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Does Health Insurance Affect the Completeness of Antenatal Care? Wulandari, Ratna Dwi; Laksono, Agung Dwi
Unnes Journal of Public Health Vol 10 No 2 (2021): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v10i2.38096

Abstract

The antenatal treatment has been ineffective in reducing maternal mortality. Therefore, this study aimed to examine health insurance effect on Indonesia's antenatal care quality. The 2017 Indonesian Demographic and Health Survey data were processed. Moreover, a sample size of 15,351 participants was selected using the analysis unit of study for women aged 15 to 49. In the final stage, Binary Logistic Regression was used, while other variables examined besides antenatal treatment included health insurance, residence, age, marital, education, parity, and wealth. Based on the complete category of antenatal care visits, women that did antenatal care visits were ≥ four, occupied by both types of health insurance ownership. The multivariable analysis indicated that health insurance ownership affects antenatal care completeness as insured women were 1.394 times higher than uninsured women (OR= 1.394; 95% CI= 1.257-1.546). Result showed other determinant variables, namely age, education, parity, and wealth were also found. In conclusion, health insurance gives Indonesian women a better possibility of receiving complete antenatal care.
Analysis of the effect of Boezem development as flood control Aridhadinata, Pramudya; Laksono, Agung Dwi; Novita, Widia Ade; Cahyadi, Achmad Faishal Nur; Sari, Galuh Ismaya
Journal of Innovation Materials, Energy, and Sustainable Engineering Vol. 2 No. 1: (July) 2024
Publisher : Institute for Advanced Science Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jimese.v2i1.2024.978

Abstract

Background: Flooding is a frequent problem in Dukuh Kupang, Surabaya, causing material losses and disrupting daily activities. The construction of boezems, which are retention ponds to temporarily store rainwater, is considered a potential solution to control flooding in this area. This study aims to analyze the effect of boezem construction on flood control in Dukuh Kupang with the hope of providing new insights into the effectiveness of boezem as flood control infrastructure and providing recommendations for improved flood management strategies in the future. Methods: This study used a descriptive method. Data were collected through questionnaires and scored using a Likert scale.  Finding: The results revealed that the feasibility score of boezem construction was 60.2%, indicating that boezem construction is considered quite feasible as a flood control solution, but there is still room for improvement. Conclusion: Respondents in this study recognized the benefits of boezem construction, but also expressed concerns or factors that are not yet fully supportive. There is a negative stigma among the community regarding the construction of boezems, which is largely due to the lack of socialization and community participation in the development process. Novelty/Originality of this study: A study on the effectiveness of booze in Surabaya evaluates technical aspects and considers community perceptions, providing a holistic approach to assessing flood control infrastructure.
THE ROLE OF EDUCATION LEVEL IN INTIMATE PARTNER VIOLENCE AMONG PREGNANT WOMEN IN RURAL INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Matahari, Ratu
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 3 No 2 (2023): Juli - Desember 2023
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v3i2.504

Abstract

Background: Pregnancy is a physically and psychologically vulnerable period, and women with lower education tend to be more psychologically vulnerable. Objective: The study analyzes the role of education in intimate partner violence among pregnant women in rural Indonesia. Methods: The cross-sectional study uses secondary data from the 2017 Indonesian Demographic and Health Survey. The study employed 1,337 pregnant women who had partners in rural Indonesia. Apart from intimate partner violence as the dependent variable, this study involves education, age, marital, employment, wealth, parity, owning a house, and recent sexual activity as the independent variable. In the final stage, the author calculated the role using multivariable binary logistic regression. Results: The results show pregnant women with the education level in the no education category had 2.479 times the possibility of pregnant women with a higher education level experiencing intimate partner violence (AOR 2.479; 95% CI 1.158-5.305). Pregnant women with a primary education level have 1.650 times greater odds than those with a higher education level of experiencing intimate partner violence (AOR 1.650; 95% CI 1.059-2.571). On the other hand, pregnant women with a secondary education level have 1.682 times greater odds of experiencing intimate partner violence than those with a higher education level (AOR 1.682; 95% CI 1.094-2.585). Apart from education level, wealth status and the variable of owning a house are related to intimate partner violence among pregnant women in rural Indonesia. Conclusion: The study concluded that education level has a role in intimate partner violence in rural Indonesia.
Peran Tingkat Sosio-ekonomi dalam Pemanfaatan Puskesmas di Pasuruan - Jawa Timur Tahun 2018 Antika, Cicik Swi; Ridwanah, Azizah Andzar; Sarweni, Kinanty Putri; Laksono, Agung Dwi
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 2 No 1 (2022): May
Publisher : Fakultas Kesehatan Masyarakat Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/biograph-i.v2i1.30726

