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The increasing spread of HIV/AIDS in Jayapura City requires immediate and sustainable preventive efforts, particularly through reproductive health education for adolescents. This program aimed to improve adolescents’ understanding of reproductive health, puberty changes, and behaviors that may increase the risk of HIV/AIDS transmission. The activity was conducted for adolescents participating in Sunday School at GKKD Buper Waena, aged between 10 and 15 years. The program was carried out in April 2025 through counseling sessions, question-and-answer activities, and focus group discussions. These approaches were chosen to provide participants with an interactive learning experience while also creating opportunities for them to share their personal experiences and perspectives related to reproductive health. A total of fifty adolescents participated enthusiastically in the activity. During the sessions, participants asked various questions that were answered directly by the speakers to clarify their understanding of reproductive health and risky behaviors. In addition, six focus group discussions were conducted to discuss participants’ personal experiences regarding puberty, friendships, dating, and behaviors such as kissing. The results of the activity indicate that reproductive health education can improve adolescents’ knowledge, awareness, and skills in maintaining personal health and avoiding behaviors that may increase the risk of HIV/AIDS transmission.

Background: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) remain global health issues, including in Indonesia. One of the management strategies is antiretroviral therapy (ART), which requires a high level of adherence to be effective. Objective: This study aims to analyze the effect of reminders on adherence to ARV treatment among people living with HIV (PLHIV) at the Tembuku I Community Health Center. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 30 PLWHA selected using total sampling, and data were analyzed using the Wilcoxon test. Results: Univariate analysis revealed that the average age of respondents was 35 years; the majority were female, had a high school education, and worked as homemakers and farmers. Bivariate analysis revealed that prior to the intervention, the majority of PLWHA (70%) had low adherence levels, whereas after the intervention, adherence levels increased to 100%. Statistical test results showed a p-value < 0.05, indicating a significant effect of social media-based reminders on improving ARV adherence in the Tembuku I Community Health Center area. Conclusion: The use of social media-based reminders is effective in improving adherence to ARV treatment among people living with HIV. This intervention can be recommended as a simple and practical strategy to support the success of ARV therapy in primary health care settings.

HIV/AIDS is still a global health problem that impacts not only the physical condition, but also the social and emotional aspects of people living with HIV/AIDS (PLWHA), such as stigma, discrimination, anxiety and social pressure which can reduce the comfort of life. Social support plays an important role in helping PLWHA adapt to the disease, increasing treatment compliance, and maintaining a sense of comfort. This research aims to analyze the relationship between social support and comfort for PLWHA in the Semarang City Peer Support Group (KDS). The research used a quantitative approach with a correlational design through a survey method of 74 PLWHA who were actively undergoing treatment, using an accidental sampling technique. The research instruments included a social support questionnaire and a comfort questionnaire, while data analysis was carried out using the Spearman Rank correlation test. The results of the study showed that there was a significant positive relationship between social support and comfort in PLWHA (r = 0.394; p = 0.001), which indicated that the higher the social support received, the better the level of comfort felt. These findings emphasize the important role of social support as part of a holistic nursing approach, so that nurses and health workers are expected to be able to integrate social support-based interventions in an effort to increase the comfort of PLWHA.

HIV and AIDS remain a public health challenge, particularly among adolescents who are vulnerable to risky behaviors. A lack of proper understanding of HIV and AIDS, along with persistent stigma against people living with HIV and AIDS (PLWHA), potentially increases the risk of transmission and hinders prevention efforts. This activity aimed to improve adolescents' knowledge and attitudes regarding HIV and AIDS prevention through health education. The activity was conducted at Al-Hasra High School in Bojongsari District, Depok City, involving 25 students as participants. The method used was interactive education accompanied by pre-test and post-test evaluation. The evaluation results showed an increase in participants' knowledge after the intervention, as reflected in both average scores and the proportion of students in the good knowledge category. These findings demonstrate the critical role of health education in improving adolescents' understanding of HIV and AIDS prevention. Therefore, similar education activities should be conducted continuously as promotive and preventive efforts to reduce the risk of HIV transmission from adolescence.

