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Mahlil Ruby; Promotor: Hasbullah Thabrany; Ko-promotor: Ascobat Gani; Penguji: Budi Utomo, Stephanus Indradjaya, Soewarta Kosen, Mardiati Nadjib, Budi Hidayat
D-214
Depok : FKM-UI, 2007
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Kurnia Sari; Promotor: Budi Hidayat; Kopromotor: Amal Chalik Sjaaf, Mardiati Nadjib; Penguji: Prastuti Soewondo, Khoirunurrofik, Eko Setyo Pambudi, Pungkas Bahjuri Ali
Abstrak:
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Efisiensi merupakan salah satu ukuran utama dari kinerja sistem kesehatan, yang mencerminkan kemampuan sistem dalam mencapai output sistem kesehatan seoptimal mungkin dengan sumber daya yang ada. Metode dan asumsi yang digunakan dalam mengukur efisiensi teknis dapat menghasilkan skor yang berbeda, tergantung metode dan asumsi yang digunakan. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan kuantitatif, menggunakan data sekunder dan informasi dari berbagai institusi sumber data. Analisis kuantitatif dilakukan dengan menggunakan dua metode pengukuran efisiensi utama, yaitu Data Envelopment Analysis (DEA) data panel serta bootstrapping, yang dilanjutkan dengan regresi data panel, dan Stochastic Frontier Analysis (SFA) dengan beberapa model. Pengukuran efisiensi teknis dilakukan dengan metode DEA orientasi output dan asumsi variable return to scale (VRS) dua tahap dengan bootstrapping, serta SFA dengan model spesifikasi Cobb-Douglas dan TransLog. Orientasi dan asumsi skala lainnya digunakan sebagai pembanding. Penelitian menggunakan variabel yang telah melalui proses seleksi literatur dan statistik dengan 1 output (umur harapan hidup) dan 4 input, yaitu belanja publik (belanja kesehatan pemerintah kabupaten kota dan belanja Jaminan Kesehatan Nasional/JKN untuk non pemerintah kabupaten kota), tenaga dokter, dan cakupan layanan lifaskes, dengan menggunakan beberapa variabel kontekstual. Hasil penelitian menujukkan perbedaan skor efisiensi yang dihasilkan dari beberapa metode pengukuran, baik dengan DEA dan SFA. Analisis dengan metode DEA menghasilkan rerata efisiensi teknis 0,76-0,99 untuk asumsi VRS orientasi Output. Sementara dengan SFA yang menggunakan tiga model pengukuram (Time invariant, fixed effect dan random effect), diperoleh skor efisiensi yaitu 0,37 sampai 0,76 pada spesifikasi Translog, dan pada spesifikasi Cobb-Douglas sebesar 0,37 sampai 0,85. Analisis tahap dua menunjukkan bahwa semakin tinggi tingkat pengangguran dan kemiskinan, semakin rendah skor efisiensi (orientasi output VRS boostrtrapped). Skor efisiensi juga rendah di wilayah geografis Pulau Maluku, Papua dan Nusa Tenggara (dibandingkan dengan Sumatera), di wilayah tertinggal, dan wilayah perkotaan, serta pada wilayah dengan bencana alama yang berdampak kepada manusia. Sementara, semakin besar rasio dana JKN yang diterima fasilitas kesehatan milik pemerintah kabupaten kota terhadap non pemerintah, semakin tinggi skor efisiensi teknis.
