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All Journal Jurnal Kebijakan Kesehatan Indonesia ROTOR: JURNAL ILMIAH TEKNIK MESIN Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Journal of Community Empowerment for Health Jurnal Jaminan Kesehatan Nasional Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)

Firdaus Hafidz As Shidieq

Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 5830908

Automotive Engineering Decision Sciences, Operations Research & Management Dentistry Education Energy Environmental Science Health Professions Industrial & Manufacturing Engineering Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Nursing Public Health

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Analisis Pemanfaatan Dana Kapitasi Khusus di Kabupaten Nias Utara Karl Frizts Pasaribu; Julita Hendrartini; Firdaus Hafidz
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 3 (2019)
Publisher : Center for Health Policy and Management

ABSTRAKLatar Belakang: Permenkes No 90 Tahun 2015 mengatur tentang penetapan fasilitas kesehatan di daerah terpencil dan sangat terpencil. Permenkes No 52 Tahun 2016 menetapkan pembayaran kapitasi khusus untuk daerah terpencil dan sangat terpencil. Kapitasi khusus adalah dana kapitasi yang diperuntukkan bagi daerah terpencil dan kepulauan. Peraturan Presiden Nomor 111 Tahun 2015 Tentang Daerah tertinggal menetapkan Kabupaten Nias Utara sebagai daerah tertinggal. SK Bupati Nias Utara Nomor 640.2/310/K/TAHUN/2016 menyatakan tujuh kecamatan di kabupaten Nias Utara sebagai daerah terpencil dan sangat terpencil, sehingga mulai Oktober 2017 menerima dana kapitasi khusus. Belum ada laporan atau penelitian mengenai pemanfaatan dana kapitasi khusus yang pernah dilakukan di Kabupaten Nias Utara.Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pemanfaatan dana kapitasi khusus di Kabupaten Nias Utara.Metode: Penelitian ini menggunakan rancangan penelitian deskriptif kualitatif dengan metode penelitian studi kasus. Penelitian ini dilakukan di tujuh puskesmas penerima kapitasi khusus penerima kapitasi khusus dan Dinas Kesehatan Kabupaten Nias Utara, Provinsi Sumatera Utara.Hasil: Dana kapitasi khusus dimanfaatkan sesuai peraturan bupati, 60% untuk pembayaran jasa pelayanan, 20% untuk bahan medis habis pakai, obat dan alat kesehatan, serta 20% untuk biaya operasional lainnya. Kendala pemanfaatan dana kapitasi khusus yaitu puskesmas terbentur regulasi pejabat pengadaan barang, kekurangan SDM puskesmas, pemahaman petugas belum baik tentang pemanfaatan dana kapitasi khusus. Dampak dana kapitasi khusus yaitu penguatan pelayanan kesehatan, peningkatan pendapatan petugas dan peningkatan semangat petugas.Kesimpulan: Dana kapitasi khusus dimanfaatkan sesuai dengan peraturan yang ada, meskipun persentasenya belum sesuai dengan regulasi. Regulasi dan pemahaman petugas yang belum baik menjadi kendala utama dalam memanfaatkan dana kapitasi khusus. Dana kapitasi khusus berdampak pada penguatan pelayanan kesehatan dan peningkatan semangat dan pendapatan petugas kesehatan.Kata Kunci: Daerah terpencil;Kapitasi khusus;Pemanfaatan dana

ANALISA PERFORMA DAN KONSUMSI BAHAN BAKAR PADA MESIN 4-TAK 113CC MENGGUNAKAN BAHAN BAKAR CAMPURAN PREMIUM DAN ETHANOL Muhamad Hafidz Firdaus Priatama; Imron Rosyadi; Yusvardi Yusuf
ROTOR Vol 13 No 2 (2020)
Publisher : Jurusan Teknik Mesin Fakultas Teknik Universitas Jember

The use of a fuel mixture of gasoline and ethanol can reduce the PM2.5 (Particulate Matter) value in the air by 0.3-0.4 µg m-3. This research aims to see the performance of a 4-stroke engine 113cc in standard conditions using a mixture of premium and ethanol. This research learns 5 types of mixture, E0, E10, E15, E20, and E25. The fuels was tested at 5 engine speed 4000, 4500, 5000, 5500, and 6000 rpm, at prony brake dynamometer to measuring performance, fuel consumption and Specific Fuel Consumption (SFC). The results of research show that the highest torque and power is the E15 mixture, that is 8.90 Nm at 5500 rpm and the power obtained is 5.529 kW at 6000 rpm. Meanwhile, the lowest fuel consumption value is found in the E10 with a value of 169.78 gr/hour at 4500 rpm. The lowest SFC value of all fuels is the E15 at 5000 rpm on 27.565 gr/kW.h. This is the lowest of any other fuel, because the Research Octane Number value is following the compression ratio of the engine, so there is no delay in ignition symptoms that occur during the combustion system. The viscosity value also contributes to the difference in data.

