scholarly journals Impelementasi Kebijakan Penanggulangan HIV/AIDS pada Dinas Kesehatan Kabupaten Melawi

Author(s):  
Endang Susilawati

ABSRACTAbstractPolicy implementation of HIV/AIDS Countermeasures in the Melawi Regency Health Office. The aim of this research is to describe and analyze the process of implementing HIV/AIDS policy in Melawi Regency in terms of communication, resources, disposition and bureacucratic structure. The research subjects include the Head of Health Office, Secretary of Health Office, the Division and Section Heads, Technical staff managing HIV/AIDS, Hospital director including the VCT Team and Private Hospitals, 11 Regency Public Health Center Heads, VCT Staff at the Nanga Pinoh Public Health Center, community Leaders, PLWHA and Key Population. Research results indicate that the implementation of HIV/AIDS countermeasures in Melawi Regency has not been as expected. It is observed from the communication stage that has not been well established in the response to the aforementioned illness, the inadequate resources of supporing infrastructure and funds that have not been focused. Human Resources have not been trained. Data collection, program managers, and the role disposisition of officers are not optimal. The bureaucracy structure has not been prepared properly, including SOP and SPM. This is observed from the different perceptions of the officers managing the HIV/AIDS program. The application system has not been well apprehended due to the absence of technical staff and PLHIV/key population unwilling to volunteer to be treated. Key words : The Implementation Policy, HIV/AIDS Countermeasures.

2020 ◽  
Vol 11 (1) ◽  
pp. 22-37
Author(s):  
Rheina Magvira

Based on data of Health Office of Palu City in 2019 about HIV/AIDS cases, it reached 818 cases of HIV and 306 cases of AIDS, and 109 of sufferers died. The highest cases of HIV/AIDS were in Talise Public Health Center with 13 of HIV. The factor that causes the highest number of HIV/AIDS cases in Talise Public Health Center is the lack of patients participation in counseling, mobile VCT, and many of them do not follow the instruction of Public Health Center in conducting the treatment to the patients of HIV/AIDS. Another factor is the lack of human resources as counselors and lab staff, there is no special room for HIV/AIDS patients inside or outside the Health Center, and there is no incentive provided by the Health Center for the field workers. This study aims to describe the Implementation on Regulation of Ministry of Health Number 21 of 2013 about HIV/AIDS Prevention in work area of Talise Public Health Center, Mantikulore Subdistrict. The study applied qualitative research using a case study approach. Technique of selecting the informants was purposive sampling. There were 6 informants, nameley key informant (Head Of Public Health Center). Ordinary informants (HIV/AIDS program holders), and additional informants were HIV/AIDS patients. Data collection techniques were through triangulations: indept interview, observation and ducumentation using interview guidelines. The result of the study shows that communication is one of an obstacle. Many patients are shy and do not want to take part in examining the reproductive organs. Therefore, they do not receive the status as PLHIV patient. Resources and disposition are not good enough because health center  does not allocate addition staff as well as rewards to officers, the budget only for operational, the bureaucratic structure is good enough, and the cross-sector role is supportive. It is expected that Talise Publich Health Center can improve more about the management and standards releted to the Regulation of Ministry of Health Number 21 of 2013 concerning the tackling of HIV/AIDS.


2018 ◽  
Vol 14 (2) ◽  
pp. 264-271
Author(s):  
Andy Muharry ◽  
Isti Kumalasari

The prevalence of obesity in children has increased from year to year. Patterns and eating behaviors, lack of physical activity and heredity are considered factors causing overweight.The purpose of this study to analyze the social epidemiology of overweight incidence at Sukagumiwang Public Health Center. This research was conducted in 2017 with research subjects being parents of toddlers. The sampling technique is total sampling. This research uses concurrent embedded design. Interviews conducted on parents who have a fat toddler. The questionnaires were distributed to the case and control group of 36 people.The results of research states that socioeconomic status and social capital are not related to the incidence of obesity.Toddlers with obesity have diverse backgrounds.Negative social support and stigma received by toddlers with obesity resulted in psychological impact and less toddler interactions.Toddlers with obesity feel different from other toddlers. Diet by consuming sweetened condensed milk and packaged sweet drinks every day triggers overweight.


