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"Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p = 0.033; OR = 2.762) with risky sexual behavior. No significant relationship was noted between income (p = 0.244), knowledge (p = 0.110), attitude (p = 0.978), drug use (p = 0.150), alcohol consumption (p = 0.642), and sexual violence (p = 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities."

"Penerapan model pelayanan sosial penyandang HIV-AIDS berbasis masyarakat merupakan replikasi dari model yang telah ditemukan sebelumnya melalui uji coba. Tujuan penerapan model ini adalah untuk memantapkan model yang telah ditemukan tersebut, agar lebih memiliki nilai aksesibilitas dan aksesibilitas dan akseptabilitas, sehingga dapat dimanfaatkan oleh siapapun sebagai media untuk memberikan pelayanan terhadap penyandang HIV-AIDS...."

"In the developing countries, millions of HIV positive-infected women of childbearing age are currently not using contraceptive to delay or terminate pregnancy. Prevention of unintended pregnancy among HIV positive-infected women is very important to improve these women and their baby`s quality of life. This study aimed to analyze factors related to the unmet need among HIV positive-infected women of childbearing age. This study used cross-sectional method with 130 samples taken consecutively. This study was conducted on March 24 to June 30, 2015 at Mawar Clinic in Bandung City. Interviews using a questionnaire were performed to collect data that were then analyzed by using chi square test and multiple logistic regression. The results showed that desire to have children (OR= 2.67; 95%CI= 1.034 - 6.891, husband`s support (OR= 7.803; 95%CI = 2.037 - 29.884) affected the unmet need and husband`s HIV status (OR= 0.168; 95%CI= .064 - 0.44) had lower effect to the unmet need. The husband`s support was found as the most influential factor to the unmet need in this study. The husband`s role is important in reducing the unmet need among the HIV positive-infected women, so that contraceptive counseling in pair should be performed.

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Jutaan wanita usia subur (WUS) dengan HIV positif di negara berkembang saat ini tidak menggunakan kontrasepsi untuk menunda atau mengakhiri kehamilan. Pencegahan kehamilan yang tidak diinginkan pada WUS dengan HIV positif sangat penting untuk meningkatkan kualitas hidup ibu dan anak. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berpengaruh terhadap unmet need pada WUS dengan HIV positif. Metode penelitian adalah cross sectional dengan sampel berjumlah 130 WUS dengan HIV positif yang diambil secara consecutive sampling. Penelitian dilakukan pada 24 Maret - 30 Juni 2015 di Klinik Mawar Kota Bandung. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner, kemudian data dianalisis dengan uji kai kuadrat dan regresi logistik ganda. Hasil penelitian menunjukkan bahwa keinginan memiliki anak dengan OR= 2,67 (CI 95%= 1,034 - 6,891), dukungan suami dengan OR= 7,803 (CI95%= 2,037 - 29,884) berpengaruh terhadap unmet need dan status HIV suami dengan OR= 0,168 (CI95%= 0,064 - 0,44) berpengaruh lebih rendah untuk terjadi unmet need. Dukungan suami merupakan faktor yang paling berpengaruh terhadap unmet need. Peran suami merupakan faktor penting untuk menurunkan angka unmet need pada WUS dengan HIV positif sehingga disarankan untuk dilakukan konseling kontrasepsi berpasangan."

"HIV/AIDS epidemic in Indonesia has been taken place for more than 15 years and still be prolonged because of the determinant factors that easily transmission of the disease. An effort to prevention HIV/AIDS trnasmission program is to promote information to individual as well as communities, which spwcial attention to certain characteristic."

