Sofia Al Farizi
Midwifery Study Program at Rustida Health Academy Magister Public Health, Faculty of Public Health, Airlangga University

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DATA TRANSPARENCY AND INFORMATION SHARING: CORONAVIRUS PREVENTION PROBLEMS IN INDONESIA Sofia Al Farizi; Bagus Nuari Harmawan
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 8 No. 2 (2020): SPECIAL ISSUE
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.35-50

Abstract

Background: Information and data of coronavirus outbreak from central government shared publicly was lacking. Such the lack of information and data has several negative impacts, such as confusion about the information experienced by local governments in accessing positive case data at the beginning of the pandemic and the red zone of the spread of the corona virus, "panic buying" by the community, and confusion on finding accurate data source to respond to the corona pandemic.Aim: This study analyzed the Indonesian Government's attitude in providing information and data transparency of the latest coronavirus outbreak to the public in Indonesia.Method: This study was qualitative research with a content analysis approach. Some information in this analysis was retrieved from COVID-19 official websites of the Indonesian Government and other Indonesian governmental institutions. To deepen the analysis, this study also featured South Korea and Singapore official websites. Other information was also obtained from mass media, social media, and policy briefs.Results: Coronavirus data transparency in Indonesia was still insufficient as seen from the information and data on the official COVID-19 website. Since the first coronavirus case was announced on March 2nd to March 17nd, 2020, the Government also did not provide comprehensive data on the outbreak through official speeches. The process of case tracking was also not carried out openly. Some case tracking innovations were also released late and massive coronavirus tests for tracking cases also did not run optimally. Information and data delivered to the public through policy speeches were inconsistent and closed in nature.Conclusion: Insufficient data transparency and information sharing can be seen from the availability of partial data on website, not optimal case tracking process, and inconsistent and instransparant information conveyed through policy messages. Keywords: Coronavirus, data transparency, information, prevention.  
Cesarean delivery Characteristics during JKN Implementation : Karakteristik persalinan sesar selama Implementasi JKN Sofia Al Farizi; Ernawati Ernawati; Erna W. Ernawaty
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 3 July 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i3.1593

Abstract

Objective: To compare the characteristics of cesarean before and during JKN, also analyzes the factors that influence these differences. Methods: This was a quantitative study with a longitudinal retrospective design and qualitative research used design case studies. The population were delivery women at the Banyuwangi referral hospital before and during JKN. The quantitative data were analyzed firstly by univariable and then bivariable. The bivariable analysis was performed by comparing the prevalence ratio (PR) between two variables. Results: The proportion of cesarean delivery had increased significantly during the implementation of JKN. 50% of maternal deaths before JKN gave birth using cesarean delivery, this proportion increased significantly to 60% during JKN. Indications of fraud committed by health workers to be a factor in increasing the proportion of cesarean delivery. Other contributing factors were repeated cesarean delivery, delayed referral, and the number of obstetric complications. Conclusion: There was an increase in the proportion of cesarean deliveries during the implementation of JKN. BPJS Kesehatan needed to re-evaluate the system they had created so far. The quality of service must be emphasized so that the negative impact on women could be minimized. Keywords: cesarean section, health insurance, maternal mortality. Abstrak Tujuan: Membandingkan karakteristik persalinan sesar sebelum dan selama implementasi JKN, selain itu juga menganalisis faktor-faktor yang berpengaruh. Metode: Studi kuantitatif dengan desain longitudinal retrospective dan studi kualitatif dengan desain case studies. Populasi adalah ibu bersalin di rumah sakit rujukan Kabupaten Banyuwangi sebelum dan selama JKN. Data kuantitatif dianalisis secara univariabel dan bivariabel. Analisis bivariabel dengan membandingkan prevalensi rasio (PR) diantara dua variabel. Hasil: Proporsi persalinan sesar meningkat secara signifikan selama implementasi JKN. 50% ibu yang meninggal bersalin dengan metode sesar, proporsi ini meningkat selama JKN menjadi 60%. Indikasi kecurangan oleh tenaga kesehatan menjadi salah satu faktor yang menyebabkan peningkatan ini. Faktor lain yang berkontribusi adalah persalinan sesar yang berulang, keterlambatan rujukan dan banyakanya komplikasi obstetrik. Kesimpulan: Terdapat peningkatan proporsi persalinan sesar selama implementasi JKN. BPJS Kesehatan perlu mengkaji ulang sistem yang dibuat selama ini. Kualitas pelayanan harus tetap dipertahankan, agar tidak berdampak pada kesehatan ibu. Kata kunci: jaminan kesehatan, kematian ibu, persalinan sesar.