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia Agnes Bhakti Pratiwi; Hermawati Setiyaningsih; Rizki Mahardya; Firdaus Hafidz; Diah Ayu Puspandari
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

An estimated 10% of the global population has disabilities, and 1 out of 10 require wheelchairs. Although imperative, the provision of wheelchair services remains challenging, especially in low resource settings. Interacting barriers in availability of wheelchair services and healthcare access can negatively affect households of people with disabilities in productivity and obtaining income. The availability of wheelchair services can potentially lessen the related economic burden. However, to date there is limited evidence concerning the economic gain of the wheelchair users in Indonesia. This study aims to analyze the economic impact of using wheelchairs on households in rural Central Java Province, Indonesia. Economic gains of wheelchair users were measured using a cross-sectional survey in Central Java, Indonesia during 2017. The questionnaires consisted of three main sections, namely general information, socio-economic information before and after using adaptive wheelchair, and income and spending related information. A total of 60 adaptive wheelchair users and parent proxy completed the questionnaires. More than half (55%) of the respondents were male, became impaired in 1998, and used an adaptive wheelchair starting in 2009. Medical conditions of the respondents related to need for a wheelchair are cerebral palsy (29%), paraplegia (29%), and polio (15.5%). Three-fourths of the respondents were working in the informal sector. On average, there is a significant increase of Rp. 217,662 in monthly household income between before and after using a wheelchair. However, there was no significant difference in spending before and after using a wheelchair. Respondents feel that using a wheelchair is beneficial particularly in mobility and helping in their activities. Wheelchair use can increase the income of households with disability. Clients responded that there have been several aspects which need further support, including skills improvement, employment generation for people with disabilities, and adequate public transportation facilities.

Relationship between anxiety and insomnia in clinical clerkship students during COVID-19 pandemic Maria Sekartaji; Resty Puspita Sari; Muhammad Irsan; Muhammad Adnan; Labitta Pachira Aquaira; Shabrina Rifka Farahiya; Firdaus Hafidz
Journal of Community Empowerment for Health Vol 4, No 1 (2021): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61392

During the COVID-19 pandemic, there is an increase in anxiety disorder towards the general population, including those clinical clerkship students who are associated with health care services. There has been limited study conducted regarding to the topic, especially during the COVID-19 pandemic. This study was aimed to know the prevalence of anxiety and insomnia, as well as the correlation between them, in clinical clerkship students during COVID-19 pandemic. An online survey was conducted using a cross-sectional approach to 229 clinical clerkship students batch 2015 at the Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. This study used the Insomnia Severity Index (ISI) and General Anxiety Disorder-7 (GAD-7), administered using Google Forms. Data were analysed using the Chi-Square test. We collected 101 responses. There were 41.6% of males and 58.4% of females with ages ranging from 21 to 26. The result shows 26.7% (95% CI: 8.1-35.4%) of students undergo anxiety and 44.6% (95% CI: 34.9-54.3%) of students experienced insomnia throughout the COVID-19 pandemic. There is a correlation between anxiety and insomnia on clinical clerkship students during the COVID-19 pandemic. Clinical clerkship students with an anxiety disorder have 2.62 times greater risk of experiencing insomnia (p<0.001). The correlation between insomnia and anxiety during COVID-19 pandemic is vital because clinical clerkship students are directly involved in health care services and could risk the safety of patients. Thus, it is important to conduct the course of actions to reduce the risk of mental health problems during pandemic conditions. Also, further research is needed to have a better understanding of the impact on learning performance.

Development of the elderly health monitoring system through families and community health workers during the COVID-19 pandemic Anggi Lukman Wicaksana; Firdaus Hafidz; Putri T Rosha; Annisa Ryan Susilaningrum; Anisah Ramadhani
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61899

Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.

