Ditemukan 41046 dokumen yang sesuai dengan query :: Simpan CSV
Tengku Khairunnisa; Pembimbing: Tengku Khairunnisa; Penguji: Evi Martha, Dini Dachlia
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Secara global, kehamilan tidak direncanakan (KTD) masih menjadi isu kesehatan reproduksi yang signifikan, dengan sekitar 121 juta kasus setiap tahun yang mencapai 300 juta kejadian dan 15-17% di Indonesia berdasarkan SDKI 2017. Dalam situasi ini, perempuan dihadapkan pada proses pengambilan keputusan yang kompleks untuk melanjutkan atau menghentikan kehamilan. Penelitian ini bertujuan untuk menganalisis proses pengambilan keputusan pada perempuan dalam situasi kehamilan tidak direncanakan menggunakan perspektif rasionalitas terbatas. Penelitian ini merupakan studi kualitatif dengan analisis tematik terhadap data sekunder dari penelitian Center for Health Research (CHR) Universitas Indonesia tahun 2019. Hasil penelitian menunjukkan bahwa kesadaran awal kehamilan umumnya ditandai dengan keterlambatan menstruasi dan dikonfirmasi melalui test pack, dengan penyebab utama kehamilan didominasi oleh kegagalan atau ketidakteraturan penggunaan kontrasepsi. Respon awal yang muncul cenderung berupa emosi negatif, seperti kaget, takut, dan bingung. Proses pengambilan keputusan bersifat dinamis, dengan alternatif yang dipertimbangkan mulai dari melanjutkan kehamilan, melakukan percobaan penghentian kehamilan secara non-medis, hingga aborsi. Keputusan tersebut dipengaruhi oleh faktor ekonomi, kondisi kesehatan, relasi dengan pasangan, serta norma sosial, dengan peran penting pasangan dan keluarga. Temuan ini menunjukkan bahwa pengambilan keputusan dalam situasi kehamilan tidak direncanakan tidak bersifat individual, sehingga diperlukan penguatan edukasi kontrasepsi, peningkatan akses layanan kesehatan reproduksi, serta penyediaan konseling yang komprehensif dan tidak menghakimi.
Unintended pregnancy remains a significant global reproductive health issue, with approximately 121 million cases occurring each year, and around 15-17% of pregnancies in Indonesia categorized as unintended based on the 2017 Indonesia Demographic and Health Survey (IDHS). In such situations, women face a complex decision-making process regarding whether to continue or terminate the pregnancy. This study aims to analyze the decision-making process among women experiencing unintended pregnancy using a bounded rationality perspective. This research employs a qualitative approach through thematic analysis of secondary data derived from a 2019 study conducted by the Center for Health Research (CHR), Universitas Indonesia. The findings indicate that early awareness of pregnancy is generally marked by delayed menstruation and confirmed through the use of a pregnancy test. The primary cause of unintended pregnancy is dominated by contraceptive failure or inconsistent use. Initial responses tend to involve negative emotions such as shock, fear, and confusion. The decision-making process is dynamic, involving various alternatives, including continuing the pregnancy, attempting non-medical termination, or undergoing abortion. These decisions are influenced by economic factors, health conditions, partner relationships, and social norms, with significant roles played by partners and family. The findings suggest that decision-making in unintended pregnancy is not solely individual, highlighting the need for strengthened contraceptive education, improved access to reproductive health services, and the provision of comprehensive and non-judgmental counseling.
S-12325
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dwika Aldila; Pembimbing: Rita Damayanti; Penguji: Dien Anshari, Iwan Ariawan, Chandra Rudyanto, Sarah Handayani
Abstrak:
ABSTRAK Nama : Dwika Aldila Program Studi : Ilmu Kesehatan Masyarakat Judul : Hubungan Antara Persepsi Terhadap Ragam Alat Kontrasepsi Dengan Keputusan Penggunaan MKJP Dan Non MKJP, Analisis Data Sekunder Pada Wanita Usia Subur di Provinsi Nusa Tenggara Barat Tahun 2016 Pembimbing : Dr. dra. Rita Damayanti, MSPH Rendahnya penggunaan MKJP (Metode Kontrasepsi Jangka Panjang) menjadi permasalahan pada program Keluarga Berencana (KB). MKJP memiliki tingkat efektivitas lebih tinggi, namun setiap tahun jumlah akseptor non MKJP (Suntik dan Pil) di Indonesia selalu mengalami peningkatan dibandingkan dengan MKJP (IUD dan Impant) yang cenderung menurun. Persepsi akseptor terhadap alat kontrasepsi menyebabkan ketidaksesuain akseptor memilih alat kontrasepsi. Penelitian ini menggunakan desain cross sectional yang menganalisis data sekunder ICMM 2016. Penelitian ini bertujuan untuk mengetahui persepsi ragam alat kontrasepsi terhadap keputusan penggunaan MKJP dan Non MKJP. Sampel dalam penelitian ini adalah wanita usia subur (WUS) usia 15 sampai 49 tahun yang menggunakan alat kontrasepsi dengan jumlah responden 9100. