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All Journal Jurnal Epidemiologi Kesehatan Komunitas Jambura Journal of Health Sciences and Research Poltekita : Jurnal Ilmu Kesehatan Jurnal Promotif Preventif International Journal of Health, Economics, and Social Sciences (IJHESS) An Idea Health Journal Jurnal Kolaboratif Sains Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Media Publikasi Penelitian Kebidanan Journal of Health and Nutrition Research Journal of Public Health and Pharmacy Medicor : Journal of Health Informatics and Health Policy Jurnal Pengabdian Farmasi dan Sains Jurnal Dedikatif Kesehatan Masyarakat
Sadli Syam
Fakultas Kesehatan Masyarakat, Universitas Tadulako, Palu
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Smoking Behavior Among Adolescents at A Public Junior High School Syam, Sadli; Sukirman, Putri Maharani; Firmansyah, Firmansyah; Lestari, Ayu; Suwendro, Novi Inriyanny
Journal of Health and Nutrition Research Vol. 2 No. 3 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i3.221

Abstract

The purpose of this study is to determine smoking behavior among adolescents, particularly in a public junior high school of SMP Negeri 9 Palu City. This type of research was qualitative research with a case study approach. The informants in this study consisted of 10 people using a purposive sampling technique. The variables in this study consisted of knowledge, attitudes, facilities and infrastructure, and peers. The results showed that knowledge of smoking behavior was quite good regarding the dangers of smoking. The attitude of most of the informants towards smoking behavior was not good because they still accepted peer invitations to smoke. Access to cigarettes is quite easy by buying retail cigarettes at stalls near the school. Peers have a major influence on smoking behavior at school. Adolescents at SMP Negeri 9 Palu City, despite having good knowledge about the dangers of smoking, demonstrate inconsistent behavior due to positive attitudes, easy access to cigarettes, and strong peer influence. This highlights the need for interventions that address not only knowledge dissemination but also address attitudes and peer pressure, making it harder to access cigarettes near schools.
Community Perceptions and Adaptation in Smoke Free Zone Policy: A Qualitative Case Study in Kendari City Anas, Adhe Sofyan; Alchamdani; Syam, Sadli; Arwan; Firmansyah
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 3 (2024): July 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i3.708

Abstract

The implementation of Smoke Free Zone (SFZ) policies is a critical public health strategy, especially in densely populated urban settings. This study examines how residents of Kendari City, Indonesia, perceive and adapt to SFZ regulations enacted under Local Regulation No. 4 of 2019. Specifically, it explores community understanding, experiences, and behavioral responses to smoking restrictions in public spaces. A qualitative case study approach was employed, utilizing purposive sampling to select twelve informants from various socio economic backgrounds. Data were gathered through semi structured interviews, non-participant observation, and field documentation. Thematic analysis was used to interpret interview transcripts and observational notes. The findings show limited community understanding of SFZ boundaries, with common misconceptions about designated areas. While most residents support the policy’s intent, cultural norms and perceived lack of authority reduce active enforcement. Structural barriers such as economic hardship, nicotine addiction, and weak public communication further constrain compliance. Nonetheless, positive adaptations are evident, including peer influence, community-led signage, and selective smoking avoidance in public spaces. These behaviors reflect the role of informal networks and increasing health awareness. The study concludes that SFZ policy effectiveness is contingent on interdisciplinary approaches, inclusive communication, and localized community engagement. Rather than relying solely on top down regulation, integrating health messaging, urban design, and community leadership is essential for fostering sustained compliance. The insights from Kendari highlight the potential of participatory and culturally responsive strategies in strengthening public health policies.
Sociocultural and Economic Factors Influencing JKN Participation: A Cross-Sectional Study in Bajoe, Indonesia Ashari, Muhammad Rizki; Arwan; 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.v2i4.709

