Latar Belakang: Kesehatan mental merupakan sektor penting dalam mewujudkan kesehatan secaramenyeluruh. Terdapat sekitar 450 juta orang menderita gangguan mental dan perilaku di seluruh dunia,terbanyak di India (4,5%). Satu dari empat orang menderita satu atau lebih gangguan mental selama masahidup mereka. Gangguan mental jika tidak ditangani dengan tepat, akan bertambah parah, dan akhirnya dapatmembebani keluarga, masyarakat, serta pemerintah. Studi ini bertujuan mengetahui situasi kesehatan mentalpada masyarakat Indonesia dan strategi penanggulangannya.Metode: Tulisan ini menggunakan analisis deskriptif eksploratif, melalui tinjauan literatur dan kajian datasekunder. Unit analisis yaitu situasi kesehatan mental di Indonesia.Hasil Penelitian: Berdasarkan kajian data Riskesdas 2013 diketahui prevalensi gangguan mental berat padapenduduk Indonesia 1,7%, terbanyak di Yogyakarta, Aceh, Sulawesi Selatan. Adapun gangguan mentalemosional dengan gejala-gejala depresi dan kecemasan sekitar 6%. Hingga saat ini, masih terdapat stigmadan diskriminasi terhadap orang dengan gangguan mental di Indonesia, sehingga mengalami penangananserta perlakuan salah seperti pemasungan. Oleh karena itu strategi yang optimal perlu dilakukan bagi setiapindividu, keluarga dan masyarakat dengan pendekatan promotif, preventif, kuratif, dan rehabilitatif secaramenyeluruh, terpadu dan berkesinambungan. Kesehatan mental dapat ditingkatkan dengan intervensikesehatan masyarakat yang efektif. Paradigma dalam gerakan kesehatan mental yang lebih mengedepankanpada aspek pencegahan serta peran komunitas untuk membantu optimalisasi fungsi mental individu.Kesimpulan: Masih banyaknya kasus gangguan kesehatan mental pada masyarakat, dan penanganannyayang salah di Indonesia. Pemerintah perlu melakukan upaya penanggulangan yang menyeluruh, dimulaiadanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: adanya peraturan kebijakan yang menjadi dasar dukungan pendanaan dan akses ke pelayanan kesehatanmental serta didukung pendekatan berbasis komunitas.Kata kunci: Depresi, gangguan mental, psikososial, psikososial, skizofrenia., gangguan mental, psikososial, pemasungan, skizofrenia.

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PurposeMobile-based technology health services in Indonesia are experiencing significant growth. However, the implementation of m-health in Indonesia is at a stand-still because the numbers of users or medical personnel who use m-health applications are still low. Given this fact, this study aims to identify critical success factors (CSFs) in the implementation of a mobile health applications in Indonesia. This research covers the following four dimensions: system quality, information quality, service quality, and organizational.MethodThis study uses a quantitative research approach with the entropy method to analyze system quality, information quality, and service quality, and it uses a qualitative approach for the organizational dimension. A total of 127 respondents completed the questionnaire (quantitative approach) and interviews were performed with three personnel from the Social Security Agency for Health (BPJS-K) (qualitative approach).ResultsThe highest weights for each dimension were as follows: ease of access for the system quality dimension; adequate and relevant information for the information quality dimension; user service convenience for the service quality dimension; and top management support for the organizational dimension.ConclusionsBased on the results of this study, the regulator, health facilities management, and mobile health provider should ensure a long-term commitment to support the implementation of mobile health applications. In order to reach a wider market, all mobile health applications should be as user friendly as possible for the patients.

Angka persalinan dengan sectio caesarea di Indonesia terbilang cukup tinggi. WHO menyatakan, angka sectio caesarea maksimum sekitar 10 sampai 15%. Oleh karena itu, perlu dikaji pengambilan keputusan melakukan tindakan sectio caesarea berdasarkan prinsip-prinsip etika kesehatan. Penelitian ini menggunakan pendekatan kualitatif, yang dilaksanakan di rumah sakit dan klinik persalinan di Jakarta. Pengumpulan data melalui wawancara mendalam pada narasumber tenaga medis fungsional, bidan dan manajer rumah sakit. Data dianalisis menggunakan content analysis. Hasil penelitian menunjukkan trend persalinan sectio caesarea sangat tinggi mencapai 70%. Persalinan sectio caesarea hampir seluruhnya disebabkan indikasi medis. Trend persalinan melalui tindakan sectio caesarea yang sangat tinggi tidak serta merta menunjukkan bahwa terdapat hal yang bertentangan dengan etika pelayanan kesehatan. Banyak faktor di luar indikasi medis, baik dari sisi ibu maupun bayi, yang menyebabkan sectio caesarea dipilih,antara lain faktorpsikis ibu,peralatan medis yang tidak siap digunakan untuk persalinan normal, hak pasien dalam memilih tindakan medis yang ingin dilakukan, regulasi yang lemah dalam mengendalikan rumah sakit yang menawarkan paket sectio caesarea, serta regulasi yang dipandang merusak sistem jasa medis yang telah berjalan baik sehingga mendorong moral hazard dari para dokter untuk membiarkan adanya permintaan persalinan melalui sectio caesarea tanpa indikasi medis yang adekuat.

