scholarly journals The experiences of women from Atoin Meto tribe who performed Sifon ritual in the context of HIV/AIDS transmission

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Maria Syelvrida Tumina ◽  
Sri Yona ◽  
Agung Waluyo

Background: Sifon is ritual sexual intercourse after male circumcision from the Atoin Meto tribe that contributes to HIV/AIDS transmission. Ritual Sifon may put at risk for HIV infection and also sexual transmission diseases (STDs). Doing ritual Sifon as a culture, without using protection during intercourse becomes one way to get HIV infection from infected men. Few studies explore this phenomenon among women who become Sifon. Therefore, the aim of this study is to explore the experience of Sifon women in the context of HIV/AIDS transmission.Design and Methods: The data were collected from March to July 2020. This study used a phenomenological approach with a purposive sampling technique. Inclusion criteria: the women from Atoin Meto tribe aged above eighteen years old who have been Sifon women for at least six months. The participants were recruited through traditional healers in Nekbaun village of Kupang District and Timor Tengah Selatan District. The data were analyzed by the Colaizzi method.Results: Thirteen women were interviewed and we found four themes: lack of knowledge about HIV/AIDS transmission, unaware Sifon women, women who experienced STDs, using traditional medicine to treat STDs (Timor medicine).Conclusions: The interpretation of Sifon women’s experiences that performed Sifon rituals indicated that Sifon is a risk factor for transmitting HIV/AIDS. Preventive and promotional educational programs with a cultural approach are needed to reduce the risk of HIV/AIDS transmission.

2021 ◽  
Vol 6 (1) ◽  
pp. 13-19
Author(s):  
Luh Gede Pradnyawati ◽  
Ni Made Hegard Sukmawati

HIV / AIDS cases among MSM (male sex men) in Indonesia from year to year have increased significantly. Meanwhile, Bali is a province with many HIV / AIDS cases, where Denpasar is the city with the highest number of MSM. There has never been a report on sexual behavior and HIV / AIDS prevention among MSM in Denpasar. Therefore, the researchers wanted to explore the problems of sexual behavior and its prevention in MSM in Denpasar. Purpose: This study aims to obtain a vision of sexual behavior and HIV / AIDS prevention among MSM groups in Denpasar City. This study used a qualitative design with a phenomenological approach to digging deeper into sexual behavior and HIV / AIDS prevention among MSM in Denpasar City. The selection of informants in this study was taken using convenience sampling technique and conducted in-depth interviews with 10 MSM who were productive and communicative in Denpasar. After collecting data in the field, the data will be analyzed thematically. In sexual intercourse behavior, most of the MSM prioritized variations and sensations during sexual intercourse to get sexual satisfaction, such as having group sex, using arousal-enhancing drugs, and violence engaging during sexual intercourse. Some of the informants only had one permanent sexual partner. However, there are still MSM who have more than one sexual partner and receive payment for sexual intercourse. Informants use condoms in sexual intercourse and with the PrEP method to avoid HIV / AIDS. It is necessary to conduct education and counseling on sexual orientation for the community, especially for adolescents looking for identity, educating MSM to reduce high-risk behavior during sexual intercourse. Keywords: Sexual behavior, MSM, prevention, HIV / AIDS, Denpasar


