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Pengaruh Mandatory Spending Terhadap Jasa Pelayanan Kesehatan: Literature Review Khairunnisa, Nyayu Maharani; Andarini, Desheila; Idris, Haerawati; Anggraini, Rini
Jurnal Kebijakan Kesehatan Indonesia Vol 14, No 2 (2025): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.91049

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Kesehatan merupakan hak dasar bagi semua warga yang harus dijamin oleh negara, sebagaimana diamanatkan oleh Konstitusi, khususnya UUD RI 1945 Pasal 28H ayat (1). Pasal ini dengan tegas menyatakan bahwa setiap individu berhak untuk hidup sejahtera secara fisik dan mental, memiliki tempat tinggal, lingkungan hidup yang sehat, serta menerima layanan kesehatan yang memadai. Oleh karena itu terdapat Undang-undang Dasar yang Menyusun dan membahas tentang pembelanjaan wajib untuk Kesehatan. Metode yang digunakan dalam literatura review ini adalah menelaah beberapa jurnal yang telah terindeks nasional maupun internasional yang terpublish secara luas di Google Scholar, PubMed dan Science Direct dengan jangka umur jurnal dari 2016-2022. Hasil yang telah didapat dari literatur review ini ialah pembelanjaan anggaran kesehatan yang diatur pemerintah sangatlah berpengaruh dalam jasa pelayanan kesehatan, dari pembelanjaan obat, logistik, pembayaran tenaga kesehatan serta aspek pembelanjaan yang lainnya. Dengan ini UU Kesehatan no 17 tentang penghapusan mandatory spending di Indonesia bisa berdampak yang tidak orang ketahui kedepannya.
PRIVATE HEALTH INSURANCE OWNERSHIP IN A SOCIAL HEALTH INSURANCE DOMINATED SYSTEM Putri, Dinda Bella; Idris, Haerawati; Alyousef, Mohammed
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.219-231

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Background: Private health insurance coverage in Indonesia remains very limited, which may increase financial vulnerability despite the dominance of social health insurance.  Aims: This study examines factors associated with private health insurance ownership among the Indonesian population. Methods: A cross-sectional study was conducted using data from the 2023 National Socio-Economic Survey (SUSENAS), including 179,339 respondents aged 15–64 years. Multiple logistic regression was applied to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals, controlling for demographic, socioeconomic, and health-related factors Results: The prevalence of private health insurance ownership was 0.5%. Higher education, married status, rich economic status, exposure to internet media, and absence of health complaints were significantly associated with a higher likelihood of ownership. In contrast, respondents aged 25–34 years, those living in households with fewer than five members, and employed individuals were significantly less likely to own private health insurance. Rich economic status was the strongest predictor of private health insurance ownership (adjusted PR = 3.353; 95% CI: 1.997–5.627).  Conclusion: Private health insurance ownership in Indonesia is strongly shaped by socioeconomic characteristics and information exposure. These findings provide empirical evidence to support further investigation into the role of private health insurance as a complementary mechanism within Indonesia’s social health insurance-dominated system. Keywords: Indonesia, ownership, private health insurance, socioeconomic factors
Waiting Time Experiences and Perceptions Among National Health Insurance Patients in Outpatient Care Alamsyah, Muhammad; Windusari, Yuanita; idris, Haerawati
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2751

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Waiting time is a critical aspect of healthcare service quality that influences patient satisfaction and overall service evaluation. This study aims to explore patients’ perceptions of waiting time in healthcare services by examining experiential factors that shape how waiting is interpreted and tolerated. A qualitative research design was employed, using in-depth interviews with four patients who had direct experience with healthcare service delivery. Data were analyzed thematically to identify recurring patterns in participants’ accounts. The findings reveal that perceptions of waiting time were influenced not only by its duration but also by procedural clarity, staff responsiveness, communication and information transparency, service environment, and the presence of personalization and emotional support. Clear service procedures and timely, understandable information reduced uncertainty and moderated negative perceptions of waiting. Additionally, clean and comfortable environments, along with empathetic and attentive staff interactions, enhanced patients’ ability to tolerate waiting and contributed to more positive service experiences. The study concludes that waiting time should be understood as a multidimensional experience shaped by both operational and interpersonal factors. These findings highlight the importance of adopting patient-centered strategies that integrate effective communication, environmental comfort, and emotional support in managing waiting time within healthcare services.
Highest economic status increases risk of cesarean section in women of childbearing age Idris, Haerawati; Anggraini, Rini
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.129-138

