Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Journal of Maternal and Child Health Berita Kedokteran Masyarakat
Asdary, Rahma Novita
Unknown Affiliation
Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
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.
Strategies for increasing effective coverage of hypertension services in health care facilities: a scoping review Djasri, Hanevi; Alfajri, Novi Zain; Asdary, Rahma Novita; Wardoyo, Muhammad Hardhantyo Puspo
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.172 KB) | DOI: 10.22146/bkm.v40i04.12927

Abstract

Purpose: To identify supporting and inhibiting factors for effective coverage of hypertension services, as well as recommendations for improvement efforts that can be made. Methods: A scoping review consists of five steps: Identification of research questions, identification of relevant research articles, study selection, data collection, and data synthesis. Results: 19 articles met the research objectives. Supporting factors include information systems, electronic-based pharmaceutical services, self-management, health insurance, quality improvement cycles, support for professionals, patients’ interventions, and digital technology. Inhibiting factors include low health insurance coverage, inaccurate equipment, inappropriate diagnosis and treatment, lack of screening coverage, difficulty in access, and differences in policies and procedures between regions. Recommendations for improvement include changes to service systems, the use of defined hypertension thresholds, ensuring blood pressure measurement devices are functioning properly, and the implementation of consistent policies, systems, and processes throughout the healthcare system, including between regions. Conclusion: There are various opportunities for improvement, both in utilizing existing supportive factors and reducing inhibiting factors, as well as in implementing various improvement recommendations, especially those that proved effective in published research.
Co-Authors Alfajri, Novi Zain Hanevi Djasri Rosidah, Lely Khulafa'ur Wardoyo, Muhammad Hardhantyo Puspo