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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

Social Learning Theory on Factors Associated with Dental Caries among Mentally Disabled School Children in Surakarta, Central Java Anggia Rahmah Nursani; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health

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Background: Mentally disabled adolescents have limitations that make them are at greater risk of dental caries. There is a lack of studies on the factors associated with dental caries in adolescents using Social Learning Theory. This study aimed to determine factors associated with dental caries among mentally disabled adolescents using Social Learning Theory.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at several special schools for disabled children (SLB) Surakarta, including: SLB C Setya Darma, SLB C YPSLB, SLB CG YPPCG Bina Sejahtera, and SLB C1 YSSD, in Surakarta, Central Java, from June to July 2017. A sample of 150 mentally disabled school children were selected for this study by purposive sampling. The dependent variable was caries dental status. The independent variables were parenting time, maternal oral health knowledge, maternal attitude towards oral health, maternal oral hygiene practice, child oral hygiene practice, maternal sweet food intake, child sweet food intake. Dental caries status was measured by decay, missing, filled-teeth (DMF-T) index. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Dental caries was directly and positively associated with sweet food intake (ƅ= 0.27, SE= 0.09, p= 0.002), poor child oral hygiene practice (ƅ= 0.09, SE= 0.04, p= 0.018), and poor maternal oral health knowledge (b= 0.36, SE= 0.10, p<0.001). Maternal oral hygiene practice was associated with maternal attitude towards oral health (ƅ= 0.33, SE= 0.13, p= 0.012) and maternal oral health (ƅ= 0.18, p<0.001). Child oral hygiene practice was associated with maternal oral hygiene practice (ƅ= 0.33, SE= 0.06, p= 0.012), maternal oral health knowledge (ƅ= 0.91, SE= 0.18, p<0.001), and parenting time (ƅ= 1.39, SE= 0.18, p<0.001).Conclusion: Dental caries is associated with sweet food intake, poor child oral hygiene practice, and poor maternal oral health knowledge. Maternal knowledge, attitude, and practice in oral hygiene have an important role on dental caries in mentally disabled adolescents.Keywords: dental caries, adolescents, maternal oral health practice, social learning theoryCorrespondence: Anggia Rahmah Nursani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: anggiarahmahn23@gmail.com. Mobile: +6287738923404.Journal of Epidemiology and Public Health (2017), 2(3): 201-215https://doi.org/10.26911/jepublichealth.2017.02.03.02

Path Analysis on the Factors Affecting People’s Behavior in HIV/AIDS Countermeasure on People Living with HIV/AIDS (PLWHA) in Solo Plus Peer Support Group, Surakarta Kingkin Adita; Argyo Demartoto; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: HIV or Human Immunodeficiency Virus is a virus that infects white blood cells so the person’s immunity declining thus causing it to become AIDS. HIV/AIDS countermeasure is far more effectively done by people living with HIV/AIDS (PLWHA) accompanied by good attitude and peer support, family, and health workers, Regional AIDS Countermeasure Commission, perceived behavioral control, and positive intention. The study aimed to analyze factors affecting the attitude in HIV/AIDS countermeasure on PLWHA in Solo Plus Peer Support Group (PSG) Surakarta with theory of planned behavior application. Subjects and Methods: The study design was analytic observational with cross sectional study approach. The location of the study was Solo Plus Peer Support Group Surakarta. Time of study was from January-February 2017. There was a total of 100 PLWHA as the sample, and the study employed purposive sampling technique. The dependent variable was the attitude towards HIV/AIDS countermeasure. The independent variables were the attitude, peer, family, health workers, Regional AIDS Countermeasure Commission support, perceived behavioral control and their intention. The variables were measured with questionnaires. Data analysis technique used was path analysis.Results: HIV/AIDS countermeasure attitude affected by intention(b=0.27; SE=0.10; p=0.012), peer support (b=0.26; SE=0.14, p= 0.066), AIDS Countermeasure Commission support (b=0.10; SE=0.10; p= 0.321), health workers support (b= 0.25, SE= 0.14, p= 0.073) and perceived behavioral control (b=0.23; SE=0.13; p=0.065). Intention affected by attitude (b=0.28; SE=0.15; p=0.059), peer support (b=0.29; SE= 0.13; p= 0.026), family support (b=0.16; SE=0.09, p= 0.090) and perceived behavioral control (b=0.21; SE= 0.11; p= 0.090).Conclusion: HIV/ AIDS countermeasure behavior was very much affected by the intention, peer support, AIDS Countermeasure Commission support, health worker support, and perceived behavioral control. Their intention was affected by attitude, peer support, family support, and perceived behavioral control.Keywords: HIV, PLWHA, TPB, countermeasure.Correspondence: Kingkin Adita. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: kingkin_adita@gmail.com. Mobile: 085726389133.Journal of Health Promotion and Behavior (2017), 2(1): 41-54https://doi.org/10.26911/thejhpb.2017.02.01.04

