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Aryastami NK, Mubasyiroh R. Optimal utilization of maternal health service in Indonesia: a cross-sectional study of Riskesdas 2018. BMJ Open 2023; 13:e067959. [PMID: 37666563 PMCID: PMC10481828 DOI: 10.1136/bmjopen-2022-067959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 07/27/2023] [Indexed: 09/06/2023] Open
Abstract
OBJECTIVE This paper analyses the optimal utilization of maternal health services in Indonesia from 2015 to 2018. DESIGN National cross-sectional study. SETTING This study takes place in 34 provinces in Indonesia. PARTICIPANTS The population in this study were mothers in all household members in Basic Health Research of Riskesdas 2018. The sample was all mothers who had a live birth within 5 years before data collection (1 January 2013 to July 2018) and had complete data. The number of samples analysed was 70 878. PRIMARY OUTCOME We developed a scoring for the optimal utilization of maternal health services as the outcome variable. RESULTS This analysis involved 70 787 mothers. The utilization of maternal care was not optimal. Mothers who delivered in health facilities achieved 83.3% of services. Better care is experienced more by mothers who live in urban areas. Mothers who delivered at health facilities significantly used threefold optimal care (ORa=3.15; 95% CI 3.00 to 3.30; p<0001). A statistically significant difference of optimal maternal care was found in mothers with better education (ORa=1.22; 95% CI 1.18 to 1.27; p=0.001); holding health insurance (ORa=1.25; 95% CI 1.21 to 1.30; p<0001), having more access to health facilities (ORa=1.13; 95% CI 1.09 to 1.17); p<0.001), less parity (ORa=1.16; 95% CI 1.11 to 1.20; p<0.001). CONCLUSION The optimal utilization of MHS is independent of the free services delivery, but having health insurance and less parity brought about a better optimal score for MHS. Mothers in rural areas were more protective of optimal utilization. Finally, the eastern region used more optimal health services.
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Affiliation(s)
- Ni Ketut Aryastami
- Research Center for Public Health and Nutrition, National Research and Innovation Agency Republic of Indonesia, Cibinong, Indonesia
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, National Research and Innovation Agency Republic of Indonesia, Cibinong, Indonesia
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Misnaniarti, Nugraheni WP, Nantabah ZK, Restuningtyas FR, Hartono RK, Rachmawati T, Mubasyiroh R, Kusnali A. Smoking behavior and hypertension among health workers during the COVID-19 pandemic: a case study in Java and Bali-Indonesia. Front Cardiovasc Med 2023; 10:1146859. [PMID: 37645521 PMCID: PMC10462451 DOI: 10.3389/fcvm.2023.1146859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 07/18/2023] [Indexed: 08/31/2023] Open
Abstract
Background Health workers who should be role models for the community not to smoke and live a healthy life are still consuming cigarettes. Java and Bali (especially Java) are the biggest contributors to health worker deaths due to COVID-19 in Indonesia. This study aims to determine the association of smoking behavior and hypertension among health workers in Java and Bali. The researchers conducted this study in 2021 and designed it with a cross-sectional design. Data was collected online using the Lime Survey as a data collection tool. The data analysis used was logistic regression to determine the association of smoking and hypertension. Result A number of 7.6% of health workers were still smoking and 10.4% were suffering from hypertension during the COVID-19 pandemic. This study shows that the proportion of health workers with hypertension is two times that of smokers (18.0%) compared to non-smokers (9.8%). Logistic regression showed that smoking has a 20% higher risk of developing hypertension (OR = 1.97; 95%CI = 1.01-1.41; p = 0.034). Conclusion Among health workers on the islands of Java and Bali, there are still many who smoke, and this puts them at a higher risk of experiencing hypertension.
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Affiliation(s)
- Misnaniarti
- Public Health Faculty, Sriwijaya University, Kota Palembang, Indonesia
| | - Wahyu Pudji Nugraheni
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
| | - Zainul Khaqiqi Nantabah
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
| | | | | | - Tety Rachmawati
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
| | - Asep Kusnali
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Cibinong, Indonesia
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Andayasari L, Mubasyiroh R, Nurlinawati I, Sufiawati I. Association Between Tobacco Smoking and Dental Caries in the Indonesian Population: Results of a National Study in 2018. J Prev Med Public Health 2023; 56:357-367. [PMID: 37551074 PMCID: PMC10415642 DOI: 10.3961/jpmph.22.417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 06/27/2023] [Indexed: 08/09/2023] Open
Abstract
OBJECTIVES The 2018 Basic Health Research (RISKESDAS), conducted by the Ministry of Health of the Republic of Indonesia showed a high prevalence of dental caries (88.8%) in Indonesia and suggested that smoking tobacco was associated with an increased risk of dental caries. This study analyzed the association between tobacco smoking and dental caries in the Indonesian population. METHODS This was a cross-sectional analysis of secondary data collected from RISKESDAS 2018. The study population included 35 391 Indonesians aged ≥10 years from all 34 provinces. The decayed, missing, and filled teeth (DMFT) index was used to measure dental caries. Smoking status was assessed qualitatively based on smoking activity, and the level of smoking exposure was assessed based on the Brinkman index. A multivariable logistic regression analysis was employed to examine the relationships of smoking status and smoking exposure levels with the DMFT index. RESULTS Of the population aged ≥10 years, 36% had a DMFT≥8 (females: 37.5%, males: 33.9%). Almost one-fourth (23.4%) were current smokers, and 4.1% were ex-smokers. Furthermore, 26.4% had a Brinkman index ≥400, indicating heavy smoking. According to the multivariate analysis, current smoking status was associated with the risk of DMFT≥8 in males (adjusted odds ratio [aOR], 1.40; 95% CI, 1.27 to 1.55; p<0.001) and overall (aOR, 1.07; 95% CI, 1.00 to 1.14; p=0.037). In females, ex-smoking was associated with a 41% higher risk of DMFT≥8 (aOR, 1.41; 95% CI, 1.07 to 1.84; p=0.014). Heavy smoking was associated with a higher risk of DMFT≥8 in males (aOR, 1.38; 95% CI, 1.25 to 1.52; p<0.001) and females (aOR, 1.24; 95% CI, 1.03 to 1.50; p=0.022). CONCLUSIONS Tobacco smoking was associated with dental caries in the Indonesian population.
