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Access, Participation, Control, and Advantage of Digital-Based Healthcare Service for Women Living with HIV/AIDS Argyo Demartoto; Bhisma Murti; Sri Hilmi Pujihartati
MUWAZAH : jurnal kajian gender Vol 15 No 2 (2023)
Publisher : Universitas Islam Negeri K.H. Abdurrahman Wahid Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28918/muwazah.v15i2.2208

Abstract

  Gender inequality significantly contributes to the increased vulnerability of women living with HIV/AIDS (WLHA), limiting their access to adequate healthcare and exacerbating social stigma. This study explores the dynamics of access, participation, control, and benefit of digital-based healthcare services for WLHA in Surakarta, Indonesia, employing Harvard’s gender analysis framework. It aims to understand how digital health platforms—such as telemedicine, telenursing, telepharmacy, websites, and social media—reshape healthcare engagement for WLHA amidst systemic gender disparities. Using an exploratory qualitative method, data were collected through in-depth interviews, observation, and documentation from key informants including healthcare officials, WLHA, medical workers, and support groups. Analysis followed an interactive model with triangulated sources to ensure data validity. The findings reveal that although digital platforms provide promising access to promotive, preventive, curative, and rehabilitative care, WLHA’s full participation remains hindered by male-dominated control over digital technology, entrenched stigma, and institutional discrimination. However, mobile health (mH) interventions have positively influenced WLHA’s knowledge, behavior, decision-making, and self-efficacy. This study underscores the urgent need for gender-responsive digital health policies and capacity-building strategies that empower WLHA and reduce structural barriers to equitable health access.
Ketidakpercayaan terhadap Layanan Kesehatan: Kurangnya Kesediaan Ibu Hamil Menggunakan Layanan Rumah Tunggu Kelahiran di Kabupaten Wonogiri Sri Hilmi Pujihartati; Mahendra Wijaya; Argyo Demartoto
Society Vol 9 No 1 (2021): Society
Publisher : Laboratorium Rekayasa Sosial, Jurusan Sosiologi, FISIP Universitas Bangka Belitung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33019/society.v9i1.184

Abstract

To reduce the maternal mortality rate, a health service program that ensures the good health of pregnant women is needed. Maternity Waiting Home (MWH) is a program to reduce maternal mortality. This program is implemented in various regions in Indonesia, and the one is in Wonogiri Regency. In its implementation, it is not uncommon to find obstacles that come from various parties. This study uses a qualitative descriptive method to explain the Maternity Waiting Home (MWH) service and its distrust. This study seeks to explain the trust of various stakeholders, especially pregnant women, in the Maternity Waiting Home (MWH) service in Wonogiri Regency. Focus Group Discussions (FGD) and interviews were conducted to collect data by generating samples from various stakeholders. In reality, the Maternity Waiting Home (MWH) service in Wonogiri Regency experiences obstacles, especially from the trust of its users. Many pregnant women are unwilling to use the Maternity Waiting Home (MWH) service for several reasons. There is distrust in the service because of many factors. This study concludes that Maternity Waiting Home (MWH) service stakeholders in Wonogiri Regency should address and fix this important problem by intensifying socialization about the urgent of Maternity Waiting Home (MWH) service.