Jurnal Manajemen Informasi Kesehatan (Health Information Management)

The Effect of Animated Video Education on Dental and Oral Health Behavior Among Elementary School Students in Deli Serdang Regency

2026-06-10T13:02:53+07:00

Background: Oral health plays an important role in children's overall well-being, influencing their ability to eat, communicate, learn, and participate in daily activities. However, inadequate oral hygiene knowledge and poor oral health practices remain common among school-aged children, increasing the risk of preventable oral diseases. Animated video-based education has emerged as a promising approach because it combines visual and auditory learning elements that can attract children's attention and facilitate understanding. This study aimed to examine the effect of animated video education on oral health maintenance behavior among students at SD Negeri 106785, Sunggal District, Deli Serdang Regency, North Sumatra.

Method: This study employed a pre-experimental design with a one-group pretest-posttest approach. A total of 57 students were recruited using total sampling. Oral health maintenance behavior was assessed using a 10-item questionnaire with acceptable validity (r-value > 0.3601) and reliability (Cronbach's Alpha = 0.777). Data were analyzed using descriptive statistics and simple linear regression to examine the association between the educational intervention and behavioral outcomes.

Result: The mean oral health maintenance behavior score increased from 5.26 before the intervention to 7.23 after the intervention. Statistical analysis showed a significant improvement in behavior following animated video education (F = 80.882; p < 0.001). The regression model yielded an R² value of 0.595, indicating a substantial association between the intervention and post-intervention behavior scores.

Conclusion: Animated video-based education was associated with improved oral health maintenance behavior among elementary school students. The findings suggest that animated videos may serve as an effective and practical educational medium for promoting oral health behaviors in school settings. Further studies using controlled experimental designs are recommended to confirm the effectiveness of this intervention.

Evaluation Of The Implementation Of Continuity Of Care Towards The Reduction Of Complications In Postpartum Mothers

2026-06-09T13:53:34+07:00

Background: Postpartum maternal complications remain a significant public health concern, particularly in developing countries. The Continuity of Care (CoC) model is a comprehensive midwifery care approach that provides continuous services from pregnancy through childbirth and the postpartum period and has been suggested as a strategy to improve maternal health outcomes.

Objective: This scoping review aimed to map and evaluate the evidence regarding the implementation of Continuity of Care in reducing postpartum maternal complications and to identify factors influencing its implementation.

Method: This scoping review followed the Arksey and O’Malley framework enhanced by the Joanna Briggs Institute (JBI) methodology. Literature searches were conducted across several electronic databases using predefined keywords and Boolean operators. Studies were selected based on established inclusion and exclusion criteria. Data were extracted using a standardized form, and methodological quality was assessed using the JBI Critical Appraisal Tools. Reporting followed the PRISMA-ScR guidelines.

Result: Eight studies met the inclusion criteria. Six studies reported a reduction in postpartum complications or improved postpartum health outcomes among women receiving CoC services, while five studies found increased maternal satisfaction and better utilization of postpartum care services. Four studies identified continuity and competency of healthcare providers as key facilitators of successful implementation. Additional enabling factors included effective communication, adequate resources, and supportive health policies. Common barriers reported across the studies were workforce shortages, high workloads, and inconsistent policy implementation.

Conclusion: The available evidence suggests that Continuity of Care may contribute to improved postpartum outcomes and maternal satisfaction. However, variations in study design and implementation contexts limit definitive conclusions regarding its effectiveness. Strengthening healthcare workforce capacity, ensuring adequate resources, and enhancing policy support may facilitate more effective implementation of Continuity of Care, particularly in developing countries.

Maternal Hemodynamic and Nutritional Determinants of Neonatal Apgar score: The Role of Gestational Age, Body Mass Index, Hemoglobin, and Mean Arterial Pressure

2026-06-17T08:40:04+07:00

Background: The Apgar score is widely used to evaluate a newborn's physiological adaptation during the early transition from fetal to extrauterine life. Maternal physiological and nutritional conditions during pregnancy may influence neonatal outcomes. This study investigated the association between maternal hemodynamic parameters, nutritional status, and neonatal Apgar scores.

Method: A retrospective observational analytic study was performed using medical records from Margono Soekardjo Hospital collected in 2022. The study involved 190 mother–infant pairs selected through sequential sampling according to predetermined eligibility criteria. Gestational age, mean arterial pressure (MAP), hemoglobin concentration, and body mass index (BMI) were examined as independent variables, while the Apgar score served as the outcome variable. Statistical analyses included Spearman rank correlation and multiple linear regression, with statistical significance established at p < 0.05.

Result: Gestational age demonstrated a significant moderate positive relationship with Apgar score (ρ = 0.549; p < 0.001), indicating that increasing gestational age was associated with better neonatal adaptation. In contrast, maternal BMI was weakly and inversely correlated with Apgar score (ρ = -0.329; p < 0.001). No significant associations were observed between Apgar score and either hemoglobin level (ρ = -0.016; p = 0.825) or MAP (ρ = -0.022; p = 0.765). Regression analysis further identified gestational age (β = 0.494; p < 0.001) and BMI (β = -0.167; p = 0.008) as significant predictors of Apgar score, whereas hemoglobin concentration and MAP did not contribute significantly to the model.

Conclusion: Neonatal Apgar scores are primarily influenced by gestational age, with maternal BMI also showing a significant contribution. Conversely, maternal hemoglobin levels and mean arterial pressure were not associated with neonatal Apgar outcomes. These findings highlight the critical role of fetal maturity and maternal nutritional condition in supporting successful neonatal adaptation after birth

Effectiveness of Red Ginger (Zingiber officinale var. rubrum) Consumption on Low Back Pain, Stress Levels, and Sleep Quality among Third-Trimester Pregnant Women

2026-05-26T09:31:47+07:00

Background: Discomfort in the lower back is commonly experienced during the final stage of pregnancy and may affect emotional condition, daily activities, and sleeping patterns. Although ginger has long been used in traditional care, evidence regarding oral red ginger intake for maternal comfort during late pregnancy is still insufficient.

