Journal of Preventive Medicine and Public Health

  • 제57권3호
  • /
  • Pages.234-241
  • /
  • 2024
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

Classification of Healthy Family Indicators in Indonesia Based on a K-means Cluster Analysis

  • Herti Maryani (Research Center for Population, National Research and Innovation Agency) ;
  • Anissa Rizkianti (Research Center for Population, National Research and Innovation Agency) ;
  • Nailul Izza (Research Center for Public Health and Nutrition, National Research and Innovation Agency)
  • 투고 : 2023.11.03
  • 심사 : 2024.02.07
  • 발행 : 2024.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Health development is a key element of national development. The goal of improving health development at the societal level will be readily achieved if it is directed from the smallest social unit, namely the family. This was the goal of the Healthy Indonesia Program with a Family Approach. The objective of the study was to analyze variables of family health indicators across all provinces in Indonesia to identify provincial disparities based on the status of healthy families. Methods: This study examined secondary data for 2021 from the Indonesia Health Profile, provided by the Ministry of Health of the Republic of Indonesia, and from the 2021 welfare statistics by Statistics Indonesia (BPS). From these sources, we identified 10 variables for analysis using the k-means method, a non-hierarchical method of cluster analysis. Results: The results of the cluster analysis of healthy family indicators yielded 5 clusters. In general, cluster 1 (Papua and West Papua Provinces) had the lowest average achievements for healthy family indicators, while cluster 5 (Jakarta Province) had the highest indicator scores. Conclusions: In Indonesia, disparities in healthy family indicators persist. Nutrition, maternal health, and child health are among the indicators that require government attention.

키워드

과제정보

The authors express their gratitude to the Center for Data and Information (Pusdatin) of the Ministry of Health of the Republic of Indonesia and to Statistics Indonesia (BPS) for providing data for analysis. We would also like to express our gratitude to Dinda Galuh Guminta for her valuable assistance in the process of data analysis.

