Ali Ghufron Mukti
Department Of Public Health, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Policy of Ministry of Research, Technology, and Higher Education on Human Resources Development for Sustainable Societies in Indonesia Mukti, Prof. Dr. Ali Ghufron
Proceeding of International Conference on Teacher Training and Education Vol 1, No 1 (2016): Proceeding of International Conference on Teacher Training and Education
Publisher : Sebelas Maret University

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Gambaran Pendistribusian Kartu Sehat pada Program JPSBK di Wilayah Propinsi Daerah Istimewa Yogyakarta Achmawati, Faridha; Mukti, Ali Ghufron; Prabandari, Yayi Suryo
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 1, No 2 (2001)
Publisher : Universitas Muhammadiyah Yogyakarta

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The social and political crisis happening since July 1997 has affected the economic condition among Indonesians, as well as their health condition. In terms of health field, the government has held JPSBK or Health- Based Social Safety Net.The objective of this reseach is to learn the distribution of health cards provided for the community in Yogyakarta Special Province.This was an evaluative study using post-test only with secondary data from PIMU (Province Independent Monitoring Unit) survey in Yogyakarta in 2001. This study was conducted in 10 community health centers in Yogyakarta Province, and from those 10 community health centers, 220 re¬spondents were obtained.From the poverty criteria from BKKBN or National Family Planning Field Coordinator and village team, it was found that the criteria for family members of the poor that 99.1% of them could eat the basic food twice a day. All 95 % family members had different clothes to wear at home, in the office or school, and travelling. Fifty point nine percent family members joined family planning using health facility.Ninety-four point one percent of the family members went to health facil¬ity. Sixty one point four percent of the floor of the poor family ’s houses was not clay. Fifty two point three percent of the walls of their houses were made of cement and 98.2 %. of the ceilings were made of tiles. Forty fife percents of the respondents had cattles at home.This reseach showed that the distribution of health cards in Yogyakarta has not been appropriate, as there are many holders who do not full f ill the criteria as cardholders (BKKBN poverty criteria & Village Team).Krisis politik dan krisis sosial yang terjadi sejak bulan Juli 1997 telah menimbulkan dampak yang besar sekali pada kondisi ekonomi masyarakat Indo¬nesia termasuk pada kondisi kesehatannya. Khusus untuk bidang kesehatan, pemerintah melaksanakan program Jaring Pengaman Sosial Bidang Kesehatan JPSBK) .Tujuan dari penelitian ini adalah untuk mengetahui bagaimana gambaran pendistribusian Kartu Sehat yang diberikan pada masyarakat di wilayah Propinsi Daerah Istimewa Yogyakarta.Penelitian ini merupakan penelitian jenis evaluatif dengan rancangan post test only yang menggunakan data sekunder dari hasil survey PIMU (Province inde¬pendent Monitoring Unit) Propinsi Daerah Istimewa Yogyakarta tahun 2001. Penelitian dilakukan pada 10 puskesmas di Propinsi Daerah istimewa Yogyakarta, dari 10 puskesmas tersebut didapatkan responden berjumlah 220.Kriteria miskin dari BKKBN dan tim desa didapatkan kriteria seluruh anggota keluarga bisa makan makanan pokok sehari 2 kali atau lebih berjumlah 99.1 %, seluruh anggota keluarga memiliki pakaian yang berbeda untuk digunakan ii rumah, bekerja/sekolah, dan berpergian berjumlah 95%, bila ada Pasangan Usia Subur yang ingin melaksanakan KB pergi ke sarana / petugas kesehatan berjumlah 50,9%, seluruh anggota keluarga bila sakit dibawa ke sarana / fasilitas kesehatan berjumlah 94,1 %, bagian terluas lantai bukan dari tanah berjumlah 61,4%, dinding terluas rumah dari tembok berjumlah 52,3%, atap rumah terluas dari genting berjumlah 98,2%, ditambah dengan kepemilikan ternak dari 220 responden yang menjawab memiliki ternak ada 45%.Dari hasil penelitian diketahui bahwa pendistribusian Kartu Sehat di wilayah Propinsi Daerah Istimewa Yogyakarta belum sesuai dengan yang diharapkan karena masih banyak penerima Kartu Sehat yang tidak memenuhi kriteria sebagai penerima Kartu Sehat (kriteria miskin dari BKKBN dan dari tim desa).
Soursop fruit (Annona muricata Linn.) consumption does not increase serum potassium levels and not significant in cardiovascular risk improvements of prehypertension subjects Alatas, Haidar; Sja'bani, Mochammad; Irijanto, Fredie; Mustofa, .; Mukti, Ali Ghufron; Bawazier, Lucky Aziza; Zulaela, Zulaela
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 4 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.714 KB) | DOI: 10.19106/JMedScie/005004201804