The Influence of Personal Factor, Parental Support and Perceived Value of Children on Early Marriage in Trowulan Subdistrict Mojokerto Regency Rina Widiyawati; RB. Soemanto; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: According to United Nations Development Economic and Social Affairs, Indonesia is 37th country in the world and 2nd in Southeast Asia after Cambodia with high percentage of early marriage. World Health Organization expects Indonesian government to be more committed to decrease maternal and infant mortality rates as the impacts of early marriage. This study aimed to discover the influence of personal factor, parental support and perceived value of children on early marriage in Trowulan Subdistrict Mojokerto Regency.Subjects and Methods: This was an analytic observational study with case control design. Subjects were women of reproductive age as case (married at the age of ≤20) and control (married at the age of 21-25), each consisted of 60 women. The dependent variable was early marriage and the independent variables were levels of education, premarital sexual behavior, perceived behavioral control, perceived benefits, parental support and perceived value of children. The data were analyzed by path analysis.Results: Perceived behavioral control (b= -1.27; CI 95%= -2.20 to -0.33; p= 0.008), perceived benefits (b= -1.06; CI 95%= -1.97 to -0.16); p= 0.020), parental support (b= -1.28; CI 95%= -2.16 to -0.39); p= 0.005) and perceived value of children (b=- 2.94; CI 95%= -5.20 to -0.68; p= 0.011) had direct influence on early marriage and were statistically significant. The levels of education had indirect influence on early marriage based on the figures of perceived behavioral control (b= 0.92; CI 95%= 0.17 to 1.68; p= 0.016) and perceived benefits (b= 1.31; CI 95%= -0.53 to 2.17; p= 0.001). Sexual behavior was influenced by perceived behavioral control (b= 1.35; CI 95%= 0.52 to 2.17; p= 0.001).Conclusions: Early marriage is influenced by perceived behavioral control, perceived benefits, parental support and perceived value of children. Levels of education influence early marriage based on perceived behavioral control and perceived benefits. Premarital sexual behavior is influenced by perceived behavioral control.Keywords: Personal factor, parental support, perceived value of children, early marriage.Correspondence: Rina Widiyawati. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: gugik.rina@gmail.com. Mobile: +6282330233064.Journal of Health Promotion and Behavior (2017), 2(1): 65-76https://doi.org/10.26911/thejhpb.2017.02.01.06

