{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:20:22Z","timestamp":1790425222118,"version":"4.1.0"},"reference-count":45,"publisher":"Guilford Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Transgender women (waria) in Indonesia have high rates of HIV and experience barriers accessing HIV services. This qualitative research explored barriers and facilitators to HIV care among waria in Indonesia. Between 2015 and 2016, 42 participants were involved in focus group discussions and in-depth interviews across three urban sites in Indonesia to examine participants' experiences and views on HIV prevention, testing, treatment initiation, and treatment adherence. Data were analyzed thematically. Barriers to accessing HIV care services included perceptions of health and HIV treatment, confidentiality and stigma concerns, and poor access to health insurance. Facilitators to HIV care included recognition of health and perceived susceptibility, perceptions of treatment benefits and consequences of non-adherence, access to social support, and patient-friendly services. Research findings highlight the importance of improving HIV treatment literacy, safeguarding community responses to addressing HIV vulnerability, addressing confidentiality and stigma issues, ensuring services are transgender-friendly, and increasing health insurance coverage.<\/jats:p>","DOI":"10.1521\/aeap.2019.31.6.538","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T12:29:35Z","timestamp":1575894575000},"page":"538-552","source":"Crossref","is-referenced-by-count":22,"title":["Barriers and Enablers to HIV Care Among\n                    <i>Waria<\/i>\n                    (Transgender Women) in Indonesia: A Qualitative Study"],"prefix":"10.1521","volume":"31","author":[{"given":"Elke","family":"Mitchell","sequence":"first","affiliation":[{"name":"The Kirby Institute, UNSW Sydney, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elan","family":"Lazuardi","sequence":"additional","affiliation":[{"name":"The Kirby Institute, UNSW Sydney, Sydney, Australia."},{"name":"Centre for Tropical Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Rowe","sequence":"additional","affiliation":[{"name":"Kerti Praja Foundation, Denpasar, Indonesia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma","family":"Anintya","sequence":"additional","affiliation":[{"name":"Clinical Infectious Disease Research Center, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dewa N.","family":"Wirawan","sequence":"additional","affiliation":[{"name":"Kerti Praja Foundation, Denpasar, Indonesia."},{"name":"Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Udayana, Denpasar, 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