참고문헌

  1. Ministry of Health Republic of Indonesia. Healthy families make Indonesia healthy; 2017 [cited 2024 May 22]. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/others/Warta-Kesmas-Edisi-03-2017_955.pdf (Indonesian). 
  2. Ministry of Health Republic of Indonesia. General guidelines for healthy Indonesia program with a family approach: regulation of the minister of health number 39 of 2016 Indonesia; 2016 [cited 2024 May 22]. Available from: https://dinkes.jatimprov.go.id/userfile/dokumen/Buku_Pedoman_PIS_PK.pdf (Indonesian). 
  3. Tjandrarini DH, Dharmayanti I. Achieving healthy indonesia through public health development index and healthy family index approach. Bull Health Syst Res 2018;21(2):90-96 (Indonesian). https://doi.org/10.22435/hsr.v21i2.314.90-96 
  4. Murnita R, Prasetyowati A. Analysis of the healthy family index to support health promotion programs. J Indones Health Manag 2021;9(1):1-13 (Indonesian). https://doi.org/10.14710/jmki.9.1.2021.1-13 
  5. Nur I, Fitriana L. Grouping provinces in Indonesia based on indicators of healthy families using hierarchical and non hierarchical cluster methods. 2021;2(1):27-36 (Indonesian). 
  6. Maryani H, Kristiana L, Paramita A, Izza N. Disparity of health development in Indonesia based on healthy family indicators using cluster analysis. Bull Health Syst Res 2020;23(1):18-27 (Indonesian). https://doi.org/10.22435/hsr.v23i1.2622 
  7. Ministry of Health of Republic Indonesia. Indonesia health profile in 2021; 2022 [cited 2022 May 2]. Available from: https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2021 (Indonesian). 
  8. Statistics Indonesia (BPS). Welfare statistics 2021 [cited 2022 May 2]. Available from: https://www.bps.go.id/id/publication/2021/11/19/36c2f9b45f70890edb18943d/statistik-kesejahteraan-rakyat-2021.html (Indonesian). 
  9. Manongga SP, Littik S. Structural model of Papuan children's quality of life in different ecosystem zones in Papua. Indones J Multidiscip Sci 2023;2(4):2294-309. https://doi.org/10.55324/ijoms.v2i4.421 
  10. Manongga SP, Yutomo L. Determinant factors of malnutrition in Papuan children under five years: structural equation model analysis. Indones J Multidiscip Sci 2023;2(5):2379-2394. https://doi.org/10.55324/ijoms.v2i5.355 
  11. Megatsari H, Laksono AD, Ridlo IA, Yoto M, Azizah AN. Community perspective about health services access. Bull Health Syst Res 2018;21(4):247-253. https://doi.org/10.22435/hsr.v21i4.231 
  12. Shibanuma A, Yeji F, Okawa S, Mahama E, Kikuchi K, Narh C, et al. The coverage of continuum of care in maternal, newborn and child health: a cross-sectional study of woman-child pairs in Ghana. BMJ Glob Health 2018;3(4):e000786. https://doi.org/10.1136/bmjgh-2018-000786 
  13. Osgood-Zimmerman A, Millear AI, Stubbs RW, Shields C, Pickering BV, Earl L, et al. Mapping child growth failure in Africa between 2000 and 2015. Nature 2018;555(7694):41-47. https://doi.org/10.1038/nature25760 
  14. Paramasatya A, Wulandari RA. Correlation of access to sanitation and access to drinking water stunting incidence in toddlers in the region of Serang District in 2022. Jambura J Health Sci Res 2023;5(2):695-706. https://doi.org/10.35971/jjhsr.v5i2.19145 
  15. Kosasih AL, Indiani D. Determinants of ownership of healthy latrines in Banten (data analysis from SDKI 2017). Media Nutr Public Health 2022;11(1):102-107 (Indonesian). https://doi.org/10.20473/mgk.v11i1.2022.102-107 
  16. Soseco T. Lessons from COVID-19: small and financially strong family. J Popul Indones 2020:49-52. https://doi.org/10.14203/jki.v0i0.577 
  17. Sukmaniar, Saputra W, Saputra D. Efforts to increase active participants of family planning in order to achieve the target of BKKBN strategic plan 2015-2019 in Musi Rawas Regency, South Sumatera Province. J Popul 2018;26(1):3-50 (Indonesian). https://doi.org/10.22146/jp.38688 
  18. Idris U, Frank SA, Hindom RF, Nurung J. Family planning (KB) practices and the impact on Papuan women reproductive health. Gac Sanit 2021;35 Suppl 2:S479-S482. https://doi.org/10.1016/j.gaceta.2021.10.076 
  19. Center for Health Research University of Indonesia. Centre for health research. study of patterns of contraceptive use in East Java Province; 2020 [cited 2024 May 20]. Available from: https://chr.ui.ac.id/archives/7615 (Indonesian). 
  20. Fakhriyah, Wasilah S, Noor MS, Putri AO, Kasmawardah I, Abdurrahman MH. Training on information communication and family planning education for posyandu cadres to increase the attainment of long-term contraceptive methods in wetland areas. J Adv Community Serv 2022;6(4):1920-1924 (Indonesian). https://doi.org/10.31764/jpmb.v6i4.11657 
  21. Purbaningrum P, Hariastuti I, Wibowo A. Factor analysis of the low use of intra uterine device (IUD) contraception in East Java in 2015. J Biom Popul 2019;8(1):52-61 (Indonesian). https://doi.org/10.20473/jbk.v8i1.2019.52-61 
  22. Sokang YA, Westmaas AH, Kok G. Jakartans' perceptions of health care services. Front Public Health 2019;7:277. https://doi.org/10.3389/fpubh.2019.00277 
  23. Laksono AD, Sandra C. Ecological analysis of healthcare childbirth in Indonesia. Bull Health Syst Res 2020;23(1):1-9. https://doi.org/10.22435/hsr.v23i1.2323 
  24. Setyonaluri D, Aninditya F. Demographic transition and epidemiology: demand for health services in Indonesia; 2019 [cited 2024 May 22]. Available from: https://www.research-gate.net/profile/Diahhadi-Setyonaluri/publication/342697972_Kajian_Sektor_Kesehatan_Transisi_Demografi_dan_Epidemiologi_Permintaan_Pelayanan_Kesehatan_di_Indonesia/links/5f017c6092851c52d619b6f0/Kajian-Sektor-Kesehatan-Transisi-Demografi-dan-Epidemiologi-Permintaan-Pelayan-an-Kesehatan-di-Indonesia.pdf (Indonesian). 
  25. Laksono AD, Wulandari RD, Soedirham O. Regional disparities of health center utilization in rural Indonesia. Malays J Public Health Med 2019;19(1):158-166. https://doi.org/10.37268/mjphm/vol.19/no.1/art.48 
  26. Anindya K, Lee JT, McPake B, Wilopo SA, Millett C, Carvalho N. Impact of Indonesia's national health insurance scheme on inequality in access to maternal health services: a propensity score matched analysis. J Glob Health 2020;10(1):010429. https://doi.org/10.7189/jogh.10.010429 
  27. Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia. PLoS One 2020;15(2):e0224006. https://doi.org/10.1371/journal.pone.0224006 
  28. Wang W, Temsah G, Mallick L. The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda. Health Policy Plan 2017;32(3):366-375. https://doi.org/10.1093/heapol/czw135 
  29. Yang Y, Yu M. Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study. BMC Pregnancy Childbirth 2023;23(1):115. https://doi.org/10.1186/s12884-023-05434-7 
  30. Daka DW, Woldie M, Ergiba MS, Sori BK, Bayisa DA, Amente AB, et al. Inequities in the uptake of reproductive and maternal health services in the biggest regional state of Ethiopia: too far from "leaving no one behind". Clinicoecon Outcomes Res 2020;12:595-607. https://doi.org/10.2147/CEOR.S269955 
  31. Bango M, Ghosh S. Social and regional disparities in utilization of maternal and child healthcare services in India: a study of the post-national health mission period. Front Pediatr 2022; 10:895033. https://doi.org/10.3389/fped.2022.895033 
  32. Yan C, Tadadej C, Chamroonsawasdi K, Chansatitporn N, Sung JF. Ethnic disparities in utilization of maternal and child health services in rural Southwest China. Int J Environ Res Public Health 2020;17(22):8610. https://doi.org/10.3390/ijerph17228610 
  33. Booth A, Purnagunawan RM, Satriawan E. Towards a healthy Indonesia? Bull Indones Econ Stud 2019;55(2):133-155. https://doi.org/10.1080/00074918.2019.1639509 
  34. Paramita A, Andarwati P, Izza N, Kristiana L, Maryani H, Tjandrarini DH. Pregnant women's preference for antenatal care (ANC) provider: lessons learned to support maternal mortality rate reduction strategies. Southeast Asian J Trop Med Public Health 2022;53(Suppl 2):254-272 (Indonesian). 
  35. BKKBN. National family planning coordination board performance report (BKKBN) Tahun 2021; 2022 [cited 2024 May 22]. Available from: https://e-ppid.bkkbn.go.id/assets/uploads/files/e90c8-lk-bkkbn-ta-2021-audited_ttd.pdf (Indonesian). 
  36. Ninawati, Sulaeman ES, Tamtomo D. Implementation of context input process product model on healthy indonesia program policy with a family approach. J Health Policy Manag 2022;7(1):34-45. https://doi.org/10.26911/thejhpm.2022.07.01.04