Argyo Demartoto
Faculty of Social and Political Sciences, Sebelas Maret University, Surakarta

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Analysis of Inputs in the Sexually Transmitted Infection Screening with Voluntary Counselling and Testing Program for Female Prisoners at Class II A Jail, in Malang Rosyidah Alfitri; Argyo Demartoto; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health

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Background: The increasing incidences of Sexually Transmitted Infection (STI) and Human Immonodeficiency Virus (HIV) infection are becoming serious public health concerns in Indonesia and other countries. These issues are of concern  that call for close attention not only for general public but also for male and female prisoners. As studies have shown the prevalences of HIV and syphilis were 1.1% and 5.1% in male prisoners, respectively, 6% and 8.5% in female prisoners. For those reasons,  at some  jails  Voluntary Counseling and Testing (VCT) have been provided  for HIV/AIDS control and prevention. The success of the screening program with VCT would depend on  the provision of supplies, equipment, infrastructure, health personnel, and fund. This study aimed to analyze the adequacy of various inputs in the STI screening program with VCT for prisoners at the Class II A female jail, in Malang, East Java.Subjects and Method: This was a qualitative study with evaluation approach. This study was conducted at the Class II A female jail, in Malang, East Java. The study applied CIPP (Context, Input, Process, Product) evaluation model. Key informants for this study included health personnels at the Class II A female jail clinics, in Malang, East Java, the STI mobile health care team from Arjuno Community Health Center Malang, and female prisoners, who were known as Warga Binaan Pemasyarakatan (WBP)Results: Average monthly visits at the VCT clinic were 21 female prisoners, which amounted to only a few of the total number of female prisoners. The health care team involved in the STI screening with VCT program, included skilled health personnel from the jail and the mobile STI team from Arjuno Community Health Center, Malang. The sources of fund for these programs came from the international as well as domestic funding agencies. The international funding came from the Global Fund. The domestic funding came from the Ministry of Law and Human Civil Rights, and the Municipality Health Office Malang, which provided reagents and medicine. Supplies, equipments, and infrastructure, were provided by Arjuno Community Health Center Malang and the Class II A female jail clinics, in Malang. The laboratory was provided by the health center. The reagents were sufficiently provided by the municipality health office, although there was a supply delay in February 2016.Conclusion: Inputs of the STI screening with VCT program at the Class II A female jail clinics, in Malang, East Java, which included supplies, equipment, infrastructure, health personnel, and funding, are sufficiently provided.    Keywords: analysis, input, screening, STI, VCTCorrespondence: Rosyidah Alfitri. Diploma III School of Midwifery, Dr. Soepraoen Hospital, Malang. Email: elfitri.mafaza@gmail.com.Journal of Epidemiology and Public Health (2016), 1(2): 118-124https://doi.org/10.26911/jepublichealth.2016.01.02.05 
Association Between Participation in HIV/ AIDS Peer Group, Stigma, Discrimination, and Quality of Life of People Living with HIV/ AIDS Mia Ashari Kurniasari; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health

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Background: The quality of life of people living with HIV/ AIDS (PLH) is of public health concern and calls for attention. The quality of life of PLH may be affected by stigma and discrimination. Peer group of PLHs may have an important role in improving the quality of life of PLHs. This study aimed to investigate the association between participation in HIV/ AIDS peer group, stigma, discrimination, and quality of life of PLHs.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Tulungagung, East Java, from November, 2016 to January, 2017. A total of 65 PLHs participating in HIV/ AIDS peer group and 35 PLHs not participating in HIV/ AIDS peer group were selected for this study by  fixed exposure sampling. The dependent variable was quality of life of PLHs. The independent variables were participation in HIV/ AIDS peer group, stigma, and discrimination. The data were collected by a set of questionnaire and analyzed by path analysis model.Results: Participation in HIV/ AIDS peer group (b=0.27; p=<0.001), social support (b=0.43; p=<0.001), and family support (b=0.18 p=0.021), had positive associations with a decrease in stigma and discrimination towards PLHs. Higher income (b=0.33; p=0.026), higher education level (b=0.21; p=<0.001), less stigma and discrimination (b=0.33; p=<0.001), had positive associations with quality of life of PLHs. Core self evalution  showed positive association with quality of life of PLHs (b=0.31; p=<0.001).Conclusion: Participation in HIV/ AIDS peer group, social support, and family support, are positively associated with a decrease in stigma and discrimination towards PLHs. Higher income, higher education, less stigma and discrimination, are positively associated with quality of life of PLHs. Core self evalution is positively associated with quality of life of PLHs.Keywords: HIV/ AIDS peer group, stigma, discrimination, social support, family support, quality of lifeCorrespondence: Mia Ashari Kurniasari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Deandagelis@gmail.com. Mobile: 0851216175293.Journal of Epidemiology and Public Health (2016), 1(2): 125-132https://doi.org/10.26911/jepublichealth.2016.01.02.06
Phenomenology Study: Community Non Acceptance of Children with HIV/AIDS in Surakarta Fetty Rosyadia Wachdin; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health

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Background: There were 13 cases of children with HIV/AIDS in Surakarta in 2016. They were infected from their mothers. These children got stigma and discrimination from the community due to their HIV positive status. This study aimed to describe stigma and discrimination from the community to the children with HIV/AIDS.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at Rumah Singgah Lentera (Halfway House Lentera), Surakarta. The key informants for this study included managers of Rumah Singgah Lentera, fulltime secretary, children with HIV, and community members living in the neighborhood. The data were collected by in-depth interview, and then grouped into coding units and described and analyzed.Results: The community surrounding Rumah Singgah Lentera, Surakarta, viewed children with HIV/AIDS as a disgrace. Various kinds of discrimination such as non-acceptance, alienation, restriction have been addressed by the community to the children with HIV/AIDS. The community has also stigmatized managers of Rumah Singgah Lentera, Surakarta, that they were also HIV infected and made profit of HIV/AIDS donation they received. This stigma occured because of lacking in HIV/AIDS knowledge, particulary its mode of transmission. Stigma and discrimination have caused psychological disorder among children with HIV/AIDS. They often feel sad, alienated, and cry, so that they often withdraw from their social environment. In term they feel dispair and decline to take ARV drugs.Conclusion: there is a need to enhance knowledge in HIV/AIDS, its mode of transmission, method of prevention, and its treatment for the community, in order to repress stigma and discrimination from the community.Keywords: HIV/AIDS, children, stigma, discrimination.Correspondence: Fetty Rosyadia Wachdin. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fettyrosyadia@gmail.comJournal of Epidemiology and Public Health, 1(3): 148-153https://doi.org/10.26911/jepublichealth.2016.01.03.01