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara persepsi preferensi MKJP dan Non MKJP, efektivitas, pengetahuan dan durasi pernikahan terhadap keputusan penggunaan MKJP. Dalam upaya peningkatan cakupan penggunaan MKJP diperlukan strategi komunikasi yang tepat dalam pembuatan program keluarga berencana dengan memperhatikan preferensi akseptor terhadap alat kontrasepsi dan efektivitas alat KB kepada akseptor. Kata Kunci: Keluarga Berencana, MKJP, Persepsi alat kontrasepsi ABSTRACT Name : Dwika Aldila Program : Public Health Science Title : Correlation Between Women Contraceptive Tools Perception to Their Choice of LTCM Anda Non LTCM, A Secondary Data Analysis on Fertile Aged Women at West Nusa Tenggara Province In 2016 Academic Advisor : Dr. dra. Rita Damayanti, MSPH The low usage of Long Term Montraceptive Method (LTCM) has become a problem for the Family Planning (KB) program. LTCM has a higher effective rate than its counterpart the non LTCM. But every year the acceptor for the non LTCM contraceptive method (shots and pills) are increasing and the LTCM contraceptive method has been steadily declining. The acceptor perception on the contraceptive method have caused a fault on their contraceptive method choice. This research uses a cross sectional method design analysing a secondary data from the 2016 ICMM data. The purpose of this research is to know the perception of fertile female to the various contraceptive methods (LTCM and Non LTCM). The samples in this research are 9100 fertile women ranging from 15 to 49 years old whos been using contraceptive methods. The results show that there is a significant correlation between perception preference for the LTCM and Non LTCM. For an increase of the LTCM use coverage, it needs an effective communication strategy on the family planning program that pays attention to the acceptor's contraceptive method preference and the effectiveness of the contraceptive method for the acceptor Keywords: Family Planning, LTCM (Long Term Contraceptive Method), Contraceptive Method Perception
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T-5774
Depok : FKM-UI, 2019
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Luh Putu Ari Dewiyanti; Pembimbing: Evi Martha; Penguji: Dadan Erwandi, Yoslien Sopamena, Suhesti Dumbela, Irfani Nugraha
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Intervensi pre-exposure prophylaxis (PrEP) di Indonesia telah diimplementasikan sejak tahun 2021, namun cakupan penggunaannya masih rendah. Di DKI Jakarta sebagai provinsi dengan capaian PrEP tertinggi secara nasional, masih terdapat kesenjangan antarwilayah, di mana Jakarta Selatan telah melampaui target capaian (131%), sementara Jakarta Timur masih berada di bawah target (61%). Penelitian ini bertujuan memahami perilaku pengambilan keputusan penggunaan PrEP pada kelompok laki-laki seks dengan laki-laki (LSL) di Jakarta Timur dan Jakarta Selatan. Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi dan analisis tematik. Data dikumpulkan melalui wawancara mendalam dan observasi pada LSL pengguna dan non-pengguna PrEP, serta tenaga kesehatan dan petugas lapangan sebagai informan pendukung. Hasil penelitian menunjukkan bahwa pengambilan keputusan penggunaan PrEP merupakan proses yang dinamis dan tidak linear, dipengaruhi oleh interaksi antara informasi, persepsi kerentanan, persepsi hambatan, sikap, norma subjektif, motivasi, dan keterampilan perilaku. Pengguna dan non-pengguna PrEP sama-sama memiliki kesadaran terhadap HIV dan sikap positif terhadap PrEP, namun berbeda dalam memaknai risiko, kebutuhan penggunaan, dan kemampuan mengintegrasikan PrEP dalam kehidupan sehari-hari. Pengguna PrEP menunjukkan pemahaman risiko yang lebih reflektif serta keterampilan perilaku yang mendukung navigasi layanan, kepatuhan, dan adaptasi terhadap hambatan penggunaan. Sebaliknya, non-pengguna cenderung merasionalisasi risiko melalui rasa aman subjektif dan strategi pencegahan lain sehingga PrEP belum dipandang sebagai kebutuhan yang relevan. Temuan juga menunjukkan bahwa perbedaan capaian penggunaan PrEP antarwilayah berkaitan dengan pengalaman layanan, fleksibilitas program, dan dukungan komunitas. Penelitian ini menyimpulkan bahwa penggunaan PrEP pada kelompok LSL tidak hanya dipengaruhi akses informasi dan kesadaran risiko HIV, tetapi juga proses pemaknaan risiko, dukungan sosial, pengalaman layanan, dan keterampilan perilaku. Oleh karena itu, peningkatan penggunaan PrEP perlu dilakukan melalui pendekatan berbasis tahapan pengambilan keputusan, komunikasi risiko yang lebih kontekstual, serta penguatan kualitas layanan dan pendampingan berbasis komunitas.
