How to control the sexually transmitted diseases in Benjina?: qualitative studies on the practice of prostitution

Keywords: sexually transmitted disease, prostitution, customary law, Sasi, traditional customs

Abstract

Latar Belakang: Prostitusi yang muncul bersamaan dengan industri besar menimbulkan masalah kesehatan, masalah sosial ekonomi, dan budaya. Artikel ini dimaksudkan untuk mengeksplorasi faktor-faktor yang berkaitan dengan praktik prostitusi di Benjina dan mengeksplorasi potensi untuk mengendalikan dampak penyakit penularan melalui hubungan seks.


Metode: Penelitian kualitatif ini dilakukan dengan pendekatan etnografi. Wawancara mendalam dan observasi partisipatif dilakukan terhadap 30 informan yang terkait langsung dengan praktik prostitusi di Benjina.


Hasil: Tidak ditemukan lokalisasi di Benjina. Praktik pelacuran ditemukan sebagai hal yang biasa di tempat yang disebut rumah karaoke yang menyediakan peralatan menyanyi sederhana, minuman keras, dan layanan seksual. Ada 46 pekerja seks perempuan yang bekerja di 12 rumah karaoke. Faktor ekonomi ditemukan sebagai faktor dominan yang mendorong para pelaku pelacuran, di samping balas dendam. Ada beberapa kendala dalam menggunakan kondom dalam praktik pelacuran ini. Di antara mereka adalah bentuk fisiologi penis yang mengalami modifikasi, dan hubungan pekerja seks khusus dengan kekasih mereka. Ada potensi Sasi yang dapat digunakan sebagai upaya untuk mengendalikan penyakit penularan melalui hubungan seks.


Kesimpulan: Sasi sebagai hukum adat berpotensi menjadi hukum positif untuk menerapkan kondomisasi secara keseluruhan di Benjina.


Kata kunci: Penyakit menular seksual, pelacuran, hukum adat, Sasi, adat istiadat.

 

Abstract


Background: Prostitution that appears together with massive industry raises health problems, socioeconomic problems, and culture. This article was intended to explore factors related to prostitution practices in Benjina and explore the potential for controlling the impact of sex transmission disease.


Methods: This qualitative study was carried out with an ethnographic approach. In-depth interviews and participatory observation were carried out on 30 informants who were directly related to the practice of prostitution in Benjina.


Results: No localization was found at Benjina. The practice of prostitution was found to be commonplace in a place called karaoke houses that provided simple singing equipment, liquor, and sexual services. There were 46 female sex workers who worked in 12 karaoke houses. Economic factors were found to be the dominant factor driving the perpetrators of prostitution, in addition to revenge. There are some obstacles to using condoms in this practice. Among them were the forms of penile physiology that experience modification, and the relationship of special sex workers with their lovers. There was a Sasi potential that can be used as an effort to control sex transmission disease.


Conclusion: Sasi as a customary law has the potential to be a positive law to implement condomization as a whole in Benjina.


Keywords: sexually transmitted disease, prostitution, customary law, Sasi, traditional customs.

References

Badan Penelitian dan Pengembangan Kesehatan. Indeks pembangunan kesehatan masyarakat 2007-2008. Jakarta: Kementerian Kesehatan RI; 2010. Indonesian.

Badan Penelitian dan Pengembangan Kesehatan. Indeks pembangunan kesehatan masyarakat Tahun 2013. Jakarta: Kementerian Kesehatan RI; 2014. Indonesian.

Dwiningsih S, Haerul M, Kasnodihardjo. Menguak dunia hitam di Benjina. Surabaya: Unesa University Press; 2016. Indonesian.

Spradley J. The ethnographic interview. Belmont, CA, CA: Wadsworth; 1979.

Von Gaudecker JR. Challenges in conducting ethnography among hidden populations in rural South India. J Neurosci Nurs. 2018;50(6):351–5.

