Ni Ketut Aryastami
Pusat Humaniora, Pemberdayaan Masyarakat dan Kebijakan Kesehatan, Badan Litbangkes

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ANALISIS PEMBIAYAAN PROGRAM KESEHATAN IBU DAN BAYI DI KABUPATEN/KOTA Aryastami, Ni Ketut; Ariningrum, Ratih
Buletin Penelitian Sistem Kesehatan Vol 10, No 3 Jul (2007)
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The Ministry of Health had set target it and obligatory for minimum health standard (KW-SPM) that has to be implemented in each district/municipality. Maternal and neonatal health (MNH) services is one of the services in district health system that has to be delivered by puskesmas to improve the maternal and neonatal health towards reducing the maternal and neonatal mortality. It was a cross sectional study on health policy and financing. The study was conducted in three districts/municipality, namely Badung District, Bali; Tanah Datar District, West Sumatera and Kupang Municipality in East NusaTenggara. Time of the study was February to November 2006. Results showed that the highest allocation of budgetting according to the district health competency was for basic health services, the preventions of communicable diseases, and nutrition program. Budget allocation for investation in maternal and neonatal health was relatively low, only 2-7%. except for Badung District that was 47.2%. The allocated budget for the basic health services has a similar pattern among theareas under study, except for Tanah Datar District, the proportion of operational costs for immunization seem lower than two other districts. There gap between budget allocation and budget necessity. The budget was hardly used to serve the community. Indirect budget, most of provided for staff trainings, building capacity, as well as facility improvements. Per capita allocation for MNH varied among the districts/municapality. Badung District got the lowest (Rp. 20,000) per capita allocation, albeit it had the highest fiscal capacity; meanwhile Tanah Datar District, the middle fiscal capacity had the highest (Rp. 47,000). Kupang Municipality. the lowest fiscal capacity had the middle per capita allocation, which was Rp. 40,000. According to the health services function, the proportion allocating for training was the highest, more than 70% (Kupang and Tanah Datar Districts), and basic health services achieving 50% of the budget was in Badung. In conclusion, budget allocation was varied among the districts, the proportion was burden to public administration and only small part for the operational. Of the total health budget, the highest proportion or 30-35% was financing to the MNH programs. Unfortunately, the allocalton was not so specified, distributed to other programs and tended for routine activites. Key words: Optimalization, budget allocation, maternal and neonatal health, financing.
PENERAPAN EUROPEAN FOUNDATION FOR QUALITY MANAGEMENT (EFQM) DI DINAS KESEHATAN KABUPATEN/KOTA UNTUK MENINGKATKAN KINERJA DINAS Usman, Yuslely; Aryastami, Ni Ketut; Hendarwan, Harimat
Buletin Penelitian Sistem Kesehatan Vol 11, No 1 Jan (2008)
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Since 2001, Indonesia has entering its new era of democratization called decentralization in all sectors, including health. From now and then, the District Health Office has been forced to be able to implement its health policy and function such as 1) stewardship, 2) health resources management, 3) health financing, and 4) health services provision. Basic function of health system is needed to achieve the health purpose that shown the performance of the health offices and its structure. The performance is related to the quality of management. European Foundation for Quality Management (EFQM) is a tool to quantify and assess the quality of management in an institution, so that it will be understood what is the weakness and the strength of the institution. EFQM was developed in Europe that has been proved that it can formulate an excellent management and performance by then. This study implements the EFQM model towards performance improvement model development in district/municipality health office. The objective of the study is implement EFQM model in improving health system performance in district/municipality. Type of study is a health system research with a cross sectional design in three