Desriani, Ririn
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Analysis of Health Belief Model in Adolescent Groups of Drug Users Wahyuningtyas, Ramadhani; Amanda, Qurry; Desriani, Ririn; Firman, Firman; Alard, Van Houten; Fadly, Ahmad
Disease Prevention and Public Health Journal Vol. 18 No. 1 (2024): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v18i1.9282

Abstract

Background: The use of drugs (narcotics, psychotropics, and addictive substances) among adolescents in urban areas is increasing and is a concern for the benefit of public health, especially in an effort to maintain a healthy generation. This study aims to identify the health belief model in adolescent groups of drug users. Methods: This qualitative study employed a phenomenological design. The research focused on an unassisted drug user in Yogyakarta, who was not under the care of the National Narcotics Agency (NNA). Data was gathered through a Focus Group Discussion (FGD) involving six informants. Triangulation of information sources included the NNA and Drug Non-Governmental Organizations (NGOs). Data analysis was conducted using content analysis. Result: This study reveals that adolescents who use drugs tend to rely on self-treatment when seeking health services. They base their approach on assessing the symptoms and manageable effects of opium drugs, either individually or in groups. Their initial step involves consuming specific foods or beverages believed to counteract the drug's effects. This practice is influenced by advice from peers and information obtained from the Internet. Additionally, their reluctance to utilize healthcare facilities is reinforced by a fear of legal consequences. Conclusion: The health belief model in adolescent drug user groups in Yogyakarta is self-treatment. Thus, collaborative socialization and education efforts are needed between stakeholders (NNA, NGOs, Healthcare Facilities, and Schools). They should focus on enhancing awareness about the available health service programs for drug users, their types, and how to access them.
Optimalization of VAI Screening Policy: Implementation of Permenkes No. 29/2017 in Improving Early Detection of Cervical Cancer in Indonesia Desriani, Ririn; Febryanti, Indira Puspa; Puspitasari, Sepsiana
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Background: Cervical cancer remain a global health problem that causes death in 9 out of 10 women with cervical cancer in developing countries, also the second most common disease among women in Indonesia. Purpose: To provide recommendations for policy implementation programs to increase coverage of Visual Inspection of uternie cervix with Acetid acid (VIA) screening. Methods: A narrative analysis research using inductive document collection, presented in themes. Results: Rencana Aksi Nasional (RAN) Eliminasi Kanker Leher Rahim 2023-2030 specifies HPV DNA as the primary screening method for cervical cancer. This method is considered more expensive, not covered by social health insurance administration body (BPJS), and there are limited health officer who can deliver the screening. Crossline with Permenkes No. 29 Tahun 2017 article 1 paragraph 2, which stipulates the VIA method as the main one. However, there is a disparity in the national target and achievement of national VIA screening (70% target, 9.3% coverage) by 2022. This raises the urgency of developing a special program to increase cervical cancer screening through the VIA method. Conclusions: There is a necessary to adjust policy implementation through special programs to increase the coverage of screening by VIA method in Indonesia.