Dr.

Dian Kusuma, SKM, MPH, ScD

Imperial College London

d.kusuma@imperial.ac.uk
GLOBAL HEALTH
75 Tahun Indonesia Merdeka:
Kontribusi Diaspora Indonesia
dalam Kesehatan Global
RESEARCH &
Ikatan Ilmuwan Indonesia Internasional
COLLABORATIONS
Sabtu, 22 Agustus 2020
 Current Research & Collaborations

Topics Methods Country

• Health systems • Quantitative methods • Malaysia
• Performance assessment incl. Econometrics
• India
• Health Financing • Impact evaluation
• Health services delivery • Pakistan
• Geospatial analysis
• Primary health care • Bangladesh
• Health reform evaluation • Environmental
• Sri Lanka
mapping
• NCD prevention/control • Saudi Arabia
• Cardiovascular disease
• Ukraine
• Diabetes Mellitus
• Tobacco control • Indonesia
• Built environment
• Population-based
interventions
 Atun R, Berman P, Hsiao W, Kusuma D (2016)
Contextual analysis of the Malaysian Health System
Kusuma D, Atun R. Trends in multimorbidity and its impact on
health utilization & expenditure: Malaysia 2006-2015

*Preliminary results, please do not cite

Note: Part I used logistic regression of whether a person had inpatient visits (odds ratio). Part II used ZTNB regression of
inpatient visit number among those who had visits (incidence-rate ratios). All controlled for age, educ., ethnicity, rural/urban,
income, marital. * = significant at 5%
 Kusuma D, Atun R, et al. Study protocol on Enhanced
Primary Healthcare (EnPHC) intervention: Cluster randomized trial
Husin M, Kusuma D, et al. Impact of Enhanced Primary Healthcare
Interventions on Management for Diabetes Mellitus in Malaysia:
Difference-in-Difference Analysis

*Preliminary results, please do not cite

Kusuma D, Bossert T. (2019) Ukraine Health Reform Support:
Proposed Impact Evaluations

https://bit.ly/2YoZEbr
Kusuma D, Sassi F, et al. Built environment and the risk factors
to CVD and DM in India, Pakistan, Bangladesh, Sri Lanka

*Preliminary results, please do not cite

Kusuma D, Sassi F, et al. Population-based lifestyle and environmental
intervention to reduce CVDs and T2D in Sri Lanka: Happy Village Plus
• In the midst of tackling the persistent burden of maternal mortality and
infectious diseases, Indonesia is facing an increasing burden of NCDs.

• Riskesdas: increasing prevalence of NCDs and risk factors during 2013-2018

• Diagnosed stroke (15+ y) increased by 56% (from 0.7 to 1.1%)
• Diagnosed diabetes mellitus increased by 23% (from 6.9 to 8.5%)
• Hypertension (18+ y) increased by 32% (from 25.8 to 34.1%)
• Obesity increased by 47% (from 14.8 to 21.8%)
• Physical inactivity increased by 28% (from 26.1 to 33.5%).
• Youth smoking increased by 26% (from 7.2 to 9.1%).
 Adisasmito W, Kusuma D, et al. (2020) Geographic and
socioeconomic disparity in cardiovascular risk factors in Indonesia

Journal: BMC Public Health

 Wahyuti W, Kusuma D, et al. (2019) Monitoring Compliance and
Examining Challenges of a Smoke-free Policy in Jayapura, Indonesia

Journal: Journal of Preventive Medicine & Public Health

Nurjanah N, Kusuma D, et al. (2020) Density of tobacco advertising
around schools in Indonesia: Geospatial analysis

A total of 3,453 ads: 3,026 (87%) medium+ size,

2,556 (74%) within 300 meters from schools. Journal: IJTLD
Handayani S, Kusuma D, et al. (2020) Is youth smoking related to
the density of tobacco advertising near schools?

Youth at schools with medium/high OTA density were up

to 2.16 times more likely to smoke, compared to those
with low density.
 • Many lessons from/to global health
research to improve health systems and
reduce NCD burden
Summary • More collaborations with Indonesian
researchers are needed
• Contact: d.kusuma@imperial.ac.uk