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Decentralisation in Indonesia: The Impact on Local Health Programs Hidayat, Muhammad Syamsu; Mahmood, Afzal; Moss, John
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: After more than a decade of implementation, the outcomes of decentralisation in Indonesia, particularly for the health sector are still obscure. Government health expenditure in a number of districts has increased considerably, but despite this health system performance to a large extent seems unaffected, calling into question how health stakeholders actually interpret local needs and how this interpretation can influence the consequent process for developing health programs. The main objective is to reveal the impact of decentralisation on health programs. Methods: In order to explore the complexity of the process, thirty-six stakeholders from eight different districts were interviewed, individually. These stakeholders consisted of representatives of the executive and legislative bodies, and the head of the district health office. Using purposive sampling, districts as the unit of analysis were selected on the basis of different degrees of fiscal strength and of urbanisation. The data were explored using framework approach. Results: One feature of decentralisation was the transfer of central government-that includes the discretion to develop and financing local initiative health programs to the local governments. However, the extent of health programs in each local government depends on factors such as local fiscal capacity, regulations, and the political process. In the case of Jamkesda, local fiscal capacity will determine the coverage and benefit of the health scheme that usually was supported by local regulations. However, the amount of local budget allocated for Jamkesda, relied greatly on the political process. The role of Jamkesda as a vote-getter for local politicians is significance, both in term of local commitment (budget allocation and regulation) and the sustainability of the program. Conclusion: Decentralisation has changed the development of local health program, nevertheless, the scope of local initiative health programs is determined by local fiscal capacity and the political process.

Decentralisation in Indonesia: The Impact on Local Health Programs Hidayat, Muhammad Syamsu; Mahmood, Afzal; Moss, John
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: After more than a decade of implementation, the outcomes of decentralisation in Indonesia, particularly for the health sector are still obscure. Government health expenditure in a number of districts has increased considerably, but despite this health system performance to a large extent seems unaffected, calling into question how health stakeholders actually interpret local needs and how this interpretation can influence the consequent process for developing health programs. The main objective is to reveal the impact of decentralisation on health programs. Methods: In order to explore the complexity of the process, thirty-six stakeholders from eight different districts were interviewed, individually. These stakeholders consisted of representatives of the executive and legislative bodies, and the head of the district health office. Using purposive sampling, districts as the unit of analysis were selected on the basis of different degrees of fiscal strength and of urbanisation. The data were explored using framework approach. Results: One feature of decentralisation was the transfer of central government-that includes the discretion to develop and financing local initiative health programs to the local governments. However, the extent of health programs in each local government depends on factors such as local fiscal capacity, regulations, and the political process. In the case of Jamkesda, local fiscal capacity will determine the coverage and benefit of the health scheme that usually was supported by local regulations. However, the amount of local budget allocated for Jamkesda, relied greatly on the political process. The role of Jamkesda as a vote-getter for local politicians is significance, both in term of local commitment (budget allocation and regulation) and the sustainability of the program. Conclusion: Decentralisation has changed the development of local health program, nevertheless, the scope of local initiative health programs is determined by local fiscal capacity and the political process.

FACTORS RELATED TO STUNTING INCIDENCE IN CHILDREN UNDER-FIVE YEARS IN ARGODADI, SEDAYU, BANTUL Pratama, Yanasta Yudo; Marwati, Tri Ani; Hidayat, Muhammad Syamsu
Epidemiology and Society Health Review (ESHR) Vol 3, No 2 (2021)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v3i2.3761

Background: Stunting is a chronic nutritional problem due to insufficient food intake with the standard nutritional needs - starting from pregnancy to 2 years of age. Stunting could be raising a lousy impact on children's health, inhibited brain development, motor development, and physical growth obstruction. Stunting is also harmful to national development because stunted children have low productivity and intelligence. This study aimed to determine the relationship between mother body height and the incidence of stunting in children aged 0-59 months in Argodadi, Sedayu, Bantul.Methods: This research was an observational analytic with a case-control design. This study population was all mothers who have toddlers aged 0-59 months. The population was 690 respondents. We recruited 154 samples using random sampling - consisting of 77 cases and 77 controls. Microtoise, infatometer, questionnaire, and WHO Anthro were used to collect the data. Data were analyzed using descriptive and chi-square tests.Results: The chi-square test shows that mother body height was associated with the incidence of stunting p-value 0.005 (p <0.05); OR: 3.2 CI (1.37- 7.52).Conclusions: Mother body height is a risk factor for stunting in children aged 0-59 months.

