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All Journal Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Jurnal Kesehatan Masyarakat Berkala Kedokteran JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Paedagoria : Jurnal Kajian, Penelitian dan Pengembangan Kependidikan Jurnal Kajian Ilmiah Kesehatan Dan Teknologi (JKIKT) An-Nadaa: Jurnal Kesehatan Masyarakat JOURNAL LA MEDIHEALTICO Journal of Noncommunicable Diseases (JOND) Science and Education Journal Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Indonesian Journal of Global Health Research
Musafaah Musafaah
Program Studi Kesehatan Masyarakat Fakultas Kedokteran Universitas Lambung Mangkurat Kalimantan Selatan
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Analysis of Risk Factors Associated with Maternal Mortality for the Period of 2022-2023 in City X Ariati, Haji; Noor, Meitria Syahadatina; Sanyoto, Didik Dwi; Al Audhah, Nelly; Musafaah, Musafaah
Journal La Medihealtico Vol. 5 No. 6 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i6.1830

Abstract

Maternal mortality rate as an indicator of The maternal mortality rate is an indicator of the nation's health status and a component of the development index and quality of life for a long time. MMR in South Kalimantan in 2023 was recorded as 145 deaths per 100,000 KH. X is the city that has the highest MMR in the last two years, namely 131 per 1000,000 KH in 2022 and 131 per 1000,000 KH in 2022 and 145 per 100,000 KH in 2023. To determine the relationship between age, parity, medical history, education level, income, family support and mortality, education, income, family support with maternal mortality in the period 2022-2023 in X City. This study used a case control design. The research subjects consisted of 87 respondents in the working area of the X City Health Office. X city. Data analysis chi square test and multiple logistic regression test. The results of the study The results showed that the most dominant variables associated with maternal mortality in X City is the most dominant in sequentially starting from the most dominant is the history of disease (10.234), age (7.757), parity (6.327), family support (4.874), income (1.309), and education level (1.206). (1,206). There is an association between age, parity, history of illness, and, family support but no association of education level and income with maternal mortality for the period 2022-2023 in X City.
Analysis of Risk Factors for Anemia in Pregnant Women in the Sebabi Health Center Working Area Multiansyah, Multiansyah; Noor, Meitria Syahadatina; Fujiati, Fujiati; Suhartono, Eko; Musafaah, Musafaah
Journal La Medihealtico Vol. 5 No. 6 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i6.1839

Abstract

The prevalence rate of anemia among pregnant women in East Kotawaringin Regency in 2021 was 14%, in 2022 it decreased to 13.7% and in 2023 it increased to 16%. To determine the relationship between the incidence of anemia in pregnant women at Sebabi Health Center. The study was analytical observational using a cross sectional approach with a population of 300 people, 83 people were obtained as samples using proportionate random sampling technique. The research instrument was a questionnaire. The dependent variable: anemia. Independent variables: age, parity, knowledge, attitude, culture, education level and income. Bivariate analysis using chi square and multivariate using multiple logistic regression. The results showed there was a relationship between parity (p=0.000), knowledge (p=0.000), culture (p=0.004), and education level (p=0.000) while there was no relationship between age (p=0.174) attitude (p=0.147), and income (p=0.176) with the incidence of anemia in pregnant women. Parity was most associated with the incidence of anemia among pregnant women (exp(B)=10.061). There is an association between culture, parity, knowledge, education level and no association between age, parity, and income with anemia incidence. The parity variable is the most associated with the incidence of anemia among pregnant women.
Analisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan pos bina terpadu penyakit tidak menular Sari, Ni Putu Sri Wulan; Akbar, Izaak Zoelkarnain; Panghiyangani, Roselina; Musafaah, Musafaah; Shadiqi, Muhammad Abdan
Holistik Jurnal Kesehatan Vol. 18 No. 12 (2025): Volume 18 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i12.628

