Suchergebnisse

The prevalence of communicable diseases in Indonesia is still high and causes morbidity and mortality in several Indonesian provinces. This cross-sectional study classified provinces based on the prevalence of seven communicable diseases: acute respiratory infections (ARI), pneumonia, diarrhea, filariasis, malaria, hepatitis, and tuberculosis (TB). The study analyzed the 2018 Indonesian Basic Health Research data. It is essential to categorize these diseases to identify regions with low, moderate, and high prevalence and the factors that affect them to facilitate the treatment of these diseases. Grouping provinces and influenced factors were analyzed using K-means, ANOVA, and stepwise regression. The results revealed that Group 1 shows a high prevalence, except for hepatitis and diarrhea. Group 2 demonstrates a moderate prevalence, excluding hepatitis and diarrhea, while Group 3 has a low prevalence. Improved access to primary healthcare services reduced the prevalence of pneumonia and TB, while using insecticide-treated mosquito nets for less than three years increased the prevalence of ARI and pneumonia. Adequate bedroom lighting reduced the prevalence of ARI, whereas being underweight in individuals over 18 increased it. In individuals aged 16–18 with short stature, there was an increase in the prevalence of hepatitis and malaria. Regularly draining the bathtub once a week and ensuring proper bedroom ventilation reduced the incidence of diarrhea. Using improved long-lasting insecticidal nets (LLINs) for mosquitos led to a decrease in filariasis cases. Specific factors influence each communicable disease and necessitate a multisectoral approach for effective treatment.

This study examined the relationship between women's decision-making autonomy and contraceptive use in Indonesia, using data from the 2014 Indonesia Family Life Survey (IFLS) on 9,153 married women aged 15–49. Ordered logistic regression was used to assess the relationship between women's participation in four household decisions and their decision-making autonomy. These decisions include food purchases, household purchases, freedom to visit family and relatives, and contraceptive use. The findings indicate that women in urban areas have higher levels of decision-making autonomy than those in rural areas. The autonomy index generally increases with age, but rural women consistently show lower autonomy levels across all age groups compared to their urban counterparts. A positive relationship between decision-making autonomy and contraceptive use was observed in both rural and urban settings. The marginal effect of autonomy on contraceptive use is more pronounced for short-acting reversible contraception (SARC) than for long-acting reversible contraception (LARC). Behavioral economic factors, such as distorted perceptions of excessive risk information about LARC, upfront costs, potential discomfort, and traditional social norms, influence contraceptive attitudes and behaviors. These findings underscore the importance of addressing gendered power dynamics and societal norms that restrict women's autonomy.