Efficiency is one of the main measures of health system performance, reflecting the system's ability to achieve optimal health system output with available resources. The methods and assumptions used in measuring technical efficiency can produce different scores, depending on the methods and assumptions used. This study is an analytical observational study with a quantitative approach, using secondary data and information from various data source institutions. Quantitative analysis was conducted using two main efficiency measurement methods, namely Data Envelopment Analysis (DEA) panel data and bootstrapping, followed by panel data regression, and Stochastic Frontier Analysis with several models. Technical efficiency measurement was conducted using the output-oriented DEA method and the two-stage variable return to scale assumption with bootstrapping, as well as SFA with Cobb-Douglas and TransLog specification models. Other orientation and scale assumptions were used as comparisons. The study utilised variables selected through literature and statistical analysis, comprising 1 output (life expectancy) and 4 inputs: public expenditure (government health expenditure at the district/city level and JKN expenditure for non-government entities at the district/city level), doctor workforce, and healthcare service coverage, along with several contextual variables. The results show differences in efficiency scores produced by various measurement methods, including DEA and SFA. Analysis using the DEA method yielded an average technical efficiency of 0.76–0.99 for the VRS output orientation assumption. Meanwhile, using SFA with three measurement models (time-invariant, fixed-effect, and random-effect), efficiency scores ranged from 0.37 to 0.76 under the Translog specification and from 0.37 to 0.85 under the Cobb-Douglas specification. The second-stage analysis shows that the higher the unemployment and poverty rates, the lower the efficiency scores (output-oriented VRS bootstrapped). Efficiency scores are also low in the geographical regions of Maluku, Papua, and Nusa Tenggara (compared to Sumatra), in underdeveloped regions, urban areas, and regions affected by natural disasters with human impacts. Meanwhile, the higher the ratio of JKN funds received by government-owned health facilities in cities and districts compared to non-government facilities, the higher the technical efficiency score.
D-581
Depok : FKM-UI, 2025
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Lena Elfrida Situmeang; Pembimbing: Budi Hidayat; Penguji: Pujiyanto, Kurnia Sari, Iswanto Cahyono, Santy Parulian Panjaitan
Abstrak:
Pembangunan kesehatan Indonesia diarahkan untuk mencapai Jaminan kesehatan Nasional(JKN). Namun, sebagian besar pendanaan kesehatan masih didominasi oleh rumah tanggamelalui out-of-pocket (OOP). Pengeluaran biaya kesehatan katastrofik rumah tangga akanmengganggu konsumsi rumah tangga dan dapat mengakibatkan kemiskinan. Menggunakan datasekunder Survei Sosial Nasional (Susenas) tahun 2012, penelitian ini bertujuan membuktikanbahwa kepemilikan jaminan kesehatan menurunkan belanja kesehatan katastrofik rumah tanggadi Indonesia tahun 2012. Penelitian dengan desain studi potong lintang ini, menggunakanpendekatan ekonometrik dengan model probit dan bivariat probit. Hasil penelitian menunjukkanbahwa kepemilikan jaminan kesehatan menurunkan belanja kesehatan katastrofik sebesar12.97% pada ambang batas 10% dari total pengeluaran dan sebesar 18.42% pada ambang batas20% total pengeluaran non-makanan. Kepemilikan jaminan kesehatan memberikan perlindunganterhadap belanja kesehatan katastrofik di Indonesia pada Tahun 2012.Kata kunci: Jaminan kesehatan, Belanja kesehatan katastrofik, Probit, Bivariat probit, Susenas
Indonesia's health development geared to achieve national health insurance scheme (JKN).However, funding of health in Indonesia is still dominated by domestic funding through out-of-pocket (OOP). Catastrophic health expenditure of households will disrupt householdconsumption and can lead to poverty. By using secondary data of the National Social Surveys(Susenas) 2012, this study aims to prove health insurance ownership lowers catastrophic healthexpenditure of households in Indonesia in 2012. This study used a cross-sectional study designwith models probit and bivariate probit. The results found that the health insurance ownershiplowers catastrophic health expenditure in the amount 12.97% at the threshold 10% of totalexpenditure and 18.42% at 20% of total non-food expenditure. Health insurance ownershipprovides protection for catastrophic health expenditure in Indonesia in 2012.Keywords: Health insurance, Catastrophic health expenditure, Probit, Bivariate probit, Susenas.
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Indonesia's health development geared to achieve national health insurance scheme (JKN).However, funding of health in Indonesia is still dominated by domestic funding through out-of-pocket (OOP). Catastrophic health expenditure of households will disrupt householdconsumption and can lead to poverty. By using secondary data of the National Social Surveys(Susenas) 2012, this study aims to prove health insurance ownership lowers catastrophic healthexpenditure of households in Indonesia in 2012. This study used a cross-sectional study designwith models probit and bivariate probit. The results found that the health insurance ownershiplowers catastrophic health expenditure in the amount 12.97% at the threshold 10% of totalexpenditure and 18.42% at 20% of total non-food expenditure. Health insurance ownershipprovides protection for catastrophic health expenditure in Indonesia in 2012.Keywords: Health insurance, Catastrophic health expenditure, Probit, Bivariate probit, Susenas.
