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POLICY TO REDUCE UNDER TWO STUNTING IN EAST JAVA REGION, INDONESIA: WHO IS THE RIGHT TARGET? Laksono, Agung Dwi; Muis, Early Wulandari; Wulandari, Ratna Dwi
The Indonesian Journal of Public Health Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i2.2024.263-275

Abstract

Introduction: Currently, 22% of children worldwide are stunted, and more than half live in Asia. Stunting in East Java is still high in several areas, which should have been prevented, given the relatively good resources. Aims: The study analyzes the policy targets for reducing stunting children in East Java. Methods: The study examined 4,541 children. The study analyzed nutritional status, residence, maternal (age, marriage, education, employment, socioeconomic, prenatal class), and child characteristics (age, gender, and early breastfeeding initiation (EIBF)). Results: Children in urban regions were likelier than those in rural regions to experience stunting. Stunted children were more prevalent among mothers of all ages compared to those <20. Lower education correlated with a greater likelihood of having stunted children. Stunted children were 2.410 times more prevalent among married mothers than divorced/widowed mothers (95%CI 2.292-2.534). Stunted infants were 1.062 times more prevalent among unemployed mothers compared to employed mothers (95%CI 1.050-1.075). All socioeconomic levels have a higher probability than the wealthiest to experience stunting. Mothers with prenatal classes were 1.088 times more likely than those without to have stunted kids (95%CI 1.073-1.103). Children aged 12-23 had a greater likelihood of developing stunting than those younger than <12. Boys were 1.286 times more likely than girls to experience stunting (95%CI 1.272-1.300). Children with EIBF had a 1.081 times higher likelihood of experiencing stunting than those without (95%CI 1.069-1.093). Conclusion: The appropriate policy targets for reducing the stunting prevalence were mothers in urban areas, young age, married, poor educated, unemployed, and poor.
Analisis Penetapan Insentif Finansial di Rumah Sakit X Kabupaten Tulungagung Sukesti, Tatiek Margi; Wulandari, Ratna Dwi
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.27163

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Perawat merupakan salah satu sumber daya manusia yang memiliki peran penting di rumah sakit sehingga manajemen rumah sakit perlu menciptakan lingkungan kerja yang nyaman dengan memberikan penghargaan yang sesuai dengan kontribusi mereka dalam membangun dan meningkatkan kinerja rumah sakit. Pemberian insentif finansial termasuk salah satu cara yang dapat dilakukan untuk meningkatkan produktivitas dan kinerja pegawai. Pertimbangan pada beberapa indikator perlu dilakukan agar pemberian insentif dapat berjalan dengan optimal. Penelitian ini bertujuan untuk mengidentifikasi perhitungan insentif pada perawat di salah satu rumah sakit swasta di Kabupaken Tulungagung. Penelitian ini termasuk kedalam studi kualitatif dengan pendekatan studi kasus. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, dan telaah dokumen pada bulan Oktober 2023 di RS X Kabupaten Tulungagung. Hasil penelitian menunjukkan bahwa insentif perawat dinilai dari enam jenis indeks, dengan indeks terbesar yang mempengaruhi besaran insentif adalah competence index. Kata Kunci: Perawat, Perhitungan insentif, Sistem remunerasi.
EDUCATION'S ROLE IN PRIMARY HEALTHCARE UTILIZATION AMONG OLDER PEOPLE IN INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Zuardin, Zuardin; Rohmah, Nikmatur
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.11-24

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Introduction: The current situation shows that life expectancy is increasing, so the population of older people is also growing. As a vulnerable group, more senior people desperately need primary health care, and barriers to accessing services will increase vulnerability. Aim: The study aimed to investigate the impact of education on primary healthcare utilization among older people. Methods: This cross-sectional study examined 52,893 older people. It employed primary healthcare utilization as an outcome variable and education level as an exposure variable. Furthermore, the study used eight control variables: residence type, age group, gender, marital status, wealth, time travel to primary healthcare, and health insurance. We employed binary logistic regression to examine the data. Results: The study showed that older adults with primary education were 1.050 times more likely than those without to utilize primary healthcare (95% CI 1.046-1.054). Older people with secondary education were 0.643 times less likely to use primary healthcare than those without (95% CI 0.638-0.649). Older adults with secondary education were 0.378 times less likely than those without to use primary healthcare (95% CI 0.372-0.383). Furthermore, the study indicated that all control variables were significantly related to direct healthcare utilization. Conclusion: The study concluded that education level influences primary healthcare utilization among older people in Indonesia. Keywords: elderly people, education, primary healthcare, healthcare evaluation, healthcare access, public health
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

