Contestation of Elite Discourse in Treatment of HIV and AIDS

  • Arwan ARWAN 1. Postgraduate Program Students, Universitas Negeri Makassar, Makassar, Indonesia 2. Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Agustang AGUSTANG Department of Sociology, Faculty of Social Science, Universitas Negeri Makassar, Makassar, Indonesia
  • Arlin ARLIN Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas Pejuang Republic Indonesia Ma-kassar, Makassar, Indonesia
  • Ahmad YANI Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas Muhammadiyah Palu, Palu, Indonesia
  • Dodi MAY PUTRA Department of Sociology, Faculty of Social Science, Universitas Negeri Makassar, Makassar, Indonesia
Keywords: Discourse; HIV; ADIS



Background: The discourse of HIV and AIDS determinants is dominated and developed by international institutions through WHO, UNICEF, and donor institutions. We aimed to look at the discourse in the HIV and AIDS prevention discourse by the elite. This research was conducted in 2019 in Palu City, Central Sulawesi, Indonesia in Palu City, Central Sulawesi, Indonesia.

Methods: We used qualitative research aiming to obtain a full picture of a matter according to the human perspective studied.

Results: There was a pressure from various groups so that all people who have the potential to increase the HIV and AIDS trends must be dealt with explicitly, even religious leaders urged to immediately close down the main source of the disease, namely prostitution, LGBT activities that are considered very contrary to culture and any religion.

Conclusion: The discourse in the HIV and AIDS prevention discourse in Palu city has not yet occurred in the discourse synergy developed by the elite, even the program policies are domination and hegemony.



1. WHO (2016). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. World Health Organization. Available form:
2. Nutbeam D, Padmadas SS, Maslovskaya O, Wu Z (2015). A health promotion logic model to review progress in HIV prevention in China. Health Pro-mot Int, 30(2): 270-280.
3. Warner HA. Caregiver characteristics and perceptions, quality of interactions with children, and children's development in family-like orphan care in South Africa [PhD thesis]. Universi-ty of Pittsburgh, United States; 2017.
4. Freitas JPD, Sousa LRM, Cruz MCMDA, Caldeira NMVP, Gir E (2018). Terapia com antirretrovi-rais: grau de adesão ea percepção dos indivíduos com HIV/Aids. Acta Paulista de Enfermagem, 31(3): 327-333.
5. Lloyd KC (2018). Centring ‘being undetectable’ as the new face of HIV: Transforming subjectivities via the discursive practices of HIV treatment as pre-vention. BioSocieties, 13(2): 470-493.
6. Kusuma MTPL. Strengthening the competence of dietetics stu-dents on providing nutrition care for HIV patients: Applica-tion of attribution theory [PhD thesis]. Kansas State University, United States; 2017.
7. Sharp PM, Hahn BH (2011). Origins of HIV and the AIDS pandemic. Cold Spring Harb Perspect Med, 1(1): a006841.
8. Taylor JJ (2007). Assisting or compromising interven-tion? The concept of ‘culture’ in biomedical and social research on HIV/AIDS. Soc Sci Med, 64(4): 965-975.
9. Briggs CL (2005). Communicability, racial discourse, and disease. Annu Rev Anthropol, 34(1): 269-291.
10. Oparaocha ET, Eteike PO (2018). Book of Ab-stracts: 3rd International Congress on Health Sci-ences and Technology, School of Health Tech-nology, Federal University of Technology Owerri, Nigeria, 8-11 August, 2018. International Journal of Translational Medical Research and Public Health, 2(2): 29-36.
11. Dworkin SL (2005). Who is epidemiologically fath-omable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health. Cult Health Sex, 7(6): 615-623.
12. Lubombo M, Dyll LE (2018). A dialectic analysis of views on participation in HIV/AIDS communi-cation of selected South African people living with HIV/AIDS: Beyond the greater involvement of people living with HIV/AIDS. Critical Arts, 32(2):100-118.
13. Graham SM, Micheni M, Secor A, et al (2018). HIV care engagement and ART adherence among Kenyan gay, bisexual, and other men who have sex with men: a multi-level model informed by qualitative research. AIDS Care, 30(sup5): S97-S105.
14. Mackworth‐Young CR, Bond V, Wringe A, et al (2017). “My mother told me that I should not”: a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia. J Int AIDS Soc, 20(4): e25035.
15. Unaids. (2008). 2008 report on the global AIDS epi-demic. United Nations Programme on HIV/AIDS. Available form:
16. Sidanius J, Cotterill S, Sheehy-Skeffington J, Kteily N, Carvacho H (2016). Social dominance theory: Explora-tions in the psychology of oppression. Cambridge Handb Psychol Prejud, pp. 149-187.
17. Anderson GL (2017). Social development and the evolution of civil society. Int J World Peace, 34(1): 3-6.
18. Huang MB, Ye L, Liang BY, et al (2015). Characteriz-ing the HIV/AIDS epidemic in the United States and China. Int J Environ Res Public Health, 13(1): ijerph13010030.
19. Robertson KF. The social construction of the HIV/AIDS masculinity syndrome and its role in Jamaican politics and cul-ture, 1982-2013 [PhD thesis]. Howard University, United States; 2016.
20. Dilger H, Rasing T. (2016). Religion and AIDS treat-ment in Africa: Saving souls, prolonging lives. Routledge. Available form:
21. Smith J, Buse K, Gordon C (2016). Civil society: the catalyst for ensuring health in the age of sustaina-ble development. Global Health, 12(1): 40.
How to Cite
ARWAN A, AGUSTANG A, ARLIN A, YANI A, MAY PUTRA D. Contestation of Elite Discourse in Treatment of HIV and AIDS. Iran J Public Health. 48(12):2205-2209.
Original Article(s)