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DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS Syahri, Isyatun Mardhiyah; Laksono, Agung Dwi; Fitria, Maya; Rohmah, Nikmatur; Lolong, Dina Bisara; Alruwaili, Abdulah Saleh
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.v12i2.2024.228-237

Abstract

Introduction: Indonesia continues to face a significant challenge in terms of maternal and infant mortality. The government is working to promote the use of health facilities for childbirth to mitigate maternal mortality. Aim: The study aims to determine the policy target to increase the rate of institutional delivery among female workers in Indonesia. Methods: The study analyzed secondary data from the 2023 Indonesian Health Survey. It conducted cross-sectional research on 30,173 female workers. In addition to institutional delivery as the dependent variable, we examined eight independent variables: residence, age, education, marital status, wealth, insurance, antenatal care (ANC), and parity. The analysis involved bivariate method followed by binary logistic regression in the last stage. Results: Approximately 70.6% of female workers had institutional delivery. Female workers in urban areas were 1.157 times more likely than rural workers to perform institutional delivery (95%CI 1.153-1.161). Three worker characteristics (age, education, and marital status) were related to institutional delivery. Wealthier workers had a greater the possibility of executing institutional delivery. Insured workers were more likely than the uninsured ones to deliver in health facilities. Female workers with adequate ANC were 1.210 times more likely than those with inadequate ANC to execute institutional delivery (95%CI 1.166-1.256). Additionally, women with fewer childbirths had a higher probability of performing an institutional delivery. Conclusion: The policy target to increase institutional delivery was women workers in rural areas who were older, had poor education, were divorced/widowed, were the poorest, had inadequate ANC, were uninsured, and were grand multiparous. Keywords: institutional delivery, institutional birth, maternal health, female worker, public health.
Health Center Utilization among the Elderly in the East Java Province Megatsari, Hario; Nandini, Nurhasmadiar; Laksono, Agung Dwi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.26-35

Abstract

Background: According to WHO, the elderly is one of the vulnerable groups apart from children and pregnant women. This study aims to analyze the factors related to health center utilization among the elderly in East Java. Methods: This study analyzed secondary data from the Indonesia Basic Health Survey 2018. Using the stratification method and multistage random sampling, this study recruited 25,034 elderly people in East Java as samples. In addition to health center utilization as the dependent variable, residence, age, gender, marriage, education, occupation, socioeconomics, insurance, and travel time to a health center were analyzed as independent variables. Data were analyzed using binary logistic regression. Results: The results found that age was related to health center utilization. Elderly men had 0.874 times more probability than elderly women to use health centers (OR 0.874; 95% CI 0.869-0.879). Marital, education, occupation, and socioeconomic, were also found to be significantly related to health center utilization. The elderly who had health insurance managed by the government had a 1.883 times higher probability than the elderly who did not have health insurance to make use of health center services, while other types of insurance had a lower probability. Based on the travel time to health centers, the elderly who had a travel time of 10 minutes or less were 1.099 times more likely than the elderly who had a travel time of >10 minutes to use health centers (OR 1.099; 95% CI 1.094-1.105). Conclusion: Seven variables had a relationship with health center utilization among the elderly in East Java; age, gender, marriage, education, occupation, insurance, and travel time to health centers. Policymakers can use the research results to determine specific targets to accelerate the increase in health center utilization for the elderly in East Java.
Teenage Pregnancy in Rural Indonesia: Does Education Level Have a Role? Wulandari, Ratna Dwi; Laksono, Agung Dwi; Matahari, Ratu
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.101-108

Abstract

Background: Teenage pregnancy is a high-risk pregnancy. Teenage pregnancy often gets social sanctions in the form of stigma from the community, and the loss of school rights. Objective: The research aims to analyze the role of education in teenage pregnancy in rural Indonesia. Methods: This study analyzed the data from the Indonesian Demographic and Health Survey 2017 using a cross-sectional approach. The unit of analysis was women aged 19-24 years old. The study pooled 1,982 women as samples. Besides the education level, other independent variables analyzed were marital, employment, and wealth. In the final stage of the study, a multivariate test with binary logistic regression was carried out. Results: The results showed that women with secondary education were 0.451 times less likely to experience teenage pregnancy than women with primary education (95% CI 0.354-0.574). Higher education was 0.110 times less likely to experience teenage pregnancy than primary education (95% CI 0.070-0.171). The study found two other variables related to teenage pregnancy in rural Indonesia besides educational factors. The two variables are employment status and wealth status. Conclusion: The study concluded that education level is associated with teenage pregnancy in Indonesia's rural areas. The lower the education level, the higher the chances of experiencing teenage pregnancy.
DETERMINAN PEMANFAATAN RAWAT INAP RUMAH SAKIT DI KABUPATEEN TULUNGAGUNG, JAWA TIMUR, INDONESIA Wulandari, Ratna Dwi; Laksono, Agung Dwi
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 4 No 1 (2024): Januari - Juni 2024
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v4i1.520

