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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Bhisma Murti
Masters Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Is Longer Working Time Associated with Depression and Mental Well-being in Resident and Young Doctors? Ayu Nanda Sari; Hanung Prasetya; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.11

Abstract

Background: Long working hours are known to have a negative impact on health. This study aims to explore the association between long working hours on depression and mental well-being with a nationally representative sample. Subjects and Method: A cross-sectional study was conducted on 176 resident doctors and young doctors in Indonesia via Google Forms from November 2022 to July 2023. Depression and mental well-being were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and the World Health Organization's five-item Well-Being Index (WHO-5). The correlation between working hours (< 12 hours and ≥ 12 hours on weekdays) and depression was analyzed using multiple linear regression, while the interrelation between working hours and mental well-being applied multiple logistic regression. Results: A total of 53 (30.11%) resident doctors and junior doctors worked ≥ 12 hours on weekdays. Multiple linear regression analysis revealed that individuals with work duration ≥ 12 hours had a probability of experiencing depression 1.93 units higher than those who worked < 12 hours (b= 1.93; 95% CI= 0.35 to 3.51; p= 0.017). The multiple logistic regression model shows that individuals with work periods of ≥ 12 hours are 2.69 times more at risk of having poor mental well-being than those who work < 12 hours (OR= 2.69; 95% CI= 1.26 to 5.74; p= 0.010). Conclusion: Working too long is significantly associated with the development of depressive symptoms and poor mental well-being. Management of working hours for resident doctors and young doctors is essential for maintaining physical and psychological health in order to improve the quality of care. Keywords: long working hours, depression, mental well-being
Determinants of Dental and Oral Health Care Service: A Meta-Analysis Azilla Edsa Putri; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.04

Abstract

Background: The limited utilization of dental and oral health services leads to poor dental and oral health status of both individuals and community. Regular visits to dentists can improve oral health status through early detection of dental and oral diseases. The study aims to systematically examine the factors that influence the utilization of dental and oral health services. Subject and Method: It was a systematic review and meta-analysis study using PRISMA and PICO diagrams. P= general population. I = women, higher education, high income, poor self-perception, and having health insurance. C= male, low education, low income, good self-perception, and no health insurance. O= utilization of dental and oral health services. Data collection was conducted using the PubMed and ScienceDirect databases. The inclusion criteria used were full, English, cross-sectional design articles in 2012-2023. The keywords used are "(Determinant OR Factor associated)" AND "Dental healthcare utilization". Data analysis was performed using the RevMan 5.3 application. Result: There were14 primary articles as meta-analysis sources from Saudi Arabia, Indonesia, Iran, Korea, Thailand, Bosnia and Herzegovina, Sweden, the United States, Canada, and Brazil. Female (aOR= 1.13; CI 95%= 1.02-1.25; p= 0.020), higher education (aOR= 1.90; CI 95%= 1.40- 2.56; p<0.001), high income (aOR= 1.91; CI 95%= 1.55-2.35; p<0.001), and having health insurance (aOR= 1.68; CI 95%= 1.30-2.19; P<0.001) increased the utilization of dental and oral health services. Self-perception did not affect the utilization of dental and oral health services (aOR= 1.04; CI 95%= 0.81-1.33; p= 0.76). Conclusion: Female gender, education level, income level, and ownership of health insurance influence the utilization of dental and oral health services. Keywords: dental healthcare utilization, factor associated
Effects of Age, Safety Environment, and Fair Salary on Work Satisfaction Hanisah Hanisah; Dwi Nina Wijayanti; Dewi Utary; Bhisma Murti; Anggun Fitri Handayani
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.07