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BACKGROUNDCesarean section (CS) rates that are higher than the WHO recommendation may pose morbidity and mortality risks for both mother and child. In recent years, the number of CS deliveries has been increasing in developed and developing countries. The aim of the present study was to determine the rate of CS delivery and socioeconomic and demographic factors as risk factors of cesarean delivery in women of childbearing age. METHODSThis cross-sectional study used data from the 2017 Indonesian Health Demographic Survey (IDHS). The research subjects were 14,724 women of childbearing age aged 15-49 years who had given birth and met the inclusion criteria. The rate of CS was determined and the associations between independent and dependent variables were explored using logistic regression. RESULTSThe CS rate was 17.9%. Variables that had a significant relationship with cesarean delivery were geographic region, economic status, occupation, education, birth attendant, insurance ownership and antenatal care visits. The most dominant influencing variable was the highest economic status (OR 3.566; 95% CI: 2.857-4.452). Respondents with the highest economic status had a 3.5 times greater risk of having a cesarean delivery than subjects with the lowest economic status after controlling for the other variables. CONCLUSIONThis study demonstrated that the highest economic status increased the risk of CS delivery in women of childbearing age. The current epidemiological findings and evidence suggest adopting and implementing some strict guidelines in the health system to avoid unnecessary delivery by CS.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE SUCCESS OF EXCLUSIVE BREASTFEEDING: LITERATURE REVIEW Pratama, Benny Putra; Fajar, Nur Alam; Idris, Haerawati; Fatmalina Febry; Rini Mutahar; Suci Destriatania
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.644

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Exclusive breastfeeding is a key strategy for improving infant health and survival; however, its achievement remains suboptimal in many countries. Family support has been consistently identified as a major interpersonal determinant influencing exclusive breastfeeding success, highlighting the need for a comprehensive synthesis of recent empirical evidence. This study aims to examine and synthesize findings from empirical research on the role of family support in exclusive breastfeeding success through a narrative literature review. Literature searches were conducted using PubMed, ScienceDirect, and Google Scholar, covering publications from 2020 to 2025. Of the 864 articles initially identified, 15 studies were selected based on predefined inclusion criteria and substantive relevance to the review focus. The synthesis indicates that family support, particularly from husbands and extended family members, is consistently associated with higher exclusive breastfeeding success, with reported odds ranging from approximately two to more than threefold across studies. Family support contributes to enhanced breastfeeding self efficacy, reduced postpartum stress, decreased prelacteal feeding practices, and the establishment of a supportive home environment for breastfeeding. The mechanisms underlying these effects involve interacting psychological, hormonal, and social pathways. These findings underscore the importance of family centered approaches in exclusive breastfeeding promotion, suggesting that health interventions should not focus solely on mothers but actively engage husbands and family members as key partners in supporting breastfeeding practices
ANALISIS PELAKSANAAN KELOMPOK BINA KELUARGA BALITA DALAM PENCEGAHAN STUNTING Milandiah, Dewi; Novrikasari, Novrikasari; Idris, Haerawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 (2022): Supplementary 1
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.730

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Latar Belakang: Salah satu permasalahan gizi yang dihadapi dunia khususnya di negara-negara miskin dan berkembang adalah masalah anak pendek (stunting). Keberadaan kelompok Bina Keluarga Balita dengan cara membina tumbuh kembang anak dapat mempercepat penurunan pencegahan stunting sebagai upaya pengembangan kualitas Sumber Daya Manusia (SDM) yang menjadi modal utama pembangunan dengan mengoptimalkan potensi tumbuh kembang anak.Tujuan: Penelitian ini bertujuan untuk menganalisis pelaksanaan kelompok bina keluarga balita dalam pencegahan stunting di Kabupaten Muara Jambi.Metode: Desain studi menggunakan studi penelitian kualitatif dengan menggunakan metode pendekatan deskriptif. Sampel Penelitian berjumlah 13 informan. Pengambilan data menggunakan wawancara mendalam dan Focus Group Discussion (FGD). Penelitian ini dilakukan pada Kecamatan Mestong di Puskesmas Tempino dan Puskesmas Pondok Meja pada bulan Maret Tahun 2022.Hasil:  Hasil penelitian berdasarkan wawancara mendalam dan Focus Group Discussion (FGD) menunjukkan bahwa Kelompok Bina Keluarga Balita kaitannya dengan pencegahan stunting belum terlaksana secara optimal, Tim Pendamping keluarga telah disusun namun SK nya belum di tanda tangani Kepala Daerah. Kader  Bina Keluarga Balita sudah ada dan memenuhi kualifikasi, akan tetapi belum mendapatkan pembinaan dan pelatihan dalam pencegahan stunting. Anggaran biaya baru direalisasikan pada Bulan Juni Tahun 2022. Sarana Prasarana masih memerlukan perhatian lebih serius dalam menunjang proses berlangsungnya kegiatan Bina Keluarga Balita. Target sasaran yang memiliki pemahaman yang baik tentang Stunting di lokasi prioritas tidak >70% hanya 52,94% berarti Bina Keluarga Balita tidak terlaksana dengan baik.Kesimpulan: Sangat di perlukan politicall will dan perhatian lebih serius dari Kepala Daerah dan Pemerintah Daerah Kabupaten Muaro Jambi dalam pencegahan stunting. terutama terkait pembinaan, pelatihan, pengalokasian anggaran daerah yang cukup khususnya intensif kader dan penyediaan sarana prasarana yang akan menunjang proses berlangsungnya kegiatan Bina Keluarga Balita dalam pencegahan stunting.
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN PERSALINAN SECTIO Kusumah, Nila; Idris, Haerawati; Sitorus, Rico Januar
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 (2022): Supplementary 1
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.805