2017 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Dewi Mayang Sari

Latar Belakang: Jumlah penderita HIV/AIDS di Indonesia setiap tahunnya terus bertambah. Menurut laporan tahunan terbaru dari Badan Dunia untuk penanggulangan HIV/AIDS atau UNAIDS, Indonesia kini berada diurutan nomor satu. Terkait laju peningkatan kasus HIV di Indonesia pada tahun 1998 jumlah kasus HIV baru 591 orang, tetapi pada bulan September 2007 jumlahnya telah mencapai 5.904 orang. Tujuan Penelitian: Mengetahui persepsi terapi ARV (Anti Retroviral Virus) pada orang yang terinfeksi HIV/AIDS di Kota Salatiga. Metode Penelitian: Jenis penelitian menggunakan pendekatan fenomenologi. Rancangan fenomenologi ini dilaksanakan dengan berpedoman pada tahapan deskriptif yaitu tahapan intuitif analisis dan deskriptif. Jumlah partisipan dalam penelitian ini sebanyak 3 orang penderita HIV/AIDS di Kota Salatiga atau sampai saturasi data. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Hasil penelitian: Persepsi  dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik, mereka mengetahui tentang ARV dan mengetahui tentang  efek samping yang ditimbulkan dari terapi ARV. Upaya orang yang terinfeksi HIV/AIDS dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga. ODHA mengatasi efek samping dengan konsultasi ke dokter dan minum obat yang diberikan dokter. Dukungan petugas manajemen kasus dalam menjalani  terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik. Dukungan  kelompok sebaya terhadap orang yang terinfeksi HIV dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Dukungan suami terhadap istri yang dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Kata kunci            :   Persepsi; ARV; sikap; HIV/AIDS; kelompok sebaya  PERCEPTION THERAPY ARV (ANTI-RETROVIRAL VIRUS) IN PEOPLE INFECTED WITH HIV / AIDS IN THE CITY SALATIGA ABSTRACT Background: The number of people living with HIV / AIDS in Indonesia each year continues to grow. According to the latest annual report of the World Agency for HIV / AIDS or UNAIDS, Indonesia now comes out number one. Related to the rate of increase in HIV cases in Indonesia in 1998, the number of new HIV cases 591 people, but in September 2007 the number had reached 5,904 people. Objective Research: Knowing perception of antiretroviral therapy (Anti Retroviral Virus) in people infected with the H IV / AIDS in Salatiga. Methods: Type research using a phenomenological approach. draft of this phenomenology is guided by the descriptive stage stages intuitive and descriptive analysis. The number of participants in this study were 3 people with HIV / AIDS in Salatiga or until saturation of data. The sampling technique used was purposive sampling. Results of the study: Perception in therapy ARV (Anti-Retroviral Virus) in Salatiga has been good, they know about the drugs and find out about the side effects of antiretroviral therapy. Efforts of people infected with HIV / AIDS in antiretroviral therapy (Anti Retroviral Virus) in Salatiga. PLWHA cope with the side effects consult a doctor and take medicine that doctors prescribe. Support case management officer in antiretroviral therapy (Anti Retroviral Virus) in Salatiga has been good. peers Support against people infected with HIV in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Support husbands against wives in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Keywords    : Perception; antiretroviral therapy; attitude; HIV / AIDS; officers peer  


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110036
Author(s):  
Gideon Awenabisa Atanuriba ◽  
Felix Apiribu ◽  
Adwoa Bemah Boamah Mensah ◽  
Veronica Millicent Dzomeku ◽  
Richard Adongo Afaya ◽  
...  

With the advent of Anti-Retroviral Therapy, Human Immune Virus, and Acquire Immuno-Deficiency Syndrome is increasingly becoming a chronic disease as life expectancy among People Living With HIV/AIDS has increased. For Children Living With HIV/AIDS the role of the caregivers becomes essential as caregivers’ decisions affect CLWH health. However, the experiences of these caregivers are often unnoticed while all interventions are directed at PLWH. This study aimed at exploring the experiences of caregivers of CLWH in some selected hospitals in northern Ghana. This study employed a qualitative descriptive phenomenological approach. Purposive sampling technique was used to recruit 9 participants from 3 public hospitals in the Tamale Metropolis of Ghana. Data was manually analyzed using the approach of Collaizi and the findings were presented in themes and sub-themes. We conducted individual face to face interviews in English and Dagbani from September to November 2019. These interviews were conducted at the convenience of the participants in hospitals and at their homes. They were introduced to the study while awaiting to take antivirals for their CLWH. Five themes emerged: changed family dynamics, discovery of diagnosis, reaction to diagnosis, disclosure, stigma and discrimination, and burden and challenges of care. Caregivers were severely impacted by caring for CLWH and traumatized by changed family dynamics which exposed them to many difficulties. Stigma was widely perpetrated by immediate family members and majority reacted badly to their children HIV-positive status with fear, shame, guilt and even suicidal ideation.


2014 ◽  
Vol 24 (6) ◽  
pp. 1065-1071 ◽  
Author(s):  
Johanna Elizabeth Maree ◽  
Ilipo Kaila

