Tumaji Tumaji
Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat. Badan Litbang Kesehatan, Kemenkes RI

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

MEMBERSHIP IN NATIONAL HEALTH INSURANCE AMONG WORKERS IN INDONESIA Wulandari, Ratna Dwi; Laksono, Agung Dwi; Tumaji, Tumaji; Herawati, Maria Holly; Pracoyo, Noer Endah; Kusrini, Ina
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.v12i2.2024.280-291

Abstract

Background: The government regulates National Health Insurance (NHI), making it mandatory for everyone. However, at this time, only some, including workers, are NHI members. Moreover, the government regulates who pays these workers' premiums. Aims: The study aimed to analyze the disparities of occupation type in NHI membership among workers in Indonesia. Methods: We involved 22,275 workers in the analysis. The analyzed variables included NHI's membership, occupation type, residence type, age group, gender, education level, marital status, and wealth status. The study employed binary logistic regression in the final step. Results: The results showed that government employees were 11.864 times more likely to be a member of NHI than the informal sector (95%CI 11.811-11.917). The private sector was 1.646 times more likely than the informal sector to be an NHI member (95%CI 1.643-1.648). Meanwhile, entrepreneurs were 0.828 times less likely to be NHI members than the informal sector (95%CI 0.827-0.829). The study found six control variables related to NHI membership: residence, age, gender, education, marital, and wealth status. Conclusion: The study concluded that NHI membership disparities existed based on occupation type. Accordingly, government employees, the private sector, the informal sector, and entrepreneurs are the most likely to become NHI members. Keywords: health insurance, health policy, national health insurance, occupation type.
Establish The Policy Target to Reduce Stunting Among Indonesian Toddlers with Single Mothers Sandra, Christyana; Sandra, Ratna Dwi Wulandari; Laksono, Agung Dwi; Ningsi, Ningsi; Tumaji, Tumaji
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.20644

Abstract

Single mothers bear two significant burdens: domestic responsibilities and earning an income. The role of a mother determines the nutritional status of a toddler. Until now, policies about stunting have not focused on specific target areas. The study aims to establish a policy target for reducing stunting among Indonesian toddlers with single mothers. The cross-sectional study examined 5,387 toddlers. Eight independent factors were considered: place of residence, mother’s age, occupation, education, socioeconomic status, antenatal care (ANC), children’s age, and sex. A binary logistic regression test was used for data analysis. 20.0% of Indonesian toddlers who had single mothers were stunted. Rural youths were 1.171 times more likely to be stunted (95%CI 1.149-1.192). All maternal ages were more likely to have stunted kids than ≥45. Lower education increases the risk of stunted toddlers. Unemployed mothers were 1.170 times more likely to have stunted kids (95%CI 1.148-1.192). The wealthier the household, the less likely the under-fives are to be stunted. Mothers without ANC were 1.194 times more likely to have stunted toddlers (95%CI 1.116-1.278). Toddlers were more likely than infants (0-11 months) to be stunted, and girls had a higher risk of stunting. The policy targeted rural areas, low-income families with young, uneducated, unemployed mothers, no ANC, older toddlers, and girls.
Peran Agen Perubahan sebagai Strategi Pemberdayaan Masyarakat dalam Upaya Pengendalian Penyakit Tidak Menular akibat Perilaku Merokok Andiarsa, Dicky; Rachmawati, Tety; Wurisastuti, Tri; Tumaji, Tumaji; Sitorus, Nikson; Yulianti, Anni; Ridha, Muhammad Rasyid
Jurnal Pengabdian Masyarakat Panacea Vol 3, No 4 (2025): Jurnal Pengabdian Masyarakat Panacea
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpmp.v3i4.16799

Abstract

Penyakit tidak menular seperti hipertensi, diabetes, dan penyakit jantung semakin meningkat di Indonesia. Salah satu faktor risiko utama adalah tingginya prevalensi merokok. Upaya pengendalian rokok tidak cukup hanya melalui regulasi, melainkan membutuhkan keterlibatan aktif masyarakat. Agen perubahan dipandang memiliki peran penting sebagai penggerak di komunitas. Artikel ini bertujuan menjelaskan peran agen perubahan sebagai strategi pemberdayaan masyarakat dalam pencegahan perilaku merokok dan pengendalian Penyakit tidak menular. Kegiatan dilaksanakan pada Mei 2024 di wilayah kerja Puskesmas Cibinong, Kabupaten Bogor. Sebanyak 20 agen perubahan dipilih dari tokoh masyarakat, kader kesehatan, pemuda, dan perwakilan organisasi lokal. Intervensi dilakukan melalui edukasi tematik, diskusi kelompok, refleksi lapangan, serta penyusunan komitmen bersama. Evaluasi hasil dilakukan dengan membandingkan kondisi pengetahuan dan sikap sebelum dan sesudah kegiatan serta analisis naratif terhadap refleksi peserta. Kegiatan menunjukkan peningkatan pengetahuan pada berbagai aspek, termasuk dampak merokok pada ibu hamil, remaja, penyakit menular, dan beban ekonomi keluarga. Sikap peserta juga berubah positif, ditandai dengan meningkatnya kesediaan menjadi teladan, memberikan edukasi, dan mendukung penerapan Kawasan Tanpa Rokok (KTR). Refleksi lapangan memperlihatkan bahwa hambatan perubahan perilaku merokok bukan kurangnya informasi, tetapi pengaruh lingkungan dan kebiasaan sosial. Agen perubahan terbukti berperan sebagai strategi pemberdayaan masyarakat. Melalui pendekatan ini, terbentuk kesadaran, komitmen kolektif, serta potensi dukungan terhadap kebijakan pengendaliannya. Kata Kunci: Agen Perubahan, Pemberdayaan Masyarakat, Merokok, PTM Non-communicable diseases (NCDs) such as hypertension, diabetes, and cardiovascular diseases continue to rise in Indonesia, with smoking identified as a major risk factor. Tobacco control requires not only regulations but also active community engagement. This study highlights the role of change agents as a strategy for community empowerment in smoking prevention and NCD control. The program was implemented in May 2024 in the working area of Cibinong Health Center, Bogor District, involving 20 selected change agents consisting of community leaders, health cadres, youth, and representatives of local organizations. Interventions included thematic education, group discussions, field reflections, and the development of collective commitments. Evaluation was based on pre- and post-activity comparisons of knowledge and attitudes, complemented by narrative analysis of participant reflections. Results showed improved understanding on the health and social impacts of smoking, including its effects on pregnant women, adolescents, communicable diseases, and household economic burdens. Positive changes in attitudes were also observed, such as greater willingness to act as role models, deliver education, and support smoke-free area initiatives. Field reflections revealed that environmental influences and social norms, rather than lack of information, were the main barriers to behavior change. Overall, change agents proved effective in fostering awareness, collective commitment, and support for tobacco control policies.