Background: Diabetes mellitus (DM) is a significant public health issue, with its rates steadily climbing in Indonesia and throughout Southeast Asia. Managing chronic conditions like DM is complex and calls for integrated, structured, and patient-focused care, particularly at the primary care level. Understanding the experiences of nurses in this setting is crucial for enhancing health systems. Method: To delve into the lived experiences of nurses and patients managing DM care, a qualitative phenomenological approach was used. In-depth interviews were held with five participants, three nurses and two patients, between August and September 2020. The data was analyzed using Colaizzi's seven-step method to extract thematic insights. Findings: Three key themes emerged that highlighted the interconnected roles in DM care: (1) Strengthening Governance for Integrated Diabetes Care, which emphasizes the significance of health insurance, referral systems, and facility preparedness; (2) Delivering Person-Centered, Collaborative Care, focusing on interprofessional education, digital communication, home-based services, and the commitment of providers; and (3) Empowering Patients and Fostering Peer Support, and these showcased the importance of peer-led initiatives and social engagement in enhancing treatment adherence, as well as overall well-being. These themes reflected the systemic, professional, and patient-centered dimensions that collectively constituted the quality nursing care conceptual model. Conclusion Integrated diabetes care in Indonesian primary health settings thrived on the collaboration of government policies, community health center services, and patient involvement. The findings underlined the necessity for ongoing intersectoral collaboration and community-based strategies to bolster chronic disease management in resource-limited environments.
Diabetes Mellitus ; Primary Health Care

Women living with HIV/AIDS (WLHA) in Indonesia face a lot of stigma in their communities, even in healthcare settings. Because of this, their desire to have biological children is suppressed. However, some positive changes to the desire to have children may be apparent with the introduction of antiretroviral therapy (ART). Fertility desires may also have implications for unprotected sexual intercourse. To date, there is limited knowledge about the fertility desires of WLHA receiving HIV care in Yogyakarta, Indonesia. Hence, the present study explores the extent of this fertility desire and its associated factors among WLHA in Yogyakarta, Indonesia. Using a crosssectional quantitative research design, 303 WLHA who are receiving ART, were obtained via convenience sampling in five districts in Yogyakarta between March and August 2019. WLHA with a hysterectomy and permanent contraception were excluded. Data were collected using a questionnaire and analyzed using descriptives, chi-square, and logistic regression. Just over half of the WLHA (50.8%) wanted to have at least one biological child without gender preferences. Bivariate correlations showed that younger age, formal employment, and not having a living biological child correlated with greater fertility desire (p<.05). A logistic regression further indicated that age (35 years or younger)(p<.001; AOR: 3.33; 95% CI: 2.00 to 5.53) and being childless (p<.001; AOR:.13; 95%CI:.52 to .33) were the most influential factors associated with the fertility desire among WLHA in Yogyakarta. We found that the WLHA, who were receiving ART in Yogyakarta, wanted to have their biological children. Since fertility concerns are an integral part of HIV patients' care, health workers can help the groups of WLHA who desire to have biological children make the right reproductive decisions by letting them know the benefits and risks of childbirth and measures to prevent HIV from spreading.
Female ; Fertility ; Health Services ; HIV Infections