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All Journal Berita Kedokteran Masyarakat Al Gizzai: Public Health Nutrition Journal
Siwi Padmawati, Retna
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Public Health

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Dukungan Lintas Sektor dalam Pencegahan Stunting melalui Posyandu di Kota Yogyakarta Putri Kinayungan, Utami; Hasanbasri, Mubasysyir; Siwi Padmawati, Retna
Al GIZZAI: PUBLIC HEALTH NUTRITION JOURNAL Vol 4 No 2 (2024)
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/algizzai.v4i2.48201

Abstract

The prevalence of stunting has decreased, but is not yet in accordance with WHO standards. There has been a lot of research on the role of the community through community based services in efforts to improve nutritional status and most of them recommend cross-sectors. The aim of this research is to identify and analyze forms of cross-sector support in preventing stunting. This type of research is qualitative with a case study approach. Data collection was carried out by in-depth interviews with mothers of toddlers, health workers at community health centers, posyandu and PKK cadres, as well as sub-district officials using a purposive sampling method. Data analysis was carried out by open coding using the OpenCode 4.03 application. The research results show that cross-sector support in preventing stunting is realized in the form of: health workforce, service delivery and financing. Health workforce is realized in empowering cadres and TPK in providing education, assisting toddlers and making posyandu reports. Service delivery is realized in measuring body weight and height, carrying out validation, following up on cases of malnourished toddlers by conducting examinations at community health centers, providing medicine and multivitamins, as well as PMT for toddlers. Financing is realized by high levels of community self-reliance in providing financial support for posyandu activities, Health Operational Assistance (BOK) from the Central government for socialization and cadre training activities, sub-district APBD for stunting PMT, and the Health Service for cadre incentives.
Self-stigma among people living with HIV/AIDS: revisiting human rights values for inclusive health service Nur Faizah, Ida; Cuyno Mellen, Renie; Syafriani, Syafriani; Wijayanti Subronto, Yanri; Hasanbasri, Mubasysyir; Siwi Padmawati, Retna
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Purpose: This study explores self-stigma in people living with HIV/AIDS (PLHIV) who used Puskesmas services in Yogyakarta and its impact on their health service access. Method: Data come from in-depth interviews with three PLHIVs (one male and two female). Results: Self-stigma occurs among the respondents at the first diagnosis as HIV positive. Self-stigma is triggered by wrong judgments about HIV disease from health workers and communities. Self-stigma is based on negative thoughts of feeling different, having exclusivity (different from their environment). Thus, it is easier to feel rejected, showing the worst if they are discriminated against. The first thought when the respondent was diagnosed with positive HIV was, “how do I die? How will I die tomorrow?” "Not expect, why should I?" "My world has been destroyed; I have no hope anymore.” Feeling of vulnerability and helplessness related to death and illness trigger hypersensitive responses, so they tend to withdraw from social relationships. Continuous exposure will result in a reluctance to access health services due to decreased motivation for treatment. Conclusions Self-stigma is a defense mechanism to fight stigma and discrimination. Hypersensitivity protects to anticipate rejection from the surrounding environment. Thus, PLWHA understands disclosure to reveal the status or not to the closest people. However, this condition needs to be regulated so that self-stigma does not develop to interfere with life functions such as social relations, economy, and work. Self-stigma can reduce treatment prognosis and increase comorbidity and mortality due to lack of a support system, decreased treatment motivation. Therefore, Puskesmas should collaborate with families and communities. Puskesmas can create volunteer groups from people with stigmatized diseases as agents of change to build trust between PLWHA, families, and health workers. For suggestion, meetings with patients as well as an activity to support human rights in celebration day to develop equal and acceptance feelings.
Co-Authors Cuyno Mellen, Renie Mubasysyir Hasanbasri Nur Faizah, Ida Syafriani Syafriani, Syafriani Utami Putri Kinayungan Yanri Wijayanti Subronto