Subnational regional inequality in the public health development index in Indonesia

Suparmi, Suparmi; Kusumawardani, Nunik; Nambiar, Devaki; Trihono,; Hosseinpoor, Ahmad Reza

doi:10.1080/16549716.2018.1500133

Cited by 41 publications

(37 citation statements)

References 17 publications

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“…One index to measure the success of health development in the national context (Indonesia) is the Public Health Development Index (PHDI). Collection of public health indicators that comprehensively form 1 value that has a connection with life expectancy and is one of the efforts to see the ranking and progress of health development at the regional level [10]. The PHDI data for 2013 and 2018 illustrate the disparity in health development at the regency/city and provincial levels in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Regional Disparities of Stunted Toddler in Indonesia

Laksono¹,

Kusrini²

2019

Preprint

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Background/Objective: Although there has been a decline in the prevalence of stunting in Indonesia in the past decade, the figure is still the highest among countries in Southeast Asia. This figure varies in 34 provinces. The purpose of the study was to analyze the regional disparity of stunted toddlers in Indonesia. Materials and Methods: The analysis in this study uses data from the 2017 Indonesian Nutritional Status Monitoring (PSG 2017). Multi-stage cluster random sampling was used in the PSG 2017. The sample used in this study was 149,571 toddlers aged 0-59 months. Data were analyzed using the Binary Logistic Regression test. Results: Toddlers in the Sumatra region have the possibility of 0.921 times stunted compared to toddlers in the Papua region (OR 0.921; 95% CI 0.880-0.963). The Java-Bali region was 0.805 times more likely than toddlers in the Papua region to be stunted (OR 0.805; 95% CI 0.763-0.843). The Nusa Tenggara Region was 1.394 times more likely than toddlers in the Papua region to be stunted (OR 1.394; 95% CI 1.315-1.478). Kalimantan Region has 1.161 times more likely than toddlers in the Papua region to be stunted (OR 1.161; 95% CI 1.103-1.223). The Sulawesi region has 1.184 times the possibility of toddlers in the Papua region being stunted (OR 1.184; 95% CI 1.128-1.243). Maluku region has a probability of 0.884 times that of toddlers in the Papua region to be stunted (OR 0.884; 95% CI 0.824-0.949). Conclusion: There was a regional disparity of stunted toddler in Indonesia.

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Section: Introductionmentioning

confidence: 99%

Regional Disparities of Stunted Toddler in Indonesia

Laksono¹,

Kusrini²

2019

Preprint

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“…The rural populations of several tropical peatland nations have disproportionate numbers of people with underlying health conditions and/or malnutrition (Kandala et al, 2011;Nair, Wares & Sahu, 2010), and many do not have access to formal healthcare, or the running water, good sanitation and hygiene systems required to implement the recommended WASH approach to COVID-19 (WHO & UNICEF, 2020). For example in Central Kalimantan, less than 40% of people have access to improved sanitation (WHO, 2017) and the province tends to perform poorly in healthcare provision evaluations (Suparmi et al, 2018;Wiseman et al, 2018). Disseminating COVID-19 health guidance information will likely also be more difficult in rural tropical peatland areas with poor communications infrastructure, further reducing the probability that risk reduction Figure 3 A remote tropical peatland community in Buenos Aires (A), within the Pacaya Samiria National Reserve, Peruvian Amazon, which is accessible only by boat.…”

Section: Public Health and Potential Combined Impacts From Haze Pollumentioning

confidence: 99%

Tropical peatlands and their conservation are important in the context of COVID-19 and potential future (zoonotic) disease pandemics

Harrison

Wijedasa

Cole

et al. 2020

PeerJ

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The COVID-19 pandemic has caused global disruption, with the emergence of this and other pandemics having been linked to habitat encroachment and/or wildlife exploitation. High impacts of COVID-19 are apparent in some countries with large tropical peatland areas, some of which are relatively poorly resourced to tackle disease pandemics. Despite this, no previous investigation has considered tropical peatlands in the context of emerging infectious diseases (EIDs). Here, we review: (i) the potential for future EIDs arising from tropical peatlands; (ii) potential threats to tropical peatland conservation and local communities from COVID-19; and (iii) potential steps to help mitigate these risks. We find that high biodiversity in tropical peat-swamp forests, including presence of many potential vertebrate and invertebrate vectors, combined, in places, with high levels of habitat disruption and wildlife harvesting represent suitable conditions for potential zoonotic EID (re-)emergence. Although impossible to predict precisely, we identify numerous potential threats to tropical peatland conservation and local communities from the COVID-19 pandemic. This includes impacts on public health, with the potential for haze pollution from peatland fires to increase COVID-19 susceptibility a noted concern; and on local economies, livelihoods and food security, where impacts will likely be greater in remote communities with limited/no medical facilities that depend heavily on external trade. Research, training, education, conservation and restoration activities are also being affected, particularly those involving physical groupings and international travel, some of which may result in increased habitat encroachment, wildlife harvesting or fire, and may therefore precipitate longer-term negative impacts, including those relating to disease pandemics. We conclude that sustainable management of tropical peatlands and their wildlife is important for mitigating impacts of the COVID-19 pandemic, and reducing the potential for future zoonotic EID emergence and severity, thus strengthening arguments for their conservation and restoration. To support this, we list seven specific recommendations relating to sustainable management of tropical peatlands in the context of COVID-19/disease pandemics, plus mitigating the current impacts of COVID-19 and reducing potential future zoonotic EID risk in these localities. Our discussion and many of the issues raised should also be relevant for non-tropical peatland areas and in relation to other (pandemic-related) sudden socio-economic shocks that may occur in future.

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“…Manuscript to be reviewed UNICEF, 2020). For example, in Central Kalimantan, less than 40% of people have access to improved sanitation (WHO, 2017) and the province tends to perform poorly in healthcare provision evaluations (Suparmi et al, 2018;Wiseman et al, 2018). Disseminating COVID-19 health guidance information will likely also be more difficult in rural tropical peatland areas with poor communications infrastructure, further reducing the probability that risk reduction behaviours will be followed.…”

Section: Public Health and Potential Combined Impacts From Haze Pollumentioning

confidence: 99%

Peer Review #1 of "Tropical peatlands and their conservation are important in the context of COVID-19 and potential future (zoonotic) disease pandemics (v0.2)"

2020

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Subnational regional inequality in the public health development index in Indonesia

Cited by 41 publications

References 17 publications

Regional Disparities of Stunted Toddler in Indonesia

Regional Disparities of Stunted Toddler in Indonesia

Tropical peatlands and their conservation are important in the context of COVID-19 and potential future (zoonotic) disease pandemics

Peer Review #1 of "Tropical peatlands and their conservation are important in the context of COVID-19 and potential future (zoonotic) disease pandemics (v0.2)"

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