Abstract

Latar Belakang: Pengambil kebijakan harus bisa menjamin akses yang adil bagi masyarakat untuk mendapatkan pelayanan kesehatan, termasuk rawat inap RS bagi yang membutuhkan. Alasan tersebut menjadikan pemeritah harus dapat memahami apa saja yang berkaitan dengan pemanfaatan rawai inap RS, termasuk mengidentifikasi siapa saja yang masih kesulitan untuk melakukan akses rawat inap RS saat membutuhkan. Studi menganalisis faktor yang terkait dengan rawat inap rumah sakit (RS) di Tulungagung. Metode: Penelitian cross-sectional ini mengevaluasi 1.978 sampel. Studi menganalisis sembilan variabel independen. Analisis menggunakan regresi logistik biner. Hasil: Hasil studi menemukan rerata rawat inap RS di Tulungagung sekitar 4.0%. Umur, jenis kelamin, dan status perkawinan berkaitan dengan rawat inap RS. Semakin tinggi pendidikan, semakin rendah kemungkinan untuk mengalami rawat inap RS. Tidak bekerja kemungkinan 1.753 kali dibanding yang bekerja untuk mengalami rawat inap RS (95%CI 1.707-1.801). Mereka yang kaya lebih mungkin dibanding yang miskin untuk mengalami rawat inap RS. Memiliki asuransi kemungkinan 2.546 kali mengalami rawat inap dibanding yang tidak memiliki (95%CI 2.487-2.607). Waktu tempuh >1 jam kemungkinan 2.033 kali dibanding ≤1 jam untuk mengalami rawat inap RS (95%CI 1.959-2.109). Kesimpulan: Disimpulkan ada delapan variabel yang berkaitan dengan rawat inap di RS: umur, jenis kelamin, perkawinan, pendidikan, status bekerja, kekayaan, asuransi kesehatan, dan waktu tempuh.
Pendampingan Pengolahan Bunga Mawar sebagai Selai di Desa Munengwarangan Kabupaten Magelang Jawa Tengah Laksono, Agung Dwi; Triyono, Adit; Arochman, Taufik; Nurfadhila, Risti
Satwika: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2024): SATWIKA: Volume 4, Number 2, December 2024
Publisher : Fakultas Ilmu Sosial Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21009/satwika040202

Abstract

Bunga mawar dapat diolah menjadi selai, tujuan kreasi pengelolaan bunga mawar menjadi selai di Desa Munengwarangan diantaranya yakni untuk mengembangkan potensi lokal Desa Munengwarangan. Dalam pengabdian yang berjudul Pendampingan Pengolahan Bunga Mawar Sebagai Selai Di Desa Munengwarangan ini menggunakan metode observasi lapangan dan pendampingan dalam pengolahan bunga mawar menjadi selai. Kreasi pengolahan bunga mawar menjadi selai di Desa Munengwarangan adalah contoh nyata bagaimana produk bernilai tambah dapat dihasilkan dari bahan-bahan lokal yang mungkin sebelumnya belum dimanfaatkan sepenuhnya. Selain memberikan peluang ekonomi, pengolahan bunga mawar menjadi selai juga mengangkat potensi kuliner daerah serta memberikan pilihan unik bagi konsumen. Produk selai bunga mawar dapat dijual secara lokal atau dijual secara online melalui platform e-commerce, menjangkau pasar yang lebih luas. Dengan demikian, pendapatan masyarakat Desa Munengwarangan dapat meningkat, dan peluang kerja di sektor pengolahan makanan juga dapat berkembang.
CAN EDUCATION INCREASE NHI MEMBERSHIP? A CASE STUDY AMONG MADURESE IN INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Nandini, Nurhasmadiar; Santi, Maya Weka
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.9-19