Tuberculosis (TB) remains a major global public health problem and is one of the leading causes of death after HIV/AIDS. This disease has a high transmission rate, especially among children. This study aims to identify and analyze the determinants contributing to the incidence of tuberculosis in children based on previous studies. The method used was a literature review, which analyzed scientific articles related to the determinants of TB in children. Articles were searched through databases such as Google Scholar, Crossref, and Sinta using related keywords. Of the five articles that met the inclusion criteria, it was found that a history of contact with an adult TB patient was the main factor in transmission in children. Children are highly susceptible to contracting TB germs transmitted through droplets from coughing or talking. In addition, BCG immunization can provide protection against TB infection in children by developing antibodies. A scoring system was used to examine the history of contact in children at risk. In conclusion, there is a significant relationship between history of contact and the incidence of TB in children. Therefore, it is important for adult TB sufferers who live with children to practice preventive behaviors, such as cough etiquette, wearing masks, and proper phlegm disposal.

Men who have Sex with Men (MSM) are a key population with a high risk of Human Immunodeficiency Virus (HIV) infection. In Papua, the increasing number of HIV cases among this group remains a public health challenge, highlighting the need for comprehensive analysis of sociodemographic and clinical characteristics. This study aimed to analyze the sociodemographic and clinical profiles of HIV/AIDS patients among the MSM population at the Kotaraja Reproductive Health Clinic, Jayapura City. An observational analytic study with a cross-sectional and retrospective approach was conducted using medical record data from 2023 to 2024. A total of 21 HIV/AIDS patients among MSM who met the inclusion criteria were included in the study. Data were analyzed descriptively to assess age, occupation, education level, ethnicity, marital status, clinical stage, sexual orientation, and the presence of sexually transmitted infections (STIs). The results showed that most patients were in the productive age group of 20–24 years (47.6%), had secondary education (71.5%), worked as private employees (57.1%), were non-Papuan (95.3%), and were unmarried (100%). The majority were diagnosed at WHO clinical stages I and II (95.6%). Most patients identified as homosexual (90.5%), while 9.5% identified as bisexual. Concomitant STIs were identified in 47.6% of patients, all of which were syphilis. In conclusion, HIV/AIDS among MSM in Jayapura predominantly affects young productive-age individuals with distinct social and clinical characteristics, emphasizing the importance of early screening and culturally sensitive, integrated HIV prevention strategies.

Background: Sexually Transmitted Infections (STIs) represent a global public health challenge. The increasing number of Sexually Transmitted Infection (STI) cases is a serious concern worldwide. A lack of education or minimal knowledge, along with risky behavior, contributes significantly to the high STI rates, particularly among the young age group. Purposes: The objective of this study is to conduct a comprehensive analysis of the major types of Sexually Transmitted Infections (STIs)—namely Gonorrhea, Hepatitis B, HIV/AIDS, Syphilis, and HPV—by identifying their risk factors and determining the most effective prevention strategies. Method:The researchers employed a literature review method. The data search process was conducted systematically on Google Scholar, limiting sources only to articles available in full text and having open access. Results: The literature review concludes that the factors of knowledge, attitude, behavior, and age significantly influence an individual's risk of contracting Sexually Transmitted Infections (STIs). Therefore, prevention efforts must be carried out comprehensively, encompassing promotive (awareness enhancement), preventive (prevention), curative (treatment), and rehabilitative (recovery) activities. Practically, this prevention must include sexual health education, adoption of safe sexual behavior, implementation of routine health checks (screening), and vaccination (specifically for Hepatitis B and HPV). Conclusion: Overall, controlling the spread of STIs requires active and collaborative roles from all parties—including the government, health workers, and the community. The main key to suppressing the spread and burden of STI diseases in the community is through improving appropriate sexual health education, improving access to health services, and periodic health screening.  