2020 ◽  
Vol 9 (1) ◽  
pp. 37
Author(s):  
Sri Maharani

 ABSTRACTAnxiety and fear experienced by the mother, especially primipara, can prolong the duration of labor and increase the incidence of labor by action, namely labor with cesarean section. Mental health including pregnancy anxiety has been proven to be reduced or eliminated through physical exercise. One of the recommended physical exercises is yoga because it is easy to do and is very beneficial for physical fitness and psychology. Yoga in pregnancy is more effective in reducing anxiety and depression. This study aims to describe the knowledge and attitudes of pregnant women about prenatal yoga. Quantitative research design. The subjects in this study were pregnant women trimester I, II and III in the working area of the Putri Ayu Public Health Center in Jambi. Research subjects were given questionnaires to measure the knowledge and attitudes of pregnant women regarding Prenatal Gentle Yoga. The study was conducted in the working area of the Putri Ayu Public Health Center in Jambi. The data collected was analyzed univariately. The results of the study revealed that 32 mothers who took classes in pregnant women in the working area of Putri Ayu Health Center had less knowledge about prenatal gentle yoga, namely 18 mothers (56.2%) and had a positive attitude of 25 mothers (78%). It is recommended for health workers to provide information about some of the development activities that pregnant women can do to provide comfort during pregnancy, for example with prenatal gentle yoga. 


2020 ◽  
Vol 4 (2) ◽  
pp. 235-241
Author(s):  
Welly Sando ◽  
Dami Yanthi ◽  
Muhammad Dedi Widodo ◽  
Tengku Khairani

Implementation is the implementation of laws in which various actors, organizations, procedures, and techniques work together to carry out policies in an effort to achieve policy objectives or policy programs. Exclusive breastfeeding coverage The Meranti Islands District Health Office experienced the lowest exclusive breastfeeding coverage in 2019, namely Alai Community Health Center, which is 25% where the achievement of the exclusive Breastfeeding Program (ASI) in Meranti Islands Regency in 2019 is 50% and still far from the national target of 80%. This study aims to determine the implementation of the exclusive breastfeeding program at Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency in 2020. This type of qualitative research uses observational research. When the research was conducted in June-August at the Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency. The research subjects were the head of the puskesmas (IK1), pregnant women (IU1), PJ KIA (IP1), and posyandu cadres (IP2). Data analysis is used by systematically arranging the interview guidelines, then processing the data, data from observations are identified to describe each variable, a summary will be presented in narrative form. The results of this study indicate that the policies in the exclusive breastfeeding program have been implemented but the coverage of exclusive breastfeeding is still low because many pregnant women do not follow the recommendations that have been given by health workers in counseling such as the benefits of breastfeeding. It can be concluded that health workers in the policy of the exclusive breastfeeding program provide counseling to pregnant women and approach pregnant women in order to achieve an exclusive breastfeeding program. It is recommended that the head of the Alai Community


2019 ◽  
Vol 53 (5) ◽  
Author(s):  
Titiek Berniyanti ◽  
R. Darmawan Setijanto ◽  
Ninuk Hariani ◽  
Sarah Fitria Romadhoni

