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Comparison between health systems of Indonesia and Singapore: A systematic review Nugraha, Rizki Ahmad; Paskarini, Indriati; Tualeka, Abdul Rohim
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1146

Abstract

Background: The performance of national health systems is influenced by various internal and external factors, including governance models, financing, and geography. While both Indonesia and Singapore operate mixed public-private healthcare systems, the outcomes and challenges they face vary significantly. Understanding these differences provides critical insight into how contextual factors shape health system effectiveness. Purpose: To compare the health systems of Indonesia and Singapore by examining their structural components, similarities, differences, and challenges, with a focus on the integration of public health services. The analysis seeks to determine how contextual elements such as governance structure and geographical characteristics influence system performance. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Health systems in southeast asian countries specifically indonesia and singapore. I: Implementation and structure of the health system in Singapore, C: Health system in Indonesia, O: Comparative insights regarding efficiency, equity, accessibility, health outcomes, and quality of care between both countries, S: Systematic Review and Randomized Controlled Trials. The article search was conducted systematically using the keywords: “Health” AND “Workforce,” AND “Record,” “Vaccine Distribution,” AND “Leadership,” AND “Service Delivery,” AND “Financing System,” AND “Information System,” AND “Indonesia” OR “Singapore”. Results: Singapore’s centralized governance and compact geography enable efficient, integrated healthcare services, leading to superior health outcomes such as higher life expectancy and better physician coverage. In contrast, Indonesia’s decentralized system and geographic dispersion cause fragmented service delivery, resulting in lower life expectancy, fewer healthcare workers, and greater reliance on out-of-pocket spending. Conclusion: Singapore’s centralized and well-coordinated health system enables efficient service integration and strong health outcomes, while Indonesia’s decentralized structure and vast geography create challenges in achieving equitable and effective healthcare delivery. Strengthening governance, health workforce distribution, and digital health integration are key for Indonesia to enhance its system performance and reduce disparities.
PENGARUH ERGONOMI KERJA TERHADAP RISIKO LOW BACK PAIN PADA PEKERJA DI INDONESIA Harahap, Nurhani Mazly; Tualeka, Abdul Rohim; Jatmiko, Hapsoro Agung
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.303-311

Abstract

Background: Occupational ergonomics is directly related to all work activities (both formal and informal) and focuses on the interaction between people and their work environment to reduce musculoskeletal injuries and improve worker well-being.   Objectives: The purpose of this study was to determine the impact of occupational ergonomics on the prevalence of low back pain among Indonesian workers aged 15–49 years. Methods: This study used secondary data from the Global Burden of Diseases (GBD) 2024, applying the Disability-Adjusted Life Years (DALYs) approach to measure the risk level of low back pain caused by occupational ergonomics. Results: The analysis revealed a substantial disparity in the burden of Low Back Pain (LBP) attributed to occupational ergonomics across provinces. West Java, East Java, and Central Java recorded the highest disease burden (DALYs). Meanwhile, the provinces with the highest ergonomic risk exposure levels (Summary Exposure Value/SEV) were North Maluku (29.48%), Maluku (29.27%), and East Nusa Tenggara (29.21%). North Kalimantan consistently showed the lowest exposure levels and disease burden. Conclusion: Workplace ergonomics substantially contributes to the burden of Low Back Pain (LBP) among workers. Large regional disparities (highest in Java and Maluku/NTT) underscore the need for more targeted health actions. Priority interventions should include strict regulation enforcement, workplace monitoring, and implementation of ergonomic solutions in high-risk industrial sectors to reduce DALYs.
ANALISIS HUBUNGAN ANTARA DESAIN STASIUN KERJA DAN KARAKTERISTIK KARYAWAN TERHADAP PRODUKTIVITAS KERJA (STUDI DI PT. LEN INDUSTRI BANDUNG) Putri, Wulandari Anggraini; Mahima, A.A.Gede Kenas Alvaro; Tualeka, Abdul Rohim
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.51986

