Access, Participation, Control, and Advantage of Digital-Based Healthcare Service for Women Living with HIV/AIDS
DOI:
https://doi.org/10.28918/muwazah.v15i2.2208Keywords:
mH; Women Living with HIV/AIDS; Access; Participation; Control; Advantage; GenderAbstract
Gender inequality contributes to HIV/AIDS transmission, increased number of women living with HIV/AIDS (WLHA), and women’s reduced ability of resolving this epidemic. Mobile Health (mH) is used to treat, support, and medicate more efficiently people with HIV/AIDS (PWHA) including WLHA. This research studies access, participation, control, and advantage of digital-based healthcare service to WLHA using Harvard’s gender analysis model. Informants employed in this exploratory research were Surakarta City’s Health Service Office, medical workers, nurses, administrative staffs, patients, NGO Caring for AIDS, WLHA, Peer Support Group, and Citizens caring for AIDS di Surakarta Indonesia. Data validity test was conducted using source triangulation and data was analyzed using an interactive model of analysis. Result shows that several digital platforms have been developed by Public Health Centers and Hospitals in Surakarta including telemedicine, telenursing, telepharmacy, website, youtube and social media for promotive, preventive, curative, and rehabilitative healthcare services to WLHA in Surakarta Indonesia. WLHA, public, and medical personnel in Surakarta Indonesia have participated in and access mH, despite gender inequality. The factor determining gender inequality in digital-based healthcare service is men’s domination in mastering digital-based health technology, negative stigma, and discriminative treatment given by medical personnel and public to WLHA. The use of mH by WLHA has positive impact on knowledge, stance, access, participation, decision, and changing behavior of WLHA and the medical personnel responsible for the service.
References
Adeagbo, O. et al. (2019). ‘Exploring people’s candidacy for mobile health–supported HIV testing and care services in rural KwaZulu-Natal, South Africa: Qualitative study’ in Journal of medical Internet research, 21(11), e15681. Available at https://doi:10.2196/15681
Beauchemin, M. et al. (2019). ‘A multi-step usability evaluation of a self-management app to support medication adherence in persons living with HIV’ in International journal of medical informatics, 122, pp. 37-44. Available at: https://doi.org/10.1016/j.ijmedinf.2018.11.012
Dandachi, D. et al. (2020). ‘Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care’ in AIDS Patient Care and STDs, 34(4), pp. 166-172. Available at: https://doi.org/10.1089/apc.2019.0261
Dhingra, D., & Dabas, A. (2020). ‘Global strategy on digital health’ Indian pediatrics, 57, pp. 356-358. Available at: https://doi.org/10.1007/s13312-020-1789-7
Dzulvawan, N., and Pramana, S. (2022). ‘Pemetaan Kesiapan Penerapan Telemedika di Indonesia’ in Indonesian of Health Information Management Journal (INOHIM), 10(2), pp. 118-125. Available at: https://doi.org/10.47007/inohim.v10i2.436
Edwards, L. et al. (2014). ‘Are people with chronic diseases interested in using telehealth? A cross- sectional postal survey’ in Journal of Medical Internet Research, 16(5). Available at: https://doi.org/10.2196/jmir.3257
Fauk, N. K. et al. (2019). ‘Facilitators to accessibility of HIV/AIDS-related health services among transgender women living with HIV in Yogyakarta, Indonesia’ in AIDS research and treatment. Available at: https://doi.org/10.1155/2019/6045726
Flynn, G. et al. (2020). ‘Protocol of the randomized control trial: the WiseApp trial for improving health outcomes in PLWH (WiseApp)’ in BMC public health, 20, pp. 1-9. Available at: https://doi.org/10.1186/s12889-020-09688-0
Free, C. et al. (2013). ‘The Effectiveness of Mobile-Health Technologies to Improve Health Care Service Delivery Processes: A Systematic Review and Meta-Analysis’ in PLoS Medicine, 10(1). Available at: https://doi.org/10.1371/journal.pmed.1001363
Fumaz, C. R., Larrañaga-Eguilegor, M., Mayordomo-López, S., et al. (2019). ‘Health-related quality of life of people living with HIV infection in Spain: a gender perspective’. AIDS care. Available at: https://doi.org/10.1080/09540121.2019.1597959