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Affiliation(s)
| | | | | | - Irna Sufiawati
- Faculty of Dentistry, Padjadjaran University, Bandung,
Indonesia
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Putri AS, Wurisastuti T, Suryaputri IY, Mubasyiroh R. Postpartum Depression in Young Mothers in Urban and Rural Indonesia. J Prev Med Public Health 2023; 56:272-281. [PMID: 37287205 DOI: 10.3961/jpmph.22.534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 04/20/2023] [Indexed: 06/09/2023] Open
Abstract
OBJECTIVES Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions. METHODS This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression. RESULTS The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88). CONCLUSIONS In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers' mental health. The healthcare system needs to involve families to support young mothers' mental health from pregnancy until the postpartum period.
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Affiliation(s)
- Alifa Syamantha Putri
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
| | - Tri Wurisastuti
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
| | - Indri Yunita Suryaputri
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
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Nugraheni WP, Retnaningsih E, Mubasyiroh R, Rachmawati T. Effects of the COVID-19 pandemic on cardiovascular disease financing in Indonesia (JKN claims data analysis 2019–2020). Front Public Health 2023; 11:1148394. [PMID: 37064689 PMCID: PMC10102516 DOI: 10.3389/fpubh.2023.1148394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 03/06/2023] [Indexed: 04/03/2023] Open
Abstract
The disease burden related to non-communicable diseases is a major public health problem in Indonesia. About one-third of all deaths in Indonesia are caused by cardiovascular disease. This study describes the cost of cardiovascular disease from claims data for Advanced Referral Health Facilities at BPJS Kesehatan before and during the COVID-19 pandemic. We analyzed claims data on the National Health Insurance system managed by BPJS. The data comes from referral health facilities throughout Indonesia in 2019 and 2020. Cardiovascular service claims data by sex and age group were analyzed descriptively and with different tests between years. There was a decrease in the number of patients accessing cardiovascular services at referral health facilities for all genders, age groups, and types of main diagnoses, by around 27.8%, from 933,017 (2019) to 673,801 (2020). There was a significant decrease in total claims for all types of cardiovascular disease during the COVID-19 pandemic compared to before, especially the reduction in aneurysms and aortic dissection (40.2%) and hypertensive heart disease (39.6%). The decline also occurred in all sexes and age groups, with an average percentage decline of 31.2%. Our findings show that the reduction in the cost of cardiovascular disease claims goes hand in hand with the decrease in the number of cardiovascular patient visits. To guarantee treatment for cardiovascular disease patients during the COVID-19 pandemic, BPJS can maximize the telemedicine services that have been built. The organizer of the National Health Insurance program in Indonesia has developed a JKN mobile application that has the potential for telemedicine services guaranteed by JKN. On the other hand, BPJS needs to limit promotive and preventive budgets related to CVD so that it does not become a potential catastrophic financing.
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Affiliation(s)
- Wahyu Pudji Nugraheni
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
| | - Ekowati Retnaningsih
- Regional Research and Development Agency South Sumatra Province, Palembang, Indonesia
- *Correspondence: Ekowati Retnaningsih
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
| | - Tety Rachmawati
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor, Indonesia
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Sudikno S, Mubasyiroh R, Rachmalina R, Arfines PP, Puspita T. Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ Open 2023; 13:e065056. [PMID: 36958771 PMCID: PMC10040007 DOI: 10.1136/bmjopen-2022-065056] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/25/2023] Open
Abstract
OBJECTIVE To estimate the prevalence and determine the associated factors for developing prehypertension and hypertension among Indonesian adolescents. DESIGN National cross-sectional study. SETTING This study was conducted in all the provinces in Indonesia. PARTICIPANTS The population in this study were all household members in Basic Health Research 2013 aged 15-19 years. The sample was all members of the 2013 Riskesdas household aged 15-19 years with the criteria of not having physical and mental disabilities, and having complete data. The number of samples analysed was 2735, comprising men (n=1319) and women (n=1416). MAIN OUTCOME Dependent variables were prehypertension and hypertension in adolescents based on blood pressure measurements. RESULTS The results of the analysis showed that the prevalence of prehypertension in adolescents was 16.8% and hypertension was 2.6%. In all adolescents, the risk factors for prehypertension were boys (adjusted OR, aOR 1.48; 95% CI 1.10 to 1.97), 18 years old (aOR 14.64; 95% CI 9.39 to 22.80), and 19 years old (aOR 19.89; 95% CI 12.41 to 31.88), and obese (aOR 2.16; 95% CI 1.02 to 4.58). Risk factors for hypertension in all adolescents included the age of 18 years old (aOR 3.06; 95% CI 1.28 to 7.34) and 19 years (aOR 3.25; 95% CI 1.25 to 8.41) and obesity (aOR 5.69; 95% CI 2.20 to 14.8). In adolescent girls, the chance of developing prehypertension increased with increasing age and low-density lipoprotein (LDL) cholesterol levels. Several risk factors for hypertension in adolescent boys were age, central obesity and LDL cholesterol levels. CONCLUSION This study shows that the trend of prehypertension in adolescents has appeared, besides hypertension. There are distinct patterns of factors that influence it in adolescent girls and boys, which can be useful to sharpen of planning and implementing health programmes.
