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Purpose: Understanding patient's preferences is important to delivering good quality services. Patients' feedback provides healthcare providers with valuable information about the services provided. The increasing number of international students enrolling in Hungarian Universities raises the need to ensure the quality of services meets international students' requirements, which includes healthcare. This study aimed to assess service quality in the University Health Center (UHC) from the international student's point of view to be used to improve the quality of services. Methods: This cross-sectional study was conducted at the university health center. We used a mixed methods approach to collect both quantitative and qualitative data. We used the importance-performance analysis (IPA) for quantitative analysis to understand expectations and perceptions in service research. The qualitative analysis was conducted from responses to reflection questions. The qualitative data were then analyzed using thematic analysis. Results: 437 international students participated in the study, but only 402 (91.99%) were analysed. The gaps between the importance and performance of service quality were negative in all dimensions (P-value < 0.001). This suggests that there is an unmet need for student expectations and university health center performance. From the Importance factor, the highest and lowest were related to safety (4.54 ± 0.56) and efficiency (4.31 ± 0.66) dimensions. The Performance factor's highest and lowest mean scores were also related to safety (4.22 ± 0.72) and efficiency (3.91 ± 0.87), respectively. From qualitative analysis, there are two major themes several secondary themes from the thematic analysis of free-text responses were identified. Conclusion: The importance and performance analysis could provide useful information to university policymakers about university health center service quality. There is a need for improvement and obviating the importance-performance gaps, especially in the efficiency dimension. Decision-makers can use the IPA analysis results to allocate limited resources more effectively, giving special attention to possible organizational weaknesses for further direction. [ABSTRACT FROM AUTHOR]

Background: The challenges in overcoming the rabies epidemic include the public's lack of knowledge and attitudes regarding the control and first aid in dog bites. Sibangkaja is one of the villages in Badung Regency, which is an endemic area for rabies. Purpose: This study aimed to describe the knowledge, attitudes, and factors influencing the behavior of the residents of Sibangkaja Village, Badung, regarding rabies. Methods: This descriptive observational study was carried out using a cross-sectional design. The samples were 250 residents of Sibangkaja Village, taken by convenience sampling. Data were collected from February to March 2020 through interviews using the digital questionnaire. The variables were knowledge and community attitudes toward rabies vaccination in the village. Results: The results showed that the respondents' knowledge was good, but 34% did not know the symptoms of rabies. It was discovered that attitudes toward rabies prevention and management are significantly more in favor of vaccination than eliminating dogs. Furthermore, there is an association between knowledge and dog ownership on people's attitudes (pvalue= 0.01). Conclusion: Information and education about the symptoms of rabies is needed for residents to exercise caution and pay more attention to themselves and the surrounding dogs. [ABSTRACT FROM AUTHOR]

The number of married women and men who no longer want children in Bali Province is consistent with a relatively high contraceptive prevalence rate (CPR) of 67%, higher than the national average of 64%. The large proportion of couples of reproductive age (CRA) who no longer want children either at the national or provincial level in Bali is an interesting thing to be analyzed further to see the factors that influence it. This study investigated secondary data of the 2017 Indonesia Demography and Health Survey (IDHS) in Bali Province. The variables studied included socio-demographics and desire to have children. The sample size was 271 married women (15-49 years). We found that the age of women of reproductive age (WRA), occupation of WRA, number of children alive, and ideal number of children are the four significant factors that influence the desire to have no more children in married couples. Based on these findings, a better family planning program can hopefully be made in the Bali province. [ABSTRACT FROM AUTHOR]

Introduction: Human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) epidemic in most Asian countries is concentrated among at-risk populations, such as female sex workers (FSWs). In Indonesia, Bali's FSWs have a high-rate of HIV infection. This study investigates the predictors of HIV testing among indirect female sex workers (IFSWs) in Denpasar, Bali. Material and methods: The researchers conducted an analysis of secondary data from a survey performed among IFSWs in Denpasar Bali in 2017. There were 200 IFSWs participating in the survey using random cluster sampling. The dependent variables examined in this study was HIV testing, while the independent variables included: 1) respondent's demographics (age, education level, marital status, work location, and length of work), 2) peer support, and 3) access to information about HIV prevention. The association between independent and dependent variables were analyzed using multiple logistic regression models. Results: The results showed that 70.0% of IFSWs in Denpasar have accessed HIV testing in the last 6 months and received their test results. Also, 56.5% of the study's respondents reported a lack of peer support in relation to HIV/AIDS, and 63.5% reported having adequate access to information about HIV testing. The logistic multiple regression results revealed that two factors were significant pre- dictors of HIV testing among IFSWs, such as adequate access to information about HIV testing and prevention (OR = 2.21; 95% CI: 1.15-4.30), and peer support (OR = 2.29; 95% CI: 1.21-4.34). Conclusions: Efforts to improve the provision of information about HIV testing and prevention as well as peer support related to HIV/AIDS are required to increase the numbers of IFSWs accessing HIV testing. [ABSTRACT FROM AUTHOR]

