My name is tenri ashari wanahari. It is nice to have the interview.

I came from Indonesia, a lower middle income country in South east asia. I
study medical science in Sebelas maret university, in Indonesia. Now I am a
medical doctor practice in Surakarta city in Indonesia.
I always a person who likes to help people especially the poor people. In my
country also there is a high prevalence of non communicable disease,
especially cvd.
I identified my self have been interested in the field of public health,
especially in epidemiology.
I could see the future of me will choose to be an epidemiologist. I eager to
better understand about why do some people tend to get disease than the
other?, how do we decide the best way to prevent disease? And how are all
these things calculated? I knew that I need perspective from public health,
especially from epidemiology and biostatistics to answer these kind of
questions. In my opinion, the framework from public health are the best way
to address health problem, by quantifying relationship between data.
I chose doctoral course in the department of public health and health
systems in Nagoya university because the departments long standing
tradition of academic excellence in the field of epidemiology. What is more,
the

program

emphasizes

on

investigating

the

epidemiology

of

non

communicable disease and their risk factor in the context of developing

country.
I believed the program will gives me fascinating coursework and wonderful
opportunity to discuss with the faculty members who contributed to the
fundamental knowledge of epidemiology of non communicable disease and
associated risk factors both in Japan and global level.
My future research for the doctoral program will provide evidences of
socioeconomic inequality both in CVD and their associated risk factors. It will

answer important questions such as whether CVD and their risk factors was
unequally distributed across socioeconomic status, gender, and also location.
This study also seek evidences what factors contributed to the inequalities in
Indonesian population. For policy implication, this study intends to promote
the social determinants of health to CVD related health policies in Indonesia
setting. Understanding this pattern will allow for the development of
appropriate policy and intervention that reduce CVD risk in Indonesian
population. I thought that it is important for lower middle country like
Indonesia which facing limited resource to tackle this issue.

the proposed study uses data from the 2014/2015 fifth wave of Indonesia
Family Life Survey (IFLS-5). The IFLS-5 data are open for public use after
registration on the website (http://www.rand.org/labor/FLS/IFLS/ifls5.html).
The IFLS was first conducted by RAND in 1993 (IFLS-1), involving over 30 000
individuals living in 13 of 27 provinces in Indonesia, representing 83% of the
national population.
The proposed study intends to analyze data from adults men and women
(aged 40 years, because in this age group there is a high prevalence of
CVD) resided both in urban and rural location who participated in the IFLS-5.
Weighting factor constructed by RAND is used to correct for sample attrition
from 1993 to 2015 and to allow use of the data set for cross-sectional
analysis.
Using education attainment, employment status, marital status, and
standards of living (including income, household asset, and household
expenditure per capita) as SES indicators, analyses are undertaken to firstly
describe the socioeconomic inequalities in CVD outcomes, such as SES
inequalities in self-reported CVD (diagnosed and undiagnosed) and SES
inequalities in (10-year) risk of CVD (as measured by Reynold score) and
then quantify how much of those inequalities can be explained by behavioral
risk factors (tobacco use and physical inactivity), biological risk factors (high

blood pressure, obesity, high cholesterol, and high c-reactive protein), and
psychosocial risk factor (depression, as measured by CES-D score) for CVD.
Second, the study describes the socioeconomic inequalities in CVD risk
factors (behavioral, biological, and psychosocial risk factors) and then
decompose to examine SES indicators contributing to the inequalities in CVD
risk factors. Main statistical methods used in the proposed study are
bivariate association analysis (Pearson, Chi-square, t-test, and ANOVA),
multivariate regression analysis (ordinary linear and logistic regression),
principal

component

analysis,

and

economic

inequality

analysis

(concentration index and decomposition analysis using Blinder-Oaxaca

method).
Looking ahead, I am planning to go back to Indonesia after I finished the
program, to apply what I already know from the doctoral program to
understand what is really going on and to take position as a lecturer and a
public health researcher in my home country. I will combine my research
capability and teaching

responsibility to spread public health knowledge,

which lacking of expert in Indonesia.