Articles

PEMAKNAAN PERKAWINAN (STUDI KASUS PADA PEREMPUAN LAJANG YANG BEKERJADI KECAMATAN BULUKERTO KABUPATEN WONOGIRI) Oktarina, Lindha Pradhipti; Wijaya, Mahendra; Demartoto, Argyo
Jurnal Analisa Sosiologi Vol 4, No 1 (2015)
Publisher : UNIVERSITAS SEBELAS MARET (UNS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.2 KB) | DOI: 10.20961/jas.v4i1.17412

Abstract

Marriage is one of human cultures and being apart of the life cycle. It?s a base of forming a family. In ancient era, marriage was considered as conventionally, means women did the marriage because of the culture and society?s persepective. Along with the times growing, changes in the way of human thinking began. Marriage was not only considered as a must in cultural, but it became a personal and rational choice of women. A single woman started to express herself to be involved in many public media, to make her being educated and reach the higher level to catch her desire. Marriage now becomes an important thing, but it?s not the main priority.The purpose of this research is to find the meaning of marriage for a single women workers, social condition of single woman with their job, and marriage preparation of single women. Theory to analize this problem is interpretative understanding of Weber. This is a qualitative research by using case study research strategy, located in Bulukerto district. Sampling technique was purposive sampling. Data collection technique was interview. Data validity using source triangulation and method triangulation.Data analizing technique using interactive analysis model.Research result and discussion analysis showed that women have started to move on the increasing and progress of prosperity in many fields.  Including on the education quality. The involvement of women on the public sphere have opened a new discourse on their way of thinking. This influence on meaning on a perception friction about the meaning of marriage. Single women perception about their life partner is influenced by internal and exsternal factor.  Marriage is considered as an individual freedom right. Social condition of single woman toward her job can be seen from their condition of hard working, achievement of goals, focus on profession, high awarenesss of profession and carrier chances, improvement of work, appreciation of work, and discipline of work. While marriage preparation of single women is to set their life partner criteria, ideal time of marriage, settled and psikologycal readiness, and to make a pre-marital agreement. Keywords: Marriage, Single, Working Women 
The Representation of Social, Economic, Psychological, and Reproductive Health Condition of the Commercial Sex Workers Post-closing of the Dolly Complex in Surabaya Puspitaningtyas, Danty Indra; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Dolly was the biggest red light district in Southeast Asia with more than 1000 (a thousand) women working as commercial sex workers. Because the district imposed a very negative effect  to the surrounding inhabitants especially to children, therefore red light district area of  Dolly and Jarak which are located in  residential area had to be closed. The quality of life of the residents especially the commercial sex workers was very much affected after the district was closed.  The study aimed to understand the representation of the social, economic, psychological, and reproductive health condition after the Dolly district in Surabaya was closed.Subject and Method: This was a qualitative descriptive study with phenomenology approach. This study was  conducted in former red light districts of Dolly and Jarak in Surabaya from January 18-February 28, 2017. The informant of this study were commercial sex workers, former commercial sex workers, head of hamlet (RW), former pander of Dolly,  Head of Civil Society Organization, healthcare workers, and Social Office of Surabaya City. The sampling technique used was snowball sampling, with in-depth interviews, observation, documentation study. The data were analyzed by interactive analysis model including data collection, data reduction, display and verification. Results: The commercial sex workers characteristic prior and post closing of the district were around 28-43 years old, with elementary – senior high school educated. Most of the commercial sex workers were from outside the city with 1-5 customers/day. They charged Rp. 100-300 thousand (Dolly’s commercial sex workers) per customer and Rp. 100-200 thousand/customer (Jarak’s commercial sex workers). The representation of quality of life post-closing was poor, altered social condition,  lack of interaction with others, the degradation of economic condition, poor psychological condition due to the economical problem, and reproductive health was less protected  because they did not get  regular examination like before the complex was closed.Conclusion: The representation  of quality of life in terms of the condition of social, economic, psychology, and reproductive health of the commercial sex workers post Dolly and Jarak closing were poor. Therefore, government intervention was very much needed to help improving the quality of life of the commercial sex workers.Keywords: Commercial sex workers, social, economic, psychological, reproductive health.Correspondence: Danty Indra Puspitaningtyas. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: dantyindra@yahoo.com. Mobile:  +6285732850663Journal of Health Promotion and Behavior (2017), 2(1): 77-87https://doi.org/10.26911/thejhpb.2017.02.01.07
