Paper: The accessibility of HIV-infected Poor Women to the Prevention of Mother to Child Transmission Service in Surakarta Indonesia (Demartoto et al, 2016)
The accessibility
of HIV-infected Poor Women to the Prevention of Mother to Child Transmission
Service in Surakarta Indonesia
Reference:
Demartoto,
A., Zunariyah, S., & Soemanto, R. B. (2016). The accessibility of
HIV-infected Poor Women to the Prevention of Mother to Child Transmission
Service in Surakarta Indonesia. Indian Journal of Community Health, 28(4),
317-323.
·
- Argyo DemartotoDepartment
of Sociology, Faculty of Social and Political Sciences, Sebelas Maret
University Indonesia
- Siti ZunariyahDepartment
of Sociology, Faculty of Social and Political Sciences, Sebelas Maret
University Indonesia
- Robertus Bellarminus SoemantoDepartment
of Sociology, Faculty of Social and Political Sciences, Sebelas Maret
University Indonesia
Abstract
Background: HIV transmission from HIV-infected mother to child can occur
through pregnancy, birth and lactation process; therefore, there should be
Prevention of Mother to Child Transmission or PMTCT. Aims & Objectives:
This research aimed to study the HIV-infected poor women’s accessibility to the
Prevention of Mother to Child Transmission Service in Surakarta Indonesia. Material & Methods:
This study was a qualitative research with explorative approach conducted in
October-December 2015 and HIV-infected poor women as the unit of analysis. The
sampling technique used was maximum variation sampling. Techniques of
collecting data used were observation, in-depth interview and documentation,
while data analysis was conducted using an Interactive Model of analysis with
materialist theory. Results: Structural, financial and personal or
cultural constraints were found: less target-appropriate health insurance
policy, expensive cost of delivery with section caesarian surgery and
breastfeed-substituting formula milk, and limited knowledge, experience and
negotiation with the service provider leading to the HIV-infected Poor Women’s
limited accessibility to comprehensive and sustainable PMTCT. PMTCT
socialization, the giving-birth insurance and Food Supplementation program
activation by Empowerment Work Group in AIDS Coping Commission in Surakarta
City was the opportunity to access PMTCT service. Conclusion: Although
PMTCT resulted in some problems, particularly formula milk administration and
delivery process with section caesarian surgery, this attempt should be taken
to make the baby born healthy. For that reasons, PMTCT service and health
insurance should be improved from beneficiary data to accessible and
sustainable procedure.
Author Biographies
Conclusion
HIV-infected poor women’s
accessibility to comprehensive
and sustainable PMTCT is still limited due
to structural, financial
and persona/cultural constraints.
This condition can
change into the better one when there are some
opportunities such as active socialization
of PMTCT, presenting
the more transparent Delivery
Security program and Empowerment Work Group in Surakarta
City’s AIDS Coping Commission that can expand the accessibility
Argyo Demartoto, Department of Sociology, Faculty of Social and
Political Sciences, Sebelas Maret University Indonesia
Associate Professor, Department of Sociology, Faculty
of Social and Political Sciences, Sebelas Maret University Indonesia
Siti Zunariyah, Department of Sociology, Faculty of Social and
Political Sciences, Sebelas Maret University Indonesia
Assistant Professor, Department of Sociology, Faculty
of Social and Political Sciences, Sebelas Maret University Indonesia
Robertus Bellarminus Soemanto, Department of Sociology, Faculty of Social and
Political Sciences, Sebelas Maret University Indonesia
Professor, Department of Sociology, Faculty of Social and
Political Sciences, Sebelas Maret University Indonesia
Some additional reference
Liem A,
Adiyanti MG. "Midwife's gorgeous": Psycho education on HIV and AIDS to Improve The
Service Quality of Midwives at
Yogyakarta Public Health Center. HIVAIDS &
Review. 2013; 12 (1): 16
–
22.
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