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All Journal Jurnal Berkala Epidemiologi Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Asri Hikmatuz Zahroh, Asri Hikmatuz
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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The Influence of Lifestyle on BMI Change for Tree-Month Injectable Hormonal Contraceptive Users Zahroh, Asri Hikmatuz
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (898.798 KB) | DOI: 10.20473/jbe.v3i2.1659

Abstract

ABSTRACTTree-Month injectable hormonal contraceptive quarterly causes an increase in BMI. Increased BMI is one of the main reasons why the contraceptive users stopped their contraceptive. However, increased BMI was not experienced by all users, there are other factors that can influence increased BMI, such as consumption, physical activity and sedentary behaviour. The purpose of this study was to determine the effect of lifestyle to anthropometic change in the injectable hormonal contraceptive users. This study used observational analytic study and case control design. The sample size use simple random sampling technique. To determine the effect and odd ratio, this study used a simple logistic regression test. The results showed that lifestyle factor that affect and risk for anthropometric changein the three-month contraceptive users is sedentary behavior. Sedentary behavior ≥ 3 hours per day can increase the risk of increased BMI 9,048 times compared with sedentary behavior < 3 hours per day. The conclusion is sedentary lifestyle affected increased BMI among three- month injectable hormonal contraceptive users. By reducing sedentary behavior habit and increasing exercise behaviour, three-month injectable contraceptive users can prevent the risk of increased BMI.Keywords: contraceptive, acceptor, lifestyle, BMI, sedentary
Risk Adjustment of Capitation Payment System: What Can Indonesia Adopt from other Countries? Zahroh, Asri Hikmatuz
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Capitation calculation in Indonesia is not adjusted by individual and aggregate risk. Without risk adjustment, capitation rates are likely to overpay or underpay primary care. This study aimed to review risk-adjusted capitation payment in other countries for evaluation of capitation payment system in Indonesia. The conduct and reporting of this systematic review followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This study used comprehensive electronic search in five databases: Pubmed, Proquest, Scopus, PMC, and EBSCOHost. Search results from five databases in April 2018, yielded a total 19 titles that will continue to review the full article and at the end, 4 articles included for systematic review. Based on risk adjustment of capitation payment system in UK, USA, Canada and Sweden, Indonesia may initiate the use of risk adjustment based on the distribution of age and sex. Then Indonesia can develop risk adjustment based on diagnosis and socioeconomic factors to create more fair and accurate capitation rates for primary care.
Capitation Management Through Performance-Based Capitation Mechanism of Primary Health Care in Malang, Indonesia Purnamasari, Ayu Tyas; Ningrum, Herlinda Dwi; Ardhiasti, Anggi; Zahroh, Asri Hikmatuz
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Abstract

Primary health care (PHC) has one of the largest funding sources, capitation, which BPJS Healthcare Security transfers monthly. Capitation fund receipts were frequently insufficient due to failure to meet performance-based capitation/Kapitasi Berbasis Kinerja (KBK) targets, including for PHC in Malang City, Indonesia. This study aimed to examine the management and utilization of capitation funds through a KBK mechanism. This descriptive study used a qualitative approach supported by quantitative data. This study was conducted from July to August 2023 and purposely selected nine informants from BPJS Healthcare Security, the local health office, and PHC. The interviews were transcribed verbatim and analyzed using a thematic analysis approach. Three themes were identified from data analysis: revenue allocation, utilization allocation, and budget expenditure appropriateness. The use of capitation follows the Mayor's regulations, which allocate service and operational costs. However, remaining capitation funds always occur due to unavoidable conditions. Separating accounts between capitation and other funding sources is necessary to track capitation utilization. Therefore, BPJS Healthcare Security needs to participate in capitation reporting and monitoring.
Co-Authors Ardhiasti, Anggi Ningrum, Herlinda Dwi Purnamasari, Ayu Tyas