PROFIL USAHA KLAPERTAART MANADO

This study aims to provide a description of the Petra klapertaart business in terms of raw materials, capital, labor, production, costs, and the amount of profit earned.This research was conducted for one mounth on October 2015. The data used are primary data get from the owner. Petra klapertaart is one of the home industries that can give value added to coconut plants, particularly coconuts, so it can help coconut farmers to improve their economy. Constraints limited capital to run the business, get solution from the Ministry of Agriculture that is Petra klapertaart registered as one of a member the Independent Institute Rooted in the Community (LM3), which receive capital assistance in the form of funds. This led to make a research to see the description of the business profile Petra klapertaart after getting financial aid from the Ministry of Agriculture. Data obtained with primary data taken by researchers from business owners as the the main source. Data collection techniques were done by direct observation and interviews with business owners. The results showed that the Petra klapertaart business is a small-scale business that uses coconut raw materials that processed into klapertaart and became one of the members of the Independent Institute Rooted in the Community (LM3) which get funding. On Klapertaart marketing activities, business owners deal directly with consumers to sell klapertaart. Based on the results, the amount of production, the amount of production in September 2015, which is 12 times the production made two recipes in each production, produce 348 klapertaart cup aluminum foil, make a profit with the ratio of R / C> 1 is equal to 1.84 in September 2015 means, Petra business get the benefits, so this business is effort to develo

PROFIL USAHA KLAPERTAART MANADO

This study aims to provide a description of the Petra klapertaart business in terms of raw materials, capital, labor, production, costs, and the amount of profit earned.This research was conducted for one mounth on October 2015. The data used are primary data get from the owner. Petra klapertaart is one of the home industries that can give value added to coconut plants, particularly coconuts, so it can help coconut farmers to improve their economy. Constraints limited capital to run the business, get solution from the Ministry of Agriculture that is Petra klapertaart registered as one of a member the Independent Institute Rooted in the Community (LM3), which receive capital assistance in the form of funds. This led to make a research to see the description of the business profile Petra klapertaart after getting financial aid from the Ministry of Agriculture. Data obtained with primary data taken by researchers from business owners as the the main source. Data collection techniques were done by direct observation and interviews with business owners. The results showed that the Petra klapertaart business is a small-scale business that uses coconut raw materials that processed into klapertaart and became one of the members of the Independent Institute Rooted in the Community (LM3) which get funding. On Klapertaart marketing activities, business owners deal directly with consumers to sell klapertaart. Based on the results, the amount of production, the amount of production in September 2015, which is 12 times the production made two recipes in each production, produce 348 klapertaart cup aluminum foil, make a profit with the ratio of R / C> 1 is equal to 1.84 in September 2015 means, Petra business get the benefits, so this business is effort to develo

Bridging the gap: financing health promotion and disease prevention in Indonesia

Background Spending on preventive care in low- and middle-income countries (LMICs), including Indonesia, is much lower than spending on curative care. There has been a pressing need to develop a clear pathway to increase spending on preventive care. This study aimed to assess the current financing landscape for health promotion and disease prevention in Indonesia and, subsequently, to develop a framework and recommendations for future health promotion financing in the country. Methods We adopted a mixed-method approach to gather information from all relevant stakeholders from December 2022 to June 2023. For the qualitative approach, we conducted (a) in-depth interviews (IDIs) and (b) focus group discussions (FGDs) with government officials at national and district levels, academics, professional organizations, healthcare workers in primary healthcare centres (PHCs), community health volunteers, non governmental organizations and private companies. For the quantitative approach, we applied a national online survey to healthcare workers involved in health promotion in PHCs. IDIs and FGDs were conducted with purposefully selected resource persons at the national level, five selected districts across Indonesia, and within 15 primary health offices and their communities. All qualitative data were recorded, transcribed, coded, interpreted, and then triangulated with national survey findings to develop the financing framework. Results We identified gaps between the theory and practice of health promotion and disease prevention. These included the limited scope of health promotion initiatives, lack of direction and coordination between ministries, agencies and government levels, limited availability and capacity of health promoters, various yet uncoordinated funding resources and inflexibility in using the funds. To bridge the gap, the framework we developed suggests strengthening the legal and regulatory basis, strategically prioritizing financing arrangements, promoting evidence-based health promotion activities, developing the capacity of health promoters, enhancing the health financing information system and improving monitoring and evaluation. Conclusions Identified gaps and challenges in health promotion and disease prevention initiatives inform the development of our framework for future health promotion financing. This framework assists the national government in organizing national health promotion financing strategies and potentially serves as a valuable model for other LMICs