T-4619
Depok : FKM-UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Yossi Handayani; Pembimbing: Sabarinah Prasetyo; Penguji: Tris Eryando, Rahmadewi
Abstrak:
Penelitian ini dibuat dengan tujuan menggambarkan kejadian penggunaan kontrasepsi pascasalin di Indonesia serta pengaruh masing masing pelayanan kesehatan ibu terdahap penggunaan kontrasepsi pascasalin. Penelitian ini menggunakan data sekunder Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan analisis univariat dan bivariate. Populasi dalam pebelitian ini adalah perempuan pada masa pascasalin di Indonesia dan telah menyelesaikan 12 bulan periode pascasalin. Jumlah sampel yang ada untuk analisis adalah 11.704 orang. Hasil penelitian menunjukkan bahwa ada hubungan anatara jumlah kunjungan antenatal, tempat persalinan dan pelayanan nifas dengan penggunaan kontrasepsi modern pascasalin. Lalu ada hubungan anatara jumlah kunjungan antenatal, tempat persalinan, penolong persalinan dan pelayanan nifas dengan penggunaan kontrasepsi tradisional pascasalin. Serta terdapat interaksi antara tempat persalinan, penolong persalinan dan pelayanan nifas dengan variabel sosiodemografi (umur, status ekonomi dan tempat tinggal) dalam mempengaruhi penggunaan kontrasepsi pascasalin. Penelitian ini menunjukkan bahwa penggunaan kontrasepsi pada perempuan postpartum akan meningkat secara substansial jika lebih banyak wanita mendapatkan pelayanan antenatal secara lengkap, bersalin di fasilitas kesehatan, dan melakukan pelayanan nifas dalam dua hari setelah melahirkan.
Kata kunci: Antenatal; kontrasepsi pascasalin; nifas; pelayanan kesehatan ibu; persalinan.
This study aim to describe the proportion of postpartum family planning in Indonesia and to know the association between maternal health care and the use of postpartum family planning in Indonesia. This study uses Indonesia Demography Health Survey (IDHS) 2017 with univariate and bivariate analysis. The population for this study is a women in postpartum period and completed the full 12 months of the postpartum period. The analysis uses 11,704 people as a sample. The result showed that, there is a relationship between antenatal care, place of delivery, postnatal care with modern postpartum family planning. And then, there is a relationship between antenatal care, place of delivery, attedance health worker, postnatal care with traditional postpartum family planning. There is interaction between place of delivary, attendance health worker, postnatal care with sociodemographic characteristic (age, wealth index, religion) in affecting the use of postpartum family planning. The findings suggest that contraceptive use among postpartum will increase substantially if more women use full services in antenatal care, deliver at goverment health facility and receive postnatal care within two days of delivery.
Key words: Antenatal care; childbirth; maternal care; postnatal; postpartum family planning
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Kata kunci: Antenatal; kontrasepsi pascasalin; nifas; pelayanan kesehatan ibu; persalinan.
This study aim to describe the proportion of postpartum family planning in Indonesia and to know the association between maternal health care and the use of postpartum family planning in Indonesia. This study uses Indonesia Demography Health Survey (IDHS) 2017 with univariate and bivariate analysis. The population for this study is a women in postpartum period and completed the full 12 months of the postpartum period. The analysis uses 11,704 people as a sample. The result showed that, there is a relationship between antenatal care, place of delivery, postnatal care with modern postpartum family planning. And then, there is a relationship between antenatal care, place of delivery, attedance health worker, postnatal care with traditional postpartum family planning. There is interaction between place of delivary, attendance health worker, postnatal care with sociodemographic characteristic (age, wealth index, religion) in affecting the use of postpartum family planning. The findings suggest that contraceptive use among postpartum will increase substantially if more women use full services in antenatal care, deliver at goverment health facility and receive postnatal care within two days of delivery.