Abstract

ABSTRACT Background: Job satisfaction generally describes how satisfied a person is in carrying out their work. Job satisfaction can also be influenced by various factors such as competitive salaries, adequate staff numbers, a pleasant work environment, opportunities for growth and professionalism, reasonable workload, recognition by superiors, positive relationships with colleagues, autonomy at work, security. work, career advancement and fair rewards. This study aims to estimate the effect of age, a safe work environment and fair payment on the job satisfaction of health workers. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used range from 2014 to 2023. Population = Health workers. Intervention=age range >30 years, safe work environment, fair pay. Comparison= age range <30 years, unsafe work environment, fair pay. Outcome = job satisfaction. Articles were collected from databases such as Google Scholar, PubMed, and Science Direct. The literature search used the keywords "Safety Environment or Conducive Environment" AND "Fair Salary" AND "Health Provider" AND "Job Satisfaction" AND "Cross Sectional". A total of 9 articles met the inclusion criteria for meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis with a cross-sectional study design of 9 primary study articles from Ethiopia and Myanmar showed that age over 30 years did not affect job satisfaction among health workers (aOR=1.00; 95% CI= 0.94 to 1.07; p= 0.940). A safe work environment (aOR= 1.23; 95% CI= 0.92 to 1.65; p= 0.160) can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay (aOR= 2.38; 95% CI= 1.78 to 3.19; p<0.001); can increase job satisfaction of health workers and these results are statistically significant. Conclusion: Age over 30 years does not affect job satisfaction among health workers. A safe work environment can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay can increase health workers' job satisfaction and this result is statistically significant. Keywords: safety environment, fair salary, health provider, job satisfaction
Path Analysis of Factors Influencing the Quality of Health Services and Inpatient’s Satisfaction in Hospitals Alfian Muhajir; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.09

Abstract

Background: Quality of health services is an effort to provide health services to individuals and populations in increasing the likelihood of desired health outcomes. Patient satisfaction is an indicator in assessing the quality of health services. This study aims to analyze the factors that influence the quality of health services and satisfaction of inpatients in hospitals. Subjects and Method: The research, with a cross-sectional study design, was carried out at public and private hospitals in Mataram City from November to December 2023. A total of 207 inpatients were selected using simple random sampling in the study. The dependent variables are health service quality and patient satisfaction. The independent variables are gender, education level, income, BPJS status (payment type), inpatient class, and length of stay. Collecting data on perceptions of health service quality and patient satisfaction using a structured questionnaire prepared based on Parasuraman's Servqual concept (1985). Results: Patient satisfaction is significantly influenced by perceived quality of health services (b = 0.81; 95% CI = 0.76 to 0.86; p < 0.001) and patient education level (b = -0.08; 95% CI = -0.17 to -0.003; p = 0.04 ). Perceived quality of health services is significantly influenced by income factors (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001) and patient inpatient room class (b= 0.40; 95% CI= 0.28 to 0.52; p <0.001) . Perception of service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Conclusion: Patient satisfaction is significantly influenced by the quality of health services and the patient's level of education. The quality of health services is significantly influenced by income factors and the patient's inpatient room class. Service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Keywords: pathway analysis, inpatients, quality of health services, satisfaction.
Analysis of Willingness to Pay Contributions for Independent National Health Insurance Participation in Informal Sector Business Actors in the Mandalika Tourism Area, Lombok, Nusa Tenggara Barat, Indonesia Dewi Utary; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.09.03.08

