Indrawati, Fika Lilik
Midwifery Profession Education Study Program, Faculty Of Health Sciences, Universitas Respati Yogyakarta, Yogyakarta, Indonesia

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Perceived Benefit of Condom Use Domination on the Perceived Benefit of Sexually Transmitted Infection Screening on Queer in Yogyakarta Indrawati, Fika Lilik; Demartoto, Argyo; Probandari, Ari Natalia
Journal of Health Promotion and Behavior Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The negative stigma is inherent in transvestites because it is referred to as one of the sources of the spread of STIs and HIV/ AIDS viruse. In their position as a sex worker who was considered very low and lack of knowledge about reproductive health, the transvestites were infected with STIs and the HIV virus from their sexual partners. This happened because of a lack of information about reproductive health and access to health services for queer. This study aimed to analyze perceived benefit of condom use domination on the perceived benefit of sexually transmitted infection screening on queer.Subjects and Method: This was a qualitative study with phenomenological approach. Seven representative informants were selected by purposive sampling. The data were collected by in-depth interview and focus group discussion. The number of informants at the focus group discussion was eight people.Results: Most of the informants believed that they were able to avoid or recover from STIs by using safety, namely condoms. They are more convinced that by applying condoms to their partners, it will be more useful as prevention of STIs compared to STI screening, on the grounds that practical condoms are easy to carry and do not hurt when having sexual intercourse.Conclusion: All transvestites believe that STI screening can be beneficial to their health, but the reality in their behavior is that they believe in condoms as a means of preventing STIs.Keywords: condom, STI screening service, queerCorrespondence:Fika Lilik Indrawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: fika.lilik.indrawati@gmail.comJournal of Health Promotion and Behavior (2018), 3(2): 126-129https://doi.org/10.26911/thejhpb.2018.03.02.06
HUBUNGAN PAPARAN INFORMASI MOP DAN MINAT CALON AKSEPTOR KB MOP TERHADAP SYSTEM REWARD Indrawati, Fika Lilik
Prosiding Seminar Nasional Multidisiplin Ilmu Vol 1, No 1 (2019): Prosiding Seminar Nasional Multidisiplin Ilmu
Publisher : Universitas Respati Yogyakarta

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Latar Belakang: Keikutsertaan pria dalam program MOP mengalami kenaikan dan bahkan penurunan meskipun dibeberapa Kabupaten/Kota di DIY sudah ada program reward bagi pria yang mau mengikuti MOP. Tujuan: untuk mengetahui hubungan paparan informasi MOP dan minat calon akseptor KB MOP terhadap system reward. Metode: Penelitian kuantitatif, crosssectional dengan jumlah sampel total 60 laki-laki diambil secara purposive sampling sesuai dengan kriteria inklusi. Analisa bivariate dengan bantuan program komputer. Hasil: Ada korelasi antara informasi dengan minat (p = 0,021) di Kabupaten dengan reward (Bantul) dan tanpa reward (Gunungkidul). Kesimpulan: Pria PUS dengan paparan informasi yang tinggi mayoritas memiliki minat yang tinggi untuk menggunakan KB MOP. Sedangkan pria PUS dengan paparan informasi yang rendah mayoritas memiliki minat yang rendah pula untuk menggunakan KB MOP. Koefisien korelasi didapatkan nilai sebesar 0,021 yang artinya paparan informasi dan minat pria PUS memiliki tingkat hubungan yang cukup kuat.Kata kunci : KB, MOP, Paparan informasi, MinatBackground: The participation of men in the MOP program has increased and even decreased even though in some regencies / cities in DIY there have been reward programs for men who want to participate in MOP. Objective: to find out the relationship between exposure to MOP information and the interest of prospective MOP acceptors towards the reward system. Methods: Quantitative research, cross-sectional with a total sample of 60 men taken by purposive sampling according to the inclusion criteria. Bivariate analysis with the help of a computer program. Results: There is a correlation between information with interest (p = 0.021) in the district with reward (Bantul) and without reward (Gunungkidul). Conclusion: Most PUS men with high exposure to information have a high interest in using KB MOP. While PUS men with low exposure to information, the majority have a low interest in using KB MOP. The correlation coefficient obtained a value of 0.021, which means that exposure to information and interest in EFA men has a fairly strong level of relationship.Keywords: Family Planning, MOP, Information disclosure, Interest
KARAKTERISTIK IBU HAMIL PADA KEIKUTSERTAAN VCT (VOLUNTARY COUNSELLING AND TESTING) DI SLEMAN, DAERAH ISTIMEWA YOGYAKARTA Fika Lilik Indrawati, Rizka Ayu Setyani,
Prosiding Seminar Nasional Multidisiplin Ilmu Vol 1, No 1 (2019): Prosiding Seminar Nasional Multidisiplin Ilmu
Publisher : Universitas Respati Yogyakarta