selected district health office based on Human Development Index criteria, that is high, medium and low. Analysis has been done implementing the EFQM method called RADAR. The study location were Tabanan district (Bali), Bandar Lampung Municipality (Lampung), and Belu District (East Nusa Tenggara). The qualitative analysis was quantified using the RADAR for the nine pillars in the method. The nine criteria were grouping into enables and results criteria, such as 1) enables criteria of leadership, policy and strategy, employment, partnership and resources as well as process; 2) results criteria were: clients satisfaction, staff satisfaction, social results of the community as well as the main key. Each criteria has some sub-criteria. Each sub-criteria then be valued using the RADAR, and quantified ranged from 0-10 as no prove and anecdote only; 15-35 as there are some prove; 40-60 as proved; 65-85 as strongly proved, and 90-100 as completely proved. The final evaluation of each pillars done by counting the average values of the sub-criteria multiplied by each weight of the pillars that already formatted. The formatted weight was 1.0 for the leadership; 0.8 for the policy and strategy, 0. 9 for the employment; 0. 9 for the resources and partnership; 1.4 for process; 2. 0 for clients satisfaction; 0. 9 for staffs satisfaction; 0.6 for community social satisfaction and the 1.5 for the key indicator, with a total weight of 10. Results showed that the final results of the health office performance were Tabanan has the highest of 250, Bandar Lampung Municipality 239, and Belu 217. This scoring seems directly reflects the management achievement level of District Health office that correlate to the HOI Index. The EFQM method can be used as a model to improve staff performance in the district health office by maintaining the weaknesses found in the field as constraints. Key words: EFQM, district health offices, scores, performances
HYPERTENSI DAN FAKTOR-FAKTOR RISIKONYA DI INDONESIA Susilowati, Dwi; Aryastami, Ni Ketut; Erry, Erry
Buletin Penelitian Sistem Kesehatan Vol 13, No 2 Apr (2010)
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Background: This study describes the hypertension rate in Indonesia in 2007 and its related factors. The data was obtained from RISKESDAS (Riset Kesehatan Dasar/Basic Health Research) 2007 which included questions of individual, social and physical health of respondents aged 15 years and more during the data collection. Methods: Statistical method used was cross tabulation and un-pair t-test. Results: The result showed that totally 36.3% males and 35 8% females suffered from hypertension. High hypertension rates were found at Gorontalo, East Java, Central Java, Bangka Belitung and West Java provinces. Hypertension began at early aged, those aged 15-18 years, 6. 5% boys and 12.8% girls suffered from hypertension. Being head of the family, low education and not working was related to a higher rate for hypertension. Those with no education have the highest hypertension rate, i.e.: 61.4% among females and 49.0% among males. Pregnant women have lower hypertension rate as compared to non-pregnant women. Those who were unemployed had the high estrate for hypertension (42.4%). Hypertension rate among farmers was higher as compare to fisher-men (42.3% vs 21 8%). Those that suffer from heart disease, Diabetes Mellitus and stroke had a significantly higher hypertension rate than those who were not. Those that smoked or chew tobacco in the past one month has a higher hypertension rate than those who were not smoking or tobacco chewing. The majority of the smokers were heavy smokers. Key words: hypertension, age, sex, marital status, education level, occupation, tobacco, physical activity
THE EFFECT OF ORGANISATION CULTURE TOWARDS HEALTH WORKERS PERFORMANCE IN SUPPORTING THE ACHIEVEMENTS OF VISION, MISSION AND GOALS OF HEALTH CENTERS (IN DISTRICT OF JOMBANG, EAST JAVA PROVINCES, INDONESIA) Pratiwi, Niniek L.; M., Umi; Pranata, Setya; Aryastami, Ni Ketut
Buletin Penelitian Sistem Kesehatan Vol 13, No 3 Jul (2010)
