Abstrak Kemiskinan merupakan permasalahan sosial bersifat multidimensi dan berhubungan dengan permasalahan kesehatan, pendidikan dan kesejahteraan sosial lainnya. Cakupan Imunisasi Dasar Lengkap (IDL) secara nasional mencapai 57,9%, 32,9% tidak lengkap dan sebanyak 9,2% tidak diimunisasi, sementara indikator cakupan secara nasional minimal 90% Penelitian ini bertujuan untuk mengetahui determinan apakah yang mempengaruhi cakupan imunisasi dasar lengkap pada bayi penerima Program Keluarga Harapan (PKH). Desain studi yang digunakan adalah cross sectional. Lokasi penelitian berada di 34 provinsi. Jumlah populasi sebanyak 9.205 responden dengan menggunakan data sekunder Survei Sosial Ekonomi Nasional (Susenas) tahun 2017. Hasil penelitian menunjukkan capaian imunisasi dasar lengkap sebesar 97,34% dan 2,66% tidak lengkap. Hasil penelitian menunjukkan variebel umur dan status perkawinan berhubungan positif serta berpengaruh secara signifikan, Variabel pendidikan dan pekerjaan berhubungan secara signifikan namun berhubungan negatif dalam cakupan imunisasi dasar. PKH telah memberikan kesempatan dan akses kepada rumah tangga miskin untuk melaksanakan program imunisasi dasar lengkap. Oleh karena itu diperlukannya penguatan supervisi terhadap ibu muda, ibu dengan status cerai, serta ibu yang bekerja guna meningkatkan pengetahuan, membangun kesadaran, menjaga serta memperkuat perubahan perilaku terkait, pengasuhan dan kesehatan untuk meningkatkan cakupan imunisasi dasar pada bayi. Abstract Poverty is a multidimensional social problem and related to the problems of health, education and other social welfare. National Basic Immunization Coverage (IDL) reached 57.9%, with 32.9% was incomplete and 9.2% were not immunized, while national coverage indicators were at least 90%. This study aims to determine the determinants that affects basic complete immunization coverage for babies receiving the Family Hope Program (PKH). The study design used was cross sectional. The research was located in 34 provinces. The total population is 9,205 respondents using secondary data from the National Socio-Economic Survey (Susenas) in 2017. The research shows that the achievement of complete basic immunization is 97.34% and 2.66% is incomplete. The results shows that age and marital status are positively related and significantly influence the basic immunization coverage, while education and employment variables are significantly associated but negatively related to basic immunization coverage. PKH has provided opportunities and access to poor households in implementing a complete basic immunization program. So it is necessary to intensify the supervision of young mothers, divorced mothers and working mothers to boost knowledge, build awareness, maintain and strengthen related behavioral changes, health and care to increase the coverage of basic immunization in infants.
Osteoporosis has been discovered to be a risk factor for menopausal women. Although synbiotics (probiotics and prebiotics) are found in fermented soymilk-honey made using local probiotics, their effect on osteocalcin levels is still unknown. Therefore, this study’s objective was to determine the influence of fermented soymilk-honey from different probiotics on osteocalcin levels. A 90-day pre–post quasi-experimental study with a control design was conducted on 54 postmenopausal women divided into three intervention groups namely, the soymilk (SM) group, the soymilk-honey fermented with Lactobacillus casei subsp. casei R-68 (SMH Lc) group, and the soymilk-honey fermented with Lactobacillus plantarum 1 R 1.3.2 (SMH Lp) group. Participants consumed 100 mL of soymilk (SM) or fermented soymilk with honey (SMH Lc or SMH Lp) for 90 days. At the beginning and end of the study, the blood serum osteocalcin level was measured and subjects’ health status was assessed, such as cholesterol total, random blood glucose, and uric acid levels. Our results presented that in the SMH Lp group, 90 days supplementation of soy-honey milk fermented with Lactobacillus plantarum 1 R 1.3.2 significantly reduced the level of blood serum osteocalcin. Based on these results it is justified to perform more detailed studies on the effect of fermented soy-honey milk on bone health.
