Akumulasi kasus HIV/AIDS di Provinsi Jawa Tengah, tahun 1993 - 2008 adalah pada usia 20 - 24 tahun sekitar 12,54% dan usia 25 - 29 tahun sekitar 37,31% merupakan kategori remaja dan dewasa muda. Di Kabupaten Magelang kasus HIV positif pada remaja mulai muncul tahun 2008 dan selalu muncul pada tahun berikutnya. Remaja sangat membutuhkan informasi tentang seksualitas dan peran ibu sangat penting. Tujuan penelitian ini adalah untuk mengetahui determinan perilaku ibu yang meliputi umur, pekerjaan, pendidikan, pengetahuan kesehatan reproduksi remaja, persepsi kemampuan diri dan sikap dalam pendidikan seksualitas. Jenis penelitian adalah survei dengan pendekatan potong lintang. Populasi terjangkau adalah ibu yang mempunyai anak remaja berusia 10 - 14 tahun dan mengikuti program Bina Keluarga Remaja percontohan di Kabupaten Magelang. Pemilihan sampel menggunakan klaster sampling dan berjumlah 92 orang. Pengumpulan data menggunakan kuesioner. Analisis bivariat menggunakan uji kai kuadrat dan analisis mulitivariat menggunakan regresi logistik. Hasil penelitian menunjukkan mayoritas ibu belum memberikan pendidikan seksualitas dengan baik. Variabel yang berhubungan adalah pendidikan ibu, pengetahuan ibu tentang kesehatan reproduksi remaja, persepsi kemampuan diri ibu dan sikap ibu. Persepsi kemampuan diri ibu merupakan variabel yang paling berpengaruh terhadap perilaku ibu dalam memberikan pendidikan seksualitas.Accumulation of HIV/ AIDS cases in Central Java province in 1993 - 2008 is at the age of 20 - 24 years at 12.54% and aged 25 - 29 years at 37.31% is the category of adolescent and young adults. In Magelang district HIV positive cases in adolescents began to emerge in 2008 and always appeared the following year. Adolescent need information about sexuality and the role of the mother is very important. This study aims to determine the determinant factors of mother (age, employment status, level of education, level of knowledge about adolescent reproductive health, self-perception and attitude) in providing sexuality education. This study was surveyed with cross sectional model. The population is mothers of adolescents aged 10 - 14 years and as member of Bina Keluarga Remaja program pilot in Magelang. The selection of samples using cluster sampling and numbered 92 people. Collecting data using a questionnaire. Bivariate analysis used chi squared test and multivariate used logistic regression. The results showed the majority of mother have not provided good sexuality education. There were relations between mother’s education level, mother’s level of knowledge about adolescent reproductive health, mother’s perception and mother’s attitudes with mother’s behavior in providing sexuality education. Mother’s perception is the most influential variable on mother’s behavior in providing sexuality education.

ABSTRAKMenurut UNAIDS 2006 jumlah ODHA di dunia mencapai 39,4 juta, dewasa 37,2 juta, dan anak-anak <15 tahun 2,3 juta. Survey jaringan kerja ASIA-PASIFIK 2006 bahwa ODHA mengalami stigma dan diskriminasi dalam masyarakat sebesar 5-95%. Survey BPS 2009 bahwa ODHA mengalami stigma dan diskriminasi dalam masyarakat sebesar 50-80%. Di NTT sejak tahun 1997-2013, menurut KPA NTT ODHA yang meninggal 443 orang dan yang ditolak keluarga ada 8 orang. Penelitian ini bertujuan mengetahui faktor-faktor yang berpengaruh terhadap stigma yang diberikan masyarakat terhadap ODHA di Kota kupang. Metode: deskriptif survey analitik research pendekatan kuantitatif dengan rancangan cross secsional. Melakukan wawancara terhadap 382 Kepala Keluarga. Analisis data menggunakan uji univariat, bivariat dan multivariate. Hasil menunjukan terdapat 56,0% stigma rendah dan 44.0 % stigma tinggi terhadap ODHA.  Variabel yang berpengaruh terhadap stigma masyarakat terhadap ODHA yaitu Pengetahuan, persepsi tentang HIV-AIDS dan sikap KK, sikap keluarga besar, sikap tetangga, sikap tenaga kesehatan dan sikap tokoh masyarakat terhadap ODHA dengan tingkat probabilitas memberikan stigma terhadap ODHA sebesar 81.72%. Kata kunci: Stigma, Masyarakat, ODHA, Kota kupang. Social Stigma among PLWHA in Kupang City East Nusa Tenggara: According to UNAIDS 2006 that PLWHA in the world reached 39.4 million, 37.2 million adults and children <15 years 2.3 million. ASIA-PACIFIC network survey in 2006 that PLWHA experience stigma and discrimination in the family, community and in health care by 5-95%. BPS Research in 2009 that PLWHA experience stigma and discrimination within the family, community, neighbors, workplaces and health care by 50-80%. NTT since 1997-2013, according to NTT KPA PLWHA who have died and 443 people were rejected by the family of 8 people. The aim of this study was to know about factors that influence a given society stigma against PLWHA in Kupang City. The method of this research is Analitic survey descriptive quantitative approach with cross secsional design. Conducted interviews with 382 head of familys. Analysis of test data using univariate, bivariate and multivariate. The results shows that here are 56,0% low stigma and 44.0% high stigma to PLWHA. The variables to determinant on the community stigma to PLWHA are Knowledge, perceptions about HIV/AIDS, the head of family attitudes, the big family attitude, the neighbor attitude, the attitude of health professionals, attitude of community leaders among PLHIV  with a probability level of stigma towards PLWHA by providing 81.72%. Keywords: Stigma, Community, PLWHA, Kota Kupang

