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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.
Umur, motivasi, dan stress kerja sebagai faktor penentu kinerja perawat ruang rawat inap Nadila Nadila; Syamsul Arifin; Adi Nugroho; Meitria Syahadatina Noor; Eko Suhartono
THE JOURNAL OF Nursing Management Issues Vol. 2 No. 2 (2025): April Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v2i2.676

Abstract

Background: Nursing performance is the ability and skill associated with the description of a nurse's duties based on standards of nursing care that consist of five components: assessment, diagnosis of nursing, planning, implementation and evaluation. The factors affecting a nurse's performance are age, motivation and work stress. Purpose: To analyze the relationship of age, motivation, work stress with the performance of nurses inpatient unit. Methods: The study used cross-sectional with 115 nursing chosen by simple random sampling technique. Instrument used were questionnaires. Data were analyzed using Chi Square test and multiple logistic regression analysis. Results: The analysis results used Chi Square tests p values of age (p=0,005), motivation (p=0,009), and work stress (p=0,000).  The analysis results used multiple logistic regression of p value and Exp B of age variable (p=0,029; Exp B=5,843), motivation (p=0,038; Exp B=4,745) and work stress (p=0,000; Exp B= 23,914). Conclusion: In this study there was a correlation between age, motivation, work stress with the performance of nurse inpatient unit At RSD Idaman Banjarbaru City. The dominant variable was work stress.   Keywords: Age; Motivation; Nursing; Performance; Work Stress.   Pendahuluan: Kinerja perawat adalah kemampuan dan keterampilan yang berkaitan dengan uraian tugas seorang perawat berdasarkan standar asuhan keperawatan yang terdiri dari lima komponen yaitu pengkajian, diagnosis keperawatan, perencanaan, implementasi dan evaluasi. Adapun faktor yang mempengaruhi kinerja seorang perawat antara lain umur, motivasi dan stress kerja. Tujuan: Untuk mengetahui hubungan umur, motivasi, stress kerja dengan kinerja perawat ruang rawat inap. Metode: Desain penelitian mengggunakan crosss sectional melibatkan 115 perawat dengan teknik simple random sampling. Instrumen penelitian menggunakan kuesioner. Analisis statistik dengan uji Chi Square dan analisis regresi logistik berganda. Hasil: Hasil analisis dengan Chi Square menunjukkan nilai p variabel umur (p=0,005), motivasi (p=0,009), dan stress kerja (p=0,000).  Hasil analisis dengan regresi logistik berganda menujukkan nilai p dan Exp B variabel umur (p=0,029; Exp B=5,843), motivasi (p=0,038; Exp B=4,745) dan stress kerja (p=0,000; Exp B= 23,914). Simpulan: Terdapat hubungan yang signifikan antara umur dengan kinerja perawa, terdapat hubungan motivasi dengan kinerja perawat, terdapat hubungan stress kerja dengan kinerja perawat ruang rawat inap di RSD Idaman Kota Banjarbaru. Variabel yang dominan yaitu variabel stress kerja.   Kata Kunci: Kinerja; Motivasi; Perawat; Stress Kerja; Umur.