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All Journal Media Kesehatan Masyarakat Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Berkala Epidemiologi Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) The Indonesian Journal of Public Health J Statistika: Jurnal Ilmiah Teori dan Aplikasi Statistika

Diah Indriani

Department Of Epidemiology, Biostatistics, Population And Health Promotion, Faculty Of Public Health, Universitas Airlangga

Author-ID : 2815238

Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Immunology & microbiology Public Health

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Dampak Biaya Laboratorium Terhadap Kesenjangan Tarif INA-CBGs dan Biaya Riil Diagnosis Leukemia Diah Indriani; Hari Kusnanto; Ali Ghufron Mukti; Kuntoro Kuntoro
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 10 Mei 2013
Publisher : Faculty of Public Health Universitas Indonesia

Selama penerapan Diagnosis Related Group di Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, terjadi kesenjangan tarif biaya riil pelayanan kesehatan dengan tarif Indonesia Case Base Groups (INA-CBGs). Penyebab terbesar kesenjangan tarif tersebut adalah pelayanan obat dan penggunaan sumber daya laboratorium yang tidak efisien. Biaya pelayanan penunjang medis untuk pasien leukemia limfoblastik akut adalah sekitar 23,8% dari total biaya pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui tingkat efisiensi penggunan sumber daya laboratorium dan pengaruh terhadap kesenjangan tarif. Penelitian ini menganalisis semua rekam medis dan data biaya pelayanan laboratorium pasien leukemia limfoblastik akut tahun 2009 _ 2010 di RSUP Dr. Sardjito Yogyakarta. Pemeriksaan kimia klinik menunjukkan pola pasien yang semakin parah, proporsi biaya pemeriksaan kimia klinik semakin rendah. Kondisi ini juga terjadi pada pemeriksaan radiologi, urine dan tinja rutin. Sementara pada pemeriksaan hematologi, mikrobiologi, dan imunologi/serologi menunjukkan pola semakin parah pasien maka semakin tinggi proporsi biaya pemeriksaan. Analisis regresi menemukan pemeriksaan kimia klinik meliputi mikrobiologi darah, ureum, magnesium, creatine kinase MB (blood) menyebabkan kesenjangan tarif semakin meningkat atau rumah sakit semakin dirugikan. Model regresi linier ini mempunyai nilai R2 sebesar 0,834 dengan nilai F = 84,475 (P < 0,05). Ketidakefisienan penggunaan sumber daya laboratorium pada pemeriksaan kimia klinik terdapat pada kelompok pasien tingkat keparahan ringan. Problems occurred during the implementation of Diagnosis Related Group in Sardjito Hospital Yogyakarta. There was gap price between the real cost of health care and Indonesia Case Base Groups (INA-CBGs) cost. The cause of the gap price was drug delivery and use of laboratory resources inefficiently. Cost of medical support services for acute lymphoblactic leukemia patients about 23.8% of the total cost of health care. This study aimed to analyze efficiency of the use of laboratory resources and their effect to discrepancy of price.This study analyzed all medical records and laboratory services cost data in 2009 _ 2010 acute lymphoblastic leukemia patients at Sardjito Hospital Yogyakarta. Clinical chemistry test showed a pattern of more severe patients, the lower the percentage of clinical chemistry fees. This condition also occurs in radiological, urine test, and stool. While the test of hematology, microbiology and immunology/serology showed a pattern, the more severe the patient, the higher the percentage of the cost of the test. The results of the regression analysis showed that the more higher cost of clinical chemistry test (blood microbiology, urea, magnesium, creatine kinase MB (blood)) the higher discrepanct of price which causes the hospital getting harmed. Linear regression model has a value of determination coeficient 0.834 with a value of F = 84.475 (P < 0.05). Inefficiency of resource use in the test of clinical chemistry laboratory located on the mild severity of the patient group.

