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Tradisi Kekerasan Seksual sebagai Simbol Kekuasaan pada Anak Jalanan di Kota Semarang Aditya Kusumawati; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 9, No. 1, Januari 2014
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAK Anak jalanan adalah kelompok berisiko tinggi berbagai bahaya dibandingkan kelompok lain.Berdasarkan data Komisi Nasional Perlindungan Anak, kasus kekerasan seksual yang menimpa anak-anak di Indonesia sepanjang 2008 meningkat 30% atau 4,2 kasus per hari. Komnas Anak menetapkan tahun 2013 sebagai “Darurat Nasional Kejahatan Seksual terhadap Anak”. Penelitian ini bertujuan mengetahui tradisi kekerasan seksual pada anak jalanan di Kota Semarang. Jenis penelitian kualitatif dengan metode deskriptif. Populasi adalah anak jalanan di Kota Semarang dengan subyek anak jalanan Kota Semarang yang memiliki pengalaman kekerasan seksual perkosaan dan dipilih menggunakan purposive sampling sebanyak 5 orang. Pengambilan data primer dengan wawancara mendalam dan observasi. Analisis data dengan reduksi data, display data, dan kesimpulan. Jenis kekerasan seksual meliputi perkosaan per vaginal (perempuan) dan perkosaan per anal (laki-laki) dilakukan oleh individu maupun massal. Kekerasan seksual dilakukan oleh siapapun, dimanapun, dan kapanpun. Dampak yang ditimbulkan meliputi psikologis, sosial, dan fisik. Kekerasan seksual yang dialami anak jalanan adalah bagian dari norma sosial dan berkembang sebagai tradisi yang tidak disadari sebagai kekeraan seksual. Sehingga kekerasan seksual masih dialami mayoritas anak jalanan bahkan terus meningkat. Saran dalam penelitian ini adalah optimalisasi program dan kerjasama berbagai pihak terkait meliputi Dinas Sosial, Dinas Kesehatan, LSM, Lembaga Perlindungan Perempuan dan Anak, Lembaga Hukum, dan peneliti lainnya untuk penanggulangan kekerasan seksual pada anak jalanan. Kata Kunci : kekerasan seksual, anak jalanan, semarang ABSTRACT Sexual Abuse Tradition among Street Children in Semarang Municipality; Street children is the high risk group of many harmful than others. It caused the effect wasn’t simple like their understanding about sexual abuse. Based on Komisi Nasional Perlindungan Anak data, sexual abuse cases among children in Indonesia as long as 2008 increase to 30% or 4,2 cases per day. Komnas Anak decided 2013 be the “Sexual Crime National Emergency among Children”. Study purposed was to know the image of sexual abuse among street children in Semarang Municipality. Population are street children in Semarang Municipality and the subject are street children by sexual abuse experience in rape category and suit to inclusion criteria choosen by purposive sampling method. There are 5 persons. Primary data collection through in-depth interviews and observation. Data analysis was developed by data reduction, data display, and conclusions. The kinds of sexual abuse were per vaginal rape, per anal rape, commited by personal or collective. Sexual abuse carried out by whoever, in wherever, and whenever. The effects are psichology, social, and physic. Sexual abuse among street children is part of social norm and developed be the unconcious sexual abuse tradition. The result is majority of street children still got the sexual experience even increasing nowadays. Suggests are optimalization the program and cooperation all of side, such as Dinas Sosial, Dinas Kesehatan, LSM, Lembaga Perlindungan Perempuan dan Anak, Lembaga Hukum, and others researcher to tackling the sexual abuse among street children. Keyword : sexual abuse, street children, semarang

