The Relationship Between Pregnant Women’s Perceptions of Family Support and The Motivation for HIV/AIDS Examination

In 2016 the number of pregnant woman who required the prevention of transmission trough sexual reached 278 pregnant women. Efforts that have been made by government to prevent mother-to-child transmission of HIV/AIDS are HIV/AIDS comprehensive service which are sustainable that cover all froms of services for HIV and sexual transmitted infections. In 2015, the lowest coverage of HIV/AIDS examination in Yogyakarta City was at Gedong Tengen Public Health Center, which was 3,7%. In addition to medical efforts, pregnant women need psychological and social support from people around the family and surronding environment, and motivation to have HIV/AIDS examinations. The purpose of study is to fi nd out the relationship between pregnant women’s perceptions of family support and the motivation for the HIV/AIDS examination in Gedong Tengen Public Health Center, Yogyakarta City. The study used the analytical descriptive method with the cross-sectional design. The research population comprised 48 pregnant women and the sampel consisted of 43 pregnant women. The sampling thecnique was accidental ISSN 2354-7642 (Print), ISSN 2503-1856 (Online) Jurnal Ners dan Kebidanan Indonesia Tersedia online pada: http://ejournal.almaata.ac.id/index.php/JNKI INDONESIAN JOURNAL OF NURSING AND MIDWIFERY


INTRODUCTION
In Indonesia, infection with Human Immunodefi ciency Virus (HIV) is one of the major health problems and one of infectious diseases that can affect maternal and child mortality.
Transmission of HIV from HIV-infected mothers to their babies also tends to increase as the number of HIV positive women infected both from partners and due to risky behaviors.Although prevalence rates and HIV transmission from mother to infant are limited, the number of HIV-infected pregnant women tends to increase (1) Over the past eight years, progress has  Increased age of a person then the maturity of thinking will be better so that attitudes toward the importance of HIV/AIDS testing and motivated to conduct HIV/AIDS examination.
Based on education level, most of pregnant women with secondary education (SMA, SMK) are 26 pregnant women (60.5%), and have university as many as 6 pregnant women (14.0%).
Based on the results of these studies indicate that the government program to be required to get a minimum of 9 years of successful education.
One's education will affect the knowledge and motivation that the person has.The existence of education undertaken by a person causes a change in his mindset and also how the person is addressing something related to his health.
Based on the employment status of the majority of pregnant women unemployed as much as 32 pregnant women (74.4%) this is because housewife has more fl exible time to take care of child and family, most of time mother used to perform household duties so that time is not bound to certain time.Flexible time allows for other activities, such as having more opportunity to get information especially on HIV / AIDS testing which is very important to do during pregnancy.
The results showed that most pregnant women with multiparous parity were 27 people (62.8%) and primigravida 16 people (37.2%).
Personal experience leaves a strong impression.
The basis of personal formation is a personal experience that leaves a strong impression that one's personality will be more easily formed when personal experience experiences occur in situations involving emotional factors (5).where support and mutual understanding are emphasized) (7).
The results of Purwaningsih, Misutarno, S. Imamah's study showed the driving factor felt by people high risk of using VCT at Dupak Health Center has not reached its maximum, in this case it reaches a very category strong.
This might be affected by several factors, one of which is there are some respondents who are lacking get support from friends and family.Nine respondents said they were not got support from his friends to do VCT and 8 respondents said they did not get support from family (8).
Several factors infl uence the perception of a person so that in this research the perception of pregnant mother about negative family support that is information about health obtained by pregnant mother from family less based on answer of mother questionnaire which do not get information from family as much as 27 pregnant women (62.8%) so that lack help from the family for pregnant women so the mother assumes that her family does not support her.
Approval of peer, intimate partner, and family referents for HIV Self Test (HIVST) use was an important motivating factor.Overall, participants reported that those who they most closely interacted with would support their use of the HIVST.The majority of participants reported that all of the following categories of people would encourage them to use the HIVST: mother (76.5%), best friend (70.6%), most recent sex partner (70.6%), father (64.7%), siblings (64.7%), and 58.9% other friends (9).(10).
similarity will be perceived as an object having the same characteristic as perceived relationship and the closeness of the personal bond involving the various feelings and thoughts as well as the exchange of attention, compassion backwardly (14).Pregnant women who are less attached to the family will experience negative emotions such as feeling less cared for, believed and understood.
It will also have an impact on the confi dence of pregnant women in making decisions so that pregnant women are less motivated to pay attention to the health of themselves and their babies one of the mothers did not perform HIV/ AIDS testing.The function of the family as well as health nursing functioned to provide health care to its members either to prevent the occurrence of disturbance or care for members who are sick.Good or bad health nursing affects pregnant women's decisions in HIV/AIDS testing.
Therefore, it is not only family support that can make pregnant women perform HIV/ AIDS test, but also from other factors.R. Fatmala's research showed knowledge, information or reference groups, encouragement of friends or community, and attitudes and behavior of health care workers and other offi cers is a factor that encourages or supports to do VCT.Whereas perception and availability of facilities and facilities is a factor inhibiting the implementation of VCT (15).

