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All Journal Jurnal Administrasi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Maria Holly Herawati
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI, Jalan Percetakan Negara 29 Jakarta
Health Professions Public Health

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MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA Wulandari, Ratna Dwi; Laksono, Agung Dwi; Tumaji, Tumaji; Herawati, Maria Holly; Pracoyo, Noer Endah; Kusrini, Ina
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.280-291

Abstract

Background: The government regulates National Health Insurance (NHI), making it mandatory for everyone. However, at this time, only some, including workers, are NHI members. Moreover, the government regulates who pays these workers' premiums. Aims: The study aimed to analyze the disparities of occupation type in NHI membership among workers in Indonesia. Methods: We involved 22,275 workers in the analysis. The analyzed variables included NHI's membership, occupation type, residence type, age group, gender, education level, marital status, and wealth status. The study employed binary logistic regression in the final step. Results: The results showed that government employees were 11.864 times more likely to be a member of NHI than the informal sector (95%CI 11.811-11.917). The private sector was 1.646 times more likely than the informal sector to be an NHI member (95%CI 1.643-1.648). Meanwhile, entrepreneurs were 0.828 times less likely to be NHI members than the informal sector (95%CI 0.827-0.829). The study found six control variables related to NHI membership: residence, age, gender, education, marital, and wealth status. Conclusion: The study concluded that NHI membership disparities existed based on occupation type. Accordingly, government employees, the private sector, the informal sector, and entrepreneurs are the most likely to become NHI members. Keywords: health insurance, health policy, national health insurance, occupation type.
Utilizing Rapid Molecular Tests (RMT/RIF) in Tuberculosis Drug-Sensitive/Resistant Discovery in Indonesia: A Pilot Study Herawati, Maria Holly; Dasuki, Dasuki; Lolong, Dina Bisara; Widiyanti, Mirna; Roosihermiatie, Betty; Permata, Ria Yuda; Raflizar, Raflizar; Ahmadi, Ferry; Supratikta, Hadi; Veruswati, Meita
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The underdiagnosis and underreporting of tuberculosis (TB) indicators are unresolved problems. The rapid molecular test (RMT) is one of the breakthroughs for TB case finding by using safer and more sensitive equipment; it is even believed to help find drug-resistant TB. The results of several webinars held regularly by a TB program as well as its evaluation and the use of RMT formed the basis of this study. This initial pilot study aimed to provide an overview of case finding for both drug-sensitive and drug-resistant TB using RMT. A cross-sectional study was conducted on samples in several provinces in Indonesia that have used RMT, both in remote or non-remote island borders areas and fiscal capacity. Regarding the use of RMT for drug-sensitive TB case finding, the largest contributors were males aged above 15 years, while in the drug-resistant TB case finding group, the biggest contributor was the use of RMT in 2017 and 2018. Overall, the findings could only describe the situation in the study area. The use of RMT in drug-sensitive TB case finding would be maximized if the detected cases are males aged above 15 years, while RMT can help find cases of drug-resistant TB.
New Approach to Mapping Regional Vulnerability in Controlling Tuberculosis Disease in Indonesia Herawati, Maria Holly; Hermawan, Asep; Dasuki, Dasuki; Supratikta, Hadi; Asyary, Al; Khomarudin, M Rokhis; Priyatna, Muhammad; Raflizar, Raflizar; Kristina, Kristina; Pracoyo, Noer Endah; Bisara, Dina; Purnami, Cahya Tri; Suteja, Mentari Nur Farida; Bachtiar, Yusrial; Sukoco, Noor Edi Widya; Lasut, Doni
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Abstract

Tuberculosis (TB) in Indonesia is still a health problem. The TB prevalence in Indonesia ranks second in the world after India in 2023. Regional factors, inadequate healthcare facilities, and limited resources (financial, human, and infrastructure) are challenges requiring innovation to help the government control TB. TB eradication efforts need to be made with a comprehensive and effective approach. One method used is to look at the vast territory of Indonesia, therefore, mapping the TB disease vulnerability is a highly recommended method. The use of a Geographic Information System is expected to help map the TB vulnerability areas in Indonesia. Given the existence of several epidemiological, socio-geographic, and environmental factors influencing TB, the question arises of how to map TB vulnerability areas in Indonesia. This study used a cross-sectional design, secondary data was collected from several sources, and a vulnerability analysis was performed by considering several socio-environmental epidemiological variables. Furthermore, after the analysis, the TB area vulnerability category would be obtained along with a map of TB vulnerability areas in Indonesia according to regional and district analysis units. This study produces a TB susceptibility index and map in Indonesia for the regions of Sumatra, Java-Bali, and other regions.
Co-Authors Agung Dwi Laksono Ahmadi, Ferry Al Asyary Asep Hermawan Bachtiar, Yusrial Betty Roosihermiatie Cahya Tri Purnami DASUKI DASUKI Dina Bisara Dina Bisara Lolong Doni Lasut Ina Kusrini Kristina Kristina M Rokhis Khomarudin, M Rokhis Mirna Widiyanti Muhammad Priyatna, Muhammad Noer Endah Pracoyo Noor Edi Widya Sukoco Permata, Ria Yuda Raflizar Raflizar Ratna Dwi Wulandari Supratikta, Hadi Suteja, Mentari Nur Farida Tumaji Tumaji Veruswati, Meita