Introduction: There are no longitudinal HIV incidence data among men who have sex with men (MSM) and transgender women (TGW) in Indonesia. We aimed to estimate HIV prevalence and incidence and identify associated factors among clinic attendees in Jakarta and Bali., Methods: We conducted a retrospective cohort study using medical records from five clinics. We reviewed HIV tests among MSM/TGW aged ≥18 years who attended the clinics between 1 January 2018 to 31 December 2020 in Jakarta and 1 January 2017 to 31 December 2019 in Bali. HIV prevalence was measured at the first test. Those with an HIV-negative test and ≥1 follow-up test/s were included in the person-years (PY) at risk to determine HIV incidence. The PY at risk calculation started at the first negative test until the last recorded negative test or seroconversion. Multivariate Poisson regression was used to determine factors associated with HIV acquisition., Results: Among 5203 and 2815 individuals with an HIV test result in Jakarta and Bali, respectively, at the first HIV test, 1205 and 616 were HIV positive (HIV prevalence 23.2% and 21.9%). The longitudinal sample included 1418 and 873 individuals, respectively. The median number of tests among repeat testers was 3 in Jakarta (interquartile range [IQR] = 2-4) and 3 in Bali (IQR = 2-5). At baseline, about one-quarter were aged <25 years, >90% were MSM and >35% had been tested for HIV previously. In Jakarta, there were 127 HIV seroconversions in 1353 PY (incidence 9.39/100 PY, 95% CI = 7.89-11.17), and in Bali, 71 seroconversions in 982 PY (incidence 7.24/100 PY, 95% CI = 5.73-9.13). Compared to those aged 18-24 years, the incidence rate was lower in older patients (Jakarta-30-39 years: aRR = 0.56, 95% CI = 0.34-0.92; 40+ years: aRR = 0.34, 95% CI = 0.14-0.81; Bali-25-29 years: aRR = 0.44, 95% CI = 0.25-0.79; 30-39 years: aRR = 0.33, 95% CI = 0.18-0.61; 40+ years: aRR = 0.06, 95% CI = 0.01-0.48). In Jakarta, incidence was lower in those with university education than in those without (aRR = 0.66, 95% CI = 0.45-0.96). In Bali, those who had been referred by outreach workers had a higher incidence than those who self-presented for testing (aRR = 1.85, 95% CI = 1.12-3.07)., Conclusions: We observed very high HIV prevalence and incidence rate estimates. Measures to encourage regular testing and effective use of HIV prevention, including pre-exposure prophylaxis scale-up and demand creation, are needed., (© 2024 The Author(s). Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.)

Aim: This study aims to investigate international students' perspectives on service quality and analyse factors contributing to the perceived service quality of the university health centre., Background: International students are at increased risk of experiencing poor mental health, isolation from families and cultures, language barriers, financial stress and academic pressures. It is important that universities support international students to enable them to complete their degrees and reach their desired level of achievement and performance. One of the supports required by international students is the availability of healthcare services. Therefore, improving the quality of services to meet international students' requirements, including healthcare services, is essential., Methods: A three-phase exploratory sequential mixed methods design was used. Phase 1 aims to explore international students' perceptions of primary healthcare quality by conducting in-depth interviews and focus group discussions. Data were analysed using thematic analysis. Phase 2 is to form questionnaire items based on the results of the qualitative study. The questionnaire is subject to pilot testing to measure validity and reliability. Phase 3 analyses factors influencing international students' perceived primary healthcare service quality. Multiple regression was used to analyse factors contributing to the perceived service quality of international students., Findings: The qualitative strand revealed five major themes representing the study participants' thoughts about the quality of services in the university healthcare context. Perceived quality attributes identified in this study were primarily empathy, equity, effectiveness, efficiency and safety. The quantitative strand found that 35.57% of participants consider the perceived quality of the centre as good. The highest and lowest service quality attributes were related to safety and efficiency, with a score of 21.12 ± 3.58 and 19.57 ± 4.34, respectively. The multiple linear regression analyses showed that PhD students from Health Faculty and Scholarship awardees were significantly associated with the perceived quality of healthcare services. Thus, the university management needs to improve service quality considering the diversity of international students' socio-demographic characteristics.