Nadira Amalia, Yusnia Monica, A. Ahsan, T. Djutaharta
{"title":"ANALYSIS OF CIGARETTE DEMAND AMONG POOR HOUSEHOLDS IN INDONESIA: AN ISLAMIC ECONOMIC APPROACH","authors":"Nadira Amalia, Yusnia Monica, A. Ahsan, T. Djutaharta","doi":"10.7454/eki.v7i2.5703","DOIUrl":"https://doi.org/10.7454/eki.v7i2.5703","url":null,"abstract":"Increasing Indonesia’s health and economic burdens generated by smoking habit require immediate stakeholder responses to reduce cigarette consumption. This study aims to examine and compare the changes in smoking behavior (i.e., the smoking status and the number of cigarettes consumed monthly) among zakat recipients (mustahik) and zakat payers (muzaki) caused by cigarette prices and income changes. Using a dataset from SUSENAS 2018 and conducted under kifayah approach (a poverty line approach in Islamic economics that will allow the observers to differentiate between muzaki and mustahik), this study employed two-part regression models. Results showed that an increasing income escalated cigarette consumption (ß = 0.761; 95% CI = 0.761, 0.762), but increasing cigarette prices reduced cigarette consumption (ß = -0.682; 95% CI = -0.683, -0.682). Mustahik household is more responsive toward changes as compared to muzaki ones. Mustahik household sensitivity towards cigarettes has important implications for zakat institutions in ensuring and monitoring zakat funds utilization among mustahik.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116425861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"OPTIMIZATION OF HEALTHCARE WORKERS AVAILABILITY : INCREASING PRIMARY HEALTH CARE EFFICIENCY IN INDONESIA","authors":"Anedya Niedar, F. Hafidz, K. Hort","doi":"10.7454/eki.v7i1.5397","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5397","url":null,"abstract":"Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout Indonesia was 1.29, indicating the potential to achieve on average 29% higher coverage of the selected primary health services if all were as efficient as the most efficient. The average efficiency score in the Eastern Indonesia region was 1.62 and the average in the Java-Bali region was 1.05, indicating higher potential efficiency gains in the Eastern Indonesia region. Access to health care facilities was a consistently significant factor influencing the efficiency of primary health care in almost all regions. This study has demonstrated the potential for significant gains in coverage of key primary care services through improvements in the efficiency of use of the existing health workforce.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130421947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DAK FISIK KESEHATAN TO REDUCE MATERNAL AND INFANT MORTALITY RATE","authors":"Rendy Alvaro, Ratna Christianingrum, Tio Riyono","doi":"10.7454/eki.v7i1.5412","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5412","url":null,"abstract":"Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are essential indicators of health development that are written on the national development plan documents. Nevertheless, Indonesia has not yet achieved the national target of MDG’s and SDG’s. In prediction, without extraordinary policies, the target of SDGs will not be reached by 2030. The government has allocated DAK Fisik Penugasan as one of the efforts to reduce MMR and IMR. So this study aims to capture the effect of DAK Fisik in decreasing MMR and IMR. Panel data from 34 provinces level in 2019 and 2020 are analyzed using mean difference test and quadrant analysis. Results show that there is no significant difference of MMR in 34 provinces with or without DAK Fisik Penugasan. Then there are still many provinces with the lower MMR and IMR which get budget priorities and vice versa. The government should 1) provide a local government stimulus to enhance acceleration of reducing MMR and IMR; 2) allocate budget priority to provinces that have higher score of MMR and IMR; 3) Encourage local governments to improve the quality of DAK Fisik proposals along with better quality of budget absorption.