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Journal : INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan

Role-Playing Simulations for Resilient Healthcare Systems: Lessons from Pharmaceutical Management in Puskesmas and Pustu Anatasya Eka Purwitasari, Anatasya Eka Purwitasari; Anjelita, Bunga Destiana; Auliamanda, Nabila Luthfi; Revalia Nafisa Zahra, Revalia Nafisa Zahra; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.175

Abstract

Drug governance in Puskesmas (Community Health Centers) and Pustu (Sub-Health Centers) often faces challenges such as stockouts, expired medications, and improper storage. This study evaluates the effectiveness of a participatory role-playing simulation in enhancing healthcare workers’ competencies in pharmaceutical management. The method involved 8 groups (3–4 participants per group) engaging in diverse scenarios, including essential drug shortages and logistical coordination. Each group simulated problem-solving within a 5-minute timeframe, followed by reflective discussions to identify challenges and solutions. Results showed significant improvements: drug availability increased from 60% to 90%, expired drugs decreased from 25% to 5%, and patient satisfaction rose by 35%. Technology, such as a drug management information system (SIMO), reduced human error, though budget constraints and staff resistance emerged as barriers. Recommendations include strengthening continuous training, adopting hybrid systems (digital-manual), and advocating for policy-level funding. The simulation demonstrated that participatory approaches and appropriate technology enhance primary healthcare resilience while highlighting the need for multi-stakeholder collaboration to ensure sustainable drug governance.
Empowering Communities, Transforming Health: A Simulation-Based Approach to Optimizing Posyandu Management Yudhana, Affiandra; Novianty, Della; Rahma Sarita, Fitria Nur; Michael Kevin Widianto, Michael Kevin Widianto; Rizal Hermawan, Muhammad Riansyah; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.180

Abstract

Community-based Posyandu (Integrated Health Posts) programs are vital for improving public health outcomes in underserved areas, yet many face challenges such as low participation and resource limitations. This study employed a simulation-based approach to evaluate strategies for enhancing Posyandu effectiveness, focusing on three key interventions: empowering health cadres and community leaders, adjusting schedules to align with community needs, and adding supplementary services such as maternal health consultations and child nutrition checks. The results demonstrated that supplementary services had the most significant impact, increasing participation rates to 75%, followed by community mobilization (60%) and flexible scheduling (55%). These findings highlight the importance of offering value-added services, fostering trust through local leaders, and ensuring inclusivity through adaptable schedules. Continuous health education further reinforced awareness and voluntary participation. However, challenges such as resource allocation, training, and scalability remain critical. Leveraging digital tools like mobile applications and electronic health records offers innovative solutions to streamline operations and enhance efficiency. The study concludes that a holistic, community-driven approach is essential for strengthening Posyandu programs, ensuring equitable access to quality healthcare while remaining adaptable to diverse contexts.
Enhancing Time Management and Prioritization Skills in Healthcare Professionals: A Simulation-Based Training Approach Yunus, Ibad Maulana; Fadila, Fairuz Zahra Nur; Ramadani, Nataya Schartaofikea; Rohaniah, Dina; Fikri, Insan Ahmad; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.182

Abstract

Time management and prioritization are essential skills for healthcare professionals, yet many struggle with inefficiencies due to high workloads and multitasking demands. This study explores the effectiveness of a simulation-based training program designed to enhance time management and prioritization skills among healthcare workers. Using role-playing simulations, participants were exposed to realistic scenarios requiring them to manage tasks under time constraints. The training incorporated tools such as the Eisenhower Matrix and Time Blocking techniques to improve decision-making and task prioritization. Results showed a significant increase in work efficiency (from 50% to 75%), improved patient satisfaction (from 3/5 to 4.5/5), and reduced stress levels (from 8/10 to 4/10). Challenges such as communication gaps and initial resistance to new methods were identified but addressed through collaborative learning. The findings highlight the importance of structured training programs in equipping healthcare workers with practical time management skills. Recommendations include periodic training, technological integration, and organizational support to sustain improvements. These outcomes underscore the potential of simulation-based education to enhance both individual performance and organizational outcomes in healthcare settings
Optimizing Vaccine Logistics at the Grassroots: Innovative Strategies for Effective Village-Level Immunization Programs Ratysca, Evelyn; Ristiawanda, Novita; Aisyah, Putri Farah; Ariani, Sherly Dewinta; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The management of vaccine logistics at the village or neighborhood level is a critical component of successful vaccination programs, particularly in ensuring equitable access to vaccines. This study employed a role-playing simulation method with a participatory collaborative approach to explore the challenges and solutions in vaccine logistics management. The simulation involved 10 groups of participants, each assigned different scenarios reflecting real-world logistical issues, such as limited transportation, inadequate storage facilities, and community engagement barriers. Results showed that structured planning, supported by technological tools like real-time monitoring systems, significantly improved efficiency and reduced vaccine wastage. Community involvement emerged as another key factor, enhancing public trust and participation. However, challenges such as infrastructure gaps and digital literacy disparities persist, particularly in remote areas. Collaborative efforts among stakeholders, including governments, healthcare providers, and local communities, were identified as essential for overcoming these barriers. The findings underscore the need for integrated strategies that combine technology, training, and stakeholder collaboration to strengthen vaccine logistics at the grassroots level.
Bridging the Digital Divide: A Hybrid Community-Based Health Information System for Rural Empowerment Diyana, Umay; Ali , Annisa' Luthfiah; Anggraeni, Selvy Dwi; Putri, Rizka Syawalena Wahyu; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.186