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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.
Teenage Pregnancy in Rural Indonesia: Does Education Level Have a Role? Wulandari, Ratna Dwi; Laksono, Agung Dwi; Matahari, Ratu
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.101-108

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Background: Teenage pregnancy is a high-risk pregnancy. Teenage pregnancy often gets social sanctions in the form of stigma from the community, and the loss of school rights. Objective: The research aims to analyze the role of education in teenage pregnancy in rural Indonesia. Methods: This study analyzed the data from the Indonesian Demographic and Health Survey 2017 using a cross-sectional approach. The unit of analysis was women aged 19-24 years old. The study pooled 1,982 women as samples. Besides the education level, other independent variables analyzed were marital, employment, and wealth. In the final stage of the study, a multivariate test with binary logistic regression was carried out. Results: The results showed that women with secondary education were 0.451 times less likely to experience teenage pregnancy than women with primary education (95% CI 0.354-0.574). Higher education was 0.110 times less likely to experience teenage pregnancy than primary education (95% CI 0.070-0.171). The study found two other variables related to teenage pregnancy in rural Indonesia besides educational factors. The two variables are employment status and wealth status. Conclusion: The study concluded that education level is associated with teenage pregnancy in Indonesia's rural areas. The lower the education level, the higher the chances of experiencing teenage pregnancy.
DETERMINAN PEMANFAATAN RAWAT INAP RUMAH SAKIT DI KABUPATEEN TULUNGAGUNG, JAWA TIMUR, INDONESIA Wulandari, Ratna Dwi; Laksono, Agung Dwi
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 4 No 1 (2024): Januari - Juni 2024
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v4i1.520

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Latar Belakang: Pengambil kebijakan harus bisa menjamin akses yang adil bagi masyarakat untuk mendapatkan pelayanan kesehatan, termasuk rawat inap RS bagi yang membutuhkan. Alasan tersebut menjadikan pemeritah harus dapat memahami apa saja yang berkaitan dengan pemanfaatan rawai inap RS, termasuk mengidentifikasi siapa saja yang masih kesulitan untuk melakukan akses rawat inap RS saat membutuhkan. Studi menganalisis faktor yang terkait dengan rawat inap rumah sakit (RS) di Tulungagung. Metode: Penelitian cross-sectional ini mengevaluasi 1.978 sampel. Studi menganalisis sembilan variabel independen. Analisis menggunakan regresi logistik biner. Hasil: Hasil studi menemukan rerata rawat inap RS di Tulungagung sekitar 4.0%. Umur, jenis kelamin, dan status perkawinan berkaitan dengan rawat inap RS. Semakin tinggi pendidikan, semakin rendah kemungkinan untuk mengalami rawat inap RS. Tidak bekerja kemungkinan 1.753 kali dibanding yang bekerja untuk mengalami rawat inap RS (95%CI 1.707-1.801). Mereka yang kaya lebih mungkin dibanding yang miskin untuk mengalami rawat inap RS. Memiliki asuransi kemungkinan 2.546 kali mengalami rawat inap dibanding yang tidak memiliki (95%CI 2.487-2.607). Waktu tempuh >1 jam kemungkinan 2.033 kali dibanding ≤1 jam untuk mengalami rawat inap RS (95%CI 1.959-2.109). Kesimpulan: Disimpulkan ada delapan variabel yang berkaitan dengan rawat inap di RS: umur, jenis kelamin, perkawinan, pendidikan, status bekerja, kekayaan, asuransi kesehatan, dan waktu tempuh.
Cross-sector Collaboration With HIV NGOs At Kedungdoro Primary Health Care Wijaya, Andriana Putri; Arizka, Ulfa Dwi; Wulandari, Ratna Dwi
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.70

