Urgensi Tes Kesehatan HIV/AIDS sebagai Syarat Pra Nikah di Indonesia

Authors

  • Charine alya Pratiwi Universitas Lampung
  • Nunung Radliyah Universitas Lampung
  • Ahmad Zazili Universitas Lampung

DOI:

https://doi.org/10.37481/jmh.v5i3.1473

Keywords:

Premarital HIV Testing, Marriage Requirements, Public Health Policy, Human Rights, HIV/AIDS Prevention

Abstract

Premarital HIV testing has emerged as a crucial preventive strategy in reducing the transmission of HIV/AIDS, particularly within the context of marital relationships in Indonesia. Despite rising HIV cases and the potential for intra-marital transmission, implementation of mandatory HIV testing for prospective spouses remains inconsistent across regions. This study aims to analyze the urgency and implications of premarital HIV testing as a marriage requirement in Indonesia, focusing on regulatory frameworks, practical implementation, and human rights considerations. A normative juridical method is employed, supported by a conceptual approach and literature review, alongside interviews with selected stakeholders including health officials and couples who have undergone testing. The findings reveal that although regional regulations mandate such testing, several challenges persist: limited healthcare infrastructure, insufficient public awareness, and social resistance rooted in stigma and misconceptions. Moreover, while premarital HIV testing serves public health interests, it also raises ethical concerns regarding privacy, consent, and potential discrimination. If supported by clear policies, adequate counseling, and strong confidentiality measures, premarital HIV testing can effectively safeguard public health without infringing on individual rights. This study recommends reinforcing inter-agency coordination, expanding access to voluntary and informed testing, and designing rights-sensitive policies that balance public health priorities with individual autonomy.

References

Anderson, E. (2021). Ethics and Health Policy: Utilitarianism and Public Risk. Public Health Ethics, 14(1), 10–18. https://doi.org/10.1093/phe/phaa030

Byrnes, A., Hildebrandt, M., & Ananworanich, J. (2022). Human rights dimensions of HIV testing policies. Journal of the International AIDS Society, 25(4), e25937.

Centers for Disease Control and Prevention (CDC). (2023). HIV Testing Overview.

Cohen, M. S., Chen, Y. Q., & McCauley, M. (2019). Prevention of HIV-1 Infection with Early Antiretroviral Therapy. New England Journal of Medicine, 375, 830–839.

Daskalopoulou, M., Rodger, A. J., & Phillips, A. N. (2020). Patient autonomy and HIV testing: A rights-based approach. The Lancet HIV, 7(12), e843–e845.

Driver, J. (2014). The History of Utilitarianism. Stanford Encyclopedia of Philosophy. (Revisited 2020)

Eisinger, R. W., Dieffenbach, C. W., & Fauci, A. S. (2020). HIV Undetectable = Untransmittable — Public Health and Policy Implications. New England Journal of Medicine, 382(5), 447–449.

Gostin, L. O., & Wiley, L. F. (2020). Public Health Law: Power, Duty, Restraint (3rd ed.). University of California Press.

Hanum, R., & Rahmawati, E. (2023). Penerapan Metode Yuridis Normatif dalam Kajian Kesehatan Masyarakat. Jurnal Kajian Hukum dan Etika, 5(1), 45–53.

Kementerian Kesehatan Republik Indonesia. (2022). Pedoman Nasional Pencegahan Penularan HIV dari Ibu ke Anak.

Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia 2021.

Mahendra, A. R. (2020). Analisis Hukum Terhadap Kebijakan Kesehatan Reproduksi di Indonesia. Jurnal Yustisia, 12(3), 221–230.

Persson, A., & Newman, C. (2020). Mandatory HIV testing in Indonesia: Ethical and public health perspectives. BMC Medical Ethics, 21(1), 51.

Putra, M. R., & Setiawan, H. (2022). Teori Konseptual dalam Penelitian Hukum dan HAM. Jurnal Konstitusi dan Hak Asasi, 14(1), 57–68.

Putri, A. M., Siregar, A. Y. M., & Utomo, I. D. (2021). Implementation challenges of premarital HIV testing policy in Indonesia. BMC Public Health, 21(1), 1935. https://doi.org/10.1186/s12889-021-11931-9

Ravinetto, R., Singh, J. A., & Vandenberghe, W. (2021). Informed consent in HIV testing: Ethics beyond procedure. Developing World Bioethics, 21(3), 143–151.

Sari, A. P., & Ibrahim, M. (2021). Metodologi Penelitian Hukum Normatif: Teori dan Praktik. Malang: CV Laksana Prima.

Sitorus, R., & Dewi, L. A. (2020). Pelaksanaan Tes HIV Pranikah dan Perspektif Etika Sosial di Indonesia. Jurnal Kesehatan Masyarakat, 16(1), 102–112.

UNAIDS. (2021). People Living with HIV Facing Stigma and Discrimination.

UNAIDS. (2023). Global AIDS Update 2023.

Undang-Undang No. 39 Tahun 1999 tentang Hak Asasi Manusia.

United Nations. (1966). International Covenant on Economic, Social and Cultural Rights.

Wahyuni, F. (2021). Pendekatan Normatif dalam Penelitian Hukum Kesehatan. Jurnal Ilmu Hukum, 8(2), 125–134.

World Health Organization (WHO). (2015). Guidelines on HIV Testing Services.

Downloads

Published

2025-09-01

How to Cite

Pratiwi, C. alya, Radliyah, N., & Zazili, A. (2025). Urgensi Tes Kesehatan HIV/AIDS sebagai Syarat Pra Nikah di Indonesia. AKADEMIK: Jurnal Mahasiswa Humanis, 5(3), 1228–1236. https://doi.org/10.37481/jmh.v5i3.1473