Peramalan KB Baru IUD dengan Metode Automatic Clustering and Fuzzy Logical Relationship Yunidar Ayu Pratama; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 6 No. 2 (2017): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v6i2.2017.144-153

This research aims for forecasting the number of participants Family Planning (FP) new IUD in East Java in 2017 method using Automatic Clustering And Fuzzy Logic Relationship (ACFLR). Make forecasting for the number of participants FP new IUD in the future important done. Forecasting will support the increase of the number of participants program FP new IUD as emphasized by the Government so that it can be used to take better decisions. Forecasting method of Automatic Clustering And Fuzzy Logical Relationship was chosen because the method has a higher degree of accuracy compared to the classical time series method and fuzzy time series. This study used secondary data recorded in Perwakilan BKKBN East Java in the form of the number of participants KB new IUD in East Java in 2011 to 2016. Based on the research results obtained forecasting the number of participants KB new IUD in 2017 is 65.616 participants with error rate prediction of 0.97% and the percentage increase in the number of participants from the previous year is 0.28%.

Faktor yang Mempengaruhi Perilaku Konsumsi Alkohol Anak Jalanan di Kota Kediri Esta Ruri Solecha; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 6 No. 1 (2017): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

The behavior of alcohol consumption among street children is a serious health problem, because the behavior can have a negative impact. This behavior occurs due to imperfect social interaction in the community and life within the family of street children. This study aims to determine the factors that influence the behavior of alcohol consumption in street children in Kediri. This research method using quantitative approach method. The population in this study is all street children in Kediri with the criteria of adolescents ie age 10-19 years. The sample used in this study were 30 respondents, using accidental sampling method. The variables used are alcohol consumption behavior, attitude, knowledge, affordability, and peers. Data were collected using questionnaire and data analysis using Chi-square test. The results showed that of 30 street children respondents 76.7% consumed alcohol. The result of Chi-square test shows that the level factor of knowledge, attitude, affordability and environment of peers who have many opportunities to perform alcohol consumption behavior is the affordability factor with OR = 15.8. This means that the easier a person to get an alcoholic drink the greater the chance to behave alcohol consumption.

Cox Regression untuk Mengetahui Besaran Risiko Terjadinya Kekambuhan Kembali (Relaps) Penyalahgunaan Narkoba Kardita Puspa Monitasari; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 6 No. 2 (2017): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Relapse happened because of factor that affected an addict back to the previous state. Recurrence rate off an addict that had been treated on a various therapeutic center and rehabilitation was higher from 60% until 80%. Relapse occurred when an individual returned to his/her pattern of addiction or back to deviant behavior. The purpose of this research is identifying factors that can affect relapse. This research is analytic observational research using cross sectional design. The data were collected from 30 people who still undergo the rehabilitation. Data analysis of this research is using cox regression. Result of this research showed that someone who has medium level of knowledge has a risk to get relapse 41.26 times higher than someone who has a lower level of knowledge. Respondent with high level of knowledge might got relapse 1.4 times higher than respondent that has a low level of knowledge. While the variable of a medium peer environment showed risk of 3.31 times higher got a relapse than a high peer environment. Respondent that has a low peer environment might got relapse 1.45 higher than a high peer environment. In this reseach, there are two factors that can affect relapse event, those factors were the level of knowledge and peer environment. The biggest risk for an addict to get their relapse is knowledge, so that the knowledge of narcotics should be given more and also to make their peer environment support them in avoiding the narcotics.

Pengaruh Keinginan Pasangan Usia Subur (Pus) dalam Penggunaan Metode Kontrasepsi Jangka Panjang Sumartini Sumartini; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 5 No. 1 (2016): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

One of the most eff ective eff ort in the family planning program was to control fertilitas and press the population growth rate was used contraception. In the area of Puskesmas Pacar Keling Surabaya interest of acceptor which used short term contraceptive method still high than long term contraceptive method. This research used analytical observational study with case control methods. The population is all woman reproductive age couples aged 15-49 years old in the area of Puskesmas Pacar Keling Surabaya. Sampling technique used two stage random sampling and got 90 respondent. The variables were age, knowledge, side eff ects, desire to have a child again, husband and family support. Data were analyzed with multiple logistic regression with al level of signifi cance value α= 0,05. The result of logistic regression analysis signifi cant variables were age (p= 0,002), side eff ects (p= 0,005), desire to have a child again (p= 0,028), husband and family support (p= 0,008). Conclusion of research is that age, side effects, desire to have more children, husband and family support infl uencing reproductive age couples using long term contraceptive methods. This research suggest health workers provide Counselling and information about Family Planning to reproductive age couples specially they were 20-30 years old about explanation of the use of long term contraception method.

