Articles

Environmental Factors Associated with Pneumonia in Children Under-Five in Nduga District, Papua Yeimo, Yulianda; Qadrijati, Isna; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli. In 2016 UNICEF had reported that pneumonia remains the leading infectious cause of death among children under five, killing approximately 2,400 children a day. Mortality due to childhood pneumonia is strongly associated to poverty, lack of safe water and sanitation, indoor air pollution and absence of basic immunization. This study aimed to determine the environmental factors associated with pneumonia in children under-five in Nduga, Papua, Indonesia. Subjects and Method: This was an analytic observational study with case-control design. This study was conducted in Yigi and Mbua Sub-districts, Nduga District, Papua, Indonesia, from December 2017 to February 2018. A sample of 184 children under-five consisting of 88 children with pneumonia (case) and 96 children without pneumonia (control), was selected for this study by fixed disease sampling. The independent variables were BCG immunization status, family income, indoor household air pollution, and environmental sanitation. The dependent variable was pneumonia. Data were collected by questionnaire and medical record. The data were analyzed by a multiple logistic regression.Results: The risk of pneumonia in children under-five increased by absence of BCG immunization (OR= 6.15; 95% CI= 2.78 to 13.61; p< 0.001), poor indoor household air pollution (OR= 5.68; 95% CI= 2.63 to 12.26; p< 0.001), and poor sanitation (OR= 5.06; 95% CI= 2.16 to 11.83; p<0.001). The risk of pneumonia in children under-five decreased by higher family income (OR= 0.30; 95% CI= 0.13 to 0.70; p= 0.005).Conclusion: Pneumonia in children under five is associated with indoor household air pollution, poor sanitation, absence BCG immunization, and lower family income.Keywords: pneumonia, indoor pollution, sanitation, BCG immunization, family incomeCorrespondence: Yulianda Yeimo. Nduga District Health Office, Jl. Kesehatan, Kabupaten Nduga, Papua. Email: yulianda.yeimo@gmail.com. Mobile: 082198811311.Journal of Epidemiology and Public Health (2018), 3(3): 307-311https://doi.org/10.26911/jepublichealth.2018.03.03.01
Evaluation of Multi-Drug Resistant Tuberculosis Predictor Index in Surakarta, Central Java Pamungkas, Putri; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tuberculosis (TB) remains a global public health problem. New cases of lung Tuberculosis in 2015 were 10.4 million worldwide. One of the challenging in TB control to be addressed is the development of Multi-Drug Resistant Tuberculosis (MDR-TB). There were an estimated 15,380 TB cases in Indonesia by 2015 with 1,860 positive TB cases and 1,566 cases successfully treated. This study aimed to determine the predictor index for MDR-TB.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from August to November 2017. The study subjects were selected by fixed disease sampling including 75 MDR-TB patients and 75 TB patients. The dependent variable was MDR-TB. The independent variables were medical history, co-morbidity (Diabetes Mellitus), drug side effect, drug-taking supervisor, and regularity of treatment. The data were collected by questionnaire and medical record. The data were analyzed by a multiple logistic regression.Results: MDR-TB Occurrence Index increased with drug-taking supervisor (b = 2.33; 95% CI= 3.83 to 27.91; p<0.001), drug-side effect (b = 0.73; 95% CI= 0.58 to 7.45; p=0.026), medical history (b = 2.35; 95% CI= 3.80 to 29.38; p<0.001). MDR-TB Occurrence Index decreased by absence of type 2 Diabetes Mellitus (b = -0.56; 95% CI= 0.18 to 1.78; p= 0.033), regular treatment (b = -1.73; 95% CI= 0.06 to 0.46; p<0.001).Conclusion: MDR-TB Occurrence Index is determined by the drug-taking supervisor, drug side effect, medical history, Type 2 Diabetes Mellitus, and regular treatment.Keywords: MDR-TB Occurrence Index, medical history, drug-taking supervisor, drug side effect, Type 2 Diabetes Mellitus, regular treatmentCorrespondence: Putri Pamungkas. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: pamungkasputri95@gmail.com.Journal of Epidemiology and Public Health (2018), 3(2): 263-276https://doi.org/10.26911/jepublichealth.2018.03.02.06 
Keadilan sosial dalam kebijakan kesehatan Murti, Bhisma
Jurnal Kedokteran Yarsi Vol 10, No 1 (2002): Jurnal Kedokteran Yarsi
Publisher : Jurnal Kedokteran Yarsi

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ABSTRACTHealth economics has concern on how tofind the most efficient allocation of health resources to achieve a preset policy goal. Equity, or fairness, is another important criterion that should be put into consideration by health economists and policy makers. A just distribution of health semice and the needs to meet health service to the community are depended on ethicaltheoy. And this kind of theory that elaborates in setting a just distribution of economic resources is called theory of social justice. This paper explores several examples of theories of social justice derived from philosophy of normative economy. The goal has no relation on how to find a consensus-accepted theory but to deliberate equity issues that must be keptin mind when setting a policy on allocation of health resources.KEYWORDS equity; distribution of resources; normative economics; theoy of social justice.