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Background: This study analyzes influences of working culture on health center staffs in achieving the performances based on tasks and functions. These can be achieved by six minimum or essential standard services as: curative care, maternal and child and also family planning cares, nutrition program, health promotion, environmental health, and communicable disease control. They were added by a developmental program specific in the study areas, such as dentalcare. Methods: The study method was observational with a retrospective design. The health centers were randomly clustered, and 15 health workers selected based on the availability of Islamic dorms. From the criteria, it was selected 8 health centers with the Islamic dorms under their working areas, and the rest 7 health centers having no Islamic dorm. Samples are the health staffs under the programs being studied as well as the one on development program as the dental care. In this study, respondents were taken 10 staffs in each health center representative of the 6 minimal health services and the development programs. Data were collected by questionnaire byself. Methode of observation on effecttve time used by health centers staffs were just done in 4 health centers that equally distributed in the two different locations according to the criteria. Results: Data showed that there was significant difference (p=0.041) between working culture and staff performances according to tasks and functions 111 achieving vision and mission of the health centers. The conclusion relationship of working culture having good score was pictured staff good behaviors in delivering health care. It is expected that health centers could implement ideal organization culture to achieve the best staff perfonnances. Key words: work culture, health center. performances
THE GOODNESS OF SALT QUICK TEST AS COMPARED TO TITRATION METHOD FOR MASS SCREENING OF THE IODINE LEVEL IN THE COMMUNITY Aryastami, Ni Ketut; Widagdo, Dhuta; Susilowati, Dwi
Buletin Penelitian Sistem Kesehatan Vol 13, No 3 Jul (2010)
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Diagnostic study on Quick salt test and titration methods toward Urine Intake Excretion (UIE) level in Indonesia had been conducted after the baseline data of Iodine salt available (Riskesdas 2007). For the baseline, samples were selected purposively covering households of 30 districts/municipalities based on the previous Iodine Salt Survey (SGY 2993). The dependent variable was Iodine level of UIE, and the independent variables were salt quick test and titration Analysis were by- 1) linier regression to determine correlation between the salt titration and UIE; 2) Analysis of vanance was to comparemean difference between of UIE and quick salt test as well as titration; and 3) Chi-square test was to determine risk factors of two examined variables. Results showed that there was correlation between titration and UIE level by the power of 7.3% and can be explained by 0. 5%. Significance Chi-Square test showed. there was significance difference of UIE level according to quick salt test (p=O.OOO; OR 1. 762). Similarly to titration, there was significance difference of UIE level according to titrat 1onp=0.001; OR=1. 740). ANOVA test showed that there was significance difference of UIE accordmg to titration (p=0.019), although the means difference was not so wide (means of enough iodine was 274.73 meg and less of iodine was 248 38 meg) respectively. In conclusion, the implementation of both salt quick test and titration result was Significance toward the UIE level. The quick salt test was more sensitive compare to titration, but, the later was more specific. Nevertheless, the salt quick test is more benefited as it is cheaper. handy, and simple to conduct. It was recommended that salt quick test to be used to determine the iodine level for massive screening to predict the UIE level because it has correlation, sensitivity, simple, easy to be implemented and applicable in future. Key words: diagnostic study, Iodine in salts, Iodine in urine
IODINE SALT CONSUMPTION IN INDONESIAN HOUSEHOLDS: BASELINE HEALTH SURVEY 2007 Aryastami, Ni Ketut; Susilowati, Dwi; Usman, Yuslely
Buletin Penelitian Sistem Kesehatan Vol 14, No 2 Apr (2011)
