scholarly journals Pengaruh Sosial Ekonomi terhadap Pemilihan Pelayanan Kesehatan Maternal

2021 ◽  
Vol 10 (2) ◽  
pp. 70-77
Author(s):  
Lely Khulafa'ur Rosidah ◽  
Rahma Novita Asdary

Latar belakang Menurut statistik WHO, Angka kematian ibu (AKI) di negara-negara maju diperkirakan 12/100.000 kelahiran hidup, sedangkan di negara-negara berkembang dan berpenghasilan rendah  adalah 239/100.000 kelahiran hidup. 99% dari semua kematian ibu diperkirakan terjadi di negara berkembang, padahal penyebab kematian dapat dicegah dengan kebijakan yang tepat mengingat tujuan Sustainable Development Goals salah satunya adalah menurunkan AKI. Penelitian ini mengevaluasi status sosial ekonomi berdasarkan keanggotaan Jaminan Kesehatan Nasional (JKN) terhadap pemilihan layanan kesehatan maternal. Metode Penelitian ini merupakan penelitian cross-sectional menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI)  2017. Data ini digunakan untuk menilai proporsi status ekonomi dan keanggotaan JKN dan untuk mengukur hubungan keduanya dengan persalinan di Fasilitas pelayanan kesehatan (Fasyankes), dan persalinan oleh tenaga terampil serta PNC oleh tenaga terampil. Analisis menggunakan R software version 3.6.3. dan melakukan Propensity Score Matching (PSM) untuk mengurangi bias seleksi mandiri dengan menyeimbangkan variabel yang diamati antara kelompok responden berdasarkan status ekonomi dengan dan tanpa JKN. Hasil Dari 5429 responden, 20.2% adalah penduduk sangat miskin, 20.9% penduduk miskin, 19.9% menengah, 20.8% kaya, dan 18.2% sangat kaya. Di antara penduduk tersebut, 61.4% memiliki keanggotaan JKN. Kesenjangan substansial dalam pemanfaatan layanan kesehatan maternal antara kelompok sangat miskin dan sangat kaya masih ada terutama memilih Fasyankes untuk proses persalinan sebesar 38 poin lebih rendah untuk kelompok sangat miskin (58,5%) dibandingkan dengan kelompok sangat kaya (96,9%) pada wanita yang memiliki keanggotaan JKN. Simpulan Pemilihan Fasyankes untuk proses persalinan cenderung dilakukan oleh kelompok sangat kaya dibandingan oleh kelompok sangat miskin walaupun tercakup dalam keanggotaan JKN. Temuan ini konsisten dengan teori ekonomi bahwa cakupan asuransi kesehatan dapat mengurangi hambatan keuangan untuk perawatan dan meningkatkan penyerapan layanan.