Method: This community-based pre-experimental study applied a single-group before-and-after approach. The study was conducted in the Sukadamai Public Health Center area, South Lampung, during March 2026. Twenty-one pregnant women in the third trimester who reported low back pain participated in the study. Participants consumed a drink prepared from fresh red ginger mixed with warm water twice daily for seven days. Pain intensity, stress condition, and sleep disturbance were evaluated before and after the intervention period.

Result: Significant improvements were identified following the intervention. Mean pain scores declined from 4.10 to 2.10. Stress scores also decreased from 5.90 to 2.33. In addition, sleep disturbance scores showed substantial improvement, decreasing from 8.14 to 2.81. Statistical testing demonstrated significant differences between pre-intervention and post-intervention measurements (p < 0.001).

Conclusion: Seven-day consumption of red ginger was associated with reduced discomfort and better maternal well-being among third-trimester pregnant women. Improvements were observed in low back pain, stress condition, and sleep quality. Nevertheless, further studies using controlled research designs are required to strengthen the evidence

Simulated Patient Perceptions of Telemedicine Medical Interviews: Extending the Calgary–Cambridge Framework in Digital Consultations

2026-06-03T11:08:44+07:00

Background: Telemedicine has transformed healthcare delivery by enabling remote doctor–patient interaction; however, digitally mediated consultations may alter communication processes and reduce relational engagement during medical interviews. Existing communication frameworks such as the Calgary–Cambridge model were originally developed for face-to-face consultations and may require adaptation for telemedicine contexts.

Objective: This study aimed to examine how communication processes unfold across telemedicine consultations using the Calgary–Cambridge framework as an organizational structure, and to identify emergent communication challenges from the perspective of simulated patients.

Method: A qualitative descriptive design involving 30 first-year medical students acting as simulated patients across 120 telemedicine consultations in Indonesia. Data were collected through structured post-consultation reflections and an interview with a telemedicine platform coordinator. Thematic analysis was conducted inductively, with consultation stages serving as sensitizing categories for data organization.

Result: Six emergent communication themes were identified: (1) relational deficit, (2) modality mismatch, (3) diagnostic risk, (4) information asymmetry, (5) limited patient involvement, and (6) unresolved communication. Consultations tended to prioritize biomedical information exchange over relational communication. Simulated patients responded more positively when doctors demonstrated explicit verbal empathy, comprehensive information gathering, adaptive use of voice or video communication, clear explanations, and supportive consultation closure. In contrast, reliance on text-based interaction, limited explanation, and physician-centered decision-making negatively affected participant experiences.

Conclusion: Telemedicine consultations reshape doctor–patient communication and require contextual adaptation of the Calgary–Cambridge framework. Effective telemedicine communication requires stronger emphasis on explicit rapport-building, modality management, structured verbal clarification, and facilitation of patient participation within digitally mediated healthcare interactions

Effectiveness of Audio-Visual Health Education on Adolescent Sexual and Reproductive Health Awareness in Bengkulu

2026-05-30T10:55:58+07:00

Background: Adolescent sexual and reproductive health (SRH) remains a major public health concern, particularly due to limited knowledge, negative attitudes, and risky behaviours among adolescents. Innovative educational approaches such as audio-visual media are needed to improve adolescents’ awareness and understanding of SRH issues.

Objective: This study aimed to determine the effectiveness of audio-visual health education in improving adolescents’ sexual and reproductive health knowledge, attitudes, and behaviours.

Method: This study employed a quasi-experimental design using a one-group pretest–posttest design without a control group. The study involved 75 tenth-grade students at a senior high school in Bengkulu, Indonesia. Participants received audio-visual-based SRH education over a two-week intervention period. Data were collected using a validated questionnaire assessing knowledge, attitudes, and behaviours related to sexual and reproductive health. Data analysis was performed using descriptive statistics and paired sample t-tests with a significance level of 0.05.

Result: The findings showed significant improvements in all measured variables after the intervention. The mean knowledge score increased from 47.72 to 50.64, attitude score increased from 45.48 to 49.41, and behaviour score increased from 45.48 to 54.53. Statistical analysis indicated that the differences between pre-test and post-test scores were significant for knowledge, attitudes, and behaviours (p < 0.001).

Conclusion: Audio-visual health education was effective in improving adolescents’ knowledge, attitudes, and behaviours regarding sexual and reproductive health. The findings suggest that multimedia-based educational interventions may serve as an effective strategy for adolescent reproductive health promotion in school settings.

Attitude As Dominant Predictor Of Pregnancy Anemia Incidence: A Cross-Sectional Analysis In Urban Jakarta

2026-06-09T14:20:10+07:00

Background: Anemia remains a major public health problem during pregnancy, affecting approximately 40% of pregnancies globally and 27.7% of pregnant women in Indonesia. Although maternal knowledge and attitudes are considered important behavioral factors, evidence regarding their association with anemia among pregnant women in urban Indonesian settings remains limited.

Method: A cross-sectional analytic study was conducted from July to August 2025 involving 60 pregnant women attending urban health facilities in East Jakarta. Knowledge and attitudes were assessed using validated questionnaires (Cronbach’s α=0.79–0.82). Anemia status was determined using a Sahli hemoglobinometer, with hemoglobin levels <11 g/dL classified as anemia. Data were analyzed using Chi-square tests and binary logistic regression with the Forward Likelihood Ratio method.

Result: The prevalence of anemia was 45.0% (27/60). Bivariate analysis showed that negative maternal attitude was significantly associated with anemia (OR=8.50; 95% CI: 2.10–34.20; p=0.002), whereas poor knowledge was not significantly associated (p=0.152). In multivariate analysis, negative maternal attitude remained significantly associated with anemia (aOR=7.85; 95% CI: 2.10–29.35; p<0.001). The final model explained 68.4% of the variance (Nagelkerke R²) and demonstrated good calibration (Hosmer–Lemeshow p=0.742).