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Affiliation(s)
- Sudikno Sudikno
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency Indonesia, Central Jakarta, Indonesia
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency Indonesia, Central Jakarta, Indonesia
| | - Rika Rachmalina
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency Indonesia, Central Jakarta, Indonesia
| | - Prisca Petty Arfines
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency Indonesia, Central Jakarta, Indonesia
| | - Tities Puspita
- Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency Indonesia, Central Jakarta, Indonesia
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Kusumajaya AAN, Mubasyiroh R, Sudikno S, Nainggolan O, Nursanyoto H, Sutiari NK, Adhi KT, Suarjana IM, Januraga PP. Sociodemographic and Healthcare Factors Associated with Stunting in Children Aged 6-59 Months in the Urban Area of Bali Province, Indonesia 2018. Nutrients 2023; 15:nu15020389. [PMID: 36678259 PMCID: PMC9863855 DOI: 10.3390/nu15020389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/24/2022] [Accepted: 01/03/2023] [Indexed: 01/13/2023] Open
Abstract
Stunting is a worldwide public health concern, including in Indonesia. Even when living in an urban area with urban characteristics, it is still possible for children to be at risk of stunting. The aim of this study was to determine the sociodemographic and healthcare factors associated with stunting in a province experiencing tourism growth, namely, Bali. Cross-sectional data on Bali Province from the Indonesian Basic Health Research Survey (Riskesdas, 2018) were used as the basis for the research analysis. A total of 846 respondents under five years of age were analyzed, indicating a stunting prevalence of 19.0%. Multivariate logistic regression demonstrated low maternal educational attainment (adjustedOR = 1.92; 95% Confidence Interval = 1.24-2.97), the inadequate consumption of iron tablets during pregnancy (adjustedOR = 1.56; 95% Confidence Interval = 1.08-2.24), and no extended family (adjustedOR = 1.55; 95% Confidence Interval = 1.07-2.26) as being significantly associated with stunting. According to these findings, sociodemographic and healthcare factors are associated with stunting in urban Bali. Improving women's education, ensuring sufficient iron tablets are consumed during pregnancy, and encouraging the involvement of the extended family in childcare are recommended.
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Affiliation(s)
| | - Rofingatul Mubasyiroh
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta 10340, Indonesia
- Correspondence:
| | - Sudikno Sudikno
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta 10340, Indonesia
| | - Olwin Nainggolan
- Health Development Policy Agency, Ministry of Health, Jakarta 10560, Indonesia
| | | | - Ni Ketut Sutiari
- Department of Public Health and Preventive Medicine, Medical Faculty, Udayana University, Denpasar 80361, Indonesia
| | - Kadek Tresna Adhi
- Department of Public Health and Preventive Medicine, Medical Faculty, Udayana University, Denpasar 80361, Indonesia
| | - I Made Suarjana
- Health Polytechnic, Ministry of Health, Denpasar 80224, Indonesia
| | - Pande Putu Januraga
- Department of Public Health and Preventive Medicine, Medical Faculty, Udayana University, Denpasar 80361, Indonesia
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Wulandari RD, Laksono AD, Mubasyiroh R, Rachmalina R, Ipa M, Rohmah N. Hospital utilization among urban poor in Indonesia in 2018: is government-run insurance effective? BMC Public Health 2023; 23:92. [PMID: 36635640 PMCID: PMC9835297 DOI: 10.1186/s12889-023-15017-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 01/10/2023] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND An urban poor is a vulnerable group that needs government financing support to access health services. Once they are sick, they will fall deeper into poverty. The study aims to analyze the effectiveness of government-run insurance in hospital utilization in urban poor in Indonesia. METHODS The research analyzed the 2018 Indonesian Basic Health Survey data. This cross-sectional survey collected 75,970 participants through stratification and multistage random sampling. Meanwhile, the study employed hospital utilization as an outcome variable and health insurance ownership as an exposure variable. Moreover, the study looked at age, gender, marital status, education, and occupation as control factors. The research employed a binary logistic regression to evaluate the data in the final step. RESULTS The results show that someone with government-run insurance is 4.261 times more likely than the uninsured to utilize the hospital (95% CI 4.238-4.285). Someone with private-run insurance is 4.866 times more likely than the uninsured to use the hospital (95% CI 4.802-4.931). Moreover, someone with government-run and private-run insurance has 11.974 times more likely than the uninsured to utilize the hospital (95% CI 11.752-12.200). CONCLUSION The study concluded that government-run insurance is more effective than the uninsured in improving hospital utilization among the urban poor in Indonesia. Meanwhile, private-run is more effective than government-run and uninsured in improving hospital utilization among the urban poor in Indonesia. Moreover, the most effective is to combine the kind of health insurance ownership (government-run and private-run).
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Affiliation(s)
- Ratna Dwi Wulandari
- grid.440745.60000 0001 0152 762XFaculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Agung Dwi Laksono
- National Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia
| | - Rofingatul Mubasyiroh
- National Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia
| | - Rika Rachmalina
- National Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia
| | - Mara Ipa
- National Research and Innovation Agency, the Republic of Indonesia, Jakarta, Indonesia
| | - Nikmatur Rohmah
- grid.443500.60000 0001 0556 8488Faculty of Health Science, Muhammadiyah University of Jember, East Java, Indonesia
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Idaiani S, Mubasyiroh R, Suryaputri IY, Indrawati L, Dharmayanti I. The Validity of the Self-Reporting Questionnaire-20 for Symptoms of Depression: A Sub- Analysis of the National Health Survey in Indonesia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023] Open
Abstract
BACKGROUND: Adequate data are required to assess the validity of mental-emotional disorder for symptoms of depression based on Indonesia National Health Survey (NHS).
AIM: This study aims to assess the validity of mental-emotional disorder using self-reporting questionnaire-20 (SRQ-20) to the symptoms of depression evaluated through the means of a Mini-International Neuropsychiatric Interview (MINI) questionnaire.
METHODS: The data were obtained from a total sample of 555,066 subjects analyzed from the NHS in 2018. These subjects were at least 15 years old with their mental-emotional disorders and symptoms of depression assessed using the self-reporting questionnaire (SRQ) and MINI, respectively. This study used the calculation of sensitivity, specificity, positive and negative predictive value, likelihood ratio, receiver operating characteristic, kappa Brennan, and Prediger with the STATA version 15.00 to analyze the data.
RESULTS: The cutoff point in each group was different, ranging from 4 to 6 that almost all the area under curve values were above 0.90 and the SRQ agreement with MINI depression is good because they all have values above 0.80.
CONCLUSION: The results obtained are used as material to predict the rate of symptoms depression in Indonesian residents aged ≥15 years.
