence to taking medication in PLWHA. It is necessary to conduct a peer intervention model to explore changes in viral load and CD4 cell values associated with ARV adherence


Antiretroviral, Kepatuhan, Leader, Peer

Full Text:



Agarwal, B., Brooks, S. K., & Greenberg, N. (2020). The Role of Peer Support in Managing Occupational Stress: A Qualitative Study of the Sustaining Resilience at Work Intervention. Workplace Health and Safety, 68(2), 57–64. 19873934

Arisudhana, G. A. B., Sofro, M. A. U., & Sujianto, U. (2018). Antiretroviral Side Effects on Adherence in People Living with HIV/AIDS. Nurse Media Journal of Nursing, 8(2), 79–85.

Bain-Brickley, D., Butler, L. M., Kennedy, G. E., & Rutherford, G. W. (2011). Interventions to improve adherence to antiretroviral therapy in children with HIV infection. Cochrane Database of Systematic Reviews, (12). 10.1002/14651858.cd009513

Bam, K., Rajbhandari, R. M., Karmacharya, D. B., & Dixit, S. M. (2015). Strengthening adherence to Anti Retroviral Therapy (ART) monitoring and support: Operation research to identify barriers and facilitators in Nepal Health systems and services in low and middle income settings. BMC Health Services Research, 15(1), 1–11. s12913-015-0846-8

Chang, L. W., Kagaayi, J., Nakigozi, G., Ssempijja, V., Packer, A. H., Serwadda, D., … Reynolds, S. J. (2010). Effect of peer health workers on AIDS care in Rakai, Uganda: A cluster-randomized trial. PLoS ONE, 5(6), 1–7. https://doi. org/10.1371/journal.pone.0010923

Druss, B. G., Zhao, L., Esenwein, S. A. von, Bona, J. R., Fricksc, L., Jenkins-Tuckerd, S., … Lorig, K. (2010). The Health and Recovery Peer (HARP) Program: A Peer-Led Intervention to Improve Medical Self-Management for Persons with Serious Mental Illness. Schizophr Res, 118(1–3), 264–270. 10.1016/j.schres.2010.01.026.The

Enriquez, M., Cheng, A. L., Banderas, J., Farnan, R., Chertoff, K., Hayes, D., … McKinsey, D. (2015). A Peer-Led HIV Medication Adherence Intervention Targeting Adults Linked to Medical Care but without a Suppressed Viral Load. Journal of the International Association of Providers of AIDS Care, 14(5), 441–448. 7414558301

Finitsis, D. J., Pellowski, J. A., & Johnson, B. T. (2014). Text message intervention designs to promote adherence to antiretroviral therapy (ART): A meta-analysis of randomized controlled trials. PLoS ONE, 9(2), 1–10. https://doi. org/10.1371/journal.pone.0088166

Hansana, V., Sanchaisuriya, P., Durham, J., Sychareun, V., Chaleunvong, K., Boonyaleepun, S., & Schelp, F. P. (2013). Adherence to antiretroviral therapy (ART) among people living with HIV (PLHIV): A cross-sectional survey to measure in Lao PDR. In BMC Public Health (Vol. 13, p. 617). /10.1186/1471-2458-13-617

Hosaka, K. R. J., Mmbaga, B. T., Gallis, J. A., & Dow, D. E. (2021). Feasibility and acceptability of a peer youth led curriculum to improve HIV knowledge in Northern Tanzania: resilience and intervention experience from the perspective of peer leaders. BMC Public Health, 21(1), 1–9. 1186/s12889-021-11876-5

Jones, D., Cook, R., Rodriguez, A., & Waldrop-Valverde, D. (2013). Personal HIV knowledge, appointment adherence and HIV outcomes. AIDS and Behavior, 17(1), 242–249. /s10461-012-0367-y

Kemenkes RI. (2020a). Infodatin HIV AIDS. In Pusat Data dan Informasi Kementerian Kesehatan RI. Jakarta. Retrieved from https://pusdatin.kemkes.

Kemenkes RI. (2020b). Laporan Perkembangan HIV AIDS & Penyakit Infeksi Menular Seksual Triwulan III Tahun 2020. Jakarta.

Kemenkes RI. (2020c). Rencana Aksi Nasional Pencegahan Dan Pengendalian Hiv AIDS Dan PIMS Di Indonesia Tahun 2020-2024. Kementerian Kesehatan Republik Indonesia, pp. 1–188. Jakarta: Kementerian Kesehatan RI.

Lwanga, S. K., & Lemeshow, S. (1991). Sample Size Determination in Health Studies. Geneva: World Health Organization.

Maithe Enrique, Cheng, A.-L., Banderas, J., Farnan, R., Chertoff, K., Hayes, D., … McKinsey, D. (2015). A Peer-Led HIV Mediation Adherence Intervention Targeting Adults Linked to Medical Care but without a Suppressed Viral Load. J Int Assoc Provid AIDS Care, 14(5), 441–448. 57414558301.A

Øgård-Repål, A., Berg, R. C., & Fossum, M. (2021). Peer Support for People Living With HIV: A Scoping Review. Health Promotion Practice, 1–19. https://doi. org/10.1177/15248399211049824

Ruiz, I., Olry, A., López, M. Á., Prada, J. L., & Causse, M. (2010). Prospective, randomized, two-arm controlled study to evaluate two interventions to improve adherence to antiretroviral therapy in Spain. Enfermedades Infecciosas Y Microbiologia Clinica, 28(7), 409–415.

Shukla, M., Agarwal, M., Singh, J. V., Tripathi, A. K., Srivastava, A. K., & Singh, V. K. (2016). Nonadherence to antiretroviral therapy among people living with HIV/AIDS attending two tertiary care hospitals in district of northern India. Indian Journal of Community Medicine, 41(1), 55–61. /0970-0218.170970

Simoni, J. M., Nelson, K. M., Franks, J. C., Yard, S. S., & Lehavot, K. (2011). Are Peer Interventions for HIV Efficacious? A Systematic Review. AIDS Behav, 15(8), 1589–1595. 1007/s10461-011-9963-5

Sugiharti, S., Yuniar, Y., & Lestary, H. (2014). Gambaran Kepatuhan Orang Dengan HIV-AIDS (ODHA) Dalam Minum Obat Arv Di Kota Bandung, Provinsi Jawa Barat, Tahun 2011-2012. Jurnal Kesehatan, 5(2), 1–11. Retrieved from

Truncali, A., Dumanovsky, T., Stollman, H., & Angell, S. Y. (2010). Keep on track: A volunteer run community based intervention to lower blood pressure in older adults. Journal of the American Geriatrics Society, 58(6), 1177–1183.

World Health Organization. (2016). Consolidated Guidelines On The Use Of Antiretroviral Drugs For Treating And Preventing Hiv Infection Recommendations For A Public Health Approach. WHO Library Cataloguing in Publication Data, pp. 1–480. Geneva: WHO. -199706000-00003

Young, S. D., Zhao, M., Tieu, K., Kwok, J., Gill, H., & Gill, N. (2013). A Social Media-Based HIV Prevention Intervention Using Peer Leaders. Journal of Consumer Health on the Internet, 17(4), 353–361. 10.1080/15398285.2013.833445



  • There are currently no refbacks.

Copyright (c) 2022 Jurnal Ners Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.