BackgroundFrequent engagement of men in sexual encounters with female sex workers (FSWs) without using condoms places them at a high risk for HIV infection. HIV testing has been noted to be among important strategies to prevent HIV transmission and acquisition. However, it is known that not all men willingly undertake an HIV test as a way to prevent HIV transmission and/or acquisition. This study aimed to identify barriers to accessing HIV testing services among men who are clients of FSWs (clients) in Belu and Malaka districts, Indonesia.MethodsA qualitative inquiry employing face to face open ended interviews was conducted from January to April 2017. The participants (n = 42) were clients of FSWs recruited using purposive and snowball sampling techniques. Data were analysed using a qualitative data analysis framework.ResultsFindings indicated three main barriers of accessing HIV testing services by clients. These included: (1) personal barriers (lack of knowledge of HIV/AIDS and HIV testing availability, and unwillingness to undergo HIV testing due to low self-perceived risk of HIV and fear of the test result); (2) health care service provision barriers (lack of trust in health professionals and limited availability of medication including antiretroviral (ARV)); and (3) social barriers (stigma and discrimination, and the lack of social supports).ConclusionsThese findings indicated multilevelled barriers to accessing HIV testing services among participants, who are known to be among key population groups in HIV care. Actions to improve HIV/AIDS-related health services accessibility are required. The dissemination of the knowledge and information on HIV/AIDS and improved available of HIV/AIDS-related services are necessary actions to improve the personal levelled barriers. System wide barriers will need improved practices and health policies to provide patients friendly and accessible services. The societal levelled barriers will need a more broad societal approach including raising awareness in the community and enhanced discussions about HIV/AIDS issues in order to normalise HIV in the society.

This study aimed to identify factors that influenced the intention of men who have sex with men (MSM) to participate in voluntary counseling and HIV testing (VCT) and in accessing free condoms. A qualitative inquiry using one-on-one in-depth interviews was conducted with MSM participants who were recruited using a purposive sampling technique. Data analysis was guided by a framework analysis for qualitative data by Ritchie and Spencer, and the Theory of Planned Behavior (TPB) framework was used to analyze the data. The findings were grouped into three themes—namely, (a) attitude encompassing knowledge about HIV/AIDS and HIV/AIDS services and the belief about the positive outcomes of the services; (b) subjective norms including support from MSM peers and family members and motivation to comply with the support; and (c) perceived behavioral control, which is associated with resource availability and having confidence and positive intention to participate in VCT and willingness to access free condoms. Findings indicated that personal, community, and structural factors were predictors to intention to accessing services. Interventions targeting large numbers of MSM population and further studies to understand what needs to be done by nongovernmental organizations and governmental institutions to halt the spread of HIV infections among MSM populations and increase their intention to use HIV/AIDS services are also recommended.

Background: Lactation onset is a term of multiplying breast milk until the release of breast milk for the first time. It is also perceived by mothers as a bit hard breast, inflammed, and full of breast milk or the release of colostrum. Colostrum is the first liquid secreted by breast milk gland since the first day until the fourth day of labour. One of the factors that influences lactation onset is labour methods. Mothers who undergo sectio caesaria surgery will experience pain and prolonged effects of anesthesia compared to mothers with normal labors. Objective: To investigate the difference of colostrum releasing onset in post partum mothers with normal labors and sectio caesaria in Panembahan Senopati General Hospital, Bantul. Method: This study was quantitative with cross sectional design. The number of samples were 80 respondents selected with purposive sampling technique. Study instrument was observational sheets. Data analysis applied Mann-Whitney test. Result: The majority of respondents who had normal labors and sectio caesaria experienced different colostrum onset. In normal labors, the time of colostrum release was 1 day. In sectio caesaria labors, the time of colostrum release was 2 days. The average duration of post partum mothers with normal labors was 13,6 hours and post partum mothers with sectio caesaria was 22,6 hours. The result of Mann-Whitney test was that there was a difference between colostrum release onset of post partum mothers with normal labors and sectio caesaria with p-value of 0,001 (p<0,05). Conclusion: Colostrum onsets were different in normal labors and sectio caesaria labors. Keyword: Colostrum, Normal labors, Sectio Caesaria labors.

