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Youth Smoking in Indonesia: Demographic Determinants and Policy Imperatives in a Middle Income Country Ramlan, Pratiwi; Syam, Sadli; Arwan; Firmansyah; Anas, Adhe Sofyan; Alchamdani
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 4 (2024): October 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i4.749

Abstract

Tobacco use among Indonesian youth remains alarmingly high despite ongoing anti-smoking initiatives, posing a significant public health challenge. This study aimed to identify the prevalence and key demographic determinants of youth smoking in Indonesia, utilizing a cross-sectional analysis of the 2023 Riskesdas national health survey and a 2024 Ministry of Health press release. Variables examined included age, gender, education, income level, and urban or rural residency, analyzed using frequency distributions, cross-tabulations, and logistic regression. Results revealed that smoking rates peaked among youth aged 20–24 (18.5%), with males and individuals from lower education and income backgrounds at greater risk. Urban youth and those who began smoking before age 15 were also more likely to develop long-term dependence. Socioeconomic disadvantage, limited health literacy, and weak enforcement of tobacco laws emerged as major risk factors. The findings highlight the need for comprehensive, multi-sectoral, and culturally adapted strategies including strengthened school-based programs, community engagement, stricter tobacco advertising bans, and increased tobacco taxation to effectively reduce youth smoking. Coordinated actions across education, policy, healthcare, and media sectors are critical for protecting Indonesia’s next generation from the harms of tobacco.
Digital Health Innovation and Public Trust in Pandemic Preparedness Nirwan, Multy Syaddam; Arwan; Syam, Sadli; Firmansyah; Syahrir, Muhammad Sabri; Satria, Muhammad Aji; Hilintang, Rendhar Putri
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.1058

Abstract

This narrative review examines the role of digital health technologies and big data analytics in pandemic preparedness, with particular reference to COVID-19. The objective was to synthesize evidence on how technological innovations supported healthcare and education during crises and to identify barriers that limit their effectiveness. Literature searches were conducted across PubMed, Scopus, Web of Science, and Google Scholar, focusing on empirical studies, case analyses, and systematic reviews related to telehealth, artificial intelligence, digital dashboards, and citizen science initiatives. The review found that digital innovations enabled remote consultations, predictive modeling, and real-time monitoring, which reduced pressure on health systems and informed public policy. Evidence highlighted the value of visual analytics and community-driven data in filling information gaps. However, infrastructural limitations, weak governance, and low public trust constrained adoption, particularly in low- and middle-income countries. Comparative analyses showed that countries with strong infrastructures and transparent policies, such as Taiwan and South Korea, achieved more effective outcomes than regions with limited technological readiness. These findings indicate that digital health tools are powerful enablers of crisis response but insufficient in isolation. Sustainable integration requires investment in infrastructure, capacity-building, transparent communication, and participatory approaches. Embedding these reforms into health systems will be critical to ensure equitable access, strengthen resilience, and optimize the benefits of technological innovation for future pandemic preparednessof technological innovations in global health preparedness.
Health Informatics and Mental Health Services: Bridging Gaps in Access, Quality, and Equity Widyasih, Hesty; Firmansyah; Ashari, Muhammad Rizki; Syam, Sadli
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 4 (2024): October 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i4.1061

Abstract

Health informatics has emerged as a pivotal tool in transforming mental health services, offering new possibilities for diagnostic precision, treatment planning, and patient engagement. This narrative review aimed to examine the role of health informatics in improving mental health outcomes, with a focus on Clinical Decision Support Systems (CDSS), mobile health applications, artificial intelligence (AI), and inclusive data practices. A systematic literature search was conducted across databases including Scopus, PubMed, Web of Science, and Google Scholar, using targeted keywords related to digital health and psychiatry. Studies were screened based on defined inclusion and exclusion criteria to ensure methodological rigor and relevance. The findings reveal that CDSS improves diagnostic accuracy and comorbidity detection, though disparities exist in adoption between developed and developing countries. Mobile health applications demonstrate effectiveness in suicide prevention and trauma management, particularly among youth, but adoption is uneven across demographic groups. AI and big data contribute to early detection and personalized care, yet raise significant concerns about bias, privacy, and transparency. Inclusive data practices, especially in collecting sexual orientation and gender identity information, are essential for reducing disparities and promoting equitable care. Discussion highlights the need for supportive policy frameworks, adequate funding, digital infrastructure, and clinician training, alongside participatory approaches that ensure cultural sensitivity. This review concludes that health informatics holds substantial promise for improving accessibility, quality, and equity in mental health services. Yet, overcoming systemic, infrastructural, and ethical barriers remains essential to fully addressing the global mental health burden.
Building Future-Ready Healthcare Systems Through Digital Literacy Training Firmansyah; Ashari, Muhammad Rizki; Syam, Sadli
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i1.1081

