Pornography consumption and non-marital sexual behaviour in a sample of young Indonesian university students

Using a sample of Indonesian university students and a cross sectional design, this study investigated prevalence rates and patterns of pornography consumption in Indonesia, a religious, sexually conservative, Muslim-majority nation with strict antipornography laws. Further, the association between pornography consumption and common non-marital sexual behaviours was explored. The study found that in this sample, pornography is as widely and readily consumed as in comparable international studies predominantly utilising Western background samples from more sexually liberal and less religious countries with very few laws on pornography. Gender differences in patterns of pornography consumption were pronounced and comparable with findings in international counterpart studies. For men only, pornography consumption was found to significantly predict common sexual behaviours in nonmarital relations. The study is the first to provide insights into prevalence rates and patterns of pornography consumption and its association with common non-marital sexual behaviours in a sexually conservative, Muslim-majority nation with strict antipornography laws

Automobile and Motorcycle Traffic on Indonesian National Roads: Is It Local or Beyond the City Boundary?

経済学 / EconomicsThis paper investigates the dimensions of private vehicles\u27 trips on national roads between neighboring cities in Indonesia using the spatial lag model and the spatial error model approach to reveal the spatial correlations among cities. Private vehicles are defined as privately owned automobiles and motorcycles, and vehicle trips or usage levels are defined in terms of vehicle kilometers traveled (VKT) for both types of private vehicles. The paper finds that motorcycle trips are characteristically local because there is no sign of a spatial correlation with neighboring cities for those trips; by contrast, automobile trips often cross city boundaries, although the models constructed in this study demonstrate only weak spatial correlations among neighboring cities for automobile trips. The models also indicate that the road capacity, gasoline prices, gross domestic regional product per capita, population density, city size, number of public buses, and worker resident density have a significant effect on VKT for both cars and motorcycles. Therefore, these findings suggest that in general, the design of urban transportation policies on national roads could be less complex in Indonesian cities because local solutions may be effective for solving traffic problems in individual cities.JEL Classification Codes: R41, R49, R53http://www.grips.ac.jp/list/jp/facultyinfo/yoshida_yuichiro

The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia.

BACKGROUND: Indonesian maternal health policies state that community health workers (CHWs) are responsible for detection and referral of pregnant women and postpartum mothers who might suffer from mental health problems (task-sharing). The documents have been published for a while, however reports on the implementation are hardly found which possibly resulted from feasibility issue within the health system. AIMS: To examine the feasibility of task-sharing in integrated mental health care to identify perinatal depression in Surabaya, Indonesia. METHODS: Semi-structured interviews were conducted with 62 participants representing four stakeholder groups in primary health care: program managers from the health office and the community, health workers and CHWs, mental health specialists, and service users. Questions on the feasibility were supported by vignettes about perinatal depression. WHO's health systems framework was applied to analyse the data using framework analysis. RESULTS: Findings indicated the policy initiative is feasible to the district health system. A strong basis within the health system for task-sharing in maternal mental health rests on health leadership and governance that open an opportunity for training and supervision, financing, and intersectoral collaboration. The infrastructure and resources in the city provide potential for a continuity of care. Nevertheless, feasibility is challenged by gaps between policy and practices, inadequate support system in technologies and information system, assigning the workforce and strategies to be applied, and the lack of practical guidelines to guide the implementation. CONCLUSION: The health system and resources in Surabaya provide opportunities for task-sharing to detect and refer cases of perinatal depression in an integrated mental health care system. Participation of informal workforce might facilitate in closing the gap in the provision of information on perinatal mental health

Missed opportunity for standardized diagnosis and treatment among adult Tuberculosis patients in hospitals involved in Public-Private Mix for Directly Observed Treatment Short-Course strategy in Indonesia: a cross-sectional study

Background: The engagement of hospitals in Public-Private Mix (PPM) for Directly Observed Treatment Short-Course (DOTS) strategy has increased rapidly internationally - including in Indonesia. In view of the rapid global scaling-up of hospital engagement, we aimed to estimate the proportion of outpatient adult Tuberculosis patients who received standardized diagnosis and treatment at outpatients units of hospitals involved in the PPM-DOTS strategy. Methods: A cross-sectional study using morbidity reports for outpatients, laboratory registers and Tuberculosis patient registers from 1 January 2005 to 31 December 2005. By quota sampling, 62 hospitals were selected. Post-stratification analysis was conducted to estimate the proportion of Tuberculosis cases receiving standardized management according to the DOTS strategy. Result: Nineteen to 53% of Tuberculosis cases and 4-18% of sputum smear positive Tuberculosis cases in hospitals that participated in the PPM-DOTS strategy were not treated with standardized diagnosis and treatment as in DOTS. Conclusion: This study found that a substantial proportion of TB patients cared for at PPM-DOTS hospitals are not managed under the DOTS strategy. This represents a missed opportunity for standardized diagnoses and treatment. A combination of strong individual commitment of health professionals, organizational supports, leadership, and relevant policy in hospital and National Tuberculosis Programme may be required to strengthen DOTS implementation in hospitals

Why don't some women attend antenatal and postnatal care services?: a qualitative study of community members' perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia

