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Journal : Berita Kedokteran Masyarakat

Key populations and PLHIVs’ expectation of inclusive HIV/AIDS services: A study of four puskesmas in Yogyakarta and Cilacap Mellen, Renie; Ida N Faizah; Syafriani; Puji Rahayu; Dwi Maiyanthi; Fithri Zamzam; Fajar Wahyuni; Yanri Subronto; Hasanbasri, Mubasysyir; Retna Siwi Padmawati
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To describe the expectation of PLHIV and key populations regarding HIV/AIDS services, especially on pandemic COVID-19. Method: This study conducted a pilot questionnaire survey in Puskesmas Tegalrejo and Mantrijeron, Yogyakarta; and Puskesmas Cilacap Selatan 2, Puskesmas Kesugihan 2, in Cilacap Region, Central Java. The participants were 62 PLWHA and 60 key populations (transgender, male sex workers, IDUs, and sex workers). This paper uses the data from an open-ended item in the questionnaire on respondents' expectation of HIV services in the puskesmas. Result: Both PLHIV and key populations expected equal service, friendly and respectful services without differentiating from other patients. Health workers would be better to know about the diversity of gender and sexual orientation and educate about HIV/AIDS transmission to reduce the fear and stigmatization of the community. In addition, the rotation issues of health workers should not change the quality standards of HIV/aids services. PLHIVs expected that health workers do not disclose their status to others (which should have become the standard of health professionals’ practice) and provide complete support and counseling related to HIV/AIDS with explaining details to the patients. ARV stock is expected to get a one-month stock supply, and queuing for taking drugs. Furthermore, key populations expect flexible time on VCT tests, especially in pandemic COVID-19. Conclusion: The availability and access of puskesmas services for PLHIVs and key populations was significant progress in health care systems. Notes from users emphasize the need for management support in building inclusive services, where health and administrative workers and other puskesmas treated everyone in need equitably.
Challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic Syafriani; Sutena, Marthinus; Padmawati, Retna Siwi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To describe the challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic based on our community empowerment program in Dusun Ngrombo I, Karangmojo Village, Gunungkidul District, DIY. Content: During the Covid-19 pandemic, medical waste increased in the community, especially for families who were self-isolating at home. In our preliminary study, the community processes waste by burning, burying and throwing it into the environment. Expired medicines are even used as a mixture of plant fertilizers and animal feed. Public literacy about medical waste management is still limited. The local government has not provided medical waste facilities in public spaces. Waste management is not optimal due to the lack of coordination between the relevant government agencies. Furthermore, there has been limited effort from the local primary health care service (puskesmas) to solve medical waste problems. Limited human resources, budgets and different perspectives on regulations cause the puskesmas to resist in responding to these problems. Medical Waste Bank Program is a community waste collection system that manages household medical waste through local waste bank activities. Generally, the Waste Banks (Bank Sampah) in Indonesia only process domestic waste, this program innovates by providing community medical waste services that are needed, especially during this pandemic. Waste bank staff will process the waste that has been collected in the waste bank, then handed over to a third party (private company) through the puskesmas. This can help the puskesmas to reach medical waste in their working areas and also to prevent the transmission of infectious diseases in the community. Conclusion: The waste bank can become a movement to manage community medical waste. Each sector needs to work together in promoting health, providing adequate waste facilities, increasing human resource capacity, as well as monitoring and assisting in managing domestic medical waste.