<p>Health problems will appear along with the increasing aging of someone that can reduce the quality of life. Many factors can decreases in quality of life. The purpose of this study was to find the determinants of the quality of life to the pre-elderly and elderly population in the working area of Harapan Raya public health center Pekanbaru, Riau, Indonesia. The design of the research was cross sectional in the pre-elderly population (45–59 years) and the elderly population (60 years and above). There were 103 respondents participated in this study gathared with consecutive sampling techniques. Quality of life was measured using WHOQOL SF-36 questionnaire. Independent variables were body mass index, physical activity, chronic disease, smoking behavior, employment status, residence status, marital status, education, age, and sex. Data were analyzed by univariate, bivariate with Chi square test, and multivariate with multiple logistic regression. The proportion of subjects with low quality of life was 18.4%. Variables related to bivariate were body mass index, smoking behavior, chronic disease, employment status, and sex. Chronic disease (OR=5.5; 95% CI=1.173–25.674) significantly affected the quality of life after being controlled by sex. The quality of life could be explained by this factor about 17%. It is necessary to manage chronic diseases in the public health center and provide information to the pre-elderly and the elderly through counseling, print and electronic media.</p>
Karya Wanita Inpatient Health Center is one of the health centers with a lower vaccination coverage than other health centers, namely 9,768 doses of the 29,682 population to be vaccinated. The purpose of this study was to determine the determinants of the Covid-19 vaccination status in the community in the working area of the Karya Wanita Inpatient Health Center in 2022. This type of research was Observational Quantitative Analytical with Cross Sectional Design. The population in this study was the general public in the working area of the Karya Wanita Inpatient Health Center totaling ± 29,682. The sampling technique used consecutive sampling. The measuring instrument in data collection is a questionnaire. Data analysis was performed with univariate and bivariate (chi-square). The results showed that education (P-value = 0.002) POR = 3.145 (1.559-6.345), trust in hoax news (P-value = 0.001) POR = 4.501 (2.350-8.619), knowledge (P-value = 0.005) POR = 2,554 (1,361-4,793), attitude (P-value = 0.001) POR = 3,401 (1,798-6,432), and perception (P-value = 0,001) POR = 3,401 (1,798-6,432).The conclusion of this study is that there is a relationship between education, trust in hoax news, knowledge, attitudes and perceptions with Covid-19 vaccination status in community in the work area of the Karya Wanita Inpatient Health Center in 2022. Suggestions for the Puskesmas to maximize education or dissemination of information directly related to the importance of Covid-19 vaccination and facts about the Covid-19 vaccine to all levels of society evenly.
This study aims to determine the effect of land and building transfer tax (BPHTB) devolution on district and municipality BPHTB revenues in Indonesia. Through the policy enacted by Law Number 28 of 2009 concerning local taxes and charges (PDRD), local governments have devolved the authority to manage BPHTB in their respective regions. The analysis was carried out using the fixedeffect method during the period 2006 to 2019 (2007 was excluded due to data limitations) at the district and municipality levels in Indonesia. The variable of interest used in this study is the dummy of the year when BPHTB realization data were found in the Local Statement of Budget Realization as a proxy for BPHTB Devolution Policy. The results showed that the policy was proven to have a significant effect on increasing district and municipality BPHTB revenues in Indonesia. This is due to the enthusiasm of local governments, especially those with high potential for BPHTB revenue, to implement the policy. The strategy and steps for transferring BPHTB from the central government to the regions that are clearly and consistently defined are also factors supporting the devolution policy. In addition, the self-assessment nature of BPHTB makes the role of local government in managing BPHTB easier than other tax management, such as land and building tax for rural-urban sector (PBB P2) which requires a more complicated administrative process.
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