Social Media As A Tool Of Sexual Transactions Of Men Who Have Sex With Men (MSM) In Buleleng Regency Bali

Men who have sex with men (MSM) is the community that has become the largest epicenter in the transmission of HIV / AIDS. At present the MSM community is a marginalized community, so it is difficult to observe its development, this is because of the negative stigma from the community environment towards MSM. So they use social media in forming communities and offering sexual relations. The aim of study was to analyze the social media that were most often used by MSM in sexual transactions activity. A cross sectional approach was applied in this study with a sample of 58 people, selected by snowball and using a questionnaire to collect quantitative data. Respondent characteristics data were analyzed descriptively, then bivariate analysis to determine the relationship of independent variables with dependent variables and independent variables that could be included in multivariate analysis. Multivariate analysis with logistic regression was used to determine the effect of independent variables on sexual transactions conducted by MSM. The results found that, Grindr social media is the most dominant among Whatsapp, Facebook, Me Chat and other social media. Meanwhile, based on the technique of having sex, sex activeness is seen in MSM who have anal and oral relations. It was also reported in the results of research that getting younger MSM increasingly increases sexual desire. The conclusions of this study are MSM who use Grindr, with anal and oral sex techniques as well as young age, which increases sexual activity

PENDIDIKAN DAN PEMBERDAYAAN KESEHATAN DI LAYANAN ISOLASI TERPUSAT DENGAN METODE PARTICIPATORY LEARNING AND ACTION PROGRAM BALI BANGKIT BALI KEMBALI

Abstrak: Peningkatan kasus covid-19 kembali meningkat dengan adanya virus Delta varian baru yang sudah masuk ke wilayah Bali. Isolasi mandiri yang dilakukan di rumah secara mandiri dirasa kurang efektif untuk mencegah penularan Covid-19 karena kurang dispilin dan kurangnya informasi ataupun kegiatan pemberdayaan kesehatan yang dapat dilakukan. Tujuan pengabdian ini untuk memberikan edukasi dan pemberdayaan kesehatan para pasien di layanan isolasi terpusat dan membantu para petugas kesehatan dalam memberikan pelayanan kesehatan di isolasi terpusat. Kegiatan ini melibatkan 12 orang mahasiswa semester 5 dan 7 dari Prodi Kebidanan dan Keperawatan. Metode yang digunakan adalah PLA (Participatory Learning and Action) dengan pemberian layanan terdiri dari senam irama meningkatkan imunitas, pemeriksaan kesehatan rutin, edukasi protokol kesehatan pencegahan penularan Covid-19 , pemberian paket obat covid-19 pada mitra sasaran yaitu pasien di isoter, serta penggunaan aplikasi teknologi untuk membantu petugas program dalam mengumpulkan data pasien di isoter. Jumlah sasaran mitra yaitu 70 orang pasien di isoter dan 2 orang petugas kesehatan pemegang program contact tracing di Puskesmas Buleleng I. Kegiatan ini dievaluasi menggunakan lembar observasi, lembar wawancara mendalam, data yang terekam pada administrasi layanan isoter Puskesmas selama 3 bulan (Juli-September 2021). Hasil dari kegiatan yang dilakukan bahwa seluruh pasien telah menerapkan protokol kesehatan yang ketat, seluruh pasien dapat melakukan kegiatan pemberdayaan kesehatan secara rutin, rata-rata kesembuhan pasien mencapai 90%. Beban kerja para petugas kesehatan selama layanan isoter ini juga menurun dengan kegiatan administrasi pelaporan pasien di isoter. Kegiatan ini dilakukan dengan lancar sesuai dengan tujuan yang telah direncanakan. Abstract: The increase in Covid-19 cases has again increased with the presence of a new variant of the Delta virus that has entered the Bali area. Self-isolation carried out at independent homes is deemed less effective to prevent the distribution of Covid 19 due to lack of discipline and lack of information or health empowerment activities that can be carried out. The purpose of this service is to educate and empower the health of patients who provide responsible services and assist health workers in health services at liberty. This activity involved 12 students in semester 5 and 7 from the Midwifery and Nursing Study Program. The method used is PLA (Participatory Learning and Action) by offering services consisting of rhythmic gymnastics to increase immunity, routine health checks, education on Covid-19 transmission prevention protocols, giving covid-19 drug packages to target partners, namely patients on isoters, and the use of applications. technology to assist program staff in collecting patient data outside the room. The target number is 70 patients in isoter and 2 health workers holding contact tracing programs at the Buleleng I Health Center. This activity uses observation sheets, in-depth interview sheets, data recorded at the isoter service administration of the Puskesmas for 3 months (July-September 2021). The results of the activities carried out are that all patients have implemented strict health protocols, all patients can carry out health empowerment activities on a regular basis, the average patient recovery reaches 90%. The workload of health workers during this isoter service also decreased with the administrative activities of reporting patients at isoter. This activity was carried out smoothly in accordance with the planned objectives.