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Suryaputri IY, Mubasyiroh R, Idaiani S, Indrawati L. Determinants of Depression in Indonesian Youth: Findings From a Community-based Survey. J Prev Med Public Health 2022; 55:88-97. [PMID: 35135052 PMCID: PMC8841193 DOI: 10.3961/jpmph.21.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 11/16/2021] [Indexed: 12/02/2022] Open
Abstract
Objectives This study investigated the determinants of depression in adolescents and young adults. Methods The present study analyzed data from the 2018 Indonesia Basic Health Survey (Riset Kesehatan Dasar; RISKESDAS). The study subjects were adolescents (15-17 years old) and young adults (18-24 years old). In total, 64 179 subjects were included. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between youths’ characteristics, risky behavior, chronic disease, parents’ health, and youths’ depression. Results The prevalence of depression was 5.1% in adolescents and 5.6% in young adults. The risk factors for depression in adolescents were being women (adjusted odds ratio [aOR], 3.53; 95% confidence interval [CI], 2.89 to 4.30; p<0.001), an ex-smoker (aOR, 2.99; 95% CI, 2.10 to 4.25; p<0.001), or a current smoker (aOR, 2.60; 95% CI, 1.97 to 3.44; p<0.001); consuming alcohol (aOR, 2.00; 95% CI, 1.33 to 3.01; p=0.001), having a chronic disease (aOR, 2.64; 95% CI, 1.41 to 4.96; p=0.002); maternal depression (aOR, 2.47; 95% CI, 1.97 to 3.09; p<0.001); and paternal depression (aOR, 2.63; 95% CI, 1.98 to 3.50; p<0.001). In young adults, the risk factors were being women (aOR, 2.23; 95% CI, 1.82 to 2.75; p<0.001) or an ex-smoker (aOR, 2.47; 95% CI, 1.67 to 3.67; p<0.001), consuming alcohol (aOR, 2.42; 95% CI, 1.89 to 3.09; p<0.001), maternal depression (aOR, 3.12; 95% CI, 2.54 to 3.84; p<0.001), and paternal depression (aOR, 2.80; 95% CI, 2.17 to 3.63; p<0.001). Conclusions Being women, smoking, drinking alcohol, having a chronic disease, and having a parent with depression were crucial factors associated with youth depression. Mental health screening, prevention, and treatment should involve collaboration among primary healthcare, schools, universities, professionals, and families.
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Affiliation(s)
- Indri Yunita Suryaputri
- Center for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
- Corresponding author: Indri Yunita Suryaputri Center for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta 10560, Indonesia E-mail:
| | - Rofingatul Mubasyiroh
- Center for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
| | - Sri Idaiani
- Center for Research and Development of Health Resources and Services, National Institute of Health Research and Development, Ministry of Health, Republic Indonesia, Jakarta, Indonesia
| | - Lely Indrawati
- Center for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Jakarta, Indonesia
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Mubasyiroh R, Yunita Suryaputri I, Idaiani S, Indrawati L, Wurisastuti T, Isfandari S, Sitorus N, Nurhotimah E, Philipus Senewe F. Mental Health Disorders of the Indonesian People in the Early Stages of the COVID-19 Pandemic: Who is Vulnerable to Experiencing it? International Journal of Mental Health Promotion 2022. [DOI: 10.32604/ijmhp.2022.021452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Mubasyiroh R, Kusumawardani N, Rachmalina R, Arfines PP, Puspita T, Sudikno S. How Well Does Body Mass Index (BMI) Predict Undiagnosed Hypertension and Diabetes in Indonesian Adults Community Population? Glob J Health Sci 2021. [DOI: 10.5539/gjhs.v13n11p25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND: Previous studies have reported that Body Mass Index (BMI) cut-off was related to non-communicable diseases. This study aimed to give the latest evidence related to the accuracy of BMI cut-off towards undiagnosed hypertension and diabetes in the Indonesian population.
METHODS: This was A cross-sectional study that involved data of the 2018 national population-based health survey, with the samples were 15,516 male and female populations aged between 19 years old and above. This study only included those claimed to have never been diagnosed as suffering from diabetes and hypertension by health workers. Receiver operating characteristic (ROC) analysis was conducted to assess the optimal BMI cut-off. The logistic regression was performed to assess the association of BMI on undiagnosed hypertension and diabetes controlled by several variables.
RESULTS: The average BMI sample was 24 kg/m2 (SD = 4.6 kg/m2. The proportion of undiagnosed hypertension was 36.9%, and 12.3% for the proportion of undiagnosed diabetes. According to the ROC, the result shows BMI was more sensitive to hypertension conditions compared to diabetes. BMI cut-off points at 23.9 kg/m2 (AUC=0.59;Se=64.3%;Sp=53.4%) was the optimum value to predict hypertension and 24.9 kg/m2 (AUC=0.55;Se=53.1%;Sp=56.4%) was the optimum for diabetes.
CONCLUSIONS: Based on the optimal AUC cut-off points for BMI which is around 0.5, BMI needs to be reconsidered as an anthropometric index in predicting undiagnosed hypertension and diabetes. And an assessment can be made using other anthropometric indices, such as waist circumference to predict undiagnosed hypertension and diabetes.
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Abstract
Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.
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Affiliation(s)
- Ni Ketut Aryastami
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia
- * E-mail:
| | - Rofingatul Mubasyiroh
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia
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Wurisastuti T, Mubasyiroh R. Peran Dukungan Sosial Pada Ibu Dengan Gejala Depresi Dalam Periode Pasca Persalinan. hsr 2020. [DOI: 10.22435/hsr.v23i3.3610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A mother who just gave birth needs to psychological support from her closest people. Lack of support from the closest people triggers her emotions that lead to depression. This study aims to determine the relationship between social support and postpartum depression. The analysis used Indonesia Family Life Survey (IFLS) 5 data in 2014. The samples were all mothers aged 15 years old and above who married and had babies aged 2-24 weeks. The independent variables included the presence of a spouse, the presence of other relatives, the participation of the mother in the social gathering, and the characteristics of the mother (age, education and occupation). Data were from 593 mothers who had complete variables using multiple logistic regression analysis. The analysis showed that the absence of a husband had a significant effect on postpartum depression (p-value = 0.001; OR = 2.81). Both the presence of other relatives and the maternal age are confounding variables for postpartum maternal depression. Mothers who did not stay with their partners had a risk of depression 2.81 times higher than those who did. It was controlled by the presence of other relatives and the age of the mother. Postpartum mothers have to be accompanied by her partner during babysitting.
