Dilema Etik-Hukum Kerahasiaan Medis dan Notifikasi Pasangan pada Kasus Infeksi Menular Seksual dan HIV di Indonesia

Anak Agung Istri Sarastriyani Dewi; Ni Luh Gede Astariyani; Deddy Pratama

doi:10.55681/seikat.v5i4.3245

Authors

Anak Agung Istri Sarastriyani Dewi Universitas Udayana
Ni Luh Gede Astariyani Universitas Udayana
Deddy Pratama Universitas Udayana

DOI:

https://doi.org/10.55681/seikat.v5i4.3245

Keywords:

Partner Notifications, Medical Confidentiality, HIV, IMS, Bioethics, Assisted Partner Notification

Abstract

Partner notification in cases of sexually transmitted infections (STIs) and HIV has become an increasingly relevant ethical and legal issue in Indonesia following the enactment of Law Number 17 of 2023 on Health and the 2024 Technical Guidelines for Partner Notification of People Living with HIV (PLHIV), as it creates a dilemma between the obligation to maintain medical confidentiality and the responsibility to prevent transmission to partners. This study aims to analyze the ethical and legal foundations of assisted partner notification (APN) implementation in Indonesia and to identify the model most consistent with bioethical principles and applicable regulations. A normative juridical approach using systematic review methods was applied to literature retrieved from PubMed, Scopus, SciSpace, and Google Scholar, as well as relevant national regulatory documents, covering publications from 2012 to 2025. The findings reveal three APN models practiced in Indonesia—patient referral, provider referral, and dual referral—with dual referral receiving the highest acceptance among stakeholders. Bioethical principles (autonomy, beneficence, non-maleficence, and justice) together with the applicable legal framework provide conditional justification for the disclosure of medical confidentiality in the interest of public health. Voluntary, consent-based dual referral APN is the model most compatible with ethical and legal values in Indonesia, provided that technical regulations and healthcare provider capacity are strengthened.

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