Abstract

Patients with chronic kidney disease (CKD) tend to have hyperkalemia. They worry about the consumption of fruit for fear of increased serum potassium levels and therefore require a restricted potassium diet. Soursop fruit (Annona muricata Linn.) is believed to be beneficial for CKD and cardiovascular risk. This study was conducted to investigate the effect of soursop fruit supplement consumption on serum potassium levels and cardiovascular risk in prehypertension subjects from Mlati, Sleman District, Yogyakarta Special Region, Indonesia. A total 143 samples that met to the inclusion and exclusion criteria were subsequently randomized into two groups. Group I was given 2 x 100 g/day of soursop and Group II was without soursop. A laboratory examination from both groups was conducted including potassium, total cholesterol, low density lipoprotein (LDL), high density lipoprotein(HDL), and triglyceride levels at weeks 0; 7; and 13. Regular soursop consumption was evaluated every 2 weeks for 3 months. Data analysis was performed using an independent t test, a nonparametric Mann–Whitney test, and a chi-square test. No significantly different in serum potassium levels between the soursop and non-soursop groups at week 7 and 13 (p=0.073 and p=0.108) was observed. Furthermore, no significantly different in total cholesterol (p=0.254 and p=0.932), LDL (p=0.221 and p=0.710), HDL (p=0.400 and p=0.960), triglycerides (p=0.423 and p=0.580) of both groups was also obsereved. However, in subjects with hypercholesterolemia and hypertriglyceridemia, the mean cholesterol and triglyceride levels decreased compared to no soursop consumption at week 7 and 13. In conclusion, consumption of a soursop fruit supplement of 2 x 100 g/day for 13 weeks does not affect the serum potassium levels of prehypertension subjects. Moreover, the consumption of a soursop fruit supplement is not significantly different compared to those without soursoup in improving cardiovascular risk.
Gambaran Pendistribusian Kartu Sehat pada Program JPSBK di Wilayah Propinsi Daerah Istimewa Yogyakarta Achmawati, Faridha; Mukti, Ali Ghufron; Prabandari, Yayi Suryo
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 1, No 2 (2001)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v1i2.1902

Abstract

The social and political crisis happening since July 1997 has affected the economic condition among Indonesians, as well as their health condition. In terms of health field, the government has held JPSBK or Health- Based Social Safety Net.The objective of this reseach is to learn the distribution of health cards provided for the community in Yogyakarta Special Province.This was an evaluative study using post-test only with secondary data from PIMU (Province Independent Monitoring Unit) survey in Yogyakarta in 2001. This study was conducted in 10 community health centers in Yogyakarta Province, and from those 10 community health centers, 220 re¬spondents were obtained.From the poverty criteria from BKKBN or National Family Planning Field Coordinator and village team, it was found that the criteria for family members of the poor that 99.1% of them could eat the basic food twice a day. All 95 % family members had different clothes to wear at home, in the office or school, and travelling. Fifty point nine percent family members joined family planning using health facility.Ninety-four point one percent of the family members went to health facil¬ity. Sixty one point four percent of the floor of the poor family ’s houses was not clay. Fifty two point three percent of the walls of their houses were made of cement and 98.2 %. of the ceilings were made of tiles. Forty fife percents of the respondents had cattles at home.This reseach showed that the distribution of health cards in Yogyakarta has not been appropriate, as there are many holders who do not full f ill the criteria as cardholders (BKKBN poverty criteria Village Team).Krisis politik dan krisis sosial yang terjadi sejak bulan Juli 1997 telah menimbulkan dampak yang besar sekali pada kondisi ekonomi masyarakat Indo¬nesia termasuk pada kondisi kesehatannya. Khusus untuk bidang kesehatan, pemerintah melaksanakan program Jaring Pengaman Sosial Bidang Kesehatan JPSBK) .Tujuan dari penelitian ini adalah untuk mengetahui bagaimana gambaran pendistribusian Kartu Sehat yang diberikan pada masyarakat di wilayah Propinsi Daerah Istimewa Yogyakarta.Penelitian ini merupakan penelitian jenis evaluatif dengan rancangan post test only yang menggunakan data sekunder dari hasil survey PIMU (Province inde¬pendent Monitoring Unit) Propinsi Daerah Istimewa Yogyakarta tahun 2001. Penelitian dilakukan pada 10 puskesmas di Propinsi Daerah istimewa Yogyakarta, dari 10 puskesmas tersebut didapatkan responden berjumlah 220.Kriteria miskin dari BKKBN dan tim desa didapatkan kriteria seluruh anggota keluarga bisa makan makanan pokok sehari 2 kali atau lebih berjumlah 99.1 %, seluruh anggota keluarga memiliki pakaian yang berbeda untuk digunakan ii rumah, bekerja/sekolah, dan berpergian berjumlah 95%, bila ada Pasangan Usia Subur yang ingin melaksanakan KB pergi ke sarana / petugas kesehatan berjumlah 50,9%, seluruh anggota keluarga bila sakit dibawa ke sarana / fasilitas kesehatan berjumlah 94,1 %, bagian terluas lantai bukan dari tanah berjumlah 61,4%, dinding terluas rumah dari tembok berjumlah 52,3%, atap rumah terluas dari genting berjumlah 98,2%, ditambah dengan kepemilikan ternak dari 220 responden yang menjawab memiliki ternak ada 45%.Dari hasil penelitian diketahui bahwa pendistribusian Kartu Sehat di wilayah Propinsi Daerah Istimewa Yogyakarta belum sesuai dengan yang diharapkan karena masih banyak penerima Kartu Sehat yang tidak memenuhi kriteria sebagai penerima Kartu Sehat (kriteria miskin dari BKKBN dan dari tim desa).
Faktor-Faktor yang Mempengaruhi Biaya Obat Pasien Kanker Payudara di Rumah Sakit di Indonesia Diah Ayu Puspandari; Ali Ghufron Mukti; Hari Kusnanto
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 3 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.51 KB) | DOI: 10.22146/jkki.v4i3.36110