Abstract

Background: Madura Island is often left behind in health development in East Java Province, including in the health sector. Poverty and poor education dominate this region. Aims: The research examined the role of education in National Health Insurance (NHI) membership among Indonesian Madurese. Methods: The study employed 791 respondents. We used NHI membership as an outcome variable, education level as an exposure variable, and seven control variables: regency, residence, gender, employment, age, wealth, and marital status. In the last stage, we employed a binary logistic test. Results: The results showed that 58.2% of Madurese people in Indonesia are members of the NHI. Regarding education level, Madurese with primary education was 1.672 times more likely than those without formal education to be an NHI member (95% CI 1.662-1.683). Meanwhile, Madurese with secondary education was 2.329 times higher than those uneducated to be an NHI member (95% CI 2.306-2.352). Moreover, Madurese with higher education was 4.593 times more likely to be an NHI member than uneducated Madurese (95% CI 4.517-4.669). Conclusions: Education level was associated with NHI membership among Madurese in Indonesia. The higher the education level, the higher the possibility of being an NHI member. Keywords: health insurance, National Health Insurance, Madurese, big data, public health
MARITAL STATUS ROLE IN DELAYED ANTENATAL CARE INITIATION AMONG INDONESIAN MADURESE Rohmah, Nikmatur; Laksono, Agung Dwi
JURNAL KESEHATAN REPRODUKSI Vol 15 No 2 (2024): JURNAL KESEHATAN REPRODUKSI VOLUME 15 NOMOR 2 TAHUN 2024
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v15i2.284

Abstract

Background: The diversity of marital status in Madura, influenced by the socio-cultural context, has the potential to cause delays in initiating ANC visits. Objective: The study aimed to explore the role of marital status in delayed Antenatal Care (ANC) initiation among Madurese women in Indonesia. Method: The secondary analysis utilized the 2023 Indonesian Health Survey data. The study analyzed 551 women who delivered babies within the last five years. In addition to delayed ANC initiation as the outcome variable and marital status as the exposure variable, we examined eight control variables: regency, residence, age, education, employment, wealth, insurance, and parity. Binary logistic regression was employed in the final analysis. Results: The findings indicate that 23.3% of Indonesian Madurese women delayed ANC initiation. Currently, 3.2% of Madurese women are either divorced or widowed.  In terms of marital status, divorced/widowed Indonesian Madurese women are likely 5.726 times more to have delayed ANC initiation than those married group (95% CI 5.432-6.035). Moreover, the study found eight control variables associated with delayed ANC initiation: regency, residence type, age group, marital status, education level, employment, wealth, health insurance ownership, and parity. Conclusion: The study concluded that marital status was associated with delayed ANC initiation among Indonesian Madurese women. Divorced/widowed Madurese women were likely five times more to have delayed ANC initiation than married women.
Mendorong Persalinan di Pelayanan Kesehatan untuk Meningkatkan Pemberian ASI Eksklusif: Bukti dari Masyarakat Madura, Indonesia: Encouraging Healthcare Childbirth to Increase Exclusive Breastfeeding: Evidence from Madurese, Indonesia Yoto, Mohamad; Laksono, Agung Dwi; Devy, Shrimarti Rukmini; Luthviatin, Novia; Nafikadini, Iken; Nandini, Nurhasmadiar; Widyaningtyas, Nur Hafizhah
Amerta Nutrition Vol. 9 No. 1 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1.2025.45-54

