scholarly journals DAMPAK RESESI EKONOMI PADA PENURUNAN KEMATIAN DAN PENINGKATAN ANGKA HARAPAN HIDUP DI INDONESIA*

Populasi ◽  
2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Siswanto Agus Wilopo

Since July 1997, Indonesia has suffered a monetary crisis that has led to a high rate of inflation and economic recession. This situation has inflicted an impact on the individual at two levels that is through the family and then the government role. Economic recession ean also have a direct and indirect influence on the degree of public health. There is a phenomenon of epidemiological polarization, which has a bigger impact on handling public health issues during recession. Without a program and more effective and efficient activities compared with the previous years, the current economic crisis will endanger the pattern of the declining death rate and increasing life expectancy at birth. Although various studies indicate that recession and economic fluctuation does notalways lead to a stagnationand decline inpublic health, the economic conditions in Indonesia arefundamentally different from those in other countries going through a similar experience. Efforts to maintain a momentum in reducing death rate and increasing life expectancy require reinventingpublic health policy.

2021 ◽  
Vol 2 (5) ◽  
pp. 124-134
Author(s):  
Waqas Mehmood ◽  
Rasidah Mohd-Rashid ◽  
Attia Aman Ullah ◽  
Owais Shafique

The purpose of this study is to describe the COVID-19 situation in Malaysia and the way the government of Malaysia manages the impact of this pandemic through economic recovery packages such as economic stimulus packages. This study focuses on the effects of the economic stimulus packages released by the government of Malaysia as a response to the economic recession triggered by COVID-19. Malaysia is one of the favourite tourist destinations, and the tourism industry generates about 5.9% of the country’s GDP. However, the lockdown imposed by the Malaysian government to combat the COVID-19 pandemic has severely affected almost every sector of the economy. The Malaysian government has taken several steps to control the spread of the pandemic, such as declaring hotspots of COVID-19, imposing lockdowns, and creating mass scale awareness through social media and TV channels. The government has also deployed several economic strategies such as economic stimulus packages to help industries and the people. This study concludes that the mitigation techniques, i.e., economic stimulus packages adopted are working properly; however, some improvements are required as these techniques are inadequate to manage the transmission capability and virulence of COVID-19. Thus, more attention is required for the revival of economic activities. This study helps to obtain an insight into the effects of economic packages and how effective these packages have been in managing the spread of the COVID-19 virus and mitigating the economic recession. It also provides an understanding of how these packages will help flatten the pandemic curve in the future. This study provides information on the current COVID-19 situation in Malaysia. It also offers information on the policies and methods used by the government to solve economic and public health issues. Further, this study lays out guidelines for policymakers and government officials for the development of more effective strategies for economic recovery and public health initiatives.


2017 ◽  
Vol 33 (S1) ◽  
pp. 62-63
Author(s):  
Songul Cinaroglu ◽  
Onur Baser

INTRODUCTION:In Turkey, there is a scarcity of knowledge about the predictors of health outcomes at a national level, and it is well known that there is a gap between rural and urban parts of developing countries in terms of the level of health outcomes. This study aims to find out predictor factors of the public health outcomes at a province level in Turkey.METHODS:Life expectancy at birth and mortality are used as public health outcome indicators. Logistic regression and Random Forest classification generated by using 50, 100, and 150 trees were used to compare prediction performance of health outcomes. The results of different prediction methods were recorded changing the “k” parameter from 3 to 20 in k-fold cross validation. The Area Under the ROC Curve (AUC) was used as a measure of prediction accuracy. Prediction performance differences were tested using Kruskall-Wallis analysis and visualized on a heatmap. Finally, predictor variables of public health outcomes were shown on a decision tree.RESULTS:Study results revealed that Logistic regression outperformed Random Forest classification. The difference between all prediction methods to predict public health outcome indicators was statistically significant (p<.000). The heatmap shows that AUC values to predict mortality have superior performance when compared with life expectancy at birth. Decision tree graphs present that the most important predictor variables were total number of beds for mortality and percentage of higher education graduates for life expectancy at birth.CONCLUSIONS:The results of this study represent a preliminary attempt to determine public health outcome indicators. It is hoped that the results of this study serve as a basis to understand the determinants of health care outcomes at province level with focus on a developing country. This study illustrates that there is a need to spend extra effort for future studies to analyze public health outcomes to improve social welfare functions in health systems.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 445
Author(s):  
Giuseppe Valeriani ◽  
Iris Sarajlic Vukovic ◽  
Tomas Lindegaard ◽  
Roberto Felizia ◽  
Richard Mollica ◽  
...  

