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All Journal Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) ISM (Intisari Sains Medis) : Jurnal Kedokteran
Ngakan Putu Anom Harjana
Center For Public Health Innovation, Faculty Of Medicine, Udayana University, Denpasar, Indonesia
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

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Determinant of service utilization for triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia Ngakan Putu Anom Harjana; Sally Nita; Meirinda Sebayang; Oldri Sherli Mukuan; Asti Setiawati Widihastuti
Intisari Sains Medis Vol. 13 No. 2 (2022): (In Press : 1 August 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.651 KB) | DOI: 10.15562/ism.v13i2.1408

Abstract

Background: HIV-AIDS and sexually transmitted infections are still a public health burden in Indonesia. Women living with HIV have a higher risk of transmitting HIV, Syphilis, and Hepatitis B to their babies. While the effort to increase the services coverage for the prevention of mother-to-child transmission (PMTCT) was detained due to the COVID-19 pandemic and the lack of published studies that explore this, this study aimed to assess the determinant of service utilization for triple elimination of mother-to-child transmission of HIV, Syphilis, and Hepatitis B among women living with HIV during COVID-19 pandemic in Indonesia. Methods: This cross-sectional study targeted women living with HIV in Indonesia who are planning to get pregnant. A simplified-snowball sampling technique was used in this study. A dependent variable in this study was the service utilization of PMTCT for HIV, Syphilis, and Hepatitis B. In contrast, the independent variables in this study consisted of demographic characteristics, perception according to Health Belief Model constructs, and stigma and discrimination experiences. Multiple logistic regression was used to find the determinants of service utilization. Results: Among 336 women living with HIV that were interviewed, only 28.27% (95% CI = 23.69 – 33.34) accessed the PMTCT services during the COVID-19 pandemic. Moreover, the likelihood of PMTCT service utilization was decreased among the women living with HIV who perceived higher barriers (aOR = 0.56; 95% CI = 0.31 – 0.99) and experienced stigma and discrimination from partner (aOR = 0.50; 95% CI = 0.25 – 0.99). On the other hand, the PMTCT service utilization was increased among those who perceived less severity (aOR = 2.07; 95% CI = 1.21 – 3.54). No other factors were associated with the PMTCT service utilization among women living with HIV during the COVID-19 pandemic. Conclusion: The PMTCT service utilization was relatively low, increased by the higher perceived severity, and reduced among those who perceived higher barriers and experienced stigma and discrimination from the partner. Therefore, improving the knowledge about HIV, Syphilis, and Hepatitis B related to PMTCT services is essential, as well as providing social support to reduce the stigmas and discrimination among women living with HIV.
DETERMINANT FACTORS FOR UNINTENDED PREGNANCY IN BALI PROVINCE Putu Ayu Indrayathi; Putu Erma Pradnyani; Ngakan Putu Anom Harjana; Luh Putu Sinthya Ulandari; Anastasia Septya Titisari; Luh Kadek Ratih Swandewi
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 11 No. 1 (2022): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v11i1.2022.36-44

Abstract

Bali Province has the lowest unmet need achievement, namely 8.1%, meaning that it has a low-value gap between the availability of contraceptive services and the needs of the community. This study analyzed the factors that influence the incidence of unintended pregnancy among childbearing-age women in Bali. This research is a secondary data analysis from the Program Performance and Accountability Survey (PPAS) of the National Population and Family Planning Board in 2019. The variables studied were selected from the PPAS’s Women data, with 1,214 samples of married fertile women aged 15-59 years in Bali. Multivariate analysis in the form of a logistic regression test is carried out to estimate factors that affect unintended pregnancy incidence in childbearing-age women in Bali. Factors influencing unintended pregnancy are age and having heard of family planning, understanding birth control, understanding population issues, and having listened to adolescent reproductive health. The multivariate analysis shown that age and having heard of family planning are two factors that significantly influence unintended pregnancy. Two factors that influence unintended pregnancy in Bali are age and having heard about family planning. Therefore, cross-sector engagement is required to provide a family planning program to the targeted fertile women's age found in this research to improve women's exposure to the program.
Co-Authors Anastasia Septya Titisari Asti Setiawati Widihastuti I Made Damriyasa I Made Subrata I NYOMAN MANTIK ASTAWA Kadek Karang Agustina Luh Kadek Ratih Swandewi Luh Putu Sinthya Ulandari Meirinda Sebayang Nyoman Tigeh Suryadi Oldri Sherli Mukuan Putu Ayu Indrayathi Putu Erma Pradnyani Sally Nita sang gede purnama