Pre-exposure prophylaxis (PrEP) has been implemented in Indonesia since 2021, however, its uptake remains low. In DKI Jakarta, which has the highest national PrEP coverage, disparities persist across regions, with South Jakarta exceeding its target coverage (131%) while East Jakarta remains below target (61%). This study aimed to explore the decision-making behavior related to PrEP use among men who have sex with men (MSM) in East and South Jakarta. This study employed a qualitative approach with a phenomenological design and thematic analysis. Data were collected through in-depth interviews and observations involving MSM PrEP users and non-users, supported by healthcare workers and outreach officers as key informants. The findings showed that decision-making regarding PrEP use is a dynamic and non-linear process influenced by the interaction of information, perceived susceptibility, perceived barriers, attitudes, subjective norms, motivation, and behavioral skills. Both PrEP users and non-users demonstrated awareness of HIV and positive attitudes toward PrEP; however, they differed in how they interpreted risk, perceived the need for PrEP, and integrated PrEP into their daily lives. PrEP users showed more reflective risk perceptions and stronger behavioral skills related to service navigation, adherence, and adaptation to barriers. In contrast, non-users tended to rationalize risk through subjective feelings of safety and reliance on alternative prevention strategies, leading PrEP to be perceived as less relevant to their needs. The findings also indicated that disparities in PrEP uptake across regions were associated with differences in service experience, program flexibility, and community support. This study concludes that PrEP use among MSM is influenced not only by access to information and HIV risk awareness, but also by risk interpretation, social support, service experience, and behavioral skills. Therefore, efforts to increase PrEP uptake should incorporate decision-making stage-based approaches, more contextualized risk communication, and strengthened service quality and community-based support
T-7539
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dyah Salamiah; Pembimbing: Rita Damayanti; Penguji: Iwan Ariawan, Tri Yunis Miko Wahyono; Flourisa Julian; Yunita Wahyuningrum
Abstrak:
Pengambilan keputusan penggunaan kontrasepsi tidak saja terjadi pada tahap awal penggunaan, tapi juga pada tahap penggantian. Penggantian alat kontrasepsi dengan menggunakan metode yang efektif dan efisien (MKJP) dapat mencegah terjadinya kehamilan yang tidak direncanakan. Akan tetapi, penggantian metode kontrasepsi masih didominasi dari non MKJP ke non MKJP. Belum optimalnya komunikasi, informasi, edukasi (KIE) MKJP oleh provider menjadi salah satu faktor rendahnya penggunaan MKJP. Studi ini bertujuan mengidentifikasi penggantian metode kontrasepsi dari non MKJP ke MKJP serta membuktikan hubungan sumber informasi KB, informed choice, tempat layanan KB dan kunjungan petugas kesehatan/KB dengan penggantian metode kontrasepsi pada WUS di Jawa Timur. Studi ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Subyek penelitian adalah WUS yang sebelumnya memiliki riwayat menggunakan non MKJP. Pengambilan sampel menggunakan multi stage cluster PPS sample design dan didapatkan sampel sebanyak 3312 orang. Data dianalisis univariat, bivariat menggunakan uji chi square dan multivariat menggunakan uji regresi logistik ganda. Dari total 3312 responden, sebanyak 594 orang (17,9%) yang beralih menggunakan MKJP. Penggantian masih didominasi dari non MKJP ke non MKJP (82,1%). Sumber informasi KB, informed choice dan tempat layanan KB terbukti berhubungan signifikan dengan penggantian metode kontrasepsi setelah dikontrol dengan variabel confounding. WUS yang mendapatkan informasi KB dari dua orang tenaga kesehatan terbukti mendorong untuk beralih menggunakan MKJP. Adanya informed choice juga dapat mendorong WUS beralih menggunakan MKJP serta WUS yang mendapatkan layanan KB dari fasyankes pemerintah lebih mendorong untuk beralih menggunakan MKJP. Untuk membantu meningkatkan peralihan metode kontrasepsi ke MKJP, tenaga kesehatan yang melakukan pelayanan KB wajib konseling dan memberikan informed choice serta lebih memperkenalkan alat kontrasepsi MKJP sehingga dapat mengambil keputusan penggunaan kontrasepsi sesuai dengan kebutuhan.