Pemanfaatan Layanan Metadon bagi Pengguna Napza Suntik di Puskesmas Gedongtengen Yogyakarta Herlin Fitriana Kurniawati; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 9, No. 1, Januari 2014
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAKLayanan metadon merupakan salah satu bentuk pengurangan dampak buruk napza terhadap penularan HIV dan AIDS pada penasun. Tujuan penelitian ini untuk mengetahui pemanfaatan layanan metodon oleh penasun di Puskesmas Gedongtengen. Desain penelitian dengan pendekatan kualitatif, pengambilan sampel dengan purposive sampling, informan penelitian terdiri dari empat orang. Pengumpulan data dengan wawancara mendalam, analisis data dengan metode thematic content analysis. Hasil penelitian semua informan rutin memanfaatkan layanan metadon dengan datang langsung ke puskesmas, memiliki pengetahuan yang kurang tentang layanan metadon, bersikap positif terhadap layanan metadon di puskesmas, akses terhadap layanan metadon mudah, tersedia ruangan yg khusus bagi klien metadon, Semua informan menyatakan membutuhkan layanan metadon didasarkan karena ingin berhenti dari penggunaan napza.Kata kunci: Layanan metadon, Pengguna napza suntikABSTRACTUtilization of Methadone Services for Injecting Drug Users in Puskesmas Gedongtengen Yogyakart;. Methadone is a form of harm reduction drug to HIV and AIDS in IDUs. The purpose of this study to examine the use of services by IDUs in health centers metodon Gedongtengen. Design research with a qualitative approach, sampling with purposive sampling, informants consisted of four people. Data collection with in-depth interviews, analysis of the data by the method of thematic content analysis. The results all informants routinely utilize methadone to come directly to the clinic, have less knowledge about methadone, methadone positive attitude toward service in health centers, easy access to methadone services, special elbow room available for methadone clients, All informants stated need of methadone based because they want to quit drug use.Keywords: Service methadone, injecting drug users

Niat Tenaga Kerja Indonesia (TKI) di Jawa Tengah Dalam Upaya Mencegah Tertular HIV dan AIDS Noveri Aisyaroh; Antono Suryoputro; Zahroh Shaluhiyah
Jurnal Promosi Kesehatan Indonesia Volume 6, No. 1, Januari 2011
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Para TKI berisiko terhadap berbagai jenis kejahatan seperti kekerasan, prostitusi, perdagangan manusia, sampai terinfeksi penyakit menular seksual, termasuk HIV/AIDS. Penelitian ini merupakan explanatory research, dengan cross-sectional dan kuantitatif (metode survei) serta pendekatan kualitatif. Responden dalam penelitian ini adalah TKI yang telah bekerja di luar negeri. Hasil penelitian menunjukkan bahwa 60% responden berniat untuk mencegah infeksi HIV dan AIDS dan 90% dari responden memiliki pengetahuan kurang tentang HIV dan AIDS. Setengah dari responden mengatakan memiliki pengalaman yang baik di tempat kerja mereka, persepsi kerentanan adalah 53,3%, persepsi kegawatan 56,7%, persepsi respon yang efektif adalah 63,3%, kemampuan persepsi-diri adalah 53,3%, faktor rekan pendukung adalah 66,7%, manfaat dari pelatihan 63,3%, dan pengaruh dari tes kesehatan yang mendukung adalah 63,3%. Ada tiga faktor yang secara bersamaan mempengaruhi niat pekerja dalam mencegah HIV dan AIDS yaitu persepsi kegawatan HIV dan AIDS 79,528 kali lebih besar, faktor rekan pendukung 33,724 kali lebih besar dan status perkawinan telah menikah 14,609 kali lebih besar.Kata Kunci : Niat, TKI, HIV, AIDSIndonesian Migrant Workers (TKI) Intention to Prevent HIV and AIDS in Central Java; The Indonesian migrant workers are at risk of various types of crimes such as violence, prostitution, human trafficking, until various types of infectious diseases due to risky sexual relationships, including HIV/AIDS. This was an explanatory research, with cross-sectional type and both of quantitative (survey methods) and qualitative approaches. The respondents in this study were Indonesian Migrant Workers (TKI) that has been working abroad. The results of research indicated that 60% of respondents intended to prevent HIV and AIDS infections and 90% of respondents had less knowledge about HIV and AIDS. Half the respondents said having good experience in their workplaces, susceptibility perceptions was 53.3%, criticalness perception was 56.7%, effective response perception was 63.3%, self-ability perception was 53.3%, the supporting colleague factor was 66.7%, the benefits to provide training was 63.3%, and the influence of supporting health tests was 63.3%. There are three factors that simultaneously affecting to workers intention in preventing HIV and AIDS such as perception about criticalness of HIV and AIDS 79.528 times greater, the factor of supporting colleagues33.724 times greater and marital status of have married 14.609 times greater. Keywords : Intention, Indonesia Migrant Workers, HIV, AIDS

