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Kemampuan Negosiasi Perempuan Pekerja Seks Jalanan dalam Penggunaan Kondom terhadap Pencegahan Penyakit Menular Seksual dan HIV/AIDS di Kota Jayapura Tahi Ganyang Butarbutar, Suharyanto Supardi, Ira Paramastri
Berita Kedokteran Masyarakat (BKM) Vol 19, No 3 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3727

Abstract

Background: The data on HIV/AIDS in Papua by 30 August 2002 reveal 882 cases. 70 cases of HIV/AIDS are recorded in Jayapura municipality. The highest percentage of HIV/AIDS infection is for reproductive age (15-39) group, i.e., 82,9%. One of the factors affecting the intensity of HIV/AIDS infection rate in street commercial sex workers is the low level of condom use. The objectives of this research are to identify the factors that make street commercial sex workers not use condom, the social aspects that influence the negotiation, the form negotiation of condom use, and how to get a condom.Methods: The study was applied a qualitative method using a focus group discussion, in-depth interview and participatory observation. The number of subjects were 38 per-sons consisting of 20 persons from the group discussion, 13 were in-depth interviewed, and 5 were in the participatory observation type of data collection.Results: In general, despite knowing that everyone, including him or her, was vulner-able to AIDS infection, the respondents ignore asking guests or partners for condom use. Most do not ask for condom use due to their fear of either being the target of guest's anger and bad words, or losing money from them. Most of them say that they do not have written nor spoken agreement with their peers, the room and hotel owners. They do not encourage condom use, as condom is not available in the room where they do practices. Moreover, the condom package is regarded inappropriate, as it is not in accordance with the local language and cultural characteristics.Conclusion: The low capability of street commercial sex workers for negotiating con-dom use with the guest/customers results from; misperception on "safe-sex" behavior and the behavior for seeking "help", physical, psychologic and economic pressure, free and uncontrolled companion-relation, unavailability of condom in the room, and con-dom package which is not in accordance with the street commercial sex workers char-acteristic. This research results serve as a preliminary study of the need, which will be developed in to a comprehensive promotion strategy. Keywords: sexually transmitted diseases and HIV/AIDS, sexual behavior, negotiation, health promotion strategy and practice
The effectiveness of exclusive breastfeeding counseling in expectants in Kutai Kartanegara Ismi Mufiddah; Ira Paramastri; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.472 KB) | DOI: 10.22146/bkm.6708

Abstract

Effectiveness of counseling to increase exclusive breastfeeding practice among pregnant women in Tenggarong, Kutai KartanegaraPurposeThis research aimed to examine the effectiveness of breastfeeding counseling, to increase knowledge, attitudes, perception for behavioral control, intention and behavior of mothers in exclusive breastfeeding (EBF).MethodsA quasi-experiment study was conducted by comparing an experimental group (29 participants) and a control group (29 participants). The research was conducted in two public health center at different districts at Kutai Kartanegara. Respondents were pregnant women attending antenatal care. The independent variable was breastfeeding counseling, while dependent variables included knowledge, attitudes, perceived behavioral control, intention and behavior of mother on exclusive breastfeeding.ResultsBreastfeeding counseling during pregnancy increased knowledge about EBF. Counselling increased intentions to EBF as well. However, statistical analyses showed that counseling did not make changes to pregnant women’s attitude, perceived behavioral control, and intention to provide EBF. Similarly, there was no difference regarding the behavioral control and attitude towards EBF.ConclusionCounseling increased knowledge and intention to EBF. However, knowledge and intention were not necessarily improved with behavior in terms of EBF. Further research is needed to improve educational techniques. 
Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia Metta Rahmadiana; Supra Wimbarti; Ira Paramastri; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.011 KB) | DOI: 10.22146/bkm.61744

Abstract

Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p <0.05)] regarding the level of anxiety was reported higher among female students (M=7.80; SD=4.6) than male students (M=7.03; SD=4.7) and no significant difference [sig (2-tailed) = 0.173; p> 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population.
Guru Sahabat Siswa: Program Kesehatan Reproduksi bagi Guru Rieka Esti Saraswati; Ira Paramastri
Jurnal Psikologi Vol 40, No 1 (2013)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.151 KB) | DOI: 10.22146/jpsi.7067

