Author : Diah Rumekti Hadiati, Djaswadi Dasuki, Sururi
Abstract :
Objective: First is to establish crisis center at district level in order to monitor health impacts of economic crisis. The second is to select effective indicators for monitoring the health impacts of the crisis. The third is to plan a preventive intervention based on the data analysis.
Method: Qualitative study is done through panel discussion and focus group discussion for establishing crisis center. The second panel discussion is to asses and select health policy indicators, social economics indicator, indicators of the provision of health, and health status indicator. Quantive study is to asses the longitudinal surveillance data at district Purworejo which is based on selected indicators.
Population study is based on the population sample of longitudinal study at district Purworejo, which consisted of cross-sectional and clycic data.
Result of the Study: Crisis center is established through the first panel discussion and the focus group discussion. Partnership and coordination among Health Department, BKKBN, Department of agricultural, Department of Economic, Bappeda at district level and University are established. In the second panel discussion social economics indicators, indicators of the provision of health, and health status indicator have been selected. The proposed indicator for monitoring health impacts of the crisis included socio-economic indicator, health care indicators, and health and nutrition status indicator. The most prominent health impacts of the crisis have to be over come consist of under nutrition and diseases of the under-five children and pregnant women. There are no policy indicators how to over come emergency or complication of the disease caused by the economic crisis and they are no intervention and prevention program in order to overcome the health impact of the crisis. The budget to overcome the prominent health impact of the crisis should be shared among the institution or through social safety support.
Conclussions: The effective indactors for monitoring the health impact of the crisis consist of socio economic indicators, health provision indicators, and health and nutrition status indicators among vulnerable and disadvantages group, pregnant women and children under-five. They are no policy indicators that can be used to monitor and to overcome the health impact of the crissis, specifically associated with an intervention and prevention programs.
Download PDF format, here!