Conclusion: Negative maternal attitude was significantly associated with anemia among pregnant women in this study. These findings suggest that maternal attitudes may be an important factor to consider in antenatal health promotion and anemia prevention programs. Further longitudinal studies are needed to clarify the direction and causal nature of this relationship.

Effectiveness of the "Hybrid-Midwifery" Model Based on WhatsApp Group and Home Visit on Early Detection of Pregnancy Danger Signs and Anxiety in Primigravida Mothers

2026-06-09T14:22:03+07:00

Background: Delayed recognition of pregnancy danger signs contributes to maternal and neonatal morbidity and mortality. Conventional antenatal education is often limited by time constraints, resulting in inadequate knowledge retention and persistent anxiety, particularly among primigravida mothers. Hybrid models integrating digital education and personalized support may enhance both cognitive and psychological outcomes during pregnancy.

Method: A quasi-experimental pretest–posttest control group study was conducted among 70 third-trimester primigravida mothers in Deli Serdang Regency, North Sumatra, Indonesia. Participants were recruited through purposive sampling and allocated into an intervention group (n=35) and a control group (n=35). The intervention group received a 4-week Hybrid-Midwifery program consisting of WhatsApp-based education and individualized home visits, while the control group received standard antenatal care. Knowledge of pregnancy danger signs was assessed using a validated questionnaire (Cronbach’s α=0.813), and anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using paired and independent t-tests.

Result: The intervention group demonstrated significantly higher post-test knowledge scores than the control group (84.50 ± 5.20 vs. 62.10 ± 6.35; mean difference=22.40, 95% CI: 19.10–25.70; p<0.001; Cohen’s d=3.87). Anxiety levels were significantly lower in the intervention group than in the control group at post-test (11.20 ± 2.15 vs. 20.40 ± 3.10; mean difference=9.20, 95% CI: 7.85–10.55; p<0.001; Cohen’s d=3.48).

Conclusion: The Hybrid-Midwifery model was associated with substantial improvements in knowledge of pregnancy danger signs and significant reductions in anxiety among primigravida mothers. This integrated digital-humanistic approach may serve as a feasible complementary strategy for strengthening antenatal care services in primary healthcare settings

Effectiveness of E-KSPR Telemedicine in Pregnancy Risk Assessment and Antenatal Care Quality

2026-05-20T14:39:36+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.

Method: 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, including behavioral, health service, environmental, and genetic factors. Data were analyzed using Chi-square tests and logistic regression, with a significance level of p < 0.05.

Result: 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 significantly associated (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 factor.

Conclusion: Behavioral factors and family history of disease significantly influence perceived health status among nursing lecturers. The novelty of this study lies in identifying these determinants in a specific lecturer population within nursing education. Faculty-based workplace health promotion programs focusing on healthy lifestyle behaviors, stress management, periodic health check-ups, and early detection of non-communicable disease risk factors are recommended to improve lecturers’ well-being, academic productivity, and the quality of nursing education.

Interprofessional Collaboration in Antenatal Care Services among Adolescents with Unintended Pregnancies: A Scoping Review

2026-04-20T20:18:31+07:00

Background: Unplanned pregnancies (UP) among adolescents remain a global public health issue associated with physical, psychological, and social risks. Adolescents often delay seeking antenatal care (ANC), which leads to an increased risk of complications. Interprofessional collaboration (IPC) is recognized as a strategic approach to improving the quality of ANC services. This study aims to explore interprofessional collaborative practices in antenatal care services for adolescents with unintended pregnancies, including institutional support, healthcare workforce competencies, interprofessional communication, collaborative work culture, service support systems, service implementation, and their contribution to the quality of antenatal care services.

Method: A scoping review was conducted using the Arksey & O’Malley approach to search the PubMed, ScienceDirect, EBSCO, and Springer databases for relevant articles. The articles were filtered using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart, critically appraised using the Joanna Briggs Institute (JBI) and the Mixed Methods Appraisal Tool (MMAT).

Result: Of the 2,060 articles selected for the review, 9 articles met the inclusion criteria. IPC in ANC is implemented through teamwork, integrated services, and cross-sectoral coordination. Key components include clarity of roles, effective communication, and shared decision-making. Supporting factors include institutional policies, resource availability, and workforce competencies. Barriers include fragmented systems, limited resources, and hierarchical communication challenges.

Conclusion: IPC improves the quality and comprehensiveness of antenatal care services for adolescents with unplanned pregnancies. Strengthening the policy framework, workforce competencies, and integrated service systems is essential for optimizing collaborative practices

Effectiveness of Health Education on the Knowledge and Attitudes of Pregnant Women in the Prevention of Preeclampsia: Scoping Review

2026-03-31T10:50:57+07:00

Background: Preeclampsia remains one of the leading causes of high maternal morbidity and mortality rates globally. This scoping review aims to identify and map scientific evidence on the effect of health education on pregnant women's knowledge and attitudes regarding preeclampsia, particularly in increasing knowledge, changing positive attitudes, and efforts during pregnancy.

Method: This study used a scoping review design with reference to the Arksey and O'Malley framework as a guideline for conducting a scoping review. Literature searches were conducted through the PubMed, ScienceDirect, Wiley, and Google Scholar databases. The articles included were publications from 2016 to 2025 that discussed health education and the knowledge and attitudes of pregnant women regarding the prevention of preeclampsia. The article selection process followed the PRISMA-ScR guidelines. Data were extracted and mapped based on the research objectives, study design, respondent characteristics, type of health education, and main findings.