Abstract

The issue of reproductive health is increasing year by year. Proper understanding of reproductive healt his absolutely necessary for students at school. Teacher is one of the important part in learning process, so teachers must have an understanding of reproductive healt has well as sufficient skills to deliver it properly to the students. The purpose of this study is to know the effectiveness of the "Guru Sahabat Siswa” program to increase teachers’ skills to become facilitators in a group discussion on reproductive health theme. The study involves 16 teachers in Junior High School in Yogyakarta. The research will be applied by using the experimental untreated control group design with pretest and post test. This program was proved for improving teachers' skills to be a facilitator in group discussions about reproductive health (F=14,411, p
Program“Jari Peri” sebagai Pelindung Anak dari Kekerasan Seksual Indah Islawati; Ira Paramastri
Jurnal Psikologi Vol 42, No 2 (2015)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.78 KB) | DOI: 10.22146/jpsi.7167

Abstract

child sexual Abuse (CSA) is a form of violation against children's rights and it leads to various negative effects on them. In order to protect them, it is necessary to conduct primary prevention by developing teachers to be CSA-preventing agents. Therefore, they need good self-efficacy in teaching about the issues that their students will be able to comprehend it well. This study aimed to observe the improvement of teachers’ self-efficacy related to their teaching of the issue. This study used a quantitative research method with the untreated control group design with a dependent pretest and posttest sample. The subjects of this research were elementary schoolteachers chosen purposively. Mixed ANOVA analysis was used to measure the increase of teachers’ self-efficacy in teaching this issue to their students. The self-efficacy of teachers in the experiment group was higher than those in the control group.
EFEKTIVITAS PENDIDIKAN SEKSUAL DINI DALAM MENINGKATKAN PENGETAHUAN PERILAKU SEKSUAL SEHAT Avin Fadilla Helmi; Ira Paramastri
Jurnal Psikologi Vol 25, No 2 (1998)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.512 KB) | DOI: 10.22146/jpsi.7502

Abstract

Early sex education program through various techniques of givinginformation could prevent various sexual problems. The purpose of this study was to determine various technique of giving information through lecture, group discussion, and persuasive brochure for students or parents. The subjects of this study were 52 married men and women and 50 students who were randomly divided into 3 groups. This study performed by with pre-test and post-test measurement toward Scale of Healthy Behavior Knowledge.The first hypothesis was that discussion become more effective in improving knowledge of healthty sexual behavior for parents rather than discussion and brochure. The result of one-way variance analysis in gain score showed that F = 50,8526 (p < 0,05) for parents group. It indicates that parents group and lecturetechnique (mean = 20,8750) are able to improve the highest knowledge of sexual behavior, followed by group discussion (mean = 19,250) and brochure (mean = 18,333). Thus, it can be addressed that the first hypothesis was proven. In students group, there was no difference in technique of giving information toward knowledge of healthy sexual behavior (F = 1,4552; p > 0,05). Therefore, it can be concluded that lecture, group discussion, and brochure were methods that could be used in the early sex education programfor the parents.
Early Prevention Toward Sexual Abuse on Children Ira Paramastri; - Supriyati; Muchammad A. Priyanto
Jurnal Psikologi Vol 37, No 1 (2010)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.486 KB) | DOI: 10.22146/jpsi.7688

