Climate change is a threat and crisis that hit the world today; one of them is causing drought, rising sea levels, melting polar ice, and heat waves; therefore, the target towards Net Zero Emission (NZE) in 2060 must be an obligation in all countries. Green Building (GB) is a building that meets Building Technical Standards, and has demonstrated demonstrable success in conserving resources such as water, energy, and other resources. The application of GB principles following the function and classification in every stage of their implementation is expected to reduce greenhouse gas emissions. This research aims to analyze the cost of improvement work based on GB assessment in applying the Technical Guidelines from Minister of Public Works and Public Housing (PUPR) No. 1 of 2022, which is the latest regulation in Indonesia. The blockchain-BIM method and the implementation of the GB component will be analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS) to find the most influential factors. The results of this study show that by applying Blockchain-BIM to overcome the cost constraints, it is proven to be able to increase the cost performance of GB in modern shopping center buildings by 3–3.8% in the Basic rating, while for other ratings, it is 0.5–2.1% higher, where the selection of a renewable energy model is very influential. Doi: 10.28991/CEJ-2023-09-10-09 Full Text: PDF
Lanjut usia (Lansia) merupakan kelompok yang paling beresiko terkena Covid-19, dikarenakan lansia umumnya memiliki beberapa penyakit komorbid serta tingginya angka mortalitas pada lansia. Salah satu upaya untuk pencegahan penularan Covid-19 pada lansia ialah dengan langkah promotif dan preventif, antara lain dengan pemberian edukasi pada lansia. Selain itu, perlu juga diperhatikan agar lansia tetap sehat dan bahagia di masa pandemi Covid-19 sehingga kualitas hidup lansia tetap terjaga dan resiko tertular Covid-19 pada lansia dapat dikurangi. Tujuan kegiatan pengabdian masyarakat ini dilaksanakan untuk meningkatkan pengetahuan dan sikap lansia tentang protokol kesehatan dan upaya lansia sehat dan bahagia di masa pandemi Covid-19, dengan jumlah lansia sebanyak 20 orang. Metode pelaksanaan kegiatan pengabdian masyarakat ini diawali dengan pendampingan para lansia untuk berkumpul diruang aula, pemberian kuesioner untuk pre-test, penyampaian informasi dilakukan dengan slide power point tentang protokol kesehatan dan upaya lansia sehat dan bahagia, video, kartu SMART, demonstrasi teknik relaksasi nafas dalam serta diakhiri dengan sesi tanya jawab, post-test, dan pemberian makanan tambahan sehat untuk lansia. Hasil dari kegiatan pengabdian masyarakat ini diharapkan menambah pengetahuan para lansia tentang pencegahan terjadinya infeksi Covid-19, meningkatkan kewaspadaan terhadap bahaya penularan serta menjadi lansia yang SMART.
 Kata Kunci: Edukasi, Lansia, Sehat, Bahagia, SMART, Covid-19
 ABSTRACT
 Elderly is the group most at risk of contracting Covid-19, because the elderly generally have several comorbid diseases and high mortality rates in the elderly. One of the efforts to prevent Covid-19 transmission in the elderly is by promoting and preventive steps, including providing education to the elderly. In addition, it should also be noted that the elderly remain healthy and happy during the Covid-19 pandemic so that the quality of life for the elderly is maintained and the risk of contracting Covid-19 in the elderly can be reduced. The purpose of this community service activity is to increase the knowledge and attitudes of the elderly about health protocols and efforts for healthy and happy elderly people during the Covid-19 pandemic, with 20 elderly people. The method of implementing this community service activity begins with the assistance of the elderly to gather in the hall, giving questionnaires for pre-test, delivering information with power point slides about health protocols and efforts for healthy and happy elderly people, videos, SMART cards, demonstrations of deep breathing relaxation techniques. and ended with a question and answer session, post-test, and providing healthy supplementary food for the elderly. The results of this community service activity are expected to increase the knowledge of the elderly about preventing the occurrence of Covid-19 infection, increase awareness of the dangers of transmission and become SMART elderly.
 Keywords: Education, Elderly, Healthy, Happy, SMART, Covid-19
Background: In this era of decentralization , access and provision of drugs for people in the local area is the responsi- bility of local governments. Because the limitations of the local budget, the central government is obliged to guarantee the availability of drugs in the area. Financing sources of drugs from central and local government have not reached the stan- dard of WHO i.e. 2 dollars per capita. To cover demand of financing drug, a Specific Allocation Fund (DAK) proposed state budget that funds given to certain areas to fund special activities that are regional affairs and in accordance with na- tional priorities. General criteria to consider certain areas (re- gional fiscal capacity), specific criteria (regional characteris- tics) and technical criteria (policy formulation from Ministry of Health). Since drug financing is allocated in DAK in 2010, there is a need to evaluate the drug financing at the local level. The purpose : to evaluate the amount of DAK for Pharma- ceutical services in 2011 and 2012. Methods : The study used secondary data from 2010 and 2011 consist of 6 (six) factors: fiscal capacity, character of the area, population number, proportion of poverty , local bud- get for drugs and prediction for the remaining stock of the drug. The analysis statistics uses chi-square and multiple regression. Qualitative interviews is conducted with manag- ers of pharmacy in 2 districts with high financial capability. Results : Result from multiple regression test of the 6 factors used in the allocation of SAF 2011 and 2012 shows only 3 factors that really affects the allocation which are the number of population, the poor and the prediction of the remaining stock of the drug . However, the highest factor is the popula- tion. Result for qualitative with 2 respondents shows that since they got DAK they reduced local budget for drugs, because the drug financing is sufficient from DAK. Conclusion : local sense of ownership towards the health budget in the area is low resulting in reliance on the central health budget. The effeciency of the central