OPTIMIZATION OF HEALTHCARE WORKERS AVAILABILITY : INCREASING PRIMARY HEALTH CARE EFFICIENCY IN INDONESIA Anedya Niedar; Firdaus Hafidz; Krishna Hort
Jurnal Ekonomi Kesehatan Indonesia Vol 7, No 1 (2022)
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/eki.v7i1.5397

Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout Indonesia was 1.29, indicating the potential to achieve on average 29% higher coverage of the selected primary health services if all were as efficient as the most efficient. The average efficiency score in the Eastern Indonesia region was 1.62 and the average in the Java-Bali region was 1.05, indicating higher potential efficiency gains in the Eastern Indonesia region. Access to health care facilities was a consistently significant factor influencing the efficiency of primary health care in almost all regions. This study has demonstrated the potential for significant gains in coverage of key primary care services through improvements in the efficiency of use of the existing health workforce.

KEBIJAKAN ALIH MANFAAT COVID-19 DALAM MANFAAT JAMINAN KESEHATAN NASIONAL Gilbert Renardi Kusila; Endang Suparniati; Tonang Dwi Ardyanto; Donald Pardede; Firdaus Hafidz; Wan Aisyiah Baros; Dedy Revelino; Erzan Dhanalvin; Benyamin Saut; Citra Jaya; Ayunda Oktavia
Jurnal Jaminan Kesehatan Nasional Vol. 2 No. 2 (2022): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v2i2.111

Since the COVID-19 pandemic occurred at the end of January 2020, the health social security administering body (BPJS Kesehatan) as the payer has an important part in handling COVID-19, namely by carrying out the process of verifying claims for COVID-19 cases while the financing is carried out by Ministry of Health. However, COVID-19 benefits may be transferred to the National Health Insurance benefits during the endemic period. Therefore, this study aims to evaluate services and obtain policy recommendations for the transfer of COVID-19 benefits. Qualitative research through focus group discussions was conducted in September 2021 with policymakers, clinicians, COVID-19 survivors, and BPJS Kesehatan. The results of the qualitative study show that there are still many obstacles in the service process. Therefore, it is necessary to regulate the provisions of service regulations. As for the claim process, health facilities find it difficult to change the dynamic regulations during the pandemic. BPJS Kesehatan requires policy certainty to determine the end of the pandemic period. If the COVID-19 benefits are transferred to JKN after the pandemic, the source of financing may not only be done through the conversion of contributions but there is also an option for assistance funds from the government. In terms of tariffs, it is necessary to calculate costs according to the agreed benefit package through INA-CBG. Gradual and thorough preparations are needed for the implementation of the transfer of COVID-19 benefits in the benefits of JKN.

EVALUASI IMPLEMENTASI KEBIJAKAN TATA KELOLA KEPESERTAAN PBI DAERAH JAMINAN KESEHATAN NASIONAL DI KABUPATEN KAYONG UTARA DAN KABUPATEN KETAPANG PROVINSI KALIMANTAN BARAT Dedet Triwahyudi; Firdaus Hafidz As Shidieq; Laksono Trisnantoro
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The management of the Regional Health Insurance was merged into BPJS Health after the implementation of the 2014 National Health Insurance program. Kayong Utara Regency and Ketapang Regency are part of the Regency that combines regional health insurance participation into BPJS Health. The implementation of regional PBI governance needs to be supported by adequate regulations, a strong stakeholder vision, communication between stakeholders that is in line with the policies of regional leaders. Objective: The general objective of this research was to explore the ability of stakeholders in implementing the governance of PBI participation in the National Health Insurance Region. Methods: This study used a realist evaluation approach with a descriptive case study design. The study used purposive sampling, the research subjects were 24 people. Data was collected by means of in-depth interviews and document review. Results: The implementation of the JKN Program is a strategic policy. North Kayong Regency insures the rich and the poor at BPJS Health, while Ketapang Regency only insures the poor or the poor. Based on the Context, Mechanism, and Outcome hypothesis, the management of PBI participants responded differently in the two districts. In the implementation of non-comprehensive regulatory influences, the Regional PBI Management had not been good in the two districts, a strategic vision that was not accompanied by a strategic plan and partial communication (mechanism) contributes to the results or in ensuring health insurance for the poor (outcomes). Conclusion: The government of Kayong Utara and Kabupaten Ketapang have a strong commitment to managing health insurance for the poor. The implementation of the Regional PBI in the two districts faces challenges in the form of regulations that are not yet comprehensive. Comprehensive regulations, clear targets, and cross-structure coordination are needed in the management of Regional PBI in North Kayong Regency and Ketapang Regency so that it can be carried out properly.

