scholarly journals Facilitators to Accessibility of HIV/AIDS-Related Health Services among Transgender Women Living with HIV in Yogyakarta, Indonesia

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Maria Silvia Merry ◽  
Theodorus Asa Siri ◽  
Fabiola Tazrina Tazir ◽  
Mitra Andhini Sigilipoe ◽  
...  
Keyword(s):  
Social Support ◽  
Health Service ◽  
Health Services ◽  
Transgender Women ◽  
Hiv Positive ◽  
Snowball Sampling ◽  
Framework Analysis ◽  
Enabling Factors ◽  
Constructive Feedback ◽  
Hiv Aids

The study aimed to explore facilitators or enabling factors that enhance accessibility (defined as the opportunity to be able to use) to HIV/AIDS-related health services among HIV positive transgender women, also known as Waria in Yogyakarta, Indonesia. A qualitative study employing one-on-one in-depth interviews was conducted from December 2017 to February 2018. Participants were HIV positive Waria recruited using purposive and snowball sampling techniques. Data were analysed using the framework analysis for qualitative research. The findings showed that participants’ knowledge of HIV/AIDS and the availability of HIV/AIDS-related health services were enablers to the services accessibility. Emotional support from fellow Waria displayed in various ways, such as kind and caring attention, attentive listening, and encouraging words, was an important social support that played a role in supporting Waria’s accessibility to the services. HIV/AIDS-related health service information shared personally or jointly by fellow Waria and instrumental support including helping each other to collect antiretroviral (ARV) from hospitals or community health centres, contacting ambulance in emergency situations, accompanying each other to health service facilities, and helping those without the health insurance to receive free health services were also the social support enabling accessibility to the services among the study participants. Appraisal support such as providing constructive feedback and affirmation was another enabling factor to Waria’s accessibility to the services. The findings indicate the needs to broadly disseminate information and educate Waria populations and their significant others about HIV/AIDS and related health services to raise their awareness of HIV/AIDS and acceptance of HIV/AIDS positive individuals. Educating and broadly disseminating this information in other settings in the country will also increase accessibility to the HIV/AIDS services among Waria, their families, and communities addressing the currently existing inequities in health. The findings also reinforce the importance of the establishment of Waria peer-support groups within Waria communities and the involvement of Waria in HIV/AIDS activities and programs, which may increase their awareness of HIV/AIDS, and accessibility to HIV/AIDS-related health services.

scholarly journals Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

2013 ◽  
Vol 8 (1) ◽  
pp. 33 ◽  
Author(s):  
Rialike Burhan
Keyword(s):  
Social Support ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Predisposing Factors ◽  
Research Approach ◽  
Enabling Factors ◽  
Living With Hiv ◽  
Hiv Aids

Perempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan.Women living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services.

Perceived social support and its relationship with depression among Bangkok's trans women

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Pankaew Tantirattanakulchai ◽  
Nuchanad Hounnaklang
Keyword(s):  
Social Support ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Transgender Women ◽  
Multivariable Logistic Regression Analysis ◽  
Snowball Sampling ◽  
Content Type ◽  
Multivariable Logistic Regression ◽  
Prevalence Of Depression

PurposeThe purpose of this paper is to evaluate the prevalence of depression and to determine the association between social support and depression among transgender women in Bangkok, Thailand.Design/methodology/approachA cross-sectional study was conducted among 280 transgender women in Bangkok, Thailand between March 2019 and May 2019 using the snowball sampling method. Data were collected through a self-administered questionnaire. The questionnaire included demographic questions and measures of social support (MSPSS) and depression (CES-D). Multivariable logistic regression analysis was employed to explore the association between social support and depression.FindingsThe prevalence of depression among transgender women was 58.2%. Multivariable logistic regression analysis indicated that depression was significantly associated with perceived low social support (OR: 9.55, 95%CI: 2.10–43.39) and moderate social support (OR: 2.03, 95%CI: 1.19–3.46) after being adjusted for religion, sufficient income and alcohol drinking.Originality/valueTransgender women were prone to experience a higher prevalence of depression than the general population. Social support would reduce the risk of depression among transgender women. Therefore, social support service systems for transgender women should be embedded into organizations concerned.

scholarly journals Dukungan sosial untuk orang dengan gangguan jiwa di daerah miskin: studi kasus di Gunungkidul

