The Role of Stakeholders in Partnerships and Community Empowerment Against HIV/AIDS In Ternate City

. The Non-Governmental Organization (NGO) Rorano was established to respond to the high number of morbidity and mortality due to the HIV and AIDS virus which continues to increase every year in North Maluku. In addition, the lack of public knowledge about the spread of HIV and AIDS is also not a concern for many people in North Maluku. Starting and thinking about simplicity, the NGO Rorano wants to build public awareness and joint partnerships in Ternate City to break the chain of HIV and AIDS transmission and eliminate community stigma and discrimination as well as solve the phenomenon of the iceberg in the case of HIV and AIDS. The type of community empowerment carried out by the role of stakeholders in partnerships and community empowerment for HIV and AIDS prevention is carried out for 6 days and is divided into several stages of implementing activities, especially in the health sector, especially in HIV and AIDS in the City of Ternate, namely: counseling, making billboards and installing billboards, leaflets containing information about HIV and AIDS prevention, and as a medium of socialization to prevent HIV and AIDS transmission in the community as well as family members or their children. The results of the activities of the NGO Rorano in collaboration with the government of Ternate City, as well as contributing to stakeholders in partnerships and community empowerment with HIV and AIDS prevention. Based on the results of the socialization in community empowerment activities that have been stated, the researchers draw conclusions from the results of the analysis that are as follows: there is a need for collaboration between the government and Chasan Boesoerie Hospital, City Health Office, 11 Puskesmas and involving all stakeholders in Ternate City, especially in handling holders of infectious disease programs so that they can control family members to prevent the transmission of HIV and AIDS in the City of Ternate


INTRODUCTION
Ternate City is a small city in North Maluku Province with an area of an island that can be circumnavigated in less than three hours by bicycle motorcycle. The existence of Ternate began with the establishment of the Sultanate of Ternate in 13th century which also made this city the center of his government. Sultanate Ternate was founded by getting a lot of Islamic influence from Arab traders and carrying the Islamic sharia government which later became a force great empire in the east of the archipelago. In fact, the territory of the Sultanate of Ternate reached the Marshall Islands in the Philippines. The Sultanate of Ternate is a one of the oldest Islamic kingdoms in Indonesia that still stands today this. Ternate is known as a producer of spices, and includes a sultanate area, a cultural city, a tourist city and a government city, making Ternate one of the most famous areas in Indonesia. in Indonesia and even in foreign countries. [1]The Rorano Non-Governmental Organization (NGO) was established to respond to the high number of morbidity and mortality due to the HIV and AIDS virus which continues to increase every year in North Maluku. In addition, the lack of public knowledge about the spread of HIV and AIDS is also not a concern for many people in North Maluku [2]. Starting and thinking simplicity, the NGO Rorano wants to build public awareness and joint partnerships in Ternate City to break the chain of HIV and AIDS transmission and eliminate community stigma and discrimination as well as solve the phenomenon of the iceberg in the case of HIV and AIDS [3] By carrying the slogan "Stop Discrimination against PLWHA", don't get infected with family members or the community in Ternate City, the role of the NGO Rorano hopes that all parties in North Maluku have a commitment not to discriminate against PLWHA (People with HIV and AIDS). And everyone will take care not to get infected which is transmitted to many people, especially in the city of Ternate. In addition, the NGO Rorano also takes on a role as a bridge between the community and the government in building stakeholders with partnerships and community empowerment for HIV and AIDS prevention in the understanding and cycle of accurate and correct information continuously so that it will raise awareness and concern for this issue [4].According to Rumi, 2020. Only Central Halmahera Regency is still declared free of HIV/AIDS. But that does not mean that there is no HIV and AIDS because this disease is still potentially threatening. The threat of HIV and AIDS in North Maluku mostly occurs among productive age groups, namely 20-29 years and 30-39 years. This is what shows that our young generation is vulnerable to attacks by HIV and AIDS [5] Based on data from the Health Office of North Ternate City, North Maluku Province, cases of HIV and AIDS showed a significant increase from year to year. So that the high incidence of HIV and AIDS from 2004 to September 2017 is reflected and the progress continues to increase and has reached 925 cases in 9 districts and cities. So far, various efforts have been carried out by the government of North Maluku Province and Ternate City to reduce the number of HIV and AIDS cases, one of which is by assisting the AIDS Commission (KPA) in North Maluku Province and Regency or City. Regarding concern for the high morbidity and mortality rate due to the HIV and AIDS virus which is increasing every year, the NGO Rorano which works in the health sector from the environment and takes part in the prevention of HIV and AIDS in Ternate City.Ternate Mayor Burhan Abdurahman said that to reduce the spread of HIV and AIDS, the Ternate City Government has made a regional regulation (perda) on HIV and AIDS. The regulation is equipped with sanctions for the practice of prostitution. Moreover, it is known that the spread of HIV and AIDS is mostly through the practice of prostitution. The Ternate City Government, since five years ago, has made efforts to suppress the spread of HIV and AIDS. At this time, efforts will be made to raise awareness of young people from an early age about the dangers of the disease. We from the health side will design local content materials about HIV and AIDS to be taught in schools. The number of people living with HIV and AIDS in Ternate City, North Maluku, which has been recorded since 2007 to date has reached 641 people, of which 135 people have died.
The head of the Ternate City Health Office, Nurbaity Radjabessy, said that the transmission of HIV and AIDS occurred due to delinquency and promiscuity in the community so that the virus was transmitted to other people. For example, free sex causes transmission to other people, this must continue to be done early detection in order to break the virus by providing health services to people with HIV and AIDS to the maximum, in connection with the commemoration of World HIV and AIDS Day which falls on every December 1 . Data on HIV and AIDS from 2007 to October 2021 were 641 people, of this number, 179 people with HIV and AIDS (PLWHA) who were undergoing ARV (on ARV) treatment, 135 people died, lost follow-up (dropped out of treatment). ) during the last three months as many as 102 people and who meet the requirements for ARV treatment but have not started ARV treatment as many as 225 people.According to Nurbaity Radjabessy, stated that in the statement conveyed, in the City of Ternate, all First Level Service Facilities (Puskesmas) have served HIV and STI tests supported by trained health workers. However, the Support Care and Treatment (PDP) service has only been served at four health centers, namely, Siko Nursing Health Center, City Health Center, Kalumpang Health Center and Kalumata Health Center and Chasan Boesorie Hospital in Ternate City. HIV transmission can only occur through unsafe sex (free sex), needles and transmission from mother to child. Although they can live together with PLWHA because the virus cannot be transmitted through social contact such as eating together, using shared public facilities and so on, so that they can work together with the Ternate City Government through the Health Office, they have made efforts to prevent and control HIV and AIDS for risk groups. high school and vulnerable groups through programs that have been implemented by the Health Service, Puskesmas or in collaboration with other agencies or institutions that care about handling HIV and AIDS problems, especially in the City of Ternate.

