Penemuan kasus HIV/AIDS tidak terlepas dari pemanfaatan layanan Voluntary Counseling and Testing (VCT), dimana pada tahun 2020 sebanyak 9.951 layanan tes HIV melaporkan hasil tes-nya dari total 7.391 layanan tes HIV yang ada di Indonesia. Melalui layanan tes HIV ini, pada tahun 2020 sebanyak 3.845.267 orang dites dan ditemukan sebanyak 41.987 terkonfirmasi HIV. Jika dibandingkan pada tahun tahun 2019, sebanyak 4.064.812 orang yang berhasil dites HIV dan sebanyak 50.282 ODHA yang berhasil ditemukan. Terjadi penurunan jumlah orang yang dites melalui layanan VCT pada tahun 2020 salah satunya disebabkan karena kondisi pandemi COVID-19 dimana adanya kebijakan Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM). Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi pemanfaatan VCT mobile HIV/AIDS pada masa pandemi COVID-19 di Kota Palu. Metode Penelitian menggunakan desain penelitian cross sectional. Populasi dalam penelitian ini berjumlah 876 orang, dengan menggunakan rumus Slovin didapatkan sampel sebanyak 90 orang, data dikumpulkan dengan wawancara menggunakan kuesioner dan analisis data menggunakan uji Chi-square dengan taraf signifikansi p<0,05. Hasil penelitian ini menunjukkan bahwa ada pengaruh signifikan antara perceived barrier (Sig=0,032) terhadap pemanfaatan VCT mobile HIV/AIDS pada masa pandemi COVID-19 di Kota Palu. Sedangkan untuk cues to action (Sig=0,139) menunjukkan tidak ada pengaruh yang signifikan terhadap pemanfaatan VCT mobile HIV/AIDS pada masa pandemi COVID-19 di Kota Palu. Kepada populasi kunci HIV/AIDS dan orang dengan perilaku berisiko untuk memanfaatkan layanan VCT mobile agar dapat melakukan pencegahan secara dini terhadap infeksi HIV/AIDS. The finding of new cases of HIV/AIDS through the use of Voluntary Counseling and Testing (VCT) services, in 2020 as many as 9,951 HIV test services reported their test results from a total of 7,391 HIV test services in Indonesia. Through the HIV test service, in 2020 tests were carried out on 3,845,267 people and found 41,987 cases confirmed of HIV. Compared to 2019, 4,064,812 people were successfully tested for HIV and 50,282 PLWHA were found. There was a decrease in the number of people who were tested through VCT services in 2020, one of the reasons was due to the COVID-19 pandemic which issued the Policy for Enforcement of Community Activity Restrictions (PPKM). This study aims to determine the factors that influence the use of HIV/AIDS mobile VCT during the COVID-19 pandemic in Palu City. This research used a cross sectional research design. The population in this study amounted to 876 people, using the Slovin formula obtained a sample of 90 people, data were collected by interview using a questionnaire and data analysis using the Chi-square test with a significance level of p <0.05. The results of this study indicate that there is a significant effect between the perceived barrier (Sig=0.032) on the use of VCT mobile HIV/AIDS during the COVID-19 pandemic in Palu City. Meanwhile, cues to action (Sig=0.139) showed no significant effect on the use of HIV/AIDS mobile VCT during the COVID-19 pandemic in Palu City. Recommendations to key populations of HIV/AIDS and people with risky behavior to take advantage of mobile VCT services in order to be able to carry out early prevention of HIV/AIDS infection.