Since its early stages, the COVID-19 pandemic has interacted with existing divides by ethnicity and socioeconomic statuses, exacerbating further inequalities in high-income countries. The Swedish public health strategy, built on mutual trust between the government and the society and giving the responsibility to the individual, has been criticized for not applying a dedicated and more diverse strategy for most disadvantaged migrants in dealing with the pandemic. In order to mitigate the unequal burden on the marginalized members of society, increasing efforts have been addressed to digital health technologies. Despite the strong potential of providing collective public health benefits, especially in a highly digitalized context as Sweden, need for a stronger cooperation between the public health authorities and migrant community leaders, representatives of migrant associations, religious leaders and other influencers of disadvantaged groups has emerged. Suggestions are presented on more culturally congruent, patient-centered health care services aimed to empower people to participate in a more effective public health response to the COVID-19 crisis.


2011 ◽  
Vol 61 (1) ◽  
pp. 3-32 ◽  
Author(s):  
P. Eső ◽  
A. Simonovits ◽  
J. Tóth

With flexible (variable) retirement every individual determines his optimal retirement age, depending on a common benefit-retirement age schedule and his life expectancy. The government maximises the average expected lifetime utility minus a scalar multiple of the variance of the lifetime pension balances to achieve harmony between the maximisation of welfare and the minimisation of redistribution. Since the government cannot identify types by life expectancy, it must take the individual incentive compatibility constraints into account. Second-best schedules strongly reduce the variances of benefits and of retirement ages of the so-called actuarially fair system, thus achieving higher social welfare and lower redistribution.


2020 ◽  
Vol 73 (5) ◽  
pp. 937-942
Author(s):  
Tetiana S. Gruzieva ◽  
Nataliia V. Hrechyshkina ◽  
Mykhаilo D. Diachuk ◽  
Vasyl A. Dufynets

The aim: identifying the characteristics and trends of inequalities in the health of the population to substantiate the educational content of the curriculum for the training of Master in Public Health. Materials and methods: Bibliographic, sociological, medical-statistical and information-analytical methods were used in the study. Ukraine’s healthcare institutions were the scientific base of the study. The data on the average life expectancy, morbidity, mortality, satisfaction of medical needs of different groups of the population for revealing the social gradient are analyzed. Documents on strategies to reduce health inequalities have been examined. Results: Health inequalities between WHO countries have been identified, including a difference in the average life expectancy at birth of 17.1 years in premature mortality due to differences in the levels of economic development of countries. The inequality in the prevalence of diseases and the difference in the satisfaction of specific medical needs among the first and tenth decile population of Ukraine were determined. The prevalence of diseases of the genitourinary system in the population older than 60 years with low rates by 27.3% was higher than the figure among financially insured persons. The incidence of ocular pathology among adults with different income levels varied 1.8 times. The provisions of the WHO strategic documents on reducing health inequalities and its protection and on developing the public health system are analyzed. We justify the necessity of expanding the coverage of the problems of reducing disparities in health and health care in the course of training of the Master in Public Health. A modern curriculum “Social Medicine, Public Health” has been developed with the inclusion of inequalities in public health and appropriate educational and methodological support. Conclusion: The strategic goal of reducing inequalities in public health and its care requires integrating these issues into a modern master’s in public health program. The curriculum developed covers various aspects of health inequalities and health care, including the identification and assessment of disparities, the clarification of causes, the identification of counter-measures. Created educational and methodological support allows acquiring theoretical knowledge and practical skills that form the necessary competencies of professionals in the context of overcoming inequalities in health.