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123347118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"GAMBARAN KEBIASAAN MEROKOK DI INDONESIA BERDASARKAN INDONESIA FAMILY LIFE SURVEY 5 (IFLS 5)","authors":"Nisa Salsabila, Noormarina Indraswari, Budi Sujatmiko","doi":"10.7454/eki.v7i1.5394","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5394","url":null,"abstract":"Karakteristik dan pola kebiasan merokok adalah data yang sangat penting dalam upaya pengembangan program pengendalian merokok di Indonesia. Namun sampai saat ini belum ada data yang komprehensif dan sistematik yang mewakili seluruh masyarakat Indonesia. Penelitian ini bertujuan untuk mengetahui karakteristik perokok, kebiasaan merokok, dan ketergantungan merokok dalam kebiasaan merokok di Indonesia. Penelitian ini merupakan penelitian deskriptif cross-sectional dengan menggunakan data IFLS 5. Subjek penelitian adalah penduduk berusia 15 tahun keatas dengan jumlah sebanyak 12.591 orang. Hasil penelitian menunjukan bahwa perokok di Indonesia sebagian besar berjenis kelamin laki-laki (95%), hanya lulusan SD (35%), bekerja (80%), memiliki ekonomi rendah (79%), dan tinggal di perkotaan (57%). 46% mulai merokok saat remaja dengan jenis rokok yang sering digunakan adalah rokok kretek filter. Nilai tengah rokok yang dikonsumsi adalah 12 batang/hari dengan pengeluaran Rp11.000,00/pembelian dan Rp56.000,00/minggu. 46% perokok merokok >60 menit setelah bangun tidur, 68% sulit menahan diri untuk tidak merokok di tempat yang terlarang, 37% perokok berat untuk tidak merokok di pagi hari, 21% perokok langsung merokok setelah bangun tidur, dan 22% dari perokok akan tetap merokok pada saat sakit. Kondisi ini menunjukan perilaku merokok masyarakat Indonesia yang buruk, sehingga diperlukan intervensi berupa edukasi yang komprehensif, baik personal dan/atau komunitas pada kelompok dengan demografi dan karakteristik tersebut.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115909953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SATISFACTION OF NON-COVID-19 PATIENTS UNDER NATIONAL HEALTH INSURANCE (JKN) IN CHANGES IN HEALTH SERVICES DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS","authors":"Istianah Surury, Luthfiah Haifah Ali, Nastiti Dyah Prastiwi","doi":"10.7454/eki.v7i1.5442","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5442","url":null,"abstract":"Currently, health care services follow the first edition of the COVID-19 Prevention Guidelines from the Indonesian Health Ministry. Therefore, health care services should continue to deliver services equally between COVID-19 patients and general patients. Since the onset of the COVID-19 pandemic, a non-COVID-19 patient satisfaction survey has not been conducted at the hospital. Inpatient services are the most affected by COVID-19 because large capacity of bed is allocated for COVID-19. The aims of this study is to determine the level of satisfaction of non-COVID-19 patients under JKN and its associated factors regarding the changes in health care services during the COVID-19 pandemic. This study is observational and quantitative, using primary data with a cross-sectional design study. The sample was 86 people selected using total sampling. The obtained data was analyzed using univariate and bivariate analysis. The result showed there was a relationship between service changes (p=0.000), there was no relationship between age (p=0.254), gender (p=0.183), educational attainment (p=0.528), occupation (p=0,135), JKN membership (p=1,000), inpatient ward class (p=0.168), and satisfication of patients under JKN. Dependent T test analysis obtained a value of 0.000, meaning a significant difference between reality and the patient expectations. The servqual calculation showed the results of gab=-1.05 and an average suitability rate of 71%. The quality of health services is not meeting patient expectations, and changes in services during the COVID-19 pandemic are still not in accordance with the procedures. The hospital is expected to improve the quality of services during the COVID-19 pandemic.