scholarly journals Analysis Adherence of Treatment and Sexual Behavior on Housewives with HIV/AIDS who Visits at Care Support and Treatment Service Cukir Public Health Center

2021 ◽  
Vol 5 (1) ◽  
pp. 133-141
Author(s):  
Takariningsih Takariningsih ◽  
Katmini Katmini
Keyword(s):  
Sexual Behavior ◽  
Data Analysis ◽  
Health Center ◽  
Hiv Transmission ◽  
Structured Interview ◽  
Sex Behavior ◽  
People Living With Hiv ◽  
Unsafe Sex ◽  
Study Approach ◽  
Hiv Aids

The use of ARV drugs aims to reduce HIV/AIDS-related deaths and increase life expectancy in addition to clinical improvement of people living with HIV. Antiretroviral apart from being an antiviral is also useful for preventing HIV transmission to sexual partners, as well as HIV transmission from mother to child. In the end, it is hoped that this will reduce the number of cases of people infected with new HIV in various countries. Non-adherence to taking ARVs and unsafe sexual behavior can lead to high transmission rates. This study aims to analyze medication adherence and sexual behavior among housewives with HIV/AIDS who visited the CST service at the Cukir Health Center. This study uses a qualitative method with a case study approach. Data was collected through in-depth interviews with semi-structured interview guidelines, and documentation with 18 PLWHA. Data analysis was carried out descriptively with triangulation methods and data analysis. The results of the analysis illustrate that there is still a lack of perception of vulnerability, perception of pain and perception of benefits for PLWHA, especially unsafe sex behavior of PLWHA.

scholarly journals HEALTH BELIEF MODEL DAN KAITANNYA DENGAN KETIDAKPATUHAN TERAPI ANTIRETEROVIRAL PADA ORANG DENGAN HIV/AIDS

2017 ◽  
Vol 6 (1) ◽  
pp. 9
Author(s):  
Abdul Kharis Sisyahid ◽  
Sofwan Indarjo
Keyword(s):  
Data Analysis ◽  
Illness Perception ◽  
Health Belief ◽  
Severity Of Illness ◽  
People Living With Hiv ◽  
Aids Patients ◽  
Study Approach ◽  
Risk Of Death ◽  
Belief Model ◽  
Hiv Aids

Antiretroviral (ARV) therapy for people living with HIV/AIDS (PLHIV) may reduce mortality and improve the quality of life among them. Non-adherence of HIV/AIDS patients in ARV therapy may lead to cease of therapy, increase risk of death, complicate evaluation of ARV services, and increase the risk of ARV resistance if they wish to start over. This study aimed to determine the factors that cause non-adherence to ARV therapy among PLHIV in Pemalang Regency. The research used qualitative method with case study approach. Data collection was conducted through in-depth interviews, observations, and documentation to 6 HIV/ AIDS patients who were listed as non-adherence patient in ARV therapy. Data analysis was done descriptively with triangulation method and data analysis. Results revealed that the factors that cause non-adherence to ARV therapy among PLHIV were lack of vulnerability perception to illness in the future, lack of illness perception among informants about the severity of illness, lack of benefit perception perceived by most informants, and barrier perception of side effects, lack of facilities to access ARV, and pudency that their HIV-positive status was known by others.

scholarly journals Demographic Features of Identified PLWHA Infected through Commercial and Nonmarital Noncommercial Heterosexual Contact in China from 2015 – 2018: A Retrospective Cross-Sectional Study

2020 ◽  
Author(s):  
Zhilong Dong ◽  
Liying Ma ◽  
Chang Cai ◽  
George Fu Gao ◽  
Fan Lyu
Keyword(s):  
Marital Status ◽  
Educational Level ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Heterosexual Transmission ◽  
People Living With Hiv ◽  
Heterosexual Contact ◽  
Cross Sectional ◽  
Hiv Aids