Abstract

Background: Non-communicable diseases (NCDs) continue to increase and become a global health problem, including in Indonesia. Integrated development post for non-communicable diseases was developed to detect and control NCD risk factors early. However, the utilization of community health center Cempaka Banjarbaru has decreased, from 12.18% in 2022 to 10.17% in 2023 and is still far from the 70% target. Low utilization of non-communicable disease integrated service centers can increase non-communicable disease rates and burden community health center budgets, as well as affect the achievement of minimum service standards (MSS). Purpose: To analyze the factors associated with the utilization of integrated development post for non-communicable diseases services.   Method: This study used a quantitative approach with a cross-sectional design. The population of this study were people aged 18-59 years in the community health center Cempaka Banjarbaru working area. The sample was taken using stratified random sampling technique with a total of 110 respondents. Data collection was done through distributing questionnaires that had been tested for validity and reliability. Data were analyzed using univariate analysis, bivariate using chi-square test, and multivariate using multiple logistic regression test. Results: The chi-square test showed that the knowledge variable had a p value = 0.0001 (<0.05) and PR = 1.851, employment status p value = 0.014 (<0.05) and PR = 1.580, distance traveled had a p value = 1.000 (>0.05) and PR = 1.012, family support had a p value = 0.0001 (<0.05) and PR = 2.847, and ease of obtaining information had a p value = 0.0001 (<0.05) and PR = 1.655. This means that there is a relationship between knowledge, employment status, family support, and ease of obtaining information with the utilization of integrated service center for non-communicable diseases services. However, the travel distance variable was not associated with the utilization of integrated service center for non-communicable diseases services. Based on multiple linear regression tests, the family support variable is the most dominant variable associated with the utilization of integrated service center for non-communicable diseases services with an EXP B value of 34,108. Conclusion: This study showed that knowledge, employment status, family support, and ease of obtaining information were associated with the utilization of integrated service center for non-communicable diseases, with family support as the dominant factor. Meanwhile, travel distance was not associated with the utilization of integrated service center for non-communicable diseases. Suggestion: The community is expected to make more use of an integrated service center for non-communicable diseases, while the community health center needs to organize regular counseling, with various media to increase understanding about health.   Keywords: Integrated Development Post; Non-communicable Diseases (NCDs); Risk Factors; Services.   Pendahuluan: Penyakit tidak menular (PTM) terus meningkat dan menjadi masalah kesehatan global, termasuk di Indonesia.  Posbindu PTM dikembangkan untuk mendeteksi dini dan mengendalikan faktor risiko PTM. Namun, pemanfaatan di Puskesmas Rawat Inap Cempaka Banjarbaru mengalami penurunan, yaitu 12.18% pada 2022 menjadi 10.17% pada 2023 dan masih jauh dari target 70%. Rendahnya pemanfaatan posbindu PTM dapat meningkatkan angka penyakit tidak menular dan membebani anggaran kesehatan puskesmas, serta memengaruhi capaian standar pelayanan minimal (SPM). Tujuan: Untuk menganalisis faktor-faktor yang berhubungan dengan pemanfaatan pelayanan pos bina terpadu penyakit tidak menular. Metode: Penelitian kuantitatif dengan desain cross sectional. Populasi penelitian ini adalah berusia 18-59 tahun di wilayah kerja Puskesmas Rawat Inap Cempaka. Sampel diambil dengan teknik stratified random sampling dengan jumlah responden sebanyak 110. Pengumpulan data melalui penyebaran kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan analisis univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan uji regresi logistik berganda. Hasil: Uji chi-square menunjukkan variabel pengetahuan memiliki nilai p= 0.0001 (< 0.05) dan PR = 1.851, status pekerjaan nilai p = 0.014 (< 0.05) dan PR = 1.580, jarak tempuh memiliki nilai p = 1.000 (> 0.05) dan PR = 1.012, dukungan keluarga memiliki nilai p = 0.0001 (< 0.05) dan PR = 2.847, serta kemudahan memperoleh informasi memiliki nilai p = 0.0001 (< 0.05) dan PR = 1.655. Hal ini menunjukkan adanya hubungan antara pengetahuan, status pekerjaan, dukungan keluarga, dan kemudahan memperoleh informasi dengan pemanfaatan pelayanan Posbindu PTM. Namun, variabel jarak tempuh tidak berhubungan dengan pemanfaatan posbindu PTM tersebut. Berdasarkan uji regresi linier berganda, variabel dukungan keluarga menjadi variabel yang paling dominan berkaitan dengan pemanfaatan pelayanan posbindu PTM dengan nilai EXP B sebesar 34.108. Simpulan: Pengetahuan, status pekerjaan, dukungan keluarga, dan kemudahan memperoleh informasi berhubungan dengan pemanfaatan posbindu PTM, dengan dukungan keluarga sebagai faktor dominan. Sementara itu, jarak tempuh tidak berhubungan dengan pemanfaatan posbindu PTM. Saran: Masyarakat diharapkan dapat lebih memanfaatkan posbindu PTM, sementara puskesmas perlu menyelenggarakan penyuluhan berkala, dengan berbagai media untuk meningkatkan pemahaman tentang kesehatan.   Kata Kunci: Faktor Risiko; Pelayanan; Penyakit Tidak Menular (PTM); Pos Pembinaan Terpadu (Posbindu).
Analisis Faktor Yang Berhubungan Dengan Pemanfaatan Layanan Kesehatan Gigi Dan Mulut Di Puskesmas Kota Banjarmasin Andriyani, Putri Dwi; Adhani, Rosihan; Nugroho, Adi Nugroho; Noor, Meitria Syahadatina; Musafaah, Musafaah
An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal) Vol 12, No 1 (2025): AN-NADAA JURNAL KESEHATAN MASYARAKAT (JUNI)
Publisher : Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31602/ann.v12i1.15876