Key words: Antenatal care; childbirth; maternal care; postnatal; postpartum family planning
S-10451
Depok : FKM UI, 2020
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Sudarti Kresno; Pembimbing: Soeratmi Poerbonegoro
D-63
Depok : FKM UI, 1999
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Semuel Piter Irab; Pembimbing: Ratna Djuwita; Penguji: Diah Mulyawati Utari, Besral, Kusharisupeni, Rita Damayanti, Sutanto Priyo Hastono, Abas Basuni Juhari, Trihono
Abstrak:
Disertasi ini adalah menggambarkan perubahan prevalensi balita stunting pada Kabupaten/Kota kategori membaik dan Kabupaten/Kota kategori memburuk di Indonesia dari tahun 2007 ke tahun 2013. Metode cross sectional studi, sampel yaitu 163 Kabupaten/Kota, sumber data sekunder Balitbangkes dan Kementerian Keuangan. Uji statistik t-test dan diskriminan. Hasil: perubahan prevalensi balita stunting pada 49 Kabupaten/Kota kategori membaik 30,1%, dan 114 Kabupaten/kota kategori memburuk 69,9%. Sembilan cakupan program kesehatan dan sosial pada Kabupaten/Kota kategori membaik yang memiliki perubahan lebih besar dari Kabupaten/Kota kategori memburuk yaitu prevalensi BBLR, cakupan penimbangan balita ≥ 4 kali, cakupan vitamin A, cakupan imunisasi lengkap, persentase ketersediaan air bersih, persentase pengelolaan sampah diangkut petugas kebersihan, persentase ketersediaan jamban keluarga, persentase cuci tangan pakai sabun, dan persentase KK pegawai negeri sipil. Lima cakupan program kesehatan dan sosial pada Kabupaten/Kota ketegori memburuk yang perubahannya tidak jauh berbeda dari Kabupaten/Kota kategori membaik yaitu cakupan ANC-K4, prevalensi KEK ibu hamil, prevalensi TB-Paru balita, indeks kapasitas fiskal, dan persentase KK pendidikan tinggi. Delapan cakupan program kesehatan dan sosial dengan akurasi perubahan prevalensi balita stunting pada Kabupaten/Kota kategori membaik 83,7% dan Kabupaten kategori memburuk 92,1% yaitu cakupan timbangan balita ≥ 4 kali, cakupan imunisasi lengkap, cakupan ANC-K4, persentase sampah diangkut petugas kebersihan, persentase ketersediaan jamban keluarga, persentase cuci tangan pakai sabun, indeks kapasitas fiskal, dan persentase KK PNS
This dissertation is describing changes in the prevalence of stunting toddlers the Regencies/ Cities category improves and deteriorates in Indonesia, from 2007 to 2013. Cross sectional study method, samples are 163 Regencies/Cities, secondary data source Balitbangkes and Ministry of Finance. T-test and discriminant statistical test. Results: changes in the prevalence of stunting toddlers 49 Regencies/Cities category improved 30.1%, and 114 Regencies/Cities category deteriorated 69,9%. Nine coverage of health and social programs the Regencies/Cities category improved which has a change greater than Regencies/Cities category deteriorated namely the prevalence of LBW, toddler weighing coverage ≥ 4 times, vitamin A coverage, complete immunization coverage, percentage of availability of clean water, percentage of waste management carried by janitors, percentage of availability of family latrines, percentage of hand washing with soap, and the percentage of family heads of civil servants. Five coverage of health and social programs in the Regencies/Cities category deteriorated, whose changes are not much different from the Regencies/Cities category improved namely ANC-K4 coverage, prevalence of less chronic energy in pregnant women, prevalence of toddler pulmonary TB, fiscal capacity