Tiara Marthias
Dados Biográficos
| ID | 1735493 |
|---|---|
| NOME | Tiara Marthias |
| PRENOMES | Tiara |
| SOBRENOME | Marthias |
| ASSINATURA | MARTHIAS T |
| AFILIAÇÕES | Universitas Gadjah Mada |
| ORCID | 0000-0001-8226-9473 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 4 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
“More work means less pay”
How do tensions between medical professionalism and financial incentives play out under case-based payment reform in China
To address rapidly increasing healthcare expenditures of social health insurance, the Chinese government has recently introduced a provider payment reform. While some studies have examined the payment reform effects, findings are mixed, and the deeper mechanisms of how these changes influence physicians' behaviours remain unclear. Drawing on semi-structured interviews conducted in 2024 with 21 hospital-based physicians from two hospitals with dif…
WHO launches global network of institutes to strengthen capacity for health inequality monitoring
This article introduces the global WHO-managed Health Inequality Monitoring Network, which is dedicated to strengthening and expanding health inequality monitoring practices at global, regional and country levels. Launched in 2025, the Health Inequality Monitoring Network consists of 12 inaugural institutional members, represented by over 140 affiliated individuals spanning all world regions. The Network aims to: strengthen capacities for health …
Effective coverage for reproductive, maternal, neonatal and newborn health
BACKGROUND: Inadequate access to quality maternal and child health services leads to poor health outcomes for millions of women, particularly in low- and middle-income countries (LMICs). This study aims to explore the effective coverage of reproductive, maternal, neonatal and newborn health (RMNCH) services and examines socioeconomic and rural and urban disparities in 39 LMICs. METHODS: Using Demographic and Health Surveys (DHS) data, the researc…
Starfield’s 4Cs of NCD management in primary healthcare
INTRODUCTION: Faced with a backdrop of an increasing chronic disease burden from an ageing global population compounded with rising healthcare costs, health systems are required to implement cost-effective, safe and equitable care through efficient service delivery models. One approach to achieving this is through Starfield's 4Cs of primary healthcare (PHC), which delineates the key attributes of a high-performing PHC system that upholds the pill…
Differential impacts of health systems and sociocultural environment on vulnerable populations during the Covid-19 pandemic
The study underscores that vulnerabilities vary greatly depending on the social environment and context of each country, affecting the degree and types of vulnerable groups. It is critical that measures to ensure universal health coverage and equal accessibility to healthcare are specifically designed to address the needs of the most vulnerable. Despite commonalities among groups across different societies, these interventions must be adapted to …
The effect of health insurance and socioeconomic status on women’s choice in birth attendant and place of delivery across regions in Indonesia
BACKGROUND: Evidence suggests that women gave birth in diverse types of health facilities and were assisted by various types of health providers. This study examines how these choices are influenced by the Indonesia national health insurance programme (Jaminan Kesehatan Nasional (JKN)), which aimed to provide equitable access to health services, including maternal health. METHODS: Using multinomial logit regression models, we examined patterns an…
Wealth-based inequality in the continuum of maternal health service utilisation in 16 sub-Saharan African countries
Addressing the coverage gap in maternal continuum of care in SSA using multidimensional and people-centred approaches remains a key strategy needed to realise the SDG3. The pro-rich wealth-based inequalities observed show that bespoke pro-poor or population-wide approaches are needed
Mitigating the impacts of the Covid-19 pandemic on vulnerable populations
Covid-19 public health and social measures
The COVID-19 pandemic will not be the last of its kind. As the world charts a way towards an equitable and resilient recovery, Public Health and Social Measures (PHSMs) that were implemented since the beginning of the pandemic need to be made a permanent feature of health systems that can be activated and readily deployed to tackle sudden surges in infections going forward. Although PHSMs aim to blunt the spread of the virus, and in turn protect …
Multimorbidity and out-of-pocket expenditure for medicines in China and India
INTRODUCTION: Using nationally representative survey data from China and India, this study examined (1) the distribution and patterns of multimorbidity in relation to socioeconomic status and (2) association between multimorbidity and out-of-pocket expenditure (OOPE) for medicines by socioeconomic groups. METHODS: Secondary data analysis of adult population aged 45 years and older from WHO Study on Global Ageing and Adult Health (SAGE) India 2015…
Supply-side readiness to deliver HIV testing and treatment services in Indonesia
Introduction Despite national efforts to integrate Prevention of Mother-to-Child Transmission (PMTCT) of HIV services into antenatal care in Indonesia, the rate of mother-to-child transmission of HIV remains the highest in the world. A range of barriers to uptake and long-term engagement in care have been identified, but far less is known about health system preparedness to deliver PMTCT of HIV services. This study explored supply-side barriers t…
Associations between Indonesia’s national health insurance, effective coverage in maternal health and neonatal mortality
BACKGROUND: )) on effective coverage for maternal and child health across geographical regions and population groups. METHODS: We used four waves of the Indonesia Demographic and Health Survey from 2000 to 2017, which included 38 880 women aged 15-49 years and 144 000 birth records. Key outcomes included antenatal and delivery care, caesarean section and neonatal and infant mortality. We used multilevel interrupted time-series regression to exami…
