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Heart Disease in Indonesia in 2018: An Ecological Analysis Ratu Alit Szasha Faulata; Agung Dwi Laksono; Ratna Dwi Wulandari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15910

Abstract

Gambaran Akses Pelayanan Kesehatan pada Balita di Indonesia Zainul Khaqiqi Nantabah; zulfa Auliyati A; Agung Dwi Laksono
Buletin Penelitian Sistem Kesehatan Vol 22 No 1 (2019): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.677 KB) | DOI: 10.22435/hsr.v22i1.439

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ABSTRAK Anak balita merupakan periode masa yang disebut golden age. Akses pelayanan kesehatan untuk kelompok ini menjadi perhatian karena kesinambungan hidup pada kelompok tersebut menjadi salah satu tolok ukur pembangunan kesehatan. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Analisis dilakukan pada variabel-variabel cakupan kunjungan balita ke pelayanan kesehatan. Pelayanan kesehatan dimaksud adalah Rumah Sakit, Puskesmas/Pustu, Praktik Dokter/Klinik, dan Polindes/Praktik Bidan. Hasil penelitian menunjukkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya dan sangat kaya memiliki akses yang lebih baik di Rumah Sakit dan praktik dokter/klinik pada akses rawat jalan dan rawat inap. Sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik ke Puskesmas/Pustu dan Polindes/praktik bidan baik di rawat jalan maupun rawat inap. Berdasarkan hasil penelitian dapat disimpulkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya memiliki akses yang lebih baik pada pelayanan kesehatan rujukan, sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik di fasilitas pelayanan kesehatan dasar. Kata kunci: akses, pelayanan kesehatan, balita ABSTRACT Toddler is a period of time called golden age. Access to health services for this group is a concern because the continuity of life in the group is one of the benchmarks for health development. This research is an advance analysis of the Riskesdas 2013, which is presented in quantitative descriptive manner. Analysis was carried out on the variables of coverage of toddler visits to health services. The intended health services are hospitals, health center/Pustu, doctor/clinic, and Polindes/midwife, both on outpatient visits and inpatients. The results showed that toddlers who lived in urban areas and in the rich and very rich groups had better access in hospitals and doctor/clinic practices on access to outpatient and inpatient care. While those who live in rural areas and the poor have better access to health center/Pustu and Polindes/ midwives both in outpatient and inpatient care. Based on the results of the study it can be concluded that toddlers who live in urban areas and in rich groups have better access to referral health services, while those who live in rural areas and in poor groups have better access to basic health care facilities. Keyword: access, health services, toddler
Ecological Analysis of the Prevalence of Pulmonary Tuberculosis in Indonesia Mara Ipa; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15857

Abstract

Background: Previous studies have found that the potential loss of pulmonary tuberculosis is relatively high. The study aimed at analyzing ecologically the factors related to the prevalence of pulmonary tuberculosis in Indonesia.Methods: Ecological analysis conducted using secondary data from the Ministry of Health of the Republic of Indonesia report in 2018. All provinces take as samples. Apart from pulmonary tuberculosis, five other variables analyzed as independent variables were smokers’ percentage and adequate ventilation. Percentage of proper lighting, the rate of poor people, and the portion of the population completing primary education. Data were analyzed using a scatter plot.Results: The study results found that the higher the percentage of smokers in a province, the higher the prevalence of pulmonary tuberculosis. The higher the percentage of adequate ventilation in an area, the lower the prevalence of pulmonary tuberculosis. The higher the rate of sufficient lighting in a province, the lower the prevalence of pulmonary tuberculosis. Meanwhile, the higher the percentage of poor people in a region, the higher the prevalence of pulmonary tuberculosis. Finally, the higher the portion of the population completing primary education in a province, the lower the prevalence of pulmonary tuberculosis.Conclusion: It concluded five independent variables analyzed were related to Indonesia’s prevalence of pulmonary tuberculosis.
“Anak adalah Aset”: Meta Sintesis Nilai Anak pada Suku Lani dan Suku Aceh Agung Dwi Laksono; Ratna Dwi Wulandari
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.242 KB) | DOI: 10.22435/kespro.v10i1.933

