Indian Journal of Public Health Research & Development

Ina Kusrini ¹, Mara Ipa ², Agung Dwi Laksono ³

Affiliations
1 Ministry of Health, Center Java, ID
2 Ministry of Health, West Java, ID
3 Ministry of Health, Jakarta, ID

Abstract

Nutritional status in infants and toddlers is a very important indicator to indicate whether the development of health of a region is successful or not. The purpose of the study was to explore factors related to the nutritional status of troubled children in West Lombok Regency, Indonesia. The study was conducted with a qualitative design. Data was taken through interviews and observations on toddler suspected of having nutritional status problems. Data were analyzed by content analysis and thematic analysis method. The results of the interview were showed that the value of children for people living in the West Lombok, “the children is a king”. Although the results of observations were showed a different situation. Poverty makes parents of toddlers have no choice, and ultimately choose to work abroad. Toddlers whose parents work abroad must be entrusted to their relatives or grandmothers. Such conditions make the pattern of parenting, including the pattern of feeding, not optimal. This condition was exacerbated by poverty that surrounds them and the presence of infectious diseases that infect the toddlers. It can be concluded that the value of children is not related to the nutritional status of children. The main factors that were assessed to be related to the nutritional status of children in the West Lombok District were poverty. While other factors are related to family factors, infectious diseases, feeding pattern,and parenting patterns.

Keywords

Toddler Nutrition Status, Qualitative Studies, The Value of Child, Poverty, Local Food.

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Agung Dwi Laksono ¹, Ratna Dwi Wulandari ²

Affiliations
1 Universitas Airlangga, Surabaya, ID
2 Department of Health Policy and Administration, Universitas Airlangga, Surabaya, ID

Abstract

Madurese communities often have a low public health status. These could be seen from the health development achievements four regencieson the island. This research was intended to analyze the determinant ofthe Puskesmas utilization in Madura Island. The Data derived from the 2013 Riskesdas. The analysis usingbinary logistic regression to examine the determinant of the Puskesmas utilization. The results of the study showed the Madurese in Bangkalan likelihood 2,120 times more utilize the Puskesmas than in Sumenep (OR 2.120; 95% CI 1.448–3.105). Madurese in Pamekasan 1.410 times more likely to utilize the Puskesmas than in Sumenep (OR 1.410; 95% CI 1.025–1.940). Age affects the Puskesmas utilization, while rurality did not show a significant influence. Those who pass the primary school were likelihood 0.225 times to utilize of Puskesmas than the graduates of the college (OR 0.225; 95% CI 0.054–0.946). The Madurese in quintile 4 seen has no difference from those in quintile 5. While the Madurese who insured likelihood 0.650 times to utilize the Puskesmas than who not insured (OR 0.650; 95% CI 0.517–0.818). The Madurese that has a shorter time to the Puskesmas likelihood 0.616 times more utilize than that have a long time (OR 0.616; 95% CI 0.479–0.791). The research concluded that from 9 factors related to the Puskesmas utilization in Madura Island, there are 7 factors that are determinants, namely the regency, age, education, work status, socioeconomic, insurance, and travel time.

Keywords

Utilization Determinant, Healthcare, Health Services, Madura, Riskesdas.

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Ratna Dwi Wulandari ¹, S. Supriyanto ², Bagus Qomaruddin ³, Agung Dwi Laksono ⁴

Affiliations
1 Doctoral Program, University of Airlangga, Surabaya, ID
2 Department of Health Policy and Administration, University of Airlangga, Surabaya, ID
3 Department of Health Promotion and Behavioral Science, University of Airlangga, Surabaya, ID
4 Indonesian Agency for Health Research and Development, Ministry of Health, ID

Abstract

The pattern of diseases in the elderly people usually is degenerative diseases which often catastrophic and high cost. Unfortunately, a large financial intervention is often having the wrong target, precisely because of the more utilized by high socio-economic groups. This article is devoted to an analysis of hospital utilization disparity based on the socioeconomic status on the elderly in Indonesia. The data processed from the 2013 Indonesian Basic Health Survey (Riskesdas) with a sample size of 199,653 elderlies. Estimation by using multinomial logistic regression test used to explore the disparity between socioeconomic characteristics of the elderly in hospital utilization. Quintile 1 likelihood 0.355 times utilizing hospital outpatient than quintile 5 (OR 95% CI; 0.355 0.302-0.418). Quintile 1 likelihood 0.414 times utilizing hospital inpatient than quintile 5 (OR 95% CI; 0.414 0.366-0.468). Quintile 1 likelihood 0.247 times utilizing outpatient inpatient at once than quintile 5 (OR 95% CI; 0.247 0.184-0.332). The better the socioeconomic status is getting better the hospital utilization of the elderly.

Keywords

Elderly, Socioeconomic Disparities, Hospital Utilization, Indonesia, Inpatient-Outpatient.

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