Medical costs and out-of-pocket expenditures associated with multimorbidity in China
OBJECTIVE: Multimorbidity is a growing challenge in low-income and middle-income countries. This study investigates the effects of multimorbidity on annual medical costs and the out-of-pocket expenditures (OOPEs) along the cost distribution. METHODS: Data from the nationally representative China Health and Retirement Longitudinal Study (CHARLS 2015), including 10 592 participants aged ≥45 years and 15 physical and mental chronic diseases, were us…
The Power of Sugesti in Traditional Javanese Healing Treatment
This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was…
Choosing the appropriate funding sources; lesson learned from Maternal Neonatal Child Health evidence-based planning in 3 districts in Papua, Indonesia
Background Special Autonomy policy grants greater authority for Papua government to manage, organise and finance the province in improving social economic development. Papua province received Special Autonomy status along with other provinces; West Papua and Aceh. As part of that policy, Papua receives special funding from the central government called Special Autonomous Fund (Dana OTSUS). OTSUS fund provides the government more authority for pla…
Maternal health insurance in Indonesia
Background The main purposes of the Indonesian national insurance for maternal and delivery services were to: (1) increase antenatal and skilled birth attendance coverage, (2) increase neonatal and postnatal care, and postnatal family planning coverage, and (3) ensure effective and accountable health financing for MNCH. However, there has been a growing concern on the implementation of the policy. Increased accessibility does not always translate…
Health system for maternal health – a case study from Papua, Indonesia
Background In relation to health status, Papua Province is one of the most alarming parts of Indonesia, especially in maternal health. Papua Province maternal mortality ratio is disconcertingly higher than the national average. This within country disparity may be caused by the inequality in socioeconomic status, but perhaps more in the health system. This study aims to explore the factors within the health system associated with poor maternal ou…
Evidence-based budgeting policy in maternal and child health programme
Background Despite Indonesia’s health status improvement over the last decade, special efforts to achieve the MDGs goals are still warranted, especially in maternal, neonatal, and child health (MNCH). However, the current centrally driven MNCH policies do not address the geographical disparities and the different constraints faced by Indonesian provinces and districts. Moreover, the MNCH slow progress may have been hindered by various funding con…
Mitigating the impacts of the Covid-19 pandemic on vulnerable populations
Associations between Indonesia’s national health insurance, effective coverage in maternal health and neonatal mortality
BACKGROUND: )) on effective coverage for maternal and child health across geographical regions and population groups. METHODS: We used four waves of the Indonesia Demographic and Health Survey from 2000 to 2017, which included 38 880 women aged 15-49 years and 144 000 birth records. Key outcomes included antenatal and delivery care, caesarean section and neonatal and infant mortality. We used multilevel interrupted time-series regression to exami…
Health system for maternal health – a case study from Papua, Indonesia
Background In relation to health status, Papua Province is one of the most alarming parts of Indonesia, especially in maternal health. Papua Province maternal mortality ratio is disconcertingly higher than the national average. This within country disparity may be caused by the inequality in socioeconomic status, but perhaps more in the health system. This study aims to explore the factors within the health system associated with poor maternal ou…
Evidence-based budgeting policy in maternal and child health programme
Background Despite Indonesia’s health status improvement over the last decade, special efforts to achieve the MDGs goals are still warranted, especially in maternal, neonatal, and child health (MNCH). However, the current centrally driven MNCH policies do not address the geographical disparities and the different constraints faced by Indonesian provinces and districts. Moreover, the MNCH slow progress may have been hindered by various funding con…
The Power of Sugesti in Traditional Javanese Healing Treatment
This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was…
Choosing the appropriate funding sources; lesson learned from Maternal Neonatal Child Health evidence-based planning in 3 districts in Papua, Indonesia
Background Special Autonomy policy grants greater authority for Papua government to manage, organise and finance the province in improving social economic development. Papua province received Special Autonomy status along with other provinces; West Papua and Aceh. As part of that policy, Papua receives special funding from the central government called Special Autonomous Fund (Dana OTSUS). OTSUS fund provides the government more authority for pla…
Maternal health insurance in Indonesia
Background The main purposes of the Indonesian national insurance for maternal and delivery services were to: (1) increase antenatal and skilled birth attendance coverage, (2) increase neonatal and postnatal care, and postnatal family planning coverage, and (3) ensure effective and accountable health financing for MNCH. However, there has been a growing concern on the implementation of the policy. Increased accessibility does not always translate…
Medical costs and out-of-pocket expenditures associated with multimorbidity in China
OBJECTIVE: Multimorbidity is a growing challenge in low-income and middle-income countries. This study investigates the effects of multimorbidity on annual medical costs and the out-of-pocket expenditures (OOPEs) along the cost distribution. METHODS: Data from the nationally representative China Health and Retirement Longitudinal Study (CHARLS 2015), including 10 592 participants aged ≥45 years and 15 physical and mental chronic diseases, were us…
