Develop programs that facilitate communication between husband and wife

Oct 13, 2025 by wbrum.org 11 views

The Influence of Sociodemography, Knowledge, Attitudes of Pregnant Women and Husband's Support for the Participation of HIV Tests at the Padang Bulan Puskesmas Medan City

Introduction

The problem of HIV/AIDS is a serious challenge in the field of health that receives global attention due to its impact on the quality of human resources. One important step in early detection is through an HIV test, which unfortunately still has a low scope at the Padang Bulan Puskesmas Medan City, with only 22.3% participation. This study aims to explore the influence of sociodemography, knowledge, attitudes of pregnant women, and husband's support for the participation of pregnant women in the HIV test at the Puskesmas.

Background

HIV/AIDS is a major public health concern that affects millions of people worldwide. The disease is caused by the human immunodeficiency virus (HIV), which attacks the body's immune system and makes it difficult for the body to fight off infections and diseases. HIV is transmitted through bodily fluids, such as blood, semen, and breast milk, and can be spread through unprotected sex, sharing needles, and from mother to child during pregnancy, childbirth, or breastfeeding.

In Indonesia, HIV/AIDS is a significant public health concern, with an estimated 640,000 people living with HIV/AIDS in 2020. The disease is more prevalent in certain regions, including the city of Medan, where this study was conducted. The Padang Bulan Puskesmas Medan City is one of the primary healthcare facilities in the city, providing essential healthcare services to the community.

Research Methodology

This study uses an observational analytic study design with a case-control approach. The population studied included all pregnant women who conducted a pregnancy examination and received counseling on HIV tests between January and June 2016. A total of 130 respondents were selected for the study, divided into 65 respondents in the case group and 65 in the control group. Data were analyzed using univariate analysis, bivariate through the chi-square test, as well as multivariate analysis with multiple logistics regression.

Research Results

The results of the multivariate analysis showed that the attitude of pregnant women (Odds Ratio (OR): 3,272; 95% Confidence Interval (CI) = 1,506-7,111) and husband's support (OR: 4,854; 95% CI = 2,085-11,299) had a significant influence against participation in the HIV test. Conversely, other factors such as age, education, work of pregnant women, husband's work, parity, number of antenatal care (ANC) visits, and knowledge about HIV did not show significant influence.

Additional Analysis and Explanation

The results of this study indicate that the positive attitude of pregnant women towards HIV tests, as well as strong support from her husband, is very instrumental in increasing participation in HIV tests. This attitude may be rooted in a good understanding of the importance of HIV tests for personal health and babies being conceived. Conversely, the lack of husband's support can create fear and stigma that makes pregnant women reluctant to do the test.

It is essential for health workers to develop programs that facilitate communication between husband and wife regarding the importance of HIV tests. By involving community leaders and religious leaders in the socialization of HIV/AIDS, can help reduce existing stigma. Educational programs that increase knowledge and awareness about HIV/AIDS also need to be encouraged so that pregnant women and their partners understand the risk of transmission and the benefits of HIV tests.

Conclusion

In dealing with HIV/AIDS problems, good understanding and support from the surrounding environment, especially from the husband, is very important to increase participation in HIV tests. Therefore, joint efforts are needed from various parties to educate the public about HIV risk and the importance of early detection through HIV tests, in order to prevent new cases and improve the quality of the health of pregnant women and children.

Recommendations

Based on the findings of this study, the following recommendations are made:

Develop programs that facilitate communication between husband and wife: Health workers should develop programs that facilitate communication between husband and wife regarding the importance of HIV tests.
Involve community leaders and religious leaders: Community leaders and religious leaders should be involved in the socialization of HIV/AIDS to help reduce existing stigma.
Increase knowledge and awareness about HIV/AIDS: Educational programs that increase knowledge and awareness about HIV/AIDS should be encouraged to educate pregnant women and their partners about the risk of transmission and the benefits of HIV tests.
Improve access to HIV testing: Efforts should be made to improve access to HIV testing, including increasing the availability of HIV testing services and reducing the cost of testing.
Increase support for pregnant women: Pregnant women should be provided with support and counseling to help them make informed decisions about HIV testing.

By implementing these recommendations, it is hoped that the participation of pregnant women in HIV testing will increase, and the risk of HIV transmission will be reduced.
Frequently Asked Questions (FAQs) about the Influence of Sociodemography, Knowledge, Attitudes of Pregnant Women and Husband's Support for the Participation of HIV Tests at the Padang Bulan Puskesmas Medan City

Q: What is the significance of this study?

A: This study aims to explore the influence of sociodemography, knowledge, attitudes of pregnant women, and husband's support for the participation of pregnant women in the HIV test at the Puskesmas. The study is significant because it highlights the importance of understanding the factors that influence the participation of pregnant women in HIV testing, which is crucial for early detection and prevention of HIV/AIDS.

Q: What are the key findings of this study?

A: The key findings of this study are that the attitude of pregnant women and husband's support have a significant influence on the participation of pregnant women in HIV testing. The study also found that other factors such as age, education, work of pregnant women, husband's work, parity, number of antenatal care (ANC) visits, and knowledge about HIV do not show significant influence.

Q: What are the implications of this study?

A: The implications of this study are that health workers should develop programs that facilitate communication between husband and wife regarding the importance of HIV tests. By involving community leaders and religious leaders in the socialization of HIV/AIDS, can help reduce existing stigma. Educational programs that increase knowledge and awareness about HIV/AIDS also need to be encouraged so that pregnant women and their partners understand the risk of transmission and the benefits of HIV tests.

Q: What are the recommendations of this study?

A: The recommendations of this study are:

Develop programs that facilitate communication between husband and wife: Health workers should develop programs that facilitate communication between husband and wife regarding the importance of HIV tests.
Involve community leaders and religious leaders: Community leaders and religious leaders should be involved in the socialization of HIV/AIDS to help reduce existing stigma.
Increase knowledge and awareness about HIV/AIDS: Educational programs that increase knowledge and awareness about HIV/AIDS should be encouraged to educate pregnant women and their partners about the risk of transmission and the benefits of HIV tests.
Improve access to HIV testing: Efforts should be made to improve access to HIV testing, including increasing the availability of HIV testing services and reducing the cost of testing.
Increase support for pregnant women: Pregnant women should be provided with support and counseling to help them make informed decisions about HIV testing.

Q: What are the limitations of this study?

A: The limitations of this study are:

Small sample size: The study had a small sample size of 130 respondents, which may limit the generalizability of the findings.
Cross-sectional design: The study used a cross-sectional design, which may not capture the dynamic nature of the factors influencing HIV testing participation.
Self-reported data: The study relied on self-reported data, which may be subject to biases and inaccuracies.

Q: What are the future directions of this study?

A: The future directions of this study are:

Longitudinal study: A longitudinal study should be conducted to capture the dynamic nature of the factors influencing HIV testing participation.
Large sample size: A larger sample size should be used to increase the generalizability of the findings.
Mixed-methods approach: A mixed-methods approach should be used to combine quantitative and qualitative data to provide a more comprehensive understanding of the factors influencing HIV testing participation.

Q: What are the implications for public health policy?

A: The implications for public health policy are that health workers should develop programs that facilitate communication between husband and wife regarding the importance of HIV tests. By involving community leaders and religious leaders in the socialization of HIV/AIDS, can help reduce existing stigma. Educational programs that increase knowledge and awareness about HIV/AIDS also need to be encouraged so that pregnant women and their partners understand the risk of transmission and the benefits of HIV tests.