Abstract

Based on the 2018 Riskesdas, South Kalimantan Province had almost 60% of health problems, while Banjarmasin City had the highest percentage of oral and dental diseases (38.2%). The purpose of this study is to determine the correlation between the use of oral health services at the Banjarmasin City Health Center and factors such as accessibility to information, the availability of dental professionals, insurance coverage, medical facilities, income, and educational attainment. This study's design was cross-sectional. The Banjarmasin City Health Center housed ninety-seven research participants. The following variables' p values were found using multiple logistic regression and chi square analysis results: income (p=0.0221), insurance membership (p=0.0005), dental medical personnel availability (p=0.0005), education level (p=0.0005), and ease of information (p=0.000). The degree of education (Exp(B)=25.410) is the factor that most affects the use of oral health services at the Banjarmasin City Health Center. The results of this study indicate that the use of oral health services is correlated with factors such as insurance coverage, accessibility to dental professionals, degree of education, and health facilities. At the Puskesmas of Banjarmasin, there is, however, no correlation between income and the use of oral health service
HUBUNGAN MOTIVASI DAN PERSEPSI TENTANG KEPEMIMPINAN DIREKTUR RUMAH SAKIT TERHADAP KEPUASAN KERJA PERAWAT RSUD RATU ZALECHA MARTAPURA ., Khairunnisa; Ariffin, Syamsul; Adenan, Adenan; Sanyoto, Didik Dwi; Musafaah, Musafaah
Jurnal Kajian Ilmiah Kesehatan dan Teknologi Vol 7 No 1 (2025)
Publisher : Politeknik Unggulan Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52674/jkikt.v7i1.210

Abstract

Nurse job satisfaction will greatly affect the fulfillment of nursing care duties so that services to patients will be provided optimallyRatu Zalecha Martapura Regional General Hospital is known based on preliminary studies on 45% of nurses explaining that there is no appreciation, recognition and complaints about working conditions that require extra precision and responsiveness so that work fatigue sometimes arises and a feeling of laziness at work. The purpose of this study was to determine the relationship between motivation and perceptions of nurses about the leadership of Hospital Directors on Job Satisfaction of Inpatient Nurses at Ratu Zalecha Martapura Regional Hospital. The design of this study used an analytic observational method with a cross sectional approach. The research subjects were all inpatient nurses with a total of 163 nurses (totality sampling), using a questionnaire instrument through the fisher exact test and chi-square test. The results showed that nurses' work motivation was high (84.0%), nurse leadership perceptions were combination oriented (52.8%), nurse job satisfaction was high (82.8%), the relationship between motivation and nurse job satisfaction (p value = 0.000), the relationship between perceptions of leadership on job satisfaction (p value = 0.020). In conclusion, there is a partially significant relationship between motivation and nurses' perceptions of the leadership of the Hospital Director on the job satisfaction of inpatient nurses at Ratu Zalecha Martapura Regional General Hospital.
Pengetahuan dan Sikap Pemakaian Kontrasepsi pada Remaja Putri “Gaul” di Parkir Timur Senayan, Jakarta Musafaah, Musafaah
Kesmas Vol. 2, No. 2
Publisher : UI Scholars Hub

