Sri Dewi Gulo
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PEMETAAN SISTEM ADMINISTRASI KESEHATAN DAN IDENTIFIKASI MASALAH MANAJERIAL BERBASIS KEARIFAN LOKAL DALAMA PELAYANAN RAWAT JALAN DI RS. DR. HAFIZ CIANJUR Melly Rohmawati Nur; Asep sultoni Nugraha; Sri Dewi Gulo
Journal of Midwifery and Health Administration Sciences Vol. 2 No. 1 (2026): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Abstract

Hospital outpatient services require an effective health administration system to ensure service quality, patient safety, and organizational efficiency. Integrating local wisdom into health administration management may strengthen communication, patient-centered care, and service acceptance within local communities. This paper aims to describe the mapping of health administration systems and identify managerial problems based on local wisdom in outpatient services. This study employs a qualitative method with a descriptive approach to identify the health administration system and managerial issues—based on local wisdom—regarding outpatient services at Dr. Hafiz Hospital, Cianjur. The study results indicate that the health administration system for outpatient services at Dr. Hafiz Hospital, Cianjur, comprises five key components: patient registration, medical record management, the hospital information system, human resource management, and service monitoring and evaluation. The study also identified several managerial issues, including ineffective communication, suboptimal inter-unit coordination, inconsistent implementation of standard operating procedures (SOP), underutilization of the hospital information system, and suboptimal integration of local wisdom values ​​into the delivery of outpatient services. Mapping the health administration system and identifying managerial issues provide a strategic foundation for strengthening outpatient service governance through enhanced coordination, information system optimization, human resource competency development, consistent implementation of standard operating procedures (SOP), and the integration of local wisdom values ​​to improve the quality of healthcare services.    
MANAJEMEN PELAYANAN EDUKASI TEKNIK RELAKSASI NAPAS DALAM SEBAGAI UPAYA MENURUNKAN TINGKAT KECEMASAN IBU PRIMIGRAVIDA MENJELANG PERSALINAN DI RS Dr. HAFIZ CIANJUR Melly Rohmawati Nur; Asep sultoni Nugraha; Sri Dewi Gulo; M. Kartono Wijoyo K usumo; Septaria Nurhidayati; Vindi Krisna Chandra
Journal of Midwifery and Health Administration Sciences Vol. 1 No. 1 (2025): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Abstract

Background: Anxiety before childbirth is commonly experienced by primigravida women and may influence psychological readiness, confidence, and the overall childbirth experience. Anxiety management is therefore an important component of comprehensive antenatal services. Deep-breathing relaxation is a simple, non-pharmacological technique that can be taught and practiced during antenatal care. Integrating structured education into antenatal service management may provide pregnant women with practical skills to manage anxiety before childbirth. Objective: This study aimed to evaluate the effectiveness of structured education on deep-breathing relaxation in reducing anxiety among primigravida women approaching childbirth and to examine its potential integration into antenatal service delivery. Methods: A quasi-experimental pretest-posttest control group design was conducted involving 60 primigravida women at 36–40 weeks of gestation. Participants were divided into an intervention group and a control group. The intervention group received structured education about deep-breathing relaxation accompanied by guided practice for seven days, while the control group received routine antenatal care. Anxiety levels were assessed before and after the intervention using a standardized anxiety measurement scale. The changes in anxiety scores were subsequently compared between the two groups. Results: The mean anxiety score in the intervention group decreased from 24.6±5.1 before the intervention to 16.1±4.3 after the intervention. In the control group, the mean score decreased from 23.9±5.0 to 22.8±5.2. The difference in changes between the intervention and control groups was statistically significant (p<0.001). Conclusion: Structured deep-breathing relaxation education may reduce anxiety among primigravida women approaching childbirth. Integration of this intervention into antenatal counselling may support the management and quality of maternal health services by providing standardized education, guided practice, and supportive psychological care.