Abstract

 Digital literacy is a critical competency for healthcare professionals in delivering safe, effective, and patient-centered care. This narrative review examines global disparities in digital literacy training among healthcare workers, with a focus on identifying educational gaps, systemic and personal barriers, and innovative strategies for skill development. Literature was sourced from PubMed, Scopus, and Google Scholar, using predefined keywords targeting digital competency in clinical and educational contexts. Findings reveal significant disparities across healthcare professions and regions, with physicians generally showing higher proficiency than nurses and allied health workers. Systemic challenges such as limited ICT infrastructure, inadequate curricula, and weak institutional support are prevalent, particularly in low-resource settings. On a personal level, technophobia, low confidence, and concerns over workload hinder technology adoption. Innovative educational models—including simulation-based training, interactive e-learning, and problem-based learning—demonstrated positive outcomes in enhancing digital skills. However, their success is strongly tied to local infrastructure, faculty readiness, and socio-cultural factors. The review concludes that integrating digital literacy into healthcare education, investing in infrastructure, and promoting continuous professional development are essential to prepare future-ready health systems. Standardized measures and long-term outcome evaluations are recommended to assess the effectiveness of training interventions. Strengthening digital competencies is not merely a technical upgrade but a strategic imperative for resilient, equitable, and technology-enabled healthcare delivery..
The Role of Wearables in Chronic Disease Prevention and Health Promotion Syam, Sadli; Arwan; Firmansyah; Anas, Adhe Sofyan; Alchamdani
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i1.1082

Abstract

Wearable devices are gaining recognition as vital tools in preventive health monitoring, enabling a shift from reactive to proactive care models. This narrative review synthesizes evidence on the effectiveness of wearables in four key areas: cardiovascular health, diabetes management, general fitness, and elderly care. Findings indicate that wearable ECGs and blood pressure monitors improve early detection of cardiovascular risks and help reduce hospitalizations. Continuous glucose monitoring significantly enhances glycemic control, although access remains unequal between developed and developing countries. Fitness wearables increase physical activity, yet adoption is shaped by socioeconomic and cultural factors. Among elderly populations, wearable technologies support vital sign tracking and emergency detection, contributing to autonomy and safety, though challenges in digital literacy and affordability persist. Despite these benefits, several systemic barriers limit broader impact—particularly data privacy concerns, regulatory fragmentation, interoperability issues, and cost. Addressing these challenges requires integrated policy responses, user-centered design, and equitable access strategies. This review concludes that while wearable devices offer substantial potential for improving population health, realizing their impact depends on resolving critical access and infrastructure gaps, particularly in low-resource settings. Future research should prioritize longitudinal studies and culturally tailored innovations to enhance real-world effectiveness and global scalability.
The Role of IoT and Emerging Technologies in Shaping Smart Hospitals Anas, Adhe Sofyan; Alchamdani; Syam, Sadli; Arwan; Firmansyah
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.1083

Abstract

Smart hospitals represent a transformative model in healthcare, leveraging Internet of Things (IoT), artificial intelligence (AI), big data, and blockchain to improve operational efficiency and patient safety. This narrative review synthesizes current literature on the implementation and impact of these technologies in hospital environments. The findings show that IoT integration reduces operational redundancies, enhances real-time patient monitoring, and supports predictive analytics to prevent clinical errors. Supporting technologies such as AI and blockchain strengthen data-driven decision-making and secure data management. However, challenges persist, including interoperability issues, cybersecurity risks, and disparities in adoption across regions. The review underscores the importance of policy frameworks, workforce readiness, and governance structures in enabling successful implementation. Future research should prioritize longitudinal and comparative studies to better evaluate the long-term effects of smart hospitals and promote equitable digital transformation in healthcare systems.
Smart Health Monitoring Systems for Elderly Populations: Opportunities, Challenges, and Global Perspectives Umar, Fadly; Firmansyah; Ashari, Muhammad Rizki; Syam, Sadli
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i4.1092

Abstract

The global increase in elderly populations has intensified demands for innovative healthcare solutions capable of supporting independence, safety, and chronic disease management. This narrative review explores the role of Smart Health Monitoring Systems (SHMS) in addressing these challenges by synthesizing evidence from diverse medical, engineering, and social science literature. A comprehensive search was conducted in PubMed, Scopus, and IEEE Xplore using keywords such as smart health monitoring, elderly, wearable devices, telemedicine, and assistive technology. Inclusion criteria emphasized studies focusing on SHMS for older adults, with both clinical and technical perspectives considered. The results reveal that wearable devices provide reliable monitoring of falls, vital signs, and daily activity, with reported accuracies exceeding 90%. Integration of IoT and AI technologies further enhances predictive capabilities, enabling early detection of health risks and reducing hospital admissions by as much as 30%. However, adoption remains constrained by systemic barriers, including privacy concerns, fragmented health data, limited digital literacy, and infrastructural deficits in developing regions. The discussion highlights the need for coordinated strategies involving improved digital infrastructure, user education, policy incentives, and interoperability frameworks to overcome these challenges. This review concludes that SHMS represent a transformative innovation for elderly care, but their full potential will only be realized through inclusive design, robust policy support, and culturally sensitive adaptation across diverse healthcare contexts.
Mapping of Important HIV/AIDS Hotspots in Palu City Following Natural Disaster Arwan, Arwan; Fadjriah, Rasyika Nurul; Syam, Sadli; Yani, Ahmad
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2901