2017 ◽  
Vol 33 (8) ◽  
pp. 403
Author(s):  
Sri Surahmiyati ◽  
Bambang Hastha Yoga ◽  
Mubasysyir Hasanbasri
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Service ◽  
Mental Disorders ◽  
Health Service ◽  
Health Services ◽  
Work Experience ◽  
Social Acceptance ◽  
Community Mental Health Service

Social support for people with mental disorders in poor areas: a case study in GunungkidulPurposeThe purpose of this study was to describe the role of mental health cadres in the effort of community based mental health service at Wonosari II Health Center Gunungkidul.MethodsQualitative research was done by case study approach. The cadres were chosen purposively with the criteria of: having attended training or socialization of mental health, having at least 2 years work experience related to community mental health service, and still active. Data collection was done through in-depth interviews and document utilization.ResultsCadres play an important role in providing social support. First, the cadre can show empathy to the family of people with mental disorders by building close relationships and facilitating the social acceptance of the community. Secondly, the cadres provide socialization related to mental disorders and mental health services. Third, approaches through home visits, referral assistance to health services, and health insurance and social assistance suggest that cadres facilitate access to care for people with mental disorders.ConclusionThere was a high social awareness of cadres to families with mental disorders in poor neighborhoods. We found that poverty does not limit people to share with others, and social support helps prevent mental illness from getting worse.

scholarly journals Barriers and Facilitators of the Outpatient Health Service Use by the Elderly

Salmand ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. 258-277
Author(s):  
Neda Soleimanvandi Azar ◽  
◽  
Seyed Hossein Mohaqeqi Kamal ◽  
Homeira Sajadi ◽  
Gholam Reza Ghaedamini Harouni ◽  
...  
Keyword(s):  
Social Support ◽  
Social Network ◽  
Health Service ◽  
Health Services ◽  
Physical Disability ◽  
Service Use ◽  
The Elderly ◽  
Health Service Use ◽  
Outpatient Health Services ◽  
Use Of Health Services

Objectives: Increasing care needs for the elderly are an important concern for different countries, especially those with an aging population. It is important for health policy making to have knowledge of the factors affecting the use of health services in the elderly to identify the potential problems and develop appropriate interventions for improving utilization and increasing access to health services. This study aims to investigate the barriers and facilitators of the outpatient health service use in the elderly Methods & Materials: In this systematic review, studies in English published from 1996 to 2019 were searched in Web of Science, PubMed and Scopus databases using PRISMA guidelines and related keywords. After eliminating duplicate and irrelevant articles, the quality of remaining articles was evaluated by two evaluators independently, based on STROBE checklist. Narrative synthesis method was used to combine the data Results: Forty-four eligible studies were included for the review. The determinants of the health service use were divided into three categories of predisposing factors (e.g. age, gender, marital status, ethnicity), enabling factors (e.g. income, insurance coverage, education level, employment status, social network, social support), and need factors (e.g. having chronic disease, self-assessed health status, severity of disease, number of diseases, comorbid diseases, physical disability, unhealthy lifestyle). Findings showed that age >80 years, ethnic minority, being unemployed and retired, low educational level, small and limited social network, and physical disability were the barriers to using outpatient health services, while being female, married, having insurance, social support, having a companion during a disease, having children, high income level, and shorter distance to the health care centers were the facilitators of using outpatient health services in the elderly Conclusion: A group of factors are associated with the outpatient health service use by the elderly. These factors include predisposing, enabling, and need-related factors according to Andersen’s behavioral model of health service use. Interventions to increase the use of health services by the elderly should be based on these factors, and should be taken into account by the policymakers to reduce the burden of health services caused by diseases.

scholarly journals Healthcare needs and health service utilization by Syrian refugee women in Toronto

2021 ◽  
Author(s):  
Sepali Guruge ◽  
Souraya Sidani ◽  
Vathsala Illesinghe ◽  
Rania Younes ◽  
Huda Bukhari ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Public Transportation ◽  
Health Service Utilization ◽  
Healthcare Services ◽  
Syrian Refugees ◽  
Enabling Factors ◽  
Long Term Conditions ◽  
Healthcare Needs