Background. In 2017, there were sixty people who identified themselves as lesbian, gay, bisexual and transgender/ transsexual (LGBT) people in Sememi Public Health Center, and seven of them were known to be people living with HIV/AIDS (PLWHA). People who are at high risk for HIV infection, especially the LGBT people and Female Sex Workers, are at even greater risk of developing a number of severe periodontal diseases. Periodontal problems, such as periodontitis, in HIV patients, are more severe and occur more frequently than uninfected patients. However, data on dental visit in Sememi Public Health Center as the primary health center in Sememi district is still limited, and there is still no data regarding periodontal health status among HIV patients. Objective. The aim of this study is to investigate the relationship between HIV/AIDS and periodontal health status among the population who are at high risk of HIV/AIDS in Sememi Public Health Center area. Method. This study was conducted with a cross-sectional design. The sample size was determined using a total sampling technique and came up with 30 participants. Conclusion. Population with a high risk of HIV/AIDS in Sememi Health Center area in Surabaya City has poor periodontal status, due to a large number of bleeding on probing (BOP), periodontal pocket depth, and loss of attachment (LOA). There is no significant difference between BOP results and pocket depth between the HIV and non-HIV groups. But a significant difference was found between LOA in the HIV and non-HIV groups. On the contrary, we found that there is no significant relationship between HIV/AIDS and xerostomia in this study.


2021 ◽  
Vol 9 (3) ◽  
pp. 225-235
Author(s):  
Annisa Nida Sakina ◽  
Chriswardani Suryawati ◽  
Eka Yunila Fatmasari

Dharmarini Public Health Center has a high number of COVID-19 cases and there are COVID-19 epidemiological surveillance activities that are not in accordance with those stated in the guidelines, specifically in health monitoring and in terms of Community-Based Surveillance that vulnerable populations have not been recorded and reported. Based on a preliminary study, Dharmarini Public Health Center only has a surveillance officer and experienced obstacle in cross-sectoral coordination. This study aims to analyze the management aspects of COVID-19 epidemiological surveillance at Dharmarini Public Health Center include planning, organizing, actuating, and controlling. This is a qualitative research with analytical descriptive approach. Primary data collection was done by in-depth interviews and research subjects were selected by purposive sampling. The result shows that management aspects in COVID-19 epidemiological surveillance activities at Dharmarini Public Health Center have been carried out from planning, organizing, actuating, to controlling, but there are still shortcomings including in actuating that not all officers involved have received training, there is obstacle in cross-sectoral coordination, the implementation of health monitoring can still be improved, there are refusals in tracing, Community Based Surveillance has not been fully implemented, supervision has only been held once, and in controlling aspect that the evaluation carried out is still not comprehensive. Dharmarini Public Health Center is suggested to optimize the actuating and controlling aspects in COVID-19 epidemiological surveillance.


2020 ◽  
Vol 11 (1) ◽  
pp. 45-56
Author(s):  
Kamila Rahmadiah ◽  
Fajar Ariyanti