index, and the percentage of family heads of higher education. Eight coverage of health and social programs with accuracy changes in the prevalence of stunting toddlers at the Regencies/ Cities category improved 83,7% and Regencies/Cities category deteriorated 92.1% namely toddler weighing coverage ≥ 4 times, complete immunization coverage, ANC-K4 coverage, percentage of waste management carried by janitors, percentage of availability of family latrines, percentage of hand washing with soap, fiscal capacity index, and the percentage of family heads of civil servants
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This dissertation is describing changes in the prevalence of stunting toddlers the Regencies/ Cities category improves and deteriorates in Indonesia, from 2007 to 2013. Cross sectional study method, samples are 163 Regencies/Cities, secondary data source Balitbangkes and Ministry of Finance. T-test and discriminant statistical test. Results: changes in the prevalence of stunting toddlers 49 Regencies/Cities category improved 30.1%, and 114 Regencies/Cities category deteriorated 69,9%. Nine coverage of health and social programs the Regencies/Cities category improved which has a change greater than Regencies/Cities category deteriorated namely the prevalence of LBW, toddler weighing coverage ≥ 4 times, vitamin A coverage, complete immunization coverage, percentage of availability of clean water, percentage of waste management carried by janitors, percentage of availability of family latrines, percentage of hand washing with soap, and the percentage of family heads of civil servants. Five coverage of health and social programs in the Regencies/Cities category deteriorated, whose changes are not much different from the Regencies/Cities category improved namely ANC-K4 coverage, prevalence of less chronic energy in pregnant women, prevalence of toddler pulmonary TB, fiscal capacity index, and the percentage of family heads of higher education. Eight coverage of health and social programs with accuracy changes in the prevalence of stunting toddlers at the Regencies/ Cities category improved 83,7% and Regencies/Cities category deteriorated 92.1% namely toddler weighing coverage ≥ 4 times, complete immunization coverage, ANC-K4 coverage, percentage of waste management carried by janitors, percentage of availability of family latrines, percentage of hand washing with soap, fiscal capacity index, and the percentage of family heads of civil servants
D-408
Depok : FKM-UI, 2019
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
☉
Ammaylucy Christa BR Tarigan; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Ede Surya Darmawan, Yunita Fitriani
Abstrak:
Skripsi ini membahas mengenai analisis pengaruh sikap dan tingkat pendidikan pada Program Indonesia Sehat Pendekatan Keluarga di Kelurahan Beji. Penelitian ini adalah penelitian kuantitatif dengan desain studi Cross Sectional. Jumlah responden penelitian ini adalah 51 responden. Hasil penelitian menunjukkan bahwa secara parsial terdapat pengaruh sikap pada PIS-PK terhadap kesehatan keluarga dengan nilai t hitung = 9,631 > nilai t tabel = 2,011. Secara parsial tidak terdapat pengaruh tingkat pendidikan terhadap kesehatan keluarga dengan nilai t hitung = 0,068 < nilai t tabel = 2,011.Sikap pada PIS-PK dan tingkat pendidikan secara bersama-sama berpengaruh terhadap kesehatan keluarga di Kelurahan Beji dengan nilai F hitung =47,290 > nilai F tabel = 3,191.
