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All Journal Jurnal Kesehatan Indonesian Journal of Global Health research Gemakes: Jurnal Pengabdian Kepada Masyarakat
Mutiarahati, Ni Luh Ayu Citra
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Computer Science & IT Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Optimizing the National Health Economy: Utilizing Tobacco Excise to Improve Universal Health Coverage Mutiarahati, Ni Luh Ayu Citra; Sridyantari, Luh Verra
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4960

Abstract

Tobacco Excise Tax (TET) plays a strategic role in increasing state revenue, which can be utilized to strengthen the National Health Insurance (NHI) system. This study aims to analyze the impact of raising tobacco excise taxes on the national health economy and the sustainability of health financing. A Systematic Literature Review (SLR) approach was employed, reviewing 20 journal articles published between 2018 and 2023. These articles were selected through a systematic process based on inclusion criteria such as topic relevance, applied methodology, and geographic focus.The findings reveal that increasing tobacco excise taxes is an effective strategy for enhancing public health and supporting economic development. Revenue from tobacco excise can serve as a sustainable source of funding for health initiatives, including addressing the JKN deficit, which amounted to IDR 31.7 trillion (USD 2.2 billion) as of May 2020. This funding shortfall, exacerbated by the COVID-19 pandemic, underscores the urgent need for alternative solutions. Additional revenue generated through increased tobacco taxes could be allocated to reduce the deficit and expand health service coverage.By raising excise tax rates, the government can simultaneously increase state revenue and encourage healthier behavior by reducing tobacco consumption. Thus, this policy has a dual role in improving public health indicators while strengthening the financial stability of NHI. A synthesis of the 20 reviewed articles indicates that such policies, if implemented consistently, could significantly reduce the JKN deficit and support the long-term sustainability of the national health system.
Hubungan Pelatihan Program Posyandu Siklus Hidup Dengan Kinerja Kader Desa Di Wilayah Kerja Uptd Puskesmas Pupuan I Riska Purnama Sari, Ni Putu; Yuliastuti, Ni Luh Sari; Mutiarahati, Ni Luh Ayu Citra
Jurnal Kesehatan Vol 13 No 3 (2025): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i3.631

Abstract

The Posyandu Life Cycle Training Program is a human resource development program for cadres that encompasses community health services across all stages of life, from infancy to old age. However, in its implementation, the Puskesmas have several challenges as the program is still in its early stages, and training for village cadres has only been conducted in two villages. These challenges include limited knowledge and understanding of the cadres, as well as a lack of skills and communication. This research aims to determine the relationship between the Posyandu Life Cycle Training Program and the performance of village cadres within the working area of UPTD Puskesmas Pupuan I. This research uses a quantitative method with a cross-sectional approach, involving 185 respondents selected through simple random sampling. Data were collected using a questionnaire covering respondent characteristics, participation in training, and cadre performance. The chi-square test results showed a significant relationship between training and the performance quantity of village cadres in the UPTD Puskesmas Pupuan I area (p = 0.000). In addition, length of service was also significantly associated with performance quantity (p = 0.013). Observations also indicated that, overall the Posyandu in the UPTD Puskesmas Pupuan I area had implemented the Life Cycle Posyandu program. However, out of the seven Posyandu observed, only two were found to have implemented the Life Cycle Posyandu properly. This was evident from the activeness of the cadres and the participation of Posyandu attendees across all life stages, including pregnant women, infants, toddlers, adolescents, and the elderly. It is expected that the Puskesmas can provide regular training and refreshment sessions for the Posyandu program, and that village cadres can become more active in Posyandu implementation while mastering the 25 essential cadre skills that are crucial for the success of the Life Cycle Posyandu program. Keywords: The Posyandu Life Cycle, Human Resource Management, Village Cadre, Training, Performance
UPAYA PENINGKATAN PENGETAHUAN DAN KESADARAN MASYARAKAT TERHADAP PENYAKIT DEMAM BERDARAH DENGUE (DBD): INTERVENTION TO ENHANCE PUBLIC KNOWLEDGE AND AWARENESS OF DENGUE HEMORRHAGIC FEVER (DHF) Sari, Ni Made Sekar; Mutiarahati, Ni Luh Ayu Citra; Gharbelasari, Dewa Ayu Anggi
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2026): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v6i1.2981

Abstract

Latar Belakang: Demam berdarah dengue (DBD) merupakan masalah kesehatan masyarakat yang signifikan di negara tropis, termasuk Indonesia. Apabila tidak tertangani dengan baik, DBD dapat memicu kejadian luar biasa (KLB) yang berdampak pada meningkatnya angka kesakitan dan kematian, serta menimbulkan beban besar bagi masyarakat, sistem kesehatan, dan perekonomian. Upaya pencegahan yang efektif diperlukan, khususnya melalui pengendalian vektor berbasis partisipasi masyarakat. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran masyarakat tentang pencegahan DBD melalui penyuluhan kesehatan serta mendorong partisipasi aktif masyarakat dalam pengendalian vektor nyamuk di Banjar Malkangin, Desa Dajan Peken, Tabanan. Metode: Kegiatan dilaksanakan pada Minggu, 12 Januari 2025 pukul 16.00–18.00 WITA di Balai Banjar Malkangin. Sasaran kegiatan adalah 52 orang ibu anggota kelompok PKK. Metode yang digunakan berupa penyuluhan kesehatan dengan dua materi utama, yaitu Perilaku Hidup Bersih dan Sehat (PHBS) serta penerapan 3M Plus sebagai upaya pencegahan DBD. Evaluasi dilakukan melalui pengukuran pengetahuan sebelum dan sesudah penyuluhan. Hasil: Kegiatan memperoleh respon yang sangat baik dari peserta. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan peserta sebesar 3,81 poin setelah diberikan pendidikan kesehatan mengenai DBD. Kesimpulan: Penyuluhan kesehatan efektif dalam meningkatkan pengetahuan masyarakat tentang pencegahan DBD. Kegiatan ini diharapkan menjadi langkah awal untuk mendorong keterlibatan dan komitmen masyarakat secara aktif dan berkelanjutan dalam upaya pencegahan berkembangnya kasus DBD di lingkungan sekitar.
Co-Authors Gharbelasari, Dewa Ayu Anggi Riska Purnama Sari, Ni Putu Sari, Ni Made Sekar Sridyantari, Luh Verra Yuliastuti, Ni Luh Sari