Experience Of Female's Sex Workers Who Are Infected By HIV / AIDS In Buleleng Regency: A Phenomenology Study

Indonesia is still in a position of the concentrated epidemic, where female sex workers are still one of the risk populations that are very vulnerable to HIV/AIDS. The process of accepting and living experience of infected female sex workers becomes very important so that the quality of life is better. Buleleng is one of the districts in Bali with the highest incidence of HIV/AIDS by sex workers. The purpose of this study was to determine the life experiences of sex workers when infected with HIV/AIDS in Buleleng Regency. Quality research methods with a phenomenological approach. Participants numbered 5 participants, with 4 sex workers who were infected with HIV/AIDS and 1 holder of an HIV service program at the Sawan Health Center. The sampling technique used purposive sampling with instruments in the form of interview guidelines. Data collection techniques by conducting in-depth interviews. Then the results are analyzed by transcribing and compiling a theme. The results found five major themes, namely risk factors for infection, self-response, social response after infection, condom use behavior, and health insurance with ARV adherence. The conclusion is that more sex workers do not want to disclose their HIV status, then there are still many sex workers who do not have health insurance so that it leads to non-adherence with treatment

DECEPTIVE IS EFFECTIVE NEGOTIATION STRATEGIES TO CUSTOMERS FOR USING CONDOMS CONSISTENTLY

The Consistency of condom use by the sex customers is very low. These problems occur due to the lack of negotiations carried out by the sex workers into their customers. This study aims to determine the most effective negotiation strategies for the customers to consistently using condoms. The study was conducted by using a survey cross-sectional of sex workers directly with the sample of 100 peoples, which who selected by a random cluster sampling in Denpasar city. The data collected by interviews conducted by using a questionnaire about the characteristics and modification Condom Influence Strategy Questionnaire (CISQ) developed by Noar. The results of the study show that about 63% of customers consistently used condoms in the past week. The effective negotiation strategies used so that customers consistently using condoms is deceptive by sex workers to their client's variables associated with consistent condom use is the availability of condoms and sex worker's age. Deceptive is the most effective strategy to increase consistent condom use.Keywords— Negotiations Condoms, Female Sex Workers, Consistency of Condom Us

PKM: improving the posyandu elderly capacity to improve the degree of elderly health

Kubutambahan and Bulian Village are two villages that are included in the working area of the Primary health care in Kubutambahan. Integrated Healthcare Center (IHC) elderly in these two villages still have lower coverage than other villages. In addition, the elderly IHC cadre are also not very active in promoting activities and inviting all elderly elements in the villages of Bulian and Kubutamabahan to come to the IHC. The elderly exercise becomes innovative as an improvement in the quality of life of the elderly. In view of the need for active cadres so that elderly gymnastic instructors are not only trained by health workers but also by elderly IHC cadres themselves. The method used is application technology with three patern (promotion, information and education). The stages of implementation are preparation, implementation and evaluation. The target is for all the elderly in the working area of the health center. The results of this service include the provision of IHC information through loudspeakers car, cadre training, provision of additional food as a reward for the arrival of the elderly to the IHC, providing health information and elderly exercise. This service is effectively carried out so that there is an increase in elderly visits and elderly cadres become trained. In addition, the elderly cadre also developed themselves by becoming an elderly gymnastic instructor. The conclusion is that there is an increase in elderly visits and cadres are increasingly trained

Sex And Functional Status As A Predictor Of Death Of People Living With HIV/AIDS On Arv Therapy In Buleleng Hospital