Abstract Background:Understanding the demographic characteristics of people living with HIV/AIDS (PLWHA) infected through commercial heterosexual contact (CHC) or nonmarital noncommercial heterosexual contact (NMNCHC) is important for HIV/AIDS prevention and control.Methods:Cases reported through the Chinese HIV/AIDS Case Reporting System (CRS) from 2015 to 2018 were analyzed. A descriptive and preliminary inferential analysis were performed for those demographic characteristics deemed of interest.Results:Overall, 523,121 identified PLWHA between 2015 and 2018 in the CRS were analyzed. The constituent ratio of heterosexual transmission increased from 66.25% in 2015 to 71.48% in 2018. The proportion of CHC heterosexual transmission decreased from 40.18% in 2015 to 37.99% in 2018, while that of NMNCHC increased from 46.33% in 2015 to 49.02% in 2018. PLWHA infected through NMNCHC were significantly younger than those who were infected through CHC (Student’s t test, P<0.0001), with an average age gap ranging from 5.63 (2015) to 7.46 (2018) years, and the average age of both groups increased annually. The frequency of newly identified PLWHA who were infected through CHC had a remarkable increase among the ages of 65 and above. Gender distribution was significantly different between CHC and NMNCHC (χ2 = 8909.00(2015), 9941.90(2016), 11004.00 (2017), 12836.00(2018), all P < 0.0001), and the ratio of men to women in the NMCHC group was 1.50:1 (2015), 1.51:1 (2016), 1.54:1 (2017), and 1.52:1 (2018), while in the commercial heterosexual contact (CHC) group, these ratios were 11.45:1 (2015), 12.08:1 (2016), 12.53:1 (2017), and 13.28:1 (2018). Marital status was significantly different between CHC and NMNCHC (χ2 = 94.67 (2015), 109.88(2016), 58.18(2017), 152.38(2018), all P < 0.0001). As the educational level improved, the proportion of NMNCHC also increased (Cochran - Armitage test, P<0.0001).Conclusions:We found that heterosexual transmission was the primary mode of HIV transmission in China from 2015 to 2018. PLWHA infected through CHC and NMNCHC had different characteristics in age, gender, marital status, and educational level. The frequency of PLWHA infected through CHC increased substantially in the age group of 65 and above. This study provides useful baseline data for future studies on the heterosexual transmission of HIV in China.

scholarly journals Implementation On Regulation Of Ministry Of Health Number 21 Of 2013 About Prvention Of HIV/AIDS In Work Area Of Talise Public Health Center In Mantikulore Subdistric

2020 ◽  
Vol 11 (1) ◽  
pp. 22-37
Author(s):  
Rheina Magvira
Keyword(s):  
Public Health ◽  
Health Center ◽  
Reproductive Organs ◽  
Ministry Of Health ◽  
Aids Patients ◽  
Public Health Center ◽  
Study Approach ◽  
Work Area ◽  
Patient Resources ◽  
Hiv Aids

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.

scholarly journals HEGEMONY OF PERFORMANCE ACCOUNTABILITY SYSTEMS OF GOVERNMENT INTITUTIONS IN MALANG : AN IDEOLOGY PERSPECTIVE

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Ratna Dwi Nastiti ◽  
Sri Pujiningsih ◽  
Cipto Wardoyo
Keyword(s):  
Data Analysis ◽  
Local Governments ◽  
Structured Interview ◽  
Socialization Process ◽  
Data Set ◽  
Study Approach ◽  
Evaluation Of Performance ◽  
Accountability System ◽  
Performance Accountability ◽  
Critical Case Study

This study aimed to understand how the ideology of Gramsci hegemony thought be internalized into implementation and evaluation of Performance Accountability System of Government Institution (SAKIP) in Malang. This study was qualitative research by using a critical case study approach. Data collection of research was conducted by several techniques such as observation, semi-structured interview, and documentation with a key informant and several supporting informants. Data analysis in this study was thematic data analysis where it was used to identify and analyze the meaning pattern in a data set. The result of the study showed that ideology had an important role in maintaining hegemony in the implementation and evaluation of SAKIP in Malang. Ideology was internalized through a continuous socialization process, desk, and technical guidance that created awareness and fairness thus it formed a hegemonic culture. The results were expected to able to contribute theoretically, strengthening and enriching the theory of hegemony in the implementation and evaluation of SAKIP. In addition, the results of this study were expected to contribute practically to the Central Government's policies related to the implementation and evaluation of SAKIP that did not burden local governments.

scholarly journals LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
People Living With Hiv ◽  
Key Population ◽  
Living With Hiv ◽  
Hiv Aids

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.

scholarly journals The health literacy needs of women living with HIV/AIDS

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Judy Thompson ◽  
Yolanda Havenga ◽  
Susan Naude
Keyword(s):  
Health Literacy ◽  
Hiv Transmission ◽  
Qualitative Content Analysis ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

Women in Sub-Saharan Africa are disproportionately affected by the virus and constitute 60% of the total HIV/AIDS infections in this region. Current recommendations endorse the involvement of people living with HIV in the development of programmes for people living with the virus. The purpose of the study was to explore and describe the health literacy needs of women living with HIV. The research design was qualitative, explorative, descriptive and contextual. After women living with HIV/AIDS were sampled purposively, semi-structured interviews were conducted with eight women and qualitative content analysis done. The findings revealed that the women expressed a need to increase their knowledge about HIV/AIDS. The knowledge they needed ranged from basic pathophysiology about HIV/AIDS, to the impact of HIV/AIDS on their health, to an awareness of the modes of HIV transmission and methods of protecting others from being infected. Other important health literacy needs related to self-care and correct antiretroviral use. A need for psychosocial skills was also identified in order for women to build and maintain their relationships. Recommendations were made for nursing practice, education and further research, based on these findings.

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