Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia

Kesmas: National Public Health Journal

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Field Value
 
Title Private Midwives’ Perceptions on Barriers and Enabling Factors to Voluntary Counselling and HIV Test (VCT) in Bali, Indonesia
 
Creator Lubis, Dinar Saurmauli
Wulandari, LPL
Suariyani, Ni Luh Putu
Tresna Adhi, Kadek
Andajani, Sari
 
Subject Prevention of Mother to Child Transmission, midwives private clinics, antenatal care, Indonesia
 
Description In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission. 
 
Publisher Faculty of Public Health Universitas Indonesia
 
Contributor Dinar Lubis, Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University
 
Date 2019-08-01
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://journal.fkm.ui.ac.id/kesmas/article/view/2708
10.21109/kesmas.v14i1.2708
 
Source Kesmas: National Public Health Journal; Vol 14, No 1 (2019): Volume 14, Issue 1, August 2019
Jurnal Kesehatan Masyarakat Nasional; Vol 14, No 1 (2019): Volume 14, Issue 1, August 2019
2460-0601
1907-7505
10.21109/kesmas.v14i1
 
Language eng
 
Relation http://journal.fkm.ui.ac.id/kesmas/article/view/2708/920
 
Rights Copyright (c) 2019 Kesmas: National Public Health Journal
http://creativecommons.org/licenses/by-sa/4.0
 

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