Abstract

The implementation of the Jaminan Kesehatan Nasional (JKN) program in Indonesia seeks to achieve Universal Health Coverage by ensuring equitable access to health services for all citizens. Despite this aim, disparities in participation persist, particularly in rural and coastal regions. This study aimed to analyze the factors influencing community participation in the JKN program within the working area of Bajoe Community Health Center, Bone Regency. A cross sectional quantitative approach was used to survey 291 respondents selected through purposive sampling. Structured questionnaires were administered to assess demographic characteristics and the influence of five key variables: knowledge, trust, income, health condition, and family support. Data were analyzed using univariate and bivariate (Chi square) statistical techniques. Results revealed that knowledge, trust in the JKN system, income level, and family support had statistically significant associations with program participation (p < 0.05). Specifically, individuals with better knowledge, higher trust, greater income, and supportive families were more likely to be enrolled. Conversely, perceived or actual health status showed no significant correlation with participation. These findings suggest that proactive enrollment behavior is influenced more by informational, economic, and social dynamics than by immediate health needs. The study concludes that increasing JKN participation requires multi-dimensional strategies, including culturally tailored public education, institutional trust building, improved subsidy access for low income households, and family centered outreach. These interventions are essential to bridge participation gaps and strengthen the national health insurance framework.
Strengthening Preventive Health Services in Urban Indonesia: A Qualitative Study from Puskesmas Kuta Alam Arwan; Syam, Sadli; Firmansyah; Syahrir, Muhammad Sabri; Satria, Muhammad Aji; Hilintang, Rendhar Putri
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.720

Abstract

This study specifically examines how promotive and preventive health strategies are implemented in Puskesmas Kuta Alam, Banda Aceh, Indonesia, to address the challenges of urban health services. This study aims to explore the implementation dynamics of these strategies at Puskesmas Kuta Alam, an urban public health center in Banda Aceh, Indonesia. Using a qualitative descriptive approach, data were collected through interviews, observations, and document analysis, focusing on four themes: communication, resources, staff disposition, and bureaucratic structure. Findings reveal that while health promotion efforts exist, they are constrained by unidirectional communication practices, low community engagement, and a lack of culturally adapted messaging. Human resource limitations, including an absence of trained personnel and insufficient educational infrastructure, further weaken program effectiveness. Staff demonstrated moral commitment to preventive care but lacked formal training and policy literacy, leading to inconsistent implementation of national health regulations. Moreover, the absence of a clearly defined organizational structure for promotive preventive programs resulted in poor coordination and accountability. These insights highlight the systemic challenges faced by Puskesmas in Banda Aceh in translating health policy into practice. The study recommends adopting participatory communication strategies, enhancing training and infrastructure, and establishing a dedicated institutional unit for preventive services. By contributing to the growing body of knowledge on primary health care implementation in LMICs, the study offers evidence based recommendations to strengthen health promotion capacity at the local level.
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.
Co-Authors - Nurfiana Ahmad Yani Aji Satria, Muhammad Alchamdani Anas, Adhe Sofyan Arwan Arwan Arwan Arwan Arifin Arwan Arwan Arwan Arwan Arwan Arwan Arwan Arwan Arwan Arwan Ashfan Abdan Bayan Ayu Lestari AYU LESTARI Bayan, Ashfan Abdan Budiwan, Sadry Chatarina Umbul Wahyuni Fadjriah , Rasyika Nurul Fadjriah, Rasyika Nurul Fadly Umar Faralizayani Faralizayani Firmansyah Firmansyah Firmansyah , Firmansyah Firmansyah Arifin Firmansyah Firmansyah Firmansyah Firmansyah Firmansyah Firmansyah Firmansyah Firmansyah Gita Evelin Pelima Gracela Claudia Kotika Herawanto Herawanto Herawanto Herawanto, Herawanto Herman Hesty Widyasih Hilintang, Rendhar Putri Iin Irawati Kiki Sanjaya Krisnasari, Sendhy Marselina Marselina Melan Susanti Melan Susanti, Melan Mohammad Fikri Muh Jusman Rau Muhammad Aji Satria Muhammad Aji Satria Muhammad Aji Satria Muhammad Rizki Ashari Muhammad Ryman Napirah Muhammad Ryman Napirah Muhammad Sabri Syahrir Muhammad Sabri Syahrir Muhammad Sabri Syahrir Muhammad Zikra Muhammad Zikra Muhhammad Aji Satria Multy Syadam Nirwan, Multy Syaddam Novi Inriyanny Suwendro Nur Mila Sari Nurfiana Nurfiana Pitriani Pitriani Putri Maharani Sukirman Rahayu, Tiwuk Puji Rahma Dwi Larasati Ramadhani, Nabhilah Suci Ramlan, Pratiwi Rasyika Nurul Fadjriah Rasyika Nurul Fadjriah Riri Suwahyuni Wahid Rosmala Nur Sabri Syahrir, Muhammad Satria, Muhammad Aji Sukirman, Putri Maharani Sulfiyanti Sulfiyanti Sulfiyanti, Sulfiyanti Syahrir, Muhammad Sabri Syamsul Arif Syamsul Arif Umar, Fadly Zhanaz Tasya