CONCLUSION AND RECOMMENDATION
The perception of pregnant women about family support is mostly in the negative category.
been made in the efforts to control HIV / AIDS in Indonesia, start from the prevention of transmission of needles from syringes called Harm Reduction in 2016, prevention of transmission through sexual transmission beginning in 2010, strengthening prevention of transmission from mothers to the child in 2011, continuous comprehensive service development at the Community Health Center level in 2012, to the most recent breakthrough called Strategic use of ARV (Sufa) beginning in mid 2013 (2).HIV / AIDS continous comprehensive service encompasses all forms of HIV and STI (Sexual Transmitted Infection) services, such as communication, information, education for comprehensive knowledge, promotion of condom use, risk factor recognition, HIV counseling and testing, Treatment Support, harm reduction, sexually transmitted infections, prevention of blood donors transmission and other products, monitoring evaluation activities and epidemiological surveillance at referral and non-referral clinics including other health facilities and district / city referral hospitals, with active involvement of the community sector (3).In addition to medical efforts, mothers need psychological and social support from the people around, especially families and the surrounding environment, including health workers in preventing mother-to-child transmission of HIV.Perception is the interpretation of a person about the impression his censorship about the environment will greatly affect the environment as a strong motivational factor.Motivation of pregnant women is expected to help mothers to do HIV-AIDS test and prevent HIV-AIDS infected to the infant so that maternal and child mortality due to HIV is reduced.The results of H.
Motivation of pregnant women to check HIV/ AIDS in the Gedong Tengen Public Health Center is at most in the moderate category.There is a relationship between the perception of pregnant women about family support and motivation to carry out HIV / AIDS examination at Gedong Tengen Public Health Center Yogyakarta.For Gedong Tengen Public Health Center Yogyakarta to improve ANC service by giving counseling of HIV / AIDS examination to health cadres, counseling to husband and pregnant mother about HIV / AIDS examination.For other researchers by looking at the factors that affect the negative perception of pregnant women about family support and motivation HIV / AIDS examination.

Table 1 . Frequency Distribution Characteristics of pregnant women by age, education, occupation, parity at Gedong Tengen Public Health Center
(4)gram.This matter because there is fear and worried if they fi nd out health status related to HIV and AIDS(4).MATERIALS AND METHODSThis research uses descriptive analytic method.In descriptive research will only describe or describe certain variables in a study.But in analytical research, researchers not only describe but have analyzed the relationship between variables.The data was collected on 5, 8, 12, 15 in June 2017 at Gedong Tengen Public Health Center Yogyakarta.The sample used in this study was pregnant women who performed pregnancy examination at Gedong Tengen Public Health Center as much as 43 pregnant women in accordance with sample estimation that fulfi ll the criteria of inclusion and exclusion.The sampling technique used is Accidental sampling, by taking a case or respondent who happens to be present or available somewhere in the context of the researcher.The independent variable in this research is the perception of pregnant mother about family support.The dependent variable in this study is motivation of HIV/AIDS examination.The instrument used was a questionnaire that perceived family support and motivation to examine HIV/AIDS, which had previously been tested for validity.

Table 2 . Distribution Frequency Perception of Pregnant Women About Family Support at Gedong Tengen Public Health Center
The Relationship Between Pregnant Women's Perceptions of Family Support and The Motivation for HIV/AIDS Examination 109