Faktor-Faktor yang Mempengaruhi Kesediaan Ibu Rumah Tangga untuk Melaksanakan Testing HIV (Studi di Wilayah Kerja Puskesmas Singojuruh Kabupaten Banyuwangi)

Abstract

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Kesehatan Ibu dan Anak 2015 ABSTRAK Misyati Asmaruddin Faktor-Faktor yang Mempengaruhi Kesediaan Ibu Rumah Tangga untuk Melaksanakan Testing HIV (Studi di Wilayah Kerja Puskesmas Singojuruh Kabupaten Banyuwangi) xviii + 98 halaman + 22 tabel + 5 gambar + 20 lampiran Kasus HIV/AIDS di Banyuwangi menempati urutan ke 4 dari 38 Kabupaten yang ada di Jawa Timur. IRT (ibu rumah tangga) menempati peringkat tertinggi sebanyak 25,5% dari semua kasus yang ada. Upaya pemerintah untuk menurunkan kasus HIV/AIDS melalui program i mobile VCT, belum menunjukan peningkatan pada IRT dalam melaksanakan testing HIV. Tujuan penelitian untuk mengetahui faktor-faktor yang mempengaruhi kesediaan IRT untuk melaksanakanTesting HIV. Jenis penelitian adalah Explanatory Survey yang merupakan penelitian kuantitatif dengan metode cross sectional terhadap 186 IRT. Sampel dipilih dengan teknik purposive sampling, yaitu 93 yang melaksanakan dan 93 yang tidak melaksanakan testing HIV. Metode pengumpulan data dengan wawancara langsung menggunakan kuesioner terstruktur. Analisis data menggunakan uji t-test dan uji mann whitney. Hasil penelitian menunjukkan IRT yang melaksanakan testing HIV sebagian besar pada umur muda 56,8%, pendidikan tingkat dasar 50,7%, pengetahuan baik 52,5%, pendapatan keluarga <UMR 51,6%, sikap positif 55,3%, akses layanan jarak dekat 53,7%, akses informasi sedikit 51,1%t dukungan suami 74,4%, dukungan teman 63,6%, dan dukungan petugas kesehatan 53,1%. Ada perbedaan yang bermakna IRT yang melaksanakan dan tidak melaksanakan testing HIV pada dukungan suami p=0.0001 dan dukungan teman p=0.0001. Tidak ada perbedaan yang bermakna pada umur, pendidikan, pengetahuan, pendapatan, sikap, akses layanan, akses informasi dan dukungan petugas terhadap kesediaan ibu dalam melaksanakan testing HIV. Disimpulkan bahwa suami dan teman dekat yang sering berkomunikasi dengan responden mempunyai pengaruh untuk melaksanakan tes HIV. Disarankan kepada Puskesmas dan Dinas Kesehatan untuk melakukan upaya meningkatkan pengetahuan masyarakat khususnya kepala rumah tangga tentang HIV/AIDS dan testing HIV. Kata kunci : Kesediaan Tes HIV, Ibu Rumah Tangga, Faktor Predisposisi, Faktor Penguat, Faktor Pemungkin. Kepustakaan : 41 (1998-2014) Diponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Maternal and Child Health 2015 ABSTRACT Misyati Asmaruddin Factors Influencing a Housewife’s Willingness to do an HIV Test (A Study at Work Area of Singojuruh Health Centre in District of Banyuwangi) xviii + 98 pages + 22 tables + 5 figures + 20 appendices HIV/AIDS cases in District of Banyuwangi placed fourth rank from 38 Districts in East Java. Meanwhile, a housewife group placed first rank, 25.5% of the total cases. One of the government’s efforts to decrease HIV/AIDS cases through i mobile VCT had not significantly increased participations of housewives in doing an HIV test. The aim of this study was to identify factors influencing a housewife’s willingness to do an HIV test. This was a quantitative study using an Explanatory Survey method and a cross-sectional approach. Number of samples were 186 housewives divided into 93 housewives who did an HIV test and 93 housewives who did not do an HIV test selected using a technique of purposive sampling. Data were collected by conducting direct interview using a structured questionnaire and analysed using t and Mann-Whitney tests. The results of this research showed that among housewives who did an HIV test, more than half of them were categorised as young age (56.8%), had basic educational level (50.7%), had good knowledge (52.5%), had a family income less than Regional Minimum Wage (RMW) (51.6%), had a positive attitude (55.3%), were close to a service access (53.7%), had lack of information access (51.1%), had a husband’s support (74.4%), had a friend’s support (63.6%), and had a health worker’s support (53.1%). There were any significant differences between housewives who did and did not do an HIV test in terms of the husband’s support (p=0.0001) and the friend’s support (p=0.0001). On the other hand, there were no significant differences between these two groups in terms of the age, education, knowledge, income, attitude, service access, information access, and a health worker’s support. Husbands and friends who often do communication with the respondents influenced their willingness to do an HIV test. Health Centre and District Health Office need to improve community’s knowledge particularly among heads of households regarding HIV/AIDS and an HIV test. Keywords : Willingness to Do an HIV Test, Housewife, Predisposing Factor, Reinforcing Factor, Enabling Factor Bibliography: 41 (1998-2014)