Human Immunodeficiency Virus (HIV) infection leading to Acquired Immune Deficiency Syndrome (AIDS) remains a global public health issue, with 39 million people living with HIV worldwide in 2022. Although X Hospital in Malang City provides a comprehensive care program, internal data shows a significant level of non-adherence to antiretroviral (ARV) therapy, often in the form of irregular consumption or discontinuation of medication without medical recommendation. This observational study with a cross-sectional approach aims to identify the determinants of ARV non-adherence, involving 81 non-adherent AIDS patients at Hospital X through total sampling techniques. The characteristics of the respondents were dominated by males, highly educated, and working in the non-government sector, with the majority using the ARV regimen TLD, COTRIMOXAZOLE. The results of statistical analysis indicate that all eight determining variables tested show a highly significant positive correlation (p < 0.001) with non-compliance, meaning that the more severe the problems with these factors, the lower the patient compliance. Furthermore, the top five factors showed a very strong positive correlation (r > 0.80) with non-adherence, namely motivation/depression, social support, communication with service providers, treatment costs, and age or routine. These findings underscore that these five key determinants must be a crucial focus in designing and implementing targeted intervention strategies to effectively improve patient adherence to ARV therapy.

Sexually transmitted infections (STIs) are infections that are transmitted mainly through sexual intercourse. Indonesia's 2020 health profile reported that STIs such as HIV are increasing every year. The prevalence of STIs in Indonesia in indonesia was 11,133 cases. The prevalence of syphilis was 3,868 cases, gonorrhea 2,486 cases, and HIV/AIDS 9,327 cases. The purpose of this study was to determine the knowledge of adolescents about sexually transmitted infections (STIs) at Senior High School 1 Mandirancan Class XI MIPA. This study used descriptive research design. With a population of 216 students and a sample of 68 respondents taken by random sampling. The research was conducted at Senior High School 1 Mandiracan in April-June 2024. By using research instruments in the form of questionnaires, this study used primary and secondary data, the analysis in this study used univariate analysis with frequency distribution. The results of this study obtained the results of adolescent knowledge about STIs as many as 50 students (73.5%) were well informed and 28 students (26.5%) were moderately knowledgeable. Adolescents knowledge about sexually transmitted infections at Senior High School 1 Mandirancan Class XI MIPA has good knowledge category. It is expected that the school will collaborate with health workers to conduct socialization about STIs and conduct counseling to students about STIs.

Human Immunodeficiency Virus (HIV) is the causative agent of Acquired Immunodeficiency Syndrome (AIDS) and can be transmitted from mother to child during pregnancy, childbirth, and breastfeeding. Utilization of Prevention of Mother-to-Child Transmission (PMTCT) services by pregnant women is a crucial strategy to prevent vertical transmission of HIV. This study aimed to analyze factors associated with the utilization of PMTCT services among pregnant women attending antenatal care at Biak Kota Primary Health Center, Biak Numfor Regency. This study employed an observational design with a cross-sectional approach. A total of 80 pregnant women who attended antenatal care at Biak Kota Primary Health Center were selected using purposive sampling. Data were collected using a structured questionnaire. Data analysis included univariate analysis, bivariate analysis using the Chi-square test, and multivariate analysis to identify the most influential factors related to PMTCT service utilization.The results showed that educational level was not significantly associated with PMTCT service utilization (p = 0.168). In contrast, parity was significantly associated with PMTCT utilization (p = 0.007). Exposure to PMTCT-related information was also significantly associated with PMTCT service utilization (p < 0.05). Meanwhile, waiting time for services showed no significant association with PMTCT utilization (p = 0.092). Multivariate analysis revealed that exposure to PMTCT information was the most dominant factor associated with PMTCT service utilization. In conclusion, increased exposure to PMTCT information is associated with higher utilization of PMTCT services among pregnant women. Adequate dissemination of information enhances pregnant women’s knowledge and awareness of the benefits of PMTCT as an effective strategy for preventing mother-to-child transmission of HIV.

