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All Journal Jurnal Keperawatan Padjadjaran Jurnal Jaminan Kesehatan Nasional
Muhtar , Muhammad Solihuddin
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Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Alcohol use and sociodemographic risk factors for severe intimate partner violence among women in Timor-Leste Zakaria, Amin; Asri, Yuni; Yunita, Heny Nurma; Kurniawan, Vendi Eko; Senghore, Thomas; Muhtar , Muhammad Solihuddin; Blair, Christopher
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2788

Abstract

Background: Intimate partner violence (IPV) remains a significant public health concern in Timor-Leste, with sociocultural norms, economic disparities, and partner behaviors contributing to its prevalence. Understanding the associated risk factors is crucial for informing prevention strategies. Purpose: This study aimed to examine sociodemographic and behavioral factors associated with severe IPV among women in Timor-Leste Methods: A cross-sectional analysis was conducted using data from 3,694 women aged 15–49 years who participated in the 2016 Timor-Leste Demographic and Health Survey (DHS). The outcome variable was self-reported severe IPV. Independent variables included age, marital status, education, household wealth index, place of residence, geographic region, and husband/partner’s alcohol consumption. Weighted logistic regression models were used to calculate crude and adjusted odds ratios (COR, AOR) with 95% confidence intervals (CI). Results: Severe IPV was significantly associated with being aged 25–34 (AOR = 1.74; 95% CI: 1.19–2.52), being unmarried/widowed/divorced (AOR = 2.56; 95% CI: 1.33–4.92), and having a partner who consumed alcohol (AOR = 2.41; 95% CI: 1.85–3.11). Higher education and better economic status were protective against IPV. Conclusions: Alcohol consumption by partners, lower education levels, and economic disadvantage are key risk factors for severe IPV in Timor-Leste. Policies targeting alcohol reduction, women’s empowerment, and tailored regional interventions are essential to mitigate IPV and its health impacts
Determinants of National Health Insurance Coverage for Family Planning Services Among Women in Indonesia Nurmayunita, Heny; Asri, Yuni; Zakaria, Amin; Muhtar , Muhammad Solihuddin
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.381

Abstract

Access to family planning services remains unequal in Indonesia despite the establishment of the National Health Insurance (NHI) program (Jaminan Kesehatan Nasional, JKN) to promote universal coverage. Disparities persist, particularly in contraceptive services, among women of reproductive age. This study examined the determinants of NHI coverage for contraceptive methods among Indonesian women of reproductive age. A cross-sectional analysis was conducted using data from 6,256 married or partnered women aged 15–49 years from the 2017 Indonesia Demographic and Health Survey (IDHS). Survey-weighted descriptive, bivariate, and multivariable logistic regression analyses were performed using Stata to identify the factors associated with NHI-covered contraceptive use. The results showed that Women with insurance schemes specifically covering family planning were significantly more likely to report contraceptive coverage through NHI (AOR: 47.5; 95% CI: 37.2–60.7). Secondary education (AOR: 2.08; 95% CI: 1.01–4.07) was positively associated with coverage, while rural residence (AOR: 0.71; 95% CI: 0.56–0.91), middle wealth status (AOR: 0.64; 95% CI: 0.46–0.88), and current employment (AOR: 0.79; 95% CI: 0.65–0.97) were negatively associated. These findings highlight persistent socioeconomic and geographic inequities in access to insured family planning services. Addressing these disparities requires targeted policy efforts, including automatic enrollment strategies for women in the informal sector, mobile registration units in rural areas, and public education campaigns to improve insurance literacy. Strengthening equitable access to family planning under the national insurance scheme is essential to achieving Indonesia’s reproductive health and universal coverage goals.
Co-Authors Amin Zakaria Blair, Christopher Nurmayunita, Heny Senghore, Thomas Vendi Eko Kurniawan YUNI ASRI, YUNI yunita, heny nurma