Result: Ten articles were included. A total of 80% of studies reported low baseline knowledge and attitudes toward preeclampsia among pregnant women. All studies (80%) showed an increase in knowledge following health education interventions (counseling, group education, leaflets,audiovisual media). Approximatelely 70% of studies reported improvements in attitudes, and 60% showed positive changes in preventive behaviors.

Conclusion: Health education is an effective and consistent intervention in improving pregnant women’s knowledge and attitudes towards preeclampsia prevention. Its implementation must be standardized and integrated into antenatal care through structured and innovative media-based approaches, with an emphasis on not only knowledge improvement but also sustained behavioral change.

Research Dynamics Trends on Paternal Problem Disorders in Good Health and Wellbeing: A Decade Global Analysis (2015-2025)

2026-04-16T10:45:02+07:00

Background of study: Perinatal mental health has become a global issue that has gained attention. However, research has focused more on maternal issues than paternal issues, even though paternal play an important role in family dynamics and child welfare. The complexity of this issue requires a more comprehensive and up-to-date study to identify important gaps in understanding paternal mental health as a whole. Therefore, this study aims to map the dynamics of development, trends, and patterns of scientific collaboration in studies related to paternal mental health problems and disorders in good health and wellbeing

Methods: using a VOS-viewer based bibliometric analysis method of international publications over the last decade, including co-occurrence analysis (network, overlay, and density visualization) and co-authorship

Result: The result show a significant increase in perinatal publications, but dominance in maternal themes, even though there are already some expansion of studies towards paternal issues and intergenerational mechanisms.

Limitations: still use of a single database and the descriptive nature of the analysis. Further studies are needed to expand the data, deepen qualitative analysis, and explore paternal research longitudinally and cross-culturally

Conclusion: focus of research developing from maternal issues to family perspective, including paternal mental health, intergenerational mechanisms, and child development, although there has been no corresponding strengthening in terms of methodology or contextual considerations.

Implementation Of Balanced Counseling Strategy In Postpartum Family Planning Decision-Making: A Scoping Review

2026-04-16T13:23:09+07:00

Background: Postpartum family planning (PPFP) is a critical intervention for improving maternal and infant health and preventing unintended pregnancies. The quality of counseling plays a key role in supporting informed and sustainable contraceptive decision-making. The Balanced Counseling Strategy (BCS) is a patient-centered counseling approach designed to assist clients in making informed choices aligned with their needs and preferences. Objectives: This study aims to map the scientific evidence on the implementation of the Balanced Counseling Strategy (BCS) in postpartum family planning decision-making.

Method: This study employed a scoping review design based on the Arksey and O’Malley framework, further refined by the Joanna Briggs Institute (JBI) guidelines. Literature searches were conducted in PubMed, ScienceDirect, Wiley Online Library, and Google Scholar for articles published between 2020 and 2025. A total of 19 articles met the inclusion criteria and were analyzed using thematic synthesis.

Result: The findings identified seven main themes, including the effectiveness of BCS in improving knowledge, attitudes, and contraceptive decision-making, increased uptake of long-term contraceptive methods, the importance of patient-centered counseling, healthcare provider capacity, and the influence of sociocultural and health system factors. Several studies reported statistically significant improvements in contraceptive decision-making outcomes following BCS implementation. Conclusion: The Balanced Counseling Strategy is an effective and relevant approach for supporting postpartum family planning decision-making. Its success is influenced by healthcare provider capacity, sociocultural context, and health system support. Strengthening provider training, addressing workload challenges, and integrating BCS into routine maternal health services are essential to optimize its implementation.

Conclusion: The Balanced Counseling Strategy is an effective and relevant approach for supporting postpartum family planning decision-making. Its success is influenced by healthcare provider capacity, sociocultural context, and health system support. Strengthening provider training, addressing workload challenges, and integrating BCS into routine maternal health services are essential to optimize its implementation.

The Role of Peer Education in Adolescent Girls for Stunting Prevention: A Scoping Review

2026-04-27T09:34:00+07:00

Background: Stunting remains a major public health problem with long-term consequences for physical growth, cognitive development, and future productivity. Prevention efforts should begin before pregnancy, particularly during adolescence, as adolescent girls are vulnerable to anemia and may enter pregnancy with inadequate nutritional status. Although peer education is widely used in adolescent health promotion, evidence regarding its contribution to stunting prevention remains fragmented.

Methods: This scoping review followed the PRISMA-ScR guideline to map evidence on the role of peer education in improving knowledge, attitudes, and behaviors related to stunting prevention among adolescent girls. The review was guided by the PCC framework, with adolescent girls as the population, peer education as the concept, and stunting prevention as the context. Literature searches were conducted in PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. Studies published between 2016 and 2025 were screened using predefined inclusion and exclusion criteria, and eligible articles were synthesized narratively.

Results: A total of 1,931 records were identified, of which 13 studies met the inclusion criteria. Five major themes emerged: educational media for nutrition and stunting prevention, effects of peer education on knowledge-attitude-behavior outcomes, adherence to Fe/IFA supplementation, social and environmental support, and implementation challenges. Overall, peer education demonstrated positive effects on nutritional literacy, anemia-related knowledge, preventive attitudes, and health-promoting behaviors, particularly adherence to iron supplementation. However, intervention effectiveness was influenced by teacher support, parental involvement, peer interaction, and program sustainability.

Conclusion: Peer education is a promising strategy for adolescent-based stunting prevention because it strengthens knowledge, attitudes, and preventive behaviors through socially relevant communication. Its effectiveness may be enhanced when integrated into school health programs, aligned with supplementation initiatives, and supported by continuous monitoring from schools and families.

The Influence of Patient Knowledge, Hospital Policy, and Data Validity on the Ease of Using the SIRANAP Inpatient Information System

2026-05-21T09:38:02+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.

Objective: This study aimed to analyze the determinants of EMR closing delays using the Human–Organization–Technology Fit (HOT-Fit) model.

