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All Journal Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mugia Bayu Rahardja
Pusat Penelitian dan Pengembangan Kependudukan Badan Kependudukan dan Keluarga Berencana Nasional
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Determinants of Low Birth Weight in Indonesia Oktriyanto, Oktriyanto; Rahardja, Mugia Bayu; FN, Desi Nury; Amrullah, Hilma; Pujihasvuty, Resti; PN, Margareth Maya
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 4 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i4.33365

Abstract

Low birth weight (LBW) is one of the main factors influencing the development of chronic disease in adulthood in surviving or surviving infants. This study aims to determine the determinants of the incidence of LBW in toddlers (infants aged 0-5 years) in Indonesia. This study uses a data set from the 2017 Indonesian Demographic and Health Survey (IDHS). The dependent variable is the child’s LBW status, while the independent variable consists of 3 variable blocks, namely; distal, intermediate and proximal variables. The number of samples in this study was 14,372 people. Data analysis was done descriptively and inferentially. The results showed that, of the 14,262 samples analyzed, 7% showed LBW. The highest probability of LBW was associated with the type of birth of twins (AOR: 22,087; 95%CI: 18,344-26,194), the order of birth of the 4th child or more (AOR: 2,231; 95%CI: 1,887-2.598), experiencing pregnancy complications (AOR: 1.887; 95% CI: 1.543-2.134), number of ANC visits less than 4 times (AOR: 1.763; 95% CI: 1.411-2.202), low maternal education (AOR: 1.711; 95% CI: 1.344-2.143), no consumption of iron tablets during pregnancy (AOR: 1.316; 95% CI:1.109-1.623), and households with low wealth quintiles (AOR: 1.301; 95% CI: 1.197-1.324. Various aspects have been associated with LBW which is expected to contribute on elaborating health and family policies and promoting better living conditions for mothers and children in Indonesia.
CONSEQUENCES OF BIRTH INTERVAL ON NEWBORN HEALTH Zaly, Nedra Wati; Rahardja, Mugia Bayu; Murtiningsih, Murtiningsih; Fadila, Wisnu
Jurnal Biometrika dan Kependudukan Vol. 13 No. 1 (2024): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v13i1.2024.12-19

Abstract

Babies with Low Birth Weight (LBW) are more at risk of occurring at short birth intervals than at longer birth intervals. The reproductive capacity of women can decrease and return to the primiparous state in women who experience long birth intervals which can also be risky for the baby. The purpose of this study was to determine the consequences of birth spacing on the health of newborns. This study uses two methods, both quantitative and qualitative. The quantitative method uses data from the 2017 IDHS with a cross-sectional research design. The sample of this research is mothers who gave birth in the last five years and had at least 2 (two) pregnancies. The results of this study found that 9.8% experienced short birth spacing and 7.2% of babies born with low birth weight. This study confirms the existence of a relationship between birth spacing and the incidence of LBW babies. Short birth interval risks giving birth to babies with LBW. It is hoped that the results of this study will become an initial reference for designing policies on birth intervals to improve newborn health and reduce infant mortality.
PROGRESS IN HEALTH COVERAGE AMONG INDONESIAN OLDER PEOPLE TOWARD THE WORLD HEALTH ORGANIZATION’S DECADE OF HEALTHY AGING 2021-2030 Puspitasari, Mardiana Dwi; Rahardja, Mugia Bayu; Surbakti, Indra Murty
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.364

Abstract

Introduction. Older people are associated with health decline and age-related disability. Person-centered integrated care is an action plan for the 'Decade of Healthy Aging 2021-2030' to ensure older people enjoy healthier lives. Purpose. To participate in the Decade movement, evidence of the progress in health coverage among Indonesians elderly from 2015 to 2022 should be presented. Methods. This study uses the 2015, 2020, and 2022 National Socio-Economic Survey (SUSENAS) datasets with a sample of 94,326, 121,961, and 122,344 elderly aged 60 and over, respectively. Univariate analysis is used to determine the percentage of elderly utilizing outpatient treatment between 2015 and 2022. Results. The proportion of elderly without health insurance fell from approximately 45.4 percent in 2015 to 26.4 percent in 2015, and 26 percent in 2022. However, the proportion of older people with health insurance and a health problem but not seeking outpatient treatment rose from around 35.8 percent in 2015 to 45.2 percent in 2020, and 48.2 percent in 2022. Self-medication has been the highest prevalent reason for not utilizing outpatient treatment over time. Self-medication increased from about 57.5 percent in 2015 to 62.1 percent in 2020 and 73.9 percent in 2022. Only about 2.8 percent of the elderly did not utilize outpatient treatment in 2022 due to the COVID-19 pandemic. Conclusion. As self-medication was the most common reason, community awareness and collaboration with health care providers should be encouraged to carry out person-centered integrated treatment.
Internet Usage and Its Utilization for Outpatient Treatment among Older Adults in Indonesia: Evidence from the 2020 National Socioeconomic Survey Rahardja, Mugia Bayu; Puspitasari, Mardiana Dwi; Surbakti, Indra Murty
Althea Medical Journal Vol 11, No 3 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n3.3404

