anni yulianti - Academia.edu (original) (raw)

Papers by anni yulianti

Muhammadiyah International Public Health and Medicine Proceeding, Nov 30, 2023

Stunting merupakan kondisi gagal tumbuh pada balita akibat kekurangan gizi kronis sehingga anak t... more Stunting merupakan kondisi gagal tumbuh pada balita akibat kekurangan gizi kronis sehingga anak terlalu pendek untuk usianya. Stunting terjadi karena asupan gizi yang kurang dan tidak seimbang, serta dapat dipengaruhi oleh faktor lain seperti penyakit, sanitasi yang buruk, akses air bersih yang terbatas, dan lingkungan yang tidak mendukung tumbuh kembang anak yang optimal.Tujuan dari penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak usia 12-35 bulan di Provinsi DIY. Penelitian ini merupakan analisis lanjut data Survei Status Gizi Indonesia 2021di Provinsi DIY. Desain penelitian adalah stratified two stage sampling. Pelaksanaan pengumpulan data stunting dilakukan melalui wawancara pada orangtua anak dengan menggunakan kuesioner dan melakukan pengukuran antropometri tinggi badan anak oleh enumerator setempat. Analisis bivariat dilakukan untuk melihat hubungan antara variable independen dengan variable dependen. Sedangkan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak dilakukan analisis multivariat. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara stunting dengan usia ibu, transportasi sulit ke fasilitas pelayanan kesehatan, pemantauan dan perkembangan anak, dan ibu yang mendapat penyuluhan tentang gizi, dengan p-value≤ 0,05. Usia anak, jenis kelamin anak, tempat tinggal, pendidikan ibu, dan pekerjaan ibu, tidak memiliki hubungan yang bermakna dengan kejadian stunting, dengan p-value> 0,05 Faktor-faktor yang berhubungan dengan kejadian stunting pada anak yaitu usia ibu, transportasi sulit ke fasilitas pelayanan kesehatan, pemantauan dan perkembangan anak, dan ibu yang mendapat penyuluhan tentang gizi. Perlu meningkatkan peran posyandu sebagai wadah yang membantu pemerintah untuk meningkatkan kesehatan masyarakat dalam hal penurunan angka stunting pada balita. Kata kunci: stunting, akses ke fasyankes, pemantauan dan perkembangan ASBTRACT Stunting is a condition of failed growth in children characterized by significantly short stature relative to their age. Stunting occurs due to inadequate and unbalanced nutrient intake, and it can be influenced by other factors such as illness, poor sanitation, limited access to clean water, and an environment that does not support optimal child growth. The purpose of this study was to know the factors associated with the occurrence of stunting for children aged 12-35 months in the DIY Province. This study is a further analysis of the 2021 Indonesian Nutritional Status Study data for the Province of DIY. The design of the research was stratified two-stage sampling. Stunting data collection was carried out through interviews with parents of children using a questionnaire and measuring the height of the children by local enumerators. Bivariate analysis to know the relationship between the independent variable and the dependent variable. Meanwhile, to know the factors associated with the occurrence of stunting in children, a multivariate analysis was carried out. The result showed that there wasa significant relationship between stunting with the age of mothers, difficulty transportation to healthcare, monitoring and development of children, and the mother receiving nutritional counseling, p-value≤ 0.05. Age of children, gender of children, place of residence, education of mothers, and occupation of mothers, had no significant association with the occurrence of stunting, p-value> 0.05. The factors associated with the occurrence of stunting for the children were the age of mothers, difficulty transportation to healthcare, monitoring, and development of children, and the mother receiving

What is the Current Picture of Secondhand Smoke Exposure among Never-smoker Adolescents in Indonesia?

