Health service utilization among widows living with HIV/AIDS: an interview survey in Manipur, India

Kipgen, Jennifer; Yesudian, C. A. K.; Marrone, Gaetano; Lundborg, Cecilia Stålsby

doi:10.1007/s10308-011-0288-9

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…16 In the opposite, study in India stated education level was not associated with access to health services but it was associate with residence and the appointment to meet medical workers. 17 The profession status was not significantly associated with utilization of VCT by women of CLWH in this study. Both the worker and unemployment women of CLWH had utilized the VCT services in West Papua, although the number of unemployment women of CLWH were slighty higher than the worker.…”

Section: Resultscontrasting

confidence: 56%

Utilization of Voluntary Counseling and Testing for Accessing Antiretroviral by Women of Childbearing Age in West Papua

Widiyanti,

Adiningsih,

Natalia

et al. 2022

JURNAL KESPRO

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Abstrak Latar belakang: Wanita Usia Subur (WUS) dengan status Human Immunodeficiency Virus (HIV) memiliki berbagai masalah yang kompleks terkait dengan penyakit dan statusnya. Kebutuhan pengobatan antiretroviral untuk mengoptimalkan kesehatan dan meningkatkan kualitas hidup dapat mereka peroleh dengan mengakses pelayanan kesehatan. Salah satu layanan untuk mengakses antiretroviral tersebut adalah Voluntary Counseling and Testing (VCT). Tujuan: Tujuan penelitian adalah untuk menganalisis faktor yang menjadi penentu pemanfaatan pelayanan VCT pada wanita usia subur dengan status HIV di Papua Barat. Metode: Jenis penelitian adalah observasional dengan rancangan potong lintang. Unit observasi adalah wanita usia subur yaitu usia 15 -49 tahun, sedang pengobatan antiretroviral di VCT Rumah Sakit Manokwari, Sorong, dan Fakfak. Besar sampel 140 responden wanita usia subur. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Data diolah statistik secara univariat dan bivariat dengan uji chi square. Hasil: Sebagian besar responden dengan intensitas tinggi dalam pemanfaatan pelayanan VCT adalah berusia 15-35 tahun, pendidikan menengah atas-perguruan tinggi, tidak bekerja dan status menikah. Variabel demografi dan predisposisi tidak berhubungan secara statistik dengan pemanfaatan VCT untuk pengobatan antiretroviral, namun ada hubungan antara faktor pemungkin (jarak) dengan nilai p=0,00 dan faktor penguat (dukungan sosial) dengan nilai p =0,03 terhadap pemanfaatan layanan VCT oleh wanita usia subur di Papua Barat. Kesimpulan: Jarak dan dukungan sosial berhubungan secara statistik dengan peningkatan pemanfaatan layanan VCT pada wanita usia subur di Papua Barat. Jarak yang bisa diakses dengan mudah meningkatkan kunjungan pada layanan kesehatan serta dukungan sosial yang diterima wanita yang terinfeksi HIV akan meningkatkan pemanfaatan pelayanan VCT sehingga dapat meningkatkan kualitas hidup. Kata kunci: Wanita Usia Subur, HIV, antiretroviral, VCT, Papua Barat Abstract Background: Women of childbearing age living with Human Immunodeficiency Virus (HIV) have many complex problems regarding to their disease and status. They need receiving antiretroviral treatment to optimize health and improve their quality of life by accessing health services. Voluntary Counseling and Testing (VCT) is a health service where antiretroviral treatment can be accessed. Objective: The study aims to analyze the factors which determine the utilization of VCT for accessing antiretroviral treatment by women of childbearing age living with HIV in West Papua. Method: This was an observational, cross-sectional study. The subject was women of childbearing age whose aged 15-49 years old, receiving antiretroviral treatment at VCT of Hospitals in Manokwari, Sorong, and Fakfak. Total were 140 respondents. Data collection was carried out by interview using questionnaire. The data were analyzed statistically by univariate and bivariate using the chi square test. Result: Most of respondents with high intensity in utilization of VCT services were aged 15-35 years, senior high school-university education, unemployment and married status. Demographic and predisposing variables were not significantly associated, but there were associations between enabling factors (distance) with p value=0.00 and reinforcing factor (social support) with p value=0.03 in utilization of VCT services by women of childbearing age in West Papua. Conclusion: Distance and social support are significantly associated with utilization of VCT services by women of childbearing age in West Papua. The easily accessible distance increases their visitation to VCT. In addition, the social support given to them had impact on increasing the utilization of VCT services, and finally these may improve their quality of life. Keywords: women of childbearing age, HIV, antiretroviral, VCT, West Papua

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Section: Resultscontrasting

confidence: 56%

Utilization of Voluntary Counseling and Testing for Accessing Antiretroviral by Women of Childbearing Age in West Papua

Widiyanti,

Adiningsih,

Natalia

et al. 2022

JURNAL KESPRO

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“…However, partnering with WHR enabled us to interview widows in a setting in which they felt safe and supported, which may have helped to encourage participants to share more information about a traditionally uncomfortable subject. We also primarily interviewed high‐caste widows, and evidence indicates that the social norms that regulate widows’ actions vary by caste [10,20]. The study did not include groups of married women or women who were alone for other reasons (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Because widows in South Asia are expected to abstain from sex following their husbands’ deaths, their sexual and reproductive health is often ignored [2]. While many widows may not be engaged in sexual relationships, they still experience sexual and reproductive health problems such as HIV and other sexually transmitted infections [4,10]. Widows are also at increased risk of sexual violence because of their marginalized social status [2,4,5].…”

Section: Introductionmentioning

confidence: 99%

Barriers to sexual and reproductive health care among widows in Nepal

Haviland

Shrestha²,

Decker

et al. 2014

International Journal of Gynecology & Obstetrics

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“…13 Penelitian lain menemukan pendidikan tidak berhubungan signifikan dengan akses ke pelayanan kesehatan, yang berhubungan adalah tempat tinggal dan janji temu dengan tenaga kesehatan. 15 Perempuan terinfeksi HIV/AIDS yang berpendidikan tinggi ternyata rendah dalam pemanfaataan pelayanan kesehatan. Pemanfaatan yang rendah ini kemungkinan disebabkan oleh faktor lain seperti rasa malu, ketidakterbukaan terhadap status penyakit, sikap terhadap penyakit dan pelayanan kesehatan, dan kurang mendapat dukungan sosial.…”

Section: Pembahasanunclassified

Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

Burhan

2013

Kesmas: National Public Health Journal

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AbstrakPerempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan. Kata kunci: HIV/AIDS, pemanfaatan pelayanan kesehatan, perempuan AbstractWomen living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services.

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Health service utilization among widows living with HIV/AIDS: an interview survey in Manipur, India

Cited by 3 publications

References 13 publications

Utilization of Voluntary Counseling and Testing for Accessing Antiretroviral by Women of Childbearing Age in West Papua

Utilization of Voluntary Counseling and Testing for Accessing Antiretroviral by Women of Childbearing Age in West Papua

Barriers to sexual and reproductive health care among widows in Nepal

Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

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