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All Journal KESANS : International Journal of Health and Science
Effendi, Julham
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Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Identifying Barriers to the Implementation of the Standard Inpatient Class (KRIS): A Study in Denpasar City's Private Hospitals Effendi, Julham; Manuaba, I.B.G. Fajar; Sanjaya, I.N Hariyasa; Tania Fidzikri, Nanda Berliana; Yamin, Imam Syahputra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.474

Abstract

Introduction: The Indonesian government and BPJS Kesehatan plan to replace the current class-based inpatient system with a Standard Inpatient Class (KRIS) to ensure service equality. Government Regulation No. 47 of 2021 mandates that private hospitals must prepare at least 40% of their beds for KRIS. A preliminary survey showed only 57% of private hospitals in Denpasar were ready for this implementation. Objective: This study aimed to identify and analyze the obstacle factors in the implementation of KRIS in private hospitals in Denpasar. Method: This study used a qualitative design with a descriptive approach. Data were collected through in-depth interviews with 17 informants, including representatives from 14 private hospitals, BPJS Kesehatan, and the Provincial and City Health Offices between April and July 2023. Data were analyzed using thematic analysis. Result and Discussion: The study identified four main barriers: 1) Resource factors, particularly in meeting 12 KRIS criteria such as room density (50% compliance), bathroom accessibility (57.14%), and oxygen outlets (71.42%), compounded by land, building, and budget limitations; 2) Communication issues, including differing perceptions of KRIS implementation regulations; 3) Disposition challenges, where hospitals feel unable to meet the implementation timeline and 4) Bureaucratic hurdles, specifically the absence of specific technical government regulations. Conclusions: The most dominant obstacles are inadequate facilities and infrastructure, land and budget constraints, differing information perceptions, unachievable implementation targets, and the lack of technical guidelines.
Analysis of Maternal Knowledge and Complementary Feeding Patterns as Risk Factors for Stunting in Children Aged 6-24 Months Syahputra Yamin, Imam; Tania Fidzikri, Nanda Berliana; Effendi, Julham; Tamara, Metha Dwi; Rahmawati, Santi Deliani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.540

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Introduction: Nutritional status during the critical period of 6–24 months relies heavily on appropriate Complementary Feeding (MP-ASI), a practice directly modulated by maternal health literacy. Objective: This study analyzed the correlation between maternal knowledge levels and complementary feeding patterns with the nutritional status of children aged 6–24 months in Central Lombok Regency. Method: This cross-sectional study involved 73 mothers selected via consecutive sampling in the Penujak Public Health Center area. Maternal knowledge and feeding patterns were assessed using validated questionnaires, while nutritional status (Length-for-Age) was derived from secondary data. Data were analyzed using the Spearman’s rho test. Result and Discussion: Stunting prevalence was critically high at 57.5%. Most mothers (50.7%) had 'moderate' knowledge. Bivariate analysis revealed a significant positive correlation between maternal knowledge and nutritional status (r=0.297; p=0.011). Furthermore, a moderately strong correlation was found between complementary feeding patterns and nutritional status (r=0.531; p<0.001). Conclusion: Complementary feeding practices serve as a stronger determinant of nutritional status than knowledge alone. Interventions must shift from passive education to operational strategies, such as cooking demonstrations of local menus and the reactivation of Toddler Mothers’ Classes (Kelas Ibu Balita) to improve practical feeding skills.
Effectiveness of Audiovisual Nutrition Education via YouTube on Balanced Nutrition Knowledge and Attitudes Among Indonesian Adolescents: A Quasi-Experimental Study Tamara, Metha Dwi; Ruhyat, Ejeb; Tusrini, Weni; Effendi, Julham; Tania Fidzikri, Nanda Berliana; Yamin, Imam Syahputra; Rahmawati, Santi Deliani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.543

Abstract

Introduction: Adolescents currently face a double burden of malnutrition amidst a rapid transformation in digital health information. Conventional educational methods often fail to effectively engage Generation Z, a demographic with a distinct preference for visual and interactive learning formats. Objective: This study evaluated the effectiveness of a YouTube-based audiovisual intervention in improving knowledge and attitudes regarding balanced nutrition among adolescents in a boarding school setting. Method: This quantitative study employed a quasi-experimental, one-group pretest-posttest design. Participants comprised 88 students from MAPK Jabal Hikmah, an Islamic boarding school in East Lombok Regency, Indonesia, recruited via total sampling. The intervention consisted of a structured educational video aligned with the Indonesian Balanced Nutrition Guidelines (Pedoman Gizi Seimbang). Data were analyzed using the Wilcoxon Signed-Rank Test due to the non-normal distribution of variables. Result and Discussion: The intervention yielded a statistically significant increase in nutrition knowledge (p < 0.001), with mean scores rising from 30,51 to 80,40. Attitude scores also demonstrated significant improvement (p < 0.001), increasing from 46,53 to 61,02. Notably, the proportion of students categorized as having a "good" attitude rose substantially to 98.9% post-intervention, compared to 39.8% at baseline. Conclusion: YouTube-based audiovisual interventions are an effective and efficient digital health promotion strategy for enhancing adolescent nutrition literacy. Future studies should incorporate a control group to strengthen internal validity and generalizability.
Co-Authors Dwi Tamara, Metha Imam Syahputra Yamin Manuaba, I.B.G. Fajar Nanda Berliana Tania Fidzikri Rahmawati, Santi Deliani Ruhyat, Ejeb Sanjaya, I.N Hariyasa Tusrini, Weni