Knowledge, attitude, and practice towards COVID-19 among university students in Indonesia: A cross-sectional study Sulistyawati Sulistyawati; Syamsu Hidayat; Siwi Pramatama Mars Wijayanti; Tri Wahyuni Sukesi; Siti Kurnia Widi Hastuti; Surahma Asti Mulasari; Fatwa Tentama; Rokhmayanti Rokhmayanti; Ulinnuha Yudiansa Putra; Sitti Nur Djannah
International Journal of Public Health Science (IJPHS) Vol 10, No 4: December 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i4.21012

The presence of asymptomatic people exacerbates the widespread Coronavirus disease (COVID-19) transmission. The majority of them come from young people. This study aimed to explore the knowledge, attitude, and practice related to COVID-19 among university students in Indonesia, and the potential factor influenced their knowledge. A cross-sectional study involved 1,427 university students were carried out using an online survey from March 28 to April 10, 2020. A structured questionnaire consist of six sections focuses on knowledge, attitude, and preventive measure related to COVID-19 was used to collect the data. The analysis was performed using descriptive, Mann-Whitney, and Kruskal-Wallis tests. Results of the analysis indicated a significant difference in terms of mean between males and females regarding knowledge about preventing and protect others from COVID-19, the risk factor of getting COVID-19 infection, and knowledge that COVID-19 is curable. Knowledge total score among the respondent, there was a significant difference within the research group. This study demonstrates that the respondent has a basic knowledge about COVID-19 and the proper attitude, but it seems they are not consistent on practice in a particular measure.

FACTORS RELATED TO STUNTING INCIDENCE IN CHILDREN UNDER-FIVE YEARS IN ARGODADI, SEDAYU, BANTUL Yanasta Yudo Pratama; Tri Ani Marwati; Muhammad Syamsu Hidayat
Epidemiology and Society Health Review (ESHR) Vol. 3 No. 2 (2021)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v3i2.3761

Background: Stunting is a chronic nutritional problem due to insufficient food intake with the standard nutritional needs - starting from pregnancy to 2 years of age. Stunting could be raising a lousy impact on children's health, inhibited brain development, motor development, and physical growth obstruction. Stunting is also harmful to national development because stunted children have low productivity and intelligence. This study aimed to determine the relationship between mother body height and the incidence of stunting in children aged 0-59 months in Argodadi, Sedayu, Bantul.Methods: This research was an observational analytic with a case-control design. This study population was all mothers who have toddlers aged 0-59 months. The population was 690 respondents. We recruited 154 samples using random sampling - consisting of 77 cases and 77 controls. Microtoise, infatometer, questionnaire, and WHO Anthro were used to collect the data. Data were analyzed using descriptive and chi-square tests.Results: The chi-square test shows that mother body height was associated with the incidence of stunting p-value 0.005 (p <0.05); OR: 3.2 CI (1.37- 7.52).Conclusions: Mother body height is a risk factor for stunting in children aged 0-59 months.

IMPLEMENTASI PROGRAM KADARZI DI WILAYAH KERJA POSYANDU AGUNG 2 SOKOWATEN DUSUN PLUMBON KECAMATAN BANGUNTAPAN KABUPATEN BANTUL YOGYAKARTA Teti Sukmawati; Dwi Yulianti; Nabila Fanda Syafitri; Anggi Triya Septiani; Nurhafisah Nurhafisah; Syamsu Hidayat
Jurnal Pemberdayaan: Publikasi Hasil Pengabdian Kepada Masyarakat Vol. 4 No. 3 (2020)
Publisher : Universitas Ahmad Dahlan, Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jp.v4i3.2008