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Background: Iodine Deficiency Disorder (100) reduction program has been implemented since 1976. According to the National Economic Survey 2002, the average consumption of iodized salt was 6. 26 grams. The results of Iodine Salt Survey (SGY) 2003 showed that the consumption of iodine salt at the household level was 73.2%, meanwhile, the baseline health survey (Riskesdas) 2007 showed there was reduction of iodine salt consumption towards 60.2%. Methods: Type of study was secondary data analysis with cross-sectional design utilizing the Riskesdas 2007´s data. Sample was selected purposively according to the previous SGY´s survey based on the endemically criteria namely highly endemic, mediocre and non endemic. Results: The results of the analysis were there was discrepancy of iodine salt consumption among urban and rural areas as well as mother´s education level. The iodine salt consumption was higher in the urban area (65.5%) compare to the rural area (52.9%). The higher the education of mothers the better the iodine salt consumed. The usage of iodine salt in the households based on salt quick test was 60.2%, meanwhile, according to the salt titration it was only 23.4%. The results of Excretion Iodine Urine showed that the iodine intake among the school children (age of 6-12 years old) was 12.8% and was still below the cut-off point prevalence, which is greater than 50%. The conclusion of this analysisis that there was evidence of iodine salt reduction consumed at the household level. Conversely, there was inclination of the percentage of iodine urine level among the school children in Indonesia in the year 2007. It is recommended that policy analysis need to be conducted due to the achievement of the Universal Salt iodization target, especially in the endemic areas to asses the existence of the IDO prevalence. Key words: Iodine salt at the households, Iodine salt consumption, urine iodine excretion
PERILAKU IBU HAMIL DALAM MEMERIKSAKAN KEHAMILAN TRIMESTER PERTAMA DI PUSKESMAS PASANGGRAHAN, JAKARTA SELATAN Aryastami, Ni Ketut; Tariqan, Ingan Ukur
Buletin Penelitian Sistem Kesehatan Vol 15, No 1 Jan (2012)
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ABSTRACT Background: First antenatal visit during at early pregnancy is very important. According to Riskesdas 2010, access of pregnant women for the first antenatal visit was 72.3%. Indeed a proper visit of four times during pregnancy was only achieving 61.4%. This study was conducted to understand the reasons behind such situation. Methods: This study has a qualitative design implementing in-depth interviews to ward the informans. Interview with the key informant was done in the purpose of information triangulation. This study was conducted at Pasanggrahan Health Center in South Jakarta. Informans who are 10 pregnant women were selected purposively Results: The results showed, as a predisposing factors, mothers´ age, education, occupation and number of pregnancy have no affluence to mother´s behavior to seek antenatal care at a proper time. Mothers´ knowledge of health and pregnancy bring about better behavior towards self care, good food and seeking antenatal care earlier, though they did it in the other health care facilities instead. Inconversely, lacking knowledge of breasfeeding attributed mothers having negative perception, hence did not breastfed exclusively Conclusion: The enabling factors enforcing mothers late to visit the health center for her pregnancy were the availability of other health care facilities such as private midwive and c1inics closer to their residence. In addition, mothers came to health center when their pregnancy almost due as for delivery preparation and reason for cheaper in cost. Finally, it is recommended that there should be sunction implemented to the health care providers who did not gave mother the ´KIA´ maternal booklet due to the reasons that the first visit done by the mother can be proved by owing the book. Other recommendation is that education about the risks of pregnancy as a consequence of married should be begun early before time to pregnancy or at younger age. Scientific recommendation is, similar study need to be conducted for the rural setting presumably worse condition may more possible. Key words: maternal behavior, antenatal care, health centre ABSTRAK Kunjungan antenatal pertama pada usia kehamilan sebelum tiga bulan sangatlah penting. Menurut hasil Riskesdas 2010 akses ibu hamil yang memeriksakan kehamilan dengan tenaga kesehatan pada trimester 1 (K1-trimester 1) adalah 72,3 persen dan pemeriksaan tepat waktu dengan kunjungan minimal empat kali