Asian journal of social health and behavior, 2023

How Is Telehealth Currently Being Utilized to Help in Hypertension Management within Primary Healthcare Settings? A Scoping Review

International Journal of Environmental Research and Public Health, Jan 11, 2024

Open Access Macedonian Journal of Medical Sciences, Apr 16, 2023

BACKGROUND: Cardiac disease is the number one cause of death in the world, including in Indonesia... more BACKGROUND: Cardiac disease is the number one cause of death in the world, including in Indonesia. According to the 2018 Riskesdas data, the prevalence of cardiac disease in Indonesian society based on doctor's diagnosis is 1.5%. This means that out of one hundred Indonesians, 1.5 people suffer from cardiac disease. The aim of this study was to determine the relationship between smoking habits, physical activity, and drinking alcohol with the cardiac disease in Indonesia. This is a further data analysis of BASIC Health Research 2018, a national cross-sectional study in Indonesia. The research samples were all members in selected households. The samples analyzed were household members aged 10 years and over. The data were collected through interview using a structured questionnaire. The analysis was done using the Chi-square and multivariate logistic regression methods with complex sample approach. The results showed that the characteristics of the respondents, which were age, gender, education, occupation, and place of residence, had a significant relationship with cardiac disease (p < 0.001). Smoking habits, physical activity, and drinking alcohol also had a significant relationship with cardiac disease (p < 0.001). The results of the multivariate test showed that smoking habits and lack of physical activity were the factors that most influence the incidence of cardiovascular disease (p < 0.001). Smoking habits, physical activity, and drinking alcohol are significantly associated with the cardiac disease in people aged 10 years and over in Indonesia.

Proceedings of the International Conference on Industrial Engineering and Operations Management

Background: This assessment aims to analyze service performance and hospital efficiency by compar... more Background: This assessment aims to analyze service performance and hospital efficiency by comparing Case Mix (CM) and Case Mix Index (CMI), of Health Social Security Agency (BPJS-Kesehatan) claims data for 2017-2019. There are almost 2000 provider general hospitals with various types from throughout all of 5 regions in Indonesia. Results: The major findings shows the value of outpatient CM is increasing in almost all hospitals as well as for inpatient care, although there are variations in several regions. Most of the outpatient CM was found continuously increasing each year and observed highest in type C hospitals except for regions 1 in which type B hospitals showed the highest CM value. As CMI is heavily influenced by hospital's capacity, type A hospitals had the highest CMI than type B, C and D hospitals. Most of outpatient CMI increased, except for type D hospital in regions 1, 2 and 3. The inpatient CMI for class A hospitals in 2017 and 2018 were the highest than type B, C and D hospitals, nevertheless type B hospitals had highest CMI in 2019. In 2019 CMI tends to decrease in all class A hospitals. Based on the findings, many hospitals need to improve their service performance quality due to efficiency and reflect inadequate resources used. Conclusion: CM and CMI is a reflection of the type of care a patient receives, the complexity of their cases and cost of care. Hospitals need to regularly monitor these indicators and unfortunately this has never been done in many hospitals. In the future, hospitals need conducting analysis to optimize their capacity as type B Referral Hospitals and make service cost efficiency both for inpatient and outpatient.

Proceedings of the International Conference on Industrial Engineering and Operations Management

Medical certificate cause of death (MCCD) data is an important source of information for public h... more Medical certificate cause of death (MCCD) data is an important source of information for public health monitoring, priority setting, and planning. The completeness and accuracy of data on the cause of death affect the value of the policies adopted. Poor-quality data can lead to missed opportunities to improve the health of the population. This study aims to obtain a strategy to improve the quality of data on MCCD. We used DKI Jakarta province mortality surveillance data, which was collected from health facilities. The death cases from 2016 to 2019 and the deceased who lived in the DKI Jakarta area were selected. The Analysis of National Causes of Death for Action (ANACONDA) software 5.0 was used to determine the quality of the MCCD data Results: The number of Health Facilities sending data from 2016 to 2019 has increased. Annual percentages Garbage Code (GC) tend not to change (more than 50%). GC in categories 3, 5, and 1 tend to be stable with an annual average of 34%, 26%, and 21%. Meanwhile, Category 4 tends to increase though it is small (from 5.7 to 14.4%). Based on the potential impact that GC causes in guiding or misguiding public policy to prevent, more than 60% is identified as being in the very high-level category. Conclusion: Identifying the accuracy of cause of death data was needed to make the right strategy for improving the quality of data.