Abstract

Produktivitas kerja di sektor manufaktur sering dipengaruhi oleh faktor ergonomi dan karakteristik individu karyawan, sehingga ketidaksesuaian desain stasiun kerja dapat menimbulkan keluhan fisik yang berdampak pada penurunan kinerja. Penelitian ini bertujuan menganalisis hubungan antara desain stasiun kerja dan karakteristik karyawan terhadap produktivitas kerja di PT. Len Industri Bandung. Penelitian menggunakan desain observasional dengan pendekatan cross-sectional pada seluruh populasi karyawan divisi Information System gedung A, yaitu 32 orang yang dipilih dengan metode total sampling. Variabel independen meliputi desain stasiun kerja (meja, kursi, monitor, keyboard, mouse) serta karakteristik individu (usia, jenis kelamin, durasi penggunaan komputer, riwayat penyakit tulang, postur kerja, konsumsi air minum), sedangkan variabel dependen adalah produktivitas kerja. Data dikumpulkan melalui kuesioner dan observasi, dengan penilaian postur menggunakan metode Rapid Upper Limb Assessment (RULA) dan desain stasiun kerja berdasarkan lembar observasi OSHA 2018. Analisis data dilakukan dengan uji Chi-Square dan korelasi Spearman. Hasil penelitian menunjukkan bahwa desain stasiun kerja memiliki hubungan signifikan dengan produktivitas kerja (p = 0,000). Selain itu, karakteristik individu seperti durasi penggunaan komputer (p = 0,000), riwayat penyakit tulang (p = 0,003), dan postur kerja (p = 0,018) juga berhubungan signifikan, sedangkan usia, jenis kelamin, dan konsumsi air tidak berhubungan bermakna. Disimpulkan bahwa desain stasiun kerja yang ergonomis dan penyesuaian dengan kondisi fisik karyawan berperan penting dalam meningkatkan produktivitas.
Co-Authors Abdullah, Muhamad Azwat Ahmad Rido'i Yuda Prayogi Ahmad Rido'i Yuda Prayogi Ahmad Ridoi Yuda Prayogi Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Aisyah Noor Shofi Hanifah Akbar, Muhammad Ihzario Ibrahim Alifia, Nabila Azzahra Amanda Fithri Habibati Aminulloh, Sandi Anwar, Diana Aristy Yulanda Ambarani Arya Zulfikar Paramarta Asih, Heningdia Pastika Astriningrum Titipangesti Kusumarini Aulia Rahman Farizky Pujiantara Azeez Olawale Ojelabi Aziz, Mohd Yusmaidie Bahsin, Alkaf Munis Bahsin, Alkaf Mu’nis Barikly Robby Basa Alim Tualeka Bella Puspitaloka, Nanda Dani Nasirul Haqi Dita Perwitasari Dr. Ahsan Ahsan Dr. Syamsiar S Russeng Edinur, Hisham Atan Enjelita Karujan Ernawati, Meirina Erwin Dyah Nawawiwetu, Erwin Dyah Fadila, Isna Fahimah Hashim Firda Qurba Sari Fitri Yatulaini Frinsus Feriga Diosma Hafidzoh Fatihatul jannah Hanif Rizqi Diniari, Hanif Rizqi Harahap, Nurhani Mazly Iin Zulaiha Tuasikal Indri H Susilowati Indri H Susilowati Indri H Susilowati Indriati Paskarini Innaha Ilma Wardaya Intan Kristianti Irlangga Wisnu Wardana Irsyad Yudisianto Ishak, Ahmad Razali Ismahani Isman, Nur Izzah Istifara, Anindia Ivana Laily Jalaludin, Juliana Jatmiko, Hapsoro Agung Jayawarsa, A.A. Ketut Juliana Jalaludin Juliana Jalaludin Juliana Jalaludin Kania Nayuri Nugroho Karisma Putri, Frizki Rana Kusumarini, Astriningrum Titipangesti Lailiyah, Syifa'ul M. Subandi, Baharuddin Mahfiro Risky Safitri Mahima, A.A.Gede Kenas Alvaro Mandagi, Ayik Mirayanti Mardliyatus Sholihah Mardliyatus Sholihah, Mardliyatus Melany Kumayas Mohamed, Rafeezul Mualif, Siti Aisyah Nita Desti Rahmawati Noeroel Widajati Nugraha, Rizki Ahmad Ojelabi, Azeez Olawale Prasetya, Tofan Agung Eka Pudji Rahmawati Putri, Wulandari Anggraini Rahmadani Rahmadani Rizaldi Nanda Pratama Rizaldy Fathur Rachman Rizaldy Fathur Rachman Sacharina Surya Ningrum Safitrie, Olga Febriana Salsabila Novianti Salsabila Novianti Samsul Arifin Sarah Nadhila Rahma Setyawati, Evi Shalina, Nia Vita Shintia Yunita Arini, Shintia Yunita Shoshihandra, Doutti Sillehu, Sahrir Siti Arum Alia Siwidati, Anggit Wirama Suardi Zurimi Suardi Zurimi Suhaimi, Nur Faseeha Suherdin Suherdin Suwardi Suwardi Syamsiar Russeng Syamsiar S Russeng Syamsiar S Russeng Syamsiar S Russeng Tamilanban Thamaraikani Taurizanti, Nadia Firdausi Tri Martiana Tri Martiana Trias Mahmudiono Ulfa, Ni'matul Ulubiah, Siti Marifatul Velu Perumal Wahdah Dhiyaul Akrimah Waras, Maisarah Nasution Widjajati, Noeroel Y Denny Ardyanto W Yenitrisnawati Zabidi, Muhammad Azrul Zainon, Muhamad Radzi Zulfa Anida Zurimi, Suardi