2020 ◽  
Vol 6 (1) ◽  
pp. 86-91
Author(s):  
DESSY ANGRAINI ◽  
Iza Ayu Saufani

Era SDGs (sustainable development goals) merupakan kelanjutan program MDGs (Millenium Development Goals) memiliki tujuan bersama yang universal untuk memelihara keseimbangan tiga dimensi pembangunan yang berkelanjutan, salah satu tujuannya adalah menjamin ketersediaan air bersih dan sanitasi yang berkelanjutan untuk semua orang. Pentingnya ketersediaan air bersih bagi kehidupan masyarakat dapat memberikan pengaruh penting terhadap kesehatan masyarakat,sehingga air yang digunakan untuk keperluan sehari-hari kualitasnya harus memenuhi standar baku mutu kesehatan lingkungan dan persyaratan kesehatan air. Berdasarkan informasi wali jorong palupuah mengatakan bahwa sumber air yang digunakan oleh warga untuk kebutuhan sehari-hari secara fisik berwarna, terdapat endapan pada penampungan air, dan belum pernah diuji keamananya.Penelitian ini bertujuan untuk mengetahui gambaran ketersediaanair bersih di Jorong Palupuah Nagari Pasia Laweh KabupatenAgam.Penelitian ini merupakan penelitian observasional survey dengan rancangan penelitian cross sectional. Populasi dalam penelitian ini adalah semua rumah tangga yang berada di Jorong Palupuah Nagari Pasia Laweh Kabupaten Agam, Sumatera Barat. Sampel penelitian berjumlah 74 KK ditentukan dengan teknik proportionate stratified random sampling dan analisis data dilakukan dengan univariate. Hasil penelitian menunjukkan bahwa karakteristik responden di jorong Palupuah Nagari Pasia Laweh Kabupaten Agam, Sumatera Barat mayoritas berusia 25-45 tahun dengan tingkat pendidikan terakhir adalah tamat SMA. Berdasarkan hasil survey rata-rata jumlah anggota keluarga di jorong Palupuah berjumlah 3 orang (32,4%), dan mayoritas responden bekerja sebagai IRT dengan tingkat penghasilan keluarga rata-rata Rp.1.500.000.Terdapat lima sumber air baku utama yang dijadikan sebagai sumber air bersih oleh masyarakat jorong dan sebagian besar sumber air yang digunakan berasal dari sumber mata air (71.8%). Selain itu, masih ada sebagian masyarakat yang mengeluhkan penyaluran air yang tidak lancar (35,1%). Serta masih ada 41.9% yang mengatakan tidak mudah mendapatkan air bersih. Kualitas air bersih yang disalurkan di Jorong Palupuah termasuk dalam kategori baik. Namun, sebagian besar masyarakat tidak menggunakan PDAM dan sumber air yang digunakan sangat tidak menunjang untuk dikonsumsi.


Author(s):  
Núria Garro ◽  
Jose Moros-Gregorio ◽  
Alejandro Quílez-Asensio ◽  
Daniel Jiménez-Romero ◽  
Ana Blas-Medina ◽  
...  

We present the activities of the Innocampus Explora innovation project developed on the Burjassot-Paterna campus of the Universitat de València and whose main objective is to show the interrelation between the different scientific and technical degrees on campus. In this year, the work team made up of students and professors from all the faculties and schools of the Burjassot-Paterna campus, have carried out activities around environmental issues. A cross-sectional and interdisciplinary vision of the problems of the uses of plastic and nuclear energy that link with several of the Sustainable Development Goals (SDGs) dictated by the United Nations. With the development of this project we contribute to quality transversal training for all participating students.


2021 ◽  
pp. 89-112
Author(s):  
Jennifer E. Lansford ◽  
W. Andrew Rothenberg ◽  
Sombat Tapanya ◽  
Liliana Maria Uribe Tirado ◽  
Saengduean Yotanyamaneewong ◽  
...  

This chapter uses evidence from the Parenting Across Cultures (PAC) project to illustrate ways in which longitudinal data can help achieve the Sustainable Development Goals (SDGs.) The chapter begins by providing an overview of the research questions that have guided the international PAC as well as a description of the participants, procedures, and measures. Next, empirical findings from PAC are summarized to illustrate implications for six specific SDGs related to child and adolescent development in relation to education, poverty, gender, mental health, and well-being. Then the chapter describes how longitudinal data offer advantages over cross-sectional data in operationalizing SDG targets and implementing the SDGs. Finally, limitations, future research directions, and conclusions are provided.


2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Niken Meilani ◽  
Nanik Setiyawati ◽  
Sammy Onyapidi Barasa

Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.


2016 ◽  
Vol 18 (36) ◽  
pp. 365-375 ◽  
Author(s):  
Viviane H. França ◽  
Ulisses E. C. Confalonieri

Abstract Health is part of the Sustainable Development Agenda adopted by the United Nations and local communities have an important role in the definition of their own development needs and in the discussion of the post-2015 Sustainable Development Goals. A field survey using a validated questionnaire was applied to 336 extremely poor households in a Brazilian municipality. The survey was a cross-sectional and observational study and included interviews with healthcare professionals and social workers. Drug/alcohol abuse was pointed as the major problem to obtain improvements in quality of life. The prevalence of disability was 14%. A reduction in rates of deaths caused by crimes and prevention of disabilities should be included as health targets under the SDGs.