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.

Determinants of Perceived Benefits and Ease of Use of the JKN Mobile App Among Outpatients: A Cross-Sectional Study

2026-05-20T11:52:00+07:00

Background: The digitization of healthcare services has encouraged the utilization of information technology to improve efficiency, accessibility, and quality of healthcare services. One innovation developed by BPJS Kesehatan is the Mobile JKN application, which facilitates participants in accessing various administrative and healthcare services digitally. However, the utilization of the Mobile JKN application among outpatients remains suboptimal. This condition is assumed to be influenced by users’ perceptions of perceived usefulness and perceived ease of use. Therefore, this study aimed to analyze the determinants of perceived usefulness and perceived ease of use toward the utilization of the Mobile JKN application among outpatients at Bandar Negara Husada Regional General Hospital.

Method: This study employed a quantitative approach with a cross-sectional analytical design. The sample consisted of 150 outpatient participants enrolled in the JKN program who were selected based on inclusion and exclusion criteria. Data were collected using a structured questionnaire that assessed respondent characteristics, perceived usefulness, perceived ease of use, and utilization of the Mobile JKN application. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate logistic regression analysis.

Result: The bivariate analysis demonstrated that perceived usefulness (p = 0.001) and perceived ease of use (p = 0.002) were significantly associated with the utilization of the Mobile JKN application. Furthermore, the multivariate logistic regression analysis revealed that perceived usefulness was the dominant factor influencing Mobile JKN utilization (AOR = 3.26; 95% CI: 1.63–6.51; p = 0.001), while perceived ease of use also showed a significant association (AOR = 2.59; 95% CI: 1.38–4.86; p = 0.003).

Conclusion: Perceived usefulness and perceived ease of use significantly influence the utilization of the Mobile JKN application among outpatients. Perceived usefulness was identified as the most dominant factor affecting application utilization. Therefore, efforts to improve users’ understanding of the benefits and ease of use of the Mobile JKN application are necessary to increase the adoption of digital healthcare services among JKN participants.

Nutrition Patterns and Iron Supplementation in the Prevention of Anaemia in Adolescent Girls

2026-05-26T13:49:08+07:00

Background: Anaemia among adolescent girls remains a major public health problem in developing countries and is associated with inadequate dietary intake and low adherence to iron supplementation. Despite numerous studies examining dietary patterns and iron supplementation, evidence regarding the nutritional, behavioural, and environmental factors influencing anaemia prevention has not been comprehensively synthesised. This study aimed to map the available scientific evidence on nutrition patterns and iron supplementation in the prevention of anaemia among adolescent girls.

Method: A scoping review was conducted following the Arksey and O’Malley framework. Literature searches were performed in PubMed, ScienceDirect, Wiley Online Library, and Google Scholar databases for studies published between 2020 and 2025. Articles were screened according to predefined inclusion and exclusion criteria. Data were extracted, charted, and synthesised thematically. Of the 317 articles identified, 11 studies met the eligibility criteria and were included in the review.

Result: The review identified four major themes: behavioural and psychosocial factors, nutritional patterns and nutrient intake, adherence to iron supplementation, and educational interventions. Low intake of iron, protein, and vitamin C, unhealthy dietary habits, and poor adherence to iron-folic acid supplementation were consistently associated with a higher risk of anaemia. Knowledge, motivation, attitudes, self-efficacy, and support from schools and families influenced preventive behaviours and supplementation adherence. Educational interventions improved knowledge and adherence; however, their impact on haemoglobin levels was inconsistent across studies.

Conclusion: Anaemia prevention among adolescent girls requires an integrated approach combining dietary improvement, iron supplementation, behavioural interventions, and supportive environments. Strengthening nutrition education, promoting adherence to supplementation programmes, and implementing school-based health promotion strategies are recommended to reduce the burden of anaemia among adolescent girls.

The Effectiveness of Education Using Video Presentations on Improving Dental and Oral Health Knowledge in Grade IV Children in State Elementary Schools Bengalon 1

2026-05-30T10:55:07+07:00

Background: Dental and oral health problems in school-age children are still common and one of them is due to a lack of knowledge about how to maintain dental and oral health properly. Educational media in the form of video presentations can be used to improve student understanding because it combines visual and audio elements that are more interesting to children. This study aims to determine the effectiveness of dental and oral health education using presentation video media on the level of knowledge of grade IV elementary school students.

Method: This study uses a quantitative approach with a quasi-experimental pretest–posttest design. The research participants amounted to 52 grade IV students of SD Negeri Bengalon 1 who were selected using the purposive sampling technique. Data collection was carried out using a dental and oral health knowledge questionnaire of 10 questions given before and after the intervention. The intervention was in the form of a 5-minute educational video on how to maintain healthy teeth and mouth, tooth brushing techniques, healthy food, and prevention of dental diseases. Data analysis was carried out using the Shapiro–Wilk normality test and the Wilcoxon Signed Rank Test.

Result: The results showed an increase in students' knowledge scores after being given the intervention. The results of the Wilcoxon Signed Rank Test showed that there was a significant difference between the pretest and posttest scores with a significance value of 0.001 (p < 0.05). A total of 43 students experienced an increase in scores after being given education

Conclusion: Dental and oral health education using presentation video media is effective in improving the knowledge of grade IV elementary school students. Video media can be used as an interesting and effective health learning method for school-age children.

Experience Sexually Active Adolescents in the Use of Condoms to Prevent HIV/AIDS: Scoping Review

2026-06-02T11:37:23+07:00

Background: Sexually active adolescents are vulnerable to HIV/AIDS transmission due to various psychological, socioeconomic, and sociocultural factors. Although condoms are recognized as an effective method for preventing HIV transmission, their use among adolescents remains inconsistent and is influenced by individual experiences and social contexts. This scoping review aimed to map and synthesize evidence on adolescents’ experiences of condom use for HIV/AIDS prevention.

