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Arv Adherence as the Main Predictor of Viral Load Levels: A Case Study at Pasar Minggu Health Center Yunita Sri Ulina Sitepu; Dewi Purnamawati; Nurfadhilah Nurfadhilah
Advances In Social Humanities Research Vol. 4 No. 2 (2026): Advances In Social Humanities Research
Publisher : Sahabat Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/adv.v4i2.539

Abstract

This study aims to analyze the effectiveness of adherence to antiretroviral (ARV) therapy on viral load levels among People Living with HIV (PLHIV) in the working area of the Pasar Minggu Health Center. The study employed a cross-sectional design with a total sample of 80 PLHIV. Data were obtained from medical records and a validated adherence questionnaire. Analysis was performed using Chi-square tests and multivariate logistic regression. The results showed that ARV adherence had a significant effect on viral load levels (p = 0.001; Exp(B) = 0.045), where non-adherent individuals had a 22-times higher risk of having a detectable viral load. The duration of HIV diagnosis was also significant (p = 0.006; Exp(B) = 0.086), while comorbidities were not statistically significant (p = 0.078) but clinically relevant (Exp(B) = 8.696). Both variables acted as confounders in the relationship between adherence and viral load. The study concludes that ARV adherence plays a crucial role in reducing viral load. Comorbidities and the duration of HIV diagnosis influence adherence and should be considered in therapeutic interventions. Education-based, counseling, and family-support interventions need to be strengthened to improve long-term adherence.
UPAYA PENINGKATAN PENGETAHUAN MASYARAKAT MENGENAI PROGRAM KELUARGA BERENCANA (KB) MELALUI KEGIATAN PENYULUHAN DI POSYANDU CENDRAWASIH RW 013, KELURAHAN JOMBANG, KOTA TANGERANG SELATAN Adifa Nur Ma’rifah; Faiza Hukma Shabiyya; Liana Nur Azkya; Muhammad Faisal Adani; Reza Novita; Roro Tyanandha; Nabilla Putri; Shafwan Hakim; Nurfadhilah Nurfadhilah
AS-SYIFA : Jurnal Pengabdian dan Pemberdayaan Kesehatan Masyarakat Vol. 6 No. 1 (2025): AS-SYIFA: JURNAL PENGABDIAN DAN PEMBERDAYAAN KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Program Keluarga Berencana (KB) bertujuan mengatur kehamilan, jarak kelahiran, dan usia ideal melalui perlindungan hak reproduksi guna menciptakan keluarga berkualitas. Setelah pandemi, program KB menghadapi tantangan dengan lonjakan angka kelahiran hingga 1,25%. Kegiatan ini bertujuan meningkatkan pengetahuan masyarakat tentang KB melalui penyuluhan. Penelitian menggunakan desain One Group Pretest-Posttest dengan pendekatan kuantitatif. Hasil uji statistik menunjukkan nilai 0,000 yang menandakan terdapat perbedaan signifikan antara pengetahuan sebelum dan sesudah penyuluhan. Setelah penyuluhan, jumlah peserta dengan pengetahuan kategori baik meningkat menjadi 23 orang (100%). Hasil ini menunjukkan bahwa penyuluhan efektif dalam meningkatkan pemahaman masyarakat terkait KB. Kata Kunci : Keluarga Berencana, Kontrasepsi, Pengetahuan. --- Family Planning (FP) aims to regulate pregnancy, birth spacing, and ideal age through reproductive rights protection to build quality families. Post-pandemic, FP faced challenges with a birth rate surge of 1.25%. This activity aimed to improve community knowledge through counseling. This study used a quantitative method with a One Group Pretest-Posttest design. Statistical tests showed a value of 0.000, indicating a significant difference in knowledge before and after counseling. Afterward, participants with good knowledge increased to 23 people (100%). This shows that the counseling was effective in enhancing community understanding of FP. Keywords: Family planning, contraception, knowledge.