Faktor yang Memengaruhi Partisipasi Ibu Hamil Melakukan Skrining HIV di Puskesmas YOGYAKARTA

Factors affecting pregnant women's participation in HIV screening test in public health care centers of YogyakartaPurposeThis study aimed to explore the behavioral factors that influence pregnant women's participation in HIV testing in public health centers of Yogyakarta. MethodsThis research used quantitative and qualitative methods with a quantitative analytical descriptive design and cross-sectional observational approach to determine any association between independent variables and the dependent variable. Qualitative in-depth interviews were conducted to support the results of the quantitative research. ResultsResults showed 92.94% of respondents had been HIV tested with an average age of 25-34 years. Almost all pregnant women had an HIV test in a clinic although not all mothers have the knowledge, perceived susceptibility, perceived severity, and perceived benefits. While the exposure information, and support of health workers were high, and there was a perception of low resistance, since the HIV test is a test done by health workers and an initiative of the government program. ConclusionThis study recommends that counseling and information on HIV and HIV testing from health workers and support from related agencies are needed. Subsequent research could examine factors that affect healthcare workers' performance in providing education to health-care users

Determinan Kejadian Multi-drug Resistant Tuberculosis di Rumah Sakit Dr. Sardjito YOGYAKARTA

Determinant of multi-drug resistant tuberculosis events at Dr. Sardjito Hospital Yogyakarta PurposeThe purpose of this study was to identify the determinants of multidrug resistant events in patients with tuberculosis in Dr. Sardjito Hospital in Yogyakarta.MethodsA cross-sectional study was conducted involving 122 patients with suspected MDR TB consisting of 61 cases of MDR TB and 61 non MDR TB cases. The data collected were secondary data from MDR TB.06 registers, medical records, MDR TB.03 registers, and MDR TB patients' baseline data forms at Dr. Sardjito Hospital Yogyakarta from January 2012 until September 2016. Data were analyzed to determine the correlation between independent variables and dependent variable using Chi-Square tests, and to know the most dominant risk factors using multiple logistic regression tests.Results MDR TB patients' characteristics showed there were more males (63.93%), age >45 years (52.46%), previously TB treatment (96.72%), never smoking (75.41%), no contacts with MDR TB patients (86.89%), and never examined for HIV-AIDS (59.02%). The analysis showed there was no significant association between age, sex, previous TB treatment, smoking, contact with MDR TB patients, and HIV-AIDS status with MDR TB incidence in Dr. Sardjito Hospital Yogyakarta (p value >0.05).Conclusion The variables of age, sex, previous TB treatment, smoking, contacts with MDR TB patients, and HIV-AIDS status were not risk factors for MDR TB incidence in Dr. Sardjito Hospital in Yogyakarta

Journeys to tuberculosis treatment: a qualitative study of patients, families and communities in Jogjakarta, Indonesia

<p>Abstract</p> <p>Background</p> <p>Many tuberculosis (TB) patients in Indonesia are diagnosed late. We seek to document patient journeys toward TB diagnosis and treatment and factors that influence health care seeking behavior.</p> <p>Methods</p> <p>TB patients in Jogjakarta municipality (urban) and Kulon Progo district (rural) were recruited from health care facilities participating in the DOTS strategy and health care facilities not participating in the DOTS strategy, using purposive sampling methods. Data were collected through in-depth interviews with TB patients and members of their family and through Focus Group Discussions (FGD) with community members.</p> <p>Results</p> <p>In total, 67 TB patients and 22 family members were interviewed and 6 FGDs were performed. According to their care seeking behavior patients were categorized into National TB program's (NTP) dream cases (18%), 'slow-but-sure patients' (34%), 'shopaholics' (45%), and the NTP's nightmare case (3%). Care seeking behavior patterns did not seem to be influenced by gender, place of residence and educational level. Factors that influenced care seeking behavior include income and advice from household members or friends. Family members based their recommendation on previous experience and affordability. FGD results suggest that the majority of people in the urban area preferred the hospital or chest clinic for diagnosis and treatment of TB whereas in the rural area private practitioners were preferred. Knowledge about TB treatment being free of charge was better in the urban area. Many community members from the rural area doubted whether TB treatment would be available free of charge.</p> <p>Conclusion</p> <p>Most TB patients took over a month to reach a DOTS facility after symptoms appeared and had consulted a number of providers. Their income and advice from household members and friends were factors that influenced their care seeking behavior most.</p

Behavior Change After HIV/AIDS Diagnosis of Female Sexuality in the YOGYAKARTA City

Background: Anxiety, panic, inability to accept the conditions and low knowledge about good sexual behaviour can worsen HIV status. Purpose: assess changes in sexual behavior before, the time of diagnosis, and current and causes. Methode: Qualitative research phenomenological, semi-structured interviews with in dept interviews in 6 Participants women of reproductive age, diagnosed with HIV between 1-2 years before study, has been or ever married. Analysis using Collaizy. Result: before diagnosis frequency: rarely and still routine, sexual behavior: oral, anal and masturbated to couples, sexual desire did not a decline. Causal factor that changes sexual behavior is a condition of pain, impaired self-image, increasing socio-economic burden, and change partners. Dicussion: Hankins (1997) the majority of women after hear of HIV positive status will experience a significant disruption to the desire, arousal and orgasm function, is due to physiological and psychological factors. Recurrent pain during sexual intercourse can lead to avoidance. Psychosocial factors (stress, financial crisis, depression, anxiety) inhibit the production of liquid lubrication. Working full- time cause fatigue and decrease sexual desire for women with HIV