Kata Kunci: Penggantian Metode Kontrasepsi, MKJP, Informed Choice, Provider
Decision making to choose contraception methods occurs not only in the early stages, but also in the switching stage. Switching contraception to Long Acting and Permanent Method (LAPM) that proven effective and efficient method prevent unplanned pregnancy. However, the switching of contraceptive methods was still dominated from non LAPM to non LAPM. Lack of communication, information, education of LAPM by provider might couse the low use of LAPM. This study aims to identify the role of informed choice and family planning services to promote contraception switch from non LAPM to LAPM.. This study uses a quantitative approach with cross sectional design. The sample of this study are women of childbearing age who had been used non LAPM and selected with multistage cluster with total of 3312 participants. Descriptive analyses were conducted to see the proportions of variables, while chi-square tests and logistic regression with a 95% confidence interval were conducted to see the relationship between independent and dependent variable. Out of 3312 respondents, 594 women (17.9%) are switching their contraception method from non LAPM to LAPMs. Most of contraception switch were from non LAPMs to non LAPMs. Sources of family planning information, informed choice and type of health services were significantly related to the replacement of contraceptive methods after controlled with confounding variables. Women whose obtain family planning information from two provider, receive informed choice, and gain family planning service from government health care have higher odds to switch contraception method to LAPMs. To improve the switching of contraceptive methods to LAPMs, provider who perform family planning services are obliged to perform counseling and provide informed choice and introduce more LAPMs, so the client can decide the contraception method as needed.
Key words: Switching Contraceptive Methods, LAPM, Informod Choice, Provider
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Kata Kunci: Penggantian Metode Kontrasepsi, MKJP, Informed Choice, Provider
Decision making to choose contraception methods occurs not only in the early stages, but also in the switching stage. Switching contraception to Long Acting and Permanent Method (LAPM) that proven effective and efficient method prevent unplanned pregnancy. However, the switching of contraceptive methods was still dominated from non LAPM to non LAPM. Lack of communication, information, education of LAPM by provider might couse the low use of LAPM. This study aims to identify the role of informed choice and family planning services to promote contraception switch from non LAPM to LAPM.. This study uses a quantitative approach with cross sectional design. The sample of this study are women of childbearing age who had been used non LAPM and selected with multistage cluster with total of 3312 participants. Descriptive analyses were conducted to see the proportions of variables, while chi-square tests and logistic regression with a 95% confidence interval were conducted to see the relationship between independent and dependent variable. Out of 3312 respondents, 594 women (17.9%) are switching their contraception method from non LAPM to LAPMs. Most of contraception switch were from non LAPMs to non LAPMs. Sources of family planning information, informed choice and type of health services were significantly related to the replacement of contraceptive methods after controlled with confounding variables. Women whose obtain family planning information from two provider, receive informed choice, and gain family planning service from government health care have higher odds to switch contraception method to LAPMs. To improve the switching of contraceptive methods to LAPMs, provider who perform family planning services are obliged to perform counseling and provide informed choice and introduce more LAPMs, so the client can decide the contraception method as needed.
Key words: Switching Contraceptive Methods, LAPM, Informod Choice, Provider
T-5464
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Tri Asih Dewi Agustina; Pembimbing: Sudarti Kresno, Ella Nurlella Hadi; Penguji: Rina A. Anggorodi, Hermani
Abstrak:
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ABSTRAK Penyakit kusta masih menjadi masalah kesehatan masyarakat di Indonesia. Kabupaten Majalengka salah satu daerah endemis kusta di Indonesia dengan angka kecacatan tingkat 2 tertinggi di Jawa Barat yang berhubungan dengan keterlambatan penemuan kasus baru dan pengobatan. Berdasarkan hal tersebut, maka diperlukan suatu penelitian yang mendalam mengenai pencarian pertolongan pengobatan pada penderita kusta. Tujuan penelitian ini adalah untuk memperoleh informasi yang mendalam mengenai pencarian pertolongan pengobatan penderita kusta serta faktor penghambat dan penunjangnya. Penelitian ini dilakukan di Kecamatan Sindangwangi, Argapura, dan Sumberjaya Kabupaten Majalengka dengan metode kualitatif yang pengumpulan datanya dilakukan dengan wawancara mendalam. Jumlah informan dalam penelitian ini sebanyak 31 orang yang meliputi informan penderita kusta dan informan kunci. Untuk menguji validitas hasil penelitian, dilakukan triangulasi sumber dan metode. Pengolahan data yang dilakukan terdiri dari mengumpulkan catatan hasil wawancara, membuat rekapitulasi hasil wawancara, membuat kategorisasi data, dan membuat matriks. Analisis yang dilakukan adalah Analisis isi atau content analysis untuk melihat kecenderungan hubungan antar variabel. Hasil penelitian menunjukkan, bahwa pencarian pertolongan pengobatan memiliki kecenderungan berhubungan dengan