The purpose of this study was to design a suitable mobile application for high mobility medical staff to support the health referral system of Indonesian universal health coverage. Methods: Design science research (DSR) approach were conducted with two iterations. The first iteration was conducted by designing a high-fidelity mockup and evaluating the design using the System Usability Scale (SUS) framework to evaluate the overall usability of the system (n ¼ 48). The second iteration was conducted by designing a running prototype and evaluating the design using the Post-Study System Usability Questionnaire (PSSUQ) framework to evaluate the system's usefulness, information quality, and interface quality (n ¼ 31). For designing the user interface, the eight golden rules guided the process. Results: The results found that the design for the first iteration was good and the second iteration's design was satisfactory to the respondents. The information quality aspects underwent several changes such as the implementation of local language as the users deemed it to be important to help them easily understand and use the system and eventually support their mobility at the health facility.

Objectives: Indonesia responded the COVID-19 pandemic slowly these last months. The recent reports shown that the rate performance of Indonesian government in handling COVID-19 posits at the 4th worst all over the world. Meanwhile, through responsive, strict, and strategic policy, some Asia countries pushed the elimination case by doing lockdown. This paper questioned how government respond this pandemic, tried to track down the unresponsive and slow decisions, and analyze them comprehensively trough policy system framework. Moreover, we also considered a few feasible and strategic recommendations to accelerate the pandemic responding.Methods: To visualize the anatomy of problems in handling these pandemic responses, this work applied Easton's black box analysis in formulating and introducing public policy. The black box analysis would help us to portray and understood the interests, rationalities, and priorities behind introducing public policies which was implemented to handle this health problem. Besides, the policy triangle framework was used to analyze how environment influenced key actor in making decision.Results: This analysis study discovered the conflict interests in formulating and implementing public policy in handling COVID-19. The public policies are negotiated, discussed, and formulated under black box that ignore transparency, and other good governance principles. Consequently, the substance of public policy represents a certain interest of policy makers, that may conflict with the others and often contradict to the constitutional-based public interests, that is public health. It was impacted the emergence of messy and uncoordinated institutions that implement the conflicted policies. Undeniably, this situation may spark counter-productive ways, attitudes, and actions of people in responding those ambiguous policies. Therefore, this work recommended revising the coherences norms and public policies; reforming the ministry of health in public health's paradigm context; and improving the integration and coordination of cross related institutions, creating a single data on public health, and changing a new paradigm of people, including improving collective awareness in responding and handling COVID-19 appropriately.

Background: Globally, in 2020, 45 million children were estimated to be wasted, and 149 million children under five years of age were estimated to be stunted. Undernutrition makes children in particular much more vulnerable to disease and death. Our study aims to examine geographic and socioeconomic disparities in child undernutrition across 514 districts in Indonesia. Methods: Employing both geospatial and quantitative analyses (descriptive statistics and Ordinary Least Squares regressions), we analyzed the disparities in the prevalence of underweight, severe underweight, wasting, severe wasting, stunting, and severe stunting among districts. Child undernutrition data were from Indonesia Basic Health Survey (Riskesdas) 2018, which included a sample of 93,620 children under five years. Socioeconomic data were from the World Bank. Results: We found a relatively large geographic and socioeconomic disparity in child undernutrition in Indonesia. By region, districts in the Papua region (including Maluku and Nusa Tenggara) had a significantly higher prevalence of underweight and wasting than those in the Java region (including Bali). Districts in Papua had 44%, 121%, 38%, and 57% higher prevalence of underweight, severe underweight, wasting, and severe wasting, respectively. Similarly, the poorest districts had a significantly higher prevalence of underweight, wasting, and stunting than the wealthiest districts. The poorest districts had 30%, 83%, 16%, 21%, and 74% higher prevalence of underweight, severe underweight, wasting, stunting, and severe stunting, respectively. These results were similar among rural districts. Conclusion: There is a significant disparity in child undernutrition across districts in Indonesia. The government needs to prioritize the reduction of child undernutrition, especially in rural areas, districts outside of Java and Bali, and the poorest and least educated areas.

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