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

Abstract

Banyak remaja yang secara seksual aktif telah melakukan hubungan seks sebelum menikah dan berisiko kehamilan dan penyakit menular seksual. Kesepakatan Kairo 1994, menyatakan bahwa remaja mempunyai kebebasan berpikir dan berhak membuat keputusan tentang kesehatan reproduksi. Itu berarti bahwa remaja berhak terlibat dalam program Keluarga Berencana (KB) dan mendapat pelayanan kontrasepsi. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan dan sikap pada remaja putri “gaul” terhadap pemakaian kontrasepsi. Penelitian dengan desain cross sectional ini dilakukan pada remaja putri berumur 15 – 24 tahun yang belum menikah yang biasa nongkrong dan berkumpul pada malam Minggu, di Parkir Timur Senayan, Jakarta Selatan. Sampel diambil dengan Quota Sampling. Penelitian ini menemukan bahwa remaja putri "tersebut yang berpengetahuan baik (54,1%) dan bersikap positif terhadap pemakaian kontrasepsi (57,1%). Tidak ditemukan hubungan yang signifikan antara pengetahuan dengan sikap terhadap pemakaian kontrasepsi. Remaja gaul tersebut memerlukan penyuluhan kesehatan reproduksi, pendidikan seksual dan pelayanan kesehatan reproduksi yang komprehensif dan terintegrasi. Remaja perlu diarahkan untuk berprilaku reproduksi sehat dan tidak bertentangan dengan norma, nilai dan kepercayaan masyarakat. Untuk itu perlu dilakukan penelitian guna mencari metode perubahan prilaku reproduksi remaja. Many sexually active adolescents have been doing premarital sex. Based on the Cairo 1994 commitment, adolescents have freedom to think and have rights to make decision on reproductive health. Therefore, adolescents have rights to involve in the family planning and contraceptive services. The objective of this research is to identify knowledge and attitude on contraceptive use among “sociable” adolescent girls. This research uses cross sectional design with subjects of “sociable” adolescent girl age 15 to 24 years old who usually socialize in Parkir Timur Senayan, Southern Jakarta in Saturday night. Samples were taken by Quota Sampling. The result shows that “sociable” adolescence girl in Parkir Timur Senayan have good knowledge (54,1%) and good attitude of using contraceptive (57, 1%). The result also shows that there is no significant relationship between knowledge and attitude of using contraceptive. Therefore, we need to promote adolescent’s reproductive health, sexual education and programs on adolescent reproductive health service in a comprehensive and integrated ways to improve adolescent reproduction health situation and adhere to religious and cultural norms. There is a need to improve and to refine research methodology in the adolescent reproductive health area.
Keikutsertaan Pria dalam Program Keluarga Berencana di Indonesia Musafaah, Musafaah
Kesmas Vol. 7, No. 4
Publisher : UI Scholars Hub

