The quality of education is still a benchmark of human resources (HR) in each country. The current era of revolution 4.0 requires a curriculum that is innovative, creative, and based on the needs of market share and the world of work with the addition of several new literacies. This study aims to identify and evaluate the tertiary curriculum (higher education curriculum) that has been applied in a higher education institution of health sciences in Buleleng, which refers to the national standard of higher education no. 44 of 2015. The evaluation was based on input, process, and output. The method used was the mixed method by using questionnaires and focus group discussions on 32 lecturers from the three knowledge fields of midwifery, nursing, and pharmacy. The results show that of the four standards evaluated, the learning process standard and assessment standard need to get priority in improving the academic system at the institution. Both of these components must be immediately improved in terms of concepts and understanding so that the goals, achievements, and quality of graduates can still be improved and maintained. Internal discussions and workshops should be done regularly each semester to refresh pedagogical ability and understanding of the regulatory faculty curriculum.

Latar belakang dan tujuan: Hasil Survei Terpadu Biologis Perilaku (STBP) Tahun 2011 menunjukkan bahwa penggunaan kondom pada pelanggan wanita pekerja seks langsung (WPSL) masih rendah. Hal ini kemungkinan berhubungan dengan negosiasi yang kurang oleh WPSL. Penelitian ini bertujuan untuk mengetahui strategi negosiasi dan determinan penggunaan kondom oleh WPSL di Kota Denpasar.Metode: Penelitian survei cross sectional pada WPSL dengan sampel sebanyak 100 orang dipilih secara cluster random sampling di beberapa lokasi di Kota Denpasar. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner tentang: karakteristik sosial demografi, faktor internal dan eksternal, negosiasi dan pemakaian kondom. Pertanyaan tentang negosiasi kondom menggunakan modifikasi condom influence strategy questionnaire (CISQ) yang dikembangkan oleh Noar. Data dianalisis secara bivariat dengan uji chi square dan multivariat  dengan regresi logistik.Hasil: Sebanyak 87% pelanggan dilaporkan oleh WPSL menggunakan kondom saat hubungan seks terakhir dan 63% selalu menggunakan kondom dalam satu minggu terakhir. Sebanyak 37% pelanggan membawa kondom ketika datang ke lokasi dan 58% WPSL melaporkan bahwa mereka melakukan negosiasi kondom. Dari 63% pelanggan yang tidak membawa kondom sebanyak 92,1% akhirnya memakai kondom setelah dilakukan negosiasi. Strategi negosiasi yang digunakan oleh WPSL adalah permintaan langsung, hubungan saling percaya, informasi risiko dan “penipuan”. Faktor yang signifikan berhubungan dengan pemakaian kondom adalah umur WPSL (AOR=4,1; 95%CI: 1,32-12,4)  ketersediaan kondom (AOR=8,8; 95%CI: 2,8-27,7) dan negosiasi kondom (AOR=3,9; 95%CI: 1,4-10,8).Simpulan: Strategi negosiasi yang paling banyak digunakan adalah permintaan langsung WPSL kepada pelanggannya. Faktor yang signifikan berhubungan dengan penggunaan kondom adalah umur, ketersediaan dan negosiasi kondom.

Background: Mortality in people living with HIV/AIDS is one of measures to the success of its treatment. Study related to their deaths seen from gender is still very limited.Objective: The aim of this study was to determine the incidence rate of mortality between men and women living with HIV/AIDS and receiving antiretroviral therapy.Methods: This was a retrospective study using secondary data of HIV/AIDS-infected patients in Buleleng District Hospital in the period of 2006-2015. This research used Survival analysis, Kaplan-meier, incident rate comparison and logistic regression with STATA SE 12.Results: A total of 1204 HIV/AIDS-infected patients data was included. The incidence of total mortality rates was 27.7 per 1000 person-years. Based on gender, the mortality in men (35 per 1000 person-years) was higher than women (14 per 1000 person-years) with the incidence rate ratio (IRR) of 2.39 (p 0.01).  Fifty percent of cases of mortality occured at 0.15 years of observation. The median time of mortality in men was 0.14 years (1.7 months) and in women was 0.15 years (1.8 months). The poor clinical condition was seen from a body weight <50 kg, which increased the risk of death with aOR 3.85 (p 0.01 CI 2.40-6.16). Nevirapine increased the risk of mortality (aOR 2.18; p 0.01; CI 1.18-4.03). and CD4 cell counts of ≤ 200 cells / mm3 reduced the risk of death by 69% (AOR 0.31; p 0.01; CI 0.18-0.53).Conclusion: The incidence of mortality in men was greater than it in women, which is caused by poor clinical conditions. It is better to evaluate the success of antiretroviral therapy by considering the needs of patients according to their gender. Further research is needed in regard to adherence of treatment and loss to follow-up events.

Introduction: The epicentrum of HIV / AIDS the highest in the man sex with man(MSM) followed by female sex workers (FSW). The MSM community is a community that has not yet been opened and is difficult to intervene them. Low condom use and higher MSM estimates are one of the reported increases in HIV / AIDS. Goals: the goal to identified of a sexual role, characteristic of MSM, and also discusses MSM negotiation techniques for both old and new couples. Method: this research is a quantitative study with cross sectional research taken at MSM services at Buleleng Health Center 1. The samples taken were 58 respondents with interview techniques through questionnaires, negotiations and condom use. The analysis used was univariate, bivariate and multivariate are carried out with logistic regression using software. Results: The results of this study found that the most heterosexual role was 43.1%. Effective negotiation is carried out on new partners is the risk information (AOR: 7.2 95% CI 1.2-40.3) and on old couples by direct request 9). Conclusion: condom negotiation by MSM is still very low and based on the type of partner. The new partner is more effective in the delivery of profitable information techniques while the old partner is more effective by asking directly.

<p><em>Men who have sex with men (MSM) is the community that has become the largest epicenter in the transmission of HIV / AIDS. At present the MSM community is a marginalized community, so it is difficult to observe its development, this is because of the negative stigma from the community environment towards MSM. So they use social media in forming communities and offering sexual relations. The aim of study was to analyze the social media that were most often used by MSM in sexual transactions activity. A cross sectional approach was applied in this study with a sample of 58 people, selected by snowball and using a questionnaire to collect quantitative data. Respondent characteristics data were analyzed descriptively, then bivariate analysis to determine the relationship of independent variables with dependent variables and independent variables that could be included in multivariate analysis. Multivariate analysis with logistic regression was used to determine the effect of independent variables on sexual transactions conducted by MSM. The results found that, Grindr social media is the most dominant among Whatsapp, Facebook, Me Chat and other social media. Meanwhile, based on the technique of having sex, sex activeness is seen in MSM who have anal and oral relations. It was also reported in the results of research that getting younger MSM increasingly increases sexual desire. The conclusions of this study are MSM who use Grindr, with anal and oral sex techniques as well as young age, which increases sexual activity</em><em>.</em><em></em></p>