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All Journal Paediatrica Indonesiana Journal of Health Policy and Management Journal of Maternal and Child Health
Tampy, Safitri Tia
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Health Professions Medicine & Pharmacology Public Health

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The Associations between Anemia, Stunting, Low Birthweight, and Cognitive Ability in Indonesian Children: An Analysis from Indonesian Family Life Survey Tampy, Safitri Tia
Journal of Maternal and Child Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background:
The Effect of Health Insurance Membership on Self-Medicine: An Analysis using Indonesian Family Life Survey 5 Syuadzah, Rahmi; Nugroho, Hari Wahyu; Tampy, Safitri Tia; Kartikawati, Dwiana
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The prevalence of selfmedication in Indonesia is still quite large. The result of a survey conducted by the National SocioEconomic Survey (Susenas) showed that the percentage of the population who had selfmedicated health complaints was 61.05%. The negative impact of selfmedication is the side effects of drugs, the resistance to antibiotics, and the wrong choice of drugs. This study aimed to analyze the correlation between insurance ownership and selfmedication using IFLS data analysis.Subjects and Method: This was a crosssectional study. This study involved 31,411 sample obtained from IFLS 5 data. The dependent variable was selfmedication. The independent variables were age, sex, residence, marital status, and insurance ownership. The data were analyzed by multiple logistic regression. Results: The individuals who had insurance increased the initiative to seek selfmedication (OR=1.08; 95%CI=1.04 to 1.13; p<0.001). Male (OR=0.92; 95%CI=0.88 to 0.96; p<0.001), who lived in the city (OR=0.94; 95%CI=0.90 to 0.99; p=0.009), in the working reproductive age (1564 years) (OR=0.80; 95%CI=0.73 to 0.89; p<0.001), and married (OR = 0.82; 95% CI = 0.78 to 0.86; p <0.001) had a tendency not to take selfmedication.Conclusion: Based on the result of the study, the subjects of the study who have insurance have a greater risk of selfmedication.Keywords: Selfmedication, insuranceCorrespondence: Rahmi Syuadzah. Pediatric Research Center (PRC) Department of Child Health, Dr. Moewardi Hospital, Surakarta. Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126. Rahmi_syuadzah@yahoo.com.Journal of Health Policy and Management (2021), 06(01): 67-73https://doi.org/10.26911/thejhpm.2021.06.01.07
Platelet lymphocyte ratio (PLR), neutrophil lymphocyte ratio (NLR), and diastolic dysfunction as neonatal sepsis mortality predictors in preterm neonates Tampy, Safitri Tia; Hidayah, Dwi; Lilijanti, Sri
Paediatrica Indonesiana Vol. 65 No. 3 (2025): May 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.3.2025.216-23

Abstract

Background Neonatal sepsis is a significant challenge in neonatal care, particularly among preterm neonates who are highly vulnerable due to their underdeveloped immune systems. Traditional markers for predicting the outcomes of neonatal sepsis, such as procalcitonin and C-reactive protein, are not always available all across places. Objective To evaluate the predictive value of platelet lymphocyte ratio (PLR), neutrophil lymphocyte ratio (NLR), and diastolic dysfunction for neonatal sepsis mortality in preterm neonates. Methods A prospective cohort study was conducted in 42 preterm neonates with neonatal sepsis admitted to Dr. Moewardi Hospital. The PLR and NLR were collected at two time points: the first blood specimen was drawn within the first 24 hours of life and the second was collected 72 hours later. Diastolic function was assessed by echocardiography performed within 48–72 hours after the diagnosis of sepsis. Mortality during treatment was recorded as the dependent variable. The relationships among these variables were analyzed with bivariate and multivariate analyses, and the significance level was set at P<0.05. Results Of 42 subjects, 57.1% died. Increased NLR and diastolic dysfunction were significantly associated with an increased risk of mortality (OR=3.64; P=0.049 and OR=25.0; P<0.001, respectively), while PLR was not. Multivariate analysis revealed that diastolic dysfunction  remain a significant independent predictor of mortality (adjusted OR=28.9;P=0.001), whereas NLR did not maintain statistical significance (P=0.093). Conclusion Diastolic dysfunction was an independent predictor of mortality in preterm neonatal sepsis. The NLR and PLR did not associate with mortality in preterm neonatal sepsis. Rigorous monitoring of cardiovascular function is crucial in the management of neonatal sepsis.
Co-Authors Dwi Hidayah Hari Wahyu Nugroho Kartikawati, Dwiana Lilijanti, Sri Syuadzah, Rahmi