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Background: Currently non communicable disease becomes one of the ten major diseases in Indonesia. Cancer chemotherapy reported as the ninth rank out of ten major diseases, and shared as the ten most expensive hospital cost. Drugs expenditures are clearly the main source of cost pressure. Drug cost of breast cancer is important for benefit package design. Objectives: The research need to know on what are the influencing factors of drug cost for breast cancer during hospitalization in Indonesia, and the drug cost based on the selected factors. Research Methodology : The design of research was a cross sectional descriptive analysis using health facilities costing study that was conducted in Indonesia in 2011. The drug cost was calculated as a cost of illness based on a provider’s perspective. Results: Determinant factors for drug cost in breast cancer were age, length of stay, ICU, drugs availability and hospital location. The most expensive was the drug cost for patient at age 40 - <70. Drug cost for patient with ICU care found 1,8 times higher. Hospitals who had a drug supply problems were lower in cost. Hospital in Java had a lower cost. Conclusions: Age, length of stay, ICU, drugs availability and hospital location were the determinant factors of drug cost for hospitalized breast cancer patient. Drug cost for in-patient that was based on actual cost was Rp. 2,545,881,- . Drug cost for out patient care was Rp 9,127,824,-. The total drug cost per patient per year was calculated as Rp 11,673,705,- and the total drug cost for all patient per year was Rp 150,415,869,362,-. These factors will be useful for drug cost estimation purpose and for benefit package design. Latar belakang: Saat ini penyakit tidak menular merupakan salah satu dari 10 penyakit terbesar di Indonesia. Kemoterapi kanker dilaporkan di urutan ke 9 pada pasien rawat inap, serta di posisi ke 10 penyakit termahal. Biaya obat adalah komponen biaya kesehatan dengan proporsi signifikan. Biaya obat kanker payudara diperlukan dalam penentuan paket benefit JKN. Tujuan: Mengetahui faktor apa saja yang mempengaruhi biaya obat pada pasien kanker payudara di rumah sakit, dan memperoleh besaran biaya obat berdasarkan faktor-faktor yang mempengaruhinya. Metode Penelitian: Penelitian merupakan desain analisis deskriptif cross sectional menggunakan hasil studi pembiayaan fasilitas kesehatan yang dilaksanakan di Indonesia pada tahun 2011. Biaya obat dihitung sebagai cost of illness dari sisi pemberi layanan. Hasil: Variabel yang berpengaruh terhadap biaya obat adalah umur, lama dirawat, penggunaan ICU, gangguan ketersediaan obat dan lokasi rumah sakit. Biaya obat pada usia 40 -<70 tahun tertinggi. Biaya obat di ICU lebih tinggi 1,8 kali. Rumah sakit dengan gangguan ketersediaan obat lebih rendah biaya obatnya. Biaya obat di luar pulau Jawa lebih mahal. Kesimpulan: Umur, lama dirawat, penggunaan ICU, gangguan ketersediaan obat dan lokasi rumah sakit adalah faktor yang mempengaruhi biaya obat pasien kanker payudara di rumah sakit. Biaya obat rawat inap berdasarkan biaya aktual, hasilnya menunjukkan besaran Rp754.243,00 per pasien. Biaya obat untuk rawat jalan diperoleh sebesar Rp9.127.824,00. Total biaya obat per pasien per tahun adalah Rp9.882.067,00 sehingga biaya obat seluruh pasien per tahun sebesar Rp118.723.158.312,00. Faktor tersebut bermanfaat untuk estimasi biaya dan penentuan paket pengobatan pasien kanker di era JKN.
Cost-minimization analysis of intravenous sulbenicillin versus coamoxiclav for cesarean section Tri Murti Andayani; Umi Athijah; Ali Ghufron Mukti
Indonesian Journal of Pharmacy Vol 15 No 4, 2004
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.17 KB) | DOI: 10.14499/indonesianjpharm0iss0pp201-206