Proceedings of the 4th International Symposium on Health Research (ISHR 2019)

Globally premature death due to cardiovascular disease and stroke continues increase, predicted m... more Globally premature death due to cardiovascular disease and stroke continues increase, predicted many UN member countries cannot reach target of reducing premature death by 25% by 2025. Similar in Indonesia prevalence of stroke increased from 8.3 to 12.1 per mile population (Riskesdas,2007-2013), the proportion of deaths correlated with an increase of prevalence 15.84%, growing 4.39% in 2013 (IHME, 2007-2013). These situation in line with increasing prevalence of teenage smokers. Risk assessment (PAR) analysis using Riskesdas 2013 was carried out to finding out its impact on the incidence stroke, if exposure smoking was eliminated. We used 7859 stroke cases, 50.3% was men. Bivariate analysis to determine features of stroke risk factors (p <0.001), we do multivariate analysis to obtain the prevalence rate and risk factor intervention models. Interventions on risk factors of tobacco consumption or hypertension are predicted to have an opportunity reduce incidence of stroke by 68% with PR 9.55. The target of reducing 100% of tobacco consumption predicted reduce 3031 cases of stroke, while reducing 40% of hypertension reduce 1212.Behavioural modification with a healthy lifestyle, stop tobacco consumption and preventing increase in novice smokers, are the main targets of the tobacco control intervention program in the community.

Introduction: The prevalence of stunting among under five years old children in Indonesia is stil... more Introduction: The prevalence of stunting among under five years old children in Indonesia is still high, including those living in urban and non-remote areas that was taught to have better access of food and nutrition. The study aimed to determine the correlation between predisposing factors of stunting among toddlers in non-remote areas which thought to have good access to food and healthcare. Methods: This was a secondary data analysis using Indonesia’s Nationally Representative Survey known as the Basic Health Research 2018. The sample were children aged 0-59 months who were measured in selected households. Stunted children was determined based on the measuring height for age (HAZ) with a z-score less than -2 standard deviation. Multivariate analysis with a logistic regression test was performed to test predisposing factors associated with stunting. Results: The results showed that the prevalence of stunting among under-five years old children in non-remote areas of Indonesia was...