Abstrak
Ibu yang baru melahirkan membutuhkan dukungan psikologis dari orang-orang terdekatnya. Kurangnya dukungan dari orang terdekat dapat menyebabkan penurunan psikologis yang akan menyebabkan ibu menjadi depresi. Studi ini bertujuan mengetahui hubungan dukungan sosial dengan depresi ibu pasca persalinan. Analisis menggunakan data Indonesia Family Life Survey (IFLS) 5 tahun 2014. Sampel dalam analisis adalah seluruh ibu berusia 15 tahun ke atas yang menikah dan memiliki bayi berusia 2-24 minggu. Variabel bebas yang dianalisis meliputi keberadaan pasangan, keberadaan kerabat lain, keikutsertaan ibu dalam arisan, dan karakteristik ibu (usia, pendidikan dan pekerjaan). Data dianalisis dari 593 ibu yang memiliki variable lengkap dengan menggunakan analisis regresi logistik berganda. Hasil analisis menunjukkan bahwa ketidakberadaan suami berpengaruh signifikan terhadap depresi pasca persalinan (p-value=0,001; OR=2,81). Keberadaan kerabat lain dan usia ibu merupakan variabel confounding terhadap depresi ibu pasca bersalin. Ibu yang tidak tinggal bersama pasangannya memiliki risiko depresi 2,81 kali lebih tinggi dibandingkan dengan ibu yang tinggal dengan pasangannya setelah dikontrol variabel keberadaan kerabat lain dan usia ibu. Ibu pasca bersalin disarankan didampingi oleh pasangan selama pengasuhan bayi.
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Nugraheni WP, Mubasyiroh R, Hartono RK. The influence of Jaminan Kesehatan Nasional (JKN) on the cost of delivery services in Indonesia. PLoS One 2020; 15:e0235176. [PMID: 32614846 PMCID: PMC7332031 DOI: 10.1371/journal.pone.0235176] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Accepted: 06/09/2020] [Indexed: 11/25/2022] Open
Abstract
The maternal mortality rate in Indonesia is still high, at 305 per 100,000 live births. Several studies indicated maternal financial burden as one of the dimensions of access that influence a pregnant woman’s ability to receive adequate, high-quality medical care. This study aims to identify the association between the use of Indonesia’s national health insurance (JKN) and out-of-pocket (OOP) expenditures in accessing delivery services, using data from the Indonesian Family Life Survey 5. In addition, this study also investigated the relationship of JKN and the potential reduction of catastrophic delivery expenditures (CDEs) for delivery services. The results show that JKN was associated with reduced OOP expenditures for delivery as well as reduced risk of incurring CDE. However, some OOP expenditure for cost of delivery services still exists among mothers who used JKN during delivery, potentially due to factors such as medicine stock availability and inpatient care shortages.
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Affiliation(s)
- Wahyu Pudji Nugraheni
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
- * E-mail:
| | - Rofingatul Mubasyiroh
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia
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Mubasyiroh R, Idaiani S, Suryaputri IY. Perilaku Pencarian Pengobatan pada Penduduk dengan Gejala Depresi. mpk 2020. [DOI: 10.22435/mpk.v30i1.2690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract
Mental health is part of health. Depression is one of the common mental health related to other health problems and a big contributor to Years Life with Disability (YLD). However, it is estimated that three are still 76% and 85% of sufferers in low-income and middle-income countries who do not received services to deal with the problems they experience. This study is a further analysis of IFLS-5 data to see the treatment seeking behavior in people with depressive symptoms and its related factors. The analysis was conducted on population aged 15 years and above. The proportion of depressive symptoms was 23.4% with a higher proportion of women, the populatin not working, living in large families, in the adolescent to young adult age group, and continuing to decline with increasing age. Some 12.5% of the population with depressive symptoms seek treatment . It appears that women have more significant opportunities to access health services. Opportunities to access health services were greater with increasing age. All kind of insurance ownership and living in urban are proven to significantly increase one’s chances of accessiong health services. The still low search for treatment is a joint task to minimize the , by paying more attention to vulnerable groups such as young people, not having insurance and living in rural areas.
Abstrak
Kesehatan jiwa merupakan bagian dari kesehatan. Depresi adalah salah satu common mental health yang berkaitan dengan masalah kesehatan yang lain, dan penyumbang Years Life with Disability (YLD) yang besar. Namun diperkirakan masih ada 76% dan 85% penderita di negara pendapatan rendah dan negara berpendapatan menengah yang tidak mendapatkan layanan penanganan masalah gangguan yang mereka alami. Penelitian ini merupakan analisis lanjut data IFLS-5 untuk melihat gambaran perilaku pencarian pengobatan pada penduduk dengan kondisi gejala depresi serta faktor yang berkaitan dengannya. Analisis dilakukan pada penduduk usia 15 tahun ke atas. Proporsi gangguan gejala depresi sebesar 23,4%, dengan proporsi lebih tinggi pada perempuan, penduduk tidak bekerja, tinggal dalam keluarga besar, pada kelompok usia remaja-dewasa muda, dan terus menurun seiring peningkatan usia. Sejumlah 12,5% penduduk dengan gejala depresi yang melakukan pencarian pengobatan. Tampak bahwa perempuan lebih berpeluang signifikan untuk mengakses layanan kesehatan. Peluang untuk mengakses layanan kesehatan semakin besar seiring peningkatan usia. Kepemilikan asuransi (semua jenis asuransi) dan tinggal di wilayah perkotaan terbukti signifikan meningkatkan peluang seseorang mengakses layanan kesehatan. Masih rendahnya pencarian pengobatan menjadi tugas bersama untuk memperkecil treatment gap, dengan lebih memperhatikan kelompok rentan seperti usia muda, tidak memiliki asuransi, dan tinggal di perdesaan.
