scholarly journals The Effect of District Health Spending on Disease Rates in Sumatra Island

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Estro Dariatno Sihaloho ◽  
Donny Hardiawan ◽  
Achmad Kautsar ◽  
Citra Kumala ◽  
Dinda Ayu Maharani ◽  
...  
Keyword(s):  
Population Density ◽  
Dengue Fever ◽  
Health Spending ◽  
Health Centers ◽  
Economic Losses ◽  
District Health ◽  
Disease Rates ◽  
Sumatra Island ◽  
The Government ◽  
Very High

This study aims to find the effect of district health spending on disease rates namely dengue fever, diarrhea, and tuberculosis in 130 districts in Sumatra Island in 2016. A quantitative approach with 3 multiple linear regression (MLR) methods that employ robust standard errors is used for this study. The study finds that district health spending reduces the number of dengue fever, diarrhea, and tuberculosis, but not significantly. This condition can be caused by the inefficient use of district health expenditure. This study finds the number of health centers has negative and significant effect on the number of dengue fever, diarrhea, and tuberculosis. Conversely, population and population density have a positive and significant effect on dengue fever, diarrhea, and tuberculosis. Economic losses due to diseases like dengue fever, diarrhea, and tuberculosis are very high. Therefore, the government must use effective and various policies to overcome the problem of existing diseases, one of which is to improve the efficiency of using the health budget. The government should also control birth rates to reduce population growth and encourage transmigration to reduce population density.

Prediction Vulnerability Level of Dengue Fever Using KNN and Random Forest

2020 ◽  
Vol 4 (3) ◽  
pp. 531-536 ◽  
Author(s):  
Abduh Salam ◽  
Sri Suryani Prasetiyowati ◽  
Yuliant Sibaroni
Keyword(s):  
Growth Rate ◽  
Wind Speed ◽  
Random Forest ◽  
Population Density ◽  
Dengue Virus ◽  
Dengue Fever ◽  
Population Mobility ◽  
Density Growth ◽  
The Government ◽  
Over Time

Indonesia is a country that is prone to Dengue Fever, this happens because Indonesia is a country with a tropical climate. More than 50 years after Indonesia contracted the dengue virus, dengue fever cases have not been resolved, currently the cases that occur are greatly increased over time this happens because of factors that cause dengue fever. By considering this serious problem, the authors created a system that can predict the vulnerability level in Bandung and looks for the factors that most influence from all factors of Dengue Fever using the KNN Algorithm and Random Forest. The results of the system show the results of the best model is KNN algorithm with RMSE 29,26, and from the model shows the most influencing factors are population density, growth rate population mobility, rainfall, wind speed. by utilizing the results of the study, the government can adjust actions to each level of sub-district vulnerability and pay more attention to the factors that most influence dengue fever according to the results of the study.

scholarly journals Geospatial mapping of COVID-19 cases, risk and agriculture hotspots in decision-making of lockdown relaxation in Nepal

2020 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Bijaya Maharjan ◽  
Alina Maharjan ◽  
Shanker Dhakal ◽  
Manash Gadtaula ◽  
Sunil B. Shrestha ◽  
...  
Keyword(s):  
Decision Making ◽  
High Risk ◽  
Population Density ◽  
Social Distance ◽  
Entry Points ◽  
Risk Zones ◽  
The Government ◽  
Risk Scenario ◽  
Very High ◽  
Geospatial Mapping

The study has explored the risk scenario via geospatial mapping of temporal transmission trend of COVID-19 in 77 districts of Nepal focusing on the district-wise risk analyses based on present active cases, population density and land entry points from neighboring countries. In overall, low to very high risk zones have been identified. Jhapa, Morang and Sunsari districts of Province 1; Dhanusa, Mahottari, Sarlahi, Rautahat, Bara and Parsa districts of Province 2; Kathmandu district of Bagmati Province, Nawalparasi West, Rupandehi, Kapilbastu and Banke districts of Province 5, as well as Kailali of Sudurpanchim Province are identified to have very high risk for COVID-19 spread. The rapid growth in the number of cases has made many districts remarkably susceptible to the infection. The vulnerability analysis has been then followed by identification of agriculture hotspots across the country in terms of major crops. 42 districts with moderate to high crop productivities have been recognized as being not in very high risk zones where the government should allow farmers to do their agriculture activities with well-maintained social distance and other safety precautions. The results when combined would suggest an urgent decision by the Government for gradual lockdown relaxation for agro-economic reinstatement what is commonly called the latent comparative advantage for Nepalese economy after tourism.