Older will experiencing physical, psychological, and psychosocial changes will cauthat will lead to the new problem. Anxiety is one of the problems among older people. Complementary therapy is used to reduce a person’s anxiety, namely yoga, meditation, aromatherapy, and relaxation through massage. This study was conducted to determine the effect of Swedish massage on the level of elderly anxiety. Methodology: The design of this study was a quasy experiment with one group pretest-post test design. Respondents in this study were elderly who experienced anxiety by using a total sampling technique in which as many as 15 elderly at the Nursing home of Social Service Center (BPSTW) Budi Luhur Bantul Unit Yogyakarta. The Standard operational procedure of Swedish massage therapy used as a guidance of intervention, while HARS instruments was used to measure the level of anxiety among older people. Respondents measured their level of anxiety before and after a Swedish massage for 1 week. The results of the study were analyzed by Wilcoxon test. Results: There were 8 people (53.3%) in the medium level of anxiety before the Swedish massage given). The anxiety level of older people after intervention was mild level of anxiety as many as 8 people (53.3%). Changes in anxiety levels before and after Swedish massage intervention showed a difference of 2.00. Wilcoxon test results were obtained with a p-value of 0.008 <0.05. Conclusion: Swedish massage therapy able to reduce the level of anxiety among older people at BPSTW Budi Luhur Yogyakarta.Keywords: Swedish massage, anxietyAbstrak: Berbagai macam perubahan akan dialami oleh lansia seperti perubahan fisik, psikologi, maupun psikososial akan menimbulkan masalah baru pada lansia salah satunya adalah kecemasan. Tehnik alternatif yang dapat digunakan untuk menurunkan kecemasan seseorang yaitu seperti yoga, meditasi, aromaterapi, dan relaksasi melalui pijat (massage). Penelitian ini dilakukan untuk mengetahui pengaruh Swedish mas- sage terhadap tingkat kecemasan lansia. Metodologi: Desain penelitian ini adalah quasy experiment dengan one group pretest-post test design. Responden pada penelitian ini adalah lansia yang mengalami kecemasan dengan menggunakan teknik total sampling yaitu sebanyak 15 lansia di Balai Pelayanan Sosial tresna Wredha (BPSTW) Unit Budi Luhur Bantul Yogyakarta. Instrumen penelitian adalah instrument HARS. Responden diukur tingkat kecemasannya sebelum dan setelah dilakukan Swedish massage selama 1 minggu. Hasil penelitian dianalisis dengan uji Wilcoxon. Hasil : Tingkat kecemasan pada lansia di BPSTW Budi Luhur Bantul Yogyakarta sebelum diberikan Swedish massage kategori sedang sebanyak 8 orang (53,3%). Tingkat kecemasan sesudah diberikan Swedish massage kategori ringan sebanyak 8 orang (53,3%). Perubahan tingkat kecemasan sebelum dan sesudah diberikan Swedish massage menunjukkan perbedaan sebesar 2,00. Hasil uji Wilcoxon diperoleh dengan nilai p-value 0,008 < 0,05. Diskusi : Swedish massage berpengaruh terhadap tingkat kecemasan pada lansia di BPSTW Budi Luhur Bantul Yogyakarta.Kata kunci: Swedish massage, kecemasan, lansia

Background: As a result of the increased number of Corona Virus Disease 2019 (COVID-19) cases in Indonesia in 2021, nurses as one of the front-liners have experienced extreme workload and stress. This has caused increased numbers of mental health problems in nurses. One of the most common problems is anxiety. Objective: This study aimed to measure the effectiveness of relaxation techniques to reduce nurses’ anxiety levels during COVID-19 pandemic. Methods: This is a quantitative study, using pre- and post- test design. Nurses’ anxiety levels were measured before and after the application of relaxation techniques, namely breathing, progressive muscle relaxation and guided imagery. A training was provided for the participants, along with module and a music video to guide their practices. Results: The application of relaxation technique for approximately two weeks after an online training significantly reduced nurses’ anxiety levels. The score of anxiety levels has significantly decreased from pre- (M= 56.51, SD= 15.80) to (M= 48.30, SD= 13.70) post- training and application, t(201) = 5.82, p < .001 (two-tailed). Conclusion: It is important to provide nurses with support that they need during pandemic or any other catastrophic events, in order to maintain their safety and well-being.