"ABSTRAKPekerja Seks Komersial PSK menjadi populasi kunci penularan virus HIV. Perkembangan sektor pariwisata dan penerimaan masyarakat menjadikan PSK tetap bertahan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang mempengaruhi perilaku seksual berisiko pada ODHA Orang Dengan HIV AIDS PSK. Desain penelitian ini adalah kuantitatif melalui pendekatan studi cross-sectional dengan jumlah sampel 80 ODHA PSK di Daerah Istimewa Yogyakarta dan Jawa Tengah. Analisis data menggunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara efikasi diri p=0,000; OR=9,365 dan perasaan aman p=0,033; OR=2,762 dengan perilaku seksual berisiko. Tidak terdapat hubungan yang signifikan antara penghasilan p=0,244 , pengetahuan p=0,110 , sikap p=0,978 , pemakaian narkoba p=0,150 , konsumsi alkohol p=0,642 , dan kekerasan seksual p=0,968 dengan perilaku seksual berisiko. Pelayanan keperawatan diharapkan lebih berfokus pada upaya promotif dan preventif dengan melibatkan masyarakat dalam program-program kesehatan dan peningkatan fasilitas kesehatan.

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ABSTRACTCommercial Sex Workers CSWs are the key populations of HIV transmission. The development of the tourism sector and the acceptance of the community has made CSWs survive. This study aimed to identify associated factors with sexual risk behavior among HIV Positive CSWs. The design of this study was quantitative study with cross sectional approach. Sample size was 80 HIV Positive CSWs from Special Region of Yogyakarta and Central Java. Data analysis used Chi Square and multiple logistic regression. The results showed significant relationship between self efficacy p 0,000 OR 9,365 and feeling secure p 0,033 OR 2,762 with risky sexual behavior. There was no significant relationship between income p 0,244 , knowledge p 0,110 , attitude p 0,978 , drug use p 0,150 , alcohol consumption p 0,642 , and sexual violence p 0.968 with risky sexual behavior. Nursing practices are expected to focus more on promotive and preventive efforts by involving communities in health programs and improvement of health facilities."

"Latar belakang: Orang dengan HIV (ODHIV) termasuk dalam populasi risiko tinggi untuk terjadi COVID-19 derajat berat. Vaksinasi merupakan salah satu modalitas penting dalam melawan penyakit ini akibat ketiadaan terapi yang efektif.Tujuan: Mengetahui intensi penerimaan vaksin COVID-19 pada orang dengan HIV berbasis integrated behavior model.Metode: Penelitian ini melalui dua fase,kualitatif dan kuantitatif. Pada fase kualitatif, kuesioner berbasis IBM dibuat berdasarkan hasil in-depth interview. Penelitian dilakukan di RS Cipto Mangunkusumo, RS Kramat 128, dan RS Kanker Dharmais dari September sampai Desember 2021. Kriteria inklusi adalah ODHIV ≥ 18 tahun dan eksklusi tidak dapat membaca atau menulis dan tidak mengisi kuesioner secara lengkap pada bagian IBM. Pengambilan data berbasis kertas atau dalam jaringan dengan metode acak sederhana. Analisis korelasi dan regresi linier dengan SPSS 25.Hasil: Dari total 470 partisipan, 75,6% pasien ingin melakukan vaksin. Model yang telah dibuat dapat menjelaskan 43,4% varians pada intensi untuk melakukan vaksinasi COVID-19 pada ODHIV (adjusted R2 = 0,434). Sebagai tambahan, determinan yang bermakna adalah sikap instrumental (B = 0,006, p < 0,05), norma yang dirasakan (B = 0,026, p < 0,01), dan kendali yang dirasakan (B = 0,019, p = 0,008).Kesimpulan: Integrated Behavior Model dapat memprediksi intensi ODHIV untuk melakukan vaksinasi COVID-19.

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Background: People Living with HIV (PLHIV) are considered a high-risk population for severe COVID-19. Vaccination is an important modality in combating this disease due to the lack of effective therapies.

Objective: To determine the intention of COVID-19 vaccine acceptance among people with HIV based on the Integrated Behavior Model (IBM).

