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Putu Ayu Swandewi Astuti
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Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
Public Health
ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 13 Documents
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Search results for , issue "Vol. 6 No. 1 (2018)" : 13 Documents clear
Early marriage practices and the health impacts on female adolescent health in Central Lombok: a qualitative study Baiq Rizka Herliana; Ni Wayan Arya Utami; Desak Putu Yuli Kurniati
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p11

Abstract

Background and purpose: Early marriage through merariq or eloping tradition is a common practice in West Nusa Tenggara particularly in Central Lombok. Early marriage leads to several negative consequences on the reproductive health of female adolescents. This study aims to explore early marriage practices and its impacts on the reproductive health of female adolescents in Central Lombok. Methods: A qualitative study with a case study approach was conducted, and seven early married female adolescents purposively selected as the study participants. Interviews were also conducted with two family members of the female adolescents, one community leader, and a midwife who worked as an adolescent health coordinator at a public health centre. Data were analyzed using a thematic approach to map the reasons for early marriage and its impacts on the reproductive health of female adolescents. Results: Our in-depth interviews revealed that several reasons associated to early marriage practices were: lacking in knowledge regarding the effects of early marriages, perceived benefits of early marriages including perception on maturity and logical thinking, and social sanctions from the society because it considered a disgrace when the eloped girl returned home. Several negative consequences of early marriages emerged from this study were complicated pregnancy/delivery, low birth weight, and undernourished children. Our informants concerned about the psychological effects of early marriages which include fear, regret, and depression. Eloped female adolescents lose their agency for decision making including the right for further education. Conclusions: Early marriage practices bring negative health consequences to female adolescents. An active collaboration across health sector and community leaders is required to provide sufficient information regarding the harmful effects of early marriages. Also, a more effective communication strategy using a family-based approach is required to appropriately target female adolescents with health information associated with the impacts of early marriage.
Perception of nursing staff towards the application of Professional Nursing Care Model and job satisfaction at Sanjiwani Hospital, Gianyar Gusti Ayu Krisma Yuntari; Pande Putu Januraga; I Ketut Suarjana
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p12

Abstract

Background and purpose: Several hospitals in Indonesia have developed a model of nursing care known as MAKP (Professional Nursing Care Model) to improve the quality of nursing services. Sanjiwani Hospital, Gianyar has applied this model. The aim of this study is to explore the perception of nurses towards this approach and assess its association with job satisfaction. Methods: A cross-sectional survey was conducted with 92 nurses working at the inpatient ward at Sanjiwani Hospital, Gianyar. Data were collected from July-August 2017 by interview using questionnaires. Data collected included the characteristics of respondents (age, gender, education, and employment status), nurses’ perception towards the application of MAKP, and nurses’ job satisfaction. Results: Nursing staff demonstrated perception score of ≥15 on leadership elements (68.5%), communication (72.2%), coordination (84.8%), delegation (80.4%), and supervision (66, 3%). Nursing staff with a score of ≥15 in coordination perception (AOR=4.48; 95%CI: 1.14-17.54), delegation (AOR=4.00; 95%CI: 1.21-13.23) and supervision (AOR=3.35; 95%CI: 1.25-8.88) expressed higher job satisfaction. While aspects of leadership (AOR=0.98; 95%CI: 0.29-3.79) and communication (AOR=0.76; 95%CI: 0.19-3.05) were not significantly associated with job satisfaction. Conclusions: The majority of nurses have a positive perception towards the MAKP approach. The better perception on coordination, supervision and delegation are found to increase job satisfaction. The results imply that coordination, supervision and delegation should be considered in order to increase job satisfaction in other hospitals.
Why do HIV-positive pregnant women discontinue with comprehensive PMTCT services? A qualitative study Putu Emy Suryanti; Komang Ayu Kartika Sari; Pande Putu Januraga; Dinar Lubis
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p13

Abstract

Background and purpose: Prevention of mother to child transmission (PMTCT) is a government program aimed at preventing mother-to-child transmission of HIV. A comprehensive PMTCT program involves the implementation of HIV testing up to antiretroviral (ARV) treatment for mothers with positive HIV test results. Coverage of comprehensive PMTCT remains low, with many HIV-positive pregnant women who discontinued ARV treatment. This study aims to explore the reasons of HIV-positive pregnant women to discontinue with the comprehensive PMTCT program. Methods: A qualitative study was carried out in Badung District, Bali Province, with seven respondents: one HIV-positive pregnant woman who did not continue the ARV treatment, two HIV-positive women who gave birth the previous year and did not take ARV, three public health centre (PHC) providers, and one head of PHC. Respondents were selected using a purposive sampling technique. Data were collected through in-depth interviews and analyzed thematically. The results presented narratively to illustrate the reasons why HIV-positive pregnant women discontinued with the comprehensive PMTCT program. Results: The emerging themes related to the reasons of HIVpositive pregnant women discontinued with the comprehensive PMTCT program included the lack of comprehensive PMTCT-related information, the lack of health provider assistance, and the high stigma towards people living with HIV (PLHIV). These barriers were affecting the willingness of HIV-positive pregnant women to continue with the program. Conclusions: Lack of comprehensive PMTCT-related information, lack of assistance by health care providers, and high public stigma impacts upon HIV-positive pregnant women’s willingness to continue with comprehensive PMTCT program. There is a need for a minimum service standard in the implementation of comprehensive PMTCT services and comprehensive information on HIV infection in order to reduce the stigma towards PLHIV.

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