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Kusumawardani N, Rizkianti AR, Mubasyiroh R, Mubasyiroh R, Arfines PP, Puspita T. Adolescents school students in Java and Sumatra are in greater risk of obesity. hsji 2019. [DOI: 10.22435/hsji.v12i2.2448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Latar belakang: Indonesia masih menghadai beban ganda masalah gizi berkaitan dengan obesitas yang meningkat sementara masalah kurang gizi masih terjadi, termasuk pada remaja. Hasil penelitian masih terbatas, dalam hal aspek demografi dan geografi di Indonesia, sementara strategi pencegahan obesitas pada remaja membutuhkan intervensi yang lebih optimal. Tujuan: Studi ini bertujuan untuk memberikan gambaran masalah obesitas berdasarkan karakteristik populasi dan perilaku berisiko di region yang berbeda.
Metode: Studi ini menggunakan data sekunder dari survei kesehatan berbasis sekolah tahun 2015 yang dikembangkan oleh CDC Amerika dan WHO, dengan modifikasi sesuai kondisi Indonesia. Analisis mencakup 10,544 pelajar kelas 7 – 12 dengan representasi populasi nasional di tiga regional/pulau di Indonesia. Uji statistik yang digunakan adalah chi-square dan log regression.
Hasil: Model logistik menunjukkan pelajar remaja yang tinggal di pulau Jawa mempunyai risiko yang lebih tinggi untuk mengalami obesitas (adjusted OR 2.1;95%CI 1.3-3.3) dibandingkan pada pelajar yag tinggal di pulau Sumatra dan luar pulau Jawa dan Sumatra, sementara perilaku berisiko seperti aktivitas fisik dan perilaku diet tidak menunjukkan hubungan yang bermakna dengan kejadian obesitas.
Kesimpulan: Disparitas masalah obesitas terjadi pada remaja di tiga pulau besar di Indonesia, di tingkat kelas yang berbeda dan perilaku diet berisiko yang berbeda. Strategi pencegahan diperlukan lebih mengarah pada intervensi berbasis sekolah dengan memperhatikan faktor geografis tempat tinggal di pulau Sumatra dan lainnya serta tingkat atau kelas yang berbeda. (Health Science Journal of Indonesia 2019;10(2):119-27)
Kata kunci: Obesitas, remaja, perilaku diet, region, aktivitas fisik
Abstract
Background: Indonesia faces burden of nutrition related diseases as obesity is increasing while malnutrition still exists, including in adolescents. Research are limited in term of which specific demography and geography aspects in Indonesia while stronger strategic intervention to prevent obesity in adolescents is needed. Objective: This study aims to describe proportion of obesity in indifferent adolescents characteristic and eating behaviour in different regions.
Method: This study used data from Indonesia 2015 Global School-based Health Survey developed by US CDC and WHO) with modification based on Indonesia specific. The analysis included 10,544 students covered national representative and three regions of school students (grade 7 to 12) in Indonesia. Statistical analysis used chi square and log regressions.
Results: The logistic model showed adolescents students living in Java island has significantly higher risk of obesity (adjusted OR 2.1;95%CI 1.3-3.3) compare to their peers in outside Java and Sumatra Island, while behavior risk factors such as physical activity and dietary habit were not significantly associated with obesity.
Conclusions: Issues disparity of obesity in adolescents occurred in the three main Islands in Indonesia, in different school grades and in those with different dietary risk behaviours. Intervention strategy to address adolescents obesity issues will need to be directed toward school-based settings with taking into account specific approaches for students in Sumatra and other main islands in Indonesia as well as specific for junior and senior high school. (Health Science Journal of Indonesia 2019;10(2):119-27).
Keywords: Obesity, adolescents, dietary behaviour, region, physical activity
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Suryaputri IY, Utami NH, Mubasyiroh R. Gambaran Upaya Pelayanan Kesehatan Jiwa Berbasis Komunitas di Kota Bogor. bpk 2019. [DOI: 10.22435/bpk.v47i1.456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract
Mental health care services need to be integrated, starting from the central level to the basic level (Puskesmas) so it can develop community mental health care services. This study was conducted to find out more details about mental health care services in the city of Bogor. This study is part of the study of Mental Health in several parts of Indonesia which is carried out by cross sectional design through a qualitative approach. The informants are the mental health programmer in West Java Provincial Health Office, Bogor City Health Office, Health Centers in Bogor city, and a psychiatrist at the Marzoeki Mahdi Hospital (RSMM). The variables excavated include promotive, preventive, curative and rehabilitative efforts in mental health program. Data were analyzed thematically according to interview results. The results of the study show that mental health promotion efforts are carried out through socialization of mental health in the community and also in schools, while for preventive efforts, including mentoring the patient's family, searching mental health patients who are shackled, early detection of mental disorders, screening for people with mental disorder (ODGJ) in the community, formation of a mental alert village and 2 minutes screening method at the Puskesmas. Curative efforts were carried out through referral policies of mental health patients (health facilities level 1) can be directly to RSMM (health facilities level 3) and allowed Puskesmas to provide mental medication, while rehabilitative efforts were carried out by striving for a law that supports ODGJ to be able to work across sectors, psychosocial rehabilitation conducted in RSMM and the self-help group program in the Puskesmas.