The knowledge and acceptance of nurses toward patients with HIV/AIDS (PLHIV) play a crucial role in improving the quality of nursing care. A lack of knowledge and insufficient understanding can lead to poor care quality and health outcomes for PLHIV patients. This study aims to analyze the relationship between nurses' knowledge level and stigma toward PLHIV. This study used a correlational analytic design with a cross-sectional approach, where data were collected from 63 respondents, consisting of nurses working in hospitals, specifically in the PLHIV wards. Data were analyzed using the Chi-Square test to examine the relationship between the variables of nurses' knowledge and stigma toward PLHIV. The results showed that 63.5% of nurses had adequate knowledge about HIV/AIDS, while 14.3% had insufficient knowledge. The majority of nurses working in PLHIV wards demonstrated sufficient understanding, which could potentially influence their acceptance attitude toward patients. Statistical analysis revealed a significant relationship between nurses' knowledge level and stigma toward PLHIV (p < 0.05). This highlights the importance of improving nurses' competence through continuous training and education to reduce stigma and enhance professionalism in providing care to PLHIV patients. This study is expected to serve as a basis for the development of educational and training programs for nurses to improve their understanding of HIV/AIDS and minimize stigma toward PLHIV.

HIV/AIDS is a global health issue that significantly impacts adolescents, a vulnerable group prone to risky behaviors such as unprotected sexual intercourse. The lack of knowledge is a key factor contributing to the increased risk of transmission. Therefore, effective health education interventions are essential to address this problem, with one promising approach being health promotion through audiovisual media. This study aims to assess the impact of audiovisual media on improving HIV/AIDS knowledge among 11th-grade students at SMA PGRI 2 Banjarmasin. The study used a quasi-experimental design with a one-group pretest–posttest approach. The entire population of 112 students was selected using a total sampling technique. The data collection tool was a questionnaire that was tested for validity and reliability. The data were analyzed using the Wilcoxon test, as the data were not normally distributed. Prior to the intervention, most students (85.7%) had low levels of knowledge about HIV/AIDS. Following the intervention, all students (100%) demonstrated a significant increase in knowledge, reaching a high level. The Wilcoxon test yielded a p-value of 0.001 (p<0.05), indicating a statistically significant effect. These findings suggest that audiovisual media is a highly effective method for improving adolescents’ knowledge about HIV/AIDS. It serves as both an engaging and preventive educational strategy, making it an important tool in promoting awareness and reducing the risk of HIV/AIDS transmission among youth.

Background: HIV/AIDS is an infectious disease that attacks the immune system and is a global health problem. Pregnant women are among the vulnerable groups for HIV infection, so HIV testing during pregnancy is an important step in preventing mother-to-child transmission. However, the utilization of HIV testing by pregnant women is still low in various regions, including at the Peureulak Community Health Center, East Aceh Regency. HIV testing in pregnant women can reduce the risk of vertical transmission and provide an opportunity for appropriate treatment. Objective: This study aims to analyze the relationship between pregnant women's knowledge about HIV/AIDS and the utilization of HIV testing at the Peureulak Community Health Center. Methods: This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 50 pregnant women selected by purposive sampling. Data were collected through a questionnaire consisting of questions about knowledge about HIV/AIDS and utilization of HIV testing. The collected data were analyzed using the chi-square test to see the relationship between the two variables. Results: The results showed that the majority of pregnant women had insufficient knowledge about HIV/AIDS (56%). Utilization of HIV testing is also still low, with 52% of pregnant women not undergoing testing during pregnancy. Bivariate analysis showed a significant association between pregnant women's knowledge of HIV/AIDS and their utilization of HIV testing (p = 0.002). Mothers with good knowledge were more likely to undergo HIV testing (72.7%) than mothers with poor knowledge (28.6%). Conclusion: Good knowledge of HIV/AIDS influences the utilization of HIV testing by pregnant women. Further education is needed to increase pregnant women's awareness of the importance of HIV testing to prevent transmission to the baby.  