Objective Access to healthcare is an important part of the (re)settlement process for Syrian refugees in Canada. There is growing concern about the healthcare needs of the 54,560 Syrian refugees who were admitted to Canada by May 2018, 80% of whom are women and children. We explored the healthcare needs of newcomer Syrian women, their experiences in accessing and using health services, and the factors and conditions that shape whether and how they access and utilize health services in the Greater Toronto Area (GTA). Method This community-based qualitative descriptive interpretive study was informed by Yang & Hwang (2016) health service utilization framework. Focus group discussions were held with 58 Syrian newcomer women in the GTA. These discussions were conducted in Arabic, audio-recorded with participants’ consent, translated into English and transcribed, and analyzed using thematic analysis. Results Participants’ health concerns included chronic, long-term conditions as well as new and emerging issues. Initial health insurance and coverage were enabling factors to access to services, while language and social disconnection were barriers. Other factors, such as beliefs about naturopathic medicine, settlement in suburban areas with limited public transportation, and lack of linguistically, culturally, and gender-appropriate services negatively affected access to and use of healthcare services. Conclusion Responding to the healthcare needs of Syrian newcomer women in a timely and comprehensive manner requires coordinated, multi-sector initiatives that can address the financial, social, and structural barriers to their access and use of services.

The Micro Dynamics of Support Seeking

2013 ◽  
Vol 647 (1) ◽  
pp. 83-101 ◽  
Author(s):  
Celeste Watkins-Hayes
Keyword(s):  
Social Support ◽  
Middle Class ◽  
Low Income ◽  
Service Providers ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Living With Hiv ◽  
Hiv Aids

Previous literature suggests that AIDS Service Organizations (ASOs) play an important support role in the lives of impoverished women living with HIV. Less is known about the dynamics of institutional support for middle-class women living with HIV/AIDS, who are assumed to possess a broader base of resources to address their diagnosis. Using qualitative data collected from a racially and economically diverse group of HIV-positive women in Chicago, this article compares how low-income and middle-class women utilize ASOs and reveals how the women’s divergent approaches to availing themselves of institutional resources have important implications for their social and economic coping. For example, associating with ASOs can be status-improving for impoverished women and status-diminishing for middle-class women. As a result, middle-class women report a less robust network of social service providers and people living with HIV/AIDS on whom they rely for HIV-related information and social support, making them vulnerable to HIV-specific social isolation. In sum, the ways that HIV-positive women deploy institutional ties to negotiate their HIV/AIDS status differs markedly depending on socioeconomic status, suggesting that the role of class in gathering social support may be more complex than previously understood.

scholarly journals Perceptions among transgender women of factors associated with the access to HIV/AIDS-related health services in Yogyakarta, Indonesia

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221013 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Maria Silvia Merry ◽  
Sukma Putra ◽  
Mitra Andhini Sigilipoe ◽  
Rik Crutzen ◽  
...  
Keyword(s):  
Health Services ◽  
Transgender Women ◽  
Factors Associated ◽  
Hiv Aids

scholarly journals RECOMMENDATIONS ON SOCIAL SUPPORT TO FAMILIES AFFECTED BY HIV/AIDS

2020 ◽  
Vol 4 ◽  
pp. 279
Author(s):  
Tetiana Liakh ◽  
Tetiana Spirina ◽  
Tetiana Alieksieienko
Keyword(s):  
Social Support ◽  
Opportunistic Infections ◽  
Clinical Stage ◽  
Hiv Positive ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Third Stage ◽  
Social Work Practitioners ◽  
Self Help Groups ◽  
Hiv Aids

The purpose of this article is to provide recommendations for social workers and social field practitioners of state and non-governmental organizations working with families affected by HIV/AIDS. The article identifies a series of crisis stages of families affected by HIV/AIDS. Families caring for HIV-positive children go through four crisis stages. The first stage comes after the report about an unconfirmed possibility that a child has HIV. The second stage is when the diagnosis confirms the child’s HIV positive status. The third stage coincides with the first signs of opportunistic infections in the child. The fourth stage is associated with the progression of the disease and the development of the fourth clinical stage of HIV infection. At each of these stages, families need medical, psychological, and social support. In line with professional support, an effective method of assistance and a way to overcome a crisis can be self-help groups, in which people learn to voice their difficulties and problems, seek support or provide it to other families. Using the results of the study gained through focus groups with social work practitioners from various regions of Ukraine, the authors developed recommendations on supporting families affected by HIV/AIDS. 

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