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All Journal Jurnal Rekam Medis dan Informasi Kesehatan Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat
Rizkiyatul Amalia
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Audit of Hospital Management Information System Financial Governance Using the COBIT 2019 APO06 Framework at Hospital X in Banyuwangi Demiawan Rachmatta Putro Mudiono; Alvi Rista Amanah; Rizkiyatul Amalia
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 9 No. 2 (2026): OCTOBER 2026
Publisher : Poltekkes Kemenkes Semarang

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Abstract

Effective financial governance is essential for sustaining Hospital Management Information Systems (HMIS), particularly in aligning technology investments with organizational priorities. This study aimed to evaluate the capability level of HMIS budget and cost management at Hospital X in Banyuwangi using COBIT 2019 APO06 – Managed Budget and Costs and formulate improvement recommendations based on identified governance gaps. An evaluative qualitative approach was employed from April to August 2026, involving four purposively selected key informants representing hospital management, financial administration, accounting, and HMIS management. Data were collected through semi-structured interviews, observations, and document reviews, followed by source and method triangulation and evidence mapping against five APO06 management practices. The findings indicated that HMIS financial governance was at Capability Level 1, compared with the target of Level 3, resulting in a two-level capability gap. Although basic financial administration and annual budgeting procedures had been implemented, HMIS expenditure was not specifically classified, resource allocation remained predominantly reactive, budgeting was insufficiently integrated with system development planning, and systematic cost allocation and expenditure monitoring mechanisms were lacking. These findings demonstrate that existing financial procedures have not been adequately integrated into HMIS-specific governance. Recommended improvements include establishing HMIS-specific cost classifications, formalizing investment prioritization, integrating development plans into annual budgeting, implementing phased cost allocation, and strengthening budget realization monitoring and corrective actions. The study concludes that progressive improvements in APO06 practices are necessary to strengthen financial transparency, accountability, and evidence-based investment decisions while supporting sustainable HMIS development.
Cadres Empowering: Enrichment of Knowledge and Motivation in Cervical Cancer to Improve IVA Test Screening using CESVIA Video at Calingcing, Tasikmalaya, West Java Bayu Irianti; Laila Putri Supianti; Etin Rohmatin; Rizkiyatul Amalia
Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Vol 6 No 3 (2026): Desember
Publisher : FKM UIN Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/shihatuna.v6i3.31763

Abstract

Cervical cancer remains an important women’s health concern, highlighting the need to strengthen prevention and early detection efforts at the community level. Limited knowledge and low utilisation of Visual Inspection with Acetic Acid (VIA) screening remain challenges in improving screening coverage. This community service activity aimed to enhance the knowledge and capacity of health cadres in supporting cervical cancer early detection through CESPIA (Prevent Cervical Cancer with VIA for a Happy Life), an animated educational video. The activity employed a community-based approach and was conducted in Calingcing Village, Sukahening District, Tasikmalaya Regency, involving 18 health cadres. The educational intervention consisted of CESPIA video sessions, followed by the use of flipcharts and reinforcement of cadres’ skills in delivering cervical cancer prevention and early detection information to the community. Knowledge was assessed using questionnaires administered before and after the intervention and analyzed using the Wilcoxon signed-rank test. The findings showed that prior to the intervention, most cadres had an overall knowledge level categorized as poor (66.66%), whereas following the intervention, all cadres (100%) achieved a good knowledge level. The mean knowledge score increased from 12.61 to 16.94, with the Wilcoxon test indicating a statistically significant difference (p<0.001). The greatest improvements were observed in knowledge of signs and symptoms, risk factors, prevention, and VIA and HPV-DNA examinations. These findings suggest that CESPIA has potential as an educational medium for strengthening cadres’ knowledge and capacity to support cervical cancer early detection. Continued cadre mentoring and monitoring of screening service utilization are recommended to facilitate sustained benefits for women of reproductive age and the wider community
Co-Authors Alvi Rista Amanah Bayu Irianti Demiawan Rachmatta Putro Mudiono Etin Rohmatin Laila Putri Supianti