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Sistem Pembayaran Kolektif Peserta Mandiri dengan Status Kepesertaan dan Kepatuhan Pembayaran Iuran BPJS Kesehatan di Kabupaten Malang zulfa auliyati agustina; Nailul Izza
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 (213.899 KB) | DOI: 10.22435/hsr.v22i1.157

Abstract

Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan mengalami defisit anggaran sekitar Rp. 5.7 triliun pada tahun 2015, pada tahun 2016 mencapai Rp. 9,7 triliun dan pada akhir tahun 2017 defisit anggaran juga mencapai Rp. 9 triliun. Pemerintah berupaya untuk meminimalkan defisit anggaran yang terjadi pada BPJS dengan meningkatkan besaran iuran bulanan untuk peserta mandiri kelas satu dan dua. Selain itu, sistem pembayaran juga mengalami perubahan yaitu bersifat kolektif untuk seluruh anggota keluarga. Tujuan penelitian adalah untuk melakukan analisis hubungan sistem pembayaran iuran satu keluarga (kolektif) terhadap perpindahan kelas kepesertaan dan kepatuhan peserta dalam membayaran iuran bulanan. Metode penelitian ini menggunakan rancangan cross sectional, dengan sampel penelitian adalah peserta BPJS mandiri di Kabupaten Malang yang terpilih secara acak. Analisis data dilakukan dengan uji chi square. Hasil penelitian menunjukkan bahwa sebagian besar responden adalah perempuan (67%), dengan pekerjaan terbanyak sebagai ibu rumah tangga (40%). Rentang umur terbanyak 35-44 tahun (27%) dengan pendidikan terakhir tamat SMA (41%). Pendapatan berada pada tingkat sedang dan pengeluaran rendah. Penerapan sistem pembayaran iuran kolektif berhubungan dengan terjadinya perpindahan kelas kepesertaan (p=0,032) dan kepatuhan pembayaran iuran (p=0,007). Upaya edukasi dan sosialisasi kepada peserta BPJS mandiri perlu terus dilaksanakan untuk meningkatkan kesadaran peserta dalam kepatuhan membayar iuran. Memberdayakan kelompok-kelompok kegiatan masyarakat dalam rangka memampukan peserta BPJS mandiri memenuhi iuran bulanan.
Clustering of Provinces in Indonesia based on Maternal Health Indicators Herti Maryani; Lusi Kristiana; Astridya Paramita; Pramita Andarwati; Nailul Izza
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (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.v15i4.16913

Abstract

Indonesian health issues that deserved top priority was maternal and child health because it determines thequality of the human resources of future generations. The objective of this research is to analyze the clusteringof provinces in Indonesia based on maternal health indicators. This cross-sectional study was conducted in34 provinces using secondary data from the Basic Health Research and Statistics Indonesia. Analysis ofprovincial clustering used FUZZY C-MEANS. Analysis produces six clusters. Cluster 2 has a high meanvalue of maternal health indicators that exceeded the Indonesian target, consisting of the provinces of DKIJakarta, DI Yogyakarta, and East Nusa Tenggara. Cluster 2 was formed by the value equation variable Age offirst mating, Ownership of maternal and child health monitoring book, Vitamin A Provision, K4, postpartumvisits, Iron supplementation tablets consumption and Childbirth delivery in health facilities. Indicators ofownership of the maternal and child health monitoring book for pregnant women had met Indonesia targetin all clusters. Meanwhile, the active participation of family planning program indicator was still below theIndonesia target in all clusters.
Does the Proximity of the Area Affect in Incidence of Stunting? : Study on Densely Populated Provinces in Indonesia Astridya Paramita; Nailul Izza; DwiHapsari Tjandrarini; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i3.18257

Abstract

The prevalence of stunting in Indonesia is still above WHO standards, so it needs to be addressed immediately,given the adverse effects on individuals and countries. This study aims to analyze the incidence of stunting inEast Java by paying attention to the proximity of the area as an effort to solved stunting problems. The studywas conducted using secondary data from 2017 from official government agency reports. Administrative area(regency/city) analysis unit. Analysis using spatial regression test. The results show that Moran’s I test showsa spatial dependency or location autocorrelation (p <0.20). The Lagrange Multiplier SAR spatial regression testcan explain that spatial factors can increase 5% greater (75%) of the 5 selected factors that cause toddler stunting,compared to using the OLS classic regression test. It could be concluded that spatial factors, namely geographicareas, can increase the percentage of clarity in the regression modeling for the incidence of stunting in an area. Inthis study, spatial factors are known to be associated with regional proximity and ethnic similarity, namely theMadurese ethnicity.