Isnaeni, Rizka Nur
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Implementasi Layanan Profilaksis Pra Pajanan (PrEP) Oral (Studi Kualitatif 2 Puskesmas di Kota Semarang) Isnaeni, Rizka Nur; Kusumawati, Aditya; Handayani, Novia
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4421

Abstract

The trial implementation of the PrEP program as an HIV prevention program in Semarang City has not run optimally. Health workers with an essential role as program implementers still experience technical and technical obstacles in recording and reporting, which are quite complicated. It is necessary for a program that has been running for almost 3 years to carry out more in-depth studies, especially for health workers who play a direct role in providing PrEP services. Data collection was descriptive and qualitative, using in-depth interviews. The study subjects consisted of nine primary informants and four triangulated informants using purposive sampling. Data validity is carried out by triangulating data sources. Data reliability is measured by data audit and data analysis using the content analysis method. The study results show that health workers' implementation of the PrEP program differs from the management guidelines published by the Ministry of Health of the Republic of Indonesia in 2023. Most health workers have a low level of knowledge regarding the PrEP program and perceive that the PrEP program supports LGBT and free sex. As a result, intrapersonal conflict arises because it is considered to conflict with one's thought patterns and conscience. The conclusion is that the low level of knowledge among the majority of PrEP program implementers significantly influences the PrEP program's success. Therefore, there is a need for regular, more comprehensive training related to the PrEP program.
Strategies to increase community participation in controlling dengue mosquito breeding sites: a scoping review Isnaeni, Rizka Nur; Musthofa, Syamsulhuda Budi; Indraswari, Ratih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.22283

Abstract

Purpose: Dengue Hemorrhagic Fever (DHF) is a growing global public health problem, particularly in low- and middle-income countries, and is influenced by social, environmental, and behavioral factors. Community participation plays a crucial role in the success and sustainability of dengue prevention. However, limited governance, weak cross-sectoral coordination, the dominance of top-down approaches, and a lack of resource support often hinder optimal community involvement. This study aims to identify literature on strategies to increase community participa- tion in dengue prevention practices. Methods: This scoping review used the methodological framework by Arksey and O'Malley. A scoping review was conducted by searching the Scopus, PubMed, and ScienceDirect databases using keywords related to community participation, prevention, and dengue fever. Original English-language research articles published between 2015 and 2025 and relevant to community-based dengue prevention were selected using the PRISMA process. Results: Eight articles met the inclusion criteria. The review results indicate that strong multi- sectoral governance, a bottom-up, participatory approach, and the use of social capital and local leadership are key to effective dengue prevention. Health education through schools, youth engagement, incentives, and innovative, contextualized interventions contribute to increasing the sus- tainability of prevention practices. Conclusion: Dengue fever prevention requires an integrated approach that positions the community as the pri- mary partner, supported by cross-sectoral collaboration, strengthening social capital, and sustainable resource support so that the impact of pre- vention can be sustained in the long term.