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Tobacco Tax Policy and Its Impact on Health Finance in Different Countries: A Systematic Review Harvensica Gunnara; Rinaldi Daswito; Indra Martias; Ristina Rosauli Harianja
Journal of Health Sciences and Epidemiology Vol. 2 No. 2 (2024): August 2024
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v2i2.44

Abstract

The consumption of detrimental products, such as cigarettes, has a significant impact on health financing. Smoking is a detrimental practice that has negative effects on health, and the medical expenses linked to smoking-related ailments are considerable. In response, many countries have established cigarette excise laws with the aim of mitigating the adverse effects of smoking on public health and health financing. The implementation of cigarette excise taxes has resulted in a notable reduction in cigarette consumption, an increase in government revenue, and the funding of health programmes. This study aimed to enhance the understanding of the role of tobacco excise laws in promoting sustainable health financing. This study involved the review of 8 papers, and it was conducted following the guidelines of PRISMA-P, 2015 for systematic reviews. A comprehensive literature search was conducted utilizing multiple databases, including PubMed, EBSCO, and ScienceDirect. The tobacco excise management policy has generally aligned with its intended objectives. However, certain aspects, such as reducing consumption, allocation amounts, tariff patterns, and burdens, have yet to be fully effective. Therefore, it is necessary to implement strategic measures to enhance adequacy, such as increasing the pattern of excise tariffs and allocations and ensuring accountability and transparency in implementation.
KEPUASAN BIDAN TERHADAP PENGGUNAAN APLIKASI ANDROID TAKSIRAN BERAT JANIN (SI-RAJA) SEBAGAI INOVASI DALAM MEMANTAU PERTUMBUHAN JANIN Darwitri, Darwitri; Sihaloho, Meta Sari; Harianja, Ristina Rosauli; Saputri, Nurul Aini Suria; Cintiani, Jeni Cesi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.21725

Abstract

Mengetahui dan memantau perkembangan janin merupakan proses   yang   penting   bagi   ibu   hamil   dan   petugas   medis.Perkembangan janin yang terpantau akan memudahkan untuk mendeteksi  adanya  gejala  janin  tidak  normal,  sehingga  dapat dilakukan  tindakan  medis  sesegera  mungkin. Perkembangan teknologi mengarahkan penggunaan Android dapat dimanfaatkan sebagai media informasi edukatif kesehatan. Penelitian ini bertujuan untuk menganalisis kepusan bidan terhadap penggunaan Aplikasi Android Taksiran Berat Janin (Si-RAJA) sebagai inovasi dalam memantau pertumbuhan janin.  Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain cross sectional. Populasi penelitian ini adalah seluruh bidan yang melayani ANC di Puskesmas se-Kota Tanjungpinang. Jumlah sampel yang ditetapkan sebanyak 30 orang yang diambil menggunakan menggunakan teknik Simple Random Sampling. Instrumen yang digunakan dalam penelitian ini adalah e-angket yang berisi 10 penyataan tentang kepuasan terhadap penggunaan aplikasi android Si-RAJA. Data yang telah dikumpulkan dianalisis secara univariat menggunakan bantuan program SPSS versi 22.0. Rerata kepuasan bidan dalam penggunaan aplikasi android Taksiran Berat Janin (Si-RAJA) adalah 82.08 (Sangat Puas) dengan rentang 67.5-100 (Puas- Sangat Puas).
Pemberdayaan Ibu Menyusui dan Keluarga untuk Mencegah Stunting: Implementasi Media Edukasi SMART ASIK di Tanjungpinang Marella, Marella; Ridayani, Rita; Harianja, Ristina Rosauli; Batubara, Kartika Sri Dewi
Borneo Community Health Service Journal VOLUME 5 NOMOR 1 TAHUN 2025
Publisher : Fakultas Ilmu Kesehatan Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/neotyce.v5i1.6017

