Kadek Tresna Adhi
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana

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Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia Lubis, Dinar Saurmauli; Wulandari, LPL; Suariyani, Ni Luh Putu; Tresna Adhi, Kadek; Andajani, Sari
Kesmas Vol. 14, No. 1
Publisher : UI Scholars Hub

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Abstract

In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission.
Co-Authors Adriani, Meriyana Alex Pangkahila Anak Agung Ngurah Kusumajaya Andani, Ni Komang Irna Ayu ariesthi, kadek dwi Artha, Luh Putu Wulandari Asmin, Maria Lusi Putri Bambang Wirjatmadi Bambang Wirjatmadi D. S. Lubis Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Manik Ulan Dewianti Dewianti Dewianti, Dewianti Dinar Lubis Dyah Pradnyaparmita Duarsa Gde Ngurah Idraguna Pinatih Handayani, Ni Made Astini HARA, MARIA KARERI Hertog Nursanyoto Hildagardis Meliyani I Gusti Lanang Sidiartha I Gusti Ngurah Edi Putra I Made Ady Wirawan I Made Suarjana I Made Suka Adnyana I Nengah Sujaya I Wayan Weta I.M.S. Adnyana Ida Ayu Kade Chandra Dewi Imtihanatun Najahah Imtihanatun Najahah, Imtihanatun J. A. Pangkahila Kadek Dwi Ariesthi LPL Wulandari Luga Rizqi Cristenzein Luh Putu Lila Wulandari Luh Putu Sinthya Ulandari Luh Sudemi Luky Adrianto Manik Ulan Dewi Maria Kareri Hara Meriyana Adriani N. K Eka Wati Ni Kadek Lilis Erismawati Ni Ketut Sutiari Ni Luh Gede Karyamitha Ni Luh Partiwi Wirasamadi Ni Luh Putu Suariyani Ni Made Astini Handayani Ni Made Utami Dwipayanti Ni Putu Ayu Wulan Noviyanti Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Ni Wayan Budi Astiti Noviyanti, Ni Putu Ayu Wulan Olwin Nainggolan P. Suariani Pande Putu Januraga Pande Putu Januraga Pinatih, Gede Ngurah Indraguna Putra, I Gusti Ngurah Edi Putra, I Gusti Ngurah Edi Putu Ayu swandewi astuti putu Widarini R. A.T. Kuswardhani Rofingatul Mubasyiroh Rosita, Ni Putu Indah sang gede purnama Sari Andajani Sari Andajani, Sari Sawitri, Anak Agung Sagung Suandana, Iwan Abdi Sudemi, Luh Sudikno Suwandewi, Ni Made Aryati Wirasamadi, Ni Luh Partiwi Wulandari, LPL