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The cost of antibiotic prophylaxis sulbenicillin versus coamoxiclav (in term of medication use and treatment of complications) to treat cesarean section was compared.The medical records of patient receiving intravenous sulbenicillin orcoamoxiclav for the treatment of cesarean section in PKU Muhammadiyah Hospital were retrospectively reviewed. Data were collected for patients treated from January 1, 2000 to December 31, 2000. Patient data collected included patient data based, indication of cesarean section, abdominal incision and oral antibiotics. Cost data collected included drug acquisition cost, cost of drug supplies, nursing time to administer the agents and cost of managing complication.The medical records of 98 patients were identified and reviewed. The average length of stay was 4.85 days for the sulbenicillin group and 4.90days for the coamoxiclav group. The average total including the cost of complication was Rp. 140.509 in sulbenicillin group and Rp. 376.310 in coamoxiclav group.In conclusion, the study demonstrates that intravenous coamoxiclav has a higher cost than that of intravenous sulbenicillin. This result can be used to assist institution, clinicians and pharmacists in determining the most appropriate and efficient use of drugs. These data can be a powerful tool to support various clinical and policy drug use decisions, for example included formulary management and drug use policy or guidelines.Key words: antibiotics, cesarean section, cost.
Role benefits of the private practice midwife participation in national health insurance program Ria Chitra Dewi; Ali Ghufron Mukti; Abdul Wahab
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i2.917

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Since 2014, Indonesia has launched the National Health Insurance program (JKN) through the Social Security Agency (BPJS) to improve public health, including reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). It is expected all private health services including the private midwives are encouraged to participate in the JKN system. This study aims to determine the association between wage system with the participation of private midwives in JKN program. Case-control design was performed in this study. The subjects were private midwives in the Pekanbaru municipality, Indonesia. Private midwives who participated in JKN were determined as cases (45) while those who didn’t participate were identified as controls (45). Interview using structured questionnaire was conducted to collect quantitative data, while qualitative data was collected using indepth interviews. Chi-square and Odds Ratio with 95% Confident Interval were analysed to determine the association between midwives’ participation and benefits perception. The results showed that 85.6% of respondents indicated government reward incentives were lacking. The results of the analysis of statistical test Chi-Square obtained p-value of 0.001 with OR 16.0 (95% CI 1.98 to 129.27), which means midwives who participated in the program JKN were likely to have a sufficient reward perception 16 times greater than those who did not participate in the JKN.There is a relationship between private midwives’ participation in the JKN program with benefit system granted by the government.
COST ANALYSIS OF CHRONIC KIDNEY DISEASE TREATMENT INPATIENT AS CONSIDERATION DETERMINATION IN HEALTH FINANCING BASED ON INA-DRG IN Dr MOEWARDI HOSPITAL Fina Ratih Wira Putri Fitri Yani; Ali Ghufron Mukti; Riswaka Sudjaswadi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.32

