• Journal of Preventive Medicine and Public Health
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• v.56 no.3
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• pp.238-247
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• 2023

Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.

• Journal of Korean Public Health Nursing
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• v.34 no.2
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• pp.165-181
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• 2020

Purpose: This study is an integrative review of previous research conducted on family-school nurse partnership in school health care, as perceived by school nurses, children, and families. Method: The study was conducted according to the five stages of integrative review suggested by Whittemore and Knafl (2005), which involved problem identification, literature search, data evaluation, data analysis, and presentation of results. Suitable literature was found using portals such as PubMed, CINAHL, Embase, and Web of Science. Key words such as school nurses, family, parents, children, and partnership were used to narrow the search results. Studies published in peer-review journals between 2006-2018 were selected. The quality of studies was appraised using critical appraisal tools provided by the Joanna Briggs Institute (2020). Result: Thirteen studies (5 quantitative and 8 qualitative) were finalized for the final review process. After an extensive review, four key themes of school nurse-family partnership in school health care were identified: partnership components, partnership barriers, partnership facilitators, and strategies to promote partnership. Conclusion: Partnership and its components, barriers, and facilitators, along with strategies for its promotion should be considered in school health care. Further studies are needed on the perceptions held by parents and children regarding school health care partnership.

• Industry Promotion Research
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• v.5 no.4
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• pp.55-61
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• 2020

In conducting school violence counseling to solve school violence, this study studied the use of school violence counseling to solve school violence by forming a correct peer relationship. Through this study, we can see that peer relations are an important factor in preventing school violence in school violence counseling. The findings are as follows. First, school violence counseling should first protect and heal victims. The primary goal of school violence counseling should begin with consideration for the victims and be placed on the continuation of the victim's right peer relationship. That's how important peer relationships are. Second, not only victims of school violence counseling, but also perpetrators should be included in the list of counsels. In other words, there may be many cases where counseling is usually focused only on the victim. Therefore, the peer relationship can continue even after school violence, so customized counseling is needed not only for victims but also for perpetrators. Third, for school violence counseling, the recovery of peer relations and insight into life are important. Therefore, the focus should be on self-reflection and the restoration of relations between the parties, not on a disciplined or disciplined, controlled perspective. Fourth, we should recognize the importance of peer relations in school violence and activate the 'old counseling program'. Therefore, school violence counselors should optimize their programs by reflecting on-site needs so that they can act as emotional facilitators, problem solvers, and empathic cultural promoters in their roles. In conclusion, school violence counseling should basically be involved in peer relationships. School violence counseling should develop and implement programs focusing on the formation of proper peer relations in order to eradicate school violence.