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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.
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.