persepsi keparahan dan bahaya penyakit, dorongan tokoh masyarakat, keluarga, media, dan penyuluhan petugas kesehatan. Pemilihan pelayanan kesehatan memiliki kecenderungan berhubungan dengan kebiasaan dan pengalaman berobat, sedangkan keteraturan berobat memiliki kecenderungan berhubungan dengan persepsi terhadap kualitas pelayanan kesehatan. Keterlambatan mencari pertolongan pengobatan memiliki kecenderungan berhubungan dengan pengetahuan penderita kusta mengenai penyakit kusta yang rendah, ketidaktahuan penderita kusta kalau di Puskesmas terdapat pengobatan untuk kusta dan salah diagnosa. Untuk itu perlu dilakukan advokasi terhadap Pemerintah Daerah Kabupaten Majalengka dan Dinas Kesehatan Kabupaten Majalengka, meningkatkan promosi kesehatan dengan mengikutsertakan petugas promosi kesehatan di Puskesmas, menjalin kerjasama dengan lintas program dan lintas sektor, pelatihan keterampilan deteksi tanda kusta bagi petugas puskesmas, sosialisasi tentang pengobatan kusta dan keterampilan deteksi tanda kusta bagi dokter praktek di wilayah kerja puskesmas, pelatihan (training of trainers) penyuluhan kusta, penyuluhan intensif dan pemberdayaan masyarakat. Daftar Bacaan : 39 (1974 - 2007) Kata Kunci: Kusta, Pencarian Pertolongan Pengobatan Kusta
ABSTRACT Leprosy disease is still become the problem for public health in Indonesia. This matter happened, caused by factor pursuing effort of early case finding and leprosy treatment directly and also indirectly. Based on these, hence it is needed a circumstantial research in health seeking behavior of leprosy patient. The objective this research is to obtain circumstantial information on heatlh seeking behavior of leprosy patient . This research was conducted in Sindangwangi, Argapura, and Sumberjaya Sub- districts with qualitative method, which its data collecting conducted by in-depth interview. The number of informants in this research is 31 people, which consisting of leprosy patient and key informant . To assess the validity of result of the research, it was conducted triangulation resources. The Data analysis consist of collect the record of interview results, made summary of the result of interview, made the transcript, made data categorization, and made matrix. The next step is content analysis to see the tendency of the relationship between those variables. The result of this research show, that seeking help of medication have tendency relate to hard perception and the severeness of disease, motivation of community leader, family, media, and education of health service officer. Election of the health service have tendency relate to experience and habit of medication, while regularity of medication have tendency relate to perception to the quality of health service. The delay in seeking help of medication have tendency relate to knowledge of Leprosy suspect on Leprosy disease is still low, the lack of knowledge of Leprosy patient, where in Community Health Center there is medical treatment for leprosy and wrong diagnosed. Thereby require to be conducted advocacy to Local Government of Majalengka District, and Health Service of Majalengka District for the allocation of fund and support Leprosy Program with curative and preventive priorities, improving health promotion by involve health promotion officer in Community Health Center, cooperation between cross section that is religion section, and education in order to apply the Leprosy Program specially counseling, training about leprosy detection for health workers, socialization about leprosy treatment and leprosy sign for private doctors in Puskesmas area, training of trainers for leprosy IEC (information, education, and communication, intensive counseling with the target is Leprosy patient, family member of Leprosy patient, and also community, and enforce community participation in leprosy control. References: 39 (1974-2007) Key word: Leprosy, Health Seeking Behavior of Leprosy Patient.
T-2788
Depok : FKM UI, 2008
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nadhira Silmi Alifa; Pembimbing: Evi Martha; Penguji: Dadan Erwandi, Kartika Anggun Dimar Setio, Nining Mularsih, Sugiharto Isnadi
Abstrak:
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Prevalensi HIV pada ibu rumah tangga di Indonesia terus meningkat. Ibu dengan HIV menghadapi tekanan psikologis dan sosial yang kompleks selama kehamilan dan setelah melahirkan. Penelitian ini bertujuan menggali strategi coping yang digunakan oleh ibu dengan HIV dalam menghadapi stresor internal dan eksternal, merujuk pada Transactional Model of Stress and Coping oleh Lazarus dan Folkman (1984). Penelitian menggunakan pendekatan kualitatif studi kasus dengan lima informan utama dan sejumlah informan kunci dari keluarga, tenaga kesehatan, serta Dinas Kesehatan dan KPA Provinsi DK Jakarta. Data dianalisis menggunakan analisis tematik untuk menelaah pengalaman informan. Hasil menunjukkan bahwa ibu menghadapi stresor seperti stigma internal, ketakutan penularan vertikal, rasa bersalah, tekanan sosial, dan kesulitan ekonomi. Sumber daya coping berkembang seiring proses penerimaan diri dan adanya akses informasi kesehatan. Adapun dukungan pasangan, keluarga, dan lingkungan sosial memiliki peran penting dalam membangun Strategi coping yang digunakan mencakup problem-focused coping (kepatuhan ARV, mencari layanan kesehatan dan bantuan) dan emotion-focused coping (misalnya penerimaan diri, pendekatan religius, afirmasi positif, dan aktivitas rekreasi). Penelitian ini menekankan pentingnya sistem dukungan psikososial dalam meningkatkan kesejahteraan ibu dengan HIV. Adapun hasil dari penelitian ini dapat menjadi dasar pengembangan intervensi dukungan psikososial bagi ibu dengan HIV.
