Background: Although advanced treatment and accessibility of HIV/AIDS prevention and care have been increased, HIV-related stigma persists in the Indonesian community, especially among HIV-negative Muslim wives in a serodiscordant relationship. Therefore, understanding their coping strategies of the stigma is a necessity. Objective: The study aimed to explore HIV-related stigma and coping strategies of HIV-negative Muslim wives in a serodiscordant relationship. Methods: A qualitative study was conducted among seven HIV-negative Muslim wives in a serodiscordant relationship who experienced stigma. Data were collected by in-depth interview, and content analysis was used for data analysis. Findings: Three themes emerged from the data. The first theme was the meaning of HIV/AIDS to Muslim wives, including perceiving HIV as a wanita nakal (immoral women) disease, perceiving HIV causes death, assuming herself as a carrier, and presuming HIV is less harmful than Diabetes Mellitus. The second theme was HIV-related stigma experiences, including being shunned by people, rejected by a midwife, and humiliated by a health worker. Finally, the third theme was coping strategies with the stigma, consisting of hiding the husband's HIV-positive status from the neighbors, disclosing HIV-positive status to a selective person, seeking support from the peer group, and strengthening the relationship among family members. Conclusion: HIV/AIDS-related stigma affected people living with HIV/AIDS and their families, and it becomes a barrier to HIV/AIDS reduction programs in the marriage relationship. These findings will be beneficial to nurses and other health professionals to develop stigma reduction interventions related to HIV/AIDS. Funding: This research was funded by the Graduate School at Prince of Songkla University, Thailand; Kadiri University, Indonesia; and the Ministry of Research, Technology and Higher Education of Indonesia Scholarship.
Program Voluntary Counseling and Testing (VCT) merupakan salah satu strategi kesehatan masyarakat yang di lakukan untuk menekan penyebaran HIV/AIDS. Tingginya kasus HIV/AIDS di Indonesia salah satunya dikarenakan minta seseorang yang berisiko untuk melakukan pemeriksaan VCT yang masih rendah. Teori Health Belief Model adalah model teoritis yang dapat digunakan untuk memandu promosi kesehatan dan program pencegahan penyakit. Tujuan penelitian ini yaitu untuk mengetahui faktor yang berhubungan dengan pemanfatan klinik VCT pada LSL remaja dengan pendekatan teori Health Belief Model (HBM) di Kota Kediri tahun 2020. Pwnwlitian ini termasuk penelitian analiotik korelasi dengan pendekatan Cross sectional. 83 sampel orang dipilih denagn porposive sampling. Variabel Independen variabel meliputi perceived susceptibility, perceived benefits, perceived barrier, perceived seriusnes, dan cues to action. Variabel dependen adalah pemanfaatan layanan VCT. Data di kumpulkan dengan kuesioner dan di analisis dengan sperman rank. Hasil menunjukan bahwa perceived susceptibility dengan pemanfaaatan layanan VCT (p = 0,255), perceived seriousness dengan pemanfaatan layanan VCT (p = 0,241), perceived benefits dengan pemanfaatan VCT ( p = 0,064), perceived barrier dengan pemanfaatan layanan VCT (p = 0,026), Hubungan cues to action dengan pemanfaatan layanan VCT (p = 0,169). Perceived susceptibility, perceived benefits, perceived seriusnes, dan cues to action tidak memiliki korelasi denagn pemanfaatan layana VCT, perceived barrier memiliki korelasi dengan pemanfaatan layanan VCT. Di saran kan bagi LM untuk sering memberikan informasi kepasa orang-orang beresiko tinggi HIV/AIDS. Kata kunci : VCT, LSL, HIV, HBM
The religious and cultural values of the Muslim community shaped their coping mechanisms in facing various problems. Indonesian Muslim wives leaned toward both religious and cultural philosophies as resources in maintaining their marriage life. This research aimed to understand the spiritual perspective among Muslim wives in accepting their husband's HIV-positive status. This study used a qualitative study with 15 wives who had a husband with HIV-positive. The interview was run 2-4 times for each participant, and around spent 50-90 minutes for each interview. Data were analyzed simultaneously using a content analysis method. Three themes were articulated, including:1) the meaning of being a Muslim wife to a husband with an HIV-positive, 2) Life experiences after knowing a husband’s HIV-positive status, and 3) Philosophy of life in accepting a husband’s HIV-positive status. Muslim wives' experiences often depend on gender power relations, cultural and religious values, and family roles. The result of the study could be used in developing specific strategies with a gender approach to reduce the transmission of HIV/AIDS among Muslim wives.
Covid-19 ini bisa menyerang hampir seluruh kalangan usia, namun demikian data yang ada saat ini menunjukkan bahwa kelompok usia lanjut dan orang yang mempunyai riwayat penyakit kronis khususnya diabetes. Penatalaksanaan diabetes melitus dapat dilakukan dengan pengelolaan diet, exercise, dan pendidikan kesehatan. Penatalaksanaan farmakologi dengan obat oral antidiabetes dan insulin. Terdapatnya pembatasan sosial di masa pandemi Covid-19 sehingga mempengaruhi pelayanan kesehatan untuk pasien diabetes, oleh karena itu perlu diberikan terapi komplementer. Salah satu terapi komplementer yang ideal untuk pasien diabetes adalah buah okra (Abelmoschus esculentus), karena memiliki indeks glikemik yang rendah. Penyuluhan tentang pemanfaatan Okra dalam membantu kestabilan gula darah pada pasien diabetes secara mandiri oleh masyarakat. Adapun hasil dari penyuluhan ini masyarakat memiliki ketertarikan dan motivasi yang tinggi untuk memakai bahan pangan Okra masuk kedalam menu dietnya
Pandemi covid-19 menuangkan permasalahan yang kompleks terutama pada sektor kesehatan terutama pada Orang Dengan HIV-AIDS (ODHA) yang merupakan salah satu kelompok rentan terhadap penularan covid-19
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