Jurnal Manajemen Informasi Kesehatan (Health Information Management)

Brief Counseling 5A Pharmacist with Illustrated Booklet Improves Outcomes in Anemic Pregnant Women: A Quasi-Experimental Study

2026-05-13T09:42:48+07:00

Background: Anemia during pregnancy remains a significant global health concern, affecting 25–50% of pregnant women worldwide. Although iron and folic acid supplementation programs (TTD) are widely implemented, adherence among pregnant women is frequently compromised due to various barriers

Method: A quasi-experimental study with a pre-post control group design was conducted across public health centers in Malang City. The intervention group received brief pharmacist counseling accompanied by illustrated booklets, while the control group received routine standard care.

Result: Post-intervention analyses indicated significant improvements in knowledge scores, increased adherence to TTD, and positive behavioral changes in the intervention group. Statistical assessment using the Wilcoxon Signed Rank test revealed significant differences between pre and post-test measurements for knowledge, adherence, and behavior (p < 0.05).

Conclusion: Brief pharmacist counseling supplemented with illustrated booklets resulted in substantial enhancements across all measured outcomes compared to standard care, underscoring the effectiveness of this intervention for managing anemia during pregnancy.

Determinants of Electronic Medical Record Closing Delays: A HOT-Fit Approach

2026-05-16T11:30:32+07:00

Background: Timely completion of Electronic Medical Records (EMR) is essential for ensuring continuity of care, administrative efficiency, and hospital accreditation compliance. However, delays in EMR closing remain a common problem in hospital services..

Methods: A quantitative cross-sectional study was conducted among 150 healthcare professionals involved in EMR documentation processes. Data were collected using structured questionnaires based on HOT-Fit dimensions, including human, organizational, and technological factors. Data were analyzed using descriptive statistics, correlation tests, and multiple linear regression analysis.

Results: Human factors (β = -0.241; p = 0.002), organizational factors (β = -0.398; p < 0.001), and technological factors (β = -0.219; p = 0.004) significantly influenced EMR closing delays. Organizational factors were identified as the strongest predictor. The regression model explained 56.4% of the variance in EMR closing delays (Adjusted R² = 0.564). Better alignment between human, organizational, and technological components was associated with improved EMR closing timeliness.

Conclusion: EMR closing delays are influenced by multidimensional factors involving human, organizational, and technological components. Strengthening organizational support, improving user competency, and optimizing EMR system performance are important strategies to reduce delays and improve hospital service quality.

Evaluation of Clinical Learning for Undergraduate Midwifery Students and Professional Midwifery Students

2026-05-13T09:37:20+07:00

Background: Exposure to clinical settings reinforces theoretical instruction acquired in the classroom and provides students with authentic professional situations. Through engagement in these clinical activities, midwifery students are encouraged to acquire knowledge through direct involvement by gathering relevant information, conducting analyses, and applying appropriate management strategies for clients encountered during practice. Therefore, a systematic assessment of the clinical learning environment and the instructor’s role is essential for creating a supportive and constructive educational atmosphere. Consequently, the objective of this study is to evaluate the clinical learning practices experienced by undergraduate midwifery students and those enrolled in professional midwifery programs.

Method: A total of 159 respondents, consisting of undergraduate midwifery students and professional midwifery education students in the even semester of the 2024/2025 academic year, participated in this survey. Data collection utilized the CLEQ 2.0 instrument, which had previously been translated into Indonesian using the forward-backward translation procedure and had been tested for validity and reliability. This instrument was used to measure several aspects, including case availability, learning motivation, supervisory guidance, and relational interactions between clients and midwives.

Result: Analysis of the measurement results showed that the lowest average score was recorded on item number four with an average value of 3.42, while the highest average score was found on item number ten with a value of 4.38. The overall mean score was 4.10.

Conclusion: The implementation of clinical learning for undergraduate midwifery students and professional midwives yielded satisfactory results.

Factors Associated with Recurrent Stroke Among Inpatients at Adam Malik General Hospital: A Case-Control Study

2026-05-19T10:06:26+07:00

Background: Recurrent stroke is a major public health concern because it is associated with increased mortality, disability, hospitalization, and healthcare burden. This study aimed to identify factors associated with recurrent stroke among inpatients at H. Adam Malik General Hospital from 2023 to 2025.

Method: This retrospective case-control study included 222 stroke inpatients, consisting of 111 patients with recurrent stroke and 111 patients with first-ever stroke. Cases were selected using total sampling, while controls were selected using quota sampling with a 1:1 ratio. Data were obtained from medical records. The independent variables were age, sex, hypertension, type 2 diabetes mellitus, coronary heart disease, and obesity. Data were analyzed using Chi-square tests and multiple logistic regression.