Decision to Choose Acupuncture Therapy for Degenerative Diseases among the Elderly at Ja’far Medika Hospital, Karanganyar -, Purwanto; Dharmawan, Ruben; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Aging process results in biological, physical, and mental changes in the elderly. Degenerative diseases are common in the elderly. They can be treated by pharmacologic or non pharmacologic treatment. Acupuncture therapy potentially can be used as a complementary or alternative therapy to treat degenerative diseases in the elderly. This study aimed to investigate factors that determine the decision to choose acupuncture therapy for the degenerative diseases in the elderly at Ja’far Medika Hospital, Karanganyar, Central Java.SubjectsandMethod: This was a qualitative study with phenomenology approach. This study was conducted at Ja’far Medika Hospital, Karanganyar, Central Java, fromMarch to April 2015. Ten informants were selected for this study by purposive sampling. The data were collected by in-depth interview, observation, and document review.They were validated by source triangulation, and analyzed by Miles and Huberman method.Results: The sample consisted of 5 men and 5 women, aged 53 to 72 years old, with school attainment varying from primary school to university graduate. Job category included farmer, civil servant, and pensioner. The degenerative diseases that were treated by acupuncture therapy including post-stroke, hernia nucleous pulposus, and eyelid disorder.  Internal factors that determined the decision to choose acupuncture were motivation to recover, (religious) belief, and boredom to medical service. External factors that determined the decision to choose acupuncture included the quality of service, family support, trust in the therapist, and hospital image. According to the informants, the acupuncture therapy could help recover their health from the degenerative diseases. Most of them used acupuncture as a complementary treatment.Conclusion: Some internal and external factors determine the decision to choose acupuncture therapy for the degenerative health problem in the elderly. Acupuncture treatment is reported to help recover health in the elderly. Keywords: acupuncture, decision, degenerative disease, elderlyCorrespondence: Purwanto. Masters Program in Public Health, Sebelas Maret University. Email: Purwanto.akp@gmail.com. Mobile: 081393289784.Journal of Health Promotion and Behavior (2016), 1(2): 127-137https://doi.org/10.26911/thejhpb.2016.01.02.08 
Effects of Predisposing, Enabling, and Reinforcing Factors on the Uptake of Voluntary Counselling and Testing among Female Sex Workers in Grobogan, Central Java Perdana, Muhammad Vidi; Demartoto, Argyo; Indarto, Dono
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Human Immunodeficiency Virus (HIV) infection is a global public health issue. Global AIDS Response Progress Reporting (GARP) reported that in 2015, about 36.7 million people worldwide suffered from HIV-AIDS in all age groups. The highest number of HIV/AIDS cases occured in East Africa and South Africa. This study aimed to examine the effects of predisposing, enabling, and reinforcing factors on the uptake of voluntary counselling and testing (VCT) among female  sex workers in Grobogan, Central Java.Subjects and Method: This was an analytical observational study with cross-sectional design. It was conducted in Grobogan, Central Java, in July 2017. A sample of 142 female sex workers  were selected for this study by exhaustive sampling. The dependent variable was uptake of VCT. The independent variables were attitude, perceived benefit, external motivation from others, and social support. The data were collected by a questionnaire and analyzed by multiple logistic regression.Results: Positive attitude towards HIV status (OR= 6.09; 95% CI= 0.968 to 38.38; p= 0.054), positive perceived benefit (OR= 10.58; 95% CI= 1.48 to 76.93; p= 0.019), external motivation (OR= 8.30; 95% CI= 1.21 to 56.82; p= 0.031), and social support (OR= 9.45; 95% CI= 1.46 to 60.83; p= 0.018), positively affected uptake of  VCT.Conclusion: Positive attitude towards HIV status, positive perceived benefit, external motivation, and social support, positively affect uptake of  VCT.Keywords: HIV, Voluntary Counselling Testing, female sex workersCorrespondence: Muhammad Vidi Perdana. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: vidihse@gmail.com. Journal of Health Promotion and Behavior (2017), 2(3): 242-256https://doi.org/10.26911/thejhpb.2017.02.03.05
A Qualitative Study on the Impact of Sexual Assault and Its Approach to Cope with in Female Teenage Victims in Surakarta, Central Java Keswara, Nila Widya; Murti, Bhisma; Demartoto, Argyo
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Studies have shown that sexual assault can lead to the profound impact on the victims. It may last short or long, and can even generate a "ripple effect" of negative symptoms in the affected workplace or living environment. This study aimed to explore the psychological and biological impacts of sexual assault and approach to cope with the trauma in female adolescent victims in Surakarta.Subjects and Method: This was a qualitative study conducted in Surakarta, Central Java. The informants were social workers working at Yayasan KAKAK, a non-government organization dealing with sexual harassment issues. The data were collected by in-depth interview. The informants provided information about psychological and biological impacts of sexual harassment as well as the approach to cope with the trauma