The aim of this study was to gather data on condom use among brothel-based female sex workers in Indonesia and to study the reasons for not using condoms in order to provide new and existing condom promotion programs with information to improve their performance. Quantitative data were gathered by KABP surveys (n = 1450) and a condom diary with a sample of 204 female sex workers. Qualitative data were collected by conducting focus group discussions and in-depth interviews among female sex workers and pimps. Around 53% of sexual intercourses were reported to be protected, and 12% of these protected intercourses were preceded by clients' argumentation against it. Only 5.8% of sex workers consistently used condoms for a 2-week period of observation, and this figure decreased to 1.4% for a 4-week period. Reasons for not using condoms from the clients' side, as mentioned by the sex workers, were perceived less pleasure due to the condom and the belief that clients that are acquainted with the sex workers do not need protection against sexually transmitted diseases (STDs) or AIDS. The main reasons of female sex workers for not using condoms were the beliefs that boyfriends, native Indonesians and healthy-looking clients cannot spread STDs. Another reason stated was that sex workers had already taken other preventive measures, like taking antibiotics. The research also showed that pimps were not very supportive of condom use programs in Indonesia. Condom unacceptability is an important reason for not using condoms for both clients and female sex workers, whereas pimps, who are in the best position to encourage condom use, unfortunately consider condom use as a threat to their business. For the successful introduction of consistent condom use, it is necessary to design interventions for both sex workers and clients and to provide appropriate educational materials and preferred brands of condoms. Also, pimps must be involved in intervention programs.
Setiap penyandang disabilitas khususnya penyandang disabilitas fisik memiliki hak dalam pekerjaan. Penelitian ini bertujuan untuk menggambarkan aksesibilitas fisik dan non fisik terhadap pekerjaan bagi penyandang disabilitas fisik Aksesibilitas fisik berkaitan dengan sarana dan pra sarana yang aksesibel bagi penyandang disabilitas fisik, sehingga memberikan kemudahan dalam memanfaatkan fasilitas yang ada. Aksesbilitas non fisik dalam bidang pekerjaan seperti terwujudnya lapangan pekerjaan, tidak adanya diskriminasi dan terciptanya lingkungan yang ramah bagi penyandang disabilitas fisik. Metode penelitian yang digunakan adalah penelitian kualitatif dengan pendekatan Participatory Action Research (PAR). Sumber data yang digunakan dalam penelitian diperoleh dari hasil indepth interviewdengan 2 informan utama dan 7 informan pendukung yang dipilih secara purposive karena terlibat langsung dalam kegiatan masyarakat. Tahapan menguji keabsahan data, peneliti menggunakan teknik triangulasi. Data tersebut dianalisis secara kualitatif dan disajikan dalam bentuk narasi, kutipan wawancara, serta penarikan kesimpulan. Hasil dari pelaksanaan penelitian menggambarkan belum adanya payung hukum yang jelas ditingkat daerah bagi penyandang disabilitas menjadi salah satu faktor penyebab serta dunia usaha lokal yang belum memahami keberadaan penyandang disabilitas. Faktor intenal juga menjadi penghambat dalam menjangkau pekerjaan, dimana konsep diri penyandang disabilitas fisik yang lemah seperti rasa percaya diri dan motivasi bekerjanya rendah. Peneliti melakukan Focus Group Discussion (FGD) bersama stakeholders terkait dimana salah satunya membahas hak penyandang disabilitas dalam Undang-Undang No. 8 Tahun 2016 Tentang Penyandang Disabilitas. Kendala yang dihadapi dalam FGD terkait penempatan kerja yang tepat bagi penyandang disabilitas fisik. Hasil FGD tersebut adanya kesempatan kerja yang diberikan oleh aparat pemerintah dan dunia usaha dengan dibekali pelatihan keterampilan terlebih dahulu. Kata Kunci: Aksesibilitas, Pekerjaan, Penyandang Disabilitas Fisik, Konsep Diri, Focus Group Discussion (FGD)
This article is based narrative review of digital therapy in mental health services in Indonesia. It’s because the demands of the order of life that are developing so fast make people be able to adjust themselves well. Some people can survive well and win in life's fierce competition, while others do not survive, then become stressed, traumatized, depressed, and then in turn experience mental disorders. Many strategies to handle mental problems such as using technology. Digital therapy in mental health services has recently become increasingly prominent, related to efforts to reach more people who are in need but do not have access to more practical breakthroughs. Digital therapy is considered a more practical breakthrough because anyone who needs it can access it. On the other hand, mental health issues are not very familiar in the community. Stigma and judgment are still high in people with mental health disorders or people who do not understand whether they have experienced mental health problems, what are the signs, what to do when experiencing mental health disorders, and what are the impacts if left unchecked.
The issue of sexual abuse today is quite alarming. Many cases have occurred including in West Nusa Tenggara. A social rehabilitation center that provides services to Children Associated with Law (ABH) in Lombok is quite overwhelmed with client problems, especially those related to sexual abuse issues among minors. The cases handled are quite complex and varied, such as the high incidence of incest and usually perpetrators of sexual abuse are the people closest to the victims. The "Merariq" culture is the habit of "escaping" bride to marry has contributed to the problem. This research is to find out (1) the picture of sexual abused cases in West Nusa Tenggara (2) the causes of the high incidence of sexual abuse (3) how to settle incest or "Merariq" cases by the local community, and (4) Who has the role to resolve incest or "Merariq" cases. This research used descriptive qualitative method, with interviews, documentation studies and focus group discussions. The results shows that in incest cases the perpetrators were the biological fathers with problems. Beside, cases of early marriage occur because of using the "Merariq" to end in early marriage. The conclusion is that culture also influences the high incidence of sexual abuse in West Nusa Tenggara.
Abstract. Social skills are not the capacity that can be easily mastered by personswith mental disabilities; they endeavor to master and/-or regain control of thesecapacities. Having 2 persons with mental disabilities as case studies, the objective ofthis study is to improve social skills of those persons with disabilities in more stablemental condition. This research uses a quantitative approach with a single subjectexperimental research design utilizing multiple baseline cross subject model; twopersons with mental disabilities having similar characteristics and behavior becamerespondents of the study. Data analysis has been conducted by means of graphmaking, descriptive statistics, and visual inspection. Furthermore, the research usesface validity for its test validation and inter-rater reliability (kappa coefficient) in thereliability test. The study shows that 4 (four) aspects of social skills of the tworespondents has been increasing since the intervention started. The behavioralimprovement can be seen in the aspects of their communication, people-to-peopleinteraction, ways to cooperate, and motivation for doing daily activities. The postinterventions(A2) measurement indicated that there was a decrease of behavioralfrequency even though the number is still above the prior-intervention phase (A1). Thedecline was allegedly triggered by changes of activities of the two respondents.Keywords: Modeling Technique, Symbolic Model, Social Skills, Mental Disability.
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