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INDONESIA
Jurnal Penelitian Kesehatan Suara Forikes
Published by Forum Ilmiah Kesehatan
ISSN : 20863098     EISSN : 25027778     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Health Research "Forikes Voice" is a medium for the publication of articles on research and review of the literature. We accept articles in the areas of health such as public health, medicine, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, clinical laboratories, health education, and health popular.
Arjuna Subject : -
Articles 145 Documents
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Search results for , issue "2026" : 145 Documents clear
Persistently Low Maternal Knowledge on Congenital Hypothyroidism Screening in Newborns Maretnawati Hura; Debi Novita Siregar; Elly Yuniarti; Melianta Debora Sianturi; Masdarniat Gea; Kristiana Solidarwati Zebua
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170414

Abstract

Congenital hypothyroidism is a congenital disorder caused by impaired thyroid gland function in newborns and may lead to growth retardation and permanent intellectual disability if not detected early. Congenital hypothyroidism screening is recommended by the World Health Organization and has been implemented nationally by the Ministry of Health of the Republic of Indonesia as part of newborn screening programs. However, screening coverage in several regions, including Nias Regency, has not yet reached the expected target. Maternal knowledge is considered one of the important factors influencing participation in this screening program. This study aimed to describe pregnant women’s knowledge regarding congenital hypothyroidism screening in newborns. This study employed a quantitative descriptive approach involving 21 pregnant women selected through accidental sampling. Data were collected using a structured questionnaire and analyzed using frequency distribution and percentage. The results showed that 28% of respondents had inadequate knowledge regarding screening indications, 24% had inadequate knowledge regarding screening procedures, and 33% had inadequate knowledge regarding screening benefits. Overall, 38% of respondents had inadequate knowledge regarding congenital hypothyroidism screening. These findings indicate that many pregnant women still have inadequate overall knowledge regarding congenital hypothyroidism screening in newborns.Keywords: congential hypothyroidism screening; knowledge; pregnant women
Physician Distribution Outweighs Climate Variability in Shaping Pulmonary Tuberculosis Patterns Laura Dwi Pratiwi; Yoerdy Agusmal Saputra; Dwi Septiawati; Yustini Ardillah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170415

Abstract

Pulmonary tuberculosis remains a public health burden in endemic urban areas, exacerbated by heterogeneous climate variability and limited health service capacity. This study aimed to describe the temporal patterns of climate variability and the spatial patterns of physician distribution and their relationship to tuberculosis cases in Palembang. Using a spatial-temporal ecological design, we analyzed monthly time series of tuberculosis cases and summarized monthly climate data from the Meteorology, Climatology, and Geophysics Agency of Indonesia, then mapped the cases and availability of general practitioners and pulmonologits in 18 subdistricts using geographic information system to explore distribution patterns and potential detection bias. The results showed that at the aggregate level, there was no consistent linear relationship between climate fluctuations and variations in pulmonary tuberculosis cases; instead, spatial mapping revealed heterogeneity in cases correlated with medical personnel availability, areas with higher health worker density reported higher cases (indicating increased detection), while resource-limited areas risked underreporting and delayed diagnosis. These findings underscore the need for equitable primary care services, strengthened active case finding, and integration of service indicators into spatial surveillance to improve programmatic detection and response. Keywords: climate variability; physician availability; pulmonary tuberculosis; spatial-temporal patterns
Forecasting the Growing Demand for Inpatient Beds Using Hospital Efficiency Indicators Salma Aribatun Najihah; Andi Suhenda; Dini Mariani; Ari Sukawan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170412

Abstract

The quality of inpatient services in hospitals is strongly influenced by the efficiency of bed utilization, which is measured using key indicators such as Bed Occupancy Rate (BOR), Average Length of Stay (AvLOS), Turnover Interval (TOI), and Bed Turnover (BTO). Preliminary findings at Majalengka District Hospital showed that BOR remained below the optimal standard, AvLOS showed a gradual increase, TOI continued to decline, and BTO was excessively high. These patterns indicate the need to project inpatient bed requirements for the years 2025–2029. This study aimed to predict inpatient bed requirements based on inpatient service efficiency indicators. A descriptive quantitative study with a prospective approach was conducted. Secondary data on inpatient activities from 2022–2024 were collected using purposive sampling. Linear regression analysis was applied to predict inpatient days and patient discharges, while BOR and TOI calculations were used to estimate the number of beds required. The findings indicate that inpatient bed utilization at Majalengka District Hospital during 2022–2024 was still inefficient. Although the number of beds decreased, inpatient days and patient discharges continued to rise, reflecting increasing demand for inpatient services. Based on the standard BOR of 75–85% and TOI of 1–3 days, the projected bed requirement ranges from 167–292 beds in 2025 and increases to 212–368 beds by 2029. In conclusion, inpatient bed requirements at Majalengka District Hospital are expected to continue increasing, highlighting the need for regular evaluation and strategic planning of bed capacity.Keywords: prediction; bed requirement; efficiency; hospital
Consistency of Condom Use among Men Who Have Sex with Men as a Predictor of HIV Incidence in Indonesia Putri Naya Apriliani; Ema Novita Deniati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170416