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Abstract

Pria telah mengikuti program keluarga berencana (KB) sejak dahulu. Metode pantang berkala dan kondom telah dikenal berabad-abad lalu, tetapi sejak ditemukan kontrasepsi wanita, program KB pada pria seakan diabaikan. Keikutsertaan pria dalam ber-KB masih sangat rendah jika dibandingkan dengan Bangladesh, Pakistan, dan Nepal. Penelitian ini bertujuan untuk menganalisis keikutsertaan pria dalam ber-KB meliputi keterpaparan media massa dan kontak informasi KB melalui media massa. Penelitian ini menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 dengan pendekatan cross sectional terhadap 6.013 pria menikah usia 15 – 54 tahun. Teknik pengambilan sampel yang digunakan adalah two stage sampling. Analisis data menggunakan chi square dan regresi logistik. Penelitian menunjukkan bahwa pria yang terpapar dengan media massa memiliki kecenderungan 2,12 kali lebih besar untuk ber-KB daripada pria yang kurang terpapar dengan media massa. Selain itu, penelitian juga menunjukkan bahwa pria yang kontak informasi KB melalui media massa memiliki kecenderungan 2,21 kali lebih besar untuk ber-KB daripada pria yang tidak kontak informasi KB melalui media massa. Penelitian ini menunjukkan pria memiliki kecenderungan terbesar untuk ber-KB apabila pria terpapar media massa dan mendapatkan informasi KB melalui media massa dengan OR yang terbesar = 2,77. Men already used contraception with withdrawal and condom which had known centuries ago. Since contraception for women was found, men family planning program was likely ignored. The involving of men in family planning in Indonesia is still lower than Bangladesh, Pakistan, and Nepal. The objective of this study is to analyze the credencial factor of men participation in family planning through mass media exposure and contact information. This study used Indonesia Demografic and Health Survey (IDHS) 2007 data used cross-sectional study and 6.013 married men aged 15 – 54 years old as participants. Sampling method used is two stage sampling. Data was analyzed by chi square and logistic regression. The research showed that men who were exposed mass media 2,12 times more involved in family planning than men who were not exposed mass media and men who were contact information in family planning through mass media 2,21 times more participating in family planning than men who were not. The result showed that men have the highest possibility to participate in family planning if exposed by mass media and contacted to family planning information through mass media with biggest OR = 2,77.
Analisis Faktor Yang Mempengaruhi Perilaku Adaptif Tenaga Kesehatan Dalam Penerapan Platform Satusehat Di Puskesmas Kota Banjarbaru Nina Zuriaty; Rosihan Adhani; Oski Illiandri; Musafaah Musafaah
Science and Education Journal (SICEDU) Vol 5 No 2 (2026): Science and Education Journal 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/sicedu.v5i2.704

Abstract

Capaian konektivitas Platform SATUSEHAT di Kota Banjarbaru hanya mencapai 25%, terendah di Provinsi Kalimantan Selatan, mengindikasikan hambatan pada perilaku adaptif tenaga kesehatan terhadap sistem kerja digital mandatori. Studi ini menganalisis pengaruh tiga stimulus kontekstual dalam kerangka Roy Adaptation Model (RAM), pengaruh sosial, kondisi yang memfasilitasi, dan literasi digital terhadap kecenderungan tenaga kesehatan berada pada kategori perilaku adaptif yang lebih tinggi. Desain cross-sectional diterapkan pada 153 tenaga kesehatan dari 10 puskesmas di Kota Banjarbaru (April–Mei 2026) menggunakan simple random sampling with proportionate allocation. Instrumen tervalidasi 38 item (Cronbach's α 0,743–0,958) dianalisis melalui korelasi Spearman dan regresi logistik ordinal berganda. Literasi digital (OR=18,58; 95% CI=7,03–49,06; p<0,001) dan kondisi yang memfasilitasi (OR=5,96; 95% CI=2,47–14,38; p<0,001) berasosiasi signifikan dengan kecenderungan perilaku adaptif yang lebih tinggi, sementara pengaruh sosial tidak signifikan (OR=1,11; 95% CI=0,38–3,25; p=0,844). Model signifikan secara simultan (Model Fitting χ²=146,900; p<0,001), asumsi proportional odds terpenuhi (Test of Parallel Lines p=0,746), dan Nagelkerke R²=0,720. Penguatan kompetensi digital berbasis DigComp 2.2 perlu diprioritaskan untuk mengakselerasi implementasi SATUSEHAT di layanan kesehatan primer.
Literature Review: Factors Affecting the Intention of Vasectomy in Married Men Rini Pratiwi; Silvia Kristanti Tri Febriana; Oski Illiandri; Musafaah Musafaah; Meitria Syahadatina Noor
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.901