The prevalence of HIV among housewives in Indonesia continues to rise. Mothers living with HIV (MLWH) face complex psychological and social pressures during pregnancy and postpartum. This study aims to explore the coping strategies employed by MLWH in dealing with internal and external stressors, drawing on the Transactional Model of Stress and Coping by Lazarus and Folkman (1984). A qualitative case study approach was used, involving five primary informants and several key informants, including family members, healthcare providers, and representatives from the Jakarta Provincial Health Office and AIDS Commission (KPA). Thematic analysis was applied to examine informants’ experiences. The findings reveal that mothers experience a range of stressors such as internalized stigma, fear of vertical transmission, guilt, social pressure, and economic hardship. Coping resources evolved alongside self-acceptance and access to health information. Support from partners, family, and the social environment plays a crucial role in developing coping, which include both problem-focused coping (e.g., adherence to ARV therapy, seeking healthcare services and assistance) and emotion-focused coping (e.g., self-acceptance, religious approaches, positive affirmation, and recreational activities). This study highlights the importance of psychosocial support systems in enhancing the well-being of MLWH and may inform the development of psychosocial support interventions for MLWH.
T-7278
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Rika Fianti; Pembimbing: Rita Damayanti, Iwan Ariawan; Penguji: Evi Martha, Yunita Wahyuningrum, Flourisa Juliaan
T-5356
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ii Solihah; Pembimbing: Hadi Pratomo, Iwan Ariawan; Penguji: Soedarto Ronoatmodjo, Ubaidillah Syathory
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Tingginya Angka Kematian Ibu dan Bayi di Indonesia sering dilatar belakangi oleh tiga jenis keterlambatan (3T) yaitu keterlambatan mengenai tanda bahaya gawat darurat dan mengambil keputusan untuk merujuk, keterlambatan mencari fasilitas pclayanan kcschatan dan keterlambatan mempcroleh pcrtolongan memadai di fasilitas pelayanan rujukan (Depkes,2005). Tujuan Penelitian ini adalah diketahuinya faktor-faktor yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan. nifas dan neonatus, di Kabupaten Garut Jawa Barat, tahun 2007. Penelitian ini menggunakan data sekunder dari " Survei Data Dasar Pengem-bangan Madel Pelayanan Kesehatan Neonatal Esensial di Kabupaten Garut, Jawa Barat, 2007'; yang telah dilakukan oleh Pusat Penelitian Kesehatan UI & Pusat Kajian Promkcs FKM-UI bekerja sarna dengan Save The Children, pada bulan Juli sampai Oktober 2007, di 40 desa dari 10 kecamatan di Kahupaten Garut. Rancangan penelitian adalah potong lintang (cross sectional). Sampel yang digunakan yaitu suami yang memiliki istri dengan hayi yang berumur 0-11 bulan. Jumlah sampcl sebanyak 209 pasang suami istri. Sumber data berasal dari modul survei suami dan ibu. Data yeng berasal dari suami yaitu pengelahuan tentang tanda bahaya pada masa kebamilan, persalinan. nifas dan neonatus, kererlibatan keanggotaan kegiatan sosial, keterpaparan mdia informasi, keterpaparan terhadap Desa Siaga, kepercayaan/kebiasaan yang berhubungan dengan kesehatan maternal dan neonatal, sedangkan yang berasal dari ibu yaitu umur suami pendididkan suami, pekerjaan suami, jumlah anak, pendapatan keluarga yaitu pendapatan istri, suami dan jumlah tanggunagn keluarga, kepemilikan media elektronik, kepemilikan alat transportasi. Variabel terikat adalah pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus, sedangkan variabel bebas adalah karakteristik. suami (umur, pendidikan, pekeljaan, jumlah anak, jumlah pendapatan keluarga, kepercayaan/kebiasaan terkait kesehatan maternal dan neonatal), kepemilikan media komunikasi elektronik, kepemilikan alat transportasi, keterpaparan terhadap media infonnasi, keterpaparan terhadap Desa Siaga, keterlihatan keanggotaan kegiatan sosial. Berdasarkan hasil analisis multivariat dari regresi model akhir kandidat model multivariat didapatkan bahwa variabel pendidikan merupakan faktor dominan yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus. Saran bagi Depkes RI. khususnya Bagian Promosi Kesehatan agar meningkatkan kerjasama dalam bidang komunikasi dan inforrnasi khususnya dengan institusi pertelevisian nasional untuk memasukan acara penayangan infonnasi kesehatan tematama tentang tanda bahaya pada masa kehamilan persalinan, nifas dan neonatus. Bagi Dinkes Kabupaten, agar I) melakukan advokasi ke Pemda Kabupaten Garut untuk selanjutnya dilimpahkan ke Diknas untuk melakukan peningkatan pendidikan masyarakat Kabupaten Garut. 2) Menganjurkan kepada petugas kesehatan untuk senantiasa mendorong suami agar dapat berperan serta dalam meningkatkan pengetahuan tentang kesehatan maternal dan neonatal, khususnya pengetahuan tentang tanda bahaya diatas.; 3) Melakuan sosialisasi Desa Siaga serta uji coba dibentuknya kader kesehatan yang terdiri dari para suami dalarn suatu forum kegiatan sosial.; 4) Melakukan keljasama dengan stasiun radio setempat untuk mernasukan prognm sosialisasikan peningkatan pegetahuan tentang tanda bahaya pada masa keharnilan, persalinan, nifas dan neonatus. dengan acara yang disukai masyarakat; 5) Kerjasama dengan iustitusi pendidikakan kesehatan setempat baik pemerintah maupun swasta melalui kerjasarna pengelolaan daerah binaan kesehatan. Bagi kelompok profesi IDI, PPNI, IBI, agar senantiasa meningkatkan pemberikan informasi kesehatan khususnya tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus dengan sasaran suami atau keluarga. Bagi masyarakt dan LSM, PKK, Forum Desa Siaga, agar dapat berperan serta aktif yaitu mengikuti kegiatan social yang dibentuk untuk mengatasi maalah maternal dan neonatal, sehingga dimasa yang akan datang kematian ibu dan bayi yang disebabkan karena keterlambatan mengenal tanda bahaya tersebut dapat teratasi.