“No good man will ever want me”. How structural social inequality increases women’s vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia

Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a “hidden” group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47 HIV-infected women, one focus group discussion with five young women who occassionally engage in sex work, participant observation at six sex work venues and two midwife clinics, and 11 informal interviews with midwives, nurses, and obstetricians. Our research found that many women not characterized as belonging to a “high-risk group” or “key population” were nevertheless at increased risk for HIV. A history of sexual abuse, premarital sex, divorce, or involvement in sex work, often precipitated by poverty coupled with discriminatory public health policies further heightened women’s exposure to HIV. While reaching at-risk populations is a key strategy in HIV prevention, a novel and more tailored approach is needed to reach more hidden categories of women with less apparent risk behavior yet considerable risk for HIV infection

Leprosy post-exposure prophylaxis with single-dose rifampicin

_Objective:_ Leprosy post-exposure prophylaxis with single-dose rifampicin (SDRPEP) has proven effective and feasible, and is recommended by WHO since 2018. This SDR-PEP toolkit was developed through the experience of the leprosy postexposure prophylaxis (LPEP) programme. It has been designed to facilitate and standardise the implementation of contact tracing and SDR-PEP administration in regions and countries that start the intervention. _Results:_ Four tools were developed, incorporating the current evidence for SDRPEP and the methods and learnings from the LPEP project in eight countries. (1) th

Leprosy post-exposure prophylaxis with single-dose rifampicin (LPEP): an international feasibility programme

Background Innovative approaches are required for leprosy control to reduce cases and curb transmission of Mycobacterium leprae. Early case detection, contact screening, and chemoprophylaxis are the most promising tools. We aimed to generate evidence on the feasibility of integrating contact tracing and administration of single-dose rifampicin (SDR) into routine leprosy control activities. Methods The leprosy post-exposure prophylaxis (LPEP) programme was an international, multicentre feasibility study implemented within the leprosy control programmes of Brazil, India, Indonesia, Myanmar, Nepal, Sri Lanka, and Tanzania. LPEP explored the feasibility of combining three key interventions: systematically tracing contacts of individuals newly diagnosed with leprosy; screening the traced contacts for leprosy; and administering SDR to eligible contacts. Outcomes were assessed in terms of number of contacts traced, screened, and SDR administration rates. Findings Between Jan 1, 2015, and Aug 1, 2019, LPEP enrolled 9170 index patients and listed 179 769 contacts, of whom 174782 (97·2%) were successfully traced and screened. Of those screened, 22 854 (13·1%) were excluded from SDR mainly because of health reasons and age. Among those excluded, 810 were confirmed as new patients (46 per 10 000 contacts screened). Among the eligible screened contacts, 1182 (0·7%) refused prophylactic treatment with SDR. Overall, SDR was administered to 151 928 (86·9%) screened contacts. No serious adverse events were reported. Interpretation Post-exposure prophylaxis with SDR is safe; can be integrated into different leprosy control programmes with minimal additional efforts once contact tracing has been established; and is generally well accepted by index patients, their contacts, and health-care workers. The programme has also invigorated local leprosy control through the availability of a prophylactic intervention; therefore,