Abstract

Background: Health insurance is essential for older adults to get healthcare services. Interestingly, only around half of older adults in Indonesia had used the health insurance for outpatient care. Recently, internet usage has increased and is considered a predisposing factor for seeking therapy. This study aimed to explore the internet use among older adults for outpatient therapy.Methods: The National Socioeconomic Survey (SUSENAS)-core 2020 had included 29,905 older adults who had poor self-rated health and were unable to work or carried out other daily activities. Regression analysis was performed to determine the factors that influence the outpatient treatment.Results: Outpatient treatment utilization was highly associated with all predisposing factors such as age, gender, marital status, and education (p<0.05). Older adults who did not use the internet were 1.4 times more likely not obtain outpatient care (OR 1.362; 95% CI (1.207–1.537)). Those without health insurance had a higher probability of not seeking outpatient care (OR 1.643; 95% CI (1.551–1.741)) than those who had health insurance. Enabling factors, such as household wealth and living arrangements, were significantly associated with outpatient treatment utilization (p<0.05).Conclusions: Although health insurance remains the most significant factor, internet use is emerging as a way to increase coverage of outpatient treatment for the older adults.
Pengetahuan Tentang Anemia pada Remaja dan Dewasa Muda di Jakarta dan Jawa Barat: Survei Demografi dan Kesehatan Indonesia 2017 Rahardja, Mugia Bayu; Sahiratmadja, Edhyana; Setiawati, Elsa Pudji; Panigoro, Ramdan; Surbakti, Indra Murty
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-392

Abstract

Introduction: Iron deficiency anemia in developing countries is common. However, knowledge on the etiology of anemia among young adults needs to be further explored, including hemoglobinopathy, since Indonesia is located in the thalassemia belt, harboring 6-10% thalassemia carriers. The study aimed to explore the knowledge about anemia among young adults in Jakarta and the province of West Java. Methods: A descriptive analytical study design using secondary data from the National Demographic and Health Survey 2017 was employed. A questionnaire was distributed to unmarried young adults (n=5389) aged 15-24, including questions about anemia. Knowledge was further compared between places, genders, and age groups. Result: Only 70% of young adults have heard about anemia. However, the knowledge was poor. The definition of anemia was lack of blood (48%), and only 5% stated it was due to iron deficiency. The etiology of anemia was lack of vegetables (21%) and meat (18%) consumption. As a treatment, only 9% mentioned the iron tablets. None mentioned thalassemia carrier as an alternative cause of anemia. Conclusion: Young adults in Jakarta and West Java are poorly informed about anemia. Socialization to increase knowledge about anemia is imperative. Thalassemia carriers need to be introduced among unmarried young adults for better family planning in the future.
Kualitas Pelayanan Keluarga Berencana dan Penggantian Kontrasepsi di Indonesia Rahardja, Mugia Bayu
Kesmas Vol. 6, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Keberhasilan program Keluarga Berencana Nasional tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsi dalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10 tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. The success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality and other socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visit from FP officers in last 6 months, who use implants, stop using contraceptive in order to get others method which more effective and living in urban areas. The ultivariate analysis results show that the quality of FP services which consists of informed choice and FP officer’s visit significantly influence the possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method.
Regional disparity in age-related disability: toward healthy aging in Indonesia Puspitasari, Mardiana Dwi; Rahardja, Mugia Bayu; Nurhayati, Septi; Surbakti, Indra Murty
BKM Public Health and Community Medicine Vol 40 No 01 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i01.11647

Abstract

Purpose: Maintaining functional ability and minimizing age-related disability of older adults are required to promote healthy aging. A supportive physical and social environment, in addition to individual variables, has a role in reducing the risk of age-related disability. Infrastructure development differs between Java-Bali and outer Java-Bali regions. This study aims to determine the extent to which the disability of older adults in Java-Bali and outer Java-Bali regions. Methods: This study is cross-sectional, using data from the 2020 National Socio-Economic Survey (SUSENAS) with 122.344 Indonesian older adults aged 60 and over. Disability is the outcome variable. The explanatory variable is regional disparity (Java-Bali and outer Java-Bali regions), which refers to where the older adults live. In addition, the control variables include age, sex, marital status, educational level, employment status, leisure activity, household wealth status, and self-rated health status (SRHS). A multivariate logistic regression statistical analysis is performed. Results: The outer Java-Bali region has a slightly greater prevalence of older adults with age-related disability than the Java-Bali region, with 28.8 and 22.9 percent, respectively. However, older adults living in the outer Java-Bali region are 1.63 times more likely (OR 1.63; 95% CI (1.58-1.68)) to have disability than those living in the Java-Bali region. Other socio-demographic variables are significantly associated with age-related disability. Conclusion: Living in the Java-Bali region increases the risk of age-related disability. Infrastructure development in the outer Java-Bali region needs to be improved so that older adults can experience healthy aging.
Co-Authors Amrullah, Hilma Edhyana Sahiratmadja Elsa Pudji Setiawati Fadila, Wisnu FN, Desi Nury Murtiningsih Murtiningsih Nedra Wati Zaly Oktriyanto Oktriyanto, Oktriyanto PN, Margareth Maya Pujihasvuty, Resti Puspitasari, Mardiana Dwi Ramdan Panigoro Septi Nurhayati Surbakti, Indra Murty