in female adolescent victims in Surakarta.Results: The psychological impacts of sexual harassment included anger, fear, self-consciousness or embarrassment, difficulty sleeping, loss of appetite. According to the information provided by the informants, the victim’s life turned into a misery, and school became a place to be avoided. The sexual attacks led to feelings of demoralization and humiliation, causing loss of self-confidence and self-esteem. The victims were reported as having trouble studying or paying attention, less able to perform well, participating less, no longer going to study group, thinking about dropping a class or even leaving the school. Victims experienced symptoms such as headaches, stomach aches, nightmares and anxiety attacks. Yayasan KAKAK assisted victims by supporting and guiding about steps to be taken to protect victims and to cope with the aftermath.Conclusion: Sexual harassment has serious emotional and biological effects on adolescent victims. According to this research finding, one of the greatest mitigating factors to trauma is the acknowledgment that it is happening. Victims of sexual harassment should be assisted to find support and guidance about what steps can be taken to protect themselves and how to cope with the aftermath.Keywords: sexual harassment, female adolescent, copingCorrespondence: Nila Widya Keswara. Diploma Program in Midwifery, School of Health Polytechnics Dr. Soepraoen Hospital, Malang. Email: nilakeswara_purwanto@yahoo.com. Mobile: +6281235555056.https://doi.org/10.26911/thejhpb.2017.02.04.06
Effectiveness of the Expanded Maternal and Neonatal Survival Program in the Reduction of Maternal Mortality in Tegal, Central Java Karina Cibro, Adeyle Datna; Demartoto, Argyo; Sulaeman, Endang Sutisna
Journal of Maternal and Child Health Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Maternal mortality rate is one of the sensitive indicators of population health in a country. Various measures have been implemented to reduce maternal mortality rate, including the Expanding Maternal And Neonatal Survival (EMAS) program. This study aimed to evaluate the effectiveness of the Expanded Maternal and Neonatal Survival program in the reduction of maternal mortality in Tegal, Central Java.Subjects and Method: This was a qualitative evaluative study using context, input, process, product (CIPP) framework. This study was conducted in Tegal, Central Java. The data were collected by in-depth interview, observation, and document review. The primary key informants of this study consisted of 10 subjects, including EMAS team, Head of the District Health Office Tegal, Head of Pagerbarang Health Center, Head of Dukuhwaru Health Center, their coordinating midwife, and community as the program beneficiary.Results: EMAS program was implemented in Tegal because of high maternal mortality rate and lack of community awareness on the importance of visiting health care facility. During the program implementation the district government synergized various stakeholders to realize good governance. Stakeholders work together according to each other task and function. EMAS program has resulted in improved skill of the doctors, midwives, and nurses in tackling emergency cases, so that the emergency cases can be tackled faster, and community awareness use health facilities. The barrier factor was the insufficient number of mentoring health personel.Conclusion: The EMAS program in Tegal district, which aims to reduce maternal mortality rate has been implemented effectively. The emergency referral system is well implemented. Working groups had performed tasks and functions well with adequate responsibility.Keywords: evaluation, EMAS program, maternal mortality rateCorrespondence: Adeyle Datna Karina Cibro. Masters Program in Public Health, Sebelas Maret University, Surakarta. Mobile: 085642596407.Journal of Maternal and Child Health (2016), 1(4): 250-256https://doi.org/10.26911/thejmch.2016.01.04.06
Fulfilment of Gender Needs in HIV and AIDS Control Programs: A Case Study of Housewives in Surakarta, Indonesia Haryani, Tiyas Nur; Nurhaeni, Ismi Dwi Astuti; Demartoto, Argyo
Jurnal Perempuan Vol 22, No 2 (2017): SRHR and Development Policy
Publisher : Yayasan Jurnal Perempuan

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Abstract

Since 2011, the number of case of HIV and AIDS suffered by Indonesian women tends to increase. However, the prevention of HIV and AIDS in Indonesia focuses only on high-risk group. Besides that, measures are not differentiated base on different needs of targetedgroup of programs. The article discusses gender mainstreaming in the prevention of HIV and AIDS program in Surakarta as well as the fulfilment of gender need of housewife who is prone to HIV and AIDS infection. The article is the result of a qualitative study with interactive analysis method. The research targeted housewives as research subjects due to the increasing number of housewives who suffer from HIV and AIDS infection. Moreover, they even placed as the second highest group infected by the disease in Surakarta. The data was collected from an in-depth interview, documentation and observation. The finding showed that the quality of gender equality in the HIV and AIDS mitigation policy in Surakarta is positioned in a gender neutral level, providing the equal rights and obligations for all citizens, regardless of their sex. This matter gives impact to the prevention of HIV and AIDS program that only focuses on the fulfilment of housewives practical gender needs.
