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All Journal Journal of Maternal and Child Health Judika (Jurnal Nusantara Medika)
Rosidah, Lely Khulafa'ur
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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National Health Insurance Membership and Economic Status as Determinants of Accessibility of Antenatal Care Service Rosidah, Lely Khulafa'ur; Asdary, Rahma Novita
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.197 KB) | DOI: 10.26911/thejmch.2021.06.04.12

Abstract

Background: According to WHO statistics, the maternal mortality rate (MMR) in developed countries is estimated at 12/100,000 live births, while in developing and low-income countries it is 239/100,000 live births. 99% of all maternal deaths are estimated to occur in developing countries, even though the causes of death can be prevented with the right policies considering that one of the goals of the Sustainable Develop­ment Goals is to reduce MMR. Antenatal Care (ANC) is the main technique to reduce maternal morbidity and mortality. This study evaluates JKN membership and economic status affecting ANC service coverage. Subjects and Method: This study is a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey (IDHS). This data is used to assess the propor­tion of economic status and national health insurance (JKN) membership and to measure the relationship between the two with ANC coverage. Analysis using Logistic Regression with R software version 3.6.3. and perform Pro­pensity Score Matching (PSM) to reduce self-selection bias by balancing the observed vari­ables between groups of respon­dents based on economic status with and without JKN. Results: Of the 5429 respondents, 20.2% were very poor, 20.9% poor, 19.9% middle class, 20.8% rich, and 18.2% very rich. Among these residents, 61.4% have JKN membership and 38.3% do not. The substantial gap in the utiliza­tion of maternal health services, especially in ANC4x services, is 30.7 points between the very poor (48.2%) and the very rich (86.9). Respon­dents who worked as employees were more likely to have JKN membership than those who did not have a job (AOR=2.34; 95% CI = 1.74 to 3.16). Respondents who were exposed to the internet at least once a week were more likely to have JKN membership than those who were not exposed to the internet (AOR=1.46; 95% CI= 1.09 to 1.97). Conclusion: JKN membership and economic status affect ANC 4x service coverage.
KEJADIAN ANEMIA PADA REMAJA DITINJAU DARI POLA MENSTRUASI DAN KEPATUHAN KONSUMSI TABLET TAMBAH DARAH Rosidah, Lely Khulafa'ur
Judika (Jurnal Nusantara Medika) Vol 9 No 2 (2025): Judika Volume 9 No. 2 Oktober 2025
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/judika.v9i2.27048

Abstract

Anemia pada remaja putri, terutama anemia defisiensi besi, merupakan masalah kesehatan yang signifikan dengan prevalensi tinggi di Indonesia. Pola menstruasi yang tidak normal dan ketidakpatuhan konsumsi tablet tambah darah  diduga berkontribusi terhadap kejadian anemia. Tujuan penelitian menganalisis hubungan antar pola menstruasi dan kepatuhan konsumsi Teblet Tambah Darah dengan kejadian anemia. Desain penelitian dengan analitik pendekatan Crosssectional. Populasi Penelitian Seluruh remaja putri yang sudah mengalami mesntruasi di Desa Sri Mulya Kecamatan Sinar Peninjauan Sumatera Selatan sejumlah 312 orang, dengan teknik Simple Random Sampling dan dengan perhitungan sampel didapatkan 175 remaja putri. Variabel Independen Pola Menstruasi dan Kepatuhan Konsumsi TTD, Variabel dependen Kejadian Anemia,. Instrumen berupa Kuesioner dan Pemeriksaan Kadar Hb. Analisa data dengan Regresi Logistik Binner. Hasil menunjukkan kedua variabel independen berpengaruh signifikan terhadap kejadian anemia (p < 0,001). Pola menstruasi tidak normal berhubungan signifikan dengan peningkatan kejadian anemia (p = 0,001), dengan OR sebesar 3,21 (CI 95%: 2,05 – 5,01), yang berarti remaja putri dengan pola menstruasi tidak normal memiliki peluang 3,21 kali lebih besar mengalami anemia dibandingkan yang memiliki pola menstruasi normal. variabel kepatuhan konsumsi TTD juga menunjukkan pengaruh yang sangat signifikan (p < 0,001) terhadap kejadian anemia. Responden yang tidak patuh mengonsumsi TTD memiliki peluang 7,35 kali lebih tinggi untuk mengalami anemia dibandingkan remaja yang patuh, dengan OR = 7,35 (CI 95%: 4,61 – 11,74). Pola menstruasi dan kepatuhan konsumsi TTD berhubungan signifikan dengan kejadian anemia. Sekolah dan puskesmas perlu meningkatkan edukasi dan pemantauan konsumsi TTD.
Co-Authors Asdary, Rahma Novita