Daniel Pradana Andrian Wicaksono
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Differences in Sperm Motility Based on Sleep Quality in Infertilized Men at RSKIA Sadewa Daniel Pradana Andrian Wicaksono; Oscar Gilang Purnajati; Seso Sulijaya Suyono
Indonesian Andrology and Biomedical Journal Vol. 6 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/iabj.v6i1.73403

Abstract

Background : Infertility is a significant reproductive health issue, with a global prevalence of 8–12% among couples of reproductive age. One contributing factor is decreased sperm quality, including sperm motility. Poor sleep quality is suspected to affect sperm motility through hormonal disruptions and oxidative stress; however, research in Indonesia remains limited. Objective : This study aims to determine the differences in sperm motility based on sleep quality in infertile men at RSKIA Sadewa Yogyakarta. Methods : This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 60 infertile men aged 20–45 years who met the inclusion criteria. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), while sperm motility data were obtained from medical records. Data were analyzed using the independent sample t-test and One-Way Anova. Results : The results showed no significant difference in sperm motility between the good and poor sleep quality groups (p 0.374). The average sperm motility in the good sleep quality group was 48.43%, while in the poor sleep quality group, it was 43.90%. Confounding variables such as age, IMT, and smoking habits also did not show a significant effect on sperm motility. Conclusion : Sperm motility in infertile men at RSKIA Sadewa who had good sleep quality was not significantly different compared to those with poor sleep quality. Keywords : sleep quality, sperm motility, male infertility, PSQI, reproductive health
Impact of the Elimination of the National Health Insurance (BPJS Health) Service Classes on Access and Quality of Healthcare in Indoneseia: A Systematic Review Daniel Pradana Andrian Wicaksono
Journal of Community Medicine and Public Health Research Vol. 6 No. 2 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i2.70904

Abstract

This study aims to analyze the impact of eliminating BPJS Health classes and implementing the Standard Inpatient Class (KRIS) in Indonesia, focusing on healthcare access, service quality, financial sustainability, and governance. The policy was introduced to promote social equity and reduce disparities in healthcare delivery. A systematic literature review was conducted using databases such as Google Scholar, PubMed, and Scopus, covering studies published between 2019 and 2024. The selected literature met inclusion and exclusion criteria to ensure relevance and quality, and a narrative synthesis was applied to identify major patterns and policy implications.The findings indicate that KRIS can improve fairness in healthcare access and simplify administrative processes. However, significant challenges remain, especially regarding hospital preparedness in less developed regions, where overcrowding, longer waiting times, and potential declines in service quality are likely to occur. The transition from a classbased system to a standardized model also raises financial concerns, particularly about sustainability and equity in funding. In addition, governance weaknesses and limited policy communication have led to uncertainty and public hesitation.Overall, KRIS reflects a progressive step toward healthcare equity but demands careful implementation. Sustainable financing, improved hospital capacity, effective governance, and active public participation are essential for ensuring its success. Future studies should continue exploring financial mechanisms and regional readiness to guide more inclusive and sustainable policy development.