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All Journal Community Medicine and Education Journal Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE)
Vita Widyasari
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Humanities Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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The Post-Pandemic Plateau: A Provincial-Level Longitudinal Analysis of Tuberculosis Stagnation in Indonesia (2021–2023) Adhika Rahman; Punik Mumpuni Wijayanti; Vita Widyasari
Community Medicine and Education Journal Vol. 6 No. 2 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i2.858

Abstract

The COVID-19 pandemic caused profound disruptions to global tuberculosis (TB) control, particularly in high-burden nations. Indonesia, ranking second globally in TB burden, faces a critical recovery period. This study aims to characterize the epidemiological trajectory of TB in Indonesia during the post-pandemic phase (2021–2023), testing the hypothesis of stagnation versus recovery. We conducted a longitudinal ecological study utilizing Global Burden of Disease (GBD) estimates and national registry data. The dataset comprised 102 observations, representing a balanced panel of Indonesia’s 34 provinces across three years (2021, 2022, 2023). Variables included age-standardized prevalence per 100,000 population, mortality rates, and Human Development Index (HDI). Normality was assessed via the Shapiro-Wilk test. Correlations were analyzed using Spearman’s rank test for non-normal distributions. To account for unobserved spatial heterogeneity and provincial clustering, we employed a Fixed Effects Within-Group Panel Regression model to determine the independent effect of time on disease burden. The mean TB prevalence across the 34 provinces was 645.2 per 100,000 population (Standard Deviation 120.5), with a mean mortality rate of 38.4 per 100,000. Regional disparities were pronounced; Papua reported prevalence rates exceeding 1,000 per 100,000, while Bali remained below 350. The Fixed Effects regression model revealed that, after controlling for provincial heterogeneity, the passage of time from 2021 to 2023 was not significantly associated with a reduction in prevalence (beta = -1.24; p = 0.68) or mortality (beta = -0.05; p = 0.81). The model confirmed a Post-Pandemic Plateau, where metrics remained statistically unchanged despite the resumption of health services. In conclusion, TB control in Indonesia has entered a critical period of stagnation. The lack of a significant downward trend in the fixed-effects model suggests that post-pandemic recovery efforts have yet to neutralize the accumulated burden of missed diagnoses. Structural interventions targeting high-incidence provinces are urgently required to restart the decline.
Trend Hipertensi Maternal Chaneda Naela Karima; Sani Rahman Soleman; Vita Widyasari
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 5 No. 2 (2026): Agustus: Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v5i2.9101

Abstract

Maternal hypertension remains one of the major contributors to maternal morbidity and mortality in Indonesia and globally. This study aimed to analyze the prevalence, mortality trends, and geographical disparities of maternal hypertension in Indonesia during the 2022–2023 period. The research employed a descriptive design using secondary data obtained from official reports of the Indonesian Ministry of Health, national health surveys, and Maternal Perinatal Death Notification (MPDN) data. Data analysis was conducted descriptively by examining prevalence rates, maternal mortality due to hypertension, regional distribution, and temporal trends across provinces in Indonesia. The findings showed a slight but consistent decline in both the prevalence and mortality rates of maternal hypertension from 2022 to 2023 in most provinces. However, significant regional disparities remained evident. Provinces in eastern Indonesia, including Papua Barat, Nusa Tenggara Timur, Maluku, and several provinces in Sulawesi and Kalimantan, consistently recorded higher prevalence and mortality rates compared to provinces in Java and Bali. Meanwhile, provinces with better healthcare infrastructure and maternal referral systems demonstrated lower mortality outcomes. The study also revealed a strong association between high prevalence and increased maternal mortality, indicating the importance of healthcare accessibility, antenatal care quality, and emergency obstetric services in reducing maternal health burdens. These findings emphasize the need for region-specific maternal health interventions, improved healthcare distribution, early detection programs, and strengthened referral systems to reduce maternal hypertension disparities and improve maternal health outcomes in Indonesia.
Co-Authors Adhika Rahman Chaneda Naela Karima Punik Mumpuni Wijayanti Sani Rahman Soleman