Abstract

Background: Health insurance implemented in Indonesia is managed by the Social Security Administering Body (BPJS). In its administration, BPJS Health works based on the principle of non-profit social protection. Willingness to Pay (WTP) has been carried out in Nigeria which uses a community-based health insurance system. This study aims to analyze the willingness to pay (Willingness to Pay) contributions in independent national health insurance membership among informal sector business actors in the Mandalika tourist area of Lombok. Subjects dan Method: This type of study is observational analytic using a cross-sectional study design. The target population in this study is all informal sector business actors in the Mandalika Lombok tourist area. The sampling technique in this study is random sampling, namely a random sampling method that involves dividing the population into groups called strata, based on certain relevant characteristics.n. Results: This study explains that informal sector workers with income ≥ IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 64,573/month (Mean= 64,573; SD= 41,292). Workers with income < IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 24,880/month (Mean= 24,880; SD= 14,206). Overall, workers in the informal sector are on average willing to pay insurance premiums of IDR 48,100/month (Mean= 48,100; SD= 38,229). Willingness to pay insurance premiums is significantly influenced by income. Every increase in income of IDR 1,000,000 will be followed by a higher willingness to pay for health insurance of IDR 21,745 (b= 0.02; 95% CI= 0.01 to 0.03; p <0.001). Willingness to pay premiums was not significantly influenced by gender (b= 346.13; 95% CI= -15241.31 to 15933.56; p = 0.965) or age (b= -7110.17; 95% CI= -22958.38 to 8738.04; p = 0.375). Conclusion: The results of this study conclude that the willingness to pay insurance premiums is significantly influenced by income. The higher the income, the higher the willingness to pay premiums, and this effect is statistically significant. Keywords: Willingness to pay, Income, Informal workers
Meta-Analysis: Effect of Tuberculosis Infection Control Training on Work Performance among Health Staff in Health Facilities Rahmawati Rahmawati; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.03

