Urban-Rural Disparity: The Utilization of Primary Healthcare Centers Among Elderly in East Java, Indonesia

Wulandari, Ratna Dwi; Laksono, Agung Dwi

doi:10.20473/jaki.v7i2.2019.147-154

Cited by 28 publications

(26 citation statements)

References 32 publications

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“…Age is closely related to a person's risk factors for illness. The older you are, the greater the risk for getting sick, especially degenerative diseases (Laksono, Nantabah and Wulandari, 2018;Wulandari and Laksono, 2019), including accidents (Kanters et al, 2020). Similar findings are also informed in several previous studies in various countries which concluded that the older a person is, the higher the risk of experiencing illness (Ma et al, 2020;Jaramillo and Willging, 2021;Wang et al, 2021).…”

Section: Resultssupporting

confidence: 74%

“…Increased health insurance membership is carried out through the National Health Insurance Program with the segment of participants who are paid wage workers, non-wage workers, non-workers, and Contribution Aid Recipients (Erlangga, Ali and Bloor, 2019). Contribution Aid Recipients who are a group of poor people can participate in the National Health Insurance with a premium paid by the government (Wulandari et al, 2019;Wulandari, Putri and Laksono, 2020). However, various challenges still have to be faced to achieve total coverage, especially for those who do not receive contribution assistance (Suharmiati, Laksono and Astuti, 2013;Idris, Satriawan and Trisnantoro, 2017;Sari and Idris, 2019;Suparmi, Iram Barida Maisya, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Health Insurance Ownership among Mollucans in Indonesia

Laksono¹,

Sillehu²,

Khoiri³

et al. 2020

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Health insurance is an effort to transfer risks to increase public access to the use of health services. The study was aimed at analyzing factors related to health insurance ownership among Mollucans in Indonesia. The sample size was 788 respondents. The variables analyzed included health insurance ownership, age group, gender, education level, employment status. The final stage was employed multinomial logistic regression. The results show Mollucans in the ≤19 age group were 0.182 times more likely than Mollucans in the ≥ 50 age group to have government-run type health insurance. Mollucans in the 20-29 age group were 0.219 times more likely than Mollucans in the ≥ 50 age group to have government-run health insurance. On the other hand, Mollucans with primary education was 0.196 times more likely than Mollucans with higher education to have a government-run type of health insurance. Mollucans with secondary education was 0.415 times more likely than Mollucans with higher education to have government-run health insurance. Meanwhile, unemployed Mollucans have a probability of 0.358 times compared to employed Mollucans to have the government-run type of health insurance. Finally, unemployed Mollucans are 0.056 times more likely than employed Mollucans to have private-run health insurance. It was concluded that 3 proven variables associated with health insurance ownership among Moluccans in Indonesia, namely age group, education level, and employment status.

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Section: Resultssupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Health Insurance Ownership among Mollucans in Indonesia

Laksono¹,

Sillehu²,

Khoiri³

et al. 2020

Preprint

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“…Urban areas in Indonesia tend to be the focus of development. This has an impact on growth in urban areas which is faster than rural, including development in the health sector (Wulandari and Laksono, 2019). The difference in input and output in the health sector between these two areas should also be a concern of policymakers in the health sector because their job is to ensure equitable access for all people in need (Mubasyiroh, Nurhotimah and Laksono, 2016).…”

Section: Discussionmentioning

confidence: 99%

Does the place of residence affect the achievement of exclusive breastfeeding? A study in Eastern Indonesia

Wulandari¹,

Laksono²

2020

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Eastern Indonesia is a region that often underperforms in the health sector. The study aims to analyze the effect of the place of residence to achieve exclusive breastfeeding in Eastern Indonesia. The study employed data from the 2017 Nutrition Status Monitoring Survey. Toddler (7-59 months) about 8,291 were sampled. Variables included were exclusive breastfeeding status, the place of residence, mother's age, mother's education level, mother's marital status, mother's employment status, toddler's age, and toddler's gender. The final stage employed a binary logistics regression. The research results show that toddlers living in urban areas were 1.149 times more likely than toddlers living in rural areas to achieve exclusive breastfeeding (OR 1.149; 95% CI 1.022-1.291). The results of this analysis indicate that living in rural areas is a risk factor for toddlers not achieving exclusive breastfeeding in Eastern Indonesia. On the other hand, it was also found that all levels of education are more likely than those who do not go to school in Eastern Indonesia. Toddlers with employed mothers had 1.192 times the odds of toddlers with unemployed mothers achieving exclusive breastfeeding (OR 1.192; 95% CI 1.072-1.327). Meanwhile, toddler's age was also found to significantly affect achieving exclusive breastfeeding in Eastern Indonesia. It was concluded that the place of residence affects the achievement of exclusive breastfeeding in Eastern Indonesia. Toddlers who live in urban areas have a better chance of achieving of exclusive breastfeeding.

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“…Distributing and placing an adequate number of quality health workers in disadvantaged areas significantly increases the level of equal health services. Indonesia still displays a substantial disparity between urban and rural areas (Wulandari and Laksono, 2019), as well as between the respective regions, districts, and provinces in the country (Laksono, Wulandari, and Soedirham, 2019). Data from the Board for Development and Empowerment of Human Resources in Public Health in 2019 explained that the distribution of health workers can be derived from the ratio of doctors in parts of Jakarta Province with 65 doctors per 100,000 people, while West Java and Banten have 11 doctors per 100,000 citizens.…”

Section: Original Researchmentioning

confidence: 99%

Distribution Analysis of Doctors in Indonesia

Laksono

Ridlo

Ernawaty

2020

JAKI

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Introduction: The distribution of health workers in Indonesia raises an interesting discussion since Indonesia as an archipelagic country has a wide geography and challenges for fulfilling equitable health services.Aim: This study identified factors related to the distribution of doctors in provinces of Indonesia.Method: Advanced analysis of secondary data was done and obtained from the "Data and Information: Indonesian Health Profile in 2017". The units analyzed in this study were all 34 provinces in Indonesia. The variables analysed were the number of doctors, population, density, percentage of poor population, the number of hospitals, and the number of primary healthcare centers.Results: Variability in the number of doctors was very wide. The more the population is, the more attractive it is for doctors to conduct practices in the provinces. The denser the population is, the more doctors are interested to work in the provinces. It also figured out that doctors tend to opt to work in the provinces which have more hospitals and primary healthcare centers.Conclusions: Out of five independent variables studied, there were four variables related to the number of doctors distributed in the provinces. Population, density, the number of hospitals, and the number of primary healthcare centers were positively related to the number of doctors. The results of this study were important for doctor redistribution policy in Indonesia. Keywords: distribution analysis, doctor distribution, health resources management, health workers.

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Urban-Rural Disparity: The Utilization of Primary Healthcare Centers Among Elderly in East Java, Indonesia

Cited by 28 publications

References 32 publications

Health Insurance Ownership among Mollucans in Indonesia

Health Insurance Ownership among Mollucans in Indonesia

Does the place of residence affect the achievement of exclusive breastfeeding? A study in Eastern Indonesia

Distribution Analysis of Doctors in Indonesia

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