Langås-Larsen A, Salamonsen A, Kristoffersen AE, Hamran T, Evjen B, Stub T. We own the illness: a qualitative study of networks in two communities with mixed ethnicity in Northern Norway. Int J Circumpolar Health. 2018;77(1): Article number 1438572

Kusumawardani N, Soerachman R, Laksono AD, Indrawati L, Hidayangsih PS, Paramita A. Penelitian kualitatif di bidang kesehatan. Yogyakarta: PT Kanisius; 2015. Indonesian.

Olthof-Nefkens MWLJ, Kruse H, Derksen E, De Swart BJM, Nijhuis-Van Der Sanden MWG, Kalf JG. Improving communication between persons with mild Dementia and their caregivers: qualitative analysis of a practice based logopaedic intervention. Folia Phoniatr Logop. 2018;70(3–4):124–33.

Sánchez-Gómez MC, Iglesias-Rodríguez A, Martín-García AV. Software as a facilitator of quality processes in social sciences research. Qual Quant. 2018;52(6):2515–33.

Eleftherakos C, Van Den Boogaard W, Barry D, Severy N, Kotsioni I, Roland-Gosselin L. “I prefer dying fast than dying slowly”, how institutional abuse worsens the mental health of stranded Syrian, Afghan and Congolese migrants on Lesbos island following the implementation of EU-Turkey deal. Confl Health. 2018;12(1):Article number 38.

Wójcik-Cichy K, Jabłonowska O, Piekarska A, Jabłonowska E. The high incidence of late presenters for HIV/AIDS infection in the Lodz province, Poland in the years 2009–2016: we are still far from the UNAIDS 90% target. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2018;30(12):1538–41.

Altaf A. Delays and gaps in HIV programmes in Pakistan. Lancet HIV. 2018;5(12):e678–9.

Smith DK, Van Handel M, Grey J. Estimates of adults with indications for HIV pre-exposure prophylaxis by jurisdiction, transmission risk group, and race/ethnicity, United States, 2015. Ann Epidemiol. 2018;28(12):850–7.

Lazar NR, Salas-Humara C, Wood SM, Mollen CJ, Dowshen N. Missed opportunities for HIV screening among a Cohort of adolescents with recently diagnosed HIV infection in a large Pediatric hospital care network. J Adolesc Heal. 2018;63(6):799–802.

Fang LQ, Sun Y, Zhao GP, Liu LJ, Jiang ZJ, Fan ZW, et al. Travel-related infections in mainland China, 2014–16: an active surveillance study. Lancet Public Heal. 2018;3(8):e385–94.

Svensson P, Sundbeck M, Persson KI, Stafström M, Östergren PO, Mannheimer L, et al. A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Med Infect Dis. 2018;24:65–88.

Mao J, Tang W, Liu C, Wong NS, Tang S, Wei C, et al. Sex tourism among Chinese men who have sex with men: a cross-sectional observational study. BMC Public Health. 2018;18(1):Article number 306.

Rinaldi G, Kiadaliri AA, Haghparast-Bidgoli H. Cost effectiveness of HIV and sexual reproductive health interventions targeting sex workers: a systematic review. Cost Eff Resour Alloc. 2018;16(1):Article number 63.

Shannon K, Crago AL, Baral SD, Bekker LG, Kerrigan D, Decker MR, et al. The global response and unmet actions for HIV and sex workers. Lancet. 2018;392(10148):698–710.

Barré-Sinoussi F, Abdool Karim SS, Albert J, Bekker LG, Beyrer C, Cahn P, et al. Expert consensus statement on the science of HIV in the context of criminal law. Journal Int AIDS Soc. 2018;21(7):Article number e25161.

Kadengye DT, Dalal S. Social intolerance, risky sexual behaviors and their association with HIV knowledge among Ugandan adults: results from a national survey. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2019;31(2):250–4.

Ko NY, Wu HJ, Strong C, Li CW, Ku WW, Hsu ST. Differences in awareness of and willingness to use pre-exposure prophylaxis and anticipated condom use among serodiscordant couples in Taiwan. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2018;30(10):1306–10.

Rich R, Leventhal A, Sheffer R, Mor Z. Heterosexual men who purchase sex and attended an STI clinic in Israel: characteristics and sexual behavior. Isr J Health Policy Res. 2018;7(1).