Keywords : mental health; community; services;
Abstrak
Upaya pelayanan kesehatan jiwa perlu dilakukan secara terintegrasi mulai dari tingkat pusat hingga Pelayanan kesehatan tingkat dasar (Puskesmas) sehingga terbentuk layanan kesehatan jiwa komunitas. Studi ini dilakukan untuk mengetahui lebih rinci mengenai pelayanan kesehatan jiwa di Kota Bogor. Studi ini merupakan bagian dari studi Kesehatan Jiwa di beberapa wilayah Indonesia yang dilakukan dengan disain potong lintang melalui pendekatan kualitatif. Informan ialah pemegang program jiwa di Dinas Kesehatan Provinsi Jawa Barat, Dinas Kesehatan Kota Bogor, Puskesmas di Kota Bogor, serta psikiater di Rumah Sakit Marzoeki Mahdi (RSMM). Variabel yang digali meliputi upaya promotif, preventif, kuratif dan rehabilitatif dalam program kesehatan jiwa. Data dianalisis secara tematik sesuai dengan hasil wawancara. Hasil studi menunjukkan upaya promosi kesehatan jiwa dilakukan dengan sosialisasi kesehatan jiwa di masyarakat dan juga di sekolah, untuk usaha preventif antara lain pendampingan keluarga pasien, pencarian pasien pasung, deteksi dini gangguan jiwa, penjaringan ODGJ di masyarakat, pembentukan kelurahan siaga jiwa serta metode skrining 2 menit di Puskesmas. Upaya kuratif yang dilakukan ialah kebijakan rujukan pasien jiwa dari Puskesmas (faskes tingkat 1) dapat langsung ke RSMM (Faskes tingkat 3) dan diperbolehkannya Puskesmas memberikan obat jiwa, sedangkan upaya rehabilitatif dilakukan dengan mengupayakan Perda yang mendukung ODGJ untuk dapat bekerja pada lintas sektor, rehabilitasi psikososial yang dilakukan di RSMM serta program self-help groupdi Puskesmas.
Kata Kunci : kesehatan jiwa; komunitas; pelayanan
Abstract
Mental health care services need to be integrated, starting from the central level to the basic level (Puskesmas) so it can develop community mental health care services. This study was conducted to find out more details about mental health care services in the city of Bogor. This study is part of the study of Mental Health in several parts of Indonesia which is carried out by cross sectional design through a qualitative approach. The informants are the mental health programmer in West Java Provincial Health Office, Bogor City Health Office, Health Centers in Bogor city, and a psychiatrist at the Marzoeki Mahdi Hospital (RSMM). The variables excavated include promotive, preventive, curative and rehabilitative efforts in mental health program. Data were analyzed thematically according to interview results. The results of the study show that mental health promotion efforts are carried out through socialization of mental health in the community and also in schools, while for preventive efforts, including mentoring the patient's family, searching mental health patients who are shackled, early detection of mental disorders, screening for people with mental disorder (ODGJ) in the community, formation of a mental alert village and 2 minutes screening method at the Puskesmas. Curative efforts were carried out through referral policies of mental health patients (health facilities level 1) can be directly to RSMM (health facilities level 3) and allowed Puskesmas to provide mental medication, while rehabilitative efforts were carried out by striving for a law that supports ODGJ to be able to work across sectors, psychosocial rehabilitation conducted in RSMM and the self-help group program in the Puskesmas.
Keywords : mental health; community; services;
Abstrak
Upaya pelayanan kesehatan jiwa perlu dilakukan secara terintegrasi mulai dari tingkat pusat hingga Pelayanan kesehatan tingkat dasar (Puskesmas) sehingga terbentuk layanan kesehatan jiwa komunitas. Studi ini dilakukan untuk mengetahui lebih rinci mengenai pelayanan kesehatan jiwa di Kota Bogor. Studi ini merupakan bagian dari studi Kesehatan Jiwa di beberapa wilayah Indonesia yang dilakukan dengan disain potong lintang melalui pendekatan kualitatif. Informan ialah pemegang program jiwa di Dinas Kesehatan Provinsi Jawa Barat, Dinas Kesehatan Kota Bogor, Puskesmas di Kota Bogor, serta psikiater di Rumah Sakit Marzoeki Mahdi (RSMM). Variabel yang digali meliputi upaya promotif, preventif, kuratif dan rehabilitatif dalam program kesehatan jiwa. Data dianalisis secara tematik sesuai dengan hasil wawancara. Hasil studi menunjukkan upaya promosi kesehatan jiwa dilakukan dengan sosialisasi kesehatan jiwa di masyarakat dan juga di sekolah, untuk usaha preventif antara lain pendampingan keluarga pasien, pencarian pasien pasung, deteksi dini gangguan jiwa, penjaringan ODGJ di masyarakat, pembentukan kelurahan siaga jiwa serta metode skrining 2 menit di Puskesmas. Upaya kuratif yang dilakukan ialah kebijakan rujukan pasien jiwa dari Puskesmas (faskes tingkat 1) dapat langsung ke RSMM (Faskes tingkat 3) dan diperbolehkannya Puskesmas memberikan obat jiwa, sedangkan upaya rehabilitatif dilakukan dengan mengupayakan Perda yang mendukung ODGJ untuk dapat bekerja pada lintas sektor, rehabilitasi psikososial yang dilakukan di RSMM serta program self-help groupdi Puskesmas.
Kata Kunci : kesehatan jiwa; komunitas; pelayanan
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Abstract
Suicide happens throughout one’s life and is a serious health problem. World Health Organization (WHO) placed suicidal problem as society health priority. Many things is related to suicide, among others mental disorders like depression, anxiety, alcohol consumption behavior, life pressure experienced, financial problem, personal relation, or so is chronic illness experienced, conflict occurred, disaster, harassment, alienation social demography characteristic. Objective research to identify the risk factor of suicidal thought in several regions in Indonesia. The study design was Cross sectional research conducted in 3 (three) districts/cities in Indonesia. Proportional illustration Sample taken conducted using stratified random sampling. Fixed variables analyzed such as the suicidal thoughts with the independent variable are gender, age, marital status, education, employment, ownership statistic, depression, anxiety. Univariate, bivariate and multivariate using the SPSS software. The result of the research showed that suicidal behavior happened more often to depressed individual, lived in the cities, anxious, productive age group, has low education level. Respondent suffered through depression 11 times more likely to have suicidal thoughts. The risk of suicidal behavior also increased 5 times to respondent in the cities. Respondent living anxiety 2 times riskier to have suicidal intent. Blue collar respondent also 2 times more risk in comparison to civil servants to have suicidal intent. Therefore it can be concluded that The influence of psychological factors is more substantial to inflict suicidal behavior, even though there is also effect of the social economy factor.