Result: Bivariate analysis showed that age ≥55 years (OR=2.057; 95% CI: 1.107–3.821; p=0.021), male sex (OR=1.927; 95% CI: 1.130–3.286; p=0.016), type 2 diabetes mellitus (OR=2.088; 95% CI: 1.219–3.576; p=0.007), and coronary heart disease (OR=3.200; 95% CI: 1.634–6.267; p=0.001) were significantly associated with recurrent stroke. In the multivariate model, age ≥55 years (aOR=2.381; 95% CI: 1.208–4.696; p=0.012), male sex (aOR=1.852; 95% CI: 1.092–3.141; p=0.024), type 2 diabetes mellitus (aOR=2.124; 95% CI: 1.203–3.751; p=0.010), and coronary heart disease (aOR=3.200; 95% CI: 1.634–6.267; p=0.004) remained significantly associated with recurrent stroke. Coronary heart disease showed the strongest association.

Conclusion: Recurrent stroke was associated with age ≥55 years, male sex, type 2 diabetes mellitus, and coronary heart disease. Coronary heart disease was the dominant associated factor after adjustment for other variables. Comprehensive secondary prevention targeting cardiovascular and metabolic comorbidities is essential to reduce recurrent stroke risk.

Association Between the Use of the Sahabat Hipertensi Self-Assessment Application and Preventive Lifestyle Behavior Among Adults at Risk of Hypertension

2026-05-16T10:50:17+07:00

Background of study: Hypertension is a major public health issue because it often goes unnoticed until complications arise. Mobile health applications offer a practical way to support self-assessment, risk awareness, and behavior change. This study examines whether the Sahabat Hipertensi app influences preventive lifestyle behavior among adults at risk of hypertension, using the combined perspectives of the TAM and the HBM.

Methods: A quantitative explanatory study was conducted with 200 adults aged 25-60 years who had at least one risk factor for hypertension. Participants completed a 30-item Likert questionnaire measuring perceived usefulness, susceptibility, severity, an intention to use, actual use, and preventive lifestyle behavior. Structural relationships were analyzed using SmartPLS 4.

Results: The model measurement demonstrated satisfactory validity and reliability. Structural analysis showed that perceived usefulness (beta value 0.612, p less than 0.001), perceived usefulness influenced the intention to use (beta value 0.351, p less than 0.001), perceived susceptibility impacted the intention to use (beta value 0.214, p value 0.003), and perceived severity affected the intention to use (beta value 0.197, p value 0.008). Actual use was significantly linked to preventive lifestyle behavior (beta value 0.762, p less than 0.001). The model explained 58% of the variance in healthy behavior.

Conclusion: The Sahabat Hipertensi app plays a significant role in promoting preventive lifestyle behavior among adults at risk of hypertension. Combining TAM and HBM offers an effective framework for understanding the adoption of hypertension self-assessment technology in community health settings.

Interventions To Improve Parent–Adolescent Communication On Sexual And Reproductive Health: A Scoping Review

2026-05-29T09:25:59+07:00

Background: Adolescence is a transitional period marked by significant physiological, psychological, and social changes. During this stage, adolescents are vulnerable to sexual and reproductive health (SRH) problems, including teenage pregnancy and sexually transmitted infections (STIs). Parents play a crucial role as primary sources of SRH information for adolescents; however, communication regarding SRH is often influenced by socio-cultural norms, stigma, and limited parental knowledge.

Method: This scoping review aimed to identify interventions that improve parent–adolescent communication on sexual and reproductive health. Literature searches were conducted in PubMed, ScienceDirect, and Wiley Online Library databases for articles published between 2015 and 2025. The screening process followed predefined eligibility criteria, including studies discussing parent–adolescent communication on SRH, adolescent health programs, or sex education policies. Only full-text articles published in English or Indonesian were included. Study quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tool. A total of 10 studies met the inclusion criteria and were analyzed. Data were extracted using a charting table including author, year, country, study design, participants, data collection methods, and key findings

Result: The review identified several effective interventions for improving parent–adolescent SRH communication, including digital-based interventions, youth-friendly health services, school-based programs, maternal empowerment initiatives, and formal or non-formal SRH education programs. These interventions improved parental knowledge, communication skills, and adolescent access to accurate SRH information. In addition, the interventions contributed to reducing barriers such as socio-cultural stigma, religious norms, gender-related issues, fear, limited parental education, and the perception that sexuality is a taboo topic.