Adolescents are classified as an age group vulnerable to various health and social issues, including engagement in promiscuous behavior, which is considered to carry a high risk of HIV/AIDS transmission. According to national data from 2022, Southeast Sulawesi was ranked 29th with a total of 1,516 reported cases of HIV/AIDS. In Kendari City, 272 new cases were recorded from January to November 2022. Meanwhile, in South Konawe Regency the site of this study 9 HIV cases were reported in 2023 and 5 cases in 2024. This study was conducted with the aim of improving students’ knowledge regarding the dangers of promiscuity and HIV/AIDS through the implementation of educational activities carried out at MTSN 1 South Konawe. The method employed in this study was a quantitative approach using a pre-experimental design, specifically a one-group pretest-posttest design. The population of this study consisted of 30 students from grades VII and VIII at MTSN 1 South Konawe in the year 2025. The sampling technique used was purposive sampling, with a total of 30 respondents selected. Data were collected using questionnaires administered to respondents before and after an educational session was delivered using the interactive educational game "True-False". The data were analyzed using a paired test. Based on the results of the study, it was found that the “True-False” educational game had a significant impact on improving students’ knowledge, attitudes, motivation, and actions regarding promiscuity and HIV/AIDS. This was indicated by the p-values for knowledge (0.000) < α (0.05), attitude (0.000) < α (0.05), student motivation (0.000) < α (0.05), and student action (0.000) < α (0.05).

The Three Threats to Reproductive Health (KRR Triad) refer to serious issues that can endanger adolescent reproductive health: sexually transmitted infections (STIs), HIV/AIDS, and drug abuse. These threats often lead to harmful consequences such as reproductive diseases, unintended pregnancies, abortion, and drug addiction. The root causes include insufficient knowledge among adolescents and negative attitudes toward prevention efforts. This Community Service initiative, titled Empowerment of Adolescents with Behavior Toward the Three Basic Threats to Reproductive Health (KRR Triad), was conducted in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, in 2025. The program aimed to increase adolescents’ understanding of the KRR Triad, including its definitions, categories, impacts, and prevention strategies, while also fostering a proactive attitude among youth in addressing these threats. The participants were adolescents residing in Bangun Rejo Village. The activities were conducted from March to May 2025. The method involved a lecture-based educational session, accompanied by a pre-test and post-test to measure the participants’ knowledge and understanding. Prior to the intervention, 46.6% (14 participants) demonstrated poor knowledge regarding the KRR Triad. After the educational sessions, knowledge significantly improved, with 56.6% (17 participants) showing increased understanding. These findings indicate that structured education on reproductive health threats can effectively enhance adolescents' knowledge and potentially influence their behavior toward healthier choices. In conclusion, the community service program successfully empowered adolescents in Bangun Rejo Village with essential knowledge and awareness regarding the KRR Triad, underlining the importance of continuous reproductive health education to mitigate the risk of future health problems among youth

Tuberculosis (TB) is the ninth leading cause of death worldwide, surpassing HIV/AIDS. In 2016, TB-related deaths among HIV-negative individuals reached 1.3 million, while deaths among those with HIV-TB co-infection totaled 374,000. Indonesia ranks among the top five countries with the highest TB burden, accounting for approximately 5.8% of global TB cases. The TB prevalence rate in Indonesia in 2016 was 391 per 100,000 population, with nearly half of the cases occurring among women of reproductive age. It is estimated that 1–3% of pregnant women have TB, and some are also co-infected with HIV. The national target for TB elimination by 2030 is to reduce incidence to 65 per 10,000 population and mortality to 6 per 100,000 population. However, in Mimika District, the TB incidence remains high at 707 per 10,000 population, with a mortality rate of 27 per 100,000 population.This community service program aimed to improve knowledge regarding the prevention of pulmonary TB transmission from adults to toddlers living in the same household, in order to break the chain of transmission. The activity was conducted from July to September 2024 in Kamoro Jaya Subdistrict, under the jurisdiction of Wania Health Center, with 90 participants consisting of mothers with toddlers and community health volunteers (Posyandu cadres).Methods used included lectures, group discussions, and demonstrations. The educational material focused on the prevention of TB transmission in children. Participants completed a questionnaire before the activity. The results showed an increase in knowledge regarding the prevention of pulmonary TB in children.

