AbstrakKabupaten Grobogan merupakan kabupaten dengan peningkatan kasusHIV/AIDS cukup tajam dibandingkan kabupaten lain di Jawa Tengah.Penelitian ini bertujuan untuk mengidentifikasi stigma masyarakat terhadap orang dengan HIV/AIDS (ODHA) dan faktor yang memengaruhinya. Penelitian explanatory ini dilakukan melalui pendekatan studi potong lintang dengan sampel berjumlah 300 kepala keluarga yang dipilih menggunakan sampel acak proporsional pada tiga kelurahan dengan kasus HIV tertinggi selama Agustus - September 2014. Pengumpulan data dilakukan melalui wawancara tatap muka menggunakan kuesioner terstruktur. Sedangkan analisis data dilakukan secara univariat, bivariat menggunakan kai kuadrat, dan multivariat menggunakan regresi logistik. Sebagian besar responden adalah laki-laki dengan tingkat pendidikan terbanyak sekolah menengah atas ke bawah. Separuh responden masih memberikan stigma terhadap ODHA. Responden dengan keluarga yang memberikan stigma memiliki kemungkinan memberikan stigma terhadap ODHA empat kali lebih besardibandingkan responden yang keluarganya tidak memberikan stigma.Demikian juga responden yang berpersepsi negatif terhadap ODHA memiliki kemungkinan memberikan stigma dua kali lebih besar dibandingkan yang berpersepsi positif. Faktor sikap tetangga dan tokoh masyarakat terhadap ODHA juga berhubungan signifikan dengan stigma responden terhadap ODHA. Kesimpulannya adalah sikap keluarga dan persepsi responden terhadap ODHAmerupakan faktor yang berpengaruh pada munculnya stigma terhadap ODHA sehingga disarankan adanya pemberian informasi tentang HIV/AIDS yang lengkap kepada keluarga dan masyarakat untuk menurunkan atau menghilangkan stigma.AbstractGrobogan District is a district with a sharp increasing of HIV/AIDS casecompared to other districts over Central Java. This study aimed to identifypublic stigma to people living with HIV/AIDS (PLWHA) and influencing factors. This explanatory study was conducted using cross sectional designworth 300 family head samples selected by using proportional random sampling on three subdistricts with highest HIV case within August - September 2014. Data collecting was conducted through face-to-face interview using structured questionnaire. Meanwhile, data analysis was conducted in univariate, bivariate using chi square and multivariate using logistic regression. Most respondents were men whose education level was mostly high school to the bottom level. Half of respondents were still stigmatizing PLWHA. Respondents whose families stigmatized had possibility of stigmatizing four times bigger than respondents whose families did not. Similarly, respondents holding negative perceptions toward PLWHA had possibility of stigmatizing twice bigger than those holding positive perceptions. Attitude of neighbors and public figures toward PLWHA also significantly related to respondent’s stigma to PLWHA. To sum up, family attitude and respondent’s perception to PLWHA were influencing factors of emerging stigma toward PLWHA. Therefore, it suggested that providing families and public any complete information about HIV/AIDS may decrease or remove the stigma.

There is growing recognition that operational research (OR) should be embedded into national disease control programmes. However, much of the current OR capacity building schemes are still predominantly driven by international agencies with limited integration into national disease control programmes. We demonstrated that it is possible to achieve a more sustainable capacity building effort across the country by establishing an OR group within the national tuberculosis (TB) control programme in Indonesia. Key challenges identified include long-term financial support, limited number of scientific publications, and difficulties in documenting impact on programmatic performance. External evaluation has expressed concerns in regard to utilisation of OR in policy making. Efforts to address this concern have been introduced recently and led to indications of increased utilisation of research evidence in policy making by the national TB control programme. Embedding OR in national disease control programmes is key in establishing an evidence-based disease control programme.