Abstract

This study aims to obtain a map of the distribution of HIV and AIDS Key Population Hotspots based on the criteria for MSM, Waria and FSW after the natural disaster in 2018. The remapping method uses a Geographic Information System (GIS) application. The data processing technique uses the waterfall model scheme, namely, completing the application in a structured or sequential manner, where a stage must be completed first before going to the next stage. No Ethical consideration is needed. The shift in key population hotspot data from 2017and to 2022 data and then Natural Disasters (Earthquake, Liquefaction and Tsunami) in 2018 had an impact on geographical location shifts with conditions in 2017, 4 Districts became key population hotspot locations with 29 hotspots while in 2022 14 key population hotspots were found consisting of 5 sub-districts, so there was an additional 1 sub-district which became a geographically shifting hotspot. Features of activity hubs centered on major population centers, such as hotels, boarding houses, salons, cafés, clubs, city parks, and malls in 2017; in 2022, other amenities like laundry will be included. Male Fellow (MSM), Female Sex Workers (FSW), and Transgender are the features of the major population hotspots since 2017, however in 2022 Natural Disasters (Earthquake, Liquefaction, and Tsunami) in 2018 did not suffer a shift. 
ANALISIS FORECASTING KASUS DIARE PADA WILAYAH RAWAN BANJIR DI KABUPATEN DONGGALA Larasati, Rahma Dwi; Nur, Rosmala; Marselina, Marselina; Syam, Sadly
Jambura Journal of Health Sciences and Research Vol 7, No 2 (2025): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v7i2.27735

Abstract

Peristiwa banjir merupakan bencana alam yang paling sering terjadi dan merusak lingkungan. Intensitas dan frekuensi banjir meningkat dikarenakan perubahan iklim dan curah hujan serta naiknya permukaan laut. Banjir dapat menyebabkan masalah kesehatan, salah satu penyakit yang ditimbulkan pasca kejadian banjir yaitu Diare. Peramalan dengan model statistik bertujuan untuk memprediksi pola musiman di wilayah yang belum pernah dilakukan studi peramalan sebelumnya. Kebaruan penelitian ini karena meneliti tentang peramalan kasus diare pada wilayah rawan banjir. Tujuan penelitian yaitu untuk meramalkan atau memprediksi kasus diare pada tahun 2024 s/d 2025 di Wilayah Rawan Banjir di Kabupaten Donggala. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan menggunakan teknik peramalan time series menggunakan model ARIMA (Autoregressive Integrated Moving Average). Populasi dalam penelitian ini yaitu seluruh data jumlah kasus diare di Wilayah Rawan Banjir Kabupaten Donggala dalam kurun waktu antara 2022-2023. Penelitian ini dilaksanakan di wilayah rawan banjir yaitu di UPTD (Unit Pelayanan Terpadu) Puskesmas Punggava Tompe Kabupaten Donggala. Penelitian akan dilaksanakan dari pada bulan April s/d bulan Mei 2024. Hasil penelitian menunjukkan model ARIMA terbaik yaitu (3,1,1) dengan nilai AIC sebesar 349.94 dan kasus diare yang mengalami flusktuasi setiap bulannya.  Kesimpulan yaitu hasil peramalan kasus diare di desa Tompe tahun 2024 mendatang berada dikisaran angka kurang dari 100 dan akan mengalami fluktuasi.
EDUKASI RISIKO PENULARAN HIV DAN AIDS PADA WARGA BINAAN RUTAN KELAS IIA KOTA PALU Arifin, Arwan; Syam, Sadli; Firmansyah; Rizki Ashari, Muhammad; Aji Satria, Muhhammad
JURNAL PENGABDIAN FARMASI DAN SAINS Vol. 1 No. 1 (2022): Oktober 2022
Publisher : Jurusan Farmasi FMIPA Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/jpsf.2022.v1.i1.16092

Abstract

HIV and AIDS are global problems and one of the public health problems in Indonesia. Prisons are places with a high risk of transmission of HIV and AIDS. The capacity of the Palu City Class IIA Prison is 180 people, with various cases. HIV and AIDS services have developed in several jails, including the jail in Palu, where imprisoned persons easily access continued care and support after receiving counselling and support. The test is a routine program in partnership with the Palu City Health Office. Prevention activities such as Information & Education Communication on HIV and AIDS and Blood Tests for Inmates in the Prison in Palu City are routinely conducted. This activity aims to increase the inmates' knowledge, attitudes, and actions to implement a healthy lifestyle and minimize the risk of transmission of HIV and AIDS, TB and other viruses. The Inmates of Class IIA Prisons in Palu City are at high risk of HIV and AIDS transmission because many crimes conducted are related to HIV transmissions, such as drug abuse with injection and sexual harassment. Moreover, some inmates have high-risk sexual behavior with other inmates, men sex with men. It is also caused by the difficulty in accessing and communicating with prisoners This community service aims to increase prisoners' knowledge, attitudes, and actions on the risk of HIV and AIDS transmission, through health education. Health education becomes a solution to changing prisoners' behavior in HIV prevention, such as stopping using a drug and safe sexual behavior.