Abstract

A 6-month simulation of a community-based health information system in a rural area involving 500 participants (health workers, volunteers, community) demonstrated the potential for improved access to health services through technology collaboration and local participation. Active participation reached 80%, with a 20% decrease in infectious disease cases and a 35% increase in pregnant women's participation in ANC programs. The hybrid system (SMS gateway and web application) effectively overcame infrastructure limitations, although 30% of areas still experienced network constraints. Technology resistance in the elderly (15%) and interface complexity (30%) highlighted the need for inclusive design. participant feedback (85%) positive) emphasized the importance of educational and emergency features. This simulation confirmed that the success of CBHIS depends on multisectoral partnerships, continuous training, and policy adaptation. The study recommends integration of the system with government programs and long-term evaluation to ensure sustainability. The findings contribute to the literature on digital health innovations in remote areas, in line with WHO recommendations (2021) and studies on technological inclusion (Brown & Lee, 2021).
Bridging Communities and Healthcare: Empowerment Strategies for Effective JKN Program Governance Karimah, Akhlaqul; DZ, Fariza Anaqoh; Hidayah, Iftita Nurul; Ahmadinda, Maura; Ramadhani, Nanda Ayu; Mika Vernicia Humairo
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.192

Abstract

This research evaluates community empowerment strategies in managing the National Health Insurance Program (JKN) through role-playing simulations and participatory approaches. The collaborative method involved 10 groups of students who were given patient referral scenarios (preeclampsia, child fever, stroke) to enhance their understanding of healthcare service dynamics. Simulation results show that this method effectively enhances multidisciplinary collaboration skills, such as communication between healthcare facilities and emergency decision-making. However, challenges such as the limited number of ambulances and the low public understanding of referral procedures still hinder the implementation of JKN. Post-simulation reflections recommend continuous training for health cadres and optimizing communication technology to accelerate coordination. This study emphasizes the importance of integrating community empowerment into the JKN strategy to strengthen active community participation and achieve inclusive universal health coverage.
Optimizing Referral Services: A Health Management Approach to Quality Improvement in Health Services Ramadhani, Felissia Shandra; Dewi , Nur Azizah Puspita; Safitri, Siti Salsabilla; Purwanti , Yuniar Setia; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.193

Abstract

Optimizing referral services through a health management approach aims to increase efficiency, reduce waiting times, and improve patient satisfaction. This study used a discrete-event simulation model with three scenarios: baseline (standard protocol), optimized service coordination (telemedicine integration), and predictive analytics-based resource reallocation. Simulation results showed a 40% reduction in waiting time (from 14 days to 8.5 days) in the service coordination scenario, with an increase in referral acceptance to 85%. Resource reallocation cut waiting time by 30% (9.8 days) and achieved 78% acceptance. Telemedicine expanded access to specialist services in remote areas, while predictive analytics reduced overload at major referral hospitals. However, challenges such as the primary-secondary care capacity imbalance and limited IT infrastructure in primary healthcare facilities still hamper. Recommendations include strengthening structured telemedicine, developing algorithm-based referral criteria, increasing primary care capacity, and dynamic feedback systems. This simulation proves that a holistic health management approach-combining technology, systemic collaboration, and data-driven policies-can build an adaptive, efficient, and equitable referral system.
Optimizing Medical Waste Management in Primary Healthcare A Hands-On Workshop for Safer and Sustainable Practices Kurniawati, Kharisma Ayu; Augist, Rahma Nuril; Ailsa Sahda Septi Cahyarani, Ailsa Sahda Septi Cahyarani; ‘Aini, Melati Saharatu; Alhamid, Naziha Nazlah; Humairo, Mika Vernicia
Inovasi Lokal Vol. 3 No. 1 (2025): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v3i1.194