Gizi yang baik merupakan pondasi kesehatan untuk itu perlunya pemenuhan gizi di keluarga, pemenuhan gizi harus dimulai sejak dini yaitu saat mulai dalam kandungan, bayi, balita karena pemenuhan gizi sangat berpengaruh untuk pertumbuhan dan perkembangan. Kadarzi merupakan keluarga yang dapat mengetahui mencegah dan mengatasi permasalahan gizi di dalam suatu keluarga dengan mempertimbangkan lima indicator kadarzi. Jenis penelitian ini merupakan penelitian kuantitatif deskriptif dengan menggunakan sample masyarakat dusun plumbon RT 1-6 dan RT 34 dengan jumlah sampleÂ 52Â Â Berdasarkan hasil penelitian yang sudah dilakukan di dapatkan kesimpulan bahwa masyarakat di daerah tersebut belum sepenuhnya menerapkan perilaku Kadarzi. Intervensi yang dilakukan adalah dengan metode penyuluhan kepada masyarakat menggunakan media ceramah, slide power point, poster dan leaflet. Dampak dari intervensi tersebut, adanya peningkatan pengetahuan masyarakat tentang kadarzi khususnya terkait konsumsi suplemen gizi dan vitamin A.

MAKAN DI LUAR SEBAGAI TREN REKREASI KELUARGA MASYARAKAT SLEMAN YOGYAKARTA Wardiyanta Wardiyanta; Syamsu Hidayat; Fitroh Adila
MEDIA BINA ILMIAH Vol 14, No 3: Oktober 2019
Publisher : BINA PATRIA

Makan di luar bersama anggota keluarga adalah fenomena baru kehidupan keluarga di Sleman Yogyakarta. Studi ini meneliti hubungan orang dengan lingkungan makanan modern. Penelitian menggunakan pendekatan kuantitatif-kualitatif menggunakan kuesioner yang diperoleh dari 200 keluarga di Kabupaten Sleman Daerah Istimewa Yogyakarta yang dilakukan pada 2019. Pendekatan ini digunakan untuk memahami proses pengambilan keputusan ketika mereka memutuskan untuk makan di luar rumah atau makan di restoran. Studi ini mengeksplorasi lingkungan makanan untuk mendapatkan pemahaman yang lebih dalam tentang mengapa orang membuat pilihan untuk makan di luar, bagaimana orang menggunakan restoran, dan peran restoran di masyarakat. Temuan penelitian menunjukkan bahwa di masyarakat Sleman Yogyakarta telah terjadi perubahan budaya makan. Beberapa keluarga, terutama kelas menengah dan atas sekarang lebih suka memilih berbagai restoran dan tempat lain yang menjual makanan. Namun, sangat sedikit penelitian yang meneliti kebutuhan psikososial dan motif rekreasi yang terjadi dalam fenomena makan di luar. Penelitian ini menunjukkan bahwa motif rekreatif untuk makan di luar adalah "identitas diri". Ada beberapa alasan yang membuat keluarga memilih untuk makan di luar pada hari-hari tertentu, termasuk: mencari pengalaman yang menyenangkan, membangun kebersamaan keluarga dan melarikan diri dari rutinitas.

PERAN DIFERENSIASI KULINER DAN PEMASARAN DALAM PENGEMBANGAN DESTINASI PARIWISATA YOGYAKARTA Wardiyanta Wardiyanta; Fitro Adilla; M. Syamsu Hidayat
MEDIA BINA ILMIAH Vol 15, No 4: Nopember 2020
Publisher : BINA PATRIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33758/mbi.v15i4.874