budget causes reduction of health budget both in central and local level. Latar belakang : Dalam era desentralisasi ini, akses dan penyediaan obat bagi masyarakat di daerah menjadi tanggung jawab pemerintah daerah. Namun keterbatasan anggaran daerah maka pemerintah pusat berkewajiban menjamin ketersediaan obat di daerah. Sumber pembiayaan obat di daerah melalui APBN dan APBD belum mencapai standar WHO, 2 dol- lar per kapita. Untuk menutupi kekurangan pembiayaan obat, diusulkan DAK yaitu dana APBN yang diberikan kepada daerah tertentu untuk mendanai kegiatan khusus yang merupakan urusan daerah dan sesuai dengan prioritas nasional. Daerah tertentu mempertimbangkan kriteria umum (kemampuan fiskal daerah), kriteria khusus (karakteristik daerah) dan kriteria teknis (rumusan kebijakan Kementerian Kesehatan). Sejak kebijakan obat melalui DAK pada tahun 2010, perlu dilakukan evaluasi besaran DAK Bidang Kesehatan untuk Kefarmasian tahun 2011 dan 2012. Tujuan : tujuan penelitian ini adalah melakukan evaluasi besaran DAK Bidang Kesehatan untuk Kefarmasian 2011 dan 2012. Metode : Penelitian menggunakan data sekunder 2010 dan 2011 yang terdiri 6 faktor yaitu; kemampuan fiskal, karakter wilayah, jumlah penduduk, penduduk miskin, anggaran obat dalam APBD dan prediksi sisa stok obat untuk pengalokasian DAK 2011 dan 2012. Uji analisis menggunakan chi square dan multipel regresi. Kualitatif dengan wawancara pengelola farmasi di 2 kabupaten dengan kemampuan keuangan tinggi. Hasil: Dari uji multiple regresi terhadap 6 faktor yang digunakan dalam pengalokasian DAK 2011 dan 2012 hanya 3 yang mempengaruhi alokasi yaitu jumlah penduduk, penduduk miskin dan prediksi sisa stok obat. Namun yang paling tinggi adalah jumah penduduk. Untuk kualitatif pada 2 responden, sejak mendapat DAK terjadi pengurangan anggaran obat di APBD, karena pembiayaan obat cukup dengan DAK. Kesimpulan: daerah belum memahami ownership anggaran kesehatan di daerah sehingga masih mengandalkan anggaran dari pusat, dimana ketidakstabilan anggaran pusat dengan ef isiensi menyebabkan pemotongan merata anggaran kesehatan di pusat dan daerah.
Background: Health financing provided by the government greatly helps the implementation of health system in the decentralized era. General Allocation Fund and Local Revenue and Expenditure Budget are apparently inadequate to finance health service. Some efforts have been made to finance health service such as Community Health Insurance (Jamkesmas), Childbirth Insurance (Jampersal), and Health Operational Fund (Bantuan Operasional Kesehatan/BOK). These are meant to achieve Millennium Development Goals in 2015. The practice of coordination from planning to implementation and stakeholders’ commitment can affect the process of maternal and child health service. Coordination is definitely needed to run the program policy and prevent the overlapping financing in order that the objective of the program can be achieved. Objective: To evaluate coordination of planning, implementation and stakeholders’ commitment in relation to maternal and child health (MCH) service in Lombok Tengah District. Method: This was a descriptive-analytical study with a qualitative approach and a case-study design. Samples were taken purposively. The data were obtained through in-depth interview, observation and documentation analysis. Result: The planning coordination of MCH health financing had not been optimal, even despite the involvement of cross sector and program. However, the organizations of health professionals were not involved in program planning. The coordination of health financing implementation had not been optimal as well. Even though there was no overlapping financing from some different sources, in the policy implementation there was cost sharing for referral and drugs. Private sectors were not involved in the implementation of Jampersal. Stakeholders’ commitment was relatively optimum as reflected from the policy and action in health development acceleration particularly MCH. The process of MCH service at both primary and secondary level could run well. Conclusion: Coordination of MCH financing implementation in Lombok Tengah District through BOK, Jampersal, Jamkesmas, Community Empowerment National Program of Healthy and Smart Generation and Local Revenue and Expenditure Budget had not been optimal; therefore, it needed to be improved to eliminate cost sharing. Professional organizations and private health providers were not yet involved in the program planning and implementation. Keywords: coordination, stakeholders’ commitment, health financing, maternal and child health, program evaluation
Background: Health account is one method to acquire information about financial situation in the district or the state. Based on the information, the analysis on the policy can be made, such as priority setting and equity. The information is also used for policy decision and financial planning. Complete health finance data can be acquired in condition when there is a district health account.\nObjective: To describe health financial before and after the decentralization was implemented (1998 to 2002) in Sinjai District.\nMethod: This research is a quasi experiment research with before and after design. Method of health account development, is adopted from National Health Account.\nResult: This research showed that there was an increase of health funding since 1998 to 2002 in Sinjai District obtained from the government. Before decentralization central government role in health finance was high (11,6% to 60%), but after decentralization, the role of central government decreased and district government role increased (24% to 83%). From finance intermediary site the role of hospital as finance intermediary increased since 1999 to 2002 (11% to 40%). District Health Official still! took prominent finance intermediary point in Sinjai District. From health provider site, health expenditure allocation at community health center showed a trend to decrease. Health care administration and investment function showed escalation trend. Public health action constantly decreased since 1998 to 20002.\nConclusions: Sinjai District Health Finance increased since 1998 to 2002. Due to the increase of hospital health financial allodation, hospital finance intermediary also increased. On the other hand, the financial allocation in public health programs decreased. This pattern of health finance should be reserved for a pro-poor resource allocation.\n\nKeywords: health finance, District Health Account