Abstract

The management of medical waste in primary healthcare facilities is a critical issue due to its potential impact on public health and the environment. Improper handling of medical waste can lead to the spread of infectious diseases, environmental pollution, and risks to healthcare workers and communities. However, many primary healthcare facilities, particularly in developing countries, face challenges such as inadequate infrastructure, insufficient training, and limited resources. This workshop aimed to address these gaps by using role-playing simulations to provide healthcare workers with practical knowledge and skills in managing medical waste. Participants were divided into groups to simulate scenarios involving waste segregation, storage, transportation, and coordination among stakeholders. The results highlighted the importance of proper waste classification, effective communication, and the use of technology to improve efficiency. Participants also identified key challenges, such as limited storage facilities and poor coordination, and proposed practical recommendations, including regular training, increased infrastructure, and digital tracking systems. This workshop demonstrated that structured interventions can enhance medical waste management practices, ensuring safer healthcare environments and better compliance with international standards.
Co-Authors Adelia Marsha Zarreta Aditya Yudha Pratama Aditya Yudha Pratama Afni, Laura Fadilla Agung Kurniawan Agustina, Sevia Ahmadinda, Maura Ailsa Sahda Septi Cahyarani, Ailsa Sahda Septi Cahyarani Aisah, Hana Nur Aisyah, Putri Farah Al-Irsyad , Muhammad Alfian Ihza Mahendra Alhamid, Naziha Nazlah Ali , Annisa' Luthfiah Amanda, Dian Anatasya Eka Purwitasari, Anatasya Eka Purwitasari Anggraeni, Selvy Dwi Anjelita, Bunga Destiana Aqila Pakerti Nastiti Ariani, Sherly Dewinta Augist, Rahma Nuril Aulia Rizqia Az Zahra Auliamanda, Nabila Luthfi Azizah, Elisa Lutfiyah Caroline Renee Lesmana P Dea Aflah Samah Dewi , Nur Azizah Puspita Dian Puspitaningtyas Dian Puspitaningtyas Laksana Dinarsih Rahayu Dini, Puspasari Meisya Diyana, Umay DZ, Fariza Anaqoh Erica Ardhana Fathimah Azzahra Erica Ardhana Fathimah Azzahra Eriskha Ayu Wardani Eriskha Ayu Wardani Etha Oktavia Puspita Dewi Fadila, Fairuz Zahra Nur Fauziah, Laili Indah Febiana, Viona Riska Febrianty Quratul Aini Febrianty Quratul Aini Febriyanti, Amanda Lintang Fikri, Insan Ahmad Gimida Nisahika Gita, Visia Luh Hani Constantia Hani Constantia Hanung Nurany Hera Aviyuni Hera Aviyuni Hidayah, Iftita Nurul Ikhwanul Ihsan Armalid Ilham Budi Prasojo Jihan Alfin Salsabilla KARIMAH, AKHLAQUL Kriscahyanti, Sila Kurniawati, Kharisma Ayu Lintang Pakerti Esa Wahyu Aji Lorenza Arinda Saputri Lumitasari, herly Dia Maharsi, Hera Ratna Dwi Maulidia, Nalaina Izzaty Michael Kevin Widianto, Michael Kevin Widianto Muhammad Al-Irsyad Muhammad Ali Sodik Muhammad Rizkian Elsaputra Musyaffa, Hanif ahmad Nabila, Ananda Shafa Nadya Nurhikmah Nastiti, Jihan Pratika Naufal Faizul Rafi Naufal Faizul Rafi Naufalsyah Falah Muhammad Nida An-Khofiyya Nimas Dewi Aninatus Zahro Nita Sari Nohan Arum Romadlona Novianty, Della Nuraziizah, Nida'a Astie Nurnaningsih Herya Ulfah, Nurnaningsih Herya Oktavia Sri Wahyuni Paramita, Farah Paramytha Magdalena Sukarno Putri Purwanti , Yuniar Setia Puspitaningtyas, Dian Putri Nurika Dewi Putri, Rizka Syawalena Wahyu Rahma Sarita, Fitria Nur Ramadani, Nataya Schartaofikea Ramadhan, Alfaka Ramadhani, Felissia Shandra Ramadhani, Nanda Ayu Ratih Anggraeni Ratih, Suci Puspita Ratysca, Evelyn Reny Mareta Sari Revalia Nafisa Zahra, Revalia Nafisa Zahra Reza Pahlevi Ristiawanda, Novita Rizal Hermawan, Muhammad Riansyah Rohaniah, Dina Rosiana Fadilatul Aini Rosiana Fadilatul Aini Russalam, Grevilla Deva Salsabela Sabrina, Alifah Tesha Nur Safitri, Siti Salsabilla Salsabila, Jihan Alfin Saputri, Lorenza Arinda Sarto Septa Katmawanti, Septa Soedjajadi Keman Tika Dwi Tama Ukik Agustina Vivi Novianti Wiranto Wiranto Yudha Eka Pratama Yudhana, Affiandra Yunus, Ibad Maulana Zariroh, Zirroh Alin ‘Aini, Melati Saharatu