Proactive Approaches in HIV/AIDS Based on Local Culture, The Mee tribe in Central Mountains of Papua, Indonesia

The HIV epidemic in Papua has widespread throughout the population (generalized epidemic) and this province is the highest prevalence of HIV/AIDS in Indonesia. The magnitude of this problem has grown to become an issue of omission and extinction of native Papuans. This study was conducted using a mixed qualitative and quantitative namely Grounded Theory and Experimental. This research has generated a new theory of ???Proactive Health Seeking Behavior ???which developed based on the local situation in the tribal Mee in Paniai, Papua's Central Highlands. This is a study of health behaviors associated with social culture. The resulting propositions are including; 1. Health Behavior Change can occur quickly through a proactive approach that bridges between Health Care Providers ( Provider ) and Beneficiary Health Care ( Recipient ); 2. Health Behavior Change can happen quickly if the desire and attitude of Providers and Recipients can be fused through socio-cultural approach and constant efforts ; 3. Changes in proactive health seeking behavior is driven by leader attitudes , issues , facts , local wisdom , and health provider attitudes, while recipients driven come from knowledge, values and norms, mandatory check, care and support perceived society / stakeholders; 4. The stronger the impulse factors proactive from providers and recipients, the faster the change or acceleration of health development can occur. The quantitative study, before the intervention and after the intervention showed significant increases occurred on average per month is conducted examination of the coverage of HIV by 53 -fold. Total coverage in the year 2013 amounted to 2001 people and 160 people reactive cases. The proportion of cases of reactive (positive) HIV / AIDS as much as 8 %, indicating approximately 3 times higher HIV prevalence than data in Papua based Integrated HIV and behavior survey (STHP) in 2006. This research was carried out at Tribal Mee in Pania, Central Mountains of Papua with a strong culture, so it is suggested further research is the application of the theory of the other tribes and other diverse populations and in urban areas