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DETERMINAN PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) PROGRAM KELUARGA BERENCANA Dewi Indriani; Efriza Efriza; Adriani Suwito
HUMAN CARE JOURNAL Vol 7, No 2 (2022): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v7i2.1663

Abstract

Long-term contraceptive methods have a higher level of effectiveness than other family planning methods. Types of MKJP are IUD, implant, MOW and MOP. The MKJP coverage of West Pasaman Regency in 2020 is only 21.3% and has not reached the set target of 40.5%. This study aims to determine the determinants of the selection of long-term contraceptive methods. This research is a mix method research at  February 2022 in West Pasaman District. The population is  couples of childbearing age. The sample size is 99 people. The informants is 32. Data were collected by means of interviews and documentation studies. The data that has been collected is processed and analyzed computerized using the Chi Square test. The results Chi Square get p value 0.023 (age), 0.015 (JKN ownership), 0.001 (education), 0.009 (knowledge), 0.003 (attitude), 0.029 (perception), 0.000 (family support), 0.001 (role of health workers) , and 0.023 (culture). The result of logistic regression test is pvalue  0.007 and OR  5.657.  Based on the results of the study, the most influential variable on MKJP is age, knowledge, role of health workers and family support . It is recommended that the West Pasaman DPPKBP3A should establish good and sustainable coordination with relevant agencies in order to provide education and motivate couples of childbearing age to participate in using MKJP  Keyword : MKJP, determinant
Structural and behavioral determinants of HIV among Indonesian MSM Neila Sulung; Adi Cahya Murfi; Efriza Efriza; Nurdin Nurdin; Cici Apriza Yanti
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26988

Abstract

HIV prevalence among men who have sex with men (MSM) remains disproportionately high in Indonesia. While behavioral risk factors have been widely studied, evidence integrating structural determinants remains limited. This study examined the role of structural and behavioral factors associated with HIV status among MSM in Jambi City, Indonesia. A cross-sectional study was conducted among 60 MSM recruited using non-probability sampling due to the hidden nature of the population. Data were collected using validated structured questionnaires and analyzed using multivariable logistic regression. Fifty percent of respondents were HIV-positive. Low educational attainment emerged as an independent structural determinant of HIV status (AOR = 5.51; 95% CI: 1.14-26.49), whereas behavioral factors showed significant crude associations but lost significance after adjustment. HIV vulnerability among MSM is shaped by structural inequalities beyond individual behaviors. Structural-focused interventions are essential to strengthen HIV prevention strategies in Indonesia.