Tuberkulosis masih menjadi masalah kesehatan masyarakat disemua Negara. Kunci sukses penanggulangan TBC adalah penemuan pasien dan pengobatan pasien sampai sembuh. keberhasilan pengobatan dipengaruhi oleh beberapa faktor yaitu faktor kepatuhan pasien, faktor pengawas menelan obat dan efek samping yang dirasakan pasien. Kecamatan Palu Selatan merupakan penyumbang angka kejadian TBC yang cukup tinggi dengan angka kesembuhan pasien TBC yang belum mencapai target nasional (85%). Wilayah Kecamatan Palu Selatan terdiri dari 3 Puskesmas yaitu Puskesmas Mabelopura terdapat 62 kasus, Puskesmas Birobuli 46 kasus dan Puskesmas Bulili 28 kasus, dengan angka kesembuhan yaitu Puskesmas Mabelopura 44 (70,96%) kasus, Puskesmas Birobuli 30 (65,21%) kasus dan Puskesmas Bulili 19 (67,85%) kasus. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi angka kesembuhan TBC di Kecamatan Palu Selatan. Jenis penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Populasi berjumlah 136 orang, setelah menggunakan rumus Lemeshow didapatkan sampel sebanyak 97 orang. Pengambilan sampel menggunakan teknik Proportionate Stratified Random Sampling. Analisis yang digunakan yaitu regresi linear sederhana dengan nilai α =5%. Hasil penelitian ini menunjukkan bahwa ada pengaruh signifikan antara pengawas menelan obat (Sig=0,010), efek samping obat (Sig=0,000) dan kepatuhan pengobatan (Sig=0,025) terhadap angka kesembuhan pasien TBC di Kecamatan Palu Selatan (Sig<0,05). Disarankan kepada pasien TBC untuk patuh dalam mengonsumsi obat walaupun responden merasakan efek samping yang ditimbulkan oleh OAT, kepada keluarga dan petugas kesehatan diharapkan berperan aktif dalam mengawasi dan memberikan dukungan kepada pasien agar menyelesaikan pengobatan sampai dinyatakan sembuh. Tuberculosis is still a public health problem in all countries. The key to a successful TB control is patient discovery and treatment of the patient until cured. The success of treatment is influenced by several factors, namely patient adherence factors, factors Drug ingestion supervisor and side effects felt by the patient. Palu Selatan District is a contributor to the TB incidence rate which is quite high with the cure rate for TB patients who have not reached the national target (85%). The area of South Palu District consists of 3 public health center, Mabelopura Health Center with 62 cases, Birobuli Health Center 46 cases and Bulili Health Center 28 cases, with a cure rate of 44 cases (70.96%), 30 cases (65.21%) and 19 cases (67.85%) respectively. This study aims to determine the factors that affect the TB cure rate in South Palu District. This type of research is quantitative with a cross sectional approach. The population numbered 136 people, after using the Lemeshow formula obtained a sample of 97 people. Sampling using the Proportionate Stratified Random Sampling technique. The analysis used is simple linear regression with a value of α = 5%. The results of this study indicate that there is a significant influence between supervisors ingesting drugs (Sig=0,010), side effects (Sig=0,000) and medication adherence (Sig=0,025) to the cure rate for TB patients in South Palu District (Sig <0.05). It is advisable for TB patients to obey in taking the drug even though the respondent feels the side effects caused by OAT, the family and health workers are expected to play an active role in supervising and providing support to patients to complete treatment and be declared cured.
This study aimed to analyze the factors that influence the discovery of suspected tuberculosis during the COVID-19 pandemic in Palu City with a type of cross-sectional study. The type of research used was quantitative, with an analytic epidemiological study design using a cross-sectional design. This research was carried out in 13 working areas of the Puskesmas in Palu City from January to March 2022. The population in this study were all suspected tuberculosis at 13 Community Public Health (in Indonesia: Puskesmas) in Palu City in 2021, recorded at the Tuberculosis Information System totaling 15,620 people using the slovin formula to obtain a sample of 100 and the sampling design used stratified random sampling. This study used the T-test with α=10%. The results show that most of the respondents had less knowledge of 69 respondents (69%), respondents had a low stigma of 70 respondents (70%), 73 respondents (73%) received adequate tuberculosis services, 19 respondents (19%) received good services, and 8 respondents received less services, with a percentage of 8%. A significant effect between knowledge of suspected tuberculosis (p = 0.000), stigma (p = 0.000), and tuberculosis services (p = 0.000) on the discovery of suspected tuberculosis during the COVID-19 pandemic in Palu City. It is recommended to increase tuberculosis tracking during the COVID-19 pandemic conditions and conduct training to improve and optimize the role of tuberculosis cadres in the working area of each Public Health Center
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