Abstract

Male participation in vasectomy remains low globally and in Indonesia, despite evidence suggesting that psychological and social factors contribute to intention formation. The persistent imbalance in contraceptive responsibility suggests that intention, not just access, plays a central role. Objective to synthesize empirical evidence regarding the determinants influencing married men's intention to undergo vasectomy, focusing on attitudes, partner support, community norms, and perceived incentives within the framework of the Theory of Planned Behavior. The research design used was a literature review. The review was conducted by searching, reading, and analyzing relevant scientific articles to understand the factors influencing married men's intention to undergo vasectomy. This study used the SPIDER approach consisting of sample, phenomenon of interest, design, evaluation, and type of study. Articles were searched through Google Scholar, PubMed, and Scopus databases using access filters between 2021 and 2025. Keywords used in the search were "vasectomy", "intention", "partner support", "community norms", "incentives", "personality", and "awareness". The initial search yielded 12 articles. A screening process yielded 11 articles that met the criteria. Married men's intention to undergo a vasectomy is shaped by attitudes, partner support, community norms, and incentives. Attitude emerged as the most consistent predictor. Partner support, particularly the wife's influence, was shown to influence vasectomy decision-making. Community norms and cultural narratives further reinforced hesitation, while incentives served as secondary facilitators. Vasectomy acceptance should prioritize addressing misconceptions, strengthening partner-based counseling, and reducing stigma through culturally appropriate advocacy.
Factors Associated with HIV/AIDS Healthcare Access among PLHIV: A Systematic Review and Meta-Analysis Nelly Nur Cahya; Adi Nugroho; Musafaah Musafaah; Hardyan Sauqi; Meitria Syahadatina Noor; Roselina Parahiyangan
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2158

Abstract

Access to HIV/AIDS health services remains a major challenge in many developing countries. Factors such as health literacy, insurance coverage, health service availability, and psychosocial barriers influence healthcare utilization among people living with HIV/AIDS (PLHIV). This study aimed to analyze factors associated with access to health services among PLHIV through a systematic review and meta-analysis. A systematic review and meta-analysis were conducted using articles published between 2019–2024 from databases including PubMed, Scopus, ScienceDirect, and Google Scholar. 5094 articles were obtained, of which only 5 articles were used. The meta-analysis showed that PLHIV with good knowledge had significantly better access to healthcare services compared with those with poor knowledge (POR=2.03; 95% CI: 1.19–3.46; p=0.010). Health insurance ownership was also significantly associated with healthcare access (POR=0.83; 95% CI: 0.74–0.93; p=0.002). Narrative synthesis indicated that healthcare accessibility, healthcare worker support, patient perceptions, stigma, and financial barriers strongly influenced viral load monitoring and ART adherence. Knowledge and health insurance ownership are important determinants of healthcare access among PLHIV. Strengthening HIV health literacy, improving healthcare financing systems, and expanding accessible HIV services are essential to improve continuity of care and viral load monitoring.
Co-Authors Adenan Adenan, Adenan Adi Nugroho Afifah, Noor Laili Amelia Amelia Andriyani, Putri Dwi Ariati, Haji Ariffin, Syamsul Arisa Wulandari, Arisa Atikah Rahayu Dian Rosadi Dina Kartika Dyna Ariva Maulidya Eko Suhartono Ernina Puspa Isnanda Fahrini Yulidasari Fajriannor.TM, M. Fakhriyah Fakhriyah Fitriyanti, Jayanti Fujiati ., Fujiati Hadrianti H. D. Lasari Hadrianti Haji Darise Lasari Hardyan Sauqi Indra Haryanto Ali Izaak Zoelkarnain Akbar, Izaak Zoelkarnain Khairunnisa ., Khairunnisa Meitria Syahadatina Noor Meitria Syahadatina Noor Muhammad Abdan Shadiqi Multiansyah, Multiansyah Najwa Femilia Andini Nanda Wulandari, Nanda Nashihatu Diniya, Nashihatu Nelly Al Audhah Nelly Nur Cahya Nina Zuriaty Noor Ahda Fadillah Nugroho, Adi Nugroho Oski Illiandri Oski Illiandri Ratna Setyaningrum Rini Pratiwi Roselina Panghiyangani Roselina Parahiyangan Rosihan Adhani Rosihan Adhani, Rosihan Rudi Fakhriadi Sanyoto, Didik Dwi Sari, Ni Putu Sri Wulan Silvia Kristanti Tri Febriana Yana Yana, Yana Yulia Mutmainnah Zoelkarnain, Izaak