adalah 61,4%. Penelitian ini dilakukan untk mengetahui alasan-alasan ibu hamil tidak melakukan kunjungan antenatal sejak dini. Disain studi adalah studi kualitatif yaitu menggali informasi secara mendalam terhadap informan; wawancara dengan informan kunci dan triangulasi informasi. Studi bertempat di Puskesmas Kecamatan Pasanggrahan, Jakarta Selatan. Informan dipilih secara purposive sebanyak 10 orang atau hingga pertanyaan mengalami tingkat kejenuhan. Hasil studi menunjukkan, sebagai factor pemicu, karakteristik ibu hamil yaitu umur, pendidikan, pekerjaan dan jumlah kehamilan tidak berpengaruh terhadap perilaku ibu dalam pencarian pelayanan antenatal tepat waktu. Pengetahuan kesehatan ibu tentang kehamilan berpengaruh terhadap perilaku ibu untuk lebih memperhatikan kesehatannya, makan teratur dan memeriksakan kehamilan sejak dini, meskipun kunjungan pertama kali tidak di puskesmas. Namun sebaliknya, pengetahuan yang sekilas tentang ASI tidak diikuti dengan perilaku positif dalam pemberian ASI secara ekslusif. Terlambatnya ibu hamil datang ke puskesmas disebabkan hadirnya factor pemungkin, yaitu adanya fasilitas kesehatan/bidan praktik dekat rumah. Ibu baru berkunjung ke puskesmas ketika usia kehamilannya sudah tua, sekaligus sebagai persiapan persalinan. Faktor yang memperkuat terlambatnya responden datang ke puskesmas berhubungan dengan kedekatan atau jarak dengan fasilitas kesehatan lainnya. Puskesmas baru dikunjungi ketika informan sudah mendekati masa bersalin karena biayanya murah. Sebagai rekomendasi adalah kewajiban pemberian buku KIA di manapun ibu hamil periksa untuk pertamakalinya perlu dipertega~ dan ~iikuti pe~berian ~ang~i bagi fasiltas kesehatan yang melanggar; penyuluhan tentang perkawinan dan risiko kehamJlan sejak remaja perlu dimulei. Akhirnya, penelitian sejenis untuk wilayah perdesaan perlu dilakukan. Kata kunci; perilaku ibu hamil, antenatal care, puskesmas
ANALISIS SITUASI DAN UPAYA PERBAIKAN GIZI BALITA DI TINGKAT KABUPATEN: STUDI KASUS KABUPATEN GARUT TAHUN 2008 Aryastami, Ni Ketut; Prahastuti, Brian Sri; Budisuari, Made Asri
Buletin Penelitian Sistem Kesehatan Vol 15, No 3 Jul (2012)
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ABSTRACT Background: Malnutrition is the major public health problem among the underfive years old children as a predisposing cause of child mortality especially at the district of Garut, West Java. Malnutrition and diseases are inter-rela ting factors affecting children nutritional status and mortality This study was done to analyze public health problems focusing on mothers and children´s health related determinants in the district of Garut, West Java. Methods: The design of the study is explorative design through interview and secondary data collection, problems solving and analysis of policy implementation. Results: The results of the study were, the prevalence of severe malnutrition is high, namely 5.7 compared to West Java (3.7) and lndonesia (5.4) per 100 underfive children. Based on the three nutrition indicators called weight/age, height/age and weight/height, Garut facing the acute (Weight/age is above 10% of UNHCR standard) as well as chronic (TB/U is above the national prevalence) malnutrition problems. Factors related to the cause of children mortality and severe malnutrition were among others: 1) environment and sanitation (including low birth weight and infectious diseases); 2) behavior (hygiene and immunization), 3) health services provision (eady detection, ca se management, monitoring of child´s nutrition and budget allocation for nutrition programs). Conclusion: Problem solving for nutrition program has to be innovatively developed at the district level referring to the national goals and strategy Nutrition intervention to the children only is not enough, but pregnant mothers who are chronically malnourished has to be intervened to prevent low birth weight babies. Indirect intervention at the district level is recommended through strengthening the health and nutrition system involving community, local government as well as inter sectors; as the root of malnutrition problem is broaden over poverty and cultural. Key words: nutrition intervention, nutrition state at the under-five years old ABSTRAK Latar Belakang: Kurang gizi merupakan masalah utama kesehatan pada anak usia di bawah lima tahun (Balita) sebagai predisposing