In Indonesia the high number of both maternal and neonatal death rate frequently has Background which consist of delay?s in recognizing emergency danger signs, making decision where to refer the emergency case to the health service facilities and in getting adequate treatment from referral services facilities. (Depkes,2005). This research used aimed to aim factors related wife husband's knowledge about danger sign at pregnancy time,partus, pcstpartus and neonates in Ga:rut West Java, 2007. This research usad secondary data from "Baseline Survey of Neonatal Essential Health Services Improvement Model in Garut Districk West Java, 2007' which was conducted by the Center of Health Research University of Indonesia & Center of Health Promotion Study FKM-UI in cooperation with Save the Children. It third July until October 2007, at 40 covered from 10 district in Garut Distrek. The research design was cross sectional. The selected sample was the husband whose wife matter having infant age 0..11 months. Total sample was 209 couples. The data instrument was take from the modules survey of husband and wife matter infant 0..11 moun infant. The data taken from husbands were knowledge about danger sign at pregnancy time, partus, postpartus and neonates, involvement in the of social organization exposure to information media, exposur towards ? Desa Siaga ?, Aler village program wich related to maternal and neonatal health, while data taken from the mothers were husband?s age, last education, work state job, number of children, family income consist with wife?s and husband?s income and number of family burden, electronic media partnership, vehicles partnership. The independent variable was husband's the knowledge,about danger sign at pregnancy time, partus, postpartus and neonates, while dependent variable was husband characteristic (age, education, job, number of children, family income, trust/habits related with maternal and neonatal health), electronics media communication partnership, vehicles possession, exposures towards information media, exposures towards "Desa Siaga" involvement in social organization activity. The multivariate analysis result showed that from regression of the last candidate model, education variable was the most dominant factor which related with husband knowledge about danger sign at pregnancy time, pregnancy delivery, postpartum, and neonates periode. Suggestions for the Health Department of the Republic Indonesia especially to the latter of Health Promotion is to improve the cooperation in communication and information especially with national television exident status to eximined health information speclatly about danger sign at pregnancy time, partus, postpartus and neonates. sub-province Health Department shall; (1) advocate to the Garut local government especially to ide to improve of level education the people, (2)Emergency health personal always to support the husband to develop their role in increasing knowledge of health maternal and neona!al, especially the above knowledge of danger sign, (3) conduct socialization of Desa Siaga and tryout health cadre formation which coos lists of the husbands , (4) establish cooperation with local radio station to create program of socialization of danger sign in pregnancy time, pregnancy delivery, postpartum, and neonates periode, with event or agenda that interest the society, (5) make cooperation with local health educational institution not only government but also private institution trough cooperation in establish pilot project such at IDI, PPNI, IBI could asistant socially, especially about danger sign in pregnancy time) pregnancy delivery, postpartum, and neonates periode with husband or family as target program.