<p>Abstract</p> <p>Background</p> <p>Antenatal, delivery and postnatal care services are amongst the recommended interventions aimed at preventing maternal and newborn deaths worldwide. West Java is one of the provinces of Java Island in Indonesia with a high proportion of home deliveries, a low attendance of four antenatal services and a low postnatal care uptake. This paper aims to explore community members' perspectives on antenatal and postnatal care services, including reasons for using or not using these services, the services received during antenatal and postnatal care, and cultural practices during antenatal and postnatal periods in Garut, Sukabumi and Ciamis districts of West Java province.</p> <p>Methods</p> <p>A qualitative study was conducted from March to July 2009 in six villages in three districts of West Java province. Twenty focus group discussions (FGDs) and 165 in-depth interviews were carried out involving a total of 295 respondents. The guidelines for FGDs and in-depth interviews included the topics of community experiences with antenatal and postnatal care services, reasons for not attending the services, and cultural practices during antenatal and postnatal periods.</p> <p>Results</p> <p>Our study found that the main reason women attended antenatal and postnatal care services was to ensure the safe health of both mother and infant. Financial difficulty emerged as the major issue among women who did not fulfil the minimum requirements of four antenatal care services or two postnatal care services within the first month after delivery. This was related to the cost of health services, transportation costs, or both. In remote areas, the limited availability of health services was also a problem, especially if the village midwife frequently travelled out of the village. The distances from health facilities, in addition to poor road conditions were major concerns, particularly for those living in remote areas. Lack of community awareness about the importance of these services was also found, as some community members perceived health services to be necessary only if obstetric complications occurred. The services of traditional birth attendants for antenatal, delivery, and postnatal care were widely used, and their roles in maternal and child care were considered vital by some community members.</p> <p>Conclusions</p> <p>It is important that public health strategies take into account the availability, affordability and accessibility of health services. Poverty alleviation strategies will help financially deprived communities to use antenatal and postnatal health services. This study also demonstrated the importance of health promotion programs for increasing community awareness about the necessity of antenatal and postnatal services.</p

High participation in the Posyandu nutrition program improved children nutritional status

The objective of this research was to analyze nutritional status and food consumption of children participating in the Posyandu nutrition program. A total sample of 300 children under five years had been drawn. Sample was divided into two categories namely high participation and low participation in the Posyandu nutrition program. The sample was selected from two sub districts of Cianjur District, West Java. The districts were areas with a high proportion of poor people and many of them take the benefits of Posyandu nutrition program conducted by the government. The participation of children (under five years old) in visiting Posyandus was relatively good, namely, 92.4% (for the high participation group). However, for the low participation group, the number of participating children was relatively low (28.3%). The average consumption of energy for children under five years old was still below the recommended dietary allowance < 80% of RDA, whereas the protein consumption was already above the RDA. The prevalence of underweight, stunting, and wasting among children were respectively 30.0%, 43.7%, and 12.3%. The activities at Posyandus had a positive impact on the nutritional status of children under five years olds, measured in terms of weight for age (W/A) and weight for height (W/H). The more frequent the visit to Posyandus, the better the nutritional statuses would be

A laboratory study on cold-mix, cold-lay emulsion mixtures

This paper describes laboratory experiments and presents results for the performances of cold-mix, cold-lay emulsion mixtures. The main objective of the experiments was to evaluate and improve the properties of the cold mixtures. The mixture properties evaluated were: volumetric properties, indirect tensile stiffness modulus (ITSM), repeated load axial creep and fatigue. These properties were compared with conventional hot asphalt mixtures not containing any waste/recycled materials. To optimise the performances of the mixtures, a target of ITSM value of 2000 MPa was selected. At full curing conditions, the stiffness of the cold mixes was found to be very similar to that of hot mixtures of the same penetration grade base bitumen (100 pen). Test results also show that the addition of 1–2% cement significantly improved the mechanical performance of the mixes and significantly accelerated their strength gain. The fatigue behaviour of the cold mixes that incorporated cement was comparable with that of the hot mixtures

Analysis of Water Well Quality Drilling Around Waste Disposal Site in Makassar City Indonesia

Abstract. Clean water is one of human need which is very important in carrying out its life. Therefore, this article analyzes the quality of the well water dug around the landfill. The method used is a well water well sample taken from 4 wells around a landfill taken by a purposive sampling at a different distance. The parameters measured are physical, chemical, and biological properties. The results of the analysis were then compared with the standard of drinking water quality criteria allowed under The Regulation of Health Minister of Indonesia No. 416 year 1990 on the Terms and Supervision of Water Quality of the Minister of Health of the Republic of Indonesia. The result of the research shows that there are two wells whose water quality does not meet the physical requirement i.e Location of Points II and III, based on the construction of wells also does not meet the requirements of the wells in general. While at the well Locations Point I and IV the quality of water physically, chemically and biologically as well as well construction qualify. From the result of this research, the researcher give suggestion of the need to improve the physical condition of dug wells, it is necessary to do the extension to the well water user community for drinking water about the physical condition of the dug well, the need to monitor and supervise the quality of drinking water, and should involve the community to independently meet the needs absolute i.e clean water to drink