Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
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This Author published in this journals
All Journal Journal of Public Health Indonesian
Nona Try Agista
Universitas Senior Medan
Health Professions Medicine & Pharmacology

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Psychosocial Challenges and HIV Prevention Barriers among High-Risk Youth in Deli Serdang, Indonesia Nurhamida Fithri; Pratiwi Lumbantobing; Nona Try Agista; Wanri Lumbanraja
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/6tn2vw31

Abstract

Human Immunodeficiency Virus (HIV) remains a significant public health problem among high-risk youth in Indonesia. Psychosocial problems, stigma, discrimination, emotional isolation, and limited access to healthcare services continue to hinder HIV prevention efforts among vulnerable populations. This study aimed to explore psychosocial challenges and barriers to HIV prevention among high-risk youth in Deli Serdang, Indonesia. A qualitative study was conducted using in-depth interviews and focus group discussions involving people living with HIV/AIDS, key populations, healthcare workers, community leaders, and related stakeholders. Participants were selected using purposive sampling. Data were analyzed using thematic analysis to identify major psychosocial and social barriers associated with HIV prevention. The findings revealed several important challenges, including stigma and discrimination, fear of HIV status disclosure, limited family and social support, risky sexual behaviors, low self-confidence, psychological distress, and barriers to healthcare access. Social stigma and insufficient community education were also found to contribute to delayed HIV testing and treatment seeking. The study concludes that psychosocial burden and social barriers remain major obstacles to HIV prevention among high-risk youth in Deli Serdang. Strengthening psychosocial support, community education, stigma reduction programs, and accessible HIV services are essential to improve HIV prevention efforts among vulnerable populations.
Digital Transformation in Primary Healthcare Services: An Analysis of Telemedicine Effectiveness on Access and Quality of Public Health Services Yuni Vivi Santri P; Susi Amenta Beru Perangin-angin; Nona Try Agista
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/fecj4291

Abstract

Digital transformation has fundamentally reshaped the delivery of primary healthcare services globally, with telemedicine emerging as a pivotal mechanism for expanding access and improving service quality. The COVID-19 pandemic served as a critical inflection point, accelerating telemedicine adoption across diverse healthcare systems. Objective: This study aims to analyze the effectiveness of telemedicine in enhancing access to and quality of primary healthcare services through a systematic review of existing literature. Methods: A comprehensive literature review was conducted using peer-reviewed articles published between 2021 and 2025. A total of 40 studies were identified and analyzed across dimensions of healthcare access, service quality, patient satisfaction, clinical outcomes, and implementation barriers. Results: Telemedicine significantly improved geographic access to care, particularly in rural and underserved communities. Clinical quality indicators were largely comparable to in-person care, with notable benefits in chronic disease management, follow-up care, and patient engagement. However, disparities persisted among elderly populations, low-income groups, and regions with limited digital infrastructure. Conclusion: Telemedicine represents an effective and scalable approach to primary healthcare transformation, though its equitable implementation requires targeted policy interventions addressing digital literacy, infrastructure, and regulatory frameworks
Co-Authors Nurhamida Fithri Pratiwi Lumbantobing Susi Amenta Beru Perangin-angin Wanri Lumbanraja Yuni Vivi Santri P