Sexuality is clearly a key, if often neglected, dimension for both population and medical geography. The challenge of HIV prevention has given rise to research efforts to understand the pattern and dynamics of sexual lifestyles. This paper reports upon findings from such a study undertaken upon the socio-sexual lifestyles of youth (18-24 years of age) from factory (low-income) and university (middle class) social environments in urban Central Java, Indonesia. The study involved a combination of quantitative (2000 person sample survey) and qualitative (8 focus group discussions and 15 in-depth interviews) methods, with data collected from 2003-2004. Analysis of the basic sexual parameters reveals relatively low levels of pre-marital sexual experience, but (of concern) very low levels of contraceptive precautions within such activity. The main part of the paper concerns a discussion of a range of young men and women's socio-sexual lifestyles (identified by cluster analysis). The core Javanese concept of gaul is explored in discriminating different global/traditional orientations. The lifestyles are interpreted in terms of the reflexivity of leisure activities, taste and dress, within the broader contexts of Javanese culture and the social transition occurring in the Republic of Indonesia.

Background: Prediabetes status describes as the condition of blood glucose level above normal but insufficient to be diagnosed as diabetes. The stage of prediabetes is a critical condition of blood glucose level, but could reverse to be normal again if healthy lifestyle is routinely performed. In USA one of three people diagnosed with prediabetes. But most people did not realize that they had prediabetes history. The increasing number of prediabetes occurs due to the absence of typical symptoms. If prediabetes detected earlier, the rate of diabetes mellitus could be prevented. This study aims to examine some behaviors that affect the prediabetes status of patients in Pati II health center. Method: This is an explanatory research with cross sectional approach. Samples were rucruited using inclusion criteria such as aged 40–59 years, not diagnosed as diabetes, abdominal circumference more than 90 for men and 80 for women. There were 117 respondents involved in this study.   Results: This research showed that the number of respondents with prediabetes status was 39.3%. Respondents with blood glucose level ranged more than 200 mg/dl were 6%. The variables that influence the prediabetes status of the respondents were Body Mass Index with OR 3.591 (p value 0.011), diet pattern with OR 2.435 (p value 0.044), and smoking habit or passive smoking with OR 2.493 (p value 0.046). This study recommends to prevent the prediabetes to be diabetes, needed the socialization of healthy lifestyle to the community and early detection of prediabetes. Early prevention includes changes to people healthy lifestyles such as maintaining healthy body weight, doing physical activity routinely, healthy eating patterns, avoiding cigarette smoke and smoking habits.Keywords: prediabetes, BMI, diet, smoking

Reproductive health information including STIs and HIV/AIDS has been provided in community health center. In fact, the level of adolescent knowledge in terms of sexual health and its risks is still low. This study aims to identify adolescent needs of information services on sexual and reproductive health including STIs and HIV/AIDS. All adolescent aged 15 to 19 years in Ngesrep village were recruited as a sample. There were 237 adolescents participated in this cross sectional study. The findings showed that half of them have low level of knowledge, nearly half have permissive sexual attitudes, 15% have engaged in sexual intercourse. Adolescents need comprehensive information including pregnancy, sexual diseases and HIV/AIDS which provided by health workers at school health programs.

The Scaling-Up Nutrition (SUN) Movement was an intervention to overcome chronic malnutrition through integrated stakeholder collaboration. Furthermore, the roles of stakeholders' in the SUN-Movement were not optimal and their characteristics were not yet known based on the groups and government areas (cities and regency). This study aims to map the SUN-Movement stakeholders' roles in different groups and government areas based on their attitudes, powers, and interests. This is an observational descriptive research with a qualitative approach. Totally of 30 institutions as stakeholders were involved in this study and divided into 3 different groups, namely Decision Maker (DM), Provider (P), and Clients & Representatives (CR). The DM group have the power to influence programs. Also, the P group was better at handling technical issues, however, it cannot build collaboration with other stakeholders. The CR tend to build this collaboration passively, nevertheless, it does not consider the SUN-Movement to be important. Consequently, each stakeholder views their roles differently. Different perceptions about stakeholders' roles in various indicators and government areas reveals an implementation gap in the SUN-Movement. Therefore, in conclusion, strengthening advocacy, coordination, routine socialization, and communication between stakeholders could bridge the needs, constraints and challenges that cause malnutrition and stunting.

Pemerintah Kota Semarang membentuk Puskesmas PONED dan Rumah Sakit PONEK untuk sistem rujukan dalam pengelolaan kasus obstetri. Faktanya, response time rujukan masih dirasakan lama oleh pasien untuk mendapatkan pelayanan. Tujuan penelitian menganalisis response time penatalaksanaan rujukan kegawatdaruratan obstetri ibu hamil di Kota Semarang. Jenis penelitian survei dengan pendekatan deskriptif kualitatif dan teknik purposive. Pengumpulan data menggunakan wawancara mendalam, dokumentasi, dan triangulasi sumber. Hasilnya response time pelaksanaan dan penerimaan rujukan belum optimal seperti harapan pasien. Lama waktu dari pasien datang di IGD Puskesmas PONED hingga siap dirujuk ke RS PONEK rata-rata 1-2 jam. Lama waktu penerimaan pasien datang di IGD RS PONEK hingga mendapatkan kamar perawatan 2 -3 jam. Lama waktu disebabkan kesiapsiagaan tim medis yang kurang tanggap merespon pasien, ibu hamil tidak membawa buku KIA dan tidak melengkapi persyaratan administrasi, sopir ambulans sulit dihubungi, konfirmasi pemberian informasi dari RS rujukan dan lamanya proses pemindahan pasien dari ruang bersalin ke kamar perawatan.

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