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.
POTENSI DAN KENDALA PROGRAM PERCEPATAN PENURUNAN STUNTING DI PROVINSI BALI Nursanyoto, Hertog; Adhi, Kadek Tresna; Kusumajaya, Anak Agung Ngurah; Mubasyiroh, Rofingatul; Sudikno, Sudikno; Nainggolan, Olwin; Sutiari, Ni Ketut; Suarjana, I Made; Januraga, Pande Putu
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 46 No. 1 (2023): PGM VOL 46 NO 1 TAHUN 2023
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v46i1.756

Abstract

Bali has the potential for good health resources. That is why Bali has been identified as the province with the lowest prevalence of stunting. However, this success should not make stakeholders think this problem is resolved. Bali still has problems which, if not addressed, will trigger a further increase in the prevalence of stunting. Considering this, it is deemed necessary to explore the perspectives of nutrition fieldworkers  and other stakeholders regarding the problem of stunting in Bali. This research aims to explore the potential and constraints to accelerating stunting reduction in Bali. This is qualitative research conducted between June and July 2022. Data was collected through in-depth interviews and focus group discussions. This study found that access to affordable health services is the main potential to support the acceleration of stunting reduction. Apart from that, there is a Balinese Traditional Village Council which always synergizes with government programs for the welfare of the community. The low quality of cadres is an obstacle to the success of the program. Many parents hesitate to take their children to posyandu because they are not satisfied with the cadre's services. Apart from that, there are other inhibiting factors, such as society's wrong understanding of stunting, teenage marriage, lack of environmental hygiene and sanitation, and inappropriate parenting patterns. This condition needs attention so that the acceleration of stunting reduction in Bali can be achieved as optimally as possible.
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 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 Kusumajaya, Anak Agung Ngurah 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 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 Rofingatul Mubasyiroh Rosita, Ni Putu Indah sang gede purnama Sari Andajani Sari Andajani, Sari Sawitri, Anak Agung Sagung Suandana, Iwan Abdi Sudemi, Luh Sudikno Sudikno Sudikno Suwandewi, Ni Made Aryati Wirasamadi, Ni Luh Partiwi Wulandari, LPL