The biggest challenge of today's health problems is still related to the human immunodeficiency virus (HIV) and Acquired Immunodeficiency Syndrome (HIV/AIDS). HIV and AIDS still have a negative stigma in society and are the cause of sufferers, still receiving bad treatment by their families. Every two minutes, one teenage girl or young woman is infected with HIV. In 2021, an estimated 250,000 teenage girls or young women are infected with HIV. The purpose of this community service is for teenagers and the community to recognize early on the signs of people with HIV and AIDS and to stay away from promiscuity which is one of the causes of the increase in HIV and AIDS. The implementation method is carried out by educating teenagers at the high school level aged 15-19 years and the community in Sannggaria Village. The implementation of education is carried out by providing lectures and video presentations explaining early sexual education. The results of the implementation of early sexual education for teenagers showed that 30 teenagers and 20 parents participated in the activity. The results of the knowledge evaluation showed that 90.75% of teenagers understood the material given. There are still teenagers who lack of understanding because in the middle of the process there were obstacles in absorbing information because the teenager had to attend other activities. Conclusion: adolescents' knowledge about HIV and AIDS is good but it needs to be emphasized in families to always supervise their teenagers.

This research aims to analyze the availability and quality of facilities and infrastructure at the AIDS Prevention Commission (KPA) in Depok City. KPA, as the institution responsible for HIV/AIDS prevention and control, requires adequate facility support to optimize its performance. Based on observations and preliminary interviews, it was found that KPA Depok City has basic facilities such as a secretariat office, meeting rooms, and office equipment. However, there are still several constraints, including limited space for activities, lack of supporting equipment such as projectors and sound systems, and operational work equipment that is not available at each employee's desk. This research uses a survey method by distributing questionnaires to 25 KPA Depok City staff to get an initial picture of the condition of facilities and infrastructure. The results of this research are expected to serve as a basis for optimizing the use of existing resources and identifying development needs in the future, so that KPA Depok City can increase the effectiveness of its programs in HIV/AIDS prevention efforts.

Sex education in schools is an important aspect in supporting the growth and development and reproductive health of children and adolescents. However, in Indonesia, there is cultural resistance regarding the open discussion of sex education. Sex education in schools plays an important role in shaping the character and knowledge of adolescents regarding reproductive health, responsible sexual behavior, and prevention of various risks such as HIV/AIDS, premarital pregnancy, and sexually transmitted diseases. This article reviews the importance of sex education as an integral part of the school curriculum, with an approach to preventing deviant behavior and building a healthy and responsible young generation. It is hoped that through appropriate education, adolescents will be able to make wise and responsible decisions, and reduce the number of incidents that are detrimental to them. This discusses the urgency of implementing sex education in schools with a preventive approach, not just theoretical teaching. Preventive sex education aims to equip students with the knowledge, attitudes, and skills to maintain reproductive health, prevent unwanted pregnancies, sexually transmitted diseases, and sexual violence. The implementation of sex education that is appropriate to the cultural context and involves various stakeholders in schools is crucial in creating an inclusive and safe learning environment.

Sex education in schools is an important aspect in supporting the growth and development and reproductive health of children and adolescents. However, in Indonesia, there is cultural resistance regarding the open discussion of sex education. Sex education in schools plays an important role in shaping the character and knowledge of adolescents regarding reproductive health, responsible sexual behavior, and prevention of various risks such as HIV/AIDS, premarital pregnancy, and sexually transmitted diseases. This article reviews the importance of sex education as an integral part of the school curriculum, with an approach to preventing deviant behavior and building a healthy and responsible young generation. It is hoped that through appropriate education, adolescents will be able to make wise and responsible decisions, and reduce the number of incidents that are detrimental to them. This discusses the urgency of implementing sex education in schools with a preventive approach, not just theoretical teaching. Preventive sex education aims to equip students with the knowledge, attitudes, and skills to maintain reproductive health, prevent unwanted pregnancies, sexually transmitted diseases, and sexual violence. The implementation of sex education that is appropriate to the cultural context and involves various stakeholders in schools is crucial in creating an inclusive and safe learning environment.