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Kasus HIV/AIDS di Indonesia, khususnya Kabupaten Sleman, DIY meningkat pada ibu hamil.Oleh sebab itu, pemerintah melaksanakan Program PPIA (Pencegahan Penularan HIV dari Ibu ke Anak) untuk memutus rantai penularan dari ibu dan bayi. Salah satu aturan program PPIA yaitu mewajibkan seluruh ibu hamil untuk melakukan tes HIV. Penelitian ini bertujuan untuk mengetahui karakteristik ibu hamil yang mempengaruhi partisipasi dalam tes HIV di Kabupaten Sleman meliputi umur, pendidikan, dan status pekerjaan ibu hamil. Penelitian kuantitatif ini menggunakan metode deskriptif dengan pendekatan Analisis Data Sekunder (ADS). Penelitian dilakukan pada April – Oktober 2018. Populasi data sekunder yang digunakan adalah data ibu hamil yang melakukan tes HIV di 25 Puskesmas Wilayah Kabupaten Sleman DIY sebanyak 9394 responden. Pengambilan sampel melalui purposive sampling. Pada penelitian ini, sampel data sekunder yang dipilih adalah Puskesmas Kalasan dengan 435 data ibu hamil. Puskesmas Kalasan dipilih karena memiliki data ibu hamil dengan status HIV positif tertinggi pada tahun 2017. Hasil penelitian ini yaitu 77,7% ibu hamil berusia 20-35 tahun, 94% ibu hamil berpendidikan SMA/SMK, serta 99,1% ibu hamil sebagai ibu rumah tangga. Pada penelitian ini disimpulkan bahwa mayoritas ibu hamil berada pada usia produktif, memiliki tingkat pendidikan menengah, dan sebagai ibu rumah tangga.Kata kunci : karakteristik, ibu hamil, VCTHIV/AIDS cases in Indonesia, especially in Sleman, Yogyakarta increased in pregnant women. Therefore, the Government is implementing PMTCT (Prevention of Mother to Child HIV Transmission) to break transmission chain from the mother to the baby. One of the rules requires that the entire PMTCT program pregnant women to do HIV testing. This research aims to know the characteristics of pregnant women that affect participation in HIV testing in Sleman include age, education, and employment status of pregnant women. Quantitative research uses descriptive method with Secondary Data Analysis approach. The research was held on April – October 2018. The population data used are secondary data on pregnant women who do HIV testing in 25 PHC of Sleman as much 9394 respondents. Sampling through purposive sampling. In this study, samples of selected secondary data of 435 pregnant women in Kalasan PHC. Kalasan PHC was chosen because it has data of pregnant women with the highest HIV -positive status on 2017. The results of this research that is 77.7% of pregnant women aged 20 -35 years, 94% of pregnant women are educated SMA/SMK, and 99.1% of pregnant women as housewives. In this study it was concluded that the majority of pregnant women was at ages of productive, having a level of secondary education, and as a housewife.Keywords: characteristics, pregnant women, VCT
GAMBARAN PENGETAHUAN, PENCEGAHAN DAN DAMPAK PANDEMI COVID-19 DITINJAU DARI SEGI KESEHATAN, SOSIAL EKONOMI DAN TEKNOLOGI DI DESA WEDOMARTANI, NGEMPLAK, SLEMAN Marselina Endah Hiswati, Ahmad Sahal, Andre Kussuma Adiputra, Tri Septa Nurhantoro, Rodiyah Soekardi
Prosiding Seminar Nasional Multidisiplin Ilmu Vol 2, No 1 (2020): Tetap Produktif dan Eksis Selama dan Pasca Pandemi COVID-19
Publisher : Universitas Respati Yogyakarta

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Peningkatan lansia di Indonesia akan membawa dampak terhadap berbagai kehidupan, utamanya adalah tingginya ketergantungan lansia karena kemunduran fisik, psikis, dan sosial. Untuk itu perlu identifikasi permasalahan pralansia melalui kegiatan penelitian agar ditemukan intervensi yang tepat untuk meminimalisasi ketergantungan lansia. Pandemi COVID-19 membawa dampak kesehatan dan ekonomi. Lansia sangat rentan terpapar COVID-19 karena memiliki imunitas yang rendah dan mengalami beberapa comorbid. Selain itu, lansia juga memiliki keterbatasan dalam mengakses informasi melalui teknologi informasi. Berdasarkan data yang didapatkan di Dusun Sawahan Lor, Wedomartani, Ngemplak, Sleman diketahui sebanyak 40 responden terdiri dari 35 % termasuk dalam kategori middle age atau usia pertengahan (45-59 tahun), dan 65 % berusia lebih dari 60 tahun. Separuh atau 50% responden memiliki tingkat pengetahuan tentang penurunan fungsi tubuh yang kurang. Sebagian besar (55%) responden upaya pencegahan COVID-19 kurang. Mengenai penggunaan alat komunikasi (Handphone) 55% responden kurang, dan 67,5% responden memiliki pendapatan kurang dari 1 juta rupiah. Berdasarkan permasalahan di atas, diperlukan intervensi integrasi model HEALTH-SeT (Health, Social Economy, and Technology) untuk mengatasi masalah pada lansia khususnya di era pandemi COVID-19 ditinjau dari 3 pendekatan yaitu kesehatan, sosial ekonomi dan teknologi.
Improving Sexual Function in Perimenopause Women with Loving Yoga Exercise Rizka Ayu Setyani; Fika Lilik Indrawati
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 6 Number 1 Year 2021
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v0i0.244