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Abstract Background: If a child gives values that were considered positive or beneficial to parents, then parents will place high expectations on the child. The study was conducted to synthesize the value of children in the Aceh Tribe and the Lani Tribe. Objective: The research aim was to explore the value of children in the Lani and the Acehnese. Methods: Using the meta-synthesis method in two manuscripts resulting from health ethnographic research, namely "The Dilemma of the Family Planning Program" (Acehnese Tribe in East Aceh, Aceh) and "Portrait of Noken Child Care Patterns in Lani Culture" (Lani Tribe in Tolikara, Papua). Results: Economically the people of Aceh and Lani consider children to be investments. This applies to girls. Socially, the two tribes consider children to be a complement to a family's life and a source of happiness. In religion, the Acehnese consider the child to be the successor to the religion, multiplying children was an effort to multiply the people. While Lani people believe in Christian teachings that encourage them to spread on the surface of the earth, this was done by multiplying offspring. For Acehnese children were important. They consider that the Acehnese boy could be the pride of the family and also the successor to the offspring. While Lani people value girls more than boys. Conclusions: Both tribes still want a large number of children, between 4-7 children. Both tribes also still hold strong the value of children economically, children were assets. Key words: the value of children, meta-synthesis, meta-aggregation, ethnography research, Aceh tribe, Lani tribe Abstrak Latar Belakang: Apabila seorang anak memberikan nilai yang dianggap positif atau menguntungkan bagi orang tua, maka orang tua akan menaruh harapan yang tinggi terhadap anak. Suku Aceh dan Suku Lani merupakan kelompok rentan yang perlu mendapat perhatian. Tujuan: Tujuan penelitian untuk mengeksplorasi nilai anak pada Suku Lani dan Suku Aceh. Metode: Meta sintesis pada dua manuskrip hasil riset etnografi kesehatan, yaitu “Dilema Program Keluarga Berencana” (Suku Aceh di Aceh Timur, Aceh) dan “Potret Pola Asuh Anak Noken dalam Budaya Lani” (Suku Lani di Tolikara, Papua). Studi difokuskan pada nilai anak secara: ekonomi; sosial; agama; preferensi gender; dan preferensi jumlah anak. Hasil: Secara ekonomi masyarakat Aceh dan Lani menilai anak adalah investasi. Hal ini berlaku bagi anak perempuan. Secara sosial kedua suku menilai anak adalah pelengkap hidup sebuah keluarga dan sumber kebahagiaan. Secara agama orang Aceh menilai anak itu penerus agama, memperbanyak anak adalah upaya untuk memperbanyak umat. Sedang orang Lani meyakini ajaran kristiani yang menganjurkan mereka untuk menyebar di permukaan bumi yang dilakukan dengan cara memperbanyak keturunan. Bagi orang Aceh anak laki itu penting. Mereka menganggap bahwa anak laki Aceh dapat menjadi kebanggaan keluarga dan sekaligus penerus keturunan. Sedang orang Lani menilai lebih tinggi anak perempuan dibanding laki-laki. Kesimpulan: Kedua suku masih menginginkan jumlah anak yang banyak, antara 4-7 anak. Kedua suku juga masih memegang kuat nilai anak secara ekonomi, anak adalah aset. Kata kunci: nilai anak, meta sintesis, meta agregasi, riset etnografi, suku Aceh, suku Lani
PERSPEKTIF MASYARAKAT TENTANG AKSES PELAYANAN KESEHATAN Hario Megatsari; Agung Dwi Laksono; Ilham Akhsanu Ridlo; Mohammad Yoto; Arsya Nur Azizah
Buletin Penelitian Sistem Kesehatan Vol 21 No 4 (2018)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.031 KB) | DOI: 10.22435/hsr.v21i4.231

