Al Freadman Koa, Apryadno Jose
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Early Identification of HIV Infection Among Adolescents in Primary Care Center: A Case Study Lindayani, Linlin; Octaviani, Putri Hilda; Al Freadman Koa, Apryadno Jose; Dian Angraenin
Window of Health : Jurnal Kesehatan Vol 8 No 2 (April 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i2.1483

Abstract

Adolescents are at high risk for HIV transmission due to exploratory behaviors and risky activities. Early identification of HIV infection is crucial to prevent transmission, as it interrupts the transmission chain through awareness of one's HIV status. This study aimed to explore the implementation of adolescent-centered HIV early detection services in primary care. A qualitative case study design was employed, involving in-depth interviews and document analysis at a public health center in Central Bandung. A purposively selected nurse, with 15 years of experience managing the HIV program, served as the key informant. Data were collected through semi-structured interviews and analyzed using content analysis techniques to identify key themes, categories, and codes. Six themes emerged: (1) VCT service procedures; (2) community health initiatives; (3) collaboration with external institutions; (4) adolescent engagement strategies; (5) barriers to adolescent testing; and (6) factors facilitating testing. Although the VCT protocol was comprehensive and included pre- and post-counseling, fear of a positive diagnosis. While the VCT model at the primary care level is aligned with national HIV prevention strategies, its effectiveness for adolescents is limited by low participation and social resistance. Integrating case-based learning in nursing education, enhancing peer-based outreach, and strengthening adolescent-friendly health services are recommended to improve early HIV detection and care linkage for youth.
Factors Determinants of Musculoskeletal Disorders among Nurses in Indonesia: Evidence from A Cross-Sectional Study Suryani, Lilis; Perdani, Agni Laili; Al Freadman Koa, Apryadno Jose
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.90721

Abstract

Introduction: Musculoskeletal disorders (MSDs) remain a significant occupational health issue among nurses, influenced by demographic factors, workload, stress, and ergonomic posture. Nurses are particularly vulnerable due to heavy physical demands, non-ergonomic postures, and psychosocial pressures. Objective: This study aimed to determine factors that contribute to MSDs among nurses in Indonesia. Methods: A quantitative descriptive design was employed with a convenience sampling method. Data were collected from nurses in a one-month period in September–October 2024.  Four validated instruments were used consisting of the Nordic Musculoskeletal Questionnaire (NMQ), the NASA Task Load Index (NASA-TLX), REBA (Rapid Entire Body Assessment)  and HSE (Health and Safety Executive). Health Data was analyzed using bivariate (ANOVA) with SPSS Version 25. Results: A total of 108 participants agreed to participate in this study. The majority of respondents were aged 26–45 years (67.6%), and most were female. Findings revealed a significant relationship between work burden, work stress, and work duration with MSDs. Conclusion: Factors contributing to MSDs among nurses are work burden, work stress and work duration with MSDs. Hospital management should implement workload evaluations, shift management, and ergonomic training, while the nursing profession should strengthen awareness of proper working postures, physical health maintenance, and stress management strategies.