Penelitian ini mengenai kasus pengembangan destinasi wisata kuliner di kota Yogyakarta, kabupaten Bantul, dan kabupaten Sleman. Ketiga wilayah dipilih dengan pertimbangan pemilihan adalah bahwa daerah itu memberi perhatian pada pengembangan usaha kuliner sebagai salah satu produk wisata yang direncanakan menjadi destinasi wisata kuliner di DIY. Ketiga wilayah itu kaya akan sumber daya dan warisan budaya dan ini adalah daya tarik utama daerah ini. Namun sampai sekarang makanan belum ditekankan secara kuat dalam pengembangan pariwisata oleh para pemangku kepentingan makanan / pariwisata di Yogyakarta sehingga kontribusinya dapat dikatakan minimal. Studi ini berasumsi bahwa pemanfaatan makanan lokal secara lebih besar di kawasan pariwisata, terutama di ketiga wilayah Yogyakarta tersebut akan menawarkan cara yang berpotensi memperkuat pembangunan dan diferensiasi pariwisata daerah. Pengumpulan data dilaksanakan dengan menggunakan metode survei terhadap wisatawan yang berunjung di ketiga daerah itu, juga wawancara dengan para pakar dan pelaku industri pariwisata dan makanan untuk memberikan wawasan tentang isu-isu yang terkait dengan upaya untuk meningkatkan peran makanan di bidang pariwisata. Hasil penelitian menunjukkan bahwa tempat yang disenangi wisatawan adalah rumah makan / warung makan. Makanan yang disenangi wisatawan adalah: gudeg, ayam goreng, bebek goreng, ikan goreng. Mengenai harga, wisatawan banyak yang menyatakan tidak mahal, bahkan cenderung murah. Penelitian ini memberikan gambaran mengenai perkembangan destinasi wisata kuliner di Indonesia, khususnya di Yogyakarta. Hasil penelitian ini diharapkan dapat menjadi rujukan dalam pengembangan destinasi wisata kuliner di Yogyakarta khususnya dan secara umum di Indonesia dan dapat berfungsi sebagai pendukung pengembangan ilmu / teori pariwisata, khususnya tentang konsep destinasi wisata kuliner.

EFEKTIVITAS PELAYANAN PROGRAM PENYAKIT KRONIS DALAM MENGONTROL TEKANAN DARAH PADA PESERTA PROLANIS YANG MENGALAMI HIPERTENSI Trismadani Erlina Putri; Muhammad Syamsu Hidayat; Tri Ani Marwati
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.2746

Hypertension is one of the causes of the highest morbidity and mortality rates in Indonesia. So that the needs of people who suffer from hypertension for health services are increasing. Prolanis is controlling the health condition of the hypertension sufferer program under the auspices of BPJS. The purpose of this study is to analyze the effectiveness of Prolanis in controlling blood pressure in prolanis participants. The method used in this article is a systematic literature review. The literature review searches using Google Scholar, Pubmed, and Researchgate databases in the 2017-2022 range with the search keywords are “Tekanan Darah” AND “Program Penanggulangan Penyakit Kronis” OR “Prolanis” AND “Hipertensi”, “Blood Pressure” AND “Chronic Disease Management Programs” OR “Prolanis” AND “Hypertension” found 8 articles met the selection criteria based. The results of the study of 8 articles showed that Prolanis activities could effectively control the blood pressure of Prolanis participants if they were carried out actively and routinely. The implementation of Prolanis activities, namely, medical consultations, group education and club activities, SMS gateway reminders, and recommended home visits can be carried out in all Prolanis first health care facilities in Indonesia in preventing and controlling blood pressure of people with hypertension.

Pregnant Mother's Anxiety During the Covid-19 Pandemic: A Literature Review Wiji Astuti; Muhammad Syamsu Hidayat
Indonesian Journal of Global Health Research Vol 4 No 4 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Corona Virus Disease (Covid-19) is a condition that causes illness and death. As of 25 October 2022, it was reported that there were 6.472.664 total confirmed cases and 158.454 deaths in Indonesia. Pregnant women are a high-risk population for Covid-19 infection. During the pandemic, a pregnant woman might be hesitant to attend a health center to monitor her pregnancy for fear of contracting Covid-19. This problem decreased the number of pregnant women in Indonesia who visited health services. This study aims to examine the anxiety issues experienced by pregnant women during the Covid-19 pandemic. This article's methodology was based on an exhaustive search of numerous databases, including PubMed, Scopus, Google Scholar, and the official website. Articles were chosen based on criteria such as free full text, open access, and publication date beyond 2020. The systematic search produced a total of 1238 articles, with 9 articles meeting the inclusion criteria. This research study concluded that pregnant women constitute a high-risk population during the Covid-19 pandemic. Pregnant women were known to feel anxiety in the majority. These psychiatric diseases offer risks to the fetus, including prenatal development impairment, early delivery, and low birth weight. Pregnant women require social assistance to lessen their fear during the Covid-19 pandemic and to increase their compliance with Ante Natal Care.

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