2018 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
Lina Septi Danasari ◽  
Arief Wibowo

Life expectancy is one of the indicators to calculate the Human Development Index (HDI) which determined by infants’ health, toddlers’ health, frequency of liveborn children and death rate in the community. East Java Province has four dominant cultural areas such as Mataraman including the western part of the border of Central Java to Kediri, Madura including Bangkalan to Pamekasan, Arek including north coast of Surabaya to Malang and Tapal Kuda including Pasuruan, Probolinggo, Situbondo, Bondowoso, Lumajang and Jember. Those four cultural areas have different characteristic that can affect public health status especially life expectancy in East Java Province. The analysis aimed to know the correlation between infant mortality rate and life expectancy and to know the differences of life expectancy among four cultural areas in East Java year 2015. This analysis used secondary data obtained from Central Bureau of Statistic of East Java on May, 2017. The data were life expectancy as dependent variable, infant mortality rate as independent variable and cultural areas in East Java as grouping variables. The result showed that there was correlation between infant mortality rate with life expectancy (p=0.000) and there was different in life expectancy among four cultural areas in East Java year 2015 (p=0.000) such as cultural areas Mataraman-Madura, Mataraman-Tapal Kuda and Arek-Tapal Kuda. It suggested the government to continue improving the socio-economic welfare of the community and public health improvement in the Tapal Kuda area which had high infant mortality rate and low life expectancy.


2006 ◽  
pp. 27-42 ◽  
Author(s):  
Tapani Valkonen ◽  
Pekka Martikainen

The study analyses trends in life expectancy by level of education and by occupational social class in Finland from 1981 to 2000 to assess to what extent these trends have been in accordance with the target of reducing socioeconomic differences in life expectancy set in the Government public health programme. The study is based on the census records for the population aged 35 or over, which have been linked to the death records for the years 1981 to 2000. The results show that, contrary to the public health target, the difference in the life expectancy between persons with tertiary and basic education and that between upper non-manual and manual occupational classes increased during the 1990s. Differences in the trends in mortality from alcohol-related causes of death and from other cancers than lung cancer accounted for most the increase in the socioeconomic gap among men. Different from the 1980s changes in cardiovascular mortality did not contribute to the increase in the socioeconomic gap. Among women the increase in the socioeconomic gap was mainly due to the heterogeneous group of other diseases and cancers other than lung and breast cancer


Author(s):  
Patrick Heuveline ◽  
Michael Tzen

AbstractThe number of CoViD-19 deaths more reliably tracks the progression of the disease across populations than the number of confirmed cases. Substantial age and sex differences in CoViD-19 death rates imply that the number of deaths should be adjusted not just for the total size of the population, but also for its age-and-sex distribution. Following well-established practices in demography, this article discusses several measures based on the number of CoViD-19 deaths over time and across populations. The first measure is an unstandardized occurrence/exposure rate comparable to the Crude Death Rate. To date, the highest value has been in New York, where at its peak it exceeded the state 2017 Crude Death Rate. The second measure is an indirectly standardized rate that can be derived even when the breakdown of CoViD-19 deaths by age and sex required for direct standardization is unavailable. For populations with such breakdowns, we show that direct and indirect standardization yield similar results.Standardization modifies comparison across populations: while New Jersey now has the highest unstandardized rate, Baja California (Mexico) has the highest standardized rate. Finally, extant life tables allow to estimate reductions in life expectancy at birth. In the US, life expectancy is projected to decline this year by more (-.68) than the worst year of the HIV epidemic, or the worst three years of the opioid crisis, and to reach its lowest level since 2008. Substantially larger reductions, exceeding two years, are projected for Ecuador, Chile, New York, New Jersey and Peru.


Author(s):  
Sine Grønborg Knudsen ◽  
Peter Triantafillou

Since the 1970s, the public authorities of many OECD countries have emphasised the need for preventing lifestyle diseases and promoting the vigour of their populations. Based on the Foucauldian analytics of dispositive, we critically address some of the normative implications of the preventive interventions in the area of type 2 diabetes care. Through an analysis of public health documents from 1981 to 2016, it is shown that the government of lifestyle was extended and institutionalised by a reform of the Danish public sector in 2007. Following the reform, rationalities of public health policies sought to prevent unhealthy lifestyles not only through individual behaviour but also through the social surroundings of citizens. In contrast to the claim that we are seeing a retraction of state responsibility and interventions in the area of public health, it is suggested that we are witnessing an expansion in state ambitions expressed through a lifestyle dispositive. These ambitions are less about transferring the responsibility to the individual and more about governing and mobilising the social relations and environments of type 2 diabetes patients and citizens in general to make the everyday choice of a healthy lifestyle easier.


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