Aceh province of Indonesia created its own health coverage scheme called Jaminan Kesehatan Aceh (JKA) to cover Aceh’s populations who were not registered under insurance for the poor (Jamkesmas). This study aims to compare the utilization rate of maternal health care (MHC) services and contraceptive prevalence rate (CPR) before JKA, during the transition period, and after JKA had been established. A cross-sectional household survey was conducted from June 2011 to July 2012. Utilization of MHC services and CPR during the 3 periods was assessed using a questionnaire. The Mantel-Haenszel χ2 test was used to examine the association between period and coverage. Generalized estimating equations (GEEs) were used to examine utilization and type of service, period of service, and type of scheme. Coverage of utilization of skilled birth attendants significantly improved among the JKA holders (odds ratio = 1.84; 95% confidence interval = 1.18-2.89). JKA, thus, has shown its positive impact.

Buku ini muncul karena agar dapat teridentifikasi status gizi remaja di kota Banda Aceh dengan prevalensi status overweight, gizi baik, gizi kurang, dan gizi buruk yang diperoleh dengan survei berbasis sekolah, dan dapat diketahui distribusi status gizi remaja tersebut di setiap kecamatan dalam wilayah kota Banda Aceh. Lembaga kesehatan di Indonesia saat ini masih memfokuskan perhatian kepada status gizi bayi dan balita dalam kaitannya menurunkan angka kematian bayi dan balita. Padahal, masalah gizi pada remaja sangat penting untuk diidentifikasi mengingat remaja merupakan penerus suatu bangsa produktif dimasa depan. Memburuknya status gizi di masa remaja menjadi ancaman serius akan terjadinya persoalan kesehatan mereka pada masa usia dewasa nantinya. Untuk menjembatani hal tersebut, disusunlah profil ini untukmengidentifikasi status gizi remaja khususnya di kota Banda Aceh sebagai kota terbesar di Propinsi Aceh.

BACKGROUND: Smokers among students have increased from year to year. Various attempts have been made, one of which is by implementing social marketing to change the smoking behavior of students in Islamic boarding schools in Aceh. The lack of knowledge about health and the dangers of smoking is thought to shape smoking behavior among Islamic boarding school students in Aceh. AIM: To find out the perceptions of the pesantren on the use of the application of social marketing to change smoking behavior of students in traditional islamic boarding schools in Aceh. METHODS: This study uses a qualitative descriptive phenomenological method. Phenomenology studies in this research attempt to describe the relationship between the application of social marketing, social meaning, and smoking behavior among students. Data collection is done by observation, document analysis, and deep interviews. In-depth interviews were conducted on 25 informants who were selected by purposive sampling. Data analysis was performed using thematic content analysis techniques, a method to explain the content of findings in accordance with a predetermined theme. RESULTS: The results of the study show that smoking behavior among students has been carried out early on, especially in stressful conditions and having problems. The application of social marketing has not been effective because, in several Boarding Schools in Aceh, there has not been a sign of a smoking ban in Islamic Boarding Schools. Most of the students in the Islamic boarding school were not aware of the Indonesian Ulema Council fatwa and the customary rules regarding smoking bans. The Traditional Islamic Boarding Schools stated that there is no sign of a smoking ban in the Traditional Islamic Boarding Schools environment. The understanding of the MUI fatwa and qanuns regarding smoking prohibition is also lacking, and the students also do not study the Al-Qur’an and Hadith about smoking prohibition. The results of the interview also stated that the Traditional Islamic Boarding Schools agreed to intervene with the use of social marketing to Change Smoking Behaviors of Students in Traditional Islamic Boarding Schools in Aceh. CONCLUSION: The application of social marketing has not been effective in changing the smoking behavior of students in Aceh. The application of social marketing needs to be supported by internal and external Islamic Boarding Schools.

Objectives: This study investigated the effectiveness of the social marketing mix approach in increasing students’ knowledge about smoking, promoting positive attitudes toward smoking cessation, and decreasing smoking behavior.Methods: This quantitative research study incorporated a quasi-experimental method with a pretest-posttest non-equivalent group design. Using the purposive sampling technique, 152 smoking students were selected as participants. They were divided into 2 equal groups, with 76 students in the control group and 76 in the intervention group. The data were collected using questionnaires and analyzed with the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U-test.Results: The social marketing mix intervention was effective in increasing the students’ knowledge about smoking (p<0.001), improving their attitude toward smoking cessation (p<0.001), and reducing their smoking behavior (p=0.014).Conclusions: This approach should be implemented by local governments to reduce smoking behavior in the community, especially among teenagers, in addition to instituting a smoking ban and applying fines.

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