Efektivitas Collaborative Governance dalam Pelayanan Komprehensif Berkesinambungan untuk Menanggulangi HIV/AIDS Demartoto, Argyo
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.675 KB) | DOI: 10.21109/kesmas.v9i4.753

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AbstrakDi tingkat nasional dan daerah telah terdapat kebijakan publik, program dan kegiatan untuk menanggulangi HIV/AIDS, namun jumlah kasus HIV/AIDS meningkat setiap tahun. Tujuan penelitian ini untuk mengetahui efektivitas collaborative governance antarpemangku kepentingan dalam pelayanan komprehensif berkesinambungan untuk menanggulangi HIV/AIDS di Kota Surakarta. Penelitian ini merupakan studi kasus jenis exploratory. Informan ditentukan dengan menggunakan purposive sampling. Pengumpulan data dilakukan pada 2 Juli – 2 September 2013 dengan wawancara mendalam, observasi, focus group discussion, dan dokumentasi. Teknik analisis data dengan model analisis interaktif. Hasil penelitian menunjukkan bahwa pemberi dan penerima layanan berperan dalam penanggulangan HIV/AIDS sesuai tugas dan fungsinya masing-masing. Program pencegahan dan penjangkauan, layanan kesehatan, reduksi bahaya, dan pemberdayaan belum efektif karena komitmen terhadap tujuan dan sikap saling percaya antarpemangku kepentingan belum optimal, petugas lapangan kurang profesional, terdapat konflik laten antarpemangku kepentingan, kurang optimalnya koordinasi antaranggota Komisi Penanggulangan AIDS Daerah Kota Surakarta dan rendahnya anggaran untuk penanggulangan HIV/AIDS karena HIV/AIDS belum menjadi isu prioritas dalam pembangunan daerah. Disimpulkan bahwa kolaborasi governance antarpemangku kepentingan belum efektif. Untuk meningkatkan kualitas dan efektivitas kolaborasi governance antarpemangku kepentingan, harus ada norma, struktur, dan proses yang jelas dalam menanggulangi HIV/AIDS.AbstractThere have been public policies, programs and activities to cope with HIV/AIDS in Indonesia at national and local level, but number of HIV/AIDScases is increasing every year. This study aimed to determine effectivity ofcollaborative governance between stakeholders in a sustainable comprehensive service to cope with HIV/AIDS in Surakarta City. This study was an exploratory study. Informants were selected using purposive sampling technique. Data collection was conducted on 2 July – 2 September 2013 using in-depth interview, observation, focus group discussion, and documentation. Technique of data analysis was an interactive analysis model. Results showed that service provider and receiver had taken roles in HIV/AIDS coping based on their own duty and function. Prevention and outreach, healthcare service, harm reduction and empowerment programs had not been yet effective because of less optimal commitment to purpose and mutual trust between stakeholders, less professional fieldworkers, latent conflict occurred between stakeholders, less optimal coordination between AIDS Coping Commission of Surakarta City members, and low budget for HIV/AIDS coping as HIV/AIDS is not yet a priority issue in regional development. In brief, collaborative governance between stakeholders is not yet efffective. To improve the quality and the collaborative governance effectivity between stakeholders, there should be any clear norm, structure and process in coping with HIV/AIDS.