Abstract

This study focuses on the high prevalence of stunting in Tanjungpinang City, reaching 15.7% based on the 2022 SSGI data. The low rate of exclusive breastfeeding, at only 58%, significantly contributes to this issue. The objective of this community service project is to enhance the knowledge and skills of breastfeeding mothers through educational media in the form of flashcards called SMART ASIK. The research method includes providing education and training to breastfeeding mothers and posyandu cadres about the importance of exclusive breastfeeding and the technique of oxytocin massage. Results indicate an increase in mothers' knowledge to 90%, with exclusive breastfeeding practices rising to 75%. Cadres' skills also improved by 85%. The discussion highlights the necessity of ongoing support from posyandu cadres and community involvement in the educational process. The conclusion of this study is that the SMART ASIK program is effective in improving the knowledge and skills of breastfeeding mothers, which in turn can reduce the prevalence of stunting in the area. Future plans include regular monitoring and evaluation to ensure the sustainability of the program
OPTIMALISASI KESEJAHTERAAN JANIN PADA IBU HAMIL MELALUI PEMANFAATAN APLIKASI SI-RAJA BUMIL (TAKSIRAN BERAT JANIN IBU HAMIL) DI KELURAHAN KAMPUNG BUGIS Darwitri, Darwitri; Melly Damayanti; Ristina Rosauli Harianja; Metasari Sihaloho; Nurul Aini Suria Saputri; Nayla Nadira; Nazwa Angelia Putri; Nur Azizah
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 8: Januari 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v4i8.9506

Abstract

Taksiran Berat Janin (TBJ) perlu dipantau selama kehamilan karena berhubungan dengan resiko terjadinya komplikasi pada ibu dan bayi. Pada tahun 2023, tercatat ibu hamil dengan anemia sebesar 6,98%, sehingga diperlukan upaya meningkatkan kesejahteraan janin melalui deteksi dini dan edukasi. Tujuan kegiatan ini adalah untuk meningkatkan kesejahteraan janin pada ibu hamil. Kegiatan dilaksanakan pada Bulan Mei-November 2024 di Kelurahan Bugis. Kegiatan deteksi dini dilakukan dengan memeriksa TBJ dan kadar Hb. Ibu hamil diberikan penyuluhan menggunakan Aplikasi Si-RAJA Bumil dan tablet Fe.Hasil kegiatan ini adalah terdapat peningkatan pengetahuan ibu hamil tentang kesejahteraan janin adalah 63.8 (pre test) menjadi 79.04 (post test). Deteksi dini kesejahteraan janin didapatkan 20% orang ibu hamil dengan TBJ tidak normal dan 15% ibu hamil dengan anemia ringan. Hasil monitoring didapatkan seluruh ibu hamil memiliki kepatuhan yang tinggi dalam mengkonsumsi tablet Fe. 5% ibu hamil dengan TBJ lebih dan seluruh ibu hamil memiliki kadar hemoglobin pada rentang normal.
Media Ular Tangga REHAT (REMAJA SEHAT) sebagai Inovasi Pembelajaran untuk Meningkatkan Kesehatan Reproduksi Remaja Dewi, Utami; Harianja, Ristina Rosauli; Sihaloho, Metasari; Fenorika, Edina; Aulia, Nabila Pasya; Ramadhani, Nurhakiki; Sakinah, Radyah; Nurhaliza, Titik
SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN Vol. 2 No. 2 (2024): SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN
Publisher : Poltekes Kemenkes Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53579/segantang.v2i2.205

Abstract

Adolescents are vulnerable to various health problems, including reproductive health, Substance Use Disorders (SUDs), sexual violence, early marriage, and low self-esteem. This problem is more complex in remote areas and islands, limited to formal education and health resources. Conventional approaches such as formal education or counselling are ineffective. Therefore, innovative, interactive, and fun learning media are needed to deliver health messages to adolescents through games. The community service aims to increase students' awareness of reproductive health issues through an innovative approach using the REHAT snakes and ladders game media. This activity did not only cover reproductive health topics such as balanced nutrition and prevention of sexual violence but also taught social values relevant to adolescents' lives. The activity was conducted at SMA Negeri 1 Mantang, Mantang Lama Village, Mantang District, Bintan Regency, on Wednesday, February 28, 2024, with 45 students as the respondents. The pre-and post-tests show that the demonstrated group has an increased understanding of the material presented. Before the activity, students' average score of understanding health issues such as balanced nutrition, reproductive health, and drug prevention was 50%. After the activity, it showed that the understanding had increased to 85%. Traditional media that does not require sophisticated technology has also proven effective in areas with limited access. Hopefully, this program can be replicated in other schools to increase the positive impact of using this educational media.
PUBLIC PERCEPTION OF AIR POLLUTION IN LANDFILL-ADJACENT COMMUNITIES: THE ROLE OF SOCIO-DEMOGRAPHIC FACTORS IN URBAN INDONESIA Simbolon, Veronika Amelia; Luh Pitriyanti; Ristina Rosauli Harianja
International Journal of Social Science Vol. 4 No. 6: April 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/ijss.v4i6.10482