Abstract

Background: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application. Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001). Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities. Key words: Health personil, tuberculosis infection control training, and health facilities
Service Quality and Insurance Status as Determinants of Patient Satisfaction at Dr. Soehadi Prijonegoro Hospital, Sragen, Central Java, Indonesia Alifia Ayu Romadhona; Bhisma Murti; Revi Gama Hatta Novika; Setyo Sri Rahardjo; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 2 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Dr. Soehadi Prijonegoro Hospital, Sragen, Central Java, Indonesia, served 127,443 outpatient visits in 2019; however, visits declined sharply during 2020–2021 and began to increase again in 2022. A decline in service quality may reduce patient visits, which represent an important asset for hospitals. This study aimed to analyze the effects of service quality, patient education, patient status, and insurance status on patient satisfaction at RSUD dr. Soehadi Prijonegoro Sragen. Subjects and Method: This was a cross-sectional study conducted among 200 outpatients selected using purposive sampling based on inclusion and exclusion criteria. The study population comprised all outpatients at RSUD dr. Soehadi Prijonegoro Sragen. Data were collected using a Google Form questionnaire and analyzed using multiple linear regression and path analysis with Structural Equation Modeling (SEM). Results: Service quality had a direct, positive, and significant effect on patient satisfaction (b = 0.44; 95% CI = 0.24–0.63; p < 0.001). Empathy was the dominant factor, showing the strongest indirect effect (b = 0.77; 95% CI = 0.69–0.86; p < 0.001), followed by assurance (b= 0.69; 95% CI= 0.59–0.78; p < 0.001), tangibles (b= 0.55; 95% CI= 0.43–0.67; p < 0.001), responsiveness (b= 0.42; 95% CI = 0.29–0.55; p < 0.001), and reliability (b = 0.25; 95% CI = 0.11–0.39; p = 0.001). Patient trust had a significant indirect effect on service quality (b = 0.64; 95% CI= 0.54–0.74; p < 0.001), and insurance status also showed a significant indirect effect on service quality (b = 0.37; 95% CI = 0.24–0.50; p < 0.001). The direct effect of trust on patient satisfaction was positive but not statistically significant (b = 0.21; 95% CI = 0.04–0.37; p = 0.12). Conclusion: Service quality has a significant positive effect on patient satisfaction, with empathy as the most influential factor, followed by assurance, responsiveness, tangibles, and reliability. Patients with certain insurance coverage reported better perceptions of service quality. These findings suggest that strengthening empathy and assurance is crucial for improving patient satisfaction and loyalty in hospital settings.
Co-Authors Achmad Arman Subijanto Aditya Kurniawan Afiono Agung Prasetyo Agung Kurniawan Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Kristiyanto Agus Syukron Ma&#039;ruf Agus Triyono Agustaria Budinugroho Agustina Utii Ahadyah Miftahul Jannah Ahmad Syauqi Mubarok Ailsa Clarissa Cynara Alfian Muhajir Alifia Ayu Romadhona Alvy Nur Hidayati Amallia Wijiwinarsih Ambar Mudigdo Ana Yuliana Anastasia Dwi Anggraeni Andang Sudarmono Andi Siswanto Andreza Anggi Putri Aria Gita Anggun Fitri Handayani Anggun Fitri Handayani Anindhita Saviorel Rivaldy Anisa Andriani Anitasari Kartika Putri Annisa Widya Panduwinata Annissa Devi Permata Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Argyo Demartoto Argyo Dermatoto Arif Suryono Arinda Mukti Yuhanani Aris Widiyanto Arlina Azka Arum Kusuma Rini Arum Nuryati Arum Wijayanti Asri Wahyu Azzahro Asrori Ibnu Utomo Asruria Sani Fajriah Atika Dwi Minawati Atthahira Amalia Hafiizha Aulia Noorvita Ramadani Aulia Siti Nur Rahmah Ayu Anulus Ayu Laela Fitriyani Ayu Nanda Sari Ayu Novita Wulandari Ayu Trisni Pamilih Azilla Edsa Putri Bayu Putra Dewantara Bekti Susilowati Bening Rahimi Titisari Bertha Sylvester Maingu Bhre diansyah dinda khalifatulloh Bibit Irawan Burhannudin Ichsan Burhannudin Ischan Cendekia Airedeta Mulianda Christiana Sri Wahyuningsih Citra Ayuningtiyas CSP Wekadigunawan CSP. Wekadigunawan Cynthia Octaviani Danti Narulita Dena Tri Solehaini Desi Syahbaniar Destinady