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Implementation of Sugar-Sweetened Beverages Excise Policy and Its Implications in Various Countries: Literature Review Khotami, Roissiana; Yulianty, Vetty; Oktarina, Ratih
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The prevalence of diabetes in the world is projected to continue to increase to 643 million in 2030. Indonesia is ranked 7th with the highest number of diabetes mellitus sufferers and the only one in Southeast Asia with a total of 10.7 million sufferers. Consumption of sweetened drinks is the most dominant factor in the incidence of diabetes mellitus in Indonesia. Indonesia ranks third highest in Southeast Asia in sweetened drink consumption. Excise on sweetened drinks is an effective intervention to reduce consumption of sweetened drinks, but Indonesia has not yet implemented it. This research aims to determine the implementation of excise tax policies on sweetened drinks and their implications in various countries. The study used a literature review using PubMed, ScienceDirect, Springer Link, and Scopus online databases and was based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Fifteen articles were analyzed in this study. The study was conducted in Chile, Mexico, Berkeley, San Francisco, Portugal, Germany, Ireland, the UK, South Africa, Zambia, Thailand, and Saudi Arabia while the articles were published in 2013-2021. The conclusion is excise tariffs are carried out with a specific system and ad valorem. The excise policy on sweetened drinks can lead to reduced consumption, energy intake, and the prevalence of non-communicable diseases so that it can reduce healthcare costs. From an economic standpoint, it impacts increasing state revenues, does not affect job losses, and creates industrial resistance.
Jaminan Kesehatan Nasional pada Ibu Bersalin: Sebuah Studi Cross Sectional di Nusa Tenggara Timur, Indonesia Bahaji, Amanda Firdausya; Muhammad, Faris; Ayu, Putri; Davina, Rizani Alia; Yulianty, Vetty
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Maternal Mortality Rate (MMR) in Indonesia remains high, particularly in East Nusa Tenggara (NTT). This study analyzes the relationship between National Health Insurance (JKN) ownership and mothers choosing childbirth facilities in NTT. This study employs a cross-sectional design with a quantitative approach, utilizing secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS), which was conducted from October to November 2024. The study population includes mothers who gave birth in NTT during the 2017 IDHS period, with a sample of 1,236 respondents selected using a stratified two-stage cluster sampling technique. Data analysis was performed using the chi-square test to assess the relationship between JKN ownership as the independent variable and the choice of childbirth facility as the dependent variable. Additionally, covariate variables such as maternal education level, economic status, maternal age, and residential location were analyzed. The results indicate that maternal education level has a significant relationship with the selection of healthcare facilities (p-value < 0.001). However, maternal age (p-value = 0.447), economic status (p-value = 0.199), residential location (p-value = 0.069), and JKN ownership (p-value = 0.110) do not show significant relationships. This study concludes that health education for pregnant women and optimizing the JKN program are necessary to enhance the utilization of healthcare facilities for childbirth and improve healthcare access, particularly in regions such as NTT.