2021 ◽  
Vol 3 (2) ◽  
pp. 1-12
Author(s):  
Manggiasih Dwiayu Larasati Tidak ada

Angka Kematian Ibu (AKI) di Indonesia masih cukup tinggi dan masih dibawah dari target pencapaian Sustainable Development Goals (SDGs). Penyebab AKI dapat diturunkan dan dicegah melalui pemberian asuhan kehamilan yang rutin dan berkualitas untuk mendeteksi dini adanya kelainan dan komplikasi. Selain itu ibu hamil juga harus mengetahui tentang tanda bahaya kehamilan. Apabila ibu mengetahui tentang tanda bahaya kehamilan, ibu akan selalu waspada dan berhati-hati dengan cara selalu rutin memeriksakan kehamilannya. Tujuan penelitian untuk menganalisis tindakan deteksi dini tanda-tanda bahaya kehamilan berdasarkan karakteristik responden yaitu usia, pendidikan dan pekerjaan. Selain itu, akan diamati juga dari faktor pengetahuan, sikap dan sumber informasi. Desain penelitian observasional analitik menggunakan pendekatan cross sectional, dengan jumlah sampel 42 ibu hamil. Hasil penelitian menunjukkan responden yang tidak melakukan deteksi dini tanda bahaya kehamilan paling banyak adalah usia ibu berisiko (< 20 tahun atau > 35 tahun), berpendidikan rendah (tamat SD, SMP), ibu hamil yang tidak bekerja, berpengetahuan kurang, bersikap negatif dan hanya mendapatkan informasi dari tenaga kesehatan. Ada hubungan antara usia ibu (p 0,028 OR 4,267); pendidikan ibu (p 0,03 OR 5,939); pengetahuan (p 0,003 OR 4,413); dan sikap ibu hamil (p 0,012 OR 13,091) dengan tindakan deteksi dini tanda bahaya kehamilan. Maternal Mortality Rate (MMR) in Indonesia is still quite high and still below the achievement target of Sustainable Development Goals (SDGs). The causes of MMR can be reduced and prevented through the provision of qualified pregnancy routine upbringings to detect the early presence of abnormalities and complications. Besides, pregnant women also should be aware of the threat signs of pregnancy. If mothers know about these risk signs of pregnancy, mothers will always be on the alert and be cautious by doing regular checkups on their pregnancies. The purpose of the research was to analyse the actions of early detection on the danger signs of pregnancy based on the characteristics of respondents, such as age, education and work. Also, other factors of knowledge, attitude and sources of information were observed. The study design of an analytic observational used a cross-sectional approach, with a sample of 42 pregnant women. The results of the current study showed that the most respondents who did not perform early detection of danger signs of pregnancy were mothers at the risked age (< 20 years or > 35 years) and from low education (finished elementary and junior high school), pregnant women who are not working, mentally negative and less knowledgeable, and whose information only from health workers.  The correlation of the age of mothers (p 0,028 OR 4,267), maternal education (p 0.03 OR 5,939), knowledge (p 0,003 OR 4,413), and attitude of pregnant women (p 0,012 OR 13,091) positively resulted in the early detection actions of pregnancy danger signs.    


2021 ◽  
Vol 11 (2) ◽  
pp. 141
Author(s):  
Jonas A. S. Schwartzman ◽  
Paola Zucchi

In 2015, about 190 United Nations Member States proposed an ambitious agenda, to be worked on by different actors in society, which was entitled 2030 Agenda. The document was divided into 17 Sustainable Development Goals (SDGs), which are broken down into 169 targets aiming to eradicate poverty and promote a decent life for all. This study aimed to evaluate the perception of healthcare managers about SDGs, especially SDG 3, which addresses Good Health and Well-Being. This cross-sectional observational study identified and analyzed the participants&rsquo; profilesthrough online forms with questions about the general perception of the SDGs, and questions related to SDG 3. The quantitative analysis of the results was performed, in percentage terms, and the qualitative analysis was performed using the five-point Likert scale. Twenty-one technical directors of healthcare services participated in the survey. According to the results, 14 (66.6) &nbsp;of the participants presented medium to highknowledge regarding SDG. In addition, 18 (85.7%) of these professionals understand that the SDGs are of high/very high importance to guide public policies. In general, there is a low expectation for the achievement of the 17 SDGs in Brazil, but it was highlighted that it should be a priority, which SDG could contribute to the achievement of SDG 3: Good Health and well-being as well as the vision of policy recommendations to achieve the SDG 3 targets. This analysis allows contact with SDG and enables a deeper discussion on the topic in healthcare services.