Conclusion: Interventions involving families, schools, healthcare services, and community-based educational approaches are effective in strengthening parent–adolescent communication regarding sexual and reproductive health. These strategies may contribute to improving adolescent SRH outcomes and reducing socio-cultural barriers that hinder open communication about sexuality

Mothers’ Knowledge, Attitudes, And Behavior In Stunting Prevention Efforts: A Scoping Review

2026-05-06T08:20:37+07:00

Background: Stunting is a global nutritional problem that has long-term effects on children’s physical growth and cognitive development. Mothers’ knowledge, attitudes, and behaviors play a crucial role in stunting prevention; however, prevention practices are also influenced by family support, access to health services, social conditions, and the intervention context. Previous studies have been limited in mapping the integrated relationship between mothers’ knowledge, attitudes, and behaviors in stunting prevention. This study aims to map the scientific evidence regarding mothers’ knowledge, attitudes, and behaviors in stunting prevention and to identify research gaps and directions for intervention development.

Method: This study employed a scoping review using the Arksey and O’Malley approach and the PEOS framework. The study population consisted of mothers, with exposure defined as mothers’ knowledge, attitudes, and behaviors regarding stunting prevention, and the outcome as stunting prevention efforts. The study designs included quantitative, qualitative, and mixed-methods. Literature was obtained from PubMed, ScienceDirect, EBSCO, Wiley, Neliti, and Google Scholar, with criteria including primary articles, full text, in Indonesian or English, and published between 2015 and 2025. Article selection was conducted using Rayyan and reported via a PRISMA flowchart. Article quality was assessed using the Joanna Briggs Institute (JBI) for quantitative and qualitative studies, and the Mixed Methods Appraisal Tool (MMAT) for mixed-methods studies.

Result: Of the 292 identified articles, 10 met the inclusion criteria. Findings indicate that while some mothers possess basic knowledge about stunting, their understanding of its causes and impacts remains limited. Mothers’ attitudes are influenced by education and employment status. Educational media interventions and culturally sensitive community-based education have proven effective in improving mothers’ knowledge, attitudes, and behaviors regarding stunting prevention.

Conclusion: Mothers’ knowledge, attitudes, and behaviors play a crucial role in stunting prevention. Therefore, strengthening maternal education should be a policy priority in integrated efforts to improve long-term child health.

Effectiveness of Implementing Hazardous and Toxic Waste (B3) Management Standards in Improving Knowledge, Attitudes, and Compliance in Hazardous Waste

2026-04-30T10:14:09+07:00

Background: Hazardous and toxic waste (B3) generated by hospitals poses significant risks to healthcare workers, patients, and the environment if not properly managed. Despite the implementation of waste management systems and training programs, staff compliance with standard operating procedures (SOPs) often remains suboptimal. This study aimed to evaluate the effectiveness of implementing hazardous and toxic waste management standards in improving knowledge, attitudes, and compliance among hospital staff.

Method: A mixed-methods approach with a quasi-experimental pretest–posttest control group design was employed. A total of 120 respondents were divided into intervention and control groups. Quantitative data were analyzed using paired t-tests and Wilcoxon tests, while qualitative data were analyzed thematically.

Result: The results showed significant improvements in the intervention group, with increases in knowledge and attitudes (p < 0.0001) and compliance (p = 0.001). However, the magnitude of change in compliance was smaller compared to knowledge and attitudes. Qualitative findings indicated that while training improved awareness and understanding, sustained compliance was strongly influenced by organizational factors, including monitoring, supervision, and institutional support.

Conclusion: In conclusion, training-based implementation of hazardous waste management standards is effective in improving knowledge and attitudes but insufficient to ensure consistent compliance. Strengthening organizational support through continuous monitoring and supervision is essential to promote sustainable behavioral change in healthcare settings.

Analysis of Factors Associated with Perceived Health Status Among Nursing Lecturers

2026-04-25T09:22:12+07:00

Background
Perceived health status is an important subjective indicator reflecting individuals’ physical and psychological conditions and is closely associated with productivity in occupational settings. This study aimed to analyze factors associated with perceived health status among lecturers at the Faculty of Nursing, Universitas Padjadjaran.

Methods
This analytic observational study used a cross-sectional design. A total of 68 lecturers were included using total sampling. Data were collected using structured questionnaires assessing perceived health status and associated factors (behavioral, health service, environmental, and genetic). Data were analyzed using Chi-square tests and logistic regression, with a significance level of p < 0.05.

Results
Among 68 respondents, 86.8% reported a positive perceived health status. Behavioral factors (p=0.001) and genetic factors (p<0.001) were significantly associated with perceived health status, while health service and environmental factors were not (p>0.05). Multivariate analysis showed that behavioral factors (p=0.012) and genetic factors (p=0.008) remained significant predictors, with behavioral factors identified as the most dominant.

Conclusion
Behavioral and genetic factors significantly influence perceived health status among lecturers. Workplace health promotion programs focusing on healthy behaviors and early detection of genetic risks are recommended to improve well-being and productivity.