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All Journal Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nurhakiki, Syifa
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

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Characteristic and Survival Analysis of Infants with Critical Congenital Heart Disease Talib, Suprohaita Rusdi; Siswanto, Johanes Edy; Djer, Mulyadi M; Safanta, Nurzalia; Nurhakiki, Syifa; Taufiqurahman, Khobir Abdul Karim; Adisasmita, Asri
Kesmas Vol. 20, No. 1
Publisher : UI Scholars Hub

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Congenital heart disease (CHD) is a major health concern worldwide. This study focused on survival analysis and the factors influencing survival in infants with critical congenital heart disease (CCHD). A total of 79 infants diagnosed with CCHD were identified, with 48.1% (n=38) exhibiting duct-dependent pulmonary circulation, 35.6% (n=28) exhibiting duct-dependent systemic circulation, 6.3% (n=5) exhibiting critical non-duct-dependent, and 10.2% (n=8) exhibiting parallel circulation issues. Of the infants studied, 55.7% (n=44) were male, 78.5% (n=62) had a gestational age of ≥37 weeks, 62% (n=49) had a birth weight of ≥2,500 grams, 59.5% (n=47) exhibited normal fetal growth, 93.7% (n=74) experienced no asphyxia, 91.1% (n=72) had no other congenital disabilities, 87.3% (n=69) had no history of fetal distress, 58.2% (n=46) maintained normal oxygen saturation, and 88.6% (n=70) had an extended stay in the neonatal intensive care unit. The survival analysis indicated that the prognosis of newborns with CCHD was markedly affected by gestational age, birth weight, desaturation, respiratory distress, and hereditary abnormalities. Additional study is required to assess the risk factors influencing the survival of newborns with CCHD.
Unraveling the Drivers of Inequality in Maternal Healthcare Utilization in Indonesia: A Decomposition Analysis Wahyuningsih, Wji; Siregar, Kemal N; Nurhakiki, Syifa
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
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This study assessed socioeconomic inequalities in maternal healthcare utilization in Indonesia and identifies key factors driving these inequalities. We used data from 2013 and 2023 Indonesian Health Surveys, comprised of a total unweighted sample of 15,638 and 9,923 women aged 15-49 in the 2013 and 2023, respectively. Concentration index (CI) measured wealth-based inequality, and decomposition analysis identified primary drivers of inequalities in maternal healthcare access. Overall maternal healthcare service utilization has increased, but significant inequalities persist. Antenatal care showed minimal improvement, with the CI rising from 0.059 to 0.079, indicating a persistent higher socioeconomic distribution. Facility-based deliveries improved, with the CI decreasing from 0.115 to 0.039. Cesarean section inequality, though reduced, remains high, with CI declining from 0.299 to 0.158. Decomposition analysis revealed that socioeconomic status, women’s education, and geographic location were the primary drivers of inequalities in maternal healthcare utilization. While Indonesia has made progress in increasing facility-based deliveries, especially among the poorest women, inequalities persist in antenatal care and cesarean section. Pro-poor policies must address these multidimensional barriers by improving access to education, particularly for women, and implementing region-specific interventions, especially in eastern Indonesia, which lags in healthcare development.
Co-Authors Asri C. Adisasmita Johanes Edy Siswanto, Johanes Edy Kemal N. Siregar Mulyadi M. Djer Safanta, Nurzalia Talib, Suprohaita Rusdi Taufiqurahman, Khobir Abdul Karim Wahyuningsih, Wji