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, Sep 6, 2019

Merokok merupakan salah satu faktor risiko terhadap penyakit yang membahayakan, seperti jantung, ... more Merokok merupakan salah satu faktor risiko terhadap penyakit yang membahayakan, seperti jantung, stroke, kanker, dan lain sebagainya. Perilaku masyarakat khususnya perokok aktif yang merokok di sembarangan tempat masih cukup memprihatinkan. Perokok membebankan risiko merokok bukan hanya pada diri sendiri tetapi juga kepada orang lain yang ada di sekitarnya. Analisis dilakukan dengan menggunakan data GATS (Global Adult Tobacco Survey) 2011, dimana desain penelitian adalah cross sectional. Pemilihan sampel menggunakan teknik sampling proportional probabilitas to size (PPS). Hasil dari analisis antara lain: masyarakat yang terpapar rokok di dalam rumah lebih banyak pada kelompok laki-laki dibandingkan perempuan, yang terbanyak pada kelompok umur 45-64 tahun dengan pendidikan tidak tamat SD, tempat tinggal di pedesaan, dan pekerjaan wiraswasta. Kebijakan keluarga yang mengizinkan merokok dalam rumah sebesar 46,9%, dan seseorang yang merokok dalam rumah setiap hari mencapai 62,5%. Masyarakat yang terpapar rokok di ruang kerja sebesar 51,4%, dan kantor yang mengizinkan merokok dalam ruang kerja sebesar 38,4% dan yang tidak ada kebijakan sebesar 19,8%. Terpapar rokok di kantor pemerintahan 66,4%, di universitas 55,3%, di sekolah atau fasilitas pendidikan lainnya 40,3%, di fasilitas keagamaan 17,9%, di fasilitas kesehatan 18,4%, di bar atau klub 91,8%, dan transportasi umum 70,8%. Hasil ini dapat menjadi data dasar untuk mengembangkan intervensi program pengendalian tembakau yang efektif, termasuk menyediakan layanan berhenti merokok, terutama di fasilitas kesehatan. Pemerintah pusat dan daerah perlu meningkatkan sosialisasi tentang bahaya merokok di tempat-tempat umum dan dampaknya terhadap masyarakat khususnya yang bukan perokok; yaitu dengan membuat peraturan yang jelas dan tegas tentang pelarangan merokok di tempat-tempat umum dan memberikan sangsi yang tegas terhadap yang melanggar peraturan tersebut. Upaya layanan berhenti merokok dapat dilaksanakan dengan meningkatkan kegiatan promosi oleh tenaga kesehatan, sosialisasi 'Quitline' Kementerian Kesehatan, skrining CO2, bantuan konseling dan mengembangkan metode terapi berhenti merokok bagi para perokok aktif di berbagai fasilitas kesehatan yang tersedia. Kata kunci: rokok, perokok pasif, pengendalian tembakau

Alternatif Metode Perhitungan Persentase Iuran Asuransi Kesehatan Sosial Dalam Sistem Jaminan Sosial Nasional

Pemerintah lndonesia mengeluarkan Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial N... more Pemerintah lndonesia mengeluarkan Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional. (SJSN) yang meliputi 5 program yaitu Jaminan Kesehatan, Jaminan Kecelakaan Kerja, Jaminan Hari Tua, Jaminan Kematian, dan Jaminan Pensiun. Jaminan Kesehatan akan menjadi program prioritas pertama yang akan dilaksanakan berdasarkan prinsip asuransi sosial dan prinsip ekuitas. Selanjutnya, UU tersebut mengamanahkan penyusunan Peraturan Presiden yang mengatur mengenai Kepesertaan, luran (Kontribusi) dan Manfaat Program. Terkait dengan penetapan besaran iuran, maka perlu dilakukan kajian ilmiah sebagai dasar pertimbangan, walaupun penetapannya juga merupakan keputusan yang bersifat politis. Penelitian ini mengkaji 3 model perhitungan asuransi kesehatan sosial yaitu: Indonesian models (PT. Askes); WHO (general model for wage related premium) dan ILO (Social Budget Model - Modul Anggaran Kesehatan). Diharapkan dapat direkomendasikan model perhitungan iuran peserta dalam hal ketersedia...

Penilaian Kualitas Data Penyebab Kematian di Indonesia Tahun 2014

Buletin Penelitian Kesehatan, 2020

Sample Registration System (SRS) is a demographic survey for providing data on causes of death (C... more Sample Registration System (SRS) is a demographic survey for providing data on causes of death (COD) in Indonesia. The quality of COD will be taken into consideration for health policies development. This paper aims to assess the quality of data on the causes of death in Indonesia through the proportion and level of garbage codes on the impact when used in policy making. The 2014 National COD data set were assessed by applying the Analysis of National Causes of Death for Action (ANACONDA) software tool version 3.7.0. Distributions and levels of unusable and insufficiently specified “garbage” codes were analyzed. The Result shows, Diseases of the circulatory system (62.6%) contributed the most to garbage cause of death. The proportion of unusable COD was 31% of total data. 80% of garbage code were unspecified deaths group. Most of the garbage codes has low-level on severity of impact level for policy, while 11% of total codes has medium, high dan very high level of impact. In Conclus...