Potret Kemiskinan Perempuan

Buku Bunga Rampai ini merupakan kumpulan tulisan personil WRI yang menyoroti berbagai persoalan yang dihadapi perempuan yang akhirnya memunculkan kemiskinan. Buku ini memperlihatkan beberapa gambaran dari situasi kemiskinan yang dihadapi perempuan yang secara cukup rinci coba untuk dipaparkan. Dan melalui buku ini diantarkan sebuah Kenyataan bahwa sekalipun sudah dilahirkan berbagai landasan hukum untuk meningkatkan kesetaraan gender di Indonesia, masih saja persoalan kemiskinan yang berbasis gender belum dapat teratasi. Dengan adanya buku ini, harapannya Women Research Institute sebagai sebuah lembaga yang mengupayakan pengembangan konsep tata pemerintahan yang adil gender, dapat mengkontribusikan pemikiran guna menggugah kesadaran semua pihak, termasuk para pengambil keputusan dan pembuat kebijakan. Sehingga, perspektif keadilan gender tercermin dalam kebijakan publik baik dalam bentuk Undang-Undang, Peraturan Daerah maupun Anggaran Daerah yang pada gilirannya dapat bermanfaat untuk mengurangi kemiskinan yang dihadapi perempuan di Indonesia. Judul-judul tulisan dalam buku Bunga Rampai: Strategi Mengentaskan Kemiskinan Berbasis Gender Human Development Index dan Ketimpangan Gender Lebih Mudah Mencari Uang daripada Bertahan Hidup, Persoalan Perempuan Buruh Migran Upaya Penanggulangan Angka Kematian Ibu: Agenda Mendesak bagi Pemerintah Pusat dan Daerah Perlindungan Buruh Perempuan dan Kebijakan Ketenagakerjaan Indonesia Situasi Pekerja Rumah Tangga (PRT) di Indonesia

Leprosy post-exposure prophylaxis with single-dose rifampicin: toolkit for implementation

lNLR, Amsterdam, NetherlandsmPrivate, UKnHealth Services, Dadra and Nagar Haveli, IndiaoNLR, Jakarta, IndonesiapAnti-Leprosy Campaign, Colombo, Sri LankaqUniversidade do Estado de Mato Grosso, Ca ́ceres, BrazilrNational Tuberculosis and Leprosy Programme, Dar es Salaam,TanzaniasGerman Leprosy and Tuberculosis Relief Association, Wu ̈rzburg,GermanytDirectorate General of Health Services, MoHFW, New Delhi, IndiauNational Leprosy Elimination Program, Phnom Penh, CambodiavGerman Leprosy and Tuberculosis Relief Association,Dar es Salaam, TanzaniawSub Directorate Directly Transmitted Tropical Diseases, MoH,Jakarta, IndonesiaxErasmus MC, University Medical Center Rotterdam, Rotterdam,NetherlandsyAmerican Leprosy Missions, Greenville, USAzUniversity of Aberdeen, Aberdeen, UKaaFAIRMED, Colombo, Sri LankaabInstituto Lauro de Souza Lima, Bauru, BrazilAccepted for publication 22 July 2019SummaryObjective:Leprosy post-exposure prophylaxis with single-dose rifampicin (SDR-PEP) has proven effective and feasible, and is recommended by WHO since 2018.This SDR-PEP toolkit was developed through the experience of the leprosy post-exposure prophylaxis (LPEP) programme. It has been designed to facilitate andstandardise the implementation of contact tracing and SDR-PEP administration inregions and countries that start the intervention.Results:Four tools were developed, incorporating the current evidence for SDR-PEP and the methods and learnings from the LPEP project in eight countries. (1) theSDR-PEP policy/advocacy PowerPoint slide deck which will help to inform policymakers about the evidence, practicalities and resources needed for SDR-PEP, (2) theSDR-PEP field implementation training PowerPoint slide deck to be used to trainfront line staff to implement contact tracing and PEP with SDR, (3) the SDR-PEPgeneric field guide which can be used as a basis to create a location specific fieldprotocol for contact tracing and SDR-PEP serving as a reference for frontline fieldstaff. Finally, (4) the SDR-PEP toolkit guide, summarising the different componentsof the toolkit and providing instructions on its optimal use.Conclusion:In response to interest expressed by countries to implement contacttracing and leprosy PEP with SDR in the light of the WHO recommendation of SDR-PEP, this evidence-based, concrete yet flexible toolkit has been designed to servenational leprosy programme managers and support them with the practical means toLeprosy post-exposure prophylaxis toolkit357 translate policy into practice. The toolkit is freely accessible on the Infolep homepagesand updated as required: https://www.leprosy-information.org/keytopic/leprosy-post-exposure-prophylaxis-lpep-programm