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Access to health services is often seen only from the provider perspective, while from the community side as a user is less noticed. Improving the quality of health services access requires a complete perspective on two diff erent sides. This research is designed descriptively qualitative. Data were collected by Focus Group Discussion (FGD), in-depth interview and observation. The research was conducted in Malang Regency in June-August 2018. The study results showed health services access generally the community believes that there are still perceived defi ciencies. Especially on the aspect of physical access, due to poor facilities and infrastructure. In addition, social access was also considered inadequate, because there were still health workers who served with less friendly. This study concludes that people still feel access to physical and social aspects is still diffi cult. It should be recommended to the local government for eff orts to improve physical access, and the Health Offi ce to disseminate health information about the rights of patients to the community. Abstrak Akses pelayanan kesehatan seringkali dilihat hanya dari perspektif pemberi pelayanan saja, sementara akses dari sisi masyarakat sebagai pengguna kurang terperhatikan. Perbaikan kualitas pelayanan kesehatan dari sisi akses memerlukan perspektif yang lengkap dari dua sisi yang berbeda. Penelitian ini didesain secara deskriptif kualitatif. Data dikumpulkan dengan Focus Group Discussion (FGD), wawancara mendalam dan pengamatan. Penelitian dilakukan di Kabupaten Malang pada bulan Juni–Agustus 2018. Hasil penelitian menunjukkan aksesibilitas pelayanan kesehatan yang ada, secara umum masyarakat berpendapat bahwa masih ada kekurangan yang dirasakan. Terutama pada aspek akses secara fisik, dikarenakan sarana dan prasarana yang kurang baik. Selain itu akses secara sosial juga dirasa kurang, karena masih ada tenaga kesehatan yang melayani dengan kurang ramah. Penelitian ini menyimpulkan bahwa masyarakat masih merasa akses dari aspek fisik dan sosial masih sulit. Perlu direkomendasikan pada pemerintah daerah setempat untuk upayaperbaikan akses secara fi sik, dan Dinkes untuk mendiseminasikan informasi kesehatan mengenai hak pasien kepada masyarakat.
Analisis Sosiogram untuk Penentuan Agen Perubahan; Studi Kasus pada Program Desa Sehat Berdaya Agung Dwi Laksono; Hario Megatsari; Ilham Akhsanu Ridlo; Muhammad Yoto; Arsya Nur Azizah; Nabigh Abdul Jabbar; Muhammad Ainurrohman
Buletin Penelitian Sistem Kesehatan Vol 22 No 1 (2019): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.604 KB) | DOI: 10.22435/hsr.v22i1.1202

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Program Desa Sehat Berdaya lebih menekankan pada kegiatan promotif dan preventif yang berorientasi menjaga dan meningkatkan status kesehatan masyarakat di desa dengan pendekatan pemberdayaan masyarakat. Dalam pelaksanaannya, program ini perlu untuk mengidentifikasi Agen Perubahan, agar program pemberdayaan masyarakat yang dijalankan dapat berjalan dengan lancar dan diterima oleh masyarakat. Penelitian ini dilakukan untuk mendapatkan gambaran proses penentuan agen perubahan melalui sosiogram. Penelitian didesain secara kualitatif deskriptif. Pengumpulan data dilakukan dengan metode observasi partisipatif dan wawancara mendalam. Selama pengumpulan data peneliti tinggal dan berbaur dengan masyarakat selama 3 bulan. Penelitian dilakukan di tiga desa wilayah Kecamatan Kalipare. Hasil penelitian menemukan bahwa agen perubahan yang terpilih dari ragam latar belakang yang berbeda. Di Desa Sumber Petung terpilih seorang mantan lurah, Desa Arjosari terpilih seorang tenaga kesehatan, dan Desa Kali Asri terpilih seorang ketua Penggerak PKK. Berdasarkan hasil penelitian dapat disimpulkan bahwa agen perubahan dapat ditentukan dengan bantuan analisis sosiogram. Analisis sosiogram menentukan agen perubahan bisa dengan latar belakang tokoh yang sangat berbeda, semuanya ditentukan berdasar pada penerimaan masyarakat sebagai sasaran.
How to control the sexually transmitted diseases in Benjina?: qualitative studies on the practice of prostitution Agung Dwi Laksono; Santi Dwiningsih
Health Science Journal of Indonesia Vol 10 No 1 (2019)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v10i1.1044

