World Health Organization (WHO) merekomendasikan pemberian ASI eksklusif selama 6 bulan untuk anak yang lahir dari ibu terinfeksi HIV yang telah mendapatkan terapi ARV. Penelitian ini bertujuan mengetahui persepsi, perilaku, dan faktor yang mempengaruhi perilaku menyusui pada ibu dengan HIV-AIDS di Yogyakarta. Penelitian ini menggunakan metode kualitatif dengan wawancara mendalam dan observasi sebagai metode pengambilan data. Subjek penelitian adalah ibu menyusui dengan HIV-AIDS, keluarga, dan pendamping. Validitas data diuji dengan metode triangulasi sumber. Data penelitian diolah dengan metode perbandingan tetap. Penelitian ini menunjukkan bahwa ibu menyusui dengan HIV-AIDS di Yogyakarta berpendapat proses memberikan asupan gizi kepada bayi merupakan kodrat seorang perempuan yang tidak dapat digantikan oleh siapapun. Perilaku menyusui ibu dengan HIV-AIDS di Yogyakarta terbagi menjadi ibu yang memberikan susu formula, ASI, dan donor ASI. Faktor yang memengaruhi perilaku menyusui ibu dengan HIV-AIDS di Yogyakarta, yaitu faktor internal dan dukungan dari keluarga, pendamping, tenaga kesehatan, serta teman sebaya. Penelitian ini menyimpulkan bahwa ibu menyusui dengan HIV-AIDS memiliki alasan terkait risiko penularan HIV dalam memutuskan perilaku menyusui.
Background: Indonesia's Ministry of Health reported 3,944 cases of diphtheria that occurred between 2011 and 2017 with 142 deaths. One of the cities with a high number of diphtheria cases is Cirebon. This study aimed to determine the factors related to diphtheria outbreaks in Cirebon.Methods: This observational study used a case-control design with a descriptive-analytic type. The total samples in this study were 33 with 11 case groups and 22 control groups. The independent variables consisted of age, nutritional status, immunization status, sex, and source of transmission. The sources of research data were medical records and questionnaires. The data were analyzed through univariate, bivariate, and multivariate analyses with p = 0.05 Results: The variables with a significant correlation with diphtheria were immunization status (p = 0.009), age (0.022), and source of transmission (p = 0.033). Meanwhile, nutritional status (p = 0.721) and sex (p = 1,000) were not related to diphtheria. The most influential variable was immunization status with 22.727 OR. The factors associated with unimmunized individuals or incomplete immunizations were low levels of education, poor knowledge, poverty, misconceptions, and certain religious beliefs in which immunization is not allowed.Conclusion: The factors related to diphtheria incidence are immunization status (the most dominant factor), age, and source of transmission.
Public health clinical rotation in the Faculty of Medicine, Universitas Islam Indonesia, was conducted in Puskesmas (community health center). This study aims to evaluate the public health clinical rotation in Puskesmas, part of the clinical clerkship of the Faculty of Medicine, Universitas Islam Indonesia. Several concerns have been highlighted regarding the implementation of clinical rotations in public health in Puskesmas. A briefing session before placement in the village must be coherent with a guidebook. The placement of students in the village was based on community health issues determined by the Puskesmas supervisor. Priority in the curriculum was given to converting the alertness village (Desa Siaga) into a Program Indonesia Sehat–Pendekatan Keluarga (Healthy Indonesia Program–Family Education) program throughout implementation. Moreover, scheduling after four major clinical programs was difficult, and the writing of reports served as a guide for establishing the correct format. Therefore, the objective of the evaluation was to assess knowledge, skill, and psychomotor, and the burden of assignment in Puskesmas was difficult to accomplish a primary task in the community.
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