Cases of death in HIV / AIDS are still a benchmark for the success of treatment. Studies of predictors of death in people with HIV in the general population are still very limited. Longitudinal analytic with a retrospective approach using cohort data of patients receiving antiretroviral drugs at Buleleng General Hospital in the period 2006-2015. Analysis uses logistic regression with SPSS version 17. Results show a total of 1204 that the incidence of total mortality rate is 3 per 100 person years. 50% of deaths occurred at 0.14 years of observation. Men and the general functional status of employment were predictors of death in PLHAs. Men have a risk of death 2.12 times higher than that of women (aOR 2.12 (p 0.01 CI 1.28-3.51). Functional status of beds increases the risk of death aOR 2.14 (CI 1.39-3.29 p 0.01).Men have a risk of death evaluation of the success of antiretroviral therapy considers studies and differences in needs between women and men.The functional status of beds shows a poor clinical condition that increases the risk of death in people with HIV. Evaluation of regularity of treatment and the incidence of gender-based deaths should be done more intensively

MORTALITY OF HIV/AIDS-INFECTED PEOPLE WITH ANTIRETROVIRAL THERAPY: A GENDER ANALYSIS

Background: Mortality in people living with HIV/AIDS is one of measures to the success of its treatment. Study related to their deaths seen from gender is still very limited. Objective: The aim of this study was to determine the incidence rate of mortality between men and women living with HIV/AIDS and receiving antiretroviral therapy. Methods: This was a retrospective study using secondary data of HIV/AIDS-infected patients in Buleleng District Hospital in the period of 2006-2015. This research used Survival analysis, Kaplan-meier, incident rate comparison and logistic regression with STATA SE 12. Results: A total of 1204 HIV/AIDS-infected patients data was included. The incidence of total mortality rates was 27.7 per 1000 person-years. Based on gender, the mortality in men (35 per 1000 person-years) was higher than women (14 per 1000 person-years) with the incidence rate ratio (IRR) of 2.39 (p 0.01). Fifty percent of cases of mortality occured at 0.15 years of observation. The median time of mortality in men was 0.14 years (1.7 months) and in women was 0.15 years (1.8 months). The poor clinical condition was seen from a body weight <50 kg, which increased the risk of death with aOR 3.85 (p 0.01 CI 2.40-6.16). Nevirapine increased the risk of mortality (aOR 2.18; p 0.01; CI 1.18-4.03). and CD4 cell counts of ≤ 200 cells / mm3 reduced the risk of death by 69% (AOR 0.31; p 0.01; CI 0.18-0.53). Conclusion: The incidence of mortality in men was greater than it in women, which is caused by poor clinical conditions. It is better to evaluate the success of antiretroviral therapy by considering the needs of patients according to their gender. Further research is needed in regard to adherence of treatment and loss to follow-up events

Dominant Factors Associated with Low Birth Weight in Newborn

The leading causes of neonatal or neonatal death in the world according to WHO, 2015 are low birth weight (LBW) 29%, sepsis and pneumonia 25%, asphyxia and trauma 23%. The incidence of BBLR in Blahbatuh II UPTD increased from 2017 to 2019. This study aims to determine the dominant factors associated with the incidence of LBW in the UPTD Puskesmas Blahbatuh II workspace. This study used an observational analytical design through a cross-sectional approach. The data used are secondary data from a retrospective cohort. The population of this study was all mothers born in the UPTD Puskesmas Blahbatuh II work area in 2019, a total of 137 respondents. Sampling technique with Total Sampling. Data analysis in this study used the chi-square test to prove the association of the factors causing LBW and multiple logistic regression tests to determine the most influential factors on the incidence of LBW. The results showed a significant association for 2 variables, antenatal examinations and nutritional status during pregnancy, while the variables maternal age, gestational distance, parity, Hb levels and maternal education have no significant association with the incidence of LBW. Multivariate analysis showed that the most important factor between nutritional status during pregnancy and ANC visits affecting LBW in the UPTD Puskesmas Blahbatuh II workspace was nutritional status during pregnancy. The Anova analysis test showed that the effect of nutritional status on LBW is 66.67% and the effect of ANC visits is 2.71%. It can be concluded that maternal nutritional status affects LBW more than ANC visits