Abstract

Sosio-ekonomi memiliki peranan dalam menentukan prioritas individu untuk memenuhi kebutuhannya, termasuk untuk kesehatan. Penelitian ditujukan untuk menganalisis peran tingkat sosio-ekonomi dalam pemanfaatan Puskesmas Pasuruan di Jawa Timur. Penelitian potong-lintang ini menganalisis data sekunder dari Riset Kesehatan Dasar tahun 2018. Dengan metode stratifikasi dan multistage random sampling, penelitian ini merekrut 3.352 responden di Pasuruan, Jawa Timur sebagai sampel. Selain pemanfaatan Puskesmas sebagai variabel outcome dan tingkat sosio-ekonomi sebagai variabel terpapar, penelitian juga menganalisis sembilan variabel kontrol (kabupaten, tempat tinggal, umur, jenis kelamin, perkawinan, pendidikan, pekerjaan, asuransi kesehatan, dan waktu tempuh ke Puskesmas). Data dianalisis menggunakan regresi logistik biner. Hasil penelitian menemukan bahwa penduduk Pasuruan yang miskin memiliki kemungkinan 1,765 kali lebih tinggi dibanding yang paling miskin untuk memanfaatkan pelayanan Puskesmas (AOR 1,765; 95% CI 1,726-1,806). Penduduk Pasuruan yang memiliki sosio-ekonomi menengah kemungkinan 1,286 kali lebih tinggi dibanding yang paling miskin untuk memanfaatkan pelayanan Puskesmas (AOR 1,286; 95% CI 1,256-1,317). Penduduk Pasuruan yang kaya memiliki kesempatan 1,374 kali lebih tinggi dibanding yang paling miskin untuk memanfaatkan pelayanan Puskesmas (AOR 1,374; 95% CI 1,342-1,407). Lebih lanjut, penduduk Pasuruan yang paling kaya memiliki kemungkinan 0,634 kali dibanding yang paling miskin untuk memanfaatkan pelayanan Puskesmas (AOR 0,634; 95% CI 0,618-0,660). Dapat disimpulkan bahwa seluruh tingkat sosio-ekonomi memiliki kemungkinan lebih tinggi dalam memanfaatkan Puskesmas di Pasuruan. Kecuali, kelompok paling kaya, yang memiliki kemungkinan lebih rendah dalam memanfaatkan Puskesmas di Pasuruan. Untuk meningkatkan utilitas Puskesmas, pengambil kebijakan perlu memberi perhatian lebih pada masyarakat paling kaya.
The Factors Correlate to Family Size in Indonesia Laksono, Agung Dwi; Wulandari, Ratna Dwi
Jurnal Aspirasi Vol 12, No 1 (2021)
Publisher : Pusat Analisis Keparlemenan Badan Keahlian Sekretariat Jenderal DPR RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46807/aspirasi.v12i1.2066

