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Nurmalia Ermi
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FAKTOR YANG BERKONTRIBUSI PADA KEIKUSERTAAN SEKTOR FORMAL DALAM SKEMA ASURANSI KESEHATAN SOSIAL: NARATIVE REVIEW Haerawati Idris; Rahmatillah Razak; Nurmalia Ermi
Jurnal Ekonomi Kesehatan Indonesia Vol 8, No 1 (2023)
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/eki.v8i1.6647

Abstract

Berbagai negara di dunia telah berupaya menuju target Universal health coverage, termasuk negara dengan penghasilan rendah dan menengah. Meskipun bersifat mandatory, sektor formal tidak secara otomatis ikut menjadi peserta dalam asuransi kesehatan sosial. Studi ini bertujuan untuk menggambarkan faktor yang berkontribusi keikusertaan sektor formal dalam asuransi kesehatan sosial. Penelitian ini menggunakan pendekatan naratif review. Studi ini berfokus pada faktor yang ikut berkontribusi pada keikutsertaan sektor formal dalam skema asuransi kesehatan sosial. Kami mengidentifikasi artikel yang terpilih sesuai dengan kriteria inklusi meliputi sektor formal, bahasa inggris dan bahasa Indonesia, mengadopsi asuransi sosial dan artikel yang terbuka untuk diakses. Kami kemudian mengumpulkan artikel terpilih dan akhirnya, kami mensintesis apa saja faktor yang berkontribusi akan kepesertaan sektor formal dalam skema asuransi kesehatan sosial. Kami menemukan bahwa keikutsertaan sektor formal ke dalam asuransi kesehatan sosial berkaitan dengan faktor: skema wajib, pengetahuan sektor usaha/perusahaan, finansial perusahaan, jenis perusahaan, risiko yang mungkin dialami perusahaan dan persepsi terhadap kualitas pelayanan kesehatan yang tersedia. Studi ini menemukan beberapa faktor yang berkontribusi pada keikutsertaan sector usaha dalam asuransi kesehatan sosial. Factor yang bersifat struktur/kebijakan, pengetahuan tentang kebijakan asuransi sosial dan kualitas layanan dari supply side perlu menjadi perhatian pemerintah dalam upaya perluasan pada kelompok ini.
PENGARUH STRES PSIKOLOGIS TERHADAP KADAR KORTISOL ASI PADA IBU MENYUSUI DI KABUPATEN SELUMA Rini Rosaria Rosaria; Rostika Flora; Mohammad Zulkarnain; Rico Januar Sitorus; Hamzah Hasyim; Nur Alam Fajar; Nurmalia Ermi; Annisah Biancika Jasmine; Aguscik Aguscik; Ikhsan Ikhsan; Samwilson Slamet; Yetti Purnama; Neshy Sulung
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.301

Abstract

Breast milk is the gold standard in infant nutrition, which is the best food for babies compared to formula milk. Apart from containing the necessary nutrients, breast milk also contains various bioactive compounds that can affect the growth and development of the baby. Among these bioactive compounds there is also a glucocorticoid (GC) content, such as cortisol. It is known that cortisol levels are affected by the level of stress experienced by mothers during pregnancy and after childbirth. Purpose: this study aims to analyze the effect of maternal stress on breast milk cortisol levels in breastfeeding mothers in Seluma District. Method : : This research is an analytic survey, cross sectional study, conducted in Seluma Regency. A total of 77 rbreastfeeding mothers of children aged 0-24 months were taken as respondents by random sampling. Breast milk samples were taken to examine breast milk cortisol levels and were measured using the ELISA method. interviews using a questionnaire were conducted to collect data on maternal characteristics, while the stress level data were obtained by conducting interviews using the DASS 42 questionnaire. The data obtained was then processed and analyzed using univariate and bivariate analysis. Results: The results of measuring psychological stress showed that 35.1% of mothers experienced stress, while the results of measuring breast milk cortisol levels showed that 50% of mothers had high cortisol levels. The results of the Mann Whitney test found that there was a significant difference in the average breast milk cortisol levels in mothers who experienced psychological stress and those who did not (201.65 ± 97.82 μ/mL vs 150.32 ± 81.80 μ/mL, p=0.028) . Conclusion: psychological stress affects breast milk cortisol levels in breastfeeding mothers in Seluma Regency. Education related to handling stress in breastfeeding mothers needs to be done so that it does not hinder the breastfeeding process which can have an impact on the health of mothers and children. Keywords: Breastfeeding mothers, breast milk cortisol level, psychological stress
STUDI CROSS SECTIONAL TERHADAP HUBUNGAN ASUPAN PROTEIN DENGAN KADAR PROTEIN TOTAL ASI PADA IBU MENYUSUI Febi Marissa Marissa; Rostika Flora; Mohammad Zulkarnain; Nurmalia Ermi; Annisah Biancika Jasmine; Aguscik Aguscik; Ikhsan Ikhsan; Samwilson Slamet; Yetti Purnama; Neshy Sulung
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.283

Abstract

Background: During breastfeeding, mothers need adequate nutritional intake, including protein intake. Essential amino acids play an important role in the process of breast milk protein synthesis and can increase the production and protein of breast milk.  Breast milk protein is needed to support the growth and development of infants in the early stages of life. This study aims to analyze the relationship between protein intake and breast milk protein levels in breastfeeding mothers. Methods: This study was a quantitative study with a cross-sectional approach conducted in Seluma Regency. The sample used was 77 breastfeeding mothers aged 20-35 years who were randomly selected.  Protein intake was obtained using 3x24 hour food recall, then calculated using the Nutri survey application. Breast milk protein levels were measured using the spectrophotometric method. Characteristic data were obtained through interviews. The data obtained were then processed and analyzed using univariate and bivariate analysis using SPSS version 20. Result: The measurement of protein intake showed that 76.6% of breastfeeding mothers had insufficient protein intake. Measurement of breast milk protein levels showed that 67.5% of breastfeeding mothers had insufficient breast milk protein levels. Statistical test results showed that there was a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p=0.007; PR=1.961; CI=1.08-3.56). Mothers who have less protein intake have a 1.96 times greater risk of having low breast milk protein levels. Conclusion: There is a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p<0.005).  Education related to protein intake in breastfeeding mothers needs to be done.  Adequate protein intake can produce the needed quality of breast milk to help the optimal growth and development of the baby.Key words: breast milk, breast milk, protein intake, breastfeeding mothers, milk protein levels
Co-Authors Aguscik Aguscik Annisah Biancika Jasmine Febi Marissa Marissa Haerawati Idris Hamzah Hasyim Ikhsan Ikhsan Mohammad Zulkarnain Mohammad Zulkarnain Neshy Sulung Nur Alam Fajar Rahmatillah Razak Rico Januar Sitorus Rini Rosaria Rosaria Rostika Flora Rostika Flora Samwilson Slamet Yetti Purnama