ObjectiveCervical cancer is the most common cancer in Zambian women, and approximately 28% of all patients with cancer seen at the Cancer Diseases Hospital in Lusaka experience this disease. Our objective was to gain insight into the knowledge, understanding, and experiences of women treated for cervical cancer at the specific hospital.MethodsWe selected a qualitative research design and descriptive phenomenological approach for the study. Twenty-one (n = 21) semistructured interviews directed by an interview schedule were conducted. We used Patton’s open coding steps and a template analyses style guided by the 4 themes of the interview schedule to analyze the data.ResultsMost participants indicated that they did not know and understand anything of cervical cancer. They believed they were bewitched and consulted traditional healers and used traditional medicine. Most described that they experienced symptoms for extended periods of time before they were diagnosed. They described how the offensive vaginal bleeding and watery discharge they experienced led to isolation, rejection, and humiliation. The participants said they did not understand how they would be treated and treatment was described as a terrible experience.ConclusionsThe women’s lived experiences of cervical cancer tell of severe suffering. They knew and understood very little about this disease. Their suffering became so unbearable that some wanted to end their lives. They were subjected to the opinions of others who knew equally as little but were quite willing to speak out, judge, and reject. Most battled through the treatment and the distressing adverse effects because it was their only hope to become better.RecommendationsZambian women must be empowered with knowledge and skills to protect themselves against cervical cancer. Suggestions for improving outcomes include changing high-risk behavior, taking advantage of screening opportunities, recognizing the signs of cervical cancer, and seeking health care without delay.


2013 ◽  
Vol 2 (3) ◽  
pp. 95-98
Author(s):  
VK Khanal ◽  
RB Rayamajhi ◽  
B Neupane ◽  
SU Kafle ◽  
B Thapa ◽  
...  

INTRODUCTION: In Nepal, the firstcase of Human Immunodeficiency Virus (HIV) was reported in 1988, since then the epidemic is driven by sexual transmission and intravenous drug use. The aim of this research is to study various associated factors with HIV/AIDS patients. MATERIALS AND METHODS: A cross-sectional study was carried out from May 2009 – April 2010 at three Anti-retroviral treatment centers (B.P.K.I.H.S, Dharan, Koshi Zonal Hospital, Biratnagar and Mechi Zonal Hospital, Bhadrapur). A purposive sampling technique was applied to include all 234 seropositive patients who were under medication from these centers. RESULTS: Males represented 71% of the patients. More than 75%of the patients fell in the age group of 20-39 years. 35.9% of them had visited commercial sexual workers and similar proportion of them had shared needles during intravenous drug use. CONCLUSIONS: Unsafe high risk behavior with commercial sexual worker and needle sharing habit were found to be the associated with HIV/AIDS patients. DOI: http://dx.doi.org/10.3126/ijim.v2i3.8667 Int J Infect Microbiol 2013;2(3):95-98


2019 ◽  
Vol 4 (3) ◽  
pp. 590
Author(s):  
Afritayeni Afritayeni ◽  
Vera Angraini