2017 ◽  
Vol 2 (1) ◽  

Nutrition plays a significant role in growth and development of children. Progress in reducing malnutrition has been slower and more uneven, especially in developing countries. Reduction in chronic malnutrition among young children was one of the primary objectives of Millennium Development Goals (MDG). However, 162 million young children are still suffering from chronic malnutrition [1]. In 2014, an estimated 159 million children under five years of age globally were stunted, 50 million were wasted and 91 million children were underweight. About half of all stunted children lived in Asia and over one-third in Africa. Similarly, twothirds of all wasted children lived in Asia and almost one third in Africa [2]. Therefore, the Sustainable Development Goals (SDGs) also concentrate to end hunger, achieve food security, improve nutrition and promote sustainable agriculture (SDG-2) by 2030 [3].


2020 ◽  
Vol 2 (SP1) ◽  
pp. 196-202

Introduction : Sustainable development goals are big challenge to the nation and they represent a critical encounter to be achieved  with the current unsustainable condition worldwide The aim of the current study was to find out the level of knowledge regarding sustainable development goals (SDG) among medical students at a private university in Shah Alam, Malaysia. Methods: A cross-sectional study was conducted among 203 medical students at a Private University in Selangor Malaysia using convince sampling method.  Results: Only (77.8%) of the respondents heard of Sustainable development goals (SDG) and the main source of information was internet (35.5%). Two-thirds of them knew that SDG should be achieved by year 2030. Only half of the respondents knew the correct numbers of SDG which is 17 goals and (45.3%) knew that SDG consist of 169 targets. Conclusion: as a conclusion, medical students have adequate knowledge regarding sustainable development goals, but more education and promotion are needed, especially for future medical doctors as they will be the frontlines in achieving those goals.


Author(s):  
Riama Marlyn Sihombing ◽  
Fiolenty Sitorus ◽  
Fransiska Ompusunggu ◽  
Triulan Sidabutar ◽  
Lisandra Maria G. B. Sidabutar

Sustainable Development Goals (SDGs) 2030 menjadikan Penyakit Tidak Menular (PTM) sebagai  prioritas nasional. PTM – diantaranya  hipertensi – sering  tidak terdeteksi karena tidak menimbulkan gejala atau keluhan dan biasanya ditemukan pada tahap lanjut sehingga sulit disembuhkan dan dapat menyebabkan kecacatan atau kematian dini. Salah satu cara mengendalikan PTM melalui kegiatan Posbindu PTM.Tujuan kegiatan pengabdian masyarat ini  untuk mengetahui pemanfaatan Posbindu PTM terhadap pengendalian hipertensi pada warga RW 05 Kelurahan Bencongan Indah Tangerang Banten. Metode menggunakan kuantitatif korelasional dengan pendekatan cross sectional. Populasi adalah warga yang berusia 29-85 tahun dengan sampel 83 orang. Implementasi meliputi pengukuran tekanan darah dan pemeriksaan kadar kolesterol darah. Dari kegiatan pengabdian masyarakat ini didapatkan warga yang memanfaatkan Posbindu PTM sebanyak 36,1%, sebagian besar (74,7%) berjenis kelamin perempuan, lebih dari setengah (68,6%) menunjukkan tekanan darah tidak normal sedangkan hasil pemeriksaan kolesterol darah hampir berimbang antara nilai yang normal dan tidak normal. Data dianalisa menggunakan uji Fisher dengan tingkat kesalahan 0,05 didapatkan ada perbedaan tekanan darah (p=0,005) dan tidak ada perbedaan hasil kolesterol (p =1,00) pada pemanfaatan Posbindu PTM. Kegiatan pengabdian masyarakat selanjutnya perlu menganalisa faktor-faktor yang berhubungan dengan pemanfaatan Posbindu PTM dan meningkatkan pemahaman warga tentang pentingnya kegiatan Posbindu PTM.  


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