Palupi, Raras Indung
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Effectiveness of Resources to Provide Health Care of National Health Insurance Participants Satisfaction: Meta-Analysis Pertiwi, Mumpuni Intan; Khuril, Muslihatin; Sari, Okky Nurlita; Purba, Prajna Pramitha; Palupi, Raras Indung; Tahta Firmansyah, Reza Ramadhana; Apriyanti, Ruth; Dania, Samara Rahma; Atin, Ulya Khoirunnisa'; Handriani, Winei
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.979 KB)

Abstract

Background: Indonesia is one of the coun­tries in the world that has a commitment to Universal Health Coverage in 2019. Indo­ne­sia has made various efforts to realize this commitment, one of which is through Natio­nal health insurance. The presence of the National Administrative Body is new hope for the Indonesian people for the quality of health services that will be provided. The quality of service can be perceived as good and satisfies the patient if the service received is appropriate or exceeds what is expected. So it is necessary to apply a solution in training or training related to existing resources.Subjects and Method: This study is a syste­matic review and meta-analysis. The articles used in this study were obtained from Pub­med and Scopus. The articles used in this research are articles published from 2016-2021. The article search was carried out by considering the eligibility criteria defined using the PICO model. P: JKN participants, I: adequate resources, C: insufficient resources, O: patient satisfaction. The articles included in this study are articles full text with a study design Cross-sectional. Articles were ana­lyzed using the application Review Manager 5.3.Results: Funnel plot of comparisons showed a publication bias, as evidenced by the unbalanced number of plots on the left and right sides. The distance between the plots was far. Forest plot of national health insu­rance (JKN) patients with sufficient resour­ces has 5.56 to experience patient satisfaction compared to patients with insufficient resources.Conclusion: Publication bias in funnel plots is evidenced by the unbalanced number of left and right-sided plots. Whereas in the forest plot, JKN patients with adequate resources had a higher score, namely 5.56, to experience patient satisfaction than patients with inadequate resources. As a result, there are many complaints about the dissatisfac­tion of JKN participants with inadequate resources, so it is necessary to apply a solu­tion in the form of training or training related to existing resources.Keywords: Resources, Patient Satisfaction, JKN, CrossectionalCorrespondence: Mumpuni Intan Pertiwi.Health Polytechnic Ministry of Health Yogyakarta. Jl. Tata Bumi No 3, DIY 55293, Central Java. Email: mumpuni.ip@gmail.com. Mobile: 085325638182Journal of Health Policy and Management (2021), 06(02): 154-159https://doi.org/10.26911/thejhpm.2021.06.02.08
Effect of Urinary Tract Infection on Premature Birth: A Meta Analysis Palupi, Raras Indung; Widyaningsih, Vitri; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.995 KB) | DOI: 10.26911/thejmch.2022.07.05.02

Abstract

Background: Neonatal mortality in the world is mostly caused by premature birth (43%), and in Indonesia the biggest cause of neonatal death is premature birth (45%). One of the causes of pregnant women experiencing premature labor, namely urinary tract infections due to changes in the urinary tract system during pregnancy. This study aims to analyze the primary study of the effect of urinary tract infections in pregnant women on preterm delivery with a meta-analysis. Subjects and Method: This study is a meta-analysis with the following PICO, population: pregnant women. Intervention: Having a urinary tract infection. Comparison: No urinary tract infection. Outcome: Premature delivery. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles (“urinary tract infection” AND “preterm labor” OR “premature birth” OR “premature labor”). The included article is full text in English with a case-control study design from 2006 to 2022 and reports the adjusted odds ratio in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 10 case-control studies from Iran, Iraq, India, Tanzania, Ethiopia, and Peru were selected for the meta-analysis. The data collected showed that pregnant women with urinary tract infections increased the occurrence of preterm labor by 2.19 times compared to pregnant women who did not experience urinary tract infections (aOR= 2.19; 95% CI= 1.80 to 2.66; p<0.001). Conclusion: Urinary tract infection during pregnancy increases the incidence of preterm labor. Keywords: urinary tract infection, premature delivery, meta-analysis. Correspondence: Raras Indung Palupi. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Palupiraras05@gmail.com. Mobile: +628­5337540058.