USE OF CONDOMS FOR CUSTOMERS OF COMMERCIAL SEX WORKERS IN THE CONTEXT OF HIV / AIDS PREVENTION AT THE BATAM CITY NON-PANTI SOCIAL REHABILITATION CENTER

Background : AIDS is a disease that is a global health problem after claiming more than 70 million people have been infected with the HIV virus so far. In the city of Batam in 2017, 47 people died from HIV / AIDS. Condom use behavior among sex workers and also customers is one of the efforts to prevent and control the transmission of HIV / AIDS. The purpose of this study was to determine the description of condom use among clients of commercial sex workers in the context of HIV / AIDS prevention. Method : This research is descriptive conducted at the Center for Social Rehabilitation of Non Panti Teluk Pandan Tanjung Uncang, Batam City, with a total sample of 91 commercial sex worker customers who were taken by purposive sampling. Result : The results showed. It is known that the use of condoms among CSW customers in the center of the Social Rehabilitation Center for non-Panti Kota Batam, more than half of the customers did not use condoms, namely 46 (51.1%). conclusion : It is known that the use of condoms among commercial sex workers at the center for non-Panti Panti Social Rehabilitation in Teluk Pandan Tanjung Uncang, Batam City, more than half of the customers did not use condoms, namely 46 (51.1%).


INTRODUCTION
Social deviation can actually be said to be deviant if it occurs in a social situation that is contrary to the principle of this deviation, prostitution is a type of social deviation that has emerged even since ancient Greece, where sex has become a commodity item which at that time was packaged as a package with slavery. however, since slavery was officially abolished, prostitution has become an independent disorder and is often centralized in certain places which are often referred to as lokalisasi (Bakasura, 2017).
Prostitution is a unique issue and quite interesting to discuss because its legal status is not clear until now, but its existence still exists and has received permission from the local government. Localized brothels are protected by the Regional government and the Social Affairs Department, whose security oversight is under the government apparatus, which they allow through procedures determined by the local government. With the localization permit, all forms of implementation and future impacts can be accounted for by the Government (Marzani, 2016).
In Indonesia, some time ago we were enlivened by 2 big issues concerning localization evictions, namely the Dolly complex in the Surabaya area and the Kalijodoh Complex in Jakarta. However, the eviction turned out to produce two positive and negative sides, normatively and in social analysis. The eviction of the centralization of localization had a bad impact on ex prostitutes and those involved in it, who then some of them carried out illegal prostitution activities without supervision so that it had a worse impact than before (Bakasura, 2017).
With the development of times and technology of decentralization, this localization then developed a new innovation in the world of prostitution where they (PSK) took advantage of technological developments, especially mobile phones and the internet to run their prostitution business, which then spread widely poison teenagers and men who are looking for decision as the majority of internet users in Indonesia, so that the buying and selling of sexual activities is imitated and becomes a new social deviation in a society that is difficult to control and has the potential to have a tremendous impact on the perpetrator and the environment, and one of the impacts is the increase in disease sexually transmitted disease which is still a big problem for health development (Bakasura, 2017).
Sexually transmitted diseases are pandemics with health, social, economic and political impacts. Sex workers and their clients play an important role in the increase in HIV / AIDS cases in Indonesia, the low bargaining position of women direct sex workers in the use of condoms and risky behavior has made the spread of sexually transmitted diseases (sexually transmitted infections and HIV / AIDS) more widespread (Purnamawati, 2013).
According to the World Health Organization (WHO) HIV continues to be a public health problem globally, after claiming more than 70 million people have been infected with the HIV virus and around 35 million have died so far. In 2015, 1.1 (940 000-1300000) million people have died due to being infected with the HIV virus. There were an estimated 36.7 (34.0-39.8) million people living with HIV at the end of 2016. Globally, Sub-Saharan Africa is the most affected region, with nearly 1 in 25 adults living with HIV ( WHO 2016).
In Indonesia since the beginning of the HIV-AIDS epidemic, nearly 78 million people have been infected with HIV and around 39 million people have died from HIV. In general, 35 million people were living with HIV by the end of 2013 and 1.5 million people died from HIV in 2013, in 2016 there were 41250 people affected by HIV cases and 7491 people in the AIDS stage. The cumulative percentage of AIDS cases based on the most risk factors for transmission through heterosexual relationships (74.0%), homosexuals (15.8%), followed by perinatal transmission (3.8%) and IDU by 2.6% (Ministry of Health RI, 2017 ).
In some countries, such as in Thailand, HIV / AIDS prevention and control programs that focus on men who have sexual relations with commercial sex workers (CSWs) have shown success in using condoms, known as 100% compulsory condoms for men. who have sexual relations with prostitutes in prostitution brothels and in embroidery houses (Harahap, 2012). This is not the case in Indonesia as in Thailand. In Thailand, the use of condoms is clearly localized in places of prostitution, while in Indonesia it is not applied to brothels, only the obligation to use condoms as in the existing regional regulations (Purwatiningsih, 2012).
The prevalence of HIV / AIDS in Indonesia in general is still low, but Indonesia has been classified as a country with a concentrated epidemic level, namely where the incidence of HIV / AIDS in general / global is still low but in certain sub-populations the incidence rate is high. Where there is a prevalence of more than 5% in certain subpopulations, for example commercial sex workers and drug abuse (Narcotics, Psychotropics, and other addictive substances), this epidemic level indicates the level of risky behavior that is quite active in transmitting the disease in a certain sub-population. Furthermore, the course of the epidemic will be determined by the number and nature of the relationship between high-risk groups and the general population (Depkes RI, 2007).
In However, the goal is like roasting away from the fire due to the fact that prostitution business continues to flourish throughout Batam, including in downtown Nagoya and Jodoh. The existing data states that in the Sintai brothel there are around 155 sex workers, they work in 24 operating bars, and according to a nongovernmental organization that supplies condoms to Sintai there are still many CSWs who complain because their customers are reluctant to use condoms during sexual intercourse, even though they are condoms. are provided in every bar and pimps are also very supportive of the use of condoms on customers The use of condoms is a tool that can be used and used by commercial sex workers, both men and women and also by their clients, which functions to prevent or reduce the transmission of several diseases (STDs) caused by sexual intercourse from female partners or on the contrary (Saifuddin, et al 2011). Research Objectives To determine the description of condom use in clients of commercial sex workers in the context of HIV / AIDS prevention.  (2016) in Semarang with the title of factors related to risky sexual behavior in truckers with a sample size of 100 people.The following bivariate results are obtained, respondents who have more risky sexual behavior are respondents with married status were already married (45.2%), compared to unmarried marital status (0%). The results of statistical tests using Fisher's Exact test between the variables of the respondent's marital status with risky sexual behavior were obtained p value = 0.020. From these results it can be concluded that there is a relationship between the respondent's marital status and risky sexual behavior.

