Fadila, Wisnu
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Fertility in North Sumatera: Why is it not declining? Raharja, Mugia Bayu; Fadila, Wisnu; Rahmadewi, Rahmadewi
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i3.26138

Abstract

The results of the Indonesia Demographic and Health Survey (IDHS) in 2017 confirm that although the prevalence of contraception is quite high, the fertility rate in North Sumatera Province is still high. Fertility decomposition analysis has been used extensively to identify changes in fertility in various countries. This study was conducted to determine the pattern of changes in fertility decomposition in North Sumatra by using IDHS data in 2002/03 and 2017. The total fertility rate (TFR) from 2002 to 2017 in this province relatively remains the same, which is around 3 children per woman. There was a change in the proximate contribution of the determinant of fertility. Contraceptive use and effectiveness are the main contributors affecting the fertility rate in North Sumatra Province. The contribution of breastfeeding patterns has increased and marital patterns have decreased over a period of 15 years. The implementation of population and family planning programs in North Sumatra Province needs to be continuously improved to reach a TFR of 2.1 children per woman by 2024. Promotion of exclusive breastfeeding needs to be encouraged to extend the birth interval and reduce natural fertility. Prevention programs for child marriage and teenage pregnancy should be promoted.
CONSEQUENCES OF BIRTH INTERVAL ON NEWBORN HEALTH Zaly, Nedra Wati; Rahardja, Mugia Bayu; Murtiningsih, Murtiningsih; Fadila, Wisnu
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 13 No. 1 (2024): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v13i1.2024.12-19

Abstract

Babies with Low Birth Weight (LBW) are more at risk of occurring at short birth intervals than at longer birth intervals. The reproductive capacity of women can decrease and return to the primiparous state in women who experience long birth intervals which can also be risky for the baby. The purpose of this study was to determine the consequences of birth spacing on the health of newborns. This study uses two methods, both quantitative and qualitative. The quantitative method uses data from the 2017 IDHS with a cross-sectional research design. The sample of this research is mothers who gave birth in the last five years and had at least 2 (two) pregnancies. The results of this study found that 9.8% experienced short birth spacing and 7.2% of babies born with low birth weight. This study confirms the existence of a relationship between birth spacing and the incidence of LBW babies. Short birth interval risks giving birth to babies with LBW. It is hoped that the results of this study will become an initial reference for designing policies on birth intervals to improve newborn health and reduce infant mortality.
ELDERLY AND HEALTH INSURANCE COVERAGE IN INDONESIA Raharja, Mugia Bayu; Zaly, Nedra Wati; Fadila, Wisnu; Catursaptani, Robani; Utomo, Wahyu
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 12 No. 2 (2023): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v12i2.2023.239-248

Abstract

Ensuring quality health coverage for all, especially for older people, is one of the SDGs goals to be achieved. Goal 3 with target 3.8 on universal health coverage (UHC), emphasizes the importance of all people having access to quality health services without the risk of financial hardship. This study aimed to determine the coverage of the National Health Insurance (NHI) and factors related to the ownership of NHI among elderly people in Indonesia. Data from the 2020 National Socio-Economic Survey was used to analyze 121,961 elderly people aged 60 years and above across all provinces in Indonesia. The variables studied included socio-demographic variables, economic status, and health status of the elderly. A chi-square test and binary logistic regression analysis was used to determine the relationship between NHI ownership status and the independent variables. The results showed that most of the elderly were aged 60-69 years, had low education, and lived in rural areas. NHI coverage for the elderly in Indonesia is already good, although there are still high disparities in some regions. The result of logistic regression analysis showed that the NHI ownership status of the elderly has a significant relationship with age, place of residence, education level, and wealth status. Efforts to expand the reach of NHI for the elderly should be increased as one of the strategies in realizing the SDGs targets.