Abstract

Human Immunodeficiency Virus (HIV) remains a major public health concern in Indonesia, particularly among men who have sex with men (MSM), who continue to experience increasing HIV prevalence. Behavioral and structural factors, including condom use consistency, knowledge, risk perception, and access to prevention services, contribute to HIV vulnerability within this population. This study aimed to analyze the association between condom use consistency and HIV status among MSM in Indonesia, while examining the influence of demographic and behavioral confounding variables. This cross sectional study utilized secondary data from the 2019 Integrated Biological and Behavioral Surveillance (STBP), covering 2,936 MSM respondents across 13 provinces and 24 districts/cities. Data were analyzed using univariate, chi square bivariate tests, interaction analysis, and binary logistic regression to identify independent and adjusted associations between variables. A total of 20.10% of respondents were HIV reactive, and 51.75% reported inconsistent condom use. Bivariate analysis showed significant associations between HIV status and all independent and confounding variables (p < 0.05). Multivariate analysis revealed that inconsistent condom use was associated with a 29% lower likelihood of HIV infection (aOR = 0.71). Higher odds of HIV infection were observed among respondents aged ≥25 years (aOR = 1.82), unmarried or previously married (aOR = 2.79), those with a history of STI symptoms (aOR = 1.63), and those reporting difficulty accessing condoms (aOR = 1.24). Conversely, respondents who did not perceive themselves at risk (aOR = 0.51) and those who had never undergone HIV testing (aOR = 0.40) showed lower odds of HIV infection. A significant interaction was found between STI symptoms and HIV testing history (aOR = 2.18). In conclusion, condom use consistency, age, marital status, risk perception, STI symptoms, access to condoms, and HIV testing history were significantly associated with HIV status among MSM in Indonesia. Keywords: Human Immunodeficiency Virus; men who have sex with men; condom use consistency; risk factors
HbA1c Levels as a Primary Predictor of Diabetic Neuropathy in Patients with Diabetes Mellitus Satria Akbar Putra Asmara; Ulil Albab Habibah; Ana Fauziyati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170405

Abstract

One of the most common and debilitating long‑term complications of diabetes mellitus is diabetic neuropathy, whose prevalence varies widely across countries. This condition significantly increases the risk of lower‑extremity amputation and diabetic foot ulceration, underscoring the importance of early identification of its predictors. This review aimed to examine recent evidence regarding the association between HbA1c levels and the occurrence of diabetic neuropathy among individuals with diabetes mellitus. A literature search was conducted for articles published between 2015 and 2025 across PubMed, ScienceDirect, and Google Scholar, yielding 12 eligible studies. Of these, eight studies reported a significant association between HbA1c and diabetic neuropathy. Elevated HbA1c levels and wide HbA1c variability were consistently linked to an increased risk and greater severity of neuropathic complications. Longitudinal analyses demonstrated that HbA1c serves as a strong predictor of neuropathy when monitored over time rather than assessed as a single measurement. Moreover, the combination of HbA1c with age and duration of diabetes produced a sensitivity of 78.6% and a specificity of 52.3% (p < 0.0001), indicating enhanced predictive accuracy when these variables are evaluated together. These findings highlight the need for clinicians to assess not only absolute HbA1c values but also HbA1c variability over time to prevent progressive nerve damage. Age and duration of diabetes should likewise be considered essential predictors in evaluating neuropathy risk. In conclusion, this literature review demonstrates that HbA1c is a principal predictor of diabetic neuropathy, reinforcing its critical role in comprehensive glycemic monitoring strategies.Keywords: HbA1c variability; diabetic neuropathy; diabetes mellitus
Limited Impact of a WhatsApp‑Based Motivational Messaging Program Grounded in Swanson’s Caring Theory on Nurses’ Compassion Fatigue and Job Satisfaction R. R. Woro Sulistiyowati; Fitriana Suprapti; Bantari Wisynu Kusuma Wardhani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170504