Method: This scoping review followed the PRISMA-ScR guidelines and was guided by the Population–Exposure–Outcome–Study Design (PEOS) framework. Literature searches were conducted in PubMed, ScienceDirect, and DOAJ. Eligible studies were full-text articles published between 2021 and 2025 that explored condom use experiences among sexually active adolescents. Data were extracted and critically appraised using Joanna Briggs Institute (JBI) tools.

Result: A total of 1,448 records were identified, and eight studies met the inclusion criteria. Five major themes emerged: subjective experiences of condom use, psychosocial factors, socio-cultural norms, trauma and vulnerability, and health systems and services. Key factors influencing condom use included social stigma, limited negotiation skills, restrictive cultural norms, trauma-related experiences, and inadequate access to adolescent-friendly health services.

Conclusion: Adolescents’ experiences of condom use are complex and shaped by psychosocial, sociocultural, and structural factors. Effective HIV/AIDS prevention strategies should incorporate culturally sensitive policies, evidence-based interventions, and strengthened adolescent-friendly health services to support safer sexual behaviors among adolescents.

User Experience Evaluation of a Gamified Puberty Education Application Among Elementary School Students: A UEQ-Based Study

2026-05-21T09:38:54+07:00

Background: Adolescence is a critical developmental stage marked by physical, psychological, and social changes related to puberty and reproductive health. However, many adolescents still have limited understanding of puberty, which may increase risky behaviors. Gamified digital media may provide an engaging approach to puberty education. This study evaluated the user experience of the Pubertas Cerdas application, a gamified educational platform designed for elementary school students.

Method: A quantitative descriptive study with user testing was conducted among 140 elementary school students in Palembang, Indonesia. User experience was assessed using the User Experience Questionnaire (UEQ), covering attractiveness, perspicuity, efficiency, dependability, stimulation, and novelty. Data were analyzed descriptively using a scale ranging from -3 to +3.

Result: The Pubertas Cerdas application demonstrated positive results across all UEQ dimensions. The highest mean score was stimulation (2.20), followed by attractiveness (2.12) and efficiency (2.05), indicating that the application was engaging, appealing, and easy to use. Perspicuity (1.95), dependability (1.88), and novelty (1.76) also showed favorable evaluations, suggesting that the application was understandable, reliable, and innovative enough for users..

Conclusion: The Pubertas Cerdas application provides a positive user experience and shows potential as a digital learning medium for puberty education among adolescents. The application may support school-based health education through interactive and accessible learning. Further development is needed to enhance the application’s innovative features and strengthen user engagement.

The Effectiveness of Telang Flower Extract Sitz Bath on Healing Perineal Wounds in Postpartum Mothers

2026-05-16T13:41:19+07:00

Background: Perineal wounds are a common problem experienced by postpartum mothers. Improper treatment may delay wound healing, increase the risk of infection, and reduce maternal comfort. One non-pharmacological intervention that may accelerate wound healing is a sitz bath with telang flower extract (Clitoria ternatea), which contains flavonoids, anthocyanins, and tannins with anti-inflammatory, antioxidant, and astringent properties. The purpose of this study was to determine the effect of perineal wound care using sitz bath method with Telang flower extract on perineal wound healing in postpartum women at Mutiara Agma Pratama Clinic, Bengkulu Town.

Method: This study used a quasi-experimental design with a pre-post-test control group approach. A total of 26 respondents were selected using purposive sampling, consisting of 13 respondents in the intervention group and 13 respondents in the control group. Data were collected using the REEDA scale observation sheet. Statistical analysis included the Shapiro-Wilk normality test, Levene’s Test for homogeneity, Paired Samples T-Test, and Independent Samples T-Test.

Result: The results showed a decrease in the average REEDA score in the intervention group from 8.46 to 1.38 (difference = 7.077; p = 0.000), while the control group decreased from 8.62 to 4.46 (difference = 4.154; p = 0.000). The Independent Samples T-Test revealed a significant difference in posttest REEDA scores between the intervention and control groups (p = 0.000). The intervention group had a lower average REEDA score, indicating better perineal wound healing.

Conclusion: The sitz bath method with telang flower extract was proven effective in accelerating perineal wound healing in postpartum mothers. This intervention can be considered as an alternative non-pharmacological perineal wound care method in health facilities and may also be applied as self-care at home under the guidance of health workers.

Perceptions And Experiences Of Prospective Brides And Grooms And Ora Officers Regarding The Use Of “Suscatinting” Application

2026-05-20T08:42:22+07:00

Background: Efforts to prevent stunting should begin in the preconception stage, especially among prospective married couples. The SusCatinTing (Premarital Course for Stunting Prevention) application is a digital-based intervention designed to improve the knowledge and experiences of prospective couples, especially regarding the First 1,000 Days of Life. It offers educational content of healthy pregnancies, maternal nutrition, and the concept of a harmonious family. To ensure inclusivity, the application features audio-based learning for users with visual impairments or limited literacy, alongside a Google Maps integration to help locate the nearest Office of Religious Affairs (ORA). This study aims to explore the perceptions, experiences of prospective brides and grooms in using the SusCatinTing application.

Method: This study used a qualitative design to understand the phenomenon perception and experience. The research stages are systematically structured, starting with identifying informants, data collection, analysis, and drawing conclusions. Data collection was conducted through in-depth interviews and observations. Informants were selected purposively according to predetermined criteria so that the obtained can support the achievement of the research objectives. Each ORA was represented by one couple as the main informants. Supporting informants consisted of one marriage registrar, one marriage registration officer, and one Head of ORA from each selected office.

Result: Almost all prospective couples participated in scheduled premarital guidance sessions conducted by the ORA. While many had heard of stunting previously, few were aware of it through the ORA. Most respondents were unfamiliar with SusCatinTing until they saw promotional posters during their marriage registration process. All respondents reported the app to be user-friendly, though it requires an internet connection.