König M. Prostitution and infection: transnational and comparative perspectives on Italian health policy (1922–1958). J Mod Ital Stud. 2018;23(5):557–72.

Su X, Cai X, Liu M. Prostitution, variegated homes, and the practice of unhomely life in China. Soc Cult Geogr. 2019;20(3):407–26.

Blanchard AK, Nair SG, Bruce SG, Ramanaik S, Thalinja R, Murthy S, et al. A communitybased qualitative study on the experience and understandings of intimate partner violence and HIV vulnerability from the perspectives of female sex workers and male intimate partners in North Karnataka state, India. BMC Womens Health. 2018;18(1):Article number 66.

Laksono AD, Soerachman R, Angkasawati TJ. Case study of Muyu ethnic’s maternal health in Mindiptara district-Boven Digoel (studi kasus kesehatan maternal suku Muyu di distrik Mindiptana, kabupaten Boven Digoel). J Reprod Heal. 2016;07/03:145–55.

Laksono AD, Faizin K. Traditions influence into behavior in Health Care: Ethnographic case study on health workers Muyu tribe. Bull Heal Syst Res. 2015;18(4):347–54.

Laksono AD, Faizin K, Raunsay EM, Soerachman R. Perempuan Muyu dalam pengasingan [Internet]. Jakarta: Lembaga Penerbitan Balitbangkes; 2014. Available from: https://www.scribd.com/doc/261673624/Perempuan- Muyu-dalam-Pengasingan-Riset-Ethnografi-Kesehatan-2014-Boven-Digoel. Indonesian.

Palinkas LA, Chavarin CV, Rafful CM, Um MY, Mendoza DV, Staines H, et al. Sustainability of evidence-based practices for HIV prevention among female sex workers in Mexico. PLoS One. 2015;10(10):Article number e141508.

Shelton RC, Cooper BR, Stirman SW. The sustainability of evidence-based interventions and practices in Public Health and Health Care. Annu Rev Public Health. 2018;39:55–76.

Le LT, Grau LE, Nguyen HH, Khuat OHT, Heimer R. Coalition building by drug user and sex worker community-based organizations in Vietnam can lead to improved interactions with government agencies: a qualitative study. Harm Reduct J. 2015;12(1):Article number 38.

Kurniawan A, Laksono AD. Inovasi dalam balutan tradisi: upaya meningkatkan derajat kesehatan perempuan Ngalum. Angkasawati TJ, Handayani L, Laksono AD, editor. Jogjakarta: Kanisius; 2013. p. 129-43. Indonesian.

Lafort Y, Ismael De Melo MS, Lessitala F, Griffin S, Chersich M, Delva W. Feasibility, acceptability and potential sustainability of a “diagonal” approach to health services for female sex workers in Mozambique 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Health Serv Res. 2018;18(1):Article number 752.

Kranzer K, Simms V, Bandason T, Dauya E, McHugh G, Munyati S, et al. Economic incentives for HIV testing by adolescents in Zimbabwe: a randomised controlled trial. Lancet HIV. 2018;5(2):e79–86.

Himonga C, Diallo F. Decolonisation and teaching law in Africa with special reference to living customary law. Potchefstroom Electron Law J. 2017;20(2):1-19.

Huizenga D. Articulations of aboriginal title, indigenous rights, and living customary law in South Africa. Soc Leg Stud. 2018;27(1):3-24.

Schenk CG. Islamic leaders and the legal geography of family law in Aceh, Indonesia. Geogr J. 2018;184(1):8 18.

Tjoe Y. Dryland sustainable livelihoods: role of clan and customary laws in West Timor, Indonesia. Int J Sustain Econ Soc Cult Context. 2016;13(1):1-19.

Ubink J. Customary legal empowerment in Namibia and Ghana? lessons about access, power and participation in non-state justice systems. Dev Change. 2018;49(4):930–50.

Published
2019-07-26
How to Cite
Laksono, A., & Dwiningsih, S. (2019). How to control the sexually transmitted diseases in Benjina?: qualitative studies on the practice of prostitution. Health Science Journal of Indonesia, 10(1), 58-66. https://doi.org/10.22435/hsji.v10i1.1044
Section
Articles

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