<p>Perilaku seksual berisiko adalah perilaku seks yang berisiko tertular Penyakit Menular Seksual (PMS) dan HIV/AIDS. WHO mengakui bahwa transmisi seksual laki-laki dan laki-laki merupakan jalur utama penularan HIV di dunia. Data Kementerian Kesehatan RI terdapat 26,1% LSL mengidap positif HIV. Survey awal yang dilakukan di LSM IPAS Riau terdapat 126 gay dan LSL yang tergabung di lembaga tersebut. Tujuan penelitian mengetahui hubungan trauma seksual dan status ekonomi dengan perilaku seksual berisiko pada gay dan LSL. Jenis penelitian <em>analitik kuantitatif </em>dengan pendekatan <em>cross sectional. </em>Jumlah populasi 126 orang dan teknik pengambilan sampel menggunakan <em>accidental sampling </em>sebanyak 56 orang<em> </em>dengan menggunakan kuesioner. Hasil penelitian didapatkan mayoritas responden pernah mengalami trauma seksual 73,2%, mayoritas responden status ekonomi &gt;UMR 66,1%, dan mayoritas responden berperilaku seksual berisiko 89,3%. Berdasarkan uji <em>chi square</em> diperoleh trauma seksual nilai <em>p value</em> 0,038 &lt; α 0,1 yang artinya terdapat hubungan antara trauma seksual dengan perilaku seksual berisiko dan status ekonomi <em>p value </em>0,014 &lt; α 0,1 artinya terdapat hubungan status ekonomi dengan perilaku seksual berisiko. Diharapkan para orangtua memantau perkembangan anaknya dari kecil untuk mencegah terjadinya trauma dan pelecehan seksual dan bagi anggota komunitas dapat memanfaatkan Usaha Kecil Menengah (UKM).</p><p> </p><p><em>Risky sexual behavior is a sexual behavior that is at risk of contracting sexually transmitted diseases (STDs) and HIV / AIDS. WHO acknowledges that male and male sexual transmission is the main pathway for HIV transmission in the world. Data from the Indonesian Ministry of Health, there were 26.1% of MSM who were HIV positive. The initial survey conducted at the NGO IPAS Riau included 126 gays and MSM who joined the institution. The aim of the study was to find out the relationship between sexual trauma and economic status with risky sexual behavior in gay and MSM. Type of quantitative analytical research with cross sectional approach. The population of 126 people and the sampling technique used accidental sampling as many as 56 people using a questionnaire. The results showed that the majority of respondents had experienced 73.2% sexual trauma, the majority of respondents were economic status&gt; UMR 66.1%, and the majority of respondents had risky sexual behavior 89.3%. Based on the chi square test obtained sexual trauma p value 0.038 &lt;α 0.1, which means there is a relationship between sexual trauma with risky sexual behavior and economic status p value 0.014 &lt;α 0.1 means that there is a relationship between economic status and risky sexual behavior. Parents are expected to monitor the development of their children from a small age to prevent trauma and sexual abuse and for community members to take advantage of Small and Medium Enterprises (SMEs).</em></p><p><em><br /></em></p><p><em>Risky sexual behavior is a sexual behavior that is at risk of contracting sexually transmitted diseases and HIV/ AIDS. WHO acknowledges that male and male sexual transmission is the main pathway for HIV transmission in the world. Data from the Indonesian Ministry of Health, there were 26.1% of MSM who were HIV positive. The initial survey conducted at the IPAS Riau included 126 gays and MSM who joined the institution. The aim of the study was to find out the relationship between sexual trauma, economic status with risky sexual behavior gay and MSM. Type of quantitative analytical research with cross sectional approach. The population of 126 people and the sampling technique used accidental sampling as many as 56 people using a questionnaire. The results showed that the majority of respondents had experienced 73.2% sexual trauma, the majority of respondents were economic status&gt;UMR 66.1%, the majority of respondents had risky sexual behavior 89.3%. Based on the chi square test obtained sexual trauma p value 0.038 &lt;α 0.1, which means there is a relationship between sexual trauma with risky sexual behavior and economic status p value 0.014 &lt;α 0.1 means that there is a relationship between economic status and risky sexual behavior. <strong></strong></em></p><p><em><br /></em></p>


2021 ◽  
Vol 9 (1) ◽  
pp. 102-108
Author(s):  
Rizqi Wahyu Hidayati ◽  
◽  
Dwi Kartika Rukmi

In Indonesia, there is 150,296 people with HIV AIDS. The prevention efforts is increased by awareness of the sufferer’s. They can do self- disclosure about their HIV status with the family. However, mothers feel afraid to tell their children because of the stigma. They afraid their children will leak their status to others, or become depressed. Whereas the openness of status has a positive impact on mothers, such as providing social support and increasing mother's motivation in caring of their children. The study aimed to determine the experiences of mothers with HIV in self-disclosure to children in Yogyakarta. This study used qualitative research with an interpretive phenomenological approach. Data analysis using Interpretative Phenomenology Analysis. The data collection technique used semi-structured interviews. The sampling technique used purposive sampling with the inclusion criteria: HIV women with 26-45 years and already having children. The number of participants was 5 participants in Yogyakarta. This research got 5 themes to achieve the research objectives. These themes were (1) Feeling "guilty" of children; (2) Trying to rise of life; (3) Trying to let go of the burdens life; (4) Disappointed caused by frightened; (5) Relief of being children acceptance. Self-disclosure is important because it can reduce the burden on clients of people living with HIV AIDS (PLWHA). Self-disclosure to children may increase motivation to live through the ARV treatment. Therefore, the main theme emerged was releasing one's burdens to rise in life


2020 ◽  
Vol 13 (4) ◽  
pp. 396-401
Author(s):  
Eva Kartika Hasibuan ◽  
Novita Aryani ◽  
Galvani Volta Simanjuntak