scholarly journals Institutional capacity of health care institutes for diagnosis and management of common genetic diseases - A study from a north coastal district of Andhra Pradesh

2021 ◽  
Vol 2 (1) ◽  
pp. 007-013
Author(s):  
Pagolu Koteswara Rao ◽  
Raghava Rao T
Keyword(s):  
Community Health ◽  
Genetic Disease ◽  
Genetic Disorder ◽  
Health Sector ◽  
Health Centers ◽  
District Health ◽  
District Health System ◽  
Private Health Sector ◽  
The Government ◽  
Health Assistant

Background: In India, the genetic disease is a disregarded service element in the community health- protection system. This study aims to gauge the accessibility of services for treating genetic disorders and also to evaluate the practices on deterrence and management services in the district health system. Methods: A cross-sectional survey of selected health amenities from 454 medical officers (MO’s), 94 accredited social health activist (ASHAs) workers, 86 multipurpose health assistant-female (MPHA-F), 34 multipurpose health assistant-male (MPHA-M), 14 multipurpose health supervisors-female (MPHS-F), 10 multipurpose health supervisors-male (MPHS-M), 6 multipurpose health extension officer/ community health officer (MPHEO/CHO), 10 public health nurse (PHN), 45 lab technicians (LT’s) working in the government health sector and 254 in the private health sector, 409 nursing staff working in the government health sector and 995 in the private health sector, 15 primary health centers (PHC’s), 4 community health centers (CHC’s), 1 district government hospital (DGH), 3 referral hospitals (RH’s). From the side of private health institutions 25 corporate hospitals (CH’s), 3 medical colleges (MC’s), and 25 diagnostic laboratories (DL’s) were conducted. Results: The findings show that adequate staff was in place at more than 70% of health centers, but none of the staff have obtained any operative training on genetic disease management. The largest part of the DH’s had rudimentary infrastructural and diagnostic facilities. However, the greater part of the CHC’s and PHC’s had inadequate diagnostic facilities related to genetic disease management. Biochemical, molecular, and cytogenetic services were not available at PHC’s and CHC’s. DH’s, RH’s, and all selected medical colleges were found to have offered the basic Biochemical genetics units during the survey. In 24% of CH’s, the basic biochemical units are available and 32% (8 out of 25) of DL’s have the advanced biochemical genetics units by study. Molecular genetics units were found to be available in 28% (7 out of 25) of DL’s during the study. About 6 (24%) diagnostic centers of cytogenetic laboratories were located in the Visakhapatnam district under the private sector. Conclusion: The district health care infrastructure in India has a shortage of basic services to be provided for the genetic disorder. With some policy resolutions and facility strengthening, it is possible to provide advanced services for a genetic disorder in the district health system.

scholarly journals PROGRAM EXPANDING MATERNAL AND NEONATAL SURVIVAL (EMAS) DI LINGKUNGAN DINAS KESEHATAN KABUPATEN KARAWANG

2019 ◽  
Vol 4 (1) ◽  
pp. 49-73
Author(s):  
Sartika Dewi
Keyword(s):  
United States ◽  
Mortality Rate ◽  
International Development ◽  
The United States ◽  
Health Centers ◽  
Infant Mortality Rate ◽  
District Health ◽  
Existing Problems ◽  
Library Research ◽  
The Government