Method: This study went through two phases, qualitative and quantitative. In the qualitative phase, an IBM-based questionnaire was developed based on the results of in- depth interviews. The research was conducted at Cipto Mangunkusumo Hospital, Kramat 128 Hospital, and Dharmais Cancer Hospital from September to December 2021. Inclusion criteria were PLHIV ≥ 18 years old, and exclusion criteria were individuals who were unable to read or write and did not complete the IBM questionnaire fully. Data collection was done on paper or online using a simple random sampling method. Correlation and linear regression analyses were performed using SPSS 25.

Results: Out of a total of 470 participants, 75.6% of patients expressed the intention to receive the vaccine. The developed model could explain 43.4% of the variance in the intention to receive the COVID-19 vaccination among PLHIV (adjusted R2 = 0.434). Additionally, significant determinants were instrumental attitude (B = 0.006, p < 0.05), perceived norm (B = 0.026, p < 0.01), and perceived control (B = 0.019, p = 0.008).

Conclusion: The Integrated Behavior Model (IBM) can predict the intention of PLHIV to receive the COVID-19 vaccination."

"HIV exposure among health workers is still quite rare, including in Indonesia. Nevertheless, with the increase in new HIV cases due to intravenous drug abuse, there should be more health workers caring for HIV cases. To avoid exposure, universal precaution has to be implemented. If exposure occurs, the HIV stale of the patient, as the source of body fluid should be determined, while the exposed health care worker needs to undergo counseling. Anti retroviral agents should be administered prior to 36 hours following exposure. Sero-conversion monitoring must be performed during exposure, also 3 months, 6 months, and 12 months following exposure- There have been 9 cases of HIV exposure due to accidents among health workers reported to the Working Group on AIDS (Kelompok Studi Khusus - Pokdiksus AIDS) Faculty of Medicine of the University of Indonesia - Cipto Mangunkusumo General Central National Hospital. Six of them received AZT prophylactic treatment, while the remaining 3 chose not to use any prophylactic treatment. After six months following exposure, all anti HIV test were negativeThe number of HIV cases in the last two years has shown a tremendous increase. AT the end of February 2002, the Department of Health recorded 2/50 cases of HIV/AIDS in Indonesia.1 As new cases increase among intravenous drug abuse, the number of HIV cases is estimated to increase further in the future, bearing in mind that experts have estimated that number of drug abusers in Indonesia have reached 2 million people. Those infected with HIV, especially those already in the AIDS stage, often require hospitalization for treatment of opportunistic infections. Thus, health workers have to prepare themselves to face the increasing problem of HIV infection.To avoid contagion of HIV, Hepatitis B, and Hepatitis C thai may reside in the patient's body fluids to another person, the Center for Disease Control (CDC> recommends universal precaution. This guideline from C DC should be continuously distributed to allow health workers to continue to work with a feeling of security.Nevertheless, there is still the possbility of accidents among health workers at work in the form of needle prick or direct exposure to body fluids from an HIV-infected individual."

"Tesis ini membahas tentang PMTS (Program Pencegahan HIV-AIDS melalui Transmisi Seksual), merupakan program pencegahan HIV-AIDS yang dicetuskan oleh Komisi Penanggulangan AIDS Nasional (KPAN), bertujuan untuk melakukan pencegahan HIV secara komprehensif, integratif dan efektif pada populasi kunci yang salah satunya adalah WPS. Untuk mencapai tujuan tersebut kegiatan yang dilakukan adalah peningkatan peran positif pemangku kepentingan (pembentukan Pokja Lokasi, pembuatan peraturan lokal lokasi, penyusunan program kerja), komunikasi perubahan perilaku (pengelolaan pendidik sebaya, kader lokasi, pengadaan dan pendistribusian media KIE, penyuluhan, VCT mobile), manajemen pasokan kondom dan pelicin (perumusan rantai pasok kondom dan pelicin, pembentukan outlet kondom dan pelicin), penatalaksanaan IMS dan HIV-AIDS. Koordinasi yang belum maksimal, kurangnya dana, sarana dan prasarana menjadi penyebab utama belum tercapainya tujuan program PMTS ini, ditandai dengan tidak berjalannya Pokja Lokasi yang telah dibentuk. Pokja Lokasi merupakan salah satu kunci keberhasilan dalam menjalankan seluruh kegiatan, sehingga saran dari peneltian ini adalah meningkatkan koordinasi dari KPAK dengan LSM, SKPD, Pokja Lokasi dalam bentuk pertemuan rutin, mengalokasikan dana rutin untuk Pokja Lokasi dan keseluruhan kegiatan, serta menyediakan sarana dana prasarana untuk menunjang kegiatan ini