Abstract

Objective: This study aimed to determine the relationship between socio-demographic characteristics such as age, gender, education level, employment status, time spent at home, length of residence, and proximity to landfill with public perception of air pollution among communities living near landfill sites in urban Indonesia. Study Design: Quantitative, descriptive cross-sectional study. Place and Duration of Study: Conducted in a landfill-adjacent urban area in Tanjungpinang, Kepulauan Riau, Indonesia, from May 6 to May 8, 2024. Methodology: A total of 50 respondents aged 18 years and above were selected using purposive sampling. Data were collected through structured questionnaires assessing demographic characteristics and perceptions of air quality. Statistical analysis was conducted using descriptive statistics and chi-square tests with a significance level of p < 0.05. Results: The study found statistically significant associations between education level and perception of air pollution (p = 0.020), as well as between employment status and perception (p = 0.020). Other factors—age, gender, time spent at home, length of residence, and distance from the landfill—were not significantly associated with air pollution perception. Conclusion: Education and employment status play a key role in shaping how communities perceive air pollution near landfill sites. These findings suggest that environmental health interventions should prioritize public education and awareness programs, especially targeting individuals with lower education levels and those not engaged in formal employment.
MATERNAL AGE, PARITY, AND ANTENATAL CARE VISITS AS PREDICTORS OF CESAREAN SECTION DELIVERY AT TK II MARTHEN INDEY HOSPITAL, JAYAPURA Rahmadani, Ulfa; Vrensca C M Rupilu; Fika Daulian; Syaharuddin Nur; Faridha Almira; Wilma Florensia; Anneke Yacob; Ristina Rosauli Harianja
International Journal of Social Science Vol. 4 No. 3: October 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/ijss.v4i3.11217

Abstract

Background: Cesarean section (CS) rates have been increasing in Indonesia, including in Papua, raising concerns about maternal and neonatal outcomes. Antenatal care (ANC) is a key intervention to monitor pregnancy and prevent complications. Objective: This study aimed to determine the association between maternal age, parity, and ANC Visits with cesarean section delivery at TK II Marthen Indey Hospital, Jayapura. Methods: An analytical observational study with a cross-sectional design was conducted in 2017. The study population consisted of all delivering mothers, with a sample of 149 respondents selected based on specific inclusion and exclusion criteria. Data were obtained from medical records, including variables on maternal age, parity, ANC visits, and medical history. Univariable, bivariate (Chi-square), and multivariable (logistic regression) analyses were performed to identify dominant factors associated with CS. Results: Of 149 respondents, 57.0% delivered by CS, exceeding the WHO recommended rate (5–15%). Multivariable analysis showed that maternal age <20 or >35 years (aOR=1.6; 95% CI: 1.02–2.85; p=0.042), primiparity (aOR=1.9; 95% CI: 1.08–3.60; p=0.038), and irregular ANC visits (aOR=3.8; 95% CI: 2.00–7.20; p=0.001) were significantly associated with CS. The model showed good fit (Hosmer–Lemeshow p=0.47, Nagelkerke R²=0.32) and discrimination ability (AUC=0.76). Conclusion: Maternal age, primiparity, and ANC Visits are significant predictors of cesarean section delivery, with irregular ANC being the dominant factor. Interventions promoting regular ANC visits, particularly for high-risk mothers, are recommended to reduce unnecessary CS.
DIMENSIONS OF MIDWIVES' SATISFACTION WITH THE MANUAL BOOK OF THE MATERNAL EMERGENCY REFERRAL SYSTEM IN THE ISLANDS (SIRUTAN) Darwitri, Darwitri; Melly Damayanti; Ristina Rosauli Harianja; Metasari Sihaloho; Nurul Aini Suria Saputri; Tiyara Safitri
International Journal of Social Science Vol. 5 No. 2: Agustus 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/ijss.v5i2.11500