Conclusion: The findings suggest that the SusCatinTing application is a highly effective digital tool. It serves as a practical, innovative model for providing essential stunting prevention education to couples entering marriage.

User Comfort with the F-KICO (Fetal Kick Count) Tool and Its Correlation with Maternal Fetal Attachment: A Cross-Sectional Study

2026-05-30T08:41:22+07:00

Introduction: Fetal movement monitoring is an important component of antenatal care to support fetal well-being and contributes to achieving Sustainable Development Goals (SDG) 3: Good Health and Well-Being through improved maternal and fetal health. The F-KICO (Fetal Kick Count) model has been developed and validated through expert review; therefore, a pilot study was conducted to evaluate user comfort and its relationship with maternal fetal attachment (MFA). This study aimed to examine the correlation between user comfort in using F-KICO and MFA.

Methods: A pilot cross-sectional study was conducted among 100 pregnant women recruited from four Public Health Centers in Bantul, Indonesia (Kasihan I, Kasihan II, Bantul II, and Sedayu II). User comfort was measured using the Fetal Movement Monitoring User Comfort Scale (FMM-UCS), while MFA was assessed using an adapted Prenatal Attachment Inventory (PAI). Data were analyzed using descriptive statistics, the Kolmogorov–Smirnov normality test, and Pearson correlation analysis.

Results: Most participants reported good comfort in using the F-KICO tool and demonstrated good MFA. Pearson correlation analysis revealed a significant positive relationship between user comfort and MFA (r = 0.462, p < 0.01), indicating that higher comfort in using the monitoring tool was associated with stronger emotional bonding between mother and fetus.

Conclusion: The F-KICO model demonstrated a high level of user comfort and was positively associated with MFA. These findings suggest that user-centered fetal movement monitoring tools can support maternal engagement and strengthen the MFA. The results also highlight the potential of F-KICO for further development and evaluation in larger populations.

Foot Exercise Intervention for Diabetic Peripheral Neuropathy in Patients with Diabetes Mellitus: A Literature Review

2026-05-20T11:08:46+07:00

Background: Among individuals with type 2 diabetes mellitus, diabetic peripheral neuropathy (DPN) frequently develops as a long-term complication and substantially increases the likelihood of foot ulcer formation and lower-limb amputation. Non-pharmacological approaches, including foot exercise programs, have been proposed to improve foot function and mitigate the progression of DPN. Existing evidence suggests that foot exercises may enhance peripheral circulation, optimize foot biomechanics, and improve sensory nerve function. Objective: The present review was undertaken to critically examine and integrate recent findings regarding the impact of foot exercise interventions on patients with type 2 diabetes mellitus experiencing DPN.

Method: : A systematic literature search was performed in Google Scholar, PubMed, and ScienceDirect to identify studies published within the last five years. Article selection was guided by the PICOS framework. Experimental and quasi-experimental studies investigating foot exercise interventions were included. Eleven eligible articles were reviewed and synthesized narratively.

Result: The findings indicate that foot exercise interventions contribute to improvements in foot sensation, peripheral perfusion, sensory nerve function, balance, walking speed, gait performance, and foot biomechanics. Furthermore, these interventions may decrease the likelihood of diabetic foot ulcer formation.

Conclusion: As a non-pharmacological intervention, foot exercise offers a practical and effective option for improving outcomes in individuals with DPN. Future research employing randomized controlled trial designs and longer follow-up periods is recommended to establish the most effective exercise protocol.

A Qualitative Exploration of Palliative Care Experiences among Javanese Patients and Families

2026-05-09T12:51:41+07:00

Background: Cultural aspects play a crucial role in providing nursing care, particularly for patients and families with terminal or chronic illnesses undergoing palliative care. Understanding patients' and families' cultural aspects is essential to provide empathetic, effective, and culturally respectful palliative care.

Method: This qualitative phenomenological study involved in-depth interviews with 10 participants (5 patients and 5 family members) selected through purposive sampling. Data were analyzed using Colaizzi's method.

Result: Five main themes emerged reflecting the cultural perceptions of palliative care among Javanese patients and families: (1) Hope for recovery and a better life-serving as a spiritual and emotional anchor held by patients and families; (2) Family roles and responsibilities-encompassing caregiving duties, emotional support, and efforts to maintain family harmony and dignity; (3) Anxiety about the future-including concerns about dependency, financial burden, and the impact of loss, felt by both patients and families; (4) Life as a test and trial from God-a strong spiritual belief that illness is part of destiny, collectively accepted; (5) Surrender and acceptance (nrimo)-a characteristic Javanese attitude practiced by patients and families as a coping mechanism to find peace amidst uncertainty.

Conclusion: Nrimo, sincere acceptance of illness as divine will, functions as an active, value-based coping mechanism that enhances resilience and spiritual well-being, differing from Western concepts of passive resignation. Healthcare professionals must validate nrimo as adaptive coping, not fatalism. Family-centered, indirect communication with early engagement of decision-makers is recommended. Spiritual care integration through religious leaders is essential for meaning-making.

Determinants of Exclusive Breastfeeding Among Mothers in Buleleng Regency, Bali: A Cross-Sectional Study

2026-05-16T10:42:14+07:00

Background: Exclusive breastfeeding plays a crucial role in supporting infant growth, health, and development during the first six months of life. Despite ongoing breastfeeding promotion efforts, the proportion of infants receiving exclusive breastfeeding remains inadequate in several parts of Indonesia. Identifying factors that influence breastfeeding behavior is essential for developing targeted maternal and child health programs. This study explored determinants associated with exclusive breastfeeding among mothers residing in Buleleng Regency, Bali.

Method: A community-based analytical study with a cross-sectional approach was undertaken between June and July 2025. The study involved 144 mothers who had children aged 6–24 months. Eligible participants were selected from public health service areas through purposive recruitment. Information was gathered through face-to-face structured interviews, and factors related to exclusive breastfeeding were examined using multivariable logistic regression.