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The focus of this study is PMTS (HIV-AIDS Prevention Program through Sexual Transmission) is a program of HIV-AIDS prevention which was initiated by the National AIDS Commission (KPAN), its aim is to do HIV prevention comprehensively, interactively and effectively on the key population which is female sex workers. The activity that is being done to achieve these objectives is to increase the positive role of thepeople in charge (establishment of Location Working Unit, location rule making, preparation of working programs), behavior changes communication (management of peer educators, location cadres, procurement and distribution of KIE media, counseling, mobile VCT), management of the supply of condoms and lubricants (formulation of condoms and lubricants supply, formulation of condoms and lubricants outlets), treatment of STIs and HIV-AIDS. Lack of coordination, lack of funds, facilities and infrastructure have become the reason whythe goal PMTS program cannot be achieved yet, marked with dysfunctional Location Working Unit. Location Working Unit is one key to success that can run the entire activities, so the suggestions of this research are to improve the coordination of KPAK with LSM/NGO, SKPD, Location Working in a form of routine meetings, to allocate the routine funds for Location Working Unit and the entire activities, as well as providing facilities and infrastructure to support the activities"

"Tes HIV merupakan pintu gerbang awal yang menghubungkan dengan pelayanan pencegahan HIV lainnya. Mengetahui faktor-faktor yang mempengaruhi perilaku tes HIV pada LSL merupakan hal yang penting untuk dijadikan bahan pertimbangan dalam merancang program intervensi yang bertujuan untuk meningkatkan angka tes HIV. Sebuah studi potong lintang dilakukan dengan menggunakan data STBP 2015 pada 921 LSL. Hubungan perilaku tes HIV diestimasi melalui nilai prevalens odds ratio (POR) dan 95% confidence interval (CI). Dari 921 LSL, 781 (84,8%) LSL memiliki perilaku tes HIV yang baik. Faktor yang berpengaruh secara independen dengan perilaku tes HIV pada LSL adalah umur (aPOR: 3,472; 95% CI: 2,164 – 5,572), tempat tinggal (aPOR: 1,678; 95% CI: 1,136 – 2,478) dan keterpaparan informasi (aPOR: 6,506; 95% CI: 3,821 – 11,077) dengan keterpaparan informasi menjadi variabel yang dominan dalam hubungannya dengan perilaku tes HIV

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HIV testing is the initial gateway and links HIV cases to HIV care, support and treatment. Understanding the factors associated with HIV testing among men who have sex with men (MSM) is important to be taken for consideration in the planning of intervention programs that aimed to increase HIV testing rates. A cross-sectional study was conducted using IBBS 2015 data on 921 MSM. Association between HIV testing behavior was estimated through the prevalence odds ratio (POR) and 95% confidence interval (CI). Of 921 MSM, 781 (84.8%) MSM had good HIV testing behavior. Factors independently associated with HIV testing behavior are age (aPOR: 3,472; 95% CI: 2,164 - 5,572), recent living situation (aPOR: 1,678; 95% CI: 1,136-2,478) and recent exposed HIV information (aPOR: 6,506; 95% CI: 3,821 - 11,077) with recent exposed HIV information as a dominant variable in association with HIV testing."