Abstract

Latar Belakang: Sectio caesarea merupakan persalinan buatan dimana janin dilahirkan melalui suatu insisi pada dinding perut dan dinding rahim serta berat diatas 500 gr. World Health Organization (WHO), menetapkan standar rata-rata sectio caesarea disebuah negara sekitar 5-15% per 1000 kelahiran. Kementerian Kesehatan Repulik Indonesia mematok persalinan secara sectio caesarea sebanyak 20% dari total persalinan di IndonesiaTujuan: Tujuan dari Literature review ini adalah untuk melihat faktor-faktor apa saja yang mempengaruhi pemilihan persalinan section caesarea.Metode: metode yang digunakan adalah literature review dengan menggunakan database adalah Google Scholar dan Science Direct. Dari dua database yang digunakan didapatkan enam artikel untuk diekstraksi data.Hasil: Dari hasil penelitian didapatkan bahwa ada dua faktor utama yang memoengaruhi kejadian  persalinan sectio caesarea yaitu faktor medis dan non medis
KEBIJAKAN PENANGGULANGAN STUNTING DI INDONESIA BERDASARKAN PROGRAM SANITASI TOTAL BERBASIS MASYARAKAT Musmarlinda, Musmarlinda; Windusari, Yuanita; Idris, Haerawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 (2022): Supplementary 1
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.808

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Latar Belakang: Kesehatan lingkungan tidak hanya merupakan aspek penting dalam kehidupan bermasyarakat, tetapi juga merupakan salah satu unsur penentu atau penentu kesejahteraan penduduk.Tujuan: tujuan penelitian ini adalah untuk melihat program sanitasi total berbasis masyarakat dengan kejadian stuntingMetode: Adapun jenis penelitian ini adalah literature review. Sampel dalam penelitian ini adalah literature berupa artikel/jurnal yang memenuhi kriteria dan relevan dengan Perilaku dan pengetahuan tentang buang air besar sembarangan serta kejadia penyakit  diare  dengan  kejadian  stunting.  Data  yang  dihasilkan  dari hasil  pengumpulan  jurnal  yang  relevan  kemudian dianalisa sesuai variabel dan disajikan dalam bentuk tableHasil: Hasil penelitian menunjukkan ada hubungan antara sanitasi total  berbasis  masyarakat  (STBM)  pilar  I  stop  buang air besar  sembarangan  (SBAS)  dengan  upaya  penurunan  angka stunting pada balita, ada hubungan antara sanitasi total berbasis masyarakat (STBM) pilar II cuci tangan pakai sabun (CTPS) dengan upaya penurunan angka stunting pada balita, ada hubungan antara sanitasi total berbasis masyarakat (STBM) pilar III pengelolaan air minum dan makanan rumah tangga (PAMM-RT) dengan upaya penurunan angka stunting pada balita
PELAYANAN ANTENATAL CARE DALAM KEJADIAN STUNTING Septhayudi, Gian; Sitorus, Rico Januar; Idris, Haerawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 (2022): Supplementary 1
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.817

Abstract

Latar Belakang: Di Indonesia angka balita stunting diperkirakan satu dari tiga anak balita jumnlahnya sekitar 8,9 juta anak atau setara 30,2% pada tahun 2018. Stunting atau pendek terjadi akibat kurang gizi kronis yang sudah berlangsung lama. Kejadian stunting diyakini terjadi karena kondisi kekurangan gizi dalam rentang waktu yang lama dimulai sejak anak dalam kandungan sampai anak usia 2 tahun (1000 hari pertama kehidupan).Tujuan: tujuan dari penelitian ini adalah untuk mengetahui pelayanan ANC dalam kejadian stunting.Metode: metode yang digunakan adalah literatur review, yaitu uraian tentang teori, temuan dan artikel penelitian lainnya yang diperoleh dari bahan acuan untuk dijadikan landasan kegiatan penelitian.Hasil: Pemeriksaan ibu hamil yang berkualitas akan mencegah secara dini komplikasi ataupun kecacatan pada ibu dan janin, sehingga dapat menjadi faktor untuk mencegah terjadinya stunting pada anak.
Tinjauan literatur sistematis: Dampak inisiasi menyusui dini (IMD) terhadap pola menyusui dan kesehatan bayi Putri, Audry Maharani Agustine; Rahmiwati, Anita; Idris, Haerawati
Jurnal SAGO Gizi dan Kesehatan Vol 7, No 1 (2026): April
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v7i1.2599

