Muhammad Ryman Napirah
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Navigating Stigma and Survival: A Phenomenological Study of HIV Risk Among MSM in Palu, Indonesia Nur Afni; Nurdin Rahman; Muhammad Ryman Napirah; Andi Mascunra Ami
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8105

Abstract

Introduction: In this study, we aimed to explore the multidimensional social determinants influencing HIV vulnerability among men who have sex with men (MSM) within the context of stigma and exclusion in Indonesia. With high HIV prevalence among MSM and persistent social discrimination, our objective was to examine how social, economic, and structural factors contribute to health risks and hinder access to HIV prevention and care services. Methods: This qualitative study involved a phenomenological approach conducted across the urban setting of Palu, Indonesia, over a three-month period. A total of 15 participants were enrolled, and data were collected through in-depth interviews with purposively selected key informants. Results: The primary outcome of the study was the identification of structural and psychosocial barriers that shape HIV vulnerability, including fear of discrimination, familial rejection, and economic precarity. Additionally, digital platform use and inconsistent condom usage emerged as significant behavioral factors. Statistical analyses were not applicable due to the qualitative nature of the study. However, thematic analysis revealed intersecting themes aligned with the social-ecological model and syndemic theory. Conclusion: In conclusion, our study contributes to the understanding of HIV vulnerability among MSM by highlighting the impact of intersecting stigma, poverty, and systemic exclusion. This research provides insights into the need for community-led and culturally responsive interventions. Future studies should address the integration of economic empowerment strategies and digital outreach mechanisms, ultimately advancing knowledge in the field of international public health.
Resilience as a Socially Embedded Process in Cervical Cancer Care: A Qualitative Study Herdhana Suwartono; Juraid Abdul Latief; Achmad Herman; Muhammad Ryman Napirah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8667

Abstract

Introduction: Cervical cancer continues to pose significant health and psychosocial challenges in low- and middle-income countries. This study aimed to explore how women with cervical cancer and their caregivers construct resilience in the face of illness, focusing on the roles of emotional, informational, and spiritual supports. By examining these dimensions, the study contributes to a deeper understanding of resilience as a socially embedded process shaped by cultural frameworks and clinical interactions. Methodology: A qualitative research design was employed, drawing on in-depth interviews with women diagnosed with cervical cancer and one caregiver at a referral hospital in Indonesia. Informants were selected purposively to capture diverse illness trajectories, and thematic analysis was applied to verbatim transcripts. Analytical rigor was ensured through triangulation, iterative coding, and interpretive synthesis. Results: Findings indicate that resilience is not a fixed personal trait but a negotiated and dynamic process. Emotional reassurance from family and colleagues, clear and compassionate communication by clinicians, and the grounding of experiences in spirituality and religious practices all facilitated adaptation and treatment adherence. At the same time, resilience revealed ambivalence: moralized expectations of being a “good patient” encouraged compliance but risked silencing distress, while some informants engaged in resistance through treatment hesitation or refusal. Interpreting these findings through subjectivation, psychological, and ecological lenses illustrates that resilience is discursively produced, individually enacted, and structurally conditioned. Conclusion: This study concludes that resilience in cervical cancer care is best understood as a culturally embedded and multi-layered phenomenon. Its implications underscore the need for context-sensitive psychosocial oncology practices that integrate family support, culturally grounded spiritual care, and dialogic communication. By situating Indonesian experiences within broader international debates, the research contributes new insights to global psycho-oncology scholarship and highlights avenues for future inquiry, including longitudinal research and the development of culturally validated assessment tools.