The goal of clinical research is to draw inferences from findings in the study about the nature of the universe around it. This course is an introduction to the process of clinical research, defined broadly as patient-oriented, translational, epidemiological, comparative effectiveness, behavioral, outcomes, or health services research
Setahun sebelum penelitian ini dilakukan, saya mendengar pidato salah satu pejabat Negara bahwa pelayanan KB di dalam program Jaminan Kesehatan Nasional (JKN) perlu mendapat perhatian khusus karena kebutuhan untuk membeli kondom saja mencapai 11 trilun. Meskipun barangkali ucapan dalam acara Seminar Nasional tentang Kebijakan Kesehatan di Surabaya tersebut sambil bergurau, saya menanggapinya dengan serius. Pelayanan kontrasepsi sebagai bagian pokok dari program Keluarga Berencana Nasional ternyata tidak menjadi isu penting dalam pelaksanaan JKN di Indonesia. Saya menangkap bahwa masalah KB tidak menjadi isu serius seperti halnya dalam program ‘Obama Care’ di Amerika Serikat.
Indonesia is well known for the success story in promoting and implementing family planning program nationally since 1970s. Prior to the introduction of the family planning programme in the 1970s, the total fertility rate (TFR) is 5.6. Over the subsequent period, the adoption of contraception along with changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels.
Keynote: Ibu Mustikaningtyas (BKKBN Yogyakarta) on Factors influencing use of long-acting (reversible) contraceptive methods among reproductive-age women in selected FP2020 countries: is an informed choice a key factor?, and Ibu Tira Aswitama (UNFPA Indonesia) on Informed Choice and Long Acting Contraceptive Use in Indonesia: Evidence from PMA2020
Health is a basic human right, and must be available and accessible to all peoples in an affordable framework. Promoting good governance and fairness in the health sector through meaningful and consistent emphasis on prompt delivery, equitable and professional services, transparency and accountability must become a cardinal principle of the health sector reform. The question is: what is internationally adopted paradigm of good governance in health system and development? How should we conduct health sector reform, especially in health system to be consistent with the international dimension of good governance? This paper examines at factual evidence to describe the main challenges facing health system in developing countries, especially in Indonesia.
Contraceptive Method Mix usually interpreted as a measure of the extent to which women and couples have access to a wide range of contraceptive methods. Extreme skewness of methods mixes are often taken as an indication that women/couples in a given country or sub-national area are not being provided access to a wide range of contraceptive options for one reason or another. Four (4) provinces had skewed method mixes dominated by a single method (i.e., 60% or more) – Aceh, South Sumatra, West Kalimantan and NTB. It was caused by two potential factors: (1) informed choice (or lack thereof) among family planning clients and (2) service disruptions caused by stock-outs of contraceptive commodities.