• Melanie Vandauli
  • Adang Bachtiar


Background: Stigma, lack of knowledge about HIV risks to oneself, openness, limited access to health services and aspects of gender inequality are determinants that influence the willingness to take HIV tests in the context of VCT. However, studies in the context of PITC have not been widely publicized in Indonesia, particularly studies in private hospitals. Analysis related to the reason that influence the willingness of health workers to carry out PITC in TB patients is important to do. The purpose of this study is to analyze the reason that influence the willingness of health workers to carry out PITC in TB patients. Methods: This study is a quantitative study with cross-sectional design. The study was conducted at a private hospital in Jakarta. The sampling technique used total sampling techniques, where the entire population was sampled. the research sample obtained is 30 doctors who have TB patients in the private hospital during March to April 2019.

Results: The majority of doctors (46.7%) were sometimes willing to do the PITC in TB patients. The proportion of doctors who are always willing to do the PITC in TB patients is still low at 20%. On the other hand, there were 33.3% doctors were never willing to do the PITC on TB patients. The reason that influences the doctor's willingness to do PITC on TB patients is the possibility to explain (66.7%), automatically as requested in the rules (20,0%) and the severity of the TB case (13,3%).

Conclusions: The biggest reason that influences the doctor's willingness to do PITC on TB patients is the possibility to explain. Doctors are often difficult to explain the importance of HIV testing for TB patients due to the thick negative stigma associated with HIV testing. the government should encourage socialization regarding the importance of HIV testing for both TB patients and high-risk HIV groups. The key challenge to improving health care delivery is to improve the implementation and monitoring of effective interventions.


Cahn P, Perez H, Ben G, Ochoa C. Tuberculosis and HIV: a partnership against the most vulnerable. Journal of the International Association of Physicians in AIDS Care. 2003 Jul;2(3):106-23.

Mukadi YD, Maher D, Harries A. Tuberculosis case fatality rates in high HIV prevalence populations in sub- Saharan Africa. Aids. 2001 Jan 26;15(2):143-52.

Corbett EL, Watt CJ, Walker N, Maher D, Williams BG, Raviglione MC, Dye C. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic. Archives of internal medicine. 2003 May 12;163(9):1009-21.

Pamungkasari EP, Probandari AN, Dewanti MI, Sekarhandini P. Kesediaan pasien tuberkulosis melakukan tes HIV pada program provider initiated testing and counselling (PICT) (Willingness of tuberculosis patients to test for HIV in the provider initiated testing and counseling (PICT) program). J Respir Indo. 2011;31(3):122-7.

English KM, French KM, Spanish KM. Towards universal access Scaling up priority HIV/AIDS interventions in the health sector.

Matovu JK, Makumbi FE. Expanding access to voluntary HIV counselling and testing in sub‐Saharan Africa: alternative approaches for improving uptake, 2001–2007. Tropical Medicine & International Health. 2007 Nov;12(11):1315-22.

World Health Organization. WHO report 2008, Geneva. Global tuberculosis control: surveillance, planning, financing. WHO/HTM/TB/. 2008;393:1-37.

Bock NN, Nadol P, Rogers M, Fenley MA, Moore J, Miller B. Provider-initiated HIV testing and counseling in TB clinical settings: tools for program implementation. The International Journal of Tuberculosis and Lung Disease. 2008 Mar 1;12(3):S69-72.

Centers for Disease Control and Prevention, World Health Organization. Performing rapid HIV tests. Atlanta, GA, USA: CDC/WHO, 2005.

World Health Organization, Stop TB Department and Department of HIV/AIDS. Interim policy on collaborative TB-HIV activities. Geneva, Switzerland: WHO, 2004.

Leon N, Lewin S, Mathews C. Implementing a provider-initiated testing and counselling (PITC) intervention in Cape town, South Africa: a process evaluation using the normalisation process model. Implementation Science. 2013 Dec;8(1):97.

Chopra M, Daviaud E, Pattinson R, Fonn S, Lawn JE. Saving the lives of South Africa's mothers, babies, and children: can the health system deliver?. The Lancet. 2009 Sep 5;374(9692):835-46.

Lewin S, Glenton C, Oxman AD. Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study. Bmj. 2009 Sep 10;339:b3496.

Oakley A, Strange V, Bonell C, Allen E, Stephenson J. Process evaluation in randomised controlled trials of complex interventions. Bmj. 2006 Feb 16;332(7538):413-6.

Glenton C, Lewin S, Scheel IB. Still too little qualitative research to shed light on results from reviews of effectiveness trials: a case study of a Cochrane review on the use of lay health workers. Implementation science. 2011 Dec;6(1):53.

Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence‐based practice. Medical Journal of Australia. 2004 Mar;180:S57-60.