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Articles by Sukri Palutturi
Total Records ( 4 ) for Sukri Palutturi
  Sukri Palutturi , Muhamad Sahiddin , Hasanuddin Ishak and Hamzah
  Background and Objective: The implementation of national health insurance in Indonesia is still very new and vulnerable to various problems. Investigating community motivation and learning towards national health insurance payments is vital for policy makers. This study aims to examine the community motivation and learning in the payment of contributions in Muna District, Indonesia. Materials and Methods: Qualitative data collection was conducted with in-depth interviews of 50 informants and 3 focus group discussions, consisting of participants who were in arrears on the payment of contributions, participants who routinely paid contributions, non-participant communities and local government. Results: The community conducting national health insurance registration is encouraged by the desire to relieve medical expenses in health facilities, family guarantees and some participants are not covered as beneficiaries. Participants are in arrears due to unpredictable family income, greater fees, other needs, busy activities, improved family health conditions and others. Participants who regularly pay due to family members still routinely perform health checks at health facilities, participants are satisfied with the health services. Participants have various experiences during treatment at health facilities, such as long queues at health facilities, referrals and no effective drugs. Conclusion: The motivation and learning of the community in the payment of contributions are made up of the economic condition of the family, the health condition and the experience of receiving health services at the health facility.
  Noer Bahry Noor , Ridwan Amiruddin , Muhammad Awal , Sukri Palutturi and Anwar Mallongi
  Background and Objective: Stroke is an acute brain disorder caused by an interruption in cerebral blood circulation, which suddenly (within seconds) or rapidly (within a few hours) arises and impairs circulation in focal areas of the brain. Stroke is a major health problem in the world and it is the third leading cause of death after heart disease and cancer and is the cause of major disabilities. This study aims to develop a risk factor model of stroke incidence in South Sulawesi. Materials and Methods: This research applied an analytic observational method with a control case that is an epidemiologic research design for the study of exposure level relationships with various disease conditions or other health problems. The study includes a stroke case sample and a non-stroke control patient samples. Analyses were performed using an odds ratio and logistic regression with a value of p = 0.05 considered significant. Results: The results showed there was a significant relationship between stroke and hypertension, with OR = 4.06, 95% CI: 3.25-5.07 and there was a relationship between diabetes mellitus and stroke incidence. There was a relationship between smoking and the incidence of stroke, with OR = 1.60, 95% CI: 1.23-2.07. There was a relationship between heart disease and the incidence of stroke, with OR = 1.81, 95% CI: 1.42-2.32. However, there was no relationship between stress and stroke incidence, with p = 0.619 (p>0.05) and OR = 1.9, 95% CI: 1.48-2.64. The value of OR = 1.10 with 95% CI: 0.75-1.63. Conclusion: Hypertension is the most significant risk factor for stroke incidence compared to other risk factors but all of these risk factors can be lowered by lifestyle modification.
  Sukri Palutturi , Shannon Rutherford , Peter Davey and Cordia Chu
  For successful implementation of the global healthy cities movement, WHO recognizes that working in partnership with different sectors, organizations and background are key ingredients. Current literature has shown various challenges to partnerships, particularly professional challenges. However, little research demonstrates evidence based on real practice example. Before examining the professional challenges for effective partnerships in the implementation of healthy cities, this study explained the activities of the development of Makassar Healthy City (MHC), Indonesia, according to the selected settings and described the organisational structure and working partnerships of healthy city. In-depth interviews of 24 informants from the members of Healthy City Advisory Team (HCAT) and Healthy City Forum (HCF) were conducted. They involved actively in the implementation of healthy city. This research identified several professional factors for effective partnerships including poor understanding and view point, lack of commitment, lack of opportunities for staff development and lack of time. The finding indicates there is a need for stakeholder involvement in strengthening effective partnerships.
  Sukri Palutturi , Cordia Chu , Ji Young Moon and Eun Woo Nam
  The healthy city approach toward addressing a variety of urban health challenges is increasingly important in the context of urbanization and globalization. For successful healthy city implementation and to help planners and decision makers as an initial step WHO introduced a tool, capacity mapping which aims to identify existing resources and assess capacity needs. Countries like Japan, Korea and Australia as well as some European and American countries have mapped their national capacity. However for specific cases like healthy cities, mapping capacity is rarely undertaken. Therefore, through a comparative study, this study maps the healthy city capacity in two selected countries: Indonesia and Korea, in order to assess comparative needs and improve healthy city development. Based on an extensive literature review and government documents, this study found that Indonesia and Korea have similarities in the historical development and national agenda of their healthy cities implementation but have differences in organizational structure, regulation and funding support. It appears that Indonesian national policy is stronger than Korean policy; Indonesia has joint regulation by the MOHA and the MOH which provide national guidelines for the healthy cities implementation while Korea only utilizes general guidelines. However in terms of funding availability, Korea’s healthy city program is stronger than that of Indonesia. Korea benefits from self-financing by each city, a membership fee from the KHCP and support from the Health Promotion Foundation while Indonesia has limited funding and no specific membership fee.
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