Factors Influencing the Difference between Indonesian Case-Based Group Reimbursement and Medical Cost for Patients with Chronic Renal Disease Cases in Kasih Ibu Hospital, Surakarta -, Mardhatillah; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Backgorund: JKN program has stipulated the INA CBGs reimbursement for the payment of treatment in referral health facilities, including for chronic renal disease which is a disease burden. This study aimed to analyze factors influencing the difference between Indonesian case-based group reimbursement and medical cost for patients with chronic renal disease cases in Kasih Ibu Hospital, Surakarta.Subjects and Method: The study design was an analytic observational with cross sectional design. The study was conducted in Kasih Ibu Hospital Surakarta in August-October, 2017. With a total of 231 subjects sample which was selected by using proportional random sampling. The dependent variable was the difference between Indonesian case-based group reimbursement and medical cost. The independent variables were length of stay, type of class, medical treatment/ surgery, ICU treatment, and medication use. The data were analyzed using multiple linear regression.Result: INA CBGs reimbursement (mean= Rp 6,120,000; SD= Rp 2,330,000) paid by BPJS Kesehatan was lower than actual hospital’s medical care cost (mean= Rp 7,070,000; SD= Rp 4,650,000). Factors profitable for hospitals were medical treatments/ surgery (b= 0.032; p= 0.552). Factors that inflicted financial loss were class 1 care (b= -0.104; p= 0.094), class 2 care (b= -0.033; p= 0.590) compared to class 3 care, length of stay (b= -0.541; p<0.001), medication use in accordance with national formulation (b= -0.183; p= 0.008) and the use of ICU (b= -0.045; p= 0.543). Patients who upgraded the class type (mean= Rp 5,526,074; SD= Rp 1,449,621) was higher than hospital’s medical cost for class 2 (mean= Rp 3,933,767; SD= Rp 1,887,900).Conclusion: Mean of INA CBGs reimbursement on inpatient care of chronic renal disease is lower than the mean of hospital’s medical care cost. Length of stay and doctors’ compliance in using national medication formulation are important determinants to increase medical care cost. Hospital obtains profit from patients who upgrade type of class.Key words: care cost, INA CBGs reimbursement, chronic renal diseaseCorrespondence: Mardhatillah. Kasih Ibu Hospital, Surakarta, Central Java. Email: mardhatillah.bws@gmail.com. Mobile: 089510610891.Journal of Health Policy and Management (2017), 2(2): 117-127https://doi.org/10.26911/thejhpm.2017.02.02.03
The Representation of Social, Economic, Psychological, and Reproductive Health Condition of the Commercial Sex Workers Post-closing of the Dolly Complex in Surabaya Puspitaningtyas, Danty Indra; Demartoto, Argyo; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Dolly was the biggest red light district in Southeast Asia with more than 1000 (a thousand) women working as commercial sex workers. Because the district imposed a very negative effect  to the surrounding inhabitants especially to children, therefore red light district area of  Dolly and Jarak which are located in  residential area had to be closed. The quality of life of the residents especially the commercial sex workers was very much affected after the district was closed.  