T-2828
Depok : FKM UI, 2008
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Noralisa; Pembimbing: Tri Krianto; Penguji: Evi Martha, Toha Muhaimin, Mularsih Restianingrum, Intan Endang S. Damanik
Abstrak:
Angka kematian ibu dikalangan Suku Anak Dalam (SAD) sangat tinggi. Setiap tahun sejakTahun 2012 sampai Tahun 2017 terjadi satu kematian ibu. Penyebab utama adalah perdarahan daninfeksi, penyebab tidak langsung adalah faktor budaya dimana persalinan ditolong oleh dukun beranakdan tempat persalinan di pondok. Tujuan penelitian adalah untuk memotret keselarasan peran bidan dandukun dalam pandangan SAD pada masa kehamilan, persalinan, dan nifas. Metode penelitian kualitatifdengan pendekatan etnografi. Hasil penelitian diperoleh bahwa terdapat tiga aktifitas SAD pada masakehamilan, persalinan, dan nifas yaitu cara perawatan diri dan cara mencegah terjadi bahaya kehamilan,persalinan, dan nifas, pemilihan tenaga penolong, serta upacara ritual, hal dominan yang mempengaruhiaktifitas selama kehamilan ,persalinan, dan nifas adalah pengalaman yang lalu, perasaan Saat Ini, anjurandan Pantangan , pusat kekuatan pengambilan Keputusan. SAD menyatakan bahwa bidan hanya memilikiperhatian yang positif dalam memberikan pelayanan kesehatan, sedangkan dukun mampu memberikantiga unsur inti pertolongan. Bidan menyatakan Sulit berkomunikasi dan jarang melakukan interaksidengan SAD, sedangkan dukun mampu berkomunikasi dan berinteraksi baik dengan SAD. Dukunmenyatakan SAD memiliki kepatuhan terhadap tradisi dalam pemilihan penolong, sedangkan bidanmenjaga jarak dengan SAD. Menurut temenggung SAD akan memilih bidan sebagai penolong, apabiladukun tidak mampu lagi memberikan pertolongan.Kata kunci: peran bidan;peran dukun;Suku Anak Dalam (SAD);kehamilan;persalinan;nifas
view Suku Anak Dalam (SAD) in Pregnancy, Delivery, and Postpartumat Tebo, Jambi 2018Maternal mortality rate among Suku Anak Dalam (SAD) is very high. Every year from 2012to 2017 there is one maternal death. The main cause is bleeding and infection, indirect cause is a culturalfactor where labor is helped by traditional birth attendants (TBA) and place of birth in the lodge. Theobjective of the study was to photograph the harmony of the role of midwives and TBA in the view ofSAD during pregnancy, maternity, and childbirth. Qualitative research method with ethnographyapproach. The results showed that there were three SAD activities during pregnancy, maternity, andchildbirth, namely self-care and how to prevent the occurrence of danger of pregnancy, maternity, andchildbirth, the selection of rescue workers, as well as ritual ceremonies, dominant things that affectactivities during pregnancy, maternity, and childbirth are past experiences, current feelings, suggestionsand abstinences, centers of decision-making power. SAD states that midwives have only positiveattention in providing health services, whereas TBA are able to provide three core elements of relief.Midwives say Difficult to communicate and rarely interact with SAD, while TBA are able tocommunicate and interact well with SAD. TBA claim SAD has adherence to tradition in helper election,while midwife keeps distance with SAD. According to the Chief of SAD the midwife will choose as ahelper, if the TBA is unable to provide help.Keywords: midwife's role;TBA's role; Suku Anak Dalam (SAD); pregnancy; maternity; childbirth.
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view Suku Anak Dalam (SAD) in Pregnancy, Delivery, and Postpartumat Tebo, Jambi 2018Maternal mortality rate among Suku Anak Dalam (SAD) is very high. Every year from 2012to 2017 there is one maternal death. The main cause is bleeding and infection, indirect cause is a culturalfactor where labor is helped by traditional birth attendants (TBA) and place of birth in the lodge. Theobjective of the study was to photograph the harmony of the role of midwives and TBA in the view ofSAD during pregnancy, maternity, and childbirth. Qualitative research method with ethnographyapproach. The results showed that there were three SAD activities during pregnancy, maternity, andchildbirth, namely self-care and how to prevent the occurrence of danger of pregnancy, maternity, andchildbirth, the selection of rescue workers, as well as ritual ceremonies, dominant things that affectactivities during pregnancy, maternity, and childbirth are past experiences, current feelings, suggestionsand abstinences, centers of decision-making power. SAD states that midwives have only positiveattention in providing health services, whereas TBA are able to provide three core elements of relief.Midwives say Difficult to communicate and rarely interact with SAD, while TBA are able tocommunicate and interact well with SAD. TBA claim SAD has adherence to tradition in helper election,while midwife keeps distance with SAD. According to the Chief of SAD the midwife will choose as ahelper, if the TBA is unable to provide help.Keywords: midwife's role;TBA's role; Suku Anak Dalam (SAD); pregnancy; maternity; childbirth.
T-5435
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Maureen Syahailatua; Pembimbing: Rita Damayanti; Penguji: Evi Martha, Dini Dachlia
Abstrak:
Pada penelitian ini bagaimana pola penundaan pencarian pengobatan (Appraisal Delay, Illness Delay, Utilization Delay) pada masyarakat tidak mampu, yang tidak tercover BPJS PBI di Kampung Sela Eurih Desa Sumur Batu Tahun 2020. Penelitian ini dilakukan dengan menggunakan metode kualitatif, melaluipendekatan studi kasus. Metode pengumpulan data yang digunakan adalah in-depth interview (wawancara mendalam) dengan jumlah sampel 7 orang warga Kampung Sela Eurih.
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S-10574
Depok : FKM-UI, 2021
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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