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Background: Indonesia is the country with the 3rd highest number of new HIV cases in Asia Pacific after India and China. Surabaya is the city with the most HIV cases discovered with 1,260 cases. The indicator of the success of the HIV program is related to the number of people with new HIV who are found and given treatment, namely 43 out of 63 (68.25%) Primary Health Cares, the number of findings is less than the average for Primary Health Cares in Surabaya City, namely 8 PLHIV in 2023. Kedungdoro Health Center is a health center with the highest number of people with new HIV discovered and given treatment, namely 78 PLHIV in collaboration with various NGOs in HIV programs including Orbit, Mahameru, PKBI, JIP, Surabaya plus, Gaya Nusantara. This collaboration, which has existed for more than 10 years, can help increase the achievements of the HIV program, therefore the aim of this article is as a good practice that can be used as a reference by Primary Health Cares to improve the achievements of the HIV program from the aspect of cross-sector collaboration, especially NGOs.customers, PLHIV, prospective brides and grooms and the general public.Methods: The research method used is a qualitative method.  The data collection technique was carried out by collecting primary data and secondary data. Primary data was obtained through in-depth interviews The triangulation used in this research uses triangulation of data sources in the form of the results of in-depth interviews and observations.Results: Steps to build collaboration across NGO sectors in handling HIV AIDS include: 1. Ensure that the Primary Health Care has been appointed by the Health Service as a provider of PDP (Care, Support, Treatment Services). 2. Separate the VCT poly from the other poly. 3. Puskesmas must have a minimum of 1 trained counselor, 1 case manager, and 1 RR or HIV data processing admin. 4. Puskesmas prepares a decision letter from the HIV prevention and control team, terms of reference for activities, and implementation SOPs. 5. Primary Health Cares can apply to the Health Service to collaborate with NGOs or Primary Health Cares can contact relevant NGOs in an effort to establish collaboration. 6. Primary Health Cares make efforts to innovate HIV programs. 7. Puskesmas evaluates the HIV program.Conclusion: he management of the HIV program at the Kedungdoro Health Center in collaboration with HIV NGOs has gone well so that the Kedungdoro Health Center's achievements will be the highest in the city of Surabaya in 2023 regarding indicators
CAN EDUCATION INCREASE NHI MEMBERSHIP? A CASE STUDY AMONG MADURESE IN INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Nandini, Nurhasmadiar; Santi, Maya Weka
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.9-19

Abstract

Background: Madura Island is often left behind in health development in East Java Province, including in the health sector. Poverty and poor education dominate this region. Aims: The research examined the role of education in National Health Insurance (NHI) membership among Indonesian Madurese. Methods: The study employed 791 respondents. We used NHI membership as an outcome variable, education level as an exposure variable, and seven control variables: regency, residence, gender, employment, age, wealth, and marital status. In the last stage, we employed a binary logistic test. Results: The results showed that 58.2% of Madurese people in Indonesia are members of the NHI. Regarding education level, Madurese with primary education was 1.672 times more likely than those without formal education to be an NHI member (95% CI 1.662-1.683). Meanwhile, Madurese with secondary education was 2.329 times higher than those uneducated to be an NHI member (95% CI 2.306-2.352). Moreover, Madurese with higher education was 4.593 times more likely to be an NHI member than uneducated Madurese (95% CI 4.517-4.669). Conclusions: Education level was associated with NHI membership among Madurese in Indonesia. The higher the education level, the higher the possibility of being an NHI member. Keywords: health insurance, National Health Insurance, Madurese, big data, public health
Analysis of The Influence Brand Image on Community Purchase Intention in Outpatient Services at Bima City Hospital Dimara, Fransiska Natalia; Nurhidayati, Restu; Wulandari, Ratna Dwi; Pudjirahardjo, Widodo J.
MAHESA : Malahayati Health Student Journal Vol 5, No 5 (2025): Volume 5 Nomor 5 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i5.17137

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ABSTRACT Hospitals face competitive competition due to open market policies in the medical services industry. In the realm of health services, brand image plays an important role in determining patient purchase intentions. Therefore, the aim of this study is to analyze the influence brand image on community purchase intention in outpatient services in government hospitals. An analytical study with a cross-sectional approach was was carried out by distributing questionnaires in Bima from October 2022 to July 2023. The population of this study were people related to hospital services with good awareness and aged 19 -60. The sample was selected using the proportional stratified random sampling method. Descriptive statistics and correlation analysis were used to analyze the data. A total of 260 respondents from five sub-districts participated in the study. The results showed that brand image had a significant effect on the community's purchase intention towards outpatient services. Influential brand image indicators are type of brand associations with value (p = 0.486 b = 0.001), favorability of brand association with value (p = 0.198 b = 0.001) and uniqueness of brand associations with value (p = 0.165 b = 0.001). A good brand image can increase purchase intention. The brand image sub-variable that has the greatest influence on purchase intention is the type of brand associations. There was one item that was rated as poor by 60.4% of respondents regarding the timeliness of doctor services in outpatient care. A good brand image can increase purchase intentions. Evaluation and coordination between management and service providers are necessary to improve the hospital's brand image. Related activities and service schedules of doctors in the hospital must be well organized so that there is no doctor's absence. Keywords: Brand Image, Hospital, Outpatient Service, Purchase Intention
Stunting among toddlers in poor Indonesian households Bela, Sarni Rante Allo; Fatiah, Mona Safitri; Tambing, Yane; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Kusumawardani, Hastin Dyah; Hidayat, Taufiq
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.25738

