Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators


GenRe ambassadors
health promotion
peer education
community health nurses

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Ratnawati, D., Setiawan, A., Sahar, J., Widyatuti, Nursasi, A. Y., & Siregar, T. (2024). Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators. Belitung Nursing Journal, 10(1), 56–66.
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Accepted for publication: 2023-12-15
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Background: Adolescents face increased vulnerability to HIV/AIDS due to factors such as insufficient knowledge and awareness, stigma, and restricted access to information. The Indonesian government initiated a peer education program through the Planning Generation Program (GenRe) ambassadors. These ambassadors are tasked with educating their peers about HIV/AIDS. However, their experiences are largely underexplored.

Objective: This study aimed to explore the GenRe ambassadors’ experience in improving adolescents’ HIV/AIDS prevention behavior.

Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of GenRe ambassadors who had served for at least three to six months within the South Jakarta Health Sub-Department, Indonesia. Purposive sampling and data saturation techniques were utilized. Data were collected from 13 May to 31 August 2022, and Colaizzi’s steps were used to guide the data analysis.

Results: Nineteen GenRe ambassadors participated, predominantly female university students ages 18–22. Six themes were developed: 1) the impact of GenRe ambassadors’ roles in improving HIV/AIDS prevention behavior, 2) activities to improve HIV/AIDS prevention behavior, 3) enhancement of self-concept as GenRe ambassadors, 4) obstacles to activities for improving HIV/AIDS prevention behavior, 5) support for activities to improve HIV/AIDS prevention behavior, and 6) hope for improving the GenRe ambassador program’s implementation.

Conclusion: GenRe ambassadors are influencers who play a critical role in promoting HIV/AIDS prevention behaviors and fostering positive change in the broader youth community. Despite their positive self-concept, they encounter challenges in fulfilling their roles. Utilizing their insights, community health nurses can create effective peer-led HIV/AIDS prevention programs and contribute to a model of health promotion for adolescents. Leveraging the role of GenRe ambassadors as peer educators is recommended to enhance HIV/AIDS prevention efforts among adolescents.

Supporting Agencies

This study was funded by the Indonesian Education Scholarship (BPI) for the Postgraduate Program, provided by the Center for Education Financial Services of the Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia in collaboration with the Educational Fund Management Institution (LPDP) of the Ministry of Finance. The recipient: Diah Ratnawati.


Copyright (c) 2024 Diah Ratnawati, Agus Setiawan, Junaiti Sahar, Widyatuti, Astuti Yuni Nursasi, Tatiana Siregar

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

No conflicts of interest to declare.


The authors would like to thank the Empowerment, Child Protection, and Population Control (PPAPP) Sub-Agency in the South Jakarta Administrative City; all GenRe Ambassadors in the South Jakarta Administrative City; the Center for Education Financial Services of the Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia in collaboration with the Educational Fund Management Institution (LPDP) of the Ministry of Finance for offering doctoral scholarships to first authors through the Indonesian Education Scholarship (BPI); Universitas Indonesia and Universitas Pembangunan Nasional Veteran Jakarta for their academic support.

Authors’ Contributions

All authors contributed to this manuscript publication. This substantial contribution to the conception and design of the study, data collection, data analysis, and the interpretation of data: DR and AS; reviewing the article, checking about analyzing data, giving criticism, and editing for important intellectual content: JS, WW, and AYN; drafting the work and revising it critically for important intellectual content: DR and TS. The revised manuscript was reviewed, and all authors finally approved the version to be published.

Data Availability

The datasets generated and analyzed during the study are not publicly available due to completed publishing but are available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

There is nothing to declare.


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