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123408677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PROBABILITAS RISIKO TERKENA PENYAKIT JANTUNG DAN TB BERDASARKAN FAKTOR SOSIO-EKONOMI DAN DEMOGRAFI","authors":"Ni Putu Mia Tarani, Achmad Kautsar","doi":"10.7454/eki.v7i1.5396","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5396","url":null,"abstract":"Penelitian ini bertujuan untuk menguji pengaruh status sosio-ekonomi dan demografi terhadap probabilitas status kesehatan yang direpresentasikan oleh penyakit jantung dan tuberculosis (TB). Penelitian ini menggunakan data dari Survei Aspek Kehidupan Rumah Tangga Indonesia (SAKERTI), sebuah survei longitudinal yang masih berlangsung di indonesia. Terdapat beberapa variabel bebas dalam penelitian ini seperti jumlah konsumsi rokok, status gizi dan juga tekanan darah, dengan efek marginal sebagai ukuran hubungan. Dalam penelitian ini terdapat dua variabel dependen yaitu penyakit jantung dan TB dengan variabel independen yang sama, hal ini dilakukan untuk mengukur dan membandingkan seberapa besar pengaruh variabel independen terhadap kedua model variabel dependen. Jumlah observasi dalam penelitian ini adalah 8.895 individu. Studi ini menemukan bahwa faktor sosial ekonomi seperti jenjang pendidikan memiliki pengaruh positif signifikan terhadap risiko individu terkena penyakit jantung dan TB. Individu yang dikategorikan miskin tidak signifikan memengaruhi probabilitas seseorang risiko terkena penyakit jantung sebesar 0,13 persen dan TB sebesar 0,33 persen. Berbagai faktor lain seperti status gizi dan tekanan darah juga memiliki pengaruh terhadap risiko terkena penyakit jantung dan TB.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122703798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE EFFECT OF SMOKING BEHAVIOR ON HEALTH EXPENDITURE IN INDONESIA’S RURAL AREAS","authors":"Cyril Anfasha Firmansyah, Reza Galih Renaldi, Dinda Monikka, Estro Dariatno Sihaloho","doi":"10.7454/eki.v7i1.5401","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5401","url":null,"abstract":"Smoking is one of the biggest causes of death in the world. The WHO reported that smoking kills 8 million people each year. Besides threatening global health, smoking by rural people tends to detain poverty alleviation efforts due to several factors, including cigarette expenditures and health expenditures. Indonesia has one of the most significant worldwide smoking prevalence and has become one of the countries that most suffer from smoking. The MoH Indonesia reported that health costs due to smoking reached Rp596.61 trillion in 2015. Previous studies found that smoking caused an increase in health expenditure due to smoking-related diseases in Indonesia. However, there is a lack of evidence found in rural areas. This research aims to answer whether smoking affects health expenditure in rural areas. Robust regression analysis is used in this model and processed by STATA 14 application. Using IFLS 5 data, the analysis shows that cigarettes consumed in rural areas have a positive and significant effect on outpatient costs. Increased outpatient costs in rural areas due to smoking will make the rural economy suffer and escalate poverty. The government should intensify the tobacco control policy in rural areas to avoid an increase of poverty rate in Indonesia.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120960494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SOCIOECONOMIC FACTORS AND SMOKING HABITS IN INDONESIA: ANALYSIS OF INDONESIAN FAMILY LIFE SURVEY (IFLS) 2014/2015","authors":"Widi Hapsari, Teddy Harvi Satrio, Yolanda Orient, Tiara Kania Ladzuardini, Estro Dariatno Sihaloho","doi":"10.7454/eki.v7i1.5411","DOIUrl":"https://doi.org/10.7454/eki.v7i1.5411","url":null,"abstract":"This study aims to find out what effects affect individuals to become smokers. So that the influence of socio-economic conditions and smoking habits in Indonesia can be helpful to literacy for policymakers. This study uses secondary data from the Indonesia Family Life Survey 2014/2015 (IFLS-5). The main variables in this study were smoking habits, while socio-economic conditions, social demographics and health conditions as control variables to see other factors that influence smoking habits. Using a logistic regression model, the results of this study indicate that several variables that represent socioeconomic conditions have a positive relationship and several other variables have a negative relationship to smoking habits in Indonesia and some show significant results. In the control variable, all demographic factors have a negative and significant effect on smoking habits. People with heart disease have a negative and significant effect, while people with symptoms of depression and physical activity have a positive and significant effect if health conditions are the control variables. With the results of the analysis above, it ends in a discussion of the Human Development Index (HDI) which can be a solution to the problems caused by cigarette consumption in Indonesia.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129783248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susilo Wulan, Jon Hendri Nurdan, Yandrizal Yandrizal, M. F. Kurniawan, E. Setiawan, Dirhan Dirhan