Analisis Kecenderungan Survival Penderita HIV (+) dengan Terapi ARV Menggunakan Aplikasi Life Table Munfaridah Munfaridah; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 5 No. 2 (2016): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Survival analysis was a technique in statistical that used to analyze the data of an event, starting from the beginning to the end of the event and noted the timing of the events that have been determined, time was recorded in a day, week, month, or year. The purpose of this research was analyzed tendency survival with HIV positive of stage III to clinical stage AIDS. This research method used analytic observational with retrospective cohort design, analysis data used descriptive analysis and analysis of life table survival. The research used units of data population with inclution criteria, the first diagnosed with HIV (+) stage III at Dr. Kariadi Semarang Hospital from year 2008–2012, CD4 less from 200 sel/mm3 and consumed antiretroviral. The results showed a tendency survival of patients with HIV faster have been AIDS are low educational status 10 months, faster than on the status of higher education with decreased survival of 50%; the age group over 40 years, faster of 35 months less than the age group less 40, with years with decreased survival of 25%; HIV patients who started antiretroviral therapy with low CD4 counts, faster 7.5 months had been AIDS at the start of antiretroviral therapy with CD4 high, the chances of survival decrease by 60%. Early detection of HIV must be done in order to support the prevention of AIDS.

Penggunaan ROC pada Skrining Pre-Eklampsia dengan Metode USG DVAUT pada Ibu Hamil di Puskesmas Mulyorejo Surabaya Intan Laraswati; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 8 No. 2 (2019): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v8i2.2019.129-137

Pre-eclampsia is the third highest cause of death in pregnant women. Symptoms of pre-eclampsia can be identified by the presence of hypertension, proteinuria and edema during pregnancy until postpartum. Pre-eclampsia cannot be identified with certain risk factors, and cannot be prevented. Pre-eclampsia can be detected early using the pre-eclampsia screening method with sonography. The sonographic device used is referred to as DVAUt ultrasound (Uterine Artery Doppler Velocimetry Ultrasonography). This studying an analytic observational research with a cross sectional study design. The population was all pregnant women who examined at the Mulyorejo primary health center in 2013 until the first quarter of 2018. The sampling technique was consecutive sampling with inclusion and exclusion criteria. The number of samples obtained is 496 data. The study aimed to determine the sensitivity and specificity of the pre-eclampsia screening method using DVAUt ultrasound in detecting the tendency of pregnant women to experience pre-eclampsia. The data were analyzed of sensitivity and specificity and the Receiver Operating Characteristics (ROC) curve with p <0.001. P1GF / sFlt-1 (Gold standard) biomaker test sensitivity of 89% and specificity of 90%. The results of this study were the sensitivity of pre-eclampsia screening at 99.7% and specificity of 81.9%. The ROC method obtained the results of pre-eclampsia screening using DVAUt ultrasound has a high sensitivity and specificity in detecting the tendency of pregnant women to experience pre-eclampsia. Suggestions for research to refresh knowledge and procedures for conducting pre-eclampsia screening checks.

Analisis Regresi Ordinal Model Logit dan Probit untuk Memprediksi Faktor yang Mempengaruhi Bayi Berat Lahir Rendah Marius Iban; Diah Indriani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 8 No. 1 (2019): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Low birth weight (LBW) has greater risk for experiencing problems. Based on Indonesian DHS data in 2012, the province with the highest infant mortality rate estimate was West Papua amounting to 75 per 1,000 live births. This study used logit and probit regression models to analyze the factors that caused low birth weight. It is thought that by comparing both logit and probit models, the best results could be obtained. The results of research showed that the independent variables that affected babies with LBW were the distance of pregnancy and maternal parity. If the distance of pregnancy was less than 2 years, it would increase the incidence of LBW by 2.7 times (p: 0,00: CI 1b: -4,05;CI ub: -1,50). Moreover, the distance of pregnancy which was less than 2 years would only improve LBW by 19.4 percent, compared with the distance of the pregnancy that was more than 2 years which would increase infant weight by 80.6 percent. As with maternal parity between 0 and more than 4, there was a chance of increasing the incidence of LBW by 1.94 times (p: 0,00; CI 1b: -2,66;CI ub: -1,21). On the other hand, maternal parity of 0 and parity > 4 would improve LBW by 74.2 percent, and a parity of 1 to 4 would only see 25.8 percent improvement. The result of this study suggested that there should be improvement in health promotions, such as family planning cuonseling and consultation for eligible couples.

