Journal of Epidemiology and Global Health

In Press, Corrected Proof, Available Online: 20 April 2020

An Evaluation of Health Policy Implementation for Hajj Pilgrims in Indonesia

Authors
Rustika Rustika1, Ratih Oemiati1, Al Asyary2, 3, *, Tety Rachmawati1
1National Institute for Health Research and Development, Indonesian Ministry of Health, Jakarta, Indonesia
2Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
3Center for Educational and Community Services (P3M), Universitas Indonesia, Depok, Indonesia
*Corresponding author. Email: al.asyary13@gmail.com/al.asyary@ui.ac.id
Corresponding Author
Al Asyary
Received 14 November 2019, Accepted 20 March 2020, Available Online 20 April 2020.
DOI
https://doi.org/10.2991/jegh.k.200411.001How to use a DOI?
Keywords
Hajj pilgrims, health isthitaah, policy implementation
Abstract

Background: For last decades, the mortality rate of hajj pilgrims from Indonesia was between 2.1 and 3.2 per 1000 hajj pilgrims. At the same time, morbidity affected 87% of the elderly (>65 years old), of which 83% faced high risk of health problems. This is a complex problem affecting hajj health care in Indonesia. The study was aimed to understand what extent of the hajj implementation on health care in Indonesia.

Methods: This review was conducted by abstracting of three studies in Indonesian hajj health care. Two of the studies were based on cross-sectional reviews, while one was a case–control study. The majority of the studies performed laboratory tests to evaluate the disease conditions among hajj pilgrims through secondary data.

Results: First study presented that hajj Posbindu (integrated post-coaching) was not functional in managing the health problems of the pilgrims. It shows that the stroke prevalence is 10.9 per 1000 people, Diabetes Mellitus (DM) 10.9% of the people, and coronary heart disease 1.5%. The second study expressed that, according to health isthitaah (policy implementation), there were 20% hajj pilgrims who delayed their trip because of health issues. Most of them had chronic kidney disease, dementia, or lung tuberculosis. The policy implementation of health isthitaah was not smooth; there was little collaboration between the Ministry of Health and Ministry of Religious Affairs, and the population was not sufficiently educated in the area, resulting in hajj pilgrims with poor knowledge, attitude, and practice in health isthitaah. This notion was enforced in the third study.

Conclusion: The coaching according to health isthitaah should be encouraged alongside collaboration between the Ministry of Health and Ministry of Religious Affairs. Socialization in public health has to increase according to health isthitaah, which can be done by district health centers.

Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Publication Date
2020/04
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.2991/jegh.k.200411.001How to use a DOI?
Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Rustika Rustika
AU  - Ratih Oemiati
AU  - Al Asyary
AU  - Tety Rachmawati
PY  - 2020
DA  - 2020/04
TI  - An Evaluation of Health Policy Implementation for Hajj Pilgrims in Indonesia
JO  - Journal of Epidemiology and Global Health
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.200411.001
DO  - https://doi.org/10.2991/jegh.k.200411.001
ID  - Rustika2020
ER  -