Abstract Background: Men Who Have Sex with Men (MSM) is a high-risk group of people getting infected with HIV/AIDS due to their multiple sexual partner behaviour and their anal intercourse practices. The MSM group is the highest risk factor for HIV new cases in Indonesia. The VCT (Voluntary Counselling and Testing) clinic is the main entrance to HIV/AIDS prevention, maintenance, support, and treatment services. However, the MSM group that utilizes VCT clinic in Ciputat subdistrict decreased from the previous year. Objective: The purpose of this research was to thorouglhly identify about the overview of the intention of men who have sex with men groups in utilizing voluntary counselling and testing clinic in Ciputat public health center. Method: This research was a descriptive qualitative research using the case study method, which was conducted in February-November 2019 in the working area of ​​the Ciputat public health center. The main informants were homosexual or bisexual groups, who were selected by purposive sampling. Data validation used source triangulation, and data were analyzed by content analysis. Result: The results showed that most of the informant had no intention to utilize the VCT clinic in Ciputat public health center, low knowledge of HIV/AIDS and VCT clinic, low susceptibility of perception and self-efficacy. All informants had barriers, high perception of severity, perception of good benefit, and quite large cues to act. Conclusion: The majority of informants had no intention to utilize the VCT clinic due to low knowledge of HIV/AIDS and VCT clinic. Public health center and NGOs are recommended to collaborate in increasing knowledge of community on HIV/AIDS and VCT clinic. Keywords: men who have sex with men, VCT clinic, HIV/AIDS Abstrak Latar belakang: Lelaki Seks Lelaki (LSL) merupakan kelompok berisiko tinggi tertular HIV/AIDS dikarenakan kecenderungannya berganti pasangan dan melakukan seks anal. Kelompok LSL merupakan faktor risiko tertinggi kasus baru HIV di Indonesia. Klinik VCT (Voluntary Counselling and Testing) merupakan pintu masuk utama pada layanan pencegahan, perawatan, dukungan, dan pengobatan HIV/AIDS. Namun LSL yang memanfaatkan klinik VCT di Kecamatan Ciputat mengalami penurunan dari tahun sebelumnya. Tujuan: Tujuan penelitian ini adalah untuk mengetahui secara mendalam mengenai gambaran keinginan kelompok LSL dalam memanfaatkan klinik VCT di Puskesmas Ciputat. Metode: Penelitian ini merupakan penelitian kualititatif deskriptif dengan metode studi kasus, yang dilaksanakan pada Februari-November 2019 di wilayah kerja Puskesmas Ciputat. Informan utama adalah kelompok homoseksual maupun biseksual yang dipilih dengan cara purposive sampling. Validasi data menggunakan triangulasi sumber dan analisa data dilakukan dengan content analysis. Hasil: Hasil penelitian menunjukkan sebagian besar informan belum memiliki keinginan untuk memanfaatkan klinik VCT di Puskesmas Ciputat, berpengetahuan kurang mengenai HIV/AIDS maupun klinik VCT, serta memiliki persepsi kerentanan dan efikasi diri yang rendah. Semua informan memiliki hambatan, persepsi keparahan yang tinggi, persepsi manfaat yang baik, serta isyarat untuk bertindak cukup besar. Kesimpulan: Sebagian besar LSL belum memiliki keinginan untuk memanfaatkan klinik VCT. Hal ini karena  informan memiliki pengetahuan yang kurang terkait HIV/AIDS maupun klinik VCT. Puskesmas dan LSM diharapkan dapat bekerja sama untuk dapat meningkatkan pengetahuan masyarakat mengenai HIV/AIDS dan klinik VCT. Kata kunci: lelaki seks lelaki, klinik VCT, HIV/AIDS


2019 ◽  
Vol 9 (1) ◽  
pp. 29
Author(s):  
Ambar Dwi Erawati ◽  
Rinayati Rinayati ◽  
Sri Wahyuning

In order to reduce maternal mortality in Central Java, this Province has a superior program which is called 5Ng (Jateng Gayeng Nginceng Wong Meteng/Central Java Glad to See Pregnant Women). Implementation of childbirth assistance in Semarang and Kendal districts in order to reduce maternal mortality has its own model. Based on the preliminary survey, the maternal mortality rate in Semarang and Kendal regencies has decreased. This research aimed to explain the implementation of delivery assistance by midwives in the framework of accelerating reduction in maternal mortality. This study used a qualitative approach with descriptive analytical specifications. Research subjects were midwives in Semarang and Kendal Regencies. Data collection method was conducted by direct in-depth interview. Normal childbirth assistance in Semarang Regency is carried out at the Midwife Independent Practice, Village midwife practice, at the village public health center and public health center with delivery assistance of at least four hands (two midwives). In Kendal Regency normal delivery assistance is performed at first health facility.


