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Exploring Mothers’ Experiences in Accessing Primary Healthcare Service Facilities in Rural Indonesia: Implication for Stunting Prevention Ramadhaniyati; Lestari, Lilis; Saito, Ruka; Tsuda, Akiko
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.414

Background: Primary healthcare service facilities are essential in preventing stunting by providing comprehensive support for mothers and children. The low usage of the primary health services by pregnant women and mothers with toddlers in rural Indonesia limits the effectiveness of the services and contributes to poor stunting prevention. Purpose: This study aimed to explore mothers' experiences in accessing healthcare services at primary healthcare facilities in Indonesia. Methods: This descriptive qualitative study was conducted in the Melawi district of West Kalimantan Province. Employing a purposive sampling technique, data were collected through in-depth interviews with six mothers, two pregnant and four mothers with children under two years. The data were analyzed through content analysis. Results: Most mothers in this study were high school graduates, of low economic status, aged 22 to 36 years, and from Dayak and Malay cultural backgrounds. Seven categories were identified: stigma in children with stunting, cultural and social norms influence, problems of knowledge and awareness, hierarchical communication between healthcare providers and mothers, trust issues with healthcare providers, equity and accessibility of healthcare service facilities, as well as limited information and education. Conclusions: Encouraging awareness campaigns is vital to address stunting stigmatization. Healthcare providers should improve communication, education strategy, and nutrition competency through targeted training to better support and rebuild trust with mothers. Healthcare institutions and policymakers should develop policies that improve health service quality. Strengthening advocacy roles and collaborating with community organizations could ensure equitable healthcare access.

Evaluation of Hand Hygiene Practices and Educational Interventions Among Indonesian Nursing Students: An Analysis Using ATP Wipe Tests and Hand Hygiene Checkers Sato, Mayumi; Syahrul; Susanto, Tantut; Fithria; Hokama, Naoki; Saito, Ruka; Djaya, Andi Muhammad Fiqri Muslih; Sugimoto, Hiroshi
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.476

Background: Infectious diseases, including dengue fever and waterborne infections, remain major public health concerns in Indonesia. Hand hygiene is essential for reducing healthcare-associated infections; however, nursing students often fail to practice it effectively despite having sufficient knowledge. Purpose: The present study evaluated the implementation of hand hygiene among Indonesian nursing students, assessed their adherence to the “Five Moments for Hand Hygiene” during clinical training, and examined the necessity for educational improvements using a hand hygiene checker and ATP swab testing. Methods: A cross-sectional study was conducted among nursing students from three national universities in Indonesia. Data were collected through a questionnaire survey on hand hygiene knowledge and practices, self-reported adherence to the 'Five Moments for Hand Hygiene' during clinical training, and an objective evaluation using a hand hygiene checker and ATP swab testing. Results: The majority of students understood hand hygiene techniques; however, 70% failed to meet the WHO recommended handwashing duration. Over 30% of students found it challenging to perform hand hygiene before patient contact and after touching objects in the patient’s surroundings. The hand hygiene checker revealed residual contamination on the nails and fingertips, while ATP swab testing showed that 60% of students did not meet the standard threshold. Conclusions: Despite their knowledge, nursing students face challenges in implementing the proper hand hygiene practices. Knowledge alone is insufficient; practical education with visual and numerical feedback is essential. Training with hand hygiene checkers and ATP swab testing can improve self-assessment skills and enhance adherence to hand hygiene protocols.

Exploring Mothers’ Experiences in Accessing Primary Healthcare Service Facilities in Rural Indonesia: Implication for Stunting Prevention Ramadhaniyati; Lestari, Lilis; Saito, Ruka; Tsuda, Akiko
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.414

Background: Primary healthcare service facilities are essential in preventing stunting by providing comprehensive support for mothers and children. The low usage of the primary health services by pregnant women and mothers with toddlers in rural Indonesia limits the effectiveness of the services and contributes to poor stunting prevention. Purpose: This study aimed to explore mothers' experiences in accessing healthcare services at primary healthcare facilities in Indonesia. Methods: This descriptive qualitative study was conducted in the Melawi district of West Kalimantan Province. Employing a purposive sampling technique, data were collected through in-depth interviews with six mothers, two pregnant and four mothers with children under two years. The data were analyzed through content analysis. Results: Most mothers in this study were high school graduates, of low economic status, aged 22 to 36 years, and from Dayak and Malay cultural backgrounds. Seven categories were identified: stigma in children with stunting, cultural and social norms influence, problems of knowledge and awareness, hierarchical communication between healthcare providers and mothers, trust issues with healthcare providers, equity and accessibility of healthcare service facilities, as well as limited information and education. Conclusions: Encouraging awareness campaigns is vital to address stunting stigmatization. Healthcare providers should improve communication, education strategy, and nutrition competency through targeted training to better support and rebuild trust with mothers. Healthcare institutions and policymakers should develop policies that improve health service quality. Strengthening advocacy roles and collaborating with community organizations could ensure equitable healthcare access.

Evaluation of Hand Hygiene Practices and Educational Interventions Among Indonesian Nursing Students: An Analysis Using ATP Wipe Tests and Hand Hygiene Checkers Sato, Mayumi; Syahrul; Susanto, Tantut; Fithria; Hokama, Naoki; Saito, Ruka; Djaya, Andi Muhammad Fiqri Muslih; Sugimoto, Hiroshi
Journal of Rural Community Nursing Practice Vol. 3 No. 1 (2025): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i1.476

Background: Infectious diseases, including dengue fever and waterborne infections, remain major public health concerns in Indonesia. Hand hygiene is essential for reducing healthcare-associated infections; however, nursing students often fail to practice it effectively despite having sufficient knowledge. Purpose: The present study evaluated the implementation of hand hygiene among Indonesian nursing students, assessed their adherence to the “Five Moments for Hand Hygiene” during clinical training, and examined the necessity for educational improvements using a hand hygiene checker and ATP swab testing. Methods: A cross-sectional study was conducted among nursing students from three national universities in Indonesia. Data were collected through a questionnaire survey on hand hygiene knowledge and practices, self-reported adherence to the 'Five Moments for Hand Hygiene' during clinical training, and an objective evaluation using a hand hygiene checker and ATP swab testing. Results: The majority of students understood hand hygiene techniques; however, 70% failed to meet the WHO recommended handwashing duration. Over 30% of students found it challenging to perform hand hygiene before patient contact and after touching objects in the patient’s surroundings. The hand hygiene checker revealed residual contamination on the nails and fingertips, while ATP swab testing showed that 60% of students did not meet the standard threshold. Conclusions: Despite their knowledge, nursing students face challenges in implementing the proper hand hygiene practices. Knowledge alone is insufficient; practical education with visual and numerical feedback is essential. Training with hand hygiene checkers and ATP swab testing can improve self-assessment skills and enhance adherence to hand hygiene protocols.

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