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 2018

Abstrak Imunisasi adalah suatu intervensi kesehatan yang hemat biaya dan efektif untuk mencegah p... more Abstrak Imunisasi adalah suatu intervensi kesehatan yang hemat biaya dan efektif untuk mencegah penderitaan akibat penyakit, kelumpuhan dan kematian. Dukungan pendanaan diharapkan mampu meningkatkan cakupan Imunisasi Dasar Lengkap (IDL).Tulisan ini merupakan hasil analisis data Riset Pembiayaan Kesehatan (RPK) di Era Jaminan Kesehatan Nasional (JKN) Tahun 2015. Metode District Health Account (DHA) digunakan untuk menghitung pendanaan program imunisasi dasar di kabupaten/kota pada tahun 2013-2014 menurut sumber dan alokasi anggaran. Hasil analisis menunjukkan anggaran imunisasi dasar di 71 kabupaten/kota berkisar 0,10%–2,3% dari APBD Kesehatan Tahun 2013, dengan disparitas yang cukup lebar. Sumber utama pendanaan program imunisasi di kabupaten/kota adalah PAD, DAU, dekonsentrasi (Dekon) dan BOK atau masih tergantung dari dana transfer pusat. Pendanaan imunisasi nasional pada tahun 2014 meningkat secara bermakna mencapai sekitar 2,6 kali lipat dari tahun 2013. Pendanaan program imunis...

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 2018

Abstrak Program Jaminan Kesehatan Nasional (JKN) dilaksanakan atas hak setiap warga negara memper... more Abstrak Program Jaminan Kesehatan Nasional (JKN) dilaksanakan atas hak setiap warga negara memperoleh layanan kesehatan, baik yang bertempat tinggal di perkotaan maupun di perdesaan termasuk di daerah terpencil perbatasan kepulauan. Pelaksana program JKN dilaksanakan oleh unit pelayanan kesehatan mulai dari pelayanan kesehatan di puskesmas sampai dengan pelayanan kesehatan rujukan di rumah sakit dengan pembayaran yang dilakukan oleh Badan Pelaksana Jaminan Sosial Kesehatan (BPJS) kepada unit pelaksana pelayanan kesehatan dengan mekanisme transfer berdasarkan sistem dana kapitasi. Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis pelaksanaan penganggaran dan penerimaan dana kapitasi tenaga kesehatan program jaminan kesehatan nasional di daerah terpencil Puskesmas Mapaddegat Kabupaten Kepulauan Mentawai dengan mengunakan metode kualitatif. Pengumpulan informasi melalui observasi wawancara mendalam terhadap informan dan informan kunci dan Dokumentasi. Penelitian dilaksana...

Kesmas: Jurnal Kesehatan Masyarakat Nasional, 2006

Analisis kinerja fungsi sistem penelitian kesehatan nasional (SPKN) diperlukan untuk identifikasi... more Analisis kinerja fungsi sistem penelitian kesehatan nasional (SPKN) diperlukan untuk identifikasi penguatan dan peningkatan sistem yang mendukung pencapaian pemerataan kesehatan. Penelitian ini bertujuan mengukur skor kinerja fungsi utama SPKN yang meliputi pengelola, pendanaan, mengumpulkan dan memelihara sumber, produksi dan penggunaan riset berdasarkan pendapat stakeholders (peneliti, pembuat kebijakan, dan pengguna). Sumber data yang digunakan adalah pilot study WHO di Jakarta dan Makassar WHO dengan ukuran sampel 278 responden. Analisis dilakukan terhadap skor rata-rata 6 dimensi pendapat meliputi lingkungan; pandangan sistem, pembuatan, penggunaan, akses literur ilmiah dan media. Metoda analsis meliputi analisis kuantitatif univariat dan cross tabulasi tanpa uji statistik dan analisis kualitatif terhadap pertanyaan terbuka. Hasil studi memperlihatkan distribusi responden meliputi peneliti (62.2%), pembuat kebijakan (21.6%) dan peng- guna (16.2%). Secara keseluruhan, kinerja fu...