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Mubasyiroh R. Determinan Keluhan Sakit Gigi. bpk 2018. [DOI: 10.22435/bpk.v46i2.311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract Oral disease can be decay (caries) and gum disease. Dental and oral diseases (including caries and periodontal disease) are a fairly high problem that people complain about. The aim of this research is to know the factors related to toothache. Analysis was conducted using Indonesian Family Life Survey (IFLS) 5 years 2014 data covering 13 provinces in Indonesia. The study sample is population aged 15 years and over. The dependent variable was a symptom of toothache perceived within the last one month of the IFLS-5 survey period. The independent variables consist of gender, age group, education level, residence, consumption of sweet foods, consumption of soft drinks, smoking behavior, dental check-up behavior to the dentist. The data were analyzed by univariate, bivariate and multivariate.The results showed significant different toothache complaints based on gender, age group, education, and dental check behavior. Logistic regression analysis showed that respondents who never checked to the dentist had a 1.40 times greater risk of experiencing dental pain than those who had regular dental checks. Keywords : determinant, toothache, IFLS
Abstrak Penyakit gigi dapat berupa kerusakan gigi (karies) dan penyakit gusi. Penyakit gigi dan mulut (termasuk karies dan penyakit periodontal) merupakan masalah yang cukup tinggi yang dikeluhkan oleh masyarakat. Penelitian bertujuan mengetahui faktor yang berhubungan dengan keluhan sakit gigi. Analisis lanjut dilakukan menggunakan data Indonesian Family Life Survey (IFLS) 5 tahun 2014 yang mencakup 13 provinsi di Indonesia. Responden penelitian adalah penduduk berusia 15 tahun ke atas. Variabel terikat adalah gejala sakit gigi yang dirasakan dalam satu bulan terakhir masa survei IFLS-5. Variabel bebas terdiri dari jenis kelamin, kelompok umur, tingkat pendidikan, tempat tinggal, konsumsi makanan manis, konsumsi soft drink, perilaku merokok, perilaku periksa gigi ke dokter gigi. Analisis data dilakukan secara univariat, bivariat dan multivariat. Hasil menunjukkan keluhan sakit gigi berbeda bermakna berdasarkan jenis kelamin, kelompok umur, pendidikan, dan perilaku periksa gigi. Analisis regresi logistik menunjukkan responden yang tidak pernah periksa gigi ke dokter gigi mempunyai risiko 1,40 kali lebih besar untuk mengalami keluhan sakit gigi dibandingkan dengan responden yang sudah rutin periksa gigi ke dokter gigi. Kata kunci : determinan, sakit gigi, IFLS
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Tjandra DH, Mubasyiroh R, Dharmayanti I. PENCAPAIAN INDONESIA SEHAT MELALUI PENDEKATAN INDEKS PEMBANGUNAN KESEHATAN MASYARAKAT DAN INDEKS KELUARGA SEHAT. hsr 2018. [DOI: 10.22435/hsr.v21i2.314] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The success of Healthy Indonesia Program with Family Approach is well measured by Healthy Family Index (HFI). The numbers of twelve indicators of HFI were decided as the marker of family health status. National Institute of Health Research and Development Ministry of Health has created Public Health Development Index (PHDI) which purpose to measure individual health status in certain area before the HFI is formed. To resolve health problems in both indices should be through joining program interventions. This analysis aims to determine what indicators are expected to provide leverage on both indices, thus more targeted indicators can be obtained as a program priority. Basic Health Research 2013 data is used as the compilers of PHDI and HFI in 497 districts/cities. The data has been processed to be an indicator per district/city and then analyzed using linear regression test. There are fi ve priority indicators that have a leverage on both indices that is access to clean water, access to sanitation, health care insurance ownership, family planning program, and birth delivery by health worker in health facility. The model for adjusting HFI has a correlation value of 0.932, while the correlation for PHDI is 0.796. It is expected that intervention on these fi ve indicators will increase the HFI and PHDI, therefore the goal for becoming a healthy Indonesia can be achieved. It needs a cross-sector collaboration to build health care facilities that support health of the community.
Abstrak
Keberhasilan Program Indonesia Sehat (PIS) dengan Pendekatan Keluarga (PK) diukur dengan Indeks Keluarga Sehat (IKS). Jumlah IKS yang telah disepakati terdiri dari 12 indikator sebagai penanda status kesehatan sebuah keluarga. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan (Balitbangkes) telah menyusun Indeks Pembangunan Kesehatan Masyarakat (IPKM) yang berfungsi mengukur status kesehatan individu pada suatu wilayah sebelum IKS terbentuk. Penyelesaian masalah kesehatan pada kedua indeks tersebut harus dilakukan intervensi program yang sejalan. Analisis ini bertujuan untuk mengetahui indikator apa saja yang dapat memberikan daya ungkit pada kedua indeks, sehingga dapat diperoleh indikator yang lebih mengerucut untuk dijadikan prioritas program. Data yang digunakan adalah data Riset Kesehatan Dasar (Riskesdas) tahun 2013 sebagai penyusun IPKM dan IKS pada 497 kabupaten/kota. Uji statistik menggunakan data yang sudah dianalisis menjadi indikator per kabupaten/kota. Berdasarkan uji regresi linier, terdapat lima indikator yang dapat menjadi prioritas untuk memberikan daya ungkit pada kedua indeks yaitu akses air,akses sanitasi, kepemilikan jaminan kesehatan, program keluarga berencana, dan persalinan oleh nakes di faskes. Model untuk perubahan IKS mempunyai nilai korelasi sebesar 0,932, sedangkan nilai korelasi perubahan IPKM sebesar 0,796. Diharapkan jika dilakukan intervensi pada lima indikator tersebut akan meningkatkan IKS dan IPKM, sehingga tujuan menjadi Indonesia sehat dapat tercapai. Kerja sama lintas sektor untuk penyediaan pembangunan fasilitas kesehatan yang mendukung kesehatan masyarakat.
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