The study aimed to understand the representation of the social, economic, psychological, and reproductive health condition after the Dolly district in Surabaya was closed.Subject and Method: This was a qualitative descriptive study with phenomenology approach. This study was  conducted in former red light districts of Dolly and Jarak in Surabaya from January 18-February 28, 2017. The informant of this study were commercial sex workers, former commercial sex workers, head of hamlet (RW), former pander of Dolly,  Head of Civil Society Organization, healthcare workers, and Social Office of Surabaya City. The sampling technique used was snowball sampling, with in-depth interviews, observation, documentation study. The data were analyzed by interactive analysis model including data collection, data reduction, display and verification. Results: The commercial sex workers characteristic prior and post closing of the district were around 28-43 years old, with elementary – senior high school educated. Most of the commercial sex workers were from outside the city with 1-5 customers/day. They charged Rp. 100-300 thousand (Dolly’s commercial sex workers) per customer and Rp. 100-200 thousand/customer (Jarak’s commercial sex workers). The representation of quality of life post-closing was poor, altered social condition,  lack of interaction with others, the degradation of economic condition, poor psychological condition due to the economical problem, and reproductive health was less protected  because they did not get  regular examination like before the complex was closed.Conclusion: The representation  of quality of life in terms of the condition of social, economic, psychology, and reproductive health of the commercial sex workers post Dolly and Jarak closing were poor. Therefore, government intervention was very much needed to help improving the quality of life of the commercial sex workers.Keywords: Commercial sex workers, social, economic, psychological, reproductive health.Correspondence: Danty Indra Puspitaningtyas. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: dantyindra@yahoo.com. Mobile:  +6285732850663Journal of Health Promotion and Behavior (2017), 2(1): 77-87https://doi.org/10.26911/thejhpb.2017.02.01.07
Penerapan Analisis Konjoin Untuk Kebijakan Asuransi Kesehatan Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 5, No 01 (2002)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Pendapatan, Pendidikan, Tempat Tinggal, dan Kemauan Membayar Asuransi Kesehatan Anak: Penggunaan Teknik “Bidding Game” Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 8, No 02 (2005)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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CONTRACTING OUT PELAYANAN KESEHATAN: SEBUAH ALTERNATIF SOLUSI KETERBATASAN KAPASITAS SEKTOR PUBLIK Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 9, No 03 (2006)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Intervensi Pemerintah