faktor penyebab kematian di Kabupaten Garut, Jawa Barat. Kurang gizi dan penyakit adalah dua faktor yang saling berpengaruh dalam kejadian kurang gizi dan kematian. Studi ini dilakukan untuk menganalisa masalah kesehatan masyarakat dengan mempelajari determinan terkait kesehatan ibu dan anak. Metode: Disain studi adalah studi eksploratif melalui wawancara dan analisis data sekunder, pemecahan masalah dan analisa terhadap implementasi kebijakan. Hasil: Studi menunjukkan bahwa prevalensi gizi buruk cukup tinggi, yairu 5,7 bila dibandingkan dengan prevalensi untuk Jawa Barat (3,7) dan lndonesia (5,4) per 100 Balita. Berdasarkan indicator gizi BB/U, TB/U dan BB/TU, kabupaten Garut menghadapi masalah gizi akut (BB/U di atas 10% standar UNHCR) dan masalah gizi kronis (TB/U di atas prevalensi nasional). Faktor terkait penyebab kematian Balita dan masalah gizi di kabupaten Garut antara lain: 1) faktor lingkungan dan sanitasi (termasuk kelahiran BBLR dan penyakit infeksi), 2) perilaku (kebersihan individu dan imunisasi anak), 3) pelayanan kesehatan (deteksi dini, management kasus, monitoring status gizi Balita, alokasi anggaran untuk program kesehatan ibu dan anak). Kesimpulan: Pemecahan masalah dalam program gizi harus dikembangkan secara inovatif di tingkat kabupaten dengan mengacu kepada goals dan strategi nasional. Intervensi gizi pada anak saja tidak cukup, tetapi ibu hamil yang mengalami masalah gizi kronik harus sejak awal dideteksi dan diintervensi dalam upaya mencegah terjadinya bayi lahir dengan berat badan rendah. Rekomendasi studi adalah intervensi tidak langsung ditingkat kabupaten, melalui penguatan system kesehatan dan gizi dengan melibatkan masyarakat, pemerintah lokal dan sector terkait, sebab seperti telah diketahui akar daripada masalah gizi adalah pada tingkat kemiskinan dan terkait budaya masyarakat. Kata kunci; intervensi gizi, status gizi anak Balita
PENGETAHUAN, SIKAP DAN PERILAKU IBU BAYI TERHADAP PEMBERIAN ASI EKSKLUSIF Tarigan, Ingan Ukur; Aryastami, Ni Ketut
Buletin Penelitian Sistem Kesehatan Vol 15, No 4 Okt (2012)
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Latar Belakang: Survei Sosial Ekonomi Nasional (Susenas) menunjukkan grafi k ibu menyusui yang mengalamipenurunan selama tiga tahun terakhir. Tahun 2006, 64,1% ibu memberikan ASI eksklusif kepada bayinya, kemudian tahun2007 turun menjadi 62,2%, dan tahun 2008 menjadi 56,2%. Faktor yang menyebabkan pemberian ASI eksklusif tidakoptimal, antara lain karena faktor si ibu sendiri, tenaga kesehatan, dan produsen susu formula. Metode: Penelitian inimerupakan penelitian kualitatif dengan disain studi kasus, di mana peneliti menggali secara natural tentang pengetahuan,sikap, dan perilaku ibu bayi dalam pemberian ASI Eksklusif. Faktor pemicu (predisposing), faktor pemungkin (enabling)dan faktor penguat (reinforcing) untuk menggambarkan dan memberikan informasi rinci tentang menyusui eksklusif padabayi. Hasil: Hasil penelitian antara lain faktor pemicu dalam pemberian ASI Eksklusif kepada bayi adalah pengetahuan,sikap, dan perilaku ibu, di mana sebagian besar ibu masih belum paham tentang manfaat pemberian ASI Eksklusif. Faktorpekerjaan, pendidikan, dan balita juga sebagai pemicu untuk terjadinya pemberian ASI Eksklusif kepada bayinya. Faktorpemungkin dalam pemberian ASI Eksklusif adalah Inisiasi Menyusu Dini, tempat melahirkan, dan ketersediaan ruanganuntuk menyusui. Status kesehatan ibu, dukungan keluarga dan petugas yang menolong persalinan sebagai faktor penguatuntuk pemberian ASI Eksklusif kepada bayi. Saran penelitian ini antara lain meningkatkan pengetahuan, sikap, dan perilakuibu dalam pemberian ASI Eksklusif kepada bayi, Kementerian Kesehatan harus mempromosikan tentang ASI Eksklusiflebih intensif, dan membuat pesan dan informasi yang sederhana namun mudah dicerna dan dipahami oleh masyarakat awam; memonitor fasilitas kesehatan dalam mendukung program ASI Eksklusif dan menegakkan disiplin kepada petugaskesehatan yang terlibat mempromosikan susu formula atau makanan padat lainnya dengan sangsi yang tegas. Saran:Kementerian Kesehatan harus menindak tegas perusahaan yang memproduksi susu formula dan makanan tambahanlainnya yang melanggar peraturan yang sudah ditetapkan; pemerintah menegakkan peraturan tentang penyediaan ruangmenyusui di tempat kerja dan memfasilitasi ketersediaan ruangan menyusui di tempat umum.
