Summary Introduction Being ranked seventh among countries with the highest number of new pediatric HIV infection, around 3% of new pediatric HIV infection worldwide occurs in Indonesia. UNAIDS has set a goal of elimination of mother‐to‐child HIV transmission, and private sector plays a critical role in achieving this goal. More than half of pregnant women in Indonesia seek antenatal care (ANC) services at private sectors, particularly at private midwife clinics. However, no published data is available on the rates of HIV testing uptake among pregnant women at these clinics, reflecting important gap on prevention of mother to child HIV transmission programmatic data. Purpose A longitudinal study was conducted to examine the rates of HIV testing uptake among pregnant women attending private midwife clinics in Bali and were referred to Voluntary HIV counselling and testing (VCT) clinics for a HIV test. Methods Seventy midwives from private clinics were asked to suggest women, who were deemed to be at risk of HIV, to seek HIV testing at the nominated VCT clinics and to provide the women with a referral. Data were then analyzed to identify the percentage of women who took HIV testing at the VCT clinics among those referred by the midwives. Results The midwives referred 619 women to VCT clinics. Of the referred women, only 321 (52%; 95% CI, 47.8%‐55.9%) took a HIV test at the appointed clinics. Among these who tested, three (0.9%) were HIV positive. This study identified a challenge in scaling up HIV testing coverage among women seeking ANC services at private sectors. Implications and recommendations are discussed.

Penyandang disabilitas memiliki masalah yang sangat kompleks. Penyandang disabilitas perempuan memiliki fungsi dan organ reproduksi yang sama dengan perempuan nondisabilitas. Untuk mengendalikan jumlah penduduk, perempuan dengan disabilitas juga membutuhkan akses penggunaan kontrasepsi. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi penggunaan kontrasepsi pada wanita usia subur dengan disabilitas di provinsi Bali. Metode penelitian yang digunakan adalah penelitian cross-sectional dengan analisis univariat dan bivariat. Teknik pengambilan sampel dilakukan dengan purposive sampling dan snowball. Jumlah responden dalam penelitian ini adalah 160 orang dengan kriteria wanita disabilitas usia subur baik yang sudah menikah atau belum menikah dan berdomisili di Provinsi Bali. Hasil penelitian ini menunjukkan bahwa sebagain besar responden tidak menggunakan alat kontrasepsi (70,6%). Faktor usia dan tingkat pendidikan berpengaruh secara bermakna pada penggunaan alat kontrasepsi (p < 0,05), sedangkan faktor pekerjaan tidak berpengaruh signifikan (p = 0,749). Diharapkan dapat dilakukan penelitian lanjutan mengenai faktor-faktor lain yang dapat mempengaruhi penggunaan alat kontrasepsi pada wanita usia subur dengan disabilitas.

No abstract