Biopsychosocial Determinants of Pregnant Women’s Behaviour in Conducting Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) Tests in Madiun Wida Rahma Arwiyantasari; Supriyadi Hari Respati; Eti Poncorini Pamungkasari
Journal of Health Promotion and Behavior Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Human Immunodeficiency Virus (HIV) is top ranked infectious disease which causes death with high mortality and morbidity rates, and requires diagnosis and long-term therapy (WHO, 2013). In October 2016, Health Office of Madiun City stated that in 2015, there were 2,772 pregnant women, among those only 1,120 conducted HIV-AIDS tests and 4 of them declared HIV positive. These numbers indicated that the participations of pregnant women in conducting HIV-AIDS tests are not optimal. This study aimed to discover biopsychosocial determinants in conducting HIV-AIDS tests on pregnant women in Madiun.Subject and Methods: This was an analytic observational study with case control design. A total of 108 samples of pregnant women in Madiun which consisted of 54 pregnant women who conducted HIV/AIDS tests as cases, and 54 pregnant women who did not conduct HIV/ AIDS tests as controls were collected by using fixed disease sampling The device to gather the data was a set of questionnaire. Data analysis used Chi Square and path analysis.Results: There were positive influence of family support (b=1.57; 95% CI= 0.52 to 2.63; p=0.004), information exposure (b=1.14; 95% CI= 0.33 to 1.95; p=0.006), perceived seriousness (b=1.21; 95% CI= 0.14 to 2.28; p=0.027), perceived vulnerability b=1.12; 95% CI= 0.12 to 2.13; p=0.028), perceived benefit (b=1.28; 95% CI= 0.23 to 2.31; p=0.017) on pregnant women’s behaviour in conducting HIV/ AIDS tests, and statistically significant. There were negative influence of family income (b=-0.73; 95% CI= -1.51 to 0.05; p=0.067), perceived obstacles (b=-0.92; 95% CI= -1.99 to 0.15; p=0.093) and statistically significant.Conclusion: Family support, information exposure, family income, perceived seriousness, perceived vulnerability, perceived obstacles, and perceived benefit influence pregnant women in conducting HIV/ AIDS tests.Keywords: determinants, bipsychosocial, HIV/ AIDS testCorrespondence: Wida Rahma Arwiyantasari. Muhammadiyah Midwifery Academy Madiun. Email: widarahmaarwiyantasari@ymail.com. Mobile: 085736709597.Journal of Health Promotion and Behavior (2017), 2(2): 112-123https://doi.org/10.26911/thejhpb.2017.02.02.02

Path Analysis: Effects of Psychological and Socio-Economic Exposures During Gestational Period on the Risk of Under Nutrition in Children Under Five Yespy Anna Wahyu Nurindahsari; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: In Indonesia the prevalence of under nutrition in children under five in 2013 was estimated to be 12.2%. It is estimated that there are still 4.5 million children underfive with under or poor nutrition have not been detected. Poor nutrition in children under five may have serious impact on their health outcome and

Analysis of Life-Course Factors Influencing Growth and Development in Children under 3 Years Old of Early Marriage Women in Kediri Umianita Risca Wulandari; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Children is the future pillar of our nation. As such, children need is important to be fulfilled. Physical, mental, and emotional conditions of mothers during gestation period play an important role in growth and development of children. This study aimed to determine life-course factors influencing growth and development in children under 3 years old of early marriage women.Subjects dan Method: This was an analytic observational study with retrospective cohort design. This study was conducted at Sukorame and Campurejo Health Center, Kediri, East Java, on March, 2017. A sample of 120 children under 3 years old were selected for this study by fixed exposure sampling. The dependent variable was child growth (weight for age) and development. The independent variables were marital age, maternal mid upper arm circumference (MUAC) during pregnancy, gestational age of birth delivery, family stimulation, maternal education, and family income. The data of child weight were measured by scales and recorded in maternal and child health book. The data of other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Child growth (weight for age) was affected by birthweight (b= 0.07; SE= 0.02; p< 0.001) and family income (b= 0.04; SE= 0.02; p= 0.07). Birthweight was affected by maternal education (b= 2.11; SE= 1.83; p= 0.248), gestational age of birth (b= 0.67; SE= 0.22; p= 0.002), maternal MUAC (b= 1.46; SE= 0.24; p= 0.002), and family income (b= 0.22; SE= 0.09, p= 0.012). Family income was affected by marital age (b= 0.68; SE= 0.073; p<0.001). Maternal MUAC during pregnancy was affected by marital age (b= 0.12, SE= 0.03, p<0.001). Maternal education was affected by marital age (b=0.01; SE=0.001; p= 0.002). Family stimulation was affected by family income (b= 0.75, SE= 0.26, p= 0.003). Child development was affected by marital age (b= 0.07, SE= 0.02, p= 0.001), family stimulation (b= 0.02; SE= 0.01; p<0.001), and birthweight (b<0.001; SE<0.001; p= 0.373).Conclusion: Child growth of under 3 years old (weight for age) is directly affected by birthweight and family income, and indirectly affected by some other factors. Child development is directly affected by marital age, family stimulation, and birthweight, and indirectly affected by some other factors.Keywords: life-course, growth, development, children under 3 years oldCorrespondence:

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