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All Journal Jurnal Ilmu Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Utami, Asti Annisa
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Health Professions Public Health

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Decomposition of HIV Knowledge In Urban-Rural Areas In Indonesia Murti, Fadhaa Aditya Kautsar; Utami, Asti Annisa; Jangkang, Gastin Gabriel
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.2.234-245

Abstract

HIV/AIDS remains a public health crisis, HIV/AIDS remains a public health crisis, especially among male adolescents in Indonesia. This urgency stems from the rapid increase in cases among adolescents, who often lack adequate access to education and prevention resources. If left unaddressed, the epidemic could continue to spread among younger populations, leading to long-term social and economic consequences. Despite the crucial role of HIV knowledge in prevention, disparities exist between rural and urban areas. This study examines these disparities, identifying factors influencing HIV knowledge. This cross-sectional study employed a total of 10,943 male adolescents enrolled in a survey called Indonesia Demographic Health Survey (IDHS) 2017. To address those disparities, a stratification chi-square based on place of residence was employed. We also employed a multivariate decomposition analysis to examine which variables account for most gaps. Results found that only 15% of adolescents were knowledgeable (9.5% in urban and 5.5% in rural areas). Bivariate Analysis showed that education level and HIV test awareness were associated in both areas ( p-value < 0.05), while wealth quintile and internet use were associated in urban areas only ( p-values < 0.05). The HIV knowledge gap would decrease by 8% if internet use was equalized, by 11% if HIV testing awareness was equalized, by 17% if educational attainment was equalized, and by 24% if wealth quintiles were equalized. This calls for a multi-sectoral intervention targeting such factors for better HIV outcomes in Indonesia.
Analyzing High-Risk Fertility Behavior for Sustainable Maternal-Child Health: A 2017 Sociodemographic Study in Urban and Rural Indonesia Utami, Asti Annisa; Murti, Fadhaa Aditya Kautsar; Yuniar, Popy; Herdayati, Milla
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Abstract

Indonesia's goal of achieving Indonesia Emas 2045 hinges on improving Maternal-Child Health (MCH), essential for building a healthy and competitive population. Despite some advancements, the Maternal Mortality Rate (MMR) and Under-five Mortality Rate (U5MR) remain high, particularly because of High-Risk Fertility Behavior (HRFB). The HRFB poses significant risks to MCH, affecting both urban and rural women. This study aimed to identify the factors associated with HRFB in these areas to enhance MCH outcomes and support Indonesia's sustainable health goals. This cross-sectional study used a secondary dataset from the 2017 Indonesian Demographic Health Survey. A total of 20,530 women of reproductive age were included in this analysis. The main dependent variable was the HRFB, and the independent variables were split into three factors: individuals, households, and community factors. The overall prevalence of HRFB was 37.0%, with a slightly higher prevalence in urban areas (37.6%) than in rural areas (36.1%). In rural areas, HRFB was significantly associated with the wealth quintile, while in urban areas, it was linked to women's autonomy and education level. Addressing these factors is critical for improving MCH outcomes and reducing HRFB use.
Co-Authors Jangkang, Gastin Gabriel Milla Herdayati, Milla Murti, Fadhaa Aditya Kautsar Popy Yuniar