Women of reproductive age living with the human immunodeficiency virus (WRALHIV) have many complex problems regarding their disease and status. They have to access Voluntary counseling and testing (VCT) as one of the health services where they would receive antiretroviral treatment to optimize their health and improve their quality of life. The study aims to analyze the factors which determine the utilization of VCT for accessing antiretroviral treatment by WRALHIV in West Papua. It was an observational, cross-sectional study. The subject was women of reproductive age (WRA) aged 15-49 years old, receiving antiretroviral treatment at VCT of Hospitals in Manokwari, Sorong, and Fakfak. The total was 140 respondents. Data collection was carried out by interviews using a questionnaire. The data were analyzed statistically using the chi-square and logistic regression tests. Most respondents with high intensity in the utilization of VCT services were aged 15-35 years, graduated from senior high school - university, unemployed, and married. Demographic and predisposing variables were not significantly associated, but there were significant associations between enabling factors (distance) with p value=0.00 and reinforcing factor (social support) with p value=0.03 in the utilization of VCT services by WRALHIV in West Papua, in which the distance was more significant than social support in the utilization of VCT services. The easily accessible distance increases their visitation to VCT. In addition, social support had an impact on increasing the utilization of VCT services, and finally, these may improve WRALHIV quality of life.

Latar Belakang: Penambahan kebutuhan zat besi selama kehamilan digunakan untuk pertumbuhan janin dan plasenta serta penambahan volume darah ibu sebagai persiapan persalinan. Pemberian tablet tambah darah untuk mencegah anemia pada ibu hamil diberikan minimal 90 tablet selama kehamilan atau setara dengan elemen besi sebesar 60 mg tiap tabletnya. Namun, sebuah studi menyatakan bahwa pemberian suplementasi besi dosis 50–60 mg/hari (150–185 mg/hari fero sulfat) pada wanita hamil berisiko menyebabkan hemokonsentrasi, preeklamsia, dan diabetes gestasional. Suplemen zat besi serta peningkatan cadangan zat besi dalam darah dikaitkan dengan komplikasi pada ibu hamil dan peningkatan stres oksidatif yang menyebabkan peningkatan lipid peroxidase selama kehamilan. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh suplementasi ferro sulfat terhadap kadar LDL dan HDL pada tikus bunting. Metode: Desain penelitian yang digunakan adalah post test only control group design. Sampel adalah 25 ekor tikus yang dibagi menjadi lima kelompok, yaitu kelompok tikus bunting normal, tikus bunting anemia, tikus bunting anemia yang diberi ferro sulfat selama 18 hari, tikus bunting anemia yang diberi ferro sulfat selama 12 hari, dan tikus bunting anemia yang diberi ferro sulfat selama 6 hari. Pemeriksaan parameter dilakukan pada hari ke-18 kebuntingan. Analisis data dilakukan dengan uji One Way ANOVA lalu dilanjutkan uji post hoc Fisher’s Least Significant Different (LSD) menggunakan software SPSS 20. Hasil: Lama waktu pemberian ferro sulfat berpengaruh terhadap kadar LDL dan HDL tikus bunting anemia (p<0,001). Kesimpulan: Lama waktu suplementasi ferro sulfat akan meningkatkan kadar LDL dan menurunkan kadar HDL pada tikus bunting model anemia.

ABSTRAKProses kehamilan merupakan masa perubahan pada wanita banyak menimbulkan stress, sehingga membutuhkan pelayanan antenatal yang berkesinambungan. Salah satu dari pelayanan antenatal yang diberikan adalah prenatal gentle yoga. Penelitian ini bertujuan untuk mengetahui hubungan prenatal gentle yoga pada ibu hamil terhadap berat badan bayi baru lahir di Klinik RK. Jenis penelitian adalah kuantitatif dengan dessain quasi - eksperimen yang bersifat two group postest. Populasi penelitian adalah ibu hamil primigravida yang memeriksakan kehamilan trimester III,  melakukan prenatal gentle yoga dan  melahirkan pada bulan Mei-Juli 2021. Teknik pengambilan sampel menggunakan purposive sampling dengan sampel sebanyak 50 sampel (25 intervensi dan 25 kontrol). Uji statistik menggunakan spearman’s rho dan  mann whitney. Hasil penelitian menunjukkan  ada hubungan antara prenatal gentle yoga dengan berat badan  lahir dengan  nilai p=0,004<α=0,05, nilai uji Mann Whitney perbedaan berat badan bayi baru lahir pada ibu yang  melakukan  prenatal gentle yoga dibandingkan yang tidak melakukan prenatal gentle yoga dengan nilai p=0,004<α=0,05 untuk berat badan lahir. Kata Kunci : ibu hamil; prenatal gentle yoga; berat badan lahir   ABSTRACT Pregnancy is a period of change in women causing a lot of stress, so it requires continuous antenatal care. One of the antenatal services provided is prenatal gentle yoga. This study aims to determine the relationship of prenatal gentle yoga in pregnant women to the weight of newborns at the RK Clinic. This type of research is quantitative with a quasi-experimental design that is a two group posttest. The study population was primigravida pregnant women who had their third trimester of pregnancy checked, did prenatal gentle yoga and gave birth in May-July 2021. The sampling technique used purposive sampling with a sample of 50 samples (25 interventions and 25 controls). Statistical test using spearman's rho and mann whitney. The results showed that there was a relationship between prenatal gentle yoga and birth weight with p value = 0.004 <α = 0.05, the value of the Mann Whitney test was the difference in the weight of newborns in mothers who did prenatal gentle yoga compared to those who did not do prenatal gentle yoga with p value = 0.004 < = 0.05 for birth weight. Keywords: pregnant women; prenatal gentle yoga; birth weight

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