Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Health Information : Jurnal Penelitian Journal of Public Health Sciences
Mufarikhah, Muhimatul
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Disparitas Stunting di Wilayah Pedesaan dan Perkotaan: Systematic Review Astari, Dea Widya; Sari, Devy Kartika; Hakim, Dwi Ratnawaty; Apriliani, Ferenadia; Mufarikhah, Muhimatul; Hasanah, Putri Uswatun; Septiani, Siti Ariffah; Hasyim, Hamzah
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar belakang: Prevalensi stunting yang masih tinggi di wilayah pedesaan dibandingkan perkotaan menjadi perhatian utama dalam konteks kesehatan anak di negara berpenghasilan rendah dan menengah termasuk di Indonesia. Penelitian ini bertujuan untuk mengeksplorasi perbedaan tersebut dan mengidentifikasi faktor-faktor yang berkontribusi, dengan harapan memberikan wawasan krusial untuk perencanaan intervensi guna mengurangi prevalensi stunting, terutama di wilayah pedesaan. Metode: Penelitian ini menggunakan systematic review dengan pencarian literatur di PubMed dan Google Scholar, mengikuti panduan PRISMA. Kata kunci mencakup “Disparities” OR “Disparity” OR “Inequalities” AND “Rural” AND “Urban” AND “Stunting” dalam artikel bahasa Inggris yang diterbitkan antara 2013-2023. Didapatkan 12 artikel yang layak untuk diteliti. Hasil Penelitian: Prevalensi stunting pada anak di bawah 5 tahun lebih tinggi di pedesaan dibandingkan perkotaan, meskipun terjadi penurunan secara keseluruhan. Kesenjangan tersebut dipengaruhi oleh faktor-faktor kompleks seperti sosial demografi, kesenjangan ekonomi, dan akses pelayanan kesehatan. Kesimpulan: Faktor penyebab disparitas melibatkan karakteristik demografis, lingkungan, pendidikan ibu, status ekonomi, dan aksesibilitas pelayanan kesehatan. Rekomendasi kebijakan untuk mengatasi masalah ini termasuk peningkatan pemeriksaan antenatal dan pendidikan ibu, strategi gizi, perbaikan sanitasi, dan pengurangan kemiskinan.
Comparative Analysis of INA-CBGs Tariffs and Unit Cost of Cesarean Section: A Systematic Review in Indonesian Hospitals Syakurah, Rizma Adlia; Frymaruwah, Edwin; Mufarikhah, Muhimatul; Izzatika, Meiliza
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001257

Abstract

The National Health Insurance (JKN) requires efficient, equitable, and sustainable healthcare services. However, various studies indicate discrepancies between INA-CBGs tariffs and actual hospital service costs. One of the procedures with the highest claim rates is Cesarean Section (CS), which exhibits significant disparities. This study aims to analyze the average unit cost associated with Cesarean Sections (CS) across Indonesia using the Activity-Based Costing (ABC) method. A systematic literature review (SLR) approach was employed, analyzing articles published between 2017–2024. Relevant articles were retrieved through the Google Scholar database. Of the 79 articles initially identified, 37 passed the preliminary screening, and 12 articles met all inclusion criteria. Results indicate that INA-CBGs tariffs for CS procedures only cover 25%–54% of actual costs, varying by service class, hospital location, and operational efficiency. This mismatch contributes to financial deficits in hospitals, potentially compromising service quality, restricting medical equipment procurement, and increasing healthcare professionals’ workloads. Moreover, regional cost variations demonstrate that the current tariff system inadequately considers geographic factors and service complexity. Hospitals in major cities like Bandung report nearly double the unit costs compared to regions such as Yogyakarta or Lampung. Therefore, findings highlight the necessity of reformulating INA-CBGs tariffs to better reflect hospitals' actual conditions. Without updates based on cost-of-service, the financing system risks perpetuating service disparities and reducing the quality of national healthcare. The review findings indicate that the actual cost of Cesarean Section (CS) procedures in Indonesian hospitals is significantly higher than the INA-CBGs tariffs reimbursed by BPJS, with disparities ranging from 46% to 75%.
Co-Authors Apriliani, Ferenadia Astari, Dea Widya Frymaruwah, Edwin Hakim, Dwi Ratnawaty Hamzah Hasyim Izzatika, Meiliza Putri Uswatun Hasanah, Putri Uswatun Rizma Adlia Syakurah Sari, Devy Kartika Septiani, Siti Ariffah