Abstract

Child sexual abuse is a worldwide problem. Although most studies on the longterm consequences of child sexual abuse have focused on women, sexual abuse of both boys and girls is common. Peer sexual abuse in schools was an often overlooked problem that contributes to a hostile school environment: one major study found that 85% of girls and 76% of boys reported experiencing some form of sexual abuse in school. 85% of child sexual abuse is committed by relatives, close family friend or an adult that the child knows and trusts. The childhood sexual abuse variables taken into account are commonly age of onset, duration, abuse forms and relationship between the child and the perpetrator. The objective of this study was to gather information or opinion about sexual abuse concept, methods and media of the elementary students, parents, teachers and experts. A qualitative study, involving one to one interviews, was conducted with 7 experts, focus group discussion with 40 elementary students, and with 40 parents in Yogyakarta district about child sexual abuse issues. Data were analysed according to Miles and Huberman’s data reduction, data display and conclusion verification process. These findings strongly indicate that boys and girls are vulnerable to this form of childhood sexual abuse ; the similarity in the likelihood for multiple behavioral, mental and social outcomes among men and women suggest the need to identify and treat all adults affected by child sexual abuse. Themes related to the child sexual abuse were: paperwork design, good facilitator, guidelines for students, parents and teachers. Students prefer media that can help them understand concept with komik paperwork as media for early prevention. Parents, teachers and experts prefer that this prevention program can run as soon. With careful paperwork design and evaluation of prevention program, the success of program implementation can be enhanced.
Penerapan Brief Strategic Family Therapy (BSFT) untuk Meningkatkan Komunikasi Orang Tua-Anak Moya A. D. Martiningtyas; Ira Paramastri
Gadjah Mada Journal of Professional Psychology (GamaJPP) Vol 1, No 1 (2015)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/gamajpp.7361

Abstract

Brief Strategic Family Therapy (BSFT) is a family therapy that usually use for children with problem behavior. Purpose of BSFT is helping the family to change the maladaptive pattern, such as: lack of communication between parents and children so the behaviors problem can be decreased and dissapear. BSFT is implemented to a family with children that showing symptoms of Oppositional Defiant Disorder (ODD). BSFT was performed in 2 month and able to change maladaptive pattern of communication in the family so the children’s behavior problem decreased. Follow up after 8 month shows that there were less fighting in the family and improvement of communication between parents and their children.
Kader Posyandu sebagai Agen Pencegahan Primer Tindakan Kekerasan Seksual pada Anak Anisa Fariani; Ira Paramastri
Gadjah Mada Journal of Professional Psychology (GamaJPP) Vol 1, No 2 (2015)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/gamajpp.9215

Abstract

This study aimed to examine the effect of child sexual abuse  (CSA) prevention training  toward  the  knowledge  and  examine  the  effect of health promotion program using lecture and leaflet conducted by cadre applied in community. The method used was a quasi experimental study using the one group pretest-posttest design and untreated control group design with dependent pretest-posttest samples. There were 19 cadres involved in this study. Questionnaires on knowledge, observation, and interview were used in this study. Repeated measures  anova  and  mixed  anova  were  used  to analyse the  quantitative  data,  descriptive analyse was used to analyse data from observation and interview. Data analyse was used to identify  differences of  knowledge before-after CSA prevention training and to examine  the effect  of  lecture and leaflet toward improvement of community knowledge. The results showed there was a significant difference in knowledge before and after training (F=20.245, p<0.05). Lecture and leaflet was effective to increase knowledge about CSA (F=3.379, p<0.05). Leafletwas more effective to  increase  knowledge  (MD=-2.824; p<0.01)  than  lecture  (MD=-2.355; p<0.01).
Validasi Modul “GuLaLi” untuk Meningkatkan Keterampilan Guru Mengajar Siswa Tunarungu Perlindungan Diri dari Kekerasan Seksual Febriana Ndaru Rosita; Ira Paramastri
Gadjah Mada Journal of Professional Psychology (GamaJPP) Vol 3, No 2 (2017)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/gamajpp.43404

Abstract

Children with disabilities have three-time greater risk of child sexual abuse (CSA). Unfortunately, many teachers lack the skills to teach deaf students on sexual abuse and self-protection. This study examined the validity of a module (Gulati, Guru Latih Lindungi/ Teachers Train and Protect) to enhance the teachers' skills to train deaf students on CSA prevention. Prior to the study, the researcher developed the module following Behavior Skills Training (BST) procedure. Seven teachers from one of kindergarten and primary schools for the deaf in Bantul Regency participated in the study. The study used a one-group pre and posttest design. The data was quantitatively analyzed analysis was conducted through a statistical test using Wilcoxon signed rank test and also descriptive analysis. The result showed this module can improve teacher skills to teach the student how to prevent CSA (Z = -2.366, p<0.05).