II. METHODS
The type of community empowerment carried out by the role of stakeholders in partnerships and community empowerment for HIV and AIDS prevention is carried out for 6 days and is divided into several stages of implementing activities, especially in the health sector, especially in HIV and AIDS in the City of Ternate, namely: counseling, making billboards and installing billboards, leaflets containing information about HIV and AIDS prevention, and as a medium of socialization to prevent HIV and AIDS transmission in the community as well as family members or their children. As well as various additional activities carried out by the Rorano NGO, for example: HIV and AIDS quiz competition at the high school level, socialization of HIV and AIDS in banking and youth communities, socialization of HIV/AIDS to interfaith leaders to avoid promiscuity.

III. RESULT AND DISCUSSION
The results of the activities of the NGO Rorano in collaboration with the government of Ternate City, as well as playing a role with stakeholders in partnerships and community empowerment with HIV and AIDS prevention so as to prevent the occurrence of HIV and AIDS transmission in the community and family members as well as on the part of the Ternate City government, City Health Office, HIV campaign and testing voluntarily involving 11 Puskesmas in Ternate, Hiri and Batang Dua in Ternate City as well as the University of Muhammadiyah North Maluku Campus, Faculty of Health, Public Health Programs, especially in the field of Epidemiology of Infectious Diseases, plays an important role in addressing stakeholders towards community empowerment in the context of and changing the awareness of the people of Ternate City, as well as changing risky behavior changes to prevent the transmission of HIV and AIDS in North Maluku, especially in Ternate City. 1. Partnership and community empowerment activities with HIV and AIDS prevention with agencies in collaboration with the NGO Rorano, Ternate City.    The results of partnership activities and community empowerment with HIV and AIDS prevention with agencies in collaboration with the NGO Rorano, Ternate City. to break the chain of transmission of HIV and AIDS, with the results of the activities conveyed on community empowerment by controlling HIV and AIDS in order to break the chain of transmission, from the government and the health office as well as involving 11 Puskesmas in Ternate City to handle more carry on. So that it can reduce the high maternal and child mortality rates. Because most are infected with HIV and AIDS in the female sex. So that we as health workers work together with family members so that they are controlled and always reminded again of family members who are positive for HIV and AIDS. The government always fully supports the Health Office, especially to the Puskesmas so that they always provide socialization, especially to the holders of infectious disease programs and community empowerment for the prevention and treatment of HIV and AIDS, especially in the third pregnant woman checking her womb at the Puskesmas, pregnant women taking blood for use. sample. In order to be examined in the laboratory and the results can be known.

IV. CONCLUSION
Based on the results of the socialization in community empowerment activities that have been stated, the researchers draw conclusions from the results of the analysis that are as follows: there is a need for cooperation between the government and the Chasan Boesoerie Hospital, the City Health Office, 11 Puskesmas and involve all stakeholders in the City of Ternate, especially in handling holders of infectious disease programs in order to be able to control family members to prevent the transmission of HIV and AIDS in the City of Ternate. .

V. ACKNOWLEDGMENTS
The author would like to thank the head of the Ternate City Government, Chasan Boesoerie Hospital, 11 Health Centers in Ternate City, Provincial and City Services, KNPI, Lotus community, Lintera Kie Raha Community, North Maluku BNN, Ternate Basarnas, Ternate BMKG, Maluku Province BPBD , and local media as well as all stakeholders in the City of Ternate and the Faculty of Health Sciences, Public Health Study Program at the University of Muhammadiyah North Maluku Campus.