Covid-19 public health and social measures
The COVID-19 pandemic will not be the last of its kind. As the world charts a way towards an equitable and resilient recovery, Public Health and Social Measures (PHSMs) that were implemented since the beginning of the pandemic need to be made a permanent feature of health systems that can be activated and readily deployed to tackle sudden surges in infections going forward. Although PHSMs aim to blunt the spread of the virus, and in turn protect …
Multimorbidity and out-of-pocket expenditure for medicines in China and India
INTRODUCTION: Using nationally representative survey data from China and India, this study examined (1) the distribution and patterns of multimorbidity in relation to socioeconomic status and (2) association between multimorbidity and out-of-pocket expenditure (OOPE) for medicines by socioeconomic groups. METHODS: Secondary data analysis of adult population aged 45 years and older from WHO Study on Global Ageing and Adult Health (SAGE) India 2015…
Supply-side readiness to deliver HIV testing and treatment services in Indonesia
Introduction Despite national efforts to integrate Prevention of Mother-to-Child Transmission (PMTCT) of HIV services into antenatal care in Indonesia, the rate of mother-to-child transmission of HIV remains the highest in the world. A range of barriers to uptake and long-term engagement in care have been identified, but far less is known about health system preparedness to deliver PMTCT of HIV services. This study explored supply-side barriers t…
Associations between Indonesia’s national health insurance, effective coverage in maternal health and neonatal mortality
BACKGROUND: )) on effective coverage for maternal and child health across geographical regions and population groups. METHODS: We used four waves of the Indonesia Demographic and Health Survey from 2000 to 2017, which included 38 880 women aged 15-49 years and 144 000 birth records. Key outcomes included antenatal and delivery care, caesarean section and neonatal and infant mortality. We used multilevel interrupted time-series regression to exami…
The effect of health insurance and socioeconomic status on women’s choice in birth attendant and place of delivery across regions in Indonesia
BACKGROUND: Evidence suggests that women gave birth in diverse types of health facilities and were assisted by various types of health providers. This study examines how these choices are influenced by the Indonesia national health insurance programme (Jaminan Kesehatan Nasional (JKN)), which aimed to provide equitable access to health services, including maternal health. METHODS: Using multinomial logit regression models, we examined patterns an…
Wealth-based inequality in the continuum of maternal health service utilisation in 16 sub-Saharan African countries
Addressing the coverage gap in maternal continuum of care in SSA using multidimensional and people-centred approaches remains a key strategy needed to realise the SDG3. The pro-rich wealth-based inequalities observed show that bespoke pro-poor or population-wide approaches are needed
Mitigating the impacts of the Covid-19 pandemic on vulnerable populations
Differential impacts of health systems and sociocultural environment on vulnerable populations during the Covid-19 pandemic
The study underscores that vulnerabilities vary greatly depending on the social environment and context of each country, affecting the degree and types of vulnerable groups. It is critical that measures to ensure universal health coverage and equal accessibility to healthcare are specifically designed to address the needs of the most vulnerable. Despite commonalities among groups across different societies, these interventions must be adapted to …
Effective coverage for reproductive, maternal, neonatal and newborn health
BACKGROUND: Inadequate access to quality maternal and child health services leads to poor health outcomes for millions of women, particularly in low- and middle-income countries (LMICs). This study aims to explore the effective coverage of reproductive, maternal, neonatal and newborn health (RMNCH) services and examines socioeconomic and rural and urban disparities in 39 LMICs. METHODS: Using Demographic and Health Surveys (DHS) data, the researc…
Starfield’s 4Cs of NCD management in primary healthcare
INTRODUCTION: Faced with a backdrop of an increasing chronic disease burden from an ageing global population compounded with rising healthcare costs, health systems are required to implement cost-effective, safe and equitable care through efficient service delivery models. One approach to achieving this is through Starfield's 4Cs of primary healthcare (PHC), which delineates the key attributes of a high-performing PHC system that upholds the pill…
“More work means less pay”
How do tensions between medical professionalism and financial incentives play out under case-based payment reform in China
To address rapidly increasing healthcare expenditures of social health insurance, the Chinese government has recently introduced a provider payment reform. While some studies have examined the payment reform effects, findings are mixed, and the deeper mechanisms of how these changes influence physicians' behaviours remain unclear. Drawing on semi-structured interviews conducted in 2024 with 21 hospital-based physicians from two hospitals with dif…
WHO launches global network of institutes to strengthen capacity for health inequality monitoring
This article introduces the global WHO-managed Health Inequality Monitoring Network, which is dedicated to strengthening and expanding health inequality monitoring practices at global, regional and country levels. Launched in 2025, the Health Inequality Monitoring Network consists of 12 inaugural institutional members, represented by over 140 affiliated individuals spanning all world regions. The Network aims to: strengthen capacities for health …
Medicine (16 obras) · Environmental health (13 obras) · Healthcare Systems and Reforms (12 obras) · Global Maternal and Child Health (11 obras) · Public health (10 obras) · Economic growth (9 obras) · Nursing (9 obras) · Population (7 obras) · Health care (6 obras) · Health Policy (6 obras)