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S-10099
Depok : FKM UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ekowati Retnaningsih; Pembimbing: Hasbullah Thabrany, Adang Bachtiar, Sudijanto Kamso; Penguji: Soekidjo Notoatmodjo, Haryoto Kusnoputranto, Soewarta Kosen, Mardiati Nadjib, Fahmi Idris
D-114
Depok : FKM-UI, 2005
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Dian Ayubi; Promotor: Soekidjo Notoatmodjo; Ko-promotor: Adang Bachtiar, Sudijanto Kamso; Penguji: Hadi Pratomo, Haryoto Kusnoputranto, Boediharto, Suprijanto Rijadi, Julitasari Soendoro
D-190
Depok : FKM-UI, 2006
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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Asri Masitha Arsyati; Promotor: Hadi Pratomo; Kopromotor: Raden Irawati, Sabarinah B Prasetyo; Penguji: Purnawan Junadi, Rita Damayanti, Bambang Setiaji, Dian Ayubi, Titik Haryati
Abstrak:
Indonesia menjadi darurat kejahatan seksual anak dalam 4 tahun terakhir. Jumlah kasus setiap tahunnya menunjukan peningkatan dengan tren semakin dini usia korban yang meninggal akibat kejahatan seksual bayi dan balita (KPAI,2014). Tujuan penelitian ini adalah mengembangkan model intervensi pendidikan kesehatan bagi ibu balita melalui kader posyandu dalam pencegahan kekerasan seksual balita. Desain penelitian ini eksperimen semu dengan 3 kelompok yatu intervensi model individu, intervensi model kelompok dan kelompok kontrol. Penelitian dilaksanakan di 3 Kecamatan Kota Bogor yaitu Kecamatan Bogor Utara dan Bogor Timur sebagai wilayah intervensi dan Kecamatan Bogor Tengah sebagai kontrol. Penelitian dibagi menjadi dua tahap yaitu pengembangan media 6 bulan dan intervensi 6 bulan. Pengukuran terhadap pengetahuan, sikap dan praktik ibu balita diukur sebanyak 4 kali yaitu sebelum intervensi dan 3 kali setelah intervensi selama 4 bulan. Hasil penelitian menunjukan bahwa intervensi pendidikan kesehatan pencegahan kekerasan seksual anak di posyandu dapat meningkatkan pengetahuan, sikap dan praktik kader dan ibu balita baik dengan model pendidikan individu maupun kelompok. Metode pendidikan individu terbukti meningkatkan pengetahuan, sikap dan praktik ibu balita lebih tinggi di bandingkan metode kelompok pada bulan pertama intervensi. Media buklet merupakan media yang paling mudah dipahami dan paling sering dimanfaatkan ibu balita dibandingkan media poster dan lembar balik. Model intervensi ini diharapkan dapat diaplikasikan dalam program Kementrian Kesehatan dan Kementrian Pemberdayaan Perempuan dan anak serta Komisi Perlindungan Anak dalam koordianasi upaya pencegahan, pelaporan dan pengobatan korban.
Sexual abuse among children in Indonesia is worrying within the last 4 years where the number of cases increased each year. In addition, its trend increasingly occurred among early ages (KPAI,2014). This study aimed to develop the intervention model of health behavior for mothers with children under five (CU5) through Posyandu cadre in preventing child sexual abuse. The study design used quasy-experiment among three group; group of individual intervention model, group intervention model, and control group. The study was conducted in three different sub-districts in Bogor City ; North Bogor and East Bogor as intervention group, and Central Bogor as control group; and consisted of two phases; media development and intervention in 12 months. Knowledge, attitude, and practice (KAP) of mothers with CU5 were measured 4 times before the intervention and 3 times after the intervention within four months. The result showed that the intervention of sexual child abuse education in Posyandu cadre escalated KAP in both group and individual intervention as well. The individual intervention increased KAP higher than group intervention. Booklet was more understandable and commonly used ineducating than poster or flipchart. This study expects the model is possibly implemented as a formal program of Ministry of Health, Ministry of women and children empowerment and Child Protection Commisionare in preventing, reporting and recovering child sexual abuse.
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Sexual abuse among children in Indonesia is worrying within the last 4 years where the number of cases increased each year. In addition, its trend increasingly occurred among early ages (KPAI,2014). This study aimed to develop the intervention model of health behavior for mothers with children under five (CU5) through Posyandu cadre in preventing child sexual abuse. The study design used quasy-experiment among three group; group of individual intervention model, group intervention model, and control group. The study was conducted in three different sub-districts in Bogor City ; North Bogor and East Bogor as intervention group, and Central Bogor as control group; and consisted of two phases; media development and intervention in 12 months. Knowledge, attitude, and practice (KAP) of mothers with CU5 were measured 4 times before the intervention and 3 times after the intervention within four months. The result showed that the intervention of sexual child abuse education in Posyandu cadre escalated KAP in both group and individual intervention as well. The individual intervention increased KAP higher than group intervention. Booklet was more understandable and commonly used ineducating than poster or flipchart. This study expects the model is possibly implemented as a formal program of Ministry of Health, Ministry of women and children empowerment and Child Protection Commisionare in preventing, reporting and recovering child sexual abuse.
D-336
Depok : FKM-UI, 2016
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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