Faktor-faktor Yang Berhubungan Dengan Praktik Wanita Pekerja Seks (WPS) dalam VCT Ulang di Lokalisasi Sunan Kuning Kota Semarang Gunawan Widiyanto; Bagoes Widjanarko; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 4, No. 1, Januari 2009
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Female Sex Workers (FSWs) is one of the high risk groups of HIV and other Sexual Transmitted Infections. They are engaged in unsafe sex practices with multi partner. Therefore, they should conduct HIV test regularly to prevent them from HIV transmission. This study aims to analyze the factors associated with FSWs’ VCT repeat practices at SunanKuning Brothel.Method: It was a cross sectional study, involved 90 FSWs from total 635 populations.Result: Based on 95% confidence interval and 50% assumed proportion, it was found 71.1% of FSWs had a good belief about VCT and 75.6% had a good value of knowing their HIV status. Most of them (97.8%) were having good support to be re-tested and 86.7% complied with others’ support. The vast majority of FSWs (88.9%) perceived the VCT clinic was wellorganized, only few of them did not satisfy with VCT clinic’s service.Bivariate analysis employed chi-square test showed that belief on VCT (p=0.000), value of knowing their HIV status (p=0.000) and motivation to comply other’s support (p=0.000) were significantly associated with FSWs’ VCT repeat practices. Multivariate analysis found that belief about VCT contributed more than other variables in predicting FSWs’ VCT repeatpractices.Keywords : Female Sex Worker, VCT Repeat Practice, Sunan Kuning

Faktor-Faktor Yang Berhubungan Dengan Penggunaan Jarum Suntik Bergantian Diantara Pengguna Napza Suntik Di Kota Semarang Heri Winarno; Antono Suryoputro; Zahroh Shaluhiyah
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 2, Agustus 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background : The cumulative case of Acquired Immunodeficiency Syndrome (AIDS) in Indonesia by the year 2007 was reported transmitted mostly through drug injection. We understand that injecting drug users facing a high risk to be infected by HIV / acquired immunodeficiency syndrome from two different source of transmission. First, through needlesharing and second through unsafe sexual intercourse this usually came along the drug use. This study is aimed to analyze factors related to needle sharing practise among injecting drug users in Semarang City.Method : This was an explanatory study, employed a survey method and cross sectional as the research design. Target population in this research was all injecting drug users in Semarang City. There were 75 respondents from 56 minimum sample size required involved in this research, selected by applying snowball sampling technique. Chi – Square analysis and biserial correlation were applied to measure bivariate correlation and logistic regression was used for multivariate analysis.Results : Out of the 75 injecting drug users, 34,7% IDUs experience needle sharing during the last six month. It was found that needle sharing associated with knowledge of HIV/AIDS, perceived barrier of using sterile needle, low self-efficacy, needle exchange program use, availability of sterile needles, voluntary counseling and testing, and peer norms. Needle sharing was also associated with frequency of IDUs met outreach worker, but not associated with perceived susceptibility of HIV, perceived severity of AIDS, and perceived benefit of using sterile needle. Logistic regression found needle sharing to be more likely among injecting drug users have less knowledge of HIV/AIDS and low self-efficacy.Key words : needle sharing practise, injecting drug users, HIV/AIDS

Praktik Perawatan Organ Genitalia Eksternal pada Anak Usia 10-11 Tahun yang Mengalami Menarche Dini di Sekolah Dasar Kota Semarang Dewi Puspitaningrum; Antono Suryoputro; Laksmono Widagdo
Jurnal Promosi Kesehatan Indonesia Volume 7, No. 2, Agustus 2012
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Perubahan terlalu cepat sering menimbulkan kecemasan apabila tidak dipahami. Berdasarkandata dari Dinas Kesehatan Semarang bidang P2P pada tahun 2010 ditemukan anak usia <10tahun 36 anak (12,7%) dari 284 kasus penyakit candidiasis dan 1 anak (7,6%) dari 13 kasustrichomonas vaginalis. Berdasarkan studi pendahuluan yang dilakukan di 4 tempat SD Negeridi Semarang, 5 diantara 8 siswa masih belum paham cara merawat organ genetalia eksternalsaat menstruasi. Penelitian bertujuan untuk mengetahui apa yang mempengaruhi praktikperawatan organ genetalia eksternal pada anak usia 10-11 tahun yang mengalami menarchedini di SD Kota Semarang. Metode yang digunakan dalam penelitian ini adalah kuantitatif,jumlah populasi sebanyak 550 anak, dengan sampel sebanyak 100 orang dengan menggunakanteknik proportional random sampling. Dan yang paling berpengaruh dengan analisis multivariatadalah peran orang tua dengan OR=1,213 artinya responden yang menyatakan pernahmendapatkan informasi dari orang tua tentang cara perawatan organ genitalia eksternalmempunyai kemungkinan 1.2 kali lebih besar untuk melakukan praktik yang baik dalamperawatan organ genitalia eksternal dibandingkan responden yang menyatakan tidak pernahmendapatkan informasi dari orang tuanya tentang cara perawatan organ genitalia eksternal.Kata kunci: Praktik perawatan organ genitalia eksternal,menarche dini External genital organ treatment care in children age 10 – 11 years that experiencedearlier menarche at semarang elementary schools studentsBackground: A too fast change often causes anxiety, if not understood. Based on data fromP2P of Health Department Semarang in 2010 found 36 children (12.7%) of 284 candidiasiscases and 1 child (7.6%) of 13 trichomonas vaginalis cases on children aged d” 10 years.Based on the survey of preliminary studies conducted in 4 state elementary schools inSemarang, after being asked about menstruation 5 among 8 students still do not understandhow to look after the external genetalia organ during menstruation. Research purpose Thisresearch aimed to find out the factors that affect external genital organ treatment care inchildren age 10 – 11 years (case study at elementary students in Semarang) that experiencedearlier menarche. Research method this research uses cuantitatif. The population number is550 children with 100 samples using proportional random sampling technique. The mostaffecting factor, after analyzed with multivariat analysis, is parents role with OR=1,213. Itmeans that respondents representing that ever inform their parents about external genitalorgan treatment care technique have 1.2 bigger opportunity to do it than the opposite one.Key Words : external genetalia organ treatment care, earlier menarche