STATUS SOSIAL EKONOMI TERHADAP UTILISASI DAN OUT OF POCKET PESERTA ASURANSI KESEHATAN (ANALISIS DATA INDONESIAN FAMILY LIFE SURVEY 2007 DAN 2014) Endra Dwi Mulyanto; Julita Hendrartini; Firdaus Hafidz As Shidieq
Journal of Health Service Management Vol 23 No 01 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The government has guaranteed equal rights for each individual to access health services. It is mandated in the Law Number 40 of 2004 on National Social Security System (SJSN) which emphasizing social insurance program. The social insurance is expected to improve the access and utilization of health services and to minimize the risk of out of pocket. Objective: To provide empirical evidence related to the impact of health insurance ownership toward the outpatient utilization and out of pocket based on socioeconomic status. It also examines the factors influencing outpatient utilization and out of pocket. Methods: The study used 2007 and 2014 Indonesian Family Life Survey (IFLS) data. The representative data were collected from individuals aged more than 15 years in 13 provinces in Indonesia through questionnaire with cross-sectional design. The data were analyzed step by step covering univariable, bivariable, and multivariable through Fixed Effect Model (FE). Results: The outpatient utilization indicated that: 1) The socioeconomic status influences the level of outpatient visit, specifically quantile 2 (OR=1,6), quantile 4 (OR=2,0), and quantile 5 (OR=1,8); 2) The outpatient utilization reached OR=1,8 for individual aged ≥60 years; 3) OR=3,6 for individuals completing junior high school and above; 4) OR= 2,7 for individual who was sick in the past one week; 5) OR= 1,4 for married individuals; and 6) OR= 1,9 for individuals suffering from heart disease. However, the individuals with socioeconomic status in quantile 4 spent higher Out of Pocket (54%); individuals in quartile 5 spent 46%; and individual with hypertension spent 48%. Conclusion: Changes in socioeconomic status affect the increase in outpatient utilization and out of pocket cost. In addition to socioeconomic status, outpatient utilization and out of pocket are affected by hypertension.

DAMPAK KAPITASI KHUSUS TERHADAP CAPAIAN KINERJA FASILITAS KESEHATAN TINGKAT PERTAMA DI KABUPATEN Muhammad Syukran; Firdaus Hafidz As Shidieq
Journal of Health Service Management Vol 23 No 04 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Payment patterns at health facilities are an important component of the National Social Security System. Payment systemapplied by BPJS Kesehatan to primary health care is the capitation payment system and the establishment of special capitation paymentsfor primary health care in remote areas. The effort was made with the aim of improving the quality of service and primary healthcare performance. One of the districts receiving special capitation is Donggala, it is necessary to conduct research on the impact of thespecial capitation policy on the performance of primary health care in Donggala.Objective: This study aims to evaluate the impact of the special capitation policy on the performance of primary health care in Donggala.Methods: This study uses a quantitative observational study with a cross-sectional design. This study uses secondary data from theBPJS Kesehatan Palu branch and primary health care located in Donggala. Primary health care that are the subject of researchare 16 with a month as research unit for one year so that the total observations are 192 observations. Data analysis was carried outin stages, univariate, bivariate with chi square, and multivariate with logistic regression analysis.Results: Primary health care with special capitation have better performance outcomes compared to regular capitation in a certainperiod of time (OR = 3.67). Factors of human resource availability, namely general practitioners, dentists, and nurses will increase theprobability of achieving performance targets (OR = 5.32).Conclusion: The performance achievements of primary health care with special capitation is better than the regular capitation, the availabilityof human resources (i.e availability of general practitioners, dentists and nurses) have contributed to the performance improvementsof primary health care.

Co-Authors Agnes Bhakti Pratiwi Anedya Niedar Anggi Lukman Wicaksana Anisah Ramadhani Annisa Ryan Susilaningrum Ayunda Oktavia Beby Antika Putri Benyamin Saut Citra Jaya Dedet Triwahyudi Dedy Revelino Dewi Ratnawati Dewi Ratnawati Dibyo Pramono Dibyo Pramono Donald Pardede Endang Suparniati Endra Dwi Mulyanto Erzan Dhanalvin Gilbert Renardi Kusila Hermawati Setiyaningsih Imron Rosyadi Julita Hendrartini Julita Hendrartini Karl Frizts Pasaribu Krishna Hort Labitta Pachira Aquaira Laksono Trisnantoro Maria Sekartaji Muhammad Adnan Muhammad Irsan Muhammad Syukran Putri T Rosha Resty Puspita Sari Riris Andono Ahmad Riris Andono Ahmad Rizki Mahardya Shabrina Rifka Farahiya Tonang Dwi Ardyanto, Tonang Dwi Wan Aisyiah Baros Yosalli Yulita Hendrartini Yusvardi Yusuf

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