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Detail Article

Journal of Public Health Research and Comunity Health Development

ISSN 2597-7571

Vol. 2 / No. 1 / Published : 2018-10

TOC : 3, and page :19 - 31

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Original Article :

Social determinants of women's vulnerability to the transmission of sexually transmitted infections and human immunodeficiency viruses

Author :

  1. Desak Made Sintha Kurnia Dewi*1
  2. Luh Putu Lila Wulandari*2
  3. D.N. Wirawan*3
  1. Dosen Fakultas Kesehatan Masyarakat
  2. Dosen Program Studi Kesehatan Masyarakat Fakultas Kedokteran Universitas Udayana
  3. Dosen Program Studi Ilmu Kesehatan Masyarakat Program Pascasarjana Universitas Udayana

Abstract :

HIV - AIDS cases are increasing in women and makes them become vulnerable groups. Women have the possibility of infected with STIs - HIV twice higher than men and will have an impact on increasing number of children infections. The study aims to explore social determinants that affect women's vulnerability to STIs – HIV transmission.The study used qualitative design on 21 informants selected purposively that consists of clients, providers, counselors. The selected informant’s criterias are currently or had an STI or HIV (client), has experience handling an STI or HIV client (provider / counselor). The recruitment process is carried out by involving health provider. The study was conducted in April - June 2012 at three health services in Denpasar. Data collection was conducted through in-depth interviews using semi-structured interview guidelines, then recorded and transcribed. The analysis is done thematically and triangulated through member checking and peer debriefing. The results of the study indicate that the social determinants affecting women's vulnerability to STI-HIV transmission including the lack of knowledge, risky sexual behavior of women and spouses, economic pressures encourage women to engage in prostitution, economic dependence restrict access to services, stigma against condoms and HIV, the influence of gender inequality, women value in community making women in blamed position, low bargaining positions in negotiating sexual relations, motivation, and health provider behavior that affect the quality of service and cause client distrust.Social determinants affect women's vulnerability to STIs – HIV transmission holistically from individual factors of women and beyond individuals, i.e: family, society and culture. A comprehensive efforts froms many parties are needed to improve knowledge, women's empowerment, training about communication and counseling are needed for health provider.

Keyword :

STIs and HIV, Women’s Vulnerability, Bargaining Position, Social Determinants,


References :

  1. Weni Guslia Refti, (2018). Faktor Resiko yang Berhubungan dengan Kejadian Infeksi Menular Seksual (IMS) di Klinik Voluntary Counseling Test (VCT). Vol. 3, No. 1, Hal. 47-60 : Aisyah: Jurnal Ilmu Kesehatan
  2. Adiningtyas Prima Yulianti, (2013). Kerentanan Perempuan Terhadap Penularan HIV dan AIDS. Vol. 6, No. 1, Hal. 185-200 : PALASTREN
  3. Ikhlasiah Dalimoenthe, (2011). Perempuan Dalam Cengkeraman HIV/AIDS: Kajian Sosiologi Feminis Perempuan Ibu Rumah Tangga. Vol. 5, No. 1, Hal. 41-48 : KOMUNITAS


   


Archive Article

Cover Media Content

Volume : 2 / No. : 1 / Pub. : 2018-10
  1. Relationship of individual characteristics and work attitudes to musculoskeletal complaints among batik handicraftsmen in virdes batik collection
  2. Environmental health inspection of elementary school in the working area of mojopanggung public health center, banyuwangi
  3. Social determinants of women's vulnerability to the transmission of sexually transmitted infections and human immunodeficiency viruses
  4. Evaluate the implementation of certification of home industry food production certification in banyuwangi
  5. Description of knowledge, attitudes and behavior of genetalia external organ personal hygiene for student of class the seventh and the eighth in junior high school of al irsyad al islamiyyah banyuwangi in 2017
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