Analysis Factors Affecting Selection Of Long-Term Contraception Method (Ltcm) Non Hormonal On Woman Of Fertile Couple (Pus) In Kendal By 2013; Women of fertile couple more than 30 years old have a higher risk factor for their health, including reproduction, which is expected they will use LTCM non-Hormonal. The purpose of this study is to analyze factors that related to the selection of LTCM Non-Hormonal in women of fertile couple in Kendal 2013. The type of this research is descriptive analytics and cross-sectional design with quantitative and qualitative approaches and the sample is 400 respondents from 20 districts in Kendal Regency. The qualitative sample is 6 respondents. The results showed a relationship between knowledge with selection of contraception method (p value = 0.034), there is a relationship between attitudes to the selection of contraception method (p value = 0.027), there is a relationship between support of birth control officer with selection contraception method (p value = 0.049), and there is a correlation between the availability of service of birth control with the selection of contraception method (p value = 0.011), there is no relationship between husband support to selection of contraception method (p value = 0835, and there is no relationship between religious leaders or community leaders on selection contraception method (p value = 0384). The most influential factor in the selection of LTCM non-hormonal is the attitude with OR 2,041.Keywords : selection of long term contraception, factor, affect

BackgroundOperational research is currently one of the pillars of the global strategy to control tuberculosis. Indonesia initiated capacity building for operational research on tuberculosis over the last decade. Although publication of the research in peer-reviewed journals is an important indicator for measuring the success of this endeavor, the influence of operational research on policy and practices is considered even more important. However, little is known about the process by which operational research influences tuberculosis control policy and practices.ObjectiveWe aimed to investigate the influence of operational research on tuberculosis control policy and practice in Indonesia between 2004 and 2014.DesignUsing a qualitative study design, we conducted in-depth interviews of 50 researchers and 30 policy makers/program managers and performed document reviews. Transcripts of these interviews were evaluated while applying content analysis.ResultsOperational research contributed to tuberculosis control policy and practice improvements, including development of new policies, introduction of new practices, and reinforcement of current program policies and practices. However, most of these developments had limited sustainability. The path from the dissemination of research results and recommendations to policy and practice changes was long and complex. The skills, interests, and political power of researchers and policy makers, as well as health system response, could influence the process.ConclusionsOperational research contributed to improving tuberculosis control policy and practices. A systematic approach to improve the sustainability of the impact of operational research should be explored.

Background: Adolescence overweight due to excessive intake and physical inactivity. This situation will continue until adulthood and cause degenerative diseases.  The prevalence of overweight adolescents  in senior high school Pontianak is 16,8% (higher than prevalence of obese adolescents in Indonesia).Objective: Analyze impact of nutrition education intervention to increase nutritional knowledge, change nutrient intake and Body Mass Index (BMI) among adolescent overweight in Pontianak high school.Methods: Quasi-experimental study design with control group pre-post test design. Nutrition education intervention to treatment group was gave once a week for 3 months and control group was gave only one for 3 months study. The subject are 73 overweight high school students, taken by purposive sampling and divided into 2 groups: 36 treatment group and 37 control group. Statistical analysis using paired t-test, Wilcoxon test, Independent t-test, Mann-Whitney Test and covariance.Results: This result shows that nutrition education intervention increase nutrition knowledge score (9.58±11.82) and fiber intake (1.05±5.29 g) in treatment group; reduce energy sufficiency rate in treatment and control group (12.42±16.77% and 10.18±0.54%); reduce protein adequacy rate (7.61±12.05%%), carbohydrate intake (3.78±6.71%) and reduce fat intake (3.11±3.96%) in treatment group; reduce BMI in treatment and control group (0.58±0.67 kg/m2 and 0.12±0.34 kg/m2).Conclusion: Nutrition education in overweight adolescent can decrease BMI among them through increase their nutrition knowledge. Nutrition knowledge of overweight adolescent decrease energy adequacy level, protein adequacy level, carbohydrate intake percentage, fat intake percentage, and increase fiber intake.