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DIMENSIONS OF MIDWIVES' SATISFACTION WITH THE MANUAL BOOK OF THE MATERNAL EMERGENCY REFERRAL SYSTEM IN THE ISLANDS (SIRUTAN) Darwitri, Darwitri; Melly Damayanti; Ristina Rosauli Harianja; Metasari Sihaloho; Nurul Aini Suria Saputri; Tiyara Safitri
International Journal of Social Science Vol. 5 No. 2: Agustus 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/ijss.v5i2.11500

Abstract

This study aims to evaluate the satisfaction of midwives with the manual book of the Maternal Emergency Referral System in the Islands (Si-RUTAN) in supporting effective maternal emergency care in remote island regions. A cross-sectional descriptive study was conducted involving 30 midwives from public health centers across the Riau Islands Province in 2024. In addition, the manual was evaluated by an obstetrics and gynecology expert (SpOG) using Nielsen's heuristic usability principles. The data were analyzed using univariate descriptive statistics. Most midwives reported high satisfaction with the manual: 83.3% were "very satisfied" and 16.7% "satisfied". Across all SERVQUAL dimensions, the majority rated their satisfaction as "very satisfied", particularly in Responsiveness (80%) and Assurance (80%). No respondents reported dissatisfaction. Heuristic evaluation by the expert yielded consistently high scores, especially in "Match with real-world scenarios" and "Help and documentation" (mean score = 4.8). The expert confirmed the manual's clarity, relevance, and usability in maternal emergency situations.Conclusion:The Si-RUTAN manual book is a well-received, context-appropriate resource for midwives working in island regions. Its effectiveness in facilitating maternal emergency referrals and high usability rating suggest it should be promoted and continuously refined through user and expert input.
Tobacco Tax Policy and Its Impact on Health Finance in Different Countries: A Systematic Review Gunnara, Harvensica; Daswito, Rinaldi; Martias, Indra; Harianja, Ristina Rosauli
Journal of Health Sciences and Epidemiology Vol. 2 No. 2 (2024): August 2024
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v2i2.44

Abstract

The consumption of detrimental products, such as cigarettes, has a significant impact on health financing. Smoking is a detrimental practice that has negative effects on health, and the medical expenses linked to smoking-related ailments are considerable. In response, many countries have established cigarette excise laws with the aim of mitigating the adverse effects of smoking on public health and health financing. The implementation of cigarette excise taxes has resulted in a notable reduction in cigarette consumption, an increase in government revenue, and the funding of health programmes. This study aimed to enhance the understanding of the role of tobacco excise laws in promoting sustainable health financing. This study involved the review of 8 papers, and it was conducted following the guidelines of PRISMA-P, 2015 for systematic reviews. A comprehensive literature search was conducted utilizing multiple databases, including PubMed, EBSCO, and ScienceDirect. The tobacco excise management policy has generally aligned with its intended objectives. However, certain aspects, such as reducing consumption, allocation amounts, tariff patterns, and burdens, have yet to be fully effective. Therefore, it is necessary to implement strategic measures to enhance adequacy, such as increasing the pattern of excise tariffs and allocations and ensuring accountability and transparency in implementation.