Abstract

This study aims to evaluate the satisfaction of midwives with the manual book of the Maternal Emergency Referral System in the Islands (Si-RUTAN) in supporting effective maternal emergency care in remote island regions. A cross-sectional descriptive study was conducted involving 30 midwives from public health centers across the Riau Islands Province in 2024. In addition, the manual was evaluated by an obstetrics and gynecology expert (SpOG) using Nielsen's heuristic usability principles. The data were analyzed using univariate descriptive statistics. Most midwives reported high satisfaction with the manual: 83.3% were "very satisfied" and 16.7% "satisfied". Across all SERVQUAL dimensions, the majority rated their satisfaction as "very satisfied", particularly in Responsiveness (80%) and Assurance (80%). No respondents reported dissatisfaction. Heuristic evaluation by the expert yielded consistently high scores, especially in "Match with real-world scenarios" and "Help and documentation" (mean score = 4.8). The expert confirmed the manual's clarity, relevance, and usability in maternal emergency situations.Conclusion:The Si-RUTAN manual book is a well-received, context-appropriate resource for midwives working in island regions. Its effectiveness in facilitating maternal emergency referrals and high usability rating suggest it should be promoted and continuously refined through user and expert input.
Tobacco Tax Policy and Its Impact on Health Finance in Different Countries: A Systematic Review Gunnara, Harvensica; Daswito, Rinaldi; Martias, Indra; Harianja, Ristina Rosauli
Journal of Health Sciences and Epidemiology Vol. 2 No. 2 (2024): August 2024
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v2i2.44

Abstract

The consumption of detrimental products, such as cigarettes, has a significant impact on health financing. Smoking is a detrimental practice that has negative effects on health, and the medical expenses linked to smoking-related ailments are considerable. In response, many countries have established cigarette excise laws with the aim of mitigating the adverse effects of smoking on public health and health financing. The implementation of cigarette excise taxes has resulted in a notable reduction in cigarette consumption, an increase in government revenue, and the funding of health programmes. This study aimed to enhance the understanding of the role of tobacco excise laws in promoting sustainable health financing. This study involved the review of 8 papers, and it was conducted following the guidelines of PRISMA-P, 2015 for systematic reviews. A comprehensive literature search was conducted utilizing multiple databases, including PubMed, EBSCO, and ScienceDirect. The tobacco excise management policy has generally aligned with its intended objectives. However, certain aspects, such as reducing consumption, allocation amounts, tariff patterns, and burdens, have yet to be fully effective. Therefore, it is necessary to implement strategic measures to enhance adequacy, such as increasing the pattern of excise tariffs and allocations and ensuring accountability and transparency in implementation.
RANCANG BANGUN APLIKASI BOOKLET CEGAH STUNTING (BOCESTING) BERBASIS ANDROID Mukodri, Dewi Mey Lestanti; Harianja, Ristina Rosauli
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.16251

Abstract

Status gizi merupakan hal yang sangat prioritas dalam mempengaruhi tumbuh kembang anak. Saat ini pemerintah telah berupaya dalam mengatasi penurunan angka stunting dengan membuat berbagai macam program promotif maupun preventif. Oleh karena itu, dalam rangka mengatasi tantangan tersebut dan meningkatkan kualitas pelayanan kesehatan di Posyandu, diperlukan solusi yang lebih modern dan terintegrasi dengan teknologi informasi dengan menggunakan sebuah aplikasi mobile. Booklet cegah stunting (Bocesting) berbasis aplikasi android ini merupakan pengembangan hasil penelitian dan suatu inovasi yang dibuat untuk menjangkau lebih banyak lagi orang tua yang belum mengerti bahwa mencegah stunting sejak dini dapat memengaruhi masa depan anak.Metode penelitian yang digunakan pada rancang bangun aplikasi BOCESTING untuk  orang tua ini meliputi perencanaan dengan menentukan informasi apa yang ingin disampaikan dan data data apa saja yang dibutuhkan serta perangkat lunak apa yang ingin digunakan untuk membangun aplikasi ini. Metode yang digunakan dalam mengembangkan sistem ini adalah metode Rapid Aplication Development (RAD). Berdasarkan hasil pengembangan aplikasi yang telah dilakukan melalui penggunaan aplikasi berbasis android sehingga menghasilkan sebuat aplikasi yang memuat informasi berupa Booklet yang berisi informasi penting yang bertujuan untuk upaya Pencegahan Stunting “BOCESTING”. Terciptanya aplikasi BOCESTING dapat digunakan untuk mendeteksi dini resiko stunting dan menambah informasi terkait stunting. Aplikasi ini juga bisa digunakan sebagai alat untuk menguji seberapa tinggi tingkat pengetahuan ibu terkait stunting karena dilengkapi dengan Pre-post kuisioner.