Social Development of Children Under-Five as the Impact of Extramarital Pregnancy Purbanova, Reni; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Teenagers have a great curiosity of something have never been experienced before. This characteristic  affect their sexual and dating behaviors. This eventually may lead to unwantted pregnancy, unsafe abortion, sexual transmitted disease (STD) infection, and even mortality. This study aimed to determine the social development of children under-five as the impact of extramarital pregnancy.Subjects and Method: This was an explorative qualitative study. It was carried out in Jaten Subdistrict, Karanganyar District, Central Java. The key informants in this study included Head of the Office of Marital Affairs, Jaten Subdistrict, Karanganyar District. Other key informants included extramarital offsprings, their parents and grandparents.Results: Couples with extramarital pregnancy experience hard life. They tend to refuse the extramarital pregnancy and atempt to abort it. This situation affects parenting pattern. Social support system had an important role in parenting pattern. Couples lacking in social support system were not able to nurture the offsprings optimally. The offsprings received minimal stimuli required for the social development. In effect, their offsprings became shy and fearful.Conclusion: Social support system has an important role in parenting pattern. It is required for the extramarital couples to raise their offsprings normally.Keywords: extramarital pregnancy, offsprings, social development, parenting patternCorrespondence: Reni Purbanova. Academy of Nursing 17, Karanganyar, Central Java. Email: purbanovareni1983@gmail.com. Mobile: +6285658076583Journal of Maternal and Child Health (2017), 2(3): 214-222https://doi.org/10.26911/thejmch.2017.02.03.03
Fulfilment of Gender Needs in HIV and AIDS Control Programs: A Case Study of Housewives in Surakarta, Indonesia Haryani, Tiyas Nur; Nurhaeni, Ismi Dwi Astuti; Demartoto, Argyo
Jurnal Perempuan Vol 22, No 2 (2017): SRHR and Development Policy
Publisher : Yayasan Jurnal Perempuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34309/jp.v22i2.178

Abstract

Since 2011, the number of case of HIV and AIDS suffered by Indonesian women tends to increase. However, the prevention of HIV and AIDS in Indonesia focuses only on high-risk group. Besides that, measures are not differentiated base on different needs of targetedgroup of programs. The article discusses gender mainstreaming in the prevention of HIV and AIDS program in Surakarta as well as the fulfilment of gender need of housewife who is prone to HIV and AIDS infection. The article is the result of a qualitative study with interactive analysis method. The research targeted housewives as research subjects due to the increasing number of housewives who suffer from HIV and AIDS infection. Moreover, they even placed as the second highest group infected by the disease in Surakarta. The data was collected from an in-depth interview, documentation and observation. The finding showed that the quality of gender equality in the HIV and AIDS mitigation policy in Surakarta is positioned in a gender neutral level, providing the equal rights and obligations for all citizens, regardless of their sex. This matter gives impact to the prevention of HIV and AIDS program that only focuses on the fulfilment of housewives practical gender needs.
Co-Authors Adita, Kingkin Adriyani, Rita Benya Agnes Zogara, Anastasia Ahmad Zuber Alfan Biroli, Alfan Alfitri, Rosyidah Alfitri, Rosyidah Ambar Mudigdo Ambarsari, Maecelina Hestin Ardiyansyah, Bagus Ari Agustina, Silvia Ari Natalia Probandari Aris Sudiyanto Arisona, Widya Lusi Bagus Haryono Bhisma Murti Desiderius Priyo Sudibyo, Desiderius Priyo Didik Tamtomo, Didik Dono Indarto Drajat Tri Kartono Ekasari, Dily Endang Gerilyawati IES, Endang Gerilyawati Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fajriyah, Yuli Lutfatul Ghufronudin, Ghufronudin Harsono Salimo Haryani, Tyas Nur Indrawati, Fika Lilik Ismi Dwi Astuti Nurhaeni, Ismi Dwi Astuti Johar, Syefira Ayudia Karina Cibro, Adeyle Datna Keswara, Nila Widya Khalifah, Intan Noor Kogoya, Tena Kurniasari, Mia Ashari Laksana, Budi Laksono, Puji Lestari, Heni Eka Lianawati, Feny Mahendra Wijaya Masruroh, Yulia Mulya Tarmidi, Mulya Nahak, Maria Paula Marla Nurul Husna Oktarina, Lindha Pradhipti Perdana, Muhammad Vidi Permana, Fransisca Novalia Poncorini, Eti Pranita, Liliana Dwi Purbanova, Reni Purwanto - Puspitaningtyas, Danty Indra Puspitasari, Lina Rahmawati, Dechoni Raraningrum, Vita Ratih Rahmawati RB. Soemanto Respati, Supriyadi Hadi Retnaningsih, Isna Rahmawati Rita Benya Adriani RUBEN DHARMAWAN Sari, Heni Elmiani Setiyawan, Khabib Bima Setyadi, Ahmad Wasis Setyani, Rizka Ayu Soemanto, RB Soesyasmoro, R. Asto Solikatun Solikatun, Solikatun Subaeti, Tri Sugma, Saras Vati Manvatarini Sunaryo - Supriyadi Hari Respati Suryono, Anike Nurmalita Rizki Putri Syarifah Syarifah, Syarifah Tiyas Nur Haryani, Tiyas Nur Wachdin, Fetty Rosyadia Wardhani, Putri Kusuma Wardhani, Yeni Wekadigunawan, C.S.P Widia Lestari Yuni Lestari Zahroh Shaluhiyah Zunariyah, Siti