Abstract

Poverty has a significant impact on stunting in children under the age of five from low-income families, accounting for around 18.4% of stunting cases in Indonesia. The goal of this study was to look into the factors that may contribute to the prevalence of stunting among children under the age of five from low-income families in Indonesia. The study used a cross-sectional design and data from the 2022 Indonesian National Nutrition Status Survey to evaluate approximately 112,574 children. The data was analyzed at the multivariate level in binary logistics using SPSS 26 software. The data revealed that around 24.8% of disadvantaged households in Indonesia experienced stunting, with a variety of variables impacting its frequency. These included residence variables (AOR:1.08 and 95% CI:1.08-1.09), maternal age (AOR: 1.28 with 95% CI: 1.21-1.25), education level (AOR: 1.02 and 95% CI: 1.01-1.03), marital status (AOR:1.02 with 95% CI: 1.01-1.03), Antenatal Care (ANC) (AOR:1.45 with 95% CI: 1.44-1.47), age of the child (AOR:3.29 with 95% CI: 3.27-3.31), and the sex of the infant (AOR:3.29 with 95% CI: 3.27-3.21). Seven characteristics have been identified as predictors of stunting in children under the age of five in disadvantaged Indonesian homes. Expanding targeted programs for low-income families is critical for increasing their income through comprehensive entrepreneurship training and social assistance activities.
Co-Authors Abbani, Abubakar Yakubu Abu Khoiri Aghnes Khen Phuspo Anindyo Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Ainur Rofiq Alida Nella Fedelina Rassa Anak Agung Gede Sugianthara Anasiya Nurwitasari Andreas Nugroho Susanto Angin, Septa Ria Agina Perangin Arief Hargono Arizka, Ulfa Dwi Armunanto Armunanto Asrining Pangastuti Batangan, Dennis B. Bintang Gumilang Bunga Maharani Choirun Nisa' Dani Nasirul Haqi Diah Yunitawati Dian Febrina Anggraini Dimara, Fransiska Natalia Diyan Ermawan Effendi, Diyan Ermawan Djazuli Chalidyanto Djazuli Chalidyanto Dwi Rani Indra Swari Ernawaty Farah Yasmine Ainun Nisa Farah Yasmine Ainun Nisa Fariani Syahrul Fathiyah Rahmah Feni Choirun Nisa Hadi Ashar Hana Krismawati Hanifiya Samha Wardhani Hario Megatsari Hesty Mustika Dewi Ilham Akhsanu Ridho Ilham Akhsanu Ridlo Ina Kusrini Intan Ayu Ningkiswari intan permata sari Intan Permata Sari Kristiawan, Ayik Sudiat Kusumawardani, Hastin Dyah Lama’ah Azzahra Leny Latifah Leny Latifah M. Bagus Qomaruddin Maghfiroh, Sufi Aulia Maria Holly Herawati maya weka santi, maya weka Mitha Permata Dini Moh Yusuf Mona Safitri Fatiah Muhammad, Khansa Fatihah Muis, Early Wulandari Nadhif Alfia Charista Kusniar Nadia Rifqi Cahyani Natasya Salsabilla Nathasya, Jessie Angeline Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Noer Endah Pracoyo Novita Aulia Effendy Nur Anisah Rahmawati Nuraini Wulandiana Nurhasmadiar Nandini Nurhidayati, Restu Nurul Hidayatul Mukaromah Nurul Hidayatul Mukaromah, Nurul Hidayatul Nyoman Anita Damayanti Oskar Renagalih Amarta Paramitha Kusuma Wardhani Popy Puspitasari Popy Puspitasari Popy Puspitasari Putri, Rizqi Salsabila Rachma Noor Kafila Raisa Manika Purwaningtias Ratu Alit Szasha Faulata Ratu Matahari Ratu Matahari Ratu Matahari Ratu Matahari Restu Widyayu Reza Fajrinmuha Rika Aprilia Rohmah, Nikmatur S. Supriyanto Sahrir Sillehu Sarni Rante Allo Bela Satyawan, Dandy Candra Sesotiyaningsih Madiyaning Utami Stefanus Supriyanto Stefanus Supriyanto Stevie Yonara Stevie Yonara, Stevie Sukesti, Tatiek Margi Supangat, Ririn Widyowati Tamara, Tashya Angelie Tatin Wahyanto Taufiq Hidayat Tri Wahyuningsih Tumaji Tumaji Tusy Novita Dwi Wardani Wahdah Dhiyaul Akrimah Wahyu Pudji Nugraheni Wahyu Setyaningsih Wahyu Setyaningsih Wahyul Anis Wasis Budiarto Widodo J. Pudjirahardjo Wijaya, Andriana Putri Yane Tambing Yashwant Vishnupant Pathak Yeni Rahmah Husniyawati Yogi Adiputro Yuli Astuti Zainul Khaqiqi Nantabah Zuardin, Zuardin