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Latar Belakang: Prostitusi yang muncul bersamaan dengan industri besar menimbulkan masalah kesehatan, masalah sosial ekonomi, dan budaya. Artikel ini dimaksudkan untuk mengeksplorasi faktor-faktor yang berkaitan dengan praktik prostitusi di Benjina dan mengeksplorasi potensi untuk mengendalikan dampak penyakit penularan melalui hubungan seks. Metode: Penelitian kualitatif ini dilakukan dengan pendekatan etnografi. Wawancara mendalam dan observasi partisipatif dilakukan terhadap 30 informan yang terkait langsung dengan praktik prostitusi di Benjina. Hasil: Tidak ditemukan lokalisasi di Benjina. Praktik pelacuran ditemukan sebagai hal yang biasa di tempat yang disebut rumah karaoke yang menyediakan peralatan menyanyi sederhana, minuman keras, dan layanan seksual. Ada 46 pekerja seks perempuan yang bekerja di 12 rumah karaoke. Faktor ekonomi ditemukan sebagai faktor dominan yang mendorong para pelaku pelacuran, di samping balas dendam. Ada beberapa kendala dalam menggunakan kondom dalam praktik pelacuran ini. Di antara mereka adalah bentuk fisiologi penis yang mengalami modifikasi, dan hubungan pekerja seks khusus dengan kekasih mereka. Ada potensi Sasi yang dapat digunakan sebagai upaya untuk mengendalikan penyakit penularan melalui hubungan seks. Kesimpulan: Sasi sebagai hukum adat berpotensi menjadi hukum positif untuk menerapkan kondomisasi secara keseluruhan di Benjina. Kata kunci: Penyakit menular seksual, pelacuran, hukum adat, Sasi, adat istiadat. Abstract Background: Prostitution that appears together with massive industry raises health problems, socioeconomic problems, and culture. This article was intended to explore factors related to prostitution practices in Benjina and explore the potential for controlling the impact of sex transmission disease. Methods: This qualitative study was carried out with an ethnographic approach. In-depth interviews and participatory observation were carried out on 30 informants who were directly related to the practice of prostitution in Benjina. Results: No localization was found at Benjina. The practice of prostitution was found to be commonplace in a place called karaoke houses that provided simple singing equipment, liquor, and sexual services. There were 46 female sex workers who worked in 12 karaoke houses. Economic factors were found to be the dominant factor driving the perpetrators of prostitution, in addition to revenge. There are some obstacles to using condoms in this practice. Among them were the forms of penile physiology that experience modification, and the relationship of special sex workers with their lovers. There was a Sasi potential that can be used as an effort to control sex transmission disease. Conclusion: Sasi as a customary law has the potential to be a positive law to implement condomization as a whole in Benjina. Keywords: sexually transmitted disease, prostitution, customary law, Sasi, traditional customs.
Ecological Analysis of Maternity Care in Indonesia in 2018 Dinnya Yesica Tandy; Hario Megatsari; Agung Dwi Laksono; Mursyidul Ibad
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14708

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Policies that encourage maternity care to health care facilities are an important effort to reduce maternalmortality rates. This study aims to analyze the factors related to maternity care coverage in Indonesia. Theecological analysis was conducted using secondary data from the Ministry of Health of the Republic ofIndonesia report in 2018. All provinces were taken as samples. In addition to coverage of childbirth in healthcare facilities as the dependent variable, there were 6 independent variables analyzed in this study, namelypercentage of poor families, a ratio of primary health care/100,000 population, a ratio of hospital/100,000population, a ratio of gynecologist/100,000 population, a ratio of midwife/100,000 population, andcoverage of health insurance ownership. Data were analyzed using cross-tabulation. The results show thepercentage of poor families tends to have a negative relationship with maternity care coverage. Besides,four other variables were found to tend to have a positive relationship with maternity care coverage, namelythe ratio of primary health care/100,000 population, the ratio of hospital/100,000 population, the ratio ofgynecologist/100,000 population, and coverage of health insurance ownership. Meanwhile, the ratio of themidwife/100,000 population was found to have no relationship with maternity care coverage in Indonesia. Itwas concluded that 5 variables show the tendency of the relationship with maternity care coverage in healthcare facilities in Indonesia.
Analisis Ekologi Persalinan di Fasilitas Pelayanan Kesehatan di Indonesia Agung Dwi Laksono; Christyana Sandra
Buletin Penelitian Sistem Kesehatan Vol 23 No 1 (2020)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1225.578 KB) | DOI: 10.22435/hsr.v23i1.2323