People living with HIV/AIDS (PLWHA), battling stigma, discrimination and coping strategies  in  Medan, IndonesiaBackground: People living with HIV/AIDS have a multiple problem, PLWHA has a decreased physical abilities effect immunodeficiency, but also having a psychological and social problems also increase their burden. The health provider should be a place for PLWHA to get the right information about HIV/AIDS, but they follow to stigmatize and discriminate against them.Purpose: To describe coping PLWHA face up to stigma and discrimination in health provider.Methods: A qualitative with a descriptive phenomenological approach with population of this research was people living with HIV/AIDS (PLWHA) in Medan, Indonesia. The number of samples was of 10 respondent  by purposive sampling technique. The criteria of the sample were PLWHA get treatment for ≥ 6 months and able to communication in Indonesia is well. Data collected with in-depth interviews and analysis by  Nvivo version 12.0 trial.Result: Finding that four themes, the first; get stigmatize and discriminate from health workers, second; have a psychological impact, third; continue treatment to the health provider and fourth; Hoping in health services well.Conclusion: People living with HIV/AIDS (PLWHA) in Medan Indonesia still having a positive coping to face stigma and discrimination in health provider and they keep continue to get treatment in health provider.. Keyword: People Living With HIV/AIDS (PLWHA); Battling; Stigma; Discrimination; Coping StrategiesPendahuluan: Pelayanan kesehatan yang seharusnya menjadi tempat orang dengan HIV/AIDS mendapatkan pengobatan dan informasi yang benar mengenai penyakitnya, justru ikut menstigma dan mendiskriminasikan mereka.Tujuan: Untuk menggambarkan stigma, koping dan harapan ODHA di pelayanan kesehatan.Metode: Penelitian kualitatif dengan pendekatan fenomenologi deskriptif dengan populasinya  orang dengan HIV/AIDS (ODHA) di Kota Medan. Jumlah partisipan sebanyak 10 orang yang diambil dengan teknik purposive sampling. Pengumpulan data dengan wawancara mendalam dan data dianalisis dengan menggunakan software N.Vivo versi 12 trial.Hasil: Di dapatkan  empat  tema yaitu 1) Pernah mendapatkan stigma dan diskriminasi dari petugas kesehatan, 2) Pernah mengalalami dampak secara psikologis, 3) Tetap melanjutkan pengobatan ke pelayanan kesehatan, 4) Harapan pada layanan kesehatan.Simpulan: Orang dengan HIV/AIDS ODHA di kota Medan masih memiliki koping yang positif  dalam menghadapi stigma dan diskriminasi sehingga ODHA tetap melanjutkan pengobatan di pelayanan kesehatan. 


2021 ◽  
Vol 20 ◽  
pp. 263-274
Author(s):  
Gladys L. Panganiban ◽  
Dennis V. Madrigal

Modular Distance Learning is one of the educational trends brought about by the pandemic. The recent use of this model of learning delivery has put teaching and learning into an adjustment period. This particular challenge has been the urgent imperative to have modular classes. It implies designing and organizing for better learning. English is the primary medium of instruction in education, and most of the modules written in the given language posing additional challenges and demands to school learners. Hence, this paper endeavors to investigate the lived experiences of the pupils in answering English-written modules through a qualitative design with a phenomenological approach. The participants of the study were eight Grade 6 pupils determined using the purposive sampling technique with some inclusion criteria.  Data were gathered through an in-depth interview and were analyzed using a recursive textual analysis aided by Lichtman’s 3c's: coding, categorizing, and conceptualizing. The study revealed that quality education in the locality during this time of pandemic is greatly affected by the delivery modality, the curriculum content and standards, educational equipment and resources, the competence of parents to give assistance, and the readiness of the learners to read and learn independently.   


2019 ◽  
Author(s):  
Muh Yusuf Tahir

Background: AIDS is a collection of symptoms caused by a variety of microorganisms and other ferocity due to the decreased resistance/immunity of the patient.GlobalAIDS epidemicshowsthatthereare34millionpeoplewithHIVworldwide.InSoutheastAsia, there are approximately 4 million people with HIV. HIV infection in humans has a long incubation period (5-10 years), and then the patient can be called as people living with HIVHIVcausesimmunedeficiencysothatthepatientsarevulnerabletoopportunistic infection attack. Antiretroviral (ARV) could be given the patients to stop a virus and restoring the immune system, reduce the occurrence of opportunistic infections, improve the quality of life and decrease disability. Objectives: This study aims to explore the Multidimensional Quality of Life of HIV/AIDS patients in Maccini Clinic Makassar. Methods:Phenomenological study conducted to explore the experiences of informants related to the quality of life of HIV/AIDS patients who have antiretroviral therapy. Ten informants selected based on inclusion criteria using purposive sampling. Data were collected through interviews and analysis with the aid of N Vivo software version 10. Results: The results of this study shows that after having antiretroviral therapy, HIV/AIDS patients have increased in physical, psychological, social, functional, environmental, spiritual, and sexual dimensions. Conclusions: The dimension that gives most inreasing of the quality of life in HIV patients was physical dimension.  


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