Abstract

Some tribes in Indonesia have a big family culture. The study aimed to analyze factors that correlate to family size in Indonesia. The study employed secondary data from the 2017 Indonesia’s Demographic and Health Survey. The samples used were 34,353 childbearing age couples. The variables analyzed included type of residence, wealth, marital, cohabitation duration, complete child gender, contraceptive, age of husband-wife, education of husband-wife, and occupation of husband-wife. Final test by binary logistic regression. The results show that couples in urban areas are less likely to have a family size ≤ 4 than couples who live in rural areas. The better the wealth status, the higher the possibility to have a family size ≤ 4. The longer the cohabitation period, the lower the possibility of having a family size ≤ 4. Couples who already have complete child gender were 0.148 times more likely to have a family size < 4 than couples with incomplete child gender. The contraceptives use has a probability of 0.727 times more than those not using it to have a family size ≤ 4. The husband with primary education was 1.242 times more likely than the husband with no education to have a family size ≤ 4. The study found that a wife’s age correlated to family size. Couples with employed wives were 1.273 times more likely than those not employed to have a family size ≤ 4. The study concluded that eight variables correlated to family size among childbearing age couples in Indonesia: residence, wealth, cohabitation duration, complete child gender, contraceptive use, husband’s education, wife’s age, and wife’s employment.  AbstrakBeberapa suku di Indonesia memiliki budaya keluarga besar yang sangat kuat. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berkorelasi dengan ukuran keluarga di Indonesia. Studi memanfaatkan data sekunder dari Survei Demografi dan Kesehatan Indonesia tahun 2017. Sampel yang digunakan adalah 34.353 pasangan usia subur. Variabel yang dianalisis meliputi jenis tempat tinggal, kekayaan, perkawinan, lama kohabitasi, kelengkapan jenis kelamin anak, kontrasepsi, umur suami-istri, pendidikan suami-istri, dan pekerjaan suami-istri. Pengujian akhir dengan regresi logistik biner. Hasilnya menunjukkan pasangan di daerah perkotaan lebih kecil kemungkinannya untuk memiliki ukuran keluarga ≤ 4 dibandingkan pasangan yang tinggal di daerah pedesaan. Semakin baik status kekayaannya maka semakin tinggi kemungkinan memiliki ukuran keluarga ≤ 4. Semakin lama kohabitasi maka semakin kecil kemungkinan memiliki ukuran keluarga ≤ 4. Pasangan yang sudah memiliki jenis kelamin anak lengkap kemungkinannya 0,148 kali dibandingkan dengan yang tidak lengkap untuk memiliki ukuran keluarga ≤ 4. Pemakaian alat kontrasepsi memiliki probabilitas 0,727 kali lipat dibandingkan dengan yang tidak menggunakannya untuk memiliki ukuran keluarga ≤ 4. Suami yang berpendidikan dasar 1,242 kali lebih mungkin untuk memiliki ukuran keluarga ≤ 4 dibanding keluarga dengan suami tidak berpendidikan. Usia istri menjadi faktor penentu ukuran keluarga. Pasangan dengan istri yang bekerja 1,273 kali lebih mungkin dibandingkan mereka yang tidak bekerja untuk memiliki ukuran keluarga ≤ 4. Hasil penelitian menyimpulkan bahwa delapan variabel merupakan faktor-faktor yang memengaruhi ukuran keluarga pada pasangan usia subur di Indonesia. Delapan faktor tersebut adalah jenis tempat tinggal, status kekayaan, lama kohabitasi, jenis kelamin anak lengkap, penggunaan kontrasepsi, pendidikan suami, usia istri, dan status pekerjaan istri.
POLICY TO REDUCE UNDER TWO STUNTING IN EAST JAVA REGION, INDONESIA: WHO IS THE RIGHT TARGET? Laksono, Agung Dwi; Muis, Early Wulandari; Wulandari, Ratna Dwi
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.263-275

Abstract

Introduction: Currently, 22% of children worldwide are stunted, and more than half live in Asia. Stunting in East Java is still high in several areas, which should have been prevented, given the relatively good resources. Aims: The study analyzes the policy targets for reducing stunting children in East Java. Methods: The study examined 4,541 children. The study analyzed nutritional status, residence, maternal (age, marriage, education, employment, socioeconomic, prenatal class), and child characteristics (age, gender, and early breastfeeding initiation (EIBF)). Results: Children in urban regions were likelier than those in rural regions to experience stunting. Stunted children were more prevalent among mothers of all ages compared to those <20. Lower education correlated with a greater likelihood of having stunted children. Stunted children were 2.410 times more prevalent among married mothers than divorced/widowed mothers (95%CI 2.292-2.534). Stunted infants were 1.062 times more prevalent among unemployed mothers compared to employed mothers (95%CI 1.050-1.075). All socioeconomic levels have a higher probability than the wealthiest to experience stunting. Mothers with prenatal classes were 1.088 times more likely than those without to have stunted kids (95%CI 1.073-1.103). Children aged 12-23 had a greater likelihood of developing stunting than those younger than <12. Boys were 1.286 times more likely than girls to experience stunting (95%CI 1.272-1.300). Children with EIBF had a 1.081 times higher likelihood of experiencing stunting than those without (95%CI 1.069-1.093). Conclusion: The appropriate policy targets for reducing the stunting prevalence were mothers in urban areas, young age, married, poor educated, unemployed, and poor.
Education Role in Stunting Under Two Years among Poor Communities in Indonesia Yunitawati, Diah; Laksono, Agung Dwi; Khairunnisa, Marizka; Purwoko, Sidiq; Wulandari Muis, Early; Nursafingi, Afi; Riyanto, Slamet; Samsudin, Mohamad
Jurnal Promosi Kesehatan Indonesia Vol 20 No 1: January 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.1.30-36