Perilaku Ibu Hamil untuk Tes HIV di Kelurahan Bandarharjo dan Tanjung Mas Kota Semarang Titi Legiati PS; Zahroh Shaluhiyah; Antono Suryoputro
Jurnal Promosi Kesehatan Indonesia Volume 7, No. 2, Agustus 2012
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Berdasarkan data dari Dinas Kesehatan Kota Semarang pada tahun 2008, sebanyak 110kunjungan ibu hamil ke VCT, 5 ibu di antaranya positif HIV dan pada tahun 2009 sebanyak368 kunjungan ibu hamil ke VCT, 14 ibu di antaranya positif HIV. Walaupun ada peningkatanjumlah ibu hamil yang melakukan tes HIV, namun jumlahnya masih sedikit. Pada tahun 2010ibu hamil yang melakukan tes HIV pada kegiatan mobile VCT di wilayah kerja PuskesmasBandarharjo sebayak 193 orang dari jumlah ibu hamil yang mengakses layanan antenatalsebanyak 706 orang.Penelitian ini bertujuan untuk mengetahui faktor-faktor yangmempengaruhi perilaku ibu hamil untuk tes HIV.Penelitian ini menggunakan metode kuantitatifdengan rancangan Explanatory Research dengan pendekatan cross sectional . Besar sampeladalah 180 orang.Analisa data secara univariat, bivariat dengan chi-square dan multivariatdengan regresi logistik.Hasil Menunjukkan sebagian besar responden (51,1%) rmengikuti tesHIV. Faktor yang paling dominan berpengaruh terhadap perilaku ibu hamil untuk tes HIVadalah dukungan suami. Variabel yang berhubungan terhadap perilaku ibu hamil untuk tesHIV adalah variabel pengetahuan, persepsi kerentanan, persepsi halangan, persepsi manfaat,isyarat bertindak, akses informasi, dukungan suami, dukungan bidan dan dukungan kader.Kata Kunci: perilaku ibu hamil, tes HIV,kelurahan bandarharjo dan tanjung mas,semarang Behavior of Pregnant Woman for HIV Testing in Bandarharjo and Tanjung Mas SemarangCity; Based on data from Health Departement of Semarang City 2008, total of 110 visits toVCT of pregnant women, 5 of whom were HIV-positive mothers and in 2009 as many as 368visits to the VCT of pregnant women, 14 of whom are HIV-positive mothers. While there arean increasing number of pregnant women tested for HIV, but the numbers are still small. In2010 pregnant women tested for HIV at VCT mobile activities in the region of BandarharjoPublic Health there were 193 people from the number of pregnant women accessing antenatalcare as much as 706 people. This study aims to determine the factors that influence behaviorof pregnant women for HIV testing. This study uses quantitative methods with explanatoryresearch and cross sectional approach. The sample size was 180 people . Univariate dataanalysis used, chi-square bivariate and multivariate used logistic regressionResults showed the most respondents (51.1%) followed HIV test. The most dominant factorthat affected behavior of pregnant women for HIV testing was husband’s support. Variablesrelated to behavior of pregnant women for HIV testing were variable knowledge, perceivedof vulnerability, perceived of barriers, perceived of benefits, cues to action, access toinformation,husband’s support, midwife’s support and cadre’s support.Keywords:behavior of pregnant women, HIV testing, bandarharjo and tanjung mas,semarang

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