Abstract

Background: Exclusive breastfeeding (EBF) is critical to starting life in its earliest phases. Breast milk alone provides adequate nutrition for infants from delivery until six months. The EBF achievement in Madura in 2022 was only 37.9%, far from the target set by the World Health Organization of 50% in 2025. Objectives: The study examined the role of birthplace on EBF in Madura Island in Indonesia. Methods: A cross-sectional study of 990 Madurese children was conducted. The researcher looked at 11 control variables, including regency, residence, mother age, marital status, education, occupation, wealth, antenatal care (ANC), early initiation breastfeeding (EIBF), child's age, and sex, and EBF activity as the outcome variable and childbirth as the exposure variable. As the last step, the author performed a binary logistic regression test. Results: Madura Island had a 37.9% EBF proportion. Meanwhile, 90.1% of births take place in healthcare facilities. According to the birthplace, mothers who gave birth in healthcare facilities were 1.939 times more likely to perform EBF than those who gave birth in non-healthcare facilities (AOR 1.939; 95% CI 1.854-2.037). Moreover, the study also found eleven control variables related to EBF among Madurese. Conclusions: Birthplace was related to EBF among Madurese. To achieve EBF, childbirth in healthcare facilities was almost twice that of childbirth in non-healthcare facilities. The study recommends only giving birth in a health facility. On the other hand, increasing the intensity of contact with health services during pregnancy and childbirth is necessary.
THE ROLE OF PRENATAL CLASSES IN EXCLUSIVE BREASTFEEDING: EVIDENCE FROM PAPUA, INDONESIA Latifah, Leny; Laksono, Agung Dwi; Soerachman, Rachmalina; Mulyantoro, Donny Kristanto; Khairunnisa, Marizka; Kusumawardani, Hastin Dyah; Hidayat, Taufiq; Samarang; Musoddaq, Muhamad Arif
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.82-97

Abstract

Background: Exclusive breastfeeding (EBF) is a lifesaving practice for infants in vulnerable conditions. Therefore, it is crucial to ensure the optimization of EBF coverage in disadvantaged areas. One of the barriers to EBF is limited maternal knowledge, and prenatal classes are designed to improve maternal health knowledge and practices. Aims: The study aimed to analyze the role of prenatal classes in supporting EBF in Papua. Methods: The cross-sectional study examined 640 mothers with children aged 0-5 months from the Papua Region. Prenatal classes were an exposure variable, while EBF practice served as an outcome variable. Nine control variables, including age, marital status, education, work, wealth, sex, infant age, and early initiation of breastfeeding (EIBF), were incorporated into the analysis. Binary logistic regression test was used for analysis. Results: The proportion of EBF in Papua is 50.7%. Mothers who participated in prenatal classes were 1.560 times more likely to practice EBF than those who did not (AOR = 1.560; 95% CI [1.476-1.649]). Additionally, the study identified nine control variables related to EBF in the Papua Region: type of residence, maternal age group, maternal marital status, education level, employment status, wealth status, infant age, infant sex, and EIBF.   Conclusion: Participation in prenatal classes is positively associated with the achievement of EBF practice in the Papua Region. Additional characteristics associated with a higher likelihood of EBF among Papuan mothers included having a higher level of education and employment, living in rural regions, experiencing poverty, being married, and achieving successful EIBF. Keywords: exclusive breastfeeding, Papua, prenatal classes, public health, public health nutrition
Stunting among toddlers in poor Indonesian households Bela, Sarni Rante Allo; Fatiah, Mona Safitri; Tambing, Yane; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Kusumawardani, Hastin Dyah; Hidayat, Taufiq
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.25738

Abstract

Poverty has a significant impact on stunting in children under the age of five from low-income families, accounting for around 18.4% of stunting cases in Indonesia. The goal of this study was to look into the factors that may contribute to the prevalence of stunting among children under the age of five from low-income families in Indonesia. The study used a cross-sectional design and data from the 2022 Indonesian National Nutrition Status Survey to evaluate approximately 112,574 children. The data was analyzed at the multivariate level in binary logistics using SPSS 26 software. The data revealed that around 24.8% of disadvantaged households in Indonesia experienced stunting, with a variety of variables impacting its frequency. These included residence variables (AOR:1.08 and 95% CI:1.08-1.09), maternal age (AOR: 1.28 with 95% CI: 1.21-1.25), education level (AOR: 1.02 and 95% CI: 1.01-1.03), marital status (AOR:1.02 with 95% CI: 1.01-1.03), Antenatal Care (ANC) (AOR:1.45 with 95% CI: 1.44-1.47), age of the child (AOR:3.29 with 95% CI: 3.27-3.31), and the sex of the infant (AOR:3.29 with 95% CI: 3.27-3.21). Seven characteristics have been identified as predictors of stunting in children under the age of five in disadvantaged Indonesian homes. Expanding targeted programs for low-income families is critical for increasing their income through comprehensive entrepreneurship training and social assistance activities.