Abstract

Background: Reduced vaginal mucus to dyspareunia (pain during intercourse) is often experienced by perimenopausal women. This decreases sexual drive and awakening in women who influence sexual quality with their partner. One of the body and mind intervention exercises in premenopausal women is loving yoga. This study aims to find out the effectiveness of loving yoga against the sexual function of perimenopausal women. Methods: This type of research is a quantitative experiment with a one-group pretest-posttest design approach. Research by giving loving yoga intervention for four weeks (with intensity twice a week). Loving yoga movement focuses on kegel gymnastics and pelvic muscle movements, such as plank movement, upward dog, happy baby, downward-facing dog, cat-cow, pigeon, cobbler, leg-up-the-wall, reclining-big-toe, and bridge. Researchers measured the sexual function in 30 women by purposive sampling with inclusion criteria were aged 40-50 and still sexually active before and after loving yoga using the Female Sexual Function Index (FSFI) questionnaire. Analyze data using paired sample T-test. Results: This study result is seen from the mean value of 14.33, which means the FSFI score ≤ 26.5. While after complementary therapy loving yoga, the mean value of respondents is 30.13 or an FSFI score ≥ of 26.5, which means no sexual dysfunction. Based on the calculated Paired T-Test variables, the sexual function is obtained at the value of –28,748 with a significance value of < 0,000 (p < 0,05). Conclusion: Loving yoga has an influence 28,748 times on changes in the sexual function in perimenopausal women.
Model Pemberdayaan Masyarakat “GEBRAK” dalam Optimalisasi Partisipasi Remaja pada Voluntary Counseling and Test di Yogyakarta Rizka Ayu Setyani; Fika Lilik Indrawati; Dewi Prabasari V
Jurnal Ilmiah Bidan (JIB) Vol 4 No 3 (2019)
Publisher : Ikatan Bidan Indonesia (IBI)

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Tingginya stigma dan diskriminasi terhadap upaya pencegahan penularan HIV/AIDS di Indonesia dipengaruhi oleh pemahaman masyarakat yang kurang tepat tentang HIV/AIDS. Hal inilah yang melatarbelakangi munculnya inovasi pemberdayaan masyarakat bernama GEBRAK (Gerakan Bersama Kader). Tujuan penelitian untuk mengetahui pengaruh GEBRAK terhadap partisipasi remaja pada VCT (Voluntary Counseling and Test). Penelitian eksperimen posttest only group control design dilakukan pada 50 remaja Desa Sinduadi sebagai kelompok perlakuan dan 50 remaja Desa Sendangadi sebagai kelompok kontrol pada April hingga September 2019. Ada dua tahapan GEBRAK, yaitu pembentukan SETIA (Satgas Remaja Tanggap HIV/AIDS) di tingkat desa melalui remaja perwakilan dusun. Selanjutnya, pelaksanaan edukasi masyarakat, baik di tingkat dusun maupun desa. Rangkaian acaranya yaitu senam zumba, talkshow HIV/AIDS, serta VCT gratis. Setelah intervensi diberikan, dilakukan posttest berupa pelaksanaan VCT pada kedua kelompok. Pengumpulan data melalui master tabel keikutsertaan VCT, dan dianalisis dengan uji Mann-Whitney u test. Hasilnya, ada perbedaan partisipasi VCT antara remaja Desa Sinduadi dan remaja Desa Sendangadi atau ada pengaruh inovasi GEBRAK (Gerakan Bersama Kader) terhadap partisipasi remaja pada VCT (nilai Asymp.Sig < 0.05). GEBRAK telah disepakati oleh Dinas Kesehatan, Puskesmas, Kecamatan, dan Desa sebagai program percepatan Getting to Three Zeroes: Zero New HIV Infection, Zero AIDS Related Death, dan Zero Stigma and Discrimination.
Strengthening community health volunteers as a community empowerment in the reduction of HIV/AIDS stigma Rizka Ayu Setyani; Fika Lilik Indrawati
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.47212

