Bagas Suryo Bintoro
(1) Department Of Health Behaviour, Environment, And Social Medicine; Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (2) Sleman Health And Demographic Surveillance System (Sleman HDSS), Faculty Of Medi

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Journal : Journal of Community Empowerment for Health

Protecting the Community: Improving Knowledge, Attitude, and Behaviour towards Health Insurance Firdaus Hafidz; Bagas Suryo Bintoro; Putri Tiara Rosha; Erny Octaviany; Farah Rizqi; Annisa Ryan Susilaningrum
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77439

Abstract

Indonesia has implemented the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program administered by the Health Care and Social Security Agency (BPJS Kesehatan) to improve the quality of community health and well-being. National Health Insurance implementation has had many challenges in eight years, such as complicated registration, premiums, unsatisfactory services, and lack of community participation. Policies regarding JKN should be better known and understood. This study aimed to know the knowledge, attitudes, and behavior towards health insurance that will be useful for stakeholders to develop public policies. This study was conducted in Umbulsari B sub-village in Sumberharjo, Prambanan, Yogyakarta, the lowest area of JKN participation based on Sleman HDSS data. We used a cross-sectional study design among 91 respondents who filled out a paper sheet questionnaire that consisted of five sections: demographic characteristics and insurance participation, knowledge, attitudes, actions, and satisfaction with the JKN program; the community service activities; coordination with local stakeholders; JKN participation identification using CHIKA; and educational media production and publication. Local stakeholders said that awareness about JKN is low. The Chat Assistant JKN (CHIKA) data identification from 529 IDs showed that 78.1% had become JKN participants, and 73.3% were “active”. The respondents correctly answered most of each knowledge point (score >90%). However, there were several aspects that respondents disagreed with: “every participant will get the same health services (19.78%) in attitude points, and health workers in health facilities do not discriminate (21.21%) in satisfaction points. Additionally, 21.21% of respondents rarely use health services routinely for medical check-ups. We developed educational media about the importance of JKN, as well as using CHIKA and Pandawa tutorials. Education about health insurance needs to be done continuously according to the local cultural context and innovations so that the community remains protected from the financial burden of accessing health services.
A review: How does air quality feedback benefit the implementation of smoke-free homes initiative? Sadewa, Deskantari Murti Ari; Bintoro, Bagas Suryo
Journal of Community Empowerment for Health Vol 8, No 2 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.98253

Abstract

Introduction: Smoke-free regulations forbidding smoking in all indoor settings are perceived as effective. In Indonesia, 59,3% of adults were exposed to SHS from in-house smoking.  Smoke-Free Homes (SFH) programs can potentially improve health outcomes and encourage smoke-free environments, but some challenges remain to be addressed.  Air quality feedback can be used as an additional tool that provides objective information on how smoking affects the amounts of air pollutants in their home as a promising technique to promote behavior change. This study aims to explore the usage of air quality feedback on the implementation of SFH.Methods: A comprehensive literature review on PubMed entered from 2008-2024 was undertaken with the keywords “air quality AND feedback AND smoke-free”.Results: In total, the search identified 10 articles that met the inclusion criteria. Most of the constructs in the articles had similarities, so findings were abstracted into a table according to intervention, device, place-to-device installments, feedback delivery, measurement, duration, and outcome. Most of the study was conducted in high-income countries. SHS-related PM2.5 concentration was detected at home with ‘Dylos’ in the majority of the studies. The household was provided personalized information on the PM2.5 concentration using various media, including modern technology. The findings of this study showed varied results on the PM2.5 concentration. However, different strategies were needed in some disadvantaged and vulnerable populations to promote behavior change.Conclusion: This study depicts the role of air quality feedback in supporting the implementation of SFH initiatives. The implementation of indoor air quality feedback has shown varying degrees of results in improving indoor quality. Nonetheless, it is thought that air quality feedback is an affordable, practical, and accessible intervention that can be used in Low-Middle Income Countries (LMICs) to supplement the SFH initiatives