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Application of INA-DRG (Indonesian Diagnosis Related Group) system for class III of Jamkesmas’s patientsin the hospital has the objective to health services become more effective and efficient both in terms of treatmentand cost planning. The research objective was to analyze the cost of care of patients with Chronic Renal Disease(CRD), find out the relationship between patient factors, concomitant diseases and length of stay with the cost oftreatment and know the difference between the average cost of treatment of CRD according Dr Moewardi Hospital’s tariff and INA –DRG’s package tariff.The study was descriptive and using retrospective data. The subject is limited on class III of Jamkesmas’s patientwith the same period. Variables include demographic characteristics, concomitant diseases, length of stay, costs oftreatment (direct medical costs and direct non-medical costs), and outcome. Analysis data were done with crosstaband linear regression analysis. Result of the research shown that the average cost of treatment chronic renal disease based on Dr Moewardihospital’s tariff on the severity 1st is Rp. 2,870,300 ± Rp 1,634,320, severity 2nd is Rp. 3,659,200 ± Rp. 3,537,470and severity 3rd is Rp. 1,130,690 ± Rp 1,399,252. Average real LOS patient on the severity 1st is 7,00 days, severity2nd is 8.57 days and the severity 3rd is 7.80 days. There was no relationship between patient characteristics andconcomitant diseases with the cost of treatment in hospital, while the length of stay had a relationship withthe cost of treatment. Average treatment costs in chronic kidney failure severity1st, 2nd and 3rd lower than the tariff package INA-DRG, while the average difference in the real LOS, and average LOS INA-DRG severity levels only occurred in three. Keyword : INA-DRG, Chronic Renal Disease, Jamkesmas
COST ANALYSIS AND FACTORS THAT INFLUENCE COST OF HEART FAILURE TREATMENT OF HOSPITALIZED PATIENT IN RSUD SLEMAN YOGYAKARTA FOR PERIOD 2009 Herlin Surlita; Satibi Satibi; Ali Ghufron Mukti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.51

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Heart failure is a complex clinical syndrome and the risk of high morbidity and mortality in the population. HeartFailure is a disease requiring long therapy, so cost for heart failure treatment is very high.This study design was descriptive non experimental. Data was collected retrospectively. Data was analyzedby descriptive quantitative, and statistical method using correlation analysis. Data was classified based on costingsystem and number of comorbid.The mean and proportion of overall total costs of heart failure on non poor patients were greater than poorpatients and its value increases along with increasing number of comorbid. Laboratory cost dominate total cost for poor group without or with comorbid. While for non poor group was laboratory cost on patient without comorbid (29,80%) and with 1 comorbid (25,93%), on patient with 2 comorbid was medicine cost (21,99%) and onpatient with more than 2 comorbid was hospitalization cost (23,21%). Correlation test among patient characteristicindicating that six variable had significant correlation. Correlation test using a multivariate analysis showed thatvariable which significantly correlated with total cost on poor group was number of comorbid, and on non poorgroup was number of comorbid and LOS. Keyword : Heart failure, cost, type of costing system, number of comorbid
Innovative education training program of hajj healthcare workers improves the outcomes of Indonesian elderly hajj pilgrims Probosuseno Probosuseno; Fidiansjah Fidiansjah; Wasilah Rochmah; Ali Ghufron Mukti
Jurnal Cakrawala Pendidikan Vol 41, No 2 (2022): Cakrawala Pendidikan (June 2022)
Publisher : LPMPP Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/cp.v41i2.47490

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The ability of the Muslim community in Indonesia to perform the hajj pilgrimage, which fulfills Islam’s fifth pillar, is increasing. With the rise in life expectancy, the number of Indonesian elderly hajj pilgrims (EHP) is consequently growing. However, chronic conditions such as impairments, illnesses, and diseases cause an increase in morbidity and mortality among EHP. Thus, an innovative training program with practical tips for a healthy hajj experience is needed to improve the healthcare service to the EHP. This study aims to investigate the effects of an innovative training on the performance of Hajj Healthcare Workers of Indonesia (HHWI) and on the clinical outcomes of EHP. It was a quasi-experimental study. The population was all HHWI from the Surakarta embarkation in 2014. Meanwhile, the sample of this study was all 21 HHWI from Yogyakarta who received innovative training consisting of EHP special care training (theory and practice) in addition to basic national training. Twenty-one HHWI from Surakarta were randomly chosen as a control group and only received basic national training. Pre and post tests were used to assess knowledge of HHWI after training. The average pretest scores of the intervention and control groups were 48.50 and 48.07, respectively (p= 0.337), while the posttest score of the intervention group was 86.83 (p = 0.033). The measured parameters were the performance of HHWI, which is reflected by the EHP mortality rate, the number of outpatients, and the number of patients referred to the outpatients. We included the EHP under the supervision of HHWI, which has acquired training. EHP morbidity was evaluated as the number of outpatients and referred patients. There were 2216 outpatients from the intervention group as compared with 2144 in the control group, with most of them being 60-70 years old (p= 0,075). The number of referred EHP in the intervention and control groups was 10 and 30 patients, respectively (OR 2.94; p= 0.002). As for the mortality cases, we observed 7 EPH deaths during the hajj period (2 EPH from the intervention group vs 5 EPH from the control group; OR 0.263; p=0.207). Innovative training could reduce referral morbidity and mortality among elderly hajj pilgrims