Abstract

Background: Indonesia still has a stunting problem, even though the stunting rate has decreased. The study analyses the association of the maternal education level with the incidence of stunted children under the age of two in poor communities in Indonesia.Method: The cross-sectional data from the Indonesian National Nutritional Status Survey 2021 examined 24,920 children under two years old. The relationship between the variables was tested using binary logistic regression.Result: The odds of having stunted children below the age of two are 1.705 times greater for women with no education than women with higher levels of education (AOR 1.705; 95% CI 1.667-1.744). Primary-educated mothers were 1.178 times increased risk of having stunted children under age two compared to higher-educated mothers (AOR 1.178; 95% CI 1.157-1.199). The study analysis found no significant difference between secondary and higher education to have stunted children. In addition to education level, the study also identified six other important control variables associated with stunting in children under the age of two: residence location, age of mother, married status, child's age, child's gender, and EIBF. According to the study's findings, stunting in children under the age of two is related to maternal educational levels among Indonesia's poor communities. An increased incidence of stunting in children under the age of two is associated with lower levels of maternal education.
EDUCATION'S ROLE IN PRIMARY HEALTHCARE UTILIZATION AMONG OLDER PEOPLE IN INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Zuardin, Zuardin; Rohmah, Nikmatur
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.11-24

Abstract

Introduction: The current situation shows that life expectancy is increasing, so the population of older people is also growing. As a vulnerable group, more senior people desperately need primary health care, and barriers to accessing services will increase vulnerability. Aim: The study aimed to investigate the impact of education on primary healthcare utilization among older people. Methods: This cross-sectional study examined 52,893 older people. It employed primary healthcare utilization as an outcome variable and education level as an exposure variable. Furthermore, the study used eight control variables: residence type, age group, gender, marital status, wealth, time travel to primary healthcare, and health insurance. We employed binary logistic regression to examine the data. Results: The study showed that older adults with primary education were 1.050 times more likely than those without to utilize primary healthcare (95% CI 1.046-1.054). Older people with secondary education were 0.643 times less likely to use primary healthcare than those without (95% CI 0.638-0.649). Older adults with secondary education were 0.378 times less likely than those without to use primary healthcare (95% CI 0.372-0.383). Furthermore, the study indicated that all control variables were significantly related to direct healthcare utilization. Conclusion: The study concluded that education level influences primary healthcare utilization among older people in Indonesia. Keywords: elderly people, education, primary healthcare, healthcare evaluation, healthcare access, public health
LYMPHATIC FILARIASIS DRUG TREATMENT POLICIES IN EASTERN INDONESIA: WHAT TARGET CHARACTERISTICS MATTER? Kesuma, Agung Puja; Ipa, Mara; Laksono, Agung Dwi; Wahono, Tri; Marina , Rina; Hakim, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.108-119

Abstract

Background: Lymphatic filariasis (LF) drug treatment compliance remains a challenge in Eastern Indonesia. Aims: The study sought to determine which aspects of Eastern Indonesia's LF drug treatment compliance policies were most pertinent. Methods: The 2018 Indonesian Basic Health Survey data was employed. The analysis units were adults (≥ 15 years) who had received LF drug treatment. LF drug treatment compliance was analyzed based on respondent characteristics (age, gender, marital status, education, occupation, wealth and comorbidities) using binary logistic regression. Results: The proportion of adherence to LF treatment in Eastern Indonesia was 73.1%. Respondent characteristics that influenced LF treatment compliance were age group > 24 (aOR = 1.374, 95% CI: 1.305-1.447), female (aOR = 1.307, 95% CI: 1.263-1.353), all educated respondent status (aOR = 2.152, 95% CI: 2.043-2.268), and all employed respondents (aOR = 1.437, 95% CI: 1.365 - 1.512). Married respondents and those with all levels of wealth status were less likely to take LF drug treatment. Conclusion: Policy focus on improving LF treatment compliance among the younger male, the less educated, the unemployed, and those with lower social economic status. Keywords: compliance, Eastern Indonesia, lymphatic filariasis, public health
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.