JURNAL KESEHATAN REPRODUKSI

Qualitative Exploration of HIV Testing Intentions Among Jakarta MSM Using the Theory of Planned Behavior Approach

2026-09-19T06:10:31+00:00

Background: HIV testing decisions among men who have sex with men (MSM) involve health concerns, social expectations, and confidence in service access. Objective: To explore voluntary counseling and testing (VCT) intentions among MSM at Taman Sari Subdistrict Health Center, West Jakarta, using the Theory of Planned Behavior (TPB). Methods: This descriptive qualitative study was conducted during October 2022–April 2023. Purposive sampling included nine MSM with differing testing histories and one HIV program coordinator. Semi-structured interviews were analyzed thematically using TPB. Results: Perceived benefits of knowing HIV status supported favorable attitudes, whereas feared positive results and stigma discouraged testing. Peer reassurance supported intention, while anticipated family rejection complicated disclosure. Free, nearby services facilitated access; privacy concerns and restricted service hours constrained perceived control. These accounts suggest that favorable attitudes and supportive norms facilitate intention when testing is perceived as socially safe and practically feasible. Conclusion: Testing intentions reflected attitudes, subjective norms, and perceived behavioral control within a stigmatizing context. Confidential counseling, peer navigation, and accessible services warrant evaluation.

Determinants of Low Birth Preparedness in Primigravida Mothers from the Perspective of Women's Empowerment

2026-05-05T12:34:33+00:00

Background: Birth preparedness and complication readiness are essential strategies for reducing pregnancy-related complications and maternal mortality. Social factors, maternal knowledge, and digital access may substantially influence a mother's preparedness for childbirth. Objective: This study aimed to identify the determinants of low birth preparedness among primigravida mothers. Method: An analytical cross-sectional study was conducted among 187 primigravida pregnant women in Purwasari Sub-district, Indonesia, in February 2025. Data were collected using a structured questionnaire and analyzed using the chi-square test to determine associations between study variables and birth preparedness. Results: Digital health literacy and digital access were significantly associated with birth preparedness (p < 0.001). Childbirth self-efficacy (p = 0.016) and maternal knowledge (p < 0.001) were also significantly associated with birth preparedness. In contrast, reproductive decision-making autonomy (p = 0.731), financial control over childbirth (p = 0.985), and perceptions of local gender norms (p = 0.778) showed no significant associations. Conclusion: Digital health literacy, childbirth self-efficacy, and maternal knowledge are key determinants of low birth preparedness among primigravida mothers. Interventions aimed at improving digital health competencies and strengthening comprehensive maternal health education are needed to enhance women's preparedness for safe and planned childbirth.

Yoga and Facial Acupressure to Support Emotional Well-Being Among Postpartum Mothers: A Qualitative Study in Bali

2026-05-05T12:53:36+00:00

Background: Baby blues affect 5–25% of postpartum women and may progress to postpartum depression if not properly managed. Complementary interventions such as yoga and facial acupressure can support maternal mental health. Objective: This study focused primarily on a qualitative approach to present preliminary findings, particularly to explore factors that may reduce complaints associated with the baby blues and to understand participants’ responses to the facial acupressure and yoga interventions they had received. In the following year, the research will be directed toward a quantitative study design. Methods: A qualitative study was conducted among 15 postpartum mothers who had received yoga and facial acupressure training during pregnancy classes (June–September 2025). Four midwives were also interviewed, including two maternal health coordinators and two independent practitioners affiliated with the Indonesian Midwives Association. Data were collected through in-depth interviews and observations, then analyzed through coding and theme development. Results: Mothers reported increased happiness, self-care, self-acceptance, bonding, role adaptation, and emotional calm. Midwives emphasized the effectiveness of interventions, the need for training, professional motivation, and competency development. Conclusions: Yoga combined with facial acupressure is a feasible and acceptable approach to enhance postpartum well-being, supported by strengthened midwifery competencies through structured training.

The Efficacy of Health Insurance Agency (BPJS) Endorphin Pocket Book in Managing Primary Dysmenorrhea in Adolescents

2026-05-04T15:18:35+00:00

Background: Primary dysmenorrhea significantly disrupts daily activities and diminishes the quality of life among adolescent females. Objective: This study aimed to assess the effectiveness of the '[Name] Endorphin' pocketbook in enhancing adolescents' knowledge, attitudes, and skills in managing menstrual discomfort through non-pharmacological methods. Method: A quasi-experimental study with a pretest-posttest non-equivalent control group design was conducted. Sixty participants were divided equally into intervention and control groups. Results: The Wilcoxon test showed statistically significant improvements in knowledge and skills (p < 0.05), but no significant change in attitudes (p > 0.05). Furthermore, the Mann-Whitney test revealed significant differences between the two groups across all three variables (p < 0.05). Conclusion: The pocketbook effectively improves adolescents' knowledge and practical skills regarding primary dysmenorrhea, though it has not yet significantly altered attitudes. This educational tool holds substantial potential for integration into adolescent reproductive health programs.