Abstrak Program Expanding Maternal and Neonatal Survival (EMAS) merupakan program hasil kerja sama antara Pemerintah Indonesia dengan lembaga donor united states agency international development (USAID), yang bertujuan untuk menurunkan AKI dan AKB di Indonesia sebesar 25%. Penelitian ini bertujuan untuk mengetahui implementasi Program Expanding Maternal and Neonatal Survival (EMAS) di Lingkungan Dinas Kesehatan Kabupaten Karawang.  Penelitian ini dilakukan di Dinas Kesehatan Karawang, pendekatan yang digunakan dalam penelitian ini adalah yuridis normatif dengan menggambarkan dan menganalisa masalah yang ada serta termasuk dalam jenis penelitian normatif yang akan disajikan secara deskriptif. Hasil penelitian ini menjelaskan pelaksanaan program EMAS yang sudah meningkatkan kualitas pelayanan obstetri dan neonatal esensial dasar (PONED) dan pelayanan obstetri dan neonatal esensial komprehensif (PONEK) dengan memastikan intervensi medis prioritas yang mempunyai dampak besar pada penurunan kematian yang diterapkan di Rumah Sakit dan Puskesmas serta meningkatkan efektifitas dan efisiensi sistem rujukan antar Puskesmas dan Rumah Sakit Hasil akhir yang ingin dicapai dari Program EMAS ini ialah adanya penurunan angka kematian ibu (AKI) dan angka kematian bayi (AKB). Kata Kunci: Program EMAS , Kematian,  Ibu Dan Bayi   Abstract   The Maternal and Neonatal Survival Expanding Program is a collaboration program between the Government of Indonesia and the United States International Development Agency (USAID), which aims to reduce MMR and IMR in Indonesia by 25%. This study aims to determine the implementation of the Maternal and Neonatal Survial Expanding Program in the Karawang District Health Office. This research was conducted at the Karawang Health Office, the method used in this research was analytical descriptive which is a research to describe and analyze existing problems and included in the type of library research that will be presented descriptively. The results of this study explain that the implementation of the EMAS program has improved the quality of basic essential obstetric and neonatal services and comprehensive essential obstetric and neonatal services by ensuring priority medical interventions that have a large impact on reducing mortality implemented in hospitals and health centers and increasing effectiveness and the efficiency of the referral system between health centers of public and Hospitals The final outcome to be achieved from the EMAS Program is a decrease in maternal mortality rate (MMR) and infant mortality rate (IMR). Keywords: EMAS Program, Death, Mother and Baby

scholarly journals Health system gaps in cardiovascular disease prevention and management in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
National Health ◽  
Task Force ◽  
Health Spending ◽  
Building Blocks ◽  
Critical System ◽  
Government Organizations ◽  
The Government

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.

scholarly journals Environmental Vulnerability by Floods and Occupation of Permanent Preservation Area: An Approach about Three Cities of Midwest of Brazil

2017 ◽  
Vol 10 (2) ◽  
pp. 45
Author(s):  
Greyce Bernardes de Mello Rezende ◽  
Telma Lucia Bezerra Alves
Keyword(s):  
Urban Areas ◽  
Local Level ◽  
Urban Expansion ◽  
Google Earth ◽  
Satellite Imaging ◽  
Environmental Vulnerability ◽  
Industrial Buildings ◽  
Araguaia River ◽  
The Government ◽  
Very High

The purpose of this article is to identify the areas of environmental vulnerability by flooding in urban areas of the municipalities of Barra dos Garças - MT, Pontal do Araguaia - MT and Aragarças - GO; and demarcate the occupations in permanent preservation areas (PPAs) in the study area. The methodology uses variables such as time series of maximum quotas of the Araguaia River, from 1968 to 2014, the frequency of those floods, as well as the local level curves. From the junction of these data, it was stipulated the levels of environmental vulnerability by floods in five levels: very high, high, medium, low and very low. The results indicate that areas with very high vulnerability correspond to approximately 1,58 square kilometers which equals to 0.5% of the total area studied; the high vulnerability areas, have only 3.19 square kilometers, corresponding to 1% of the area; the medium vulnerability areas have 7.66 square kilometers, which corresponds to 2.41% of the area; low vulnerability areas, have 11.18 square kilometers of extension relating to 3.52% of the area; and finally the remainder of the study area was characterized as very low vulnerability. After this mapping, it was found by satellite imaging from Google earth software dated 2014, the main occupations in PPAs. The main uses and occupations refer to human activities related to tourism, as well as commercial, residential and industrial buildings. It was found that it is of salutary importance that the Government enforces the fulfillment of the restrictions set out in the Forest Code, preventing that more occupations occur in PPAs and areas subject to flooding. Moreover, the mapping of areas of flooding is also a tool for future public policies that aim to guide the recommended areas to urban expansion, as well as ordering the use and occupation of land by developing zoning.