Di Sektor Kesehatan: Regulasi Monopoli-Oligopoli Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 7, No 01 (2004)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Mengembangkan Indikator Kualitas Pelayanan Kesehatan Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 6, No 02 (2003)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Co-Authors - Mutalazimah -, Isfaizah -, Joeliatin -, Kadarwati -, Lusiatun -, Mardhatillah -, Masturoh -, Muryanti -, Vera . Muthmainah Achmad Arman Subijanto, Achmad Arman Aderita, Novi Indah Afiono Agung Prasetyo Agatha Widiyawati, Agatha Agung Kurniawan Agus Soedomo Agustin, Dyah Ayu Agustina, Devita Ahmad Yasa, Ahmad Akbar, Prima Soultoni Alfiyani, Lina Alifia, Latifah Nur Ambar Mudigdo Amir, Nikmah Ayu Ramadhani Andreas Agung Kurniawan, Andreas Agung Andri Iryawan Anggraeni, Fatimah Dewi Annisa Marsha Evanti Aprilia, Nita Ardelia Kurniawan Ardianti, Febrina Argyo Demartoto, Argyo Ari Natalia Probandari Ari Probandari Ariesta Permatasari Arif Siswanto Arifin, Ayu Kusuma Puspasari Arisona, Widya Lusi Ariza Putri Uniq Pratiwi, Ariza Putri Uniq Arum Wijayanti Aryoseto, Lukman Atmodjo, Joko Tri Ayuningtyas, Kanthi Devi Bobbi Juni Saputra Budi Mulyono Budi Yulianto Budihastuti, Uki Retno Caesaria Christ Haryadi Cahyaningrum, Lusia Arina Darmayanti, Aquartuti Tri Darto Della Kusumaning Putri Delpia, Yesi Vila Dermatoto, Argyo Desi Ekawati Deviasti, Rindra Dewi Indriani Dewi Susilowati Dewi, Ayu Rosita Dewi, Lanti Retno Dewi, Ristamaya Danar Diana, Tutut Okta Didik Tamtomo, Didik Diffah Hanim Dono Indarto Drajat Tri Kartono dwi ayu lestari, dwi ayu Dwi Setyawan Dwihestie, Luluk Khusnul Edi Karyadi, Edi Ekasari, Dily Elsa Adila Ramadhian Endang Listyaningsih Endang Sri Wahyuni Endang Sutisna Sulaeman Endang Sutrisna Endang Tri Sulistyowati, Endang Tri Erayanti Saloko Ermawati, Dwi Hesti Eskawati, Maria Yeny Eti Poncorini Pamungkasari Fahmi Hakam Fajriyah, Yuli Lutfatul Fauziyah, Rahma Febriani, Gabriela Advitri Fikriyyah, Syarifatul Firza Fatchya Gloria Katrin Evasari Gusti, Titis Eka Hadi Sudjito Halu, Silfia Angela N Handoko Handoko Harsono Salimo Hartanto, O S Hartono Hartono Harumi, Linda Haryanti, Rusiana Sri Hastuti, Uki Retno Budi Hendra Dwi Kurniawan, Hendra Dwi Hermanu Joebagio Hermanu Joebagyo Hervindita Dinda Siswandwika, Hervindita Dinda Hidayati, Alvy Nur Ida Mardalena Ida Srisurani Wiji Astuti, Ida Srisurani Ida Srisurani Wiji Astuti, Ida Srisurani Wiji Inayati, Rizqi Indria, Gita Ayu Irawanto, Muhammad Eko Jannah, Ahadyah Miftahul Jumadi - K, Isyana Miranti Karsid, Ravik Kartika, Dian Surya Keswara, Nila Widya Kogoya, Tena Kurniasari, Mia Ashari kusnandar kusnandar Kusumaningrum, Remita Yuli Kusumaningtyas, Mei Larasati, Gayatri Kintan Latifah, Mirzawati Lely Erawati Listiani, Funik Rahma Mei Lolita Lolita Luthfiyana, Nurul Ulya Mahendra Wijaya Mangunsong, Roy Romey Daulas Maria Dewi Caetline Maria Goretti Novianty Hutauruk Marlinawati, Iin Tri Martha Oktavia Dewi Savitri Marthunus Judin Maryati, Warsi Miden, Destinady Kadiser Miftahul Arozaq, Miftahul Mirshanti, Farahdila Moch Fanani MS, Novi Paramitasari Muchsin Doewes Muhammad Akhyar Muhammad