Jadgal, M., Movahed, E., & Zareipour, M. (2022). ‘Investigating social support, self-efficacy, and factors affecting adherence to medication in people living with HIV/AIDS: application of IMB model’ in HIV & AIDS Review. International Journal of HIV-Related Problems, 21(2), pp. 109-114. Available at: https://doi.org/10.5114/hivar.2022.115763
Kaium, M. A. et al. (2020). ‘Understanding continuance usage intention of mHealth in a developing country: An empirical investigation’ in International Journal of Pharmaceutical and Healthcare Marketing, 14(2), pp. 251-272. https://doi.org/10.1108/IJPHM-06-2019-0041
Kementerian Kesehatan Republik Indonesia (2022). Available at: https://www.kemkes.go.id/
Lupton, D. (2015). ‘Fabricated data bodies: Reflections on 3D printed digital body objects in medical and health domains’ in Social Theory & Health, 13, pp. 99-115. Available at: https://doi.org/10.1057/sth.2015.3
March, C., Smyth, I. A., & Mukhopadhyay, M. (1999). A guide to gender-analysis frameworks. Oxfam: Oxfam GB
Massaroni, V. et al. (2021). ‘Use of telehealth for HIV care in Italy: Are doctors and patients on the same page? A cross-sectional study’ in International Journal of Medical Informatics, 156,104616. Available at: https://doi.org/10.1016ZJ.IJMEDINF.2021.104616
Ohl, M. et al. (2013). ‘Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting’ in Journal of General Internal Medicine, 28(9), pp. 1165-1173. Available at: https://doi.org/10.1007/s11606-013-2385-5
Parsons, J. A. (2021). ‘The telemedical imperative’ in Bioethics, 35(4), pp. 298-306. Available at: https://doi.org/10.1111/bioe.12847
Scherrer, R. et al. (2022). ‘eHealth supported multi-months dispensing of antiretroviral therapy: a mixed-methods preference assessment in rural Lesotho’ in Pilot and Feasibility Studies, 8(1), pp. 61. Available at: https://doi.org/10.1186/s40814-022-01019-x
Sharpe, J. D., & Kamara, M. T. (2018). ‘A systematic evaluation of mobile apps to improve the uptake of and adherence to HIV pre-exposure prophylaxis’ in Sexual Health, 15(6), pp. 587-594.
Smith, E., & Badowski, M. E. (2021). ‘Telemedicine for HIV care: current status and future prospects’ in HIV/AIDS-Research and Palliative Care, pp. 651-656. Available at: https://doi.org/10.2147/HIV.S277893
Sullivan, S. P., Sullivan, P. S., & Stephenson, R. (2021). ‘Acceptability and Feasibility of a Telehealth Intervention for STI Testing Among Male Couples’ in AIDS and Behavior. Available at: https://doi.org/10.1007
Swedberg, R. (2020). ‘Exploratory research. The production of knowledge: Enhancing progress in social science’, Cambridge: Cambridge University Press pp. 17-41.
Wardoyo, E., & Rochmawati, E. (2022). ‘Tele-Education in Family and Patients in HIV/AIDS Management During Treatment’ in JOSING: Journal of Nursing and Health, 3(1), pp. 7-13. Available at: https://doi.org/10.31539/josing.v3i1.4087
Watkins-Hayes, C. (2019). ‘Remaking a life: How women living with HIV/AIDS confront inequality’. Los Angeles: Univ of California Press.
Whiteley, L. B. et al. (2021). ‘A review of interventions to enhance HIV medication adherence’ in Current HIV/AIDS Reports, 18(5), pp. 443-457. Available at: https://doi.org/10.1007/s11904-021-00573-y
WHO. 2023. “Global stategy on digital health 2020-2025”. https://www.emro.who.int/health-topics/ehealth/
Wong, K. Y. K., Stafylis, C., & Klausner, J. D. (2020). ‘Telemedicine: a solution to disparities in human immunodeficiency virus prevention and pre-exposure prophylaxis uptake, and a framework to scalability and equity’ in Mhealth, 6. Available at: https://doi.org/10.21037/mhealth.2019.12.06
World Health Organization (2003). ‘Gender analysis in health: a review of selected tools’ in Department of Gender and Women's Heath, WHO.
Yelverton, V. et al (2021). ‘Telehealth for HIV care services in south carolina: Utilization, barriers, and promotion strategies during the COVID- 19 pandemic’ in AIDS and Behavior, 25(12), pp. 3909-3921. Available at: https://doi.org/10.1007/s10461-021-03349-y
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 MUWAZAH: Jurnal Kajian Gender
This work is licensed under a Creative Commons Attribution 4.0 International License.