FAKTOR –FAKTOR PENDUKUNG KEPATUHAN ORANG DENGAN HIV AIDS (ODHA) DALAM MINUM OBAT ANTIRETROVIRAL DI KOTA BANDUNG DAN CIMAHI Yuniar, Yuyun; Handayani, Rini Sasanti; Aryastami, Ni Ketut
Buletin Penelitian Kesehatan Vol 41, No 2 Jun (2013)
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Abstract

Abstract Adherence to ARV (antiretroviral) was aimed to siginificantly prolong the life expectancy of people living with HIV AIDS (PLHIV). ARVs fight against the infection by slowing down the reproduction of HIV in human body. This research aimed to identify the internal and external factors that support adherence to ARV therapy.  Submit : 25-05-2012  Review : 26-06-2012 Review : 10-07-2012 revisi : 10–09-2012 This research was a qualitative research conducted in Bandung and Cimahi districts, West Java province from September to November 2011. Data collected by doing in depth interview with related stakeholders, they were district health office staffs in Bandung and Cimahi, Local AIDS Commission staffs in Bandung and Cimahi, Bungsu hospital in Bandung, Cibabat hospital in Cimahi, NGO staff, and 10 PLHIVs who ever or still consuming ARV. Data were analyzed descriptively by triangulation and content analysis methods. It was concluded that the internal supporting factors of adherence to ARV were the motivation to live longer, the eagerness to get cured and to be healthy, considering ARV as vitamin, and the faith in their own religion. Besides, the availability of ARV and social supports were other supporting factors. The social supports were support from family, responsibility and affection for their children, willingness to get married, support from peer groups, NGO staffs, and religion figures, and good relationship with health provider staffs. The internal factors should be improved by motivating PLHIVs while external factors should include family, peer groups, NGO staff and health provider, provide better accessibility and affordability to ARV, and educate the society. Keywords: PLHIV, Adherence, ARV Abstrak Kepatuhan Penggunaan ARV (antiretroviral) merupakan salah satu faktor yang dapat memperpanjang umur harapan hidup ODHA (orang dengan HIV AIDS) secara bermakna. ARV bekerja melawan infeksi dengan cara memperlambat reproduksi HIV dalam tubuh. Penelitian bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi kepatuhan ODHA dalam mengkonsumsi ARV. Studi ini merupakan penelitian kualitatif di Kota Bandung dan Kota Cimahi, provinsi Jawa Barat dari bulan September–November 2011. Pengumpulan data dilakukan melalui wawancara mendalam dengan pihak-pihak yang terkait dalam penanggulangan AIDS yaitu Dinkes Kota Bandung dan Cimahi, KPA Daerah Kota Bandung dan Cimahi, RS Bungsu dan RS Cibabat, LSM PKBI Jawa Barat serta ODHA yang pernah atau masih menggunakan ARV. Jumlah ODHA yang diwawancara sebanyak 10 orang. Analisis data dilakukan secara deskriptif dengan metoda triangulasi dan content analysis. Hasil analisis mengungkapkan bahwa faktor faktor pendukung kepatuhan minum ARV yang berasal dari dalam diri sendiri yaitu motivasi untuk hidup, keinginan sembuh/sehat, menganggap obat sebagai vitamin dan keyakinan terhadap agama. Selain itu faktor ketersediaan obat ARV dan dukungan sosial juga mendukung kepatuhan ODHA. Faktor dukungan sosial yaitu dukungan keluarga, rasa tanggung jawab dan kasih sayang terhadap anak, keinginan menikah, dukungan teman-teman di KDS (Kelompok Dukungan Sebaya), LSM dan dari tokoh agama serta hubungan baik dengan tenaga kesehatan. Faktor internal perlu ditingkatkan dengan memotivasi ODHA. Faktor eksternal ditingkatkan dengan melibatkan peran keluarga, KDS, LSM dan tenaga kesehatan serta memperbaiki akses, keterjangkauan dan edukasi kepada masyarakat. Kata Kunci : ODHA, Kepatuhan, ARV