Fanani Muhammad Masykuri Muhammad Syaifuddin Mulyo Hadi Sudjito Mutalazimah - Mutalazimah Mutalazimah MUTHMAINAH . Nahak, Maria Paula Marla Namangboling, Agung Dirgantara Nanda, Febrika Devi Nasir, Shinta Nindiyastuti, Nadia Ayu Irma Ningrum, Dhian Nurayni Sulistyo Ningrum, Fiki Cahya Ningtyas, Anindiya Nisa, Shofia Maharani Khoirun Niswah, Sayida Royatun Noor Alis Setiyadi Nudhira, Uyunun Nunuk Suryani Nur, Syukma Rhamadani Faizal Nuralita, Ayunda Yonik Nurhayati Agtikasari, Nurhayati Nurindahsari, Yespy Anna Wahyu nurlailis saadah, nurlailis Nursani, Anggia Rahmah Nurul Fatimah Octava Prima Arta Oemar Sri Hartanto Oemar Sri Hartanto Oepomo, Tedjo Danudjo Osi Pamungkas, Putri Pandayu, Ardiansyah Panduwinata, Annisa Widya Pawito -, Pawito Pawito . Pawito Pawito Permana, Fransisca Novalia Pertiwi, Galuh Tunjung Pipiet Wulandari Poncorini, Eti Pramiyana, Ira Martin Pranita, Liliana Dwi Pranoto, Hosea Puspitasari Prasetya, Hanung Prasetyowati, Ummy Prastiwi Putri Basuki, Prastiwi Putri Pratita Komalasari Pratiwi, Dinda Ika Prawita, Mirna Primadita, Hanggia Pritania Prameswara Putri Puji Astuti Anggara Purbanova, Reni Puri, Yessica Eka Purwaningsih, Yustina Purwaningtyas, Niniek Puspa Damayanti Puspitaningtyas, Danty Indra Puspitasari, Lina Putri, Risma Aliviani Putriarsih, Ryanawati Qadrijati, Isna Rahardjo, Setyo Rahardjo, Setyo Sri Rahayuningsih, Tutik Rahmawati, Dechoni Rahmawati, Isabella Rakhmahayu, Atika Ramadani, Aulia Noorvita Ratna Puspitasari, Ratna Ratnaningsih, Titin Ravik Karsidi RB. Soemanto Respatih, Supriyadi Hari Retiyansa, Yesi Reviono Rifai Hartanto Rini, Arum Kusuma Riska Rosita Risna Widowati Rita Benya Adriani Rokhayati, Rokhayati Roobiati, Nur Fika Rosalina Pradana Ayu Rosalina, Sintya RUBEN DHARMAWAN Rusmitasari, Heni Rustam Sunaryo Sabania, Brillian Ferika Saifuddin Azwar Sajalia, Husniyati Sandhi Yudha Santosa, Sugeng Budi Sapja Anantanyu, Sapja Saptowati, Dewi Sayidah, Diana Setyadi, Ahmad Wasis Setyaningrum, Th. Catur Wulan Shofri, M Maulana SITI KHOLIFAH Siti Nurhalimah Soemanto, RB Soemanto, RB Soetrisno . Sofiyani, Maya Sri Hartini Sri Nuryati Sri Panuntun, Sri Subaeti, Tri Sugeng Budi Santoso Sumanto - Sumardiyono . Sunarsih, Tri Sundari, Ana Suprapto, Bambang Susanti, Rahmah Purwaningsih Febri Susilawati, Tri Nugraha Susilowati, Bekti Sutanto . Sutisna Sulaeman, Endang Sutisna Sulaeman, Endang Syahmi Amar Tamtoto, Didik Tantomo, Didik Timoer, Seindy Arya Kusuma Tiyas, Dwi Wahyuning Tri Budi Wiryanto Tri Kartono, Drajat Trisnawati, Iga Tungga, Tersia Marentiva Umami, Afriza Umi Nadhiroh Utomo, Gunawan Cahyo Viridula, Erike Yunicha Vitri Widyaningsih Vivin Eka Rahmawati, Vivin Eka Wachdin, Fetty Rosyadia Wahyuni, Dewi Nofa Wahyuningsih, Christiana Sri Waryana Waryana Wasyanto, Trisulo Wasyanto, Trisulo Wekadigunawan, Cri SP Wekadigunawan, CSP Wekadigunawan, CSP. Whendi Setyawan Widarto Widarto Widiyanto, Aris Wijayanti, Nurlatifah Febriana Wijiwinarsih, Amallia Windiarti Dwi Purnaningrum Winiarti, Dian Yeimo, Yulianda yulia lanti retno dewi Yulia Lanti Retno Dewi Yuliana, Ana Yuliana, Ana Yuliani, Istri Yunita, Astri Yusriyani Yusup Subagio Yusup Subagio Sutanto Zicof, Erick