{"title":"Evaluasi Capaian Peta Jalan JKN di Provinsi Bengkulu Studi Kasus Sectio Caesarea Tahun 2014 Sampai 2019","authors":"Susilo Wulan, Jon Hendri Nurdan, Yandrizal Yandrizal, M. F. Kurniawan, E. Setiawan, Dirhan Dirhan","doi":"10.7454/eki.v6i2.5252","DOIUrl":"https://doi.org/10.7454/eki.v6i2.5252","url":null,"abstract":"Bengkulu adalah salah satu provinsi di Indonesia yang dalam 5 tahun terakhir sejak implementasi JKN tercatat mengalami peningkatan proporsi persalinan lewat operasi Caesar. Sementara, BPJS Kesehatan melaksanakan fungsi pembiayaan dalam pelayanan kesehatan JKN. Tujuan penelitian ini adalah mengevaluasi capaian sasaran equity kasus SC di Provinsi Bengkulu berdasarkan peta jalan JKN 2014-2019. Metode yang digunakan adalah mix method yakni kuantitatif dan kualitatif dengan cara analisis data JKN dan SUSENAS serta wawancara pihak BPJS Kesehatan dan Dinas Kesehatan. Hasil penelitian menunjukkan bahwa tata kelola program JKN di Provinsi Bengkulu sudah cukup baik dalam aspek capaian kepesertaan. Namun, pada pemerataan pelayanan dibutuhkan keterbukaan dan sinergitas program dan kebijakan antara pemerintah daerah dan BPJS Kesehatan. Layanan SC di Provinsi Bengkulu belum merata dan berkeadilan. Utilisasi layanan operasi caesar lebih banyak dinikmati oleh peserta JKN yang tinggal di Kota Bengkulu dan didominasi segmen kepesertaan mampu yakni PPU (39%) dan PBPU (45%). Pengawasan layanan SC perlu dilakukan secara cermat. Selain itu, pemenuhan kebijakan kompensasi pelayanan SC perlu diupayakan bagi wilayah faskes tidak memadai oleh BPJS Kesehatan maupun Pemerintah Provinsi Bengkulu. ","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126815997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analisis Efisiensi Relatif di Unit Pelaksana Teknis Badan Pengawas Obat dan Makanan Tahun 2019","authors":"Pantri Widyastuti, Atik Nurwahyuni","doi":"10.7454/eki.v6i2.5320","DOIUrl":"https://doi.org/10.7454/eki.v6i2.5320","url":null,"abstract":"Tantangan pengawasan obat dan makanan mengharuskan Unit Pelaksana Teknis (UPT) BPOM bekerja optimal di tengah keterbatasan sumber daya. Analisis efisiensi relatif pada Unit Pelaksana Teknis BPOM tahun 2019 dilakukan bertujuan untuk perbaikan dalam perencanaan, penganggaran, dan kebijakan strategis BPOM dalam upaya peningkatan capaian kinerja pada masing-masing UPT. Perhitungan efisiensi relatif menggunakan metode DEA (Data envelopment Analysis). Penelitian ini menggunakan mixed method dengan desain penelitian cross sectional. Sampel penelitian adalah 31 UPT BPOM yang memenuhi syarat sebagai DMU (Decision Making Unit) dan menggunakan 3 input dan 4 output yang diuji dengan metode DEA. Terdapat 10 informan dalam analisis kualitatif untuk mengetahui strategi dalam pencapaian efisiensi UPT. Hasil dari analisis terdapat 15 UPT yang efisien dan 16 UPT yang tidak efisien. Hasil wawancara diketahui bahwa UPT yang efisien dan yang tidak efisien telah melaksanakan strategi efisiensi internal dengan baik. DEA merupakan analisis efisiensi relatif dengan konsep memaksimalkan rasio output dan input. Penggunaan model VRS (Variabel return to Scale) yang mempertimbangkan proses, diharapkan mengeliminasi kekurangan yang terdapat dalam perhitungan dengan DEA. Perhitungan DEA dilakukan secara mekanik, maka diperlukan pendalaman proses untuk menggali faktor efisiensi yang tidak didapatkan dari perhitungan DEA, terlebih untuk organisasi yang dalam prosesnya melibatkan faktor eksternal yang cukup besar.","PeriodicalId":427313,"journal":{"name":"Jurnal Ekonomi Kesehatan Indonesia","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116658909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}