RESEARCH METHODS
Unmarried customers use condoms more than married customers, because they think their life is still long and they do not want to take the risk of being considered stupid by seeking pleasure in a brothel. Meanwhile, married customers are mostly employees in the brothel, they do not use condoms because they are related to their regular partners, they are sure that their partners are not infected with a disease or virus, even though they are sure that they should still take precautions by using condoms, because it does not rule out the possibility. her regular partner is infected by other customers and is not known, such as HIV she will not show signs and symptoms prior to the stage of AIDS.
Customer occupation cannot be used as a benchmark in condom use, because customers with private employment status are more likely to use condoms than self-employed ones. So it is not certain that people who work in private have less income compared to customers who are self-employed, this study is not in accordance with Zacler in Notoatmodjo (2010) argues that the type of work is closely related to the level of income in the work environment, so that the level of income is related to the behavior of respondents in consistency of condom use will have a huge impact.
According to Syukriyya (2011), the higher a person's knowledge of health, the more he will know how to maintain his health. In general, a person's behavior is based on their background, including knowledge of HIV / AIDS. A person with better knowledge of HIV / AIDS and condoms is expected to have a better level of understanding and awareness about HIV / AIDS, and ultimately are expected to have safe sexual behavior so as to avoid HIV / AIDS infection. This is reinforced by the results of the study that some of the factors at the individual level (knowledge, motivation and readiness to use condoms, intention, decision to use condoms, skills and self-efficacy) in adequate situations become factors of consistent condom use (Aditya, 2012). . This research is strengthened by Kristianti's (2016) research in Kediri with the title predisposing factors and enabling behavior of condom use among wps customers with the following results, the practice of using condoms consistently is mostly carried out on respondents who have good knowledge of STIs and HIV-AIDS, that is, 80.4%. Meanwhile, 80% of respondents who have less knowledge behave inconsistently in using condoms when having sex in brothels. And most respondents have good knowledge about STIs and HIV-AIDS, namely 84.8% and 15.2% less knowledgeable.
This study is also commensurate with the research conducted by Pradipta (2013) in Bogor with the title factors that affect the consistency of condom use among transgender women with the following results, there is a significant relationship between knowledge and consistency of condom use among waria to prevent HIV / AIDS (Pvalue = 0.02). Where the transgender women who had less knowledge about HIV / AIDS tended to use condoms inconsistently 7 times ZONA KEDOKTERAN -Vol. 11 No. 1 Januari 2021 compared to respondents who had good knowledge about HIV / AIDS (OR = 7.0) The low knowledge of respondents is because there are still many who have not been exposed to information about HIV / AIDS, they mostly get information about HIV / AIDS and condoms on social media so that the level of knowledge is still at the understanding stage has not gone through the application, analysis, synthesis and evaluation stages as previously stated. described by Notoatmodjo (2012). The higher the knowledge, customers tend to consistently use condoms because they already understand how to prevent HIV / AIDS through saving sex, namely by using condoms.
In order to prevent respondents from suffering from STDs again, apart from having to always use condoms in sexual intercourse, it is also necessary to have an examination and treatment for sufferers who have STDs, namely by holding an STD clinic at a health service center in the area. Besides getting treatment at the PMS clinic, it is also necessary to get IEC / counseling either at the localization or individually when the patient comes to the STD clinic.

CONCLUSION
It is known that the use of condoms among commercial sex workers at the center for non-Panti Panti Social Rehabilitation in Teluk Pandan Tanjung Uncang, Batam City, more than half of the customers did not use condoms, namely 46 (51.1%).