Result: Of all respondents, 43.1% reported practicing exclusive breastfeeding during the first six months after birth. After controlling for potential confounding factors, mothers from lower-income households were less likely to exclusively breastfeed than those from higher-income households (AOR=0.20; 95%CI: 0.07–0.60; p=0.005). Receipt of breastfeeding information during the postpartum period was strongly associated with increased odds of exclusive breastfeeding (AOR=23.82; 95%CI: 3.10–182.94; p=0.001). In addition, mode of birth remained significantly related to breastfeeding practice, with mothers who delivered by cesarean section showing higher odds of exclusive breastfeeding than those who delivered vaginally (AOR=4.50; 95%CI: 1.39–15.12; p=0.012).

Conclusion: Exclusive breastfeeding prevalence in Buleleng Regency has not yet reached optimal levels. Household economic status, childbirth-related factors, and postpartum breastfeeding support were identified as important determinants of breastfeeding continuation. Expanding breastfeeding assistance after delivery may contribute to improving exclusive breastfeeding outcomes in community settings.

The First Seven Days Matter: Knowledge and Attitudes of Postpartum Mothers Toward Newborn Care - A Cross-Sectional Study in Buleleng Regency

2026-05-02T10:40:47+07:00

Background: The first 0–7 days of life represent the most critical period for neonatal survival, with a high risk of morbidity and mortality. Although maternal knowledge and attitudes are considered key determinants of newborn care, evidence regarding their influence on actual practices remains inconsistent.

Method: A cross-sectional analytic study was conducted among 128 postpartum mothers selected using purposive sampling. Data were collected using validated questionnaires measuring knowledge, attitudes, and newborn care practices. Data analysis was performed using Chi-square and Fisher-Freeman-Halton Exact tests with a significance level of 0.05.

Result: Most respondents had good knowledge (66.4%), very positive attitudes (79.7%), and good newborn care practices (94.5%). A significant association was found between maternal knowledge and newborn care practices (p < 0.001), indicating that higher knowledge is associated with better practices. However, maternal attitudes were not significantly associated with practices (p = 0.136), despite the predominance of positive attitudes. Conclusion: Maternal knowledge plays a critical role in shaping newborn care practices, whereas positive attitudes alone are insufficient to ensure appropriate behavior.

Conclusion: highlight a gap between attitude and practice, emphasizing the importance of contextual and enabling factors. Strengthening maternal and child health programs should focus on skill-based education, structured postnatal counseling, and family support to ensure effective translation of knowledge into practice

Health Promotion Strategies to Improve Access to Maternal Health Services for Women with Sensory Disabilities: A Scoping Review

2026-05-13T08:20:44+07:00

Background: Women with sensory disabilities continue to experience inequitable access to maternal health services, particularly due to communication barriers, limited access to information, and insufficiently inclusive health systems. Health promotion strategies have been proposed to address these challenges; however, evidence regarding their effectiveness remains fragmented and has not been systematically synthesized.

Methods: This study employed a scoping review design following PRISMA-ScR and Joanna Briggs Institute (JBI) guidelines. Literature searches were conducted across four databases (PubMed, ScienceDirect, Wiley, and Google Scholar) using Boolean operators and truncation techniques. Articles were selected based on Population, Concept, and Context (PCC) criteria. Of 2,484 identified records, 10 studies met the inclusion criteria and were analyzed using data charting. Study quality was assessed using JBI critical appraisal tools.

Result: Three major themes of health promotion strategies were identified: (1) inclusive communication strategies, including interpreter services and accessible communication methods; (2) strengthening health system responsiveness through training of healthcare providers and development of inclusive maternal services; and (3) utilization of adaptive digital technologies and patient empowerment. These strategies were associated with improved communication, increased health literacy, and better utilization of maternal health services. However, persistent barriers such as limited resources, lack of trained personnel, and systemic constraints continue to affect implementation.

Conclusion: Health promotion strategies play a crucial role in improving access to maternal health services for women with sensory disabilities. Effective implementation requires an integrated, system-level approach that combines inclusive communication, capacity building, and adaptive technologies to achieve equitable and sustainable maternal healthcare.

Prevention And Treatment Of Chronic Energy Deficiency In Pregnant Women: A Scoping Review

2026-04-30T09:39:56+07:00

Background: Chronic Energy Deficiency (CED) in pregnant women remains an important maternal health problem, particularly in low- and middle-income settings. CED is associated with inadequate nutritional intake and may contribute to adverse maternal and neonatal outcomes. Therefore, a comprehensive understanding of its determinants, impacts, and management strategies is needed.

Methods: This study used a scoping review design guided by the PRISMA-ScR framework and the PCC (Population, Concept, Context) approach. Literature was searched in PubMed, Wiley Online Library, ProQuest, and ScienceDirect for Indonesian- and English-language articles published between 2020 and 2025. The study selection process was conducted using predefined inclusion and exclusion criteria and managed using Rayyan. Of 665 records initially identified, 44 duplicates were removed, and 10 studies were included in the final review.

Results: Four major themes were identified: (1) risk factors for CED in pregnant women, including age, socioeconomic conditions, dietary intake, and infectious diseases; (2) the impact of CED on pregnancy and infant health, such as low birth weight, prematurity, and maternal complications; (3) nutritional interventions for CED management, including nutrition education, supplementation, and local food-based supplementary feeding; and (4) prevention strategies through public health policies and community-based support.

Conclusion: The evidence indicates that CED in pregnant women is influenced by multidimensional factors and requires integrated prevention and management strategies. Nutrition education, supplementation, local food utilization, and stronger policy implementation are essential to improve maternal nutritional status and pregnancy outcomes.

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.

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.

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.

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

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

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.

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.