2020 ◽  
Vol 11 (1) ◽  
pp. 37-44
Author(s):  
Iis Rahmawati ◽  
Dini Kurniawati ◽  
Murtaqib Murtaqib

Abstract Background: HIV/AIDS cases are developing very rapidly throughout the world. The increase in cases of HIV/AIDS among adolescents is still related to the lack of knowledge of adolescents on HIV/AIDS. Objective: This study aimed to describe the knowledge of adolescents on HIV/AIDS through bibliotherapy methods based on sex to contribute to program planners and decision makers in selecting methods in informing HIV/AIDS knowledge. Method: The study design was quasi experimental. The study location is in the working area of Puger Public Health Center. The study was conducted in July-September 2019. The sample in this study was 44 adolescents consisting of 22 respondents of male adolescents’ group and 22 respondents of female adolescents’ group using purposive sampling technique with inclusion criteria namely adolescents living in the work area of Puger Public Health Center, aged 16-17 years, adolescent boys and girls who are willing to be respondents, having no obstacle in reading and in good health.  The study instrument used was questionnaire of knowledge. Data analysis used Wilcoxon and Mann Whitney test with p-value <0.05. Results: The results of analysis showed significant differences before and after the therapy in the group of adolescent girls (p-value = 0.002) and adolescent boys (p-value = 0.043). Adolescent boys and girls both have an influence although the influence occurred was not as significant as those occurred in the group of adolescent girls. Conclusion: The method of bibliotherapy had an influence on increasing knowledge in both groups of adolescent girls and boys, yet more emphasis was found on adolescent girls, thus the bibliotherapy method is more effective if given to the groups of adolescent girls. Therefore, it is recommended to find a more appropriate method for groups of adolescent boys. Keywords: bibliotherapy, HIV/AIDS, adolescent girls, adolescent boys   Abstrak Latar Belakang: Kasus HIV/AIDS berkembang sangat cepat di seluruh dunia. Peningkatan kasus HIV/AIDS di kalangan remaja berkaitan dengan masih rendahnya pengetahuan remaja tentang HIV/AIDS. Tujuan: Penelitian ini bertujuan untuk memaparkan pengetahuan remaja tentang HIV/AIDS melalui metode biblioterapi ditinjau jenis kelamin untuk memberikan kontribusi pemikiran bagi para perencana program dan pengambil keputusan dalam memilih metode penyampaian mengenai pengetahuan HIV/AIDS. Metode: Jenis penelitian ini adalah penelitian quasi experiment. Lokasi penelitian di wilayah kerja Puskesmas Puger. Penelitian dilakukan pada Bulan Juli-September 2019. Sampel dalam penelitian ini adalah 44 orang remaja yang terdiri dari 22 responden kelompok remaja laki-laki dan 22 responden kelompok remaja perempuan, dengan teknik penentuan sampel menggunakan purposive sampling dengan kriteria inklusi yaitu remaja tinggal di wilayah kerja Puskesmas Puger, berusia 16-17 tahun, remaja laki-laki dan perempuan yang bersedia menjadi responden, tidak memiliki hambatan dalam membaca serta dalam keadaan sehat. Instrumen penelitian yang digunakan adalah lembar kuesioner pengetahuan. Analisa data menggunakan uji Wilcocon dan Mann Whitney dengan p value <0,05. Hasil: Hasil analisis menunjukan perbedaan yang signifikan sebelum dan sesudah terapi pada kelompok remaja perempuan (p-value=0,002) dan kelompok remaja laki-laki (p-value=0,043). Remaja laki-laki dan perempuan sama-sama memiliki pengaruh tetapi pengaruh yang terjadi tidaklah sesignifikan pada kelompok remaja perempuan. Kesimpulan: Metode biblioterapi memiliki pengaruh terhadap peningkatan pengetahuan baik pada kelompok remaja perempuan maupun remaja laki-laki, tetapi yang lebih memiliki pengaruh yaitu terhadap remaja perempuan, maka metode biblioterapi ini lebih efektif jika diberikan kepada kelompok remaja perempuan. Untuk itu disarankan agar mencari metode yang lebih tepat untuk kelompok remaja laki-laki. Kata kunci: biblioterapi, HIV/AIDS, remaja perempuan, remaja laki-laki


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