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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Merita Arini
Master of Hospital Administration, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia
Health Professions Public Health

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Effectiveness of Brief Online Education in Enhancing Parental Knowledge on Child Growth and Health Monitoring Merita Arini; Edwin Tohaga; Erwin Astha Triyono; Harumi Iring Primastuti; Wan Hasliza Wan Mamat; Desiani Wahyu Utami; Warkim Sutarto; Fauzan Adima; Abdul Latif Kurniawan; Teuku Ilham Noeryosan
Media Publikasi Promosi Kesehatan Indonesia Vol. 8 No. 11 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8297

Abstract

Introduction: Monitoring children’s growth and development is essential, yet many parents face barriers in accessing reliable health education. While online learning offers potential solutions, evidence of its effectiveness remains limited, particularly in developing countries. This study assessed the impact of a pediatrician-led online session, consisting of a brief presentation and interactive discussion via Zoom, conducted in collaboration with a community clinic, on parental knowledge regarding child growth and health monitoring. Methods: A single-group pretest-posttest design was conducted with 77 eligible participants from a publicly accessible webinar in collaboration with a private clinic in Bantul, Yogyakarta, Indonesia. The intervention included a pediatrician-led session covering growth milestones, health indicators, and monitoring techniques. A ten-item online questionnaire was developed and validated for content by four experts using the Content Validity Index (CVI), resulting in an average S-CVI of 0.95. Wilcoxon Signed-Rank Test and effect size analysis were performed. Results: Participants’ knowledge significantly increased following the intervention (p = 0.001) with a medium to large effect size (r = 0.52). There was an improvement in participants’ knowledge scores from a median of 70 (IQR 60–80) to 100 (IQR 85–100). No significant differences were found across demographic variables such as age, gender, or occupation (p > 0.05). Conclusion: This study demonstrated a positive shift in parental knowledge after a brief Zoom-based session. The findings underscore the potential of accessible online education to initiate broader community involvement in child health monitoring. Sustained impact will require integration with ongoing education, system-level support, and attention to barriers such as digital access and health literacy.
Lean–Visual Management Integration in Hospital Information Systems to Sustain Pharmacy Performance Under High Workload Chintya Puspa Ayu Tirta; Merita Arini
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 2 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8995

Abstract

Introduction: Hospital pharmacy services face increasing operational complexity, requiring efficient, adaptive, and data-driven systems. Integrating Lean Thinking (LT) and Visual Management (VM) into Hospital Information Systems (HIS) offers strategic potential to enhance workflow transparency, reduce waste, and improve service quality. This study aimed to evaluate the impact of LT–VM within HIS on service effectiveness, measured through prescription response times, and process efficiency, measured using the Value Added Ratio (VAR) derived from Value Stream Mapping (VSM). Methods: A quantitative case study was conducted in the outpatient pharmacy unit of PKU Muhammadiyah Wonosobo Hospital, Central Java, Indonesia. Secondary data of 55,767 outpatient prescriptions were analyzed (17,373 pre-implementation and 38,394 post-implementation), while primary data were collected through direct workflow observation using VSM. Statistical analysis used the Mann–Whitney U test to assess pre-post differences, while process efficiency was examined through VAR calculations for compounded and non-compounded prescriptions. Results: Non-compounded prescriptions showed a significant improvement in response time (p = 0.005), despite a 2.5-fold increase in prescription volume, indicating sustained system performance. Notably, unlike most Lean studies that emphasize waiting-time reduction, the present findings demonstrate that LT–VM–HIS integration primarily contributed to maintaining workflow stability under increased workload. Compounded prescriptions exhibited no significant change (p = 0.424), although reduced variability suggested improved consistency. VSM results showed VAR of 40.08% for non-compounded and 51% for compounded prescriptions, highlighting persistent bottlenecks during workflow transitions and the limited influence of digital interventions on labor-intensive manual tasks. Conclusion: The integration of LT–VM within HIS enhanced process consistency, reduced variability, and maintained operational performance under increased workload. However, manual compounding tasks limited efficiency gains, underscoring the need for hospital-wide Lean digitalization and synchronized scheduling to balance demand and capacity. These findings support the broader application of Lean-based digital transformation to achieve resilient and patient-centered healthcare systems.
The Evolution of Lean Six Sigma Research in Hospitals: Trends, Themes, and Future Directions Noni Rinasmara Fadhilah; Merita Arini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29326

Abstract

In response to the increasing complexity of healthcare services, hospitals have adopted systemized approaches to enhance operational performance while ensuring safe, high-quality patient care. Lean Six Sigma (LSS) has been widely applied in healthcare settings to improve processes, such as patient flow, discharge procedures, and hospital length of stay. However, the overall development of LSS research in hospitals, including the evolution and interrelationships of key research themes, has not been comprehensively examined. This study aimed to explore the current landscape of hospital-based LSS research with respect to publication trends, major research themes, collaboration characteristics, and research gaps. A total of 70 publications indexed in the Scopus database between 2016 and 2025 were analysed using the keywords “Lean Six Sigma” AND “Hospital”. Bibliographic data were analysed using Bibliometrix in R and VOSviewer to examine publication trends, keyword co-occurrence networks, collaboration networks, and thematic evolution. The results showed that publications increased at an annual growth rate of 18.19% indicating growing interest in hospital-based LSS research. Research efforts were primarily focused on operational efficiency, particularly patient flow, discharge processes, and length of stay. Three interconnected research domains emerged: operational efficiency, clinical quality, and organisational performance. Identified research gaps included the limited integration of digital technologies, the underrepresentation of low- and middle-income countries, limited international collaboration, and relatively less attention to patient safety and patient-centred outcomes. Although hospital-based LSS research continues to expand, it remains predominantly oriented toward operational improvement. Future research should focus on integrating digital technologies, broadening the range of healthcare contexts studied, strengthening international collaboration, and addressing clinical, safety, and patient-centred outcomes.Keywords: Lean Six Sigma, Healthcare Quality Improvement, Operational Efficiency, Patient Safety, Hospital Process Management, Bibliometric Analysis, VOSviewer.
Co-Authors Abdul Latif Kurniawan Chintya Puspa Ayu Tirta Desiani Wahyu Utami Edwin Tohaga Erwin Astha Triyono Fauzan Adima Harumi Iring Primastuti Noni Rinasmara Fadhilah Teuku Ilham Noeryosan Wan Hasliza Wan Mamat Warkim Sutarto