Changes in Income Distribution in Brazil

2018 ◽  
Author(s):  
Rodolfo Hoffmann
Keyword(s):  
Income Inequality ◽  
Household Income ◽  
Gini Index ◽  
Military Coup ◽  
Transfer Programs ◽  
Per Capita ◽  
The Government ◽  
The Military ◽  
The Impact ◽  
Very High

Income inequality in Brazil, already high, increased after the military coup of 1964 and remained very high even after democratization in the 1980s. It decreased substantially in the period 2001–2014, after inflation was controlled. The Gini index of the per capita household income dropped from 0.594 in 2001 to 0.513 in 2014. The determinants of this decline in inequality are analyzed considering the components of that income and how each one affected changes in inequality, showing the impact of changes in the remuneration of private sector employees and in pensions paid by the government, as well as federal transfer programs. Changes in education lie behind the first of these effects, and the increase of the minimum wage reinforced all three. The economic crises after 2014 interrupted the process of decline, and among economically active persons, inequality even increased from 2014 to 2015. Measures to further reduce inequality are suggested.

scholarly journals Estimation of the Extreme Distribution Model of Economic Losses Due to Outbreaks Using the POT Method with Newton Raphson Iteration

2021 ◽  
Vol 2 (1) ◽  
pp. 37-45
Author(s):  
Riza Adrian Ibrahim ◽  
Sukono Sukono ◽  
Riaman Riaman
Keyword(s):  
Estimation Method ◽  
Random Variable ◽  
Value Theory ◽  
Extreme Value ◽  
Distribution Model ◽  
Economic Losses ◽  
Extreme Distribution ◽  
Newton Raphson ◽  
The Government ◽  
Raphson Iteration

Extreme distribution is the distribution of a random variable that focuses on determining the probability of small values in the tail areaof the distribution. This distribution is widely used in various fields, one of which is reinsurance. An outbreak catastrophe is non-natural disaster that can pose an extreme risk of economic loss to a country that is exposed to it. To anticipate this risk, the government of a country can insure it to a reinsurance company which is then linkedto bonds in the capital market so that new securities are issued, namely outbreakcatastrophe bonds. In pricing, knowledge of the extreme distribution of economic losses due to outbreak catastrophe is indispensable. Therefore, this study aims to determine the extreme distribution model of economic losses due to outbreak catastrophe whose models will be determined by the approaches and methods of Extreme Value Theory and Peaks Over Threshold, respectively. The threshold value parameter of the model will be estimated by Kurtosis Method, while the other parameters will be estimated with Maximum Likelihood Estimation Method based on Newton-Raphson Iteration. The result of the research obtained is the resulting model of extreme value distribution of economic losses due to outbreak catastrophe that can be used by reinsurance companies as a tool in determining the value of risk in the outbreak catastrophe bonds.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

scholarly journals ESTIMATION OF THE ECONOMIC LOSSES POTENTIAL DUE TO UNDERWEIGHT TODDLERS IN INDONESIA IN 2013

2021 ◽  
Vol 16 (2) ◽  
pp. 111
Author(s):  
Brigitte Sarah Renyoet
Keyword(s):  
Secondary Data ◽  
Premature Death ◽  
Economic Loss ◽  
Economic Losses ◽  
Descriptive Research ◽  
Health And Nutrition ◽  
Nutrition Programs ◽  
Central Statistical ◽  
The Government ◽  
Statistical Agency

Millions of children and adolescents in Indonesia today still show a high number of premature death in children who are moderately malnourished and severely malnourished. The research objective was to calculate the estimated economic losses potential due to underweight among toddlers in Indonesia. This was a descriptive research by analyzing secondary data of nutritional status and socio-economic indicators in 2013 from the Indonesian Ministry of Health and Central Statistical Agency. The formula to calculate potential economic loss is based on Konig’s formula (1995) and the correction factor from research by Horton (1999). The results showed that the average economic loss in 32 provinces in Indonesia is approximately IDR 93 billion – IDR 417 billion, which seen from the GRDP percentage, the economic loss due to a decrease in productivity amounted to 2% and 9% or about 0.1–0.7% of the average GRDP of the provinces in Indonesia. Nationally, economic losses due to low productivity in underweight toddlers reach IDR 3,054 billion – IDR 13,746 billion (0.04–0.2%) of Indonesia’s total GDP. The results of this study are expected to show that the importance of this issue was handled and can assist the government in planning for health and nutrition programs targeted to human resources in Indonesia qualifi ed and productive.

Sign in / Sign up

Export Citation Format

Share Document