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All Journal Abdimas Polsaka Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Nancy Sylvia Bawiling
Universitas Negeri Manado, North Sulawesi, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Community-Based Family Education and Assistance for Improved Nutrition Andi Mukarramah; Lestari Lorna Lolo; Nancy Sylvia Bawiling; Suprapto
Abdimas Polsaka Vol. 5 No. 1 (2026): Volume 5 Number 1 March 2026
Publisher : LPPM Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v5i1.199

Abstract

Malnutrition remains a major public health problem, particularly in communities where families have limited access to nutrition information and health services. Family knowledge and daily dietary practices play a crucial role in determining nutritional status, especially among children and vulnerable household members. This community service program aimed to improve family nutrition through community-based education and assistance implemented at a primary healthcare center in Makassar, Indonesia. The program involved 30 family respondents and used a structured five-stage approach: preparation, baseline assessment, nutrition education, family assistance and mentoring, and monitoring and evaluation. Educational activities focused on balanced nutrition, local food utilization, family meal planning, and food hygiene, supported by practical demonstrations and continuous mentoring. The program's effectiveness was evaluated using pre- and post-test assessments of nutrition knowledge, balanced diet practices, and food hygiene awareness. The results showed consistent improvements across all indicators after the intervention, indicating enhanced understanding and adoption of healthy nutritional behaviors at the household level. These findings demonstrate that integrating structured nutrition education with hands-on assistance can effectively translate knowledge into practice. Overall, the program highlights the importance of family-centered and participatory approaches in addressing community nutrition problems. Community-based family education and assistance represent a feasible and sustainable strategy to strengthen family capacity, promote healthy dietary behaviors, and support nutrition improvement within primary healthcare settings
Impact of health policy implementation on service quality and patient satisfaction in primary care settings: A cross-sectional study Anita Costanci Christine Tengker; Nancy Sylvia Bawiling
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.338

Abstract

Introduction: Effective implementation of health policy at the primary care level remains uneven, often limiting its impact on service quality and patient satisfaction. This study aimed to examine the effect of health policy implementation on service quality and patient satisfaction in primary care settings. Research Methodology: An analytical cross-sectional study was conducted among 145 patients attending primary healthcare facilities. Participants were selected using systematic random sampling. Health policy implementation was assessed across three domains: policy adherence, resource availability, and provider compliance. Service quality was measured using a modified SERVQUAL instrument, while patient satisfaction was assessed using a standardized Likert-scale questionnaire. Data were analyzed using descriptive statistics, bivariate analysis, and multiple linear regression. Statistical significance was set at p < 0.05. Results: Health policy implementation showed a significant positive association with service quality (β = 0.52; 95% CI: 0.34–0.70; p < 0.001) and patient satisfaction (β = 0.47; 95% CI: 0.29–0.65; p < 0.001). Multivariate analysis revealed that policy adherence was the strongest predictor of service quality (β = 0.31; 95% CI: 0.18–0.44; p < 0.001) and patient satisfaction (β = 0.29; 95% CI: 0.16–0.42; p < 0.001), followed by resource availability and provider compliance, all of which remained statistically significant. Conclusion: The findings indicate that strengthening health policy implementation, particularly adherence and resource support, is essential to improve service quality and patient satisfaction. Policy efforts should prioritize implementation fidelity, workforce capacity, and equitable resource allocation to enhance patient-centered outcomes in primary healthcare.
Co-Authors Andi Mukarramah Anita Costanci Christine Tengker Lestari Lorna Lolo Suprapto