Abstract

Background: Breast milk is the main source of nutrition for infants, and early initiation of breastfeeding within the first hour after birth plays an important role in supporting the success of exclusive breastfeeding. Despite being recommended by the World Health Organization, early initiation of breastfeeding (EIB) coverage in Indonesia remains low. The 2023 Indonesian Health Survey noted that only 45.1% of infants received EIB, which is influenced by a lack of education, medical interventions during delivery, and unsupportive health facility policies. This highlights the importance of further examining the impact of IMD on breastfeeding success and overall infant health.Objectives: This article aims to to explore the impact of EIBF on breastfeeding patterns and infant health.Methods: This study is a literature review that uses a systematic approach with searches on Google Scholar and the PubMed database using the keywords ‘early initiation of breastfeeding’, ‘exclusive breastfeeding’, and ‘breastfeeding patterns’ (2020–2025). Article selection followed the PRISMA guidelines, starting with identification of 550 initial articles, followed by screening based on tittles and abstracts, resulting in 258 articles. The eligibility evaluation stage excluded 66 articles that could not be included in the criteria, resulting in six final articles for review. Results: Early initiation of breastfeeding is important for the success of exclusive breastfeeding and infant health. EIB increases maternal confidence, reduces early interventions, such as the use of formula, and stimulates the suckling reflex during the sensitive first 2 hours after birth. In addition, EIB supports milk production through the stimulation of the hormones prolactin and oxytocin. Skin contact during EIB helps maintain the baby's body temperature and prevents hypothermia. In addition to these physiological benefits, EIB strengthens the emotional bond between mothers and babies, which contributes to the long-term success of breastfeeding.Conclusion: EIBF provides significant benefits for infant health and development while supporting successful breastfeeding.
Co-Authors Achmad Fickry Faisya, Achmad Fickry Agustine, Farina Eka Alyousef, Mohammed Amrina Rosyada Andarini, Desheilla Anggreini, Rini Anggun Budiastuti Anita Rahmiwati Apriliani, Ferenadia Ardhan, Jery Asmaripa Ainy Astari, Dea Widya Azizah, Shinta Cynthia Cynthia Desheila Andarini, Desheila Dian Safriantini, Dian Dini Nabila Aryani Dinta, Nadya Ariba Ekananda, Detya Sella Elwin, Ghani El Mughni Muhammad Hidayatullah Fajar , Nur Alam Fajarini, Dessy Fatmalina Febry Fatya Rizki Fadillah Febriyanti, Henny Feranita Utama Fitri Fitri Fitriani, Novi Hamzah Hasyim Hanifah, Arindi Dinda Hardina, Siti Hartati Inaku Hayati, Thursina Vera Hidayatullah, Muhammad Dwi Indah Purnama Sari Indahsari, Siti Rahmi Inoy Trisnaini Iqlima, Erni Jangga, Jangga Juliyanda, Nugraha Khaeriyah, Muthia Khairunnisa, Nyayu Maharani Khoirunnisa, Salsabila Kurnia Sari, Wulan Kusumah, Nila Lestari, Peggy Ayu Maretha, Rika Maryanto, Hendri Milandiah, Dewi Misnaniarti Misnaniarti Monika, Salsabila Mufarika, Rully Muhammad Alamsyah Musmarlinda, Musmarlinda Najmah, Najmah Netarisa Nia Novita Sari Ningsih, Nining Ade Nirmalasari, Melisa Yuni Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nurmalia Ermi Permana Putra, Dicky Permatasari, Rahmalia Pradisa, Dea Pratama, Benny Putra Purnamasari, Septi Putri, Audry Maharani Agustine Putri, Dinda Bella Putrisha, Shantya Adeline Rachmawati, Aisyah Restu Wulandari, Anggun Rico Januar Sitorus Rifka, Niswatul Rini Anggraeni Rini Anggraini, Rini Rini Mutahar Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rusdiana Rusdiana Safithri, Vani Saparuddin Latu Sari, Merry Afriliana Sari, Novrika Septhayudi, Gian Silvi Ariyanti Silvi Aulia Rahmah Sri Agustini Suci Destriatania Suhendra, Ahmad Adi SYADZA, EGA RAVA Tembo, Tannia Trisfayeti, Ica Hervita Utama Ningsih, R.E Solfitri Wati, Yeni Arsika Yuanita Windusari Yuliantari, Devy Zaleha, Siti