Kadiser Miden Dewi Indriani Dewi Mustika Ratih Dewi Saptowati Dewi Utary Dian Estiningtyas Dian Handayani Dian Surya Kartika Dian Winiarti Diana Sayidah Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Gunawan Tamtomo Didik Tamtomo Didik Tamtomo Didik Tamtomo Didik Tamtoto Didik Tantomo Dily Ekasari Dinda Ika Pratiwi Dinda Nur Asri Mutiara Ramadhani Dinta Lestari Dono Indarto Dono Indarto Dwi Nina Wijayanti Dwi Tour Kumalasari Dyah Ayu Agustin Dyah Ayu Kusumawardani Dyah Ayu Saputri Eka Miftakhul Jannah Elsa Tursina Eltigeka Devi Apriliani Endang Palupi Endang Sutisna Sulaeman Endang Sutisna Sulaeman Endang Sutisna Sulaeman Eni Nur Rahmawati Etanaulia Marsim Eti Poncorini Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fara Rizky Punjung Hapsari Farida Nurhayati Fatchurrohmah Ines Prabandari Fathia Mutiara Zahra Fathiyyatu Assa’diy Firda Fatimah Hasna Karima Febrina Ardianti Feby Safitri Fiqih Agustyna Murti Fitriah Fitriah Florida Betty Apriliyani Frannesty Estu Winahyu Gabriela Advitri Febriani Galuh Ayu Dyah Prameswari Galuh Tunjung Pertiwi Galuh Wulansari Genn Andrean Pratama Hanifah Hanifah Hanifah Hanisah Hanisah Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Haris Sutopo Harsono Salimo Harsono Salimo Hendra Dwi Kurniawan Hepti Widia Ningsih Herawati Prianggi Hermanu Joebagio Hermanu Joebagio Hermanu Joebagyo I Gusti Agung Ngurah Putra Pradnyantara Iga Trisnawati Ignatius Loyola Sukamto Ikhtiarisca Olifia Mufidatun Ila Izzatus Salamah Indah Adhitama Chrisnanda Isna Andriani Isna Nur Rohmah Isna Qadrijati Isnaini Qoriatul Fadhilah Istri Yuliani Jemmi Sastrawijayah Jihan Nafisah Fauziyyah Joko Tri Atmodjo Lailatul Rohmah Lanti Retno Dewi Latifah Nur Alifia Lely Tri Pangesti Leny Rahmawati Lilik Anggar Sri Rahayuningsih Lily Nabillah Lina Eta Safitri Lisa Safaah Novia Larsiani Lusia Arina Cahyaningrum Mahendra Wijaya Maika Ratri Malinda Capri Nurul Satya Mario Febrianus Helan Sani Maya Ayu Riestiyowati Maya Sofiyani Mei Kusumaningtyas Melinda Febianca Gaurinindi Moh Maulana Muhammad Akhyar Muhammad Akhyar Muhammad Dudayev Caesar Putra Mujiran Mujiran Mustainu Habibi Muthia Syafira Muvida Muvida Nadia Ayu Irma Nindiyastuti Nia Handayani Nila Widya Keswara Nisa Nur Kusuma Nita Aprilia Nur Aida Yuliana Nur Fika Roobiati Nurul Dwi Andriani Nurul Fatimah Nurul Ulya Luthfiyana Okky Nurlita Sari Oktaviana Kurniawati Pawito Pawito Priscilla Jessica Pihahey Purwa Adrianta Wibawa Putri Pamungkas Putu Anggi Widia Karmany R. Haryo Nugroho Rahmawati Rahmawati Ratna Purwani Siwi Ravik Karsidi Ravik Karsidi RB. Soemanto RB. Soemanto Remita Yuli Kusumaningrum Rendi Adiansa Resta Dwi Yuliani Retno Wulan Revi Gama Hatta Novika Reza Ramadhana Tahta Firmansyah Rezyana Budi Syahputri Rindra Deviasti Ristamaya Danar Dewi Rita Benya Adriani Rita Benya Adriani Rita Benya Adriani Riyesti Hero Fresna Rizki Aqsyari Rizki Kurniawan Saputra Rizqi Inayati Rofana Aghniya Ruben Dharmawan Ruth Apriyanti Ryanawati Putriarsih Satriyo Fajar Wicaksono Septa Decelita Wahyuni Septyandi Ramadhan Setyo Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Raharjo Shofia Andriyani Shofia Maharani Khoirun Nisa Silvalia Rahma Pratiwi Sinar Perdana Putra Sintya Rosalina Sisybania Sisybania Siti Damayanti Siti Luluk Khamidahtun Ni'mah Siti Mar'atul Munawaroh Siti Mar’atul Munawaroh Siti Nurhalimah Sri Hartini Sri Panuntun Sri Umiati Sulaiman Putra Nagaring Sumardiyono Supriyadi Hari Respati Syarifatul Fikriyyah Syndia Puspitasari Tedjo Danudjo Oepomo Titis Eka Gusti Tri Nugraha Susilawati Tri Puji Pangesti Tri Subaeti Tri Yonita, Maria Regina Tutut Okta Diana Tyas Aisyah Putri Uki Retno Budhiastuti Uki Retno Budihastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulfah Hidayati Umi Nadhiroh Ummy Prasetyowati Very Retnowati Veterina Rizki Amalia Victoria Husadani Permata Sari Viola Fathia Irwan Vitri Widyaningsih Vitri Widyaningsih Vivin Eka Rahmawati Wardhatul Livia Wawan Diyantana Wekadigunawan, Cri Sajjana Prajna Widya Kurnianingsih Wimmy Safaati Utsani Wulandari Wulandari Yesi Retiyansa Yeti Rahelli Yovita Galuh Eka Ariska Yudi Andriyaningtiyas Yuli Astuti Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yulianda Yeimo Yunita Rusdiyanti Yustina Purwaningsih Yusuf Bachtiyar Lobis Yuzana Maung