FAKTOR YANG MEMPENGARUHI PENGGUNAAN JENIS METODE KONTRASEPSI JANGKA PANJANG (MKJP) PADA WANITA MENIKAH USIA SUBUR DI PROVINSI JAWA TIMUR Luki Triyanto; Diah Indriani
The Indonesian Journal of Public Health Vol. 13 No. 2 (2018): The Indonesian Journal of Public Health
Publisher : Universitas Airlangga

Long-Acting and Permanent Method (LAPM) is a very effective method of contraception, but women of childbearing age majority use short-term contraceptive methods. The purpose of this study was to apply multinomial logistic regression analysis in predicting factors affecting Fertile Women in the use of LAPM in East Java Province in 2012. This research use secondary data that was result of Indonesia Demographic Health Surveys (IDHS) year 2012 using the number of 171 respondents. The results of this study indicated the variables that affected the use of LAPM of WUS age (p = 0.008), education level (p = 0,004), occupation (p = 0,029), source of family planning services (p = 0,000), residence area (p = 0.016). The conclusion of this study was age, educational level, occupation, source of FP services, and residential areas affecting the use of long-term contraceptive methods in women of childbearing age. Therefore the government through the National Family Planning Coordinating Board (BKKBN), still pay attention to the family planning program and ensure every community to implement family planning programs and educate and promote family planning programs to resolve the problems of the population.

Analysis of Age, Smoking Habit, Nutritional Status, and Their Influence on Hypertension Wismoyo Nugraha Putra; Bayu Satria Wiratama; Rachmah Indawati; Diah Indriani
Jurnal Berkala Epidemiologi Vol. 9 No. 1 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I12021.10-17

Background: Hypertension is a major risk factor for cardiovascular disease that can lead to death; it is a condition that is related to age, nutritional status and smoking habit. The likelihood of a person being overweight or obese increases every year, and there are still many people who have a smoking habit. Purpose: This study aims to analyze the effect of age, smoking habit and nutritional status on incidences of hypertension in East Java Province. Methods: This was an analytical observational study using a cross-sectional design and employing secondary data derived from the 5th Indonesian Family Life Survey (IFLS). Data collection was carried out among all household members in East Java who were still at a productive age (15–64 years) making a total of 3,803 respondents. The variables observed were age, gender, nutritional status, smoking habit, physical activity, and consumption of high-fat foods. The data analysis used the chi-squared test and logistic regression. Results: The findings of this study show that there is a relationship between age and nutritional status and the incidence of hypertension. However, there was no significant relationship between smoking habit and the incidence of hypertension. Elderly respondents were shown to have 12 times the risk of developing hypertension than teenage respondents. Conclusion: Age is the dominant factor causing hypertension in East Java Province. Adults and the elderly in East Java Province are expected to maintain a healthy lifestyle.

Co-Authors Alfian Nur Rosyid Ali Ghufron Mukti Arina Dery Puspitasari Bayu Satria Wiratama Bella Dwi Saputri Chatarina Umbul Wahyuni Esta Ruri Solecha Fatimatuz Zahra Oviary Satryo Fauzul Meiliani Hari Kusnanto Intan Laraswati Kardita Puspa Monitasari Kuntoro Kuntoro Lily Aina Luki Triyanto Marius Iban Melinda Putri Amelia Rachman Munfaridah Munfaridah Nanda Ardianto Rachmah Indawati Soenarnatalina Melaniani Sumartini Sumartini Syahirul Alim Tamara Nur Budiarti Wismoyo Nugraha Putra Yunidar Ayu Pratama

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