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Negative stigma of society is one of the inhibitory factors of HIV/AIDS promotion and prevention programs. The Community Health Volunteer HIV (CHV HIV) program represents a community attempt to reduce the negative stigma of society concerning HIV/AIDS. The purpose of this activity is the formation of CHV HIV activities which are expected to educate the Primary Health Care (PHC) patients who are childbearing age women and expectant mothers in HIV/AIDS prevention; to support the success of the Prevention of Mother to Child Transmission (PMTCT) program; to increase the participation of childbearing age women and expectant mothers in Voluntary Counselling and Testing (VCT), and to reduce the incidence rate of HIV. Community empowerment activities were conducted in 2018, from July until November in Sleman, District Istimewa Yogyakarta (DIY). These activities involved the socialization of HIV/AIDS programs and education about VCT for CHVs in cooperation with PHC and non-government organizations (NGOs). The CHVs provided counselling for childbearing age women and expectant mothers related to prevention of HIV/AIDS transmission. The results of these activities were the increasing of CHV knowledge about HIV/AIDS and the formation of twelve CHV HIV in Sleman, DIY. In conclusion, this activity effectively increases the participation of childbearing age women and expectant mothers in voluntary HIV tests, so that the formation of CHV HIV could not only involve adult age volunteers but also adolescents.
PERILAKU PENGGUNAAN PELAYANAN SKRINING INFEKSI MENULAR SEKSUAL (IMS) PADA WARIA DI KOTA YOGYAKARTA Fika Lilik Indrawati
Medika Respati : Jurnal Ilmiah Kesehatan Vol 12, No 1 (2017)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.918 KB) | DOI: 10.35842/mr.v12i1.3

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Abstract: Negative stigma is attached to transvestites where they are seen as a source to spread STIs and HIV/AIDS virus because of the risk of their job which is mostly as a sex worker.  In their position a sex worker which is paid very low and lack of knowledge about reproduction health; unconsciously, transgender can get infected by STIs or HIV easily and spread it to their next partners. It is caused by lack infomation about reproduction and sexual health and lack access about health service for transvestites.   This research aimed to understand transvestites’ behavior in using STIs screening service. This research used qualitative approach with phenomenological approach; samples taking used purposive sampling of criterion based sampling and snowball sampling done by finding persons who could gave the clues about the people who were willing to be chosen as the research subjects according to the criteria. From the criteria which had been decided, it got seven representative informants. Data collecting technique used deep interview and focus group discussion. The research results showed that most trangenders had lack knowledge about STIs. They still did sexual intercourse although they had already got education from health workers and had already known that some of their transgender friends got infected by STIs.  Keywords: STIs screening service, transvestites, health belief modelAbstrak : Stigma negatif telah melekat pada diri waria dimana mereka disebut sebagai salah satu sumber penyebaran IMS dan virus HIV/AIDS karena resiko atas faktor pekerjaannya yang sebagian besar sebagai penjaja seks. Dalam posisinya sebagai penjaja seksual yang memiliki posisi daya tawar yang sangat rendah, serta kurangnya pengetahuan tentang kesehatan reproduksi, maka waria dengan tanpa sepengetahuannya akan mudah terinfeksi/tertular IMS dan virus HIV kepada pasangan-pasangan berikutnya. Hal itu terjadi karena kurangnya informasi tentang kesehatan reproduksi dan seksual serta akses tentang layanan kesehatan bagi kaum waria. Penelitian ini bertujuan untuk memahami perilaku waria dalam menggunakan pelayanan skrining IMS sehingga dapat diketahui proses serta faktor yang  melatarbelakangi perilaku waria dalam menggunakan pelayanan skrining IMS. Penelitian ini menggunakan pendekatan kualitatif dengan pendekatan fenomenologi, teknik pengambilan sampel secara purposive sampling jenis criterion based sampling dan snowball sampling dilakukan dengan menemukan orang yang dapat memberi petunjuk mengenai orang yang bersedia menjadi subjek penelitian sesuai dengan kriteria. Dari kriteria-kriteria yang telah dirumuskan, diperoleh tujuh orang informan yang representatif. Teknik pengumpulan data menggunakan wawancara mendalam, dan focus group discussion. Hasil penelitian menunjukkan bahwa hampir semua waria mempunyai pengetahuan yang kurang tentang IMS. Mereka tetap melakukan hubungan seksual yang beresiko meskipun sudah mendapatkan penyuluhan dari tenaga kesehatan dan sudah mengetahui beberapa teman waria yang terkena IMS.  Kata kunci : perilaku, pelayanan skrining IMS, waria