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Policies to encourage childbirth in health care facilities were emphasized to reduce maternal mortality rates that are still high in Indonesia. The study was aimed at analyzing population, socio-economic, and resource input variables related to childbirth in health care facilities. This study used an ecological study approach (an aggregate study) sourced from the 2018 Indonesia Health Profi le. Bivariate analysis was performed using scatter plots and Pearson correlation tests. The results showed a wide disparity in terms of childbirth in health care facilities coverage. Maluku was the province with the lowest coverage (45.18%), while the highest coverage was achieved by DKI Jakarta (100%). The results of scatter plots and bivariate tests showed that the more population in a province, the higher the coverage of delivery in health care facilities, the deeper and worse the poverty in a province, the lower the coverage of delivery in health care facilities. The more obstetrician and hospitals in a province, there was a tendency for coverage of births in health care facilities to be higher. In conclusion, population, the ratio of obstetricians, and the ratio of hospitals have a positive relationship with deliveries in healthcare facilities. In contrast, the Poverty Depth and Severity Index has a tendency to had a negative relationship with the coverage of deliveries in health care facilities. It was recommended that the government formulate specifi c policies to target regions with a small population, poor and have a small number of obstetricians and hospitals. Abstrak Kebijakan mendorong persalinan di fasilitas pelayanan kesehatan ditekankan untuk menurunkan angka kematian ibu yang masih tinggi di Indonesia. Studi ditujukan untuk menganalisis variabel kependudukan, sosial-ekonomi dan input sumber daya yang berhubungan dengan persalinan di fasilitas pelayanan kesehatan. Desain studi menggunakan pendekatan studi ekologi (studi agregat) bersumber data Profi l Kesehatan Indonesia Tahun 2018. Analisis bivariat dilakukan dengan menggunakan scatter plot dan uji korelasi Pearson. Hasil penelitian menunjukkan disparitas persentase cakupan persalinan ke fasilitas pelayanan kesehatan yang sangat lebar, Provinsi Maluku memiliki cakupan paling rendah (45,18%), sementara cakupan tertinggi dicapai Provinsi DKI Jakarta (100%). Hasil scatter plot dan uji bivariat menunjukkan bahwa semakin banyak jumlah penduduk pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Semakin dalam dan parah kemiskinan pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin rendah. Semakin banyak dokter spesialis obgyn dan rumah sakit pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Disimpulkan bahwa jumlah penduduk, rasio dokter spesialis obgyn dan rasio rumah sakit (RS) memiliki hubungan positif, sementara Indeks Kedalaman dan Keparahan Kemiskinan memiliki kecenderungan hubungan negatif dengan cakupan persalinan di fasilitas pelayanan kesehatan. Disarankan pemerintah menyusun kebijakan khusus pada sasaran wilayah dengan jumlah penduduk sedikit, miskin dan memiliki dokter spesialis obgyn dan RS yang sedikit.
Determinants of Tobacco Use among Adolescents and Young Adults in Indonesia: An Analysis of IFLS-5 Data Diyan Effendi; Arief Priyo Nugroho; Zainul Khaqiqi Nantabah; Agung Dwi Laksono; Lestari Handayani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15726

Abstract

Background:The danger of tobacco use to health has been globally known. However, its prevalence especially in developing countries including Indonesia remains high.This study aims to investigate determinants of tobacco use among adolescents and young adults in Indonesia. These age groups are essential since most regular smokers initiated to smoke at these ages. Methods: This study utilized IFLS wave 5 data. A total of 7213 responses on tobacco use from respondents age 15-24 years old were taken into analysis. Association between tobacco use with sociodemographic, religious, and ethnic identity was determined by using binary logistic regression. Results: Prevalence of tobacco use was 25.1%. The fully adjusted model showed factors that associated with tobacco use were age, sex, educational attainment, marital status, having smoking parents, and Madurese ethnicity. Conclusion:Tobacco use was prevalent among adolescents and young adults in Indonesia. Madurese was the only ethnic group associated with tobacco consumption in Indonesia. Appropriate design of interventions, therefore, is needed to target these subgroups.