Abstract

Compassion fatigue is a form of emotional exhaustion experienced by nurses as a result of repeated exposure to patients’ suffering, and this condition can negatively affect job satisfaction. This study aimed to analyze the effect of a motivational message program delivered via WhatsApp on reducing compassion fatigue and its impact on improving nurses’ job satisfaction. A quasi-experimental design with a pretest–posttest and control group was employed. The intervention consisted of motivational messages sent regularly for 21 days to the intervention group. Compassion fatigue and job satisfaction were measured before and after the intervention using questionnaire, and the data were analyzed using parametric statistical tests. The paired samples t-test showed no significant difference between pretest and posttest scores in the intervention group (p = 0.903), suggesting that motivational messages via WhatsApp alone are insufficient to decrease compassion fatigue. Furthermore, the reduction in compassion fatigue did not have a significant impact on improving job satisfaction. Although there was an average increase of 1.39 points, this change was not statistically significant (p = 0.388). Between-group analysis also revealed no significant differences between the intervention and control groups in either compassion fatigue or job satisfaction (p > 0.05). In conclusion, the WhatsApp-based motivational messaging program has not been proven effective in reducing compassion fatigue or improving nurses’ job satisfaction. Future research should develop more comprehensive interventions, such as peer support group programs, that enable nurses to share experiences and provide mutual support.Keywords: compassion fatigue; motivational message; WhatsApp; job satisfaction; nurses
Fathers’ Experiences in Providing Kangaroo Mother Care for Premature Infants Natalia Damaiyanti Putri Raden; Makrina Sedista Manggul; Paskalinda Maria Yosefa Bandur
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170410

Abstract

Kangaroo Mother Care (KMC) is traditionally performed by mothers, while fathers’ involvement often remains overlooked. Understanding fathers’ experiences is essential to promote their participation and strengthen their role in caring for premature infants. This study aimed to explore fathers’ lived experiences and inner perceptions regarding their involvement in providing Kangaroo Mother Care for premature infants, and to generate evidence supporting the promotion of father-led KMC as part of shared parenting. This qualitative study employed a descriptive phenomenological approach. Participants were selected using purposive sampling. Data were collected through in-depth interviews and direct observation, and analyzed using Colaizzi’s method. Six major themes emerged: (1) fathers’ awareness and knowledge of KMC; (2) fathers’ motivations and expectations; (3) emotional experiences during KMC; (4) strengthening of the paternal role through KMC; (5) barriers and challenges to father involvement; and (6) strategies and support needed to enhance fathers’ participation. In conclusion, fathers’ engagement in KMC enhances emotional bonding with their infants and reinforces their caregiving role. However, involvement is hindered by privacy concerns, gender role norms, and limited hospital facilities. Institutional policies and healthcare provider support are needed to encourage father participation and create a father-friendly care environment to optimize KMC implementation.Keywords: Kangaroo Mother Care; fathers; premature infants; paternal involvement
Family Support Serves as Key determinants Influencing the Utilization of the Integrated Health Service Post for the Elderly Anggun Pratiwi; Husna Yetti; Rosfita Rasyid
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170502

Abstract

Utilization of the Posyandu Lansia remains suboptimal in the Belimbing Health Center despite its essential role in preventive health services for older adults. Various demographic and behavioral factors have been examined, yet the determinants influencing service utilization remain inconsistent across studies. This study aimed to identify the factors associated with the utilization of the Posyandu Lansia, with a particular focus on the role of family support as a potential determinant. A quantitative analytic study with a cross sectional design was conducted among older adults registered in the Belimbing Health Center. Data were collected using a validated questionnaire measuring demographic characteristics, knowledge, attitudes, family support, health worker support, and accessibility. Statistical analysis included descriptive and bivariate testing using the Chi square method. The findings revealed that family support was the only factor significantly associated with the utilization of the Posyandu Lansia. Emotional encouragement was generally adequate, yet gaps were evident in instrumental support such as transportation and physical accompaniment, as well as informational support such as schedule reminders. Other variables including age, sex, education, occupation, knowledge, attitude, distance, and health worker support showed no significant association with service utilization. In conclusion, family support serves as the primary determinant of Posyandu Lansia utilization. Strengthening instrumental and informational support within the household is essential to improving attendance and ensuring consistent engagement in preventive health services among older adults.Keywords: Posyandu Lansia; service utilization; family support
The Role of Ward Head Caring Leadership in Enhancing Nurses’ Work Motivation in Hospitals Retno Utaminingsih; Asnet Leo Bunga
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170409

Abstract

Nurses' work motivation plays a crucial role in the quality of nursing services. One factor that significantly shapes work motivation is the ward head's leadership style, specifically caring leadership. This study aims to explore and summarize scientific evidence regarding the influence of ward head's caring leadership on nurses' work motivation in inpatient wards. The method used was a systematic literature review by examining 16 research journals obtained from the PubMed, CINAHL (EBSCOHost), Scopus, and Google Scholar databases. The literature search was conducted following the PRISMA protocol. Articles published between 2020 and 2025 were selected based on inclusion criteria, and those that met these criteria were evaluated for quality through critical appraisal. This study shows that caring leadership has a positive impact on nurses' work motivation and well-being, and can reduce burnout. Effective leadership improves nurses' work engagement by increasing motivation, affective commitment, and reducing work stress levels. Furthermore, the implementation of a caring work environment model has been shown to be effective in creating a healthy work atmosphere and reducing burnout in nurses. Caring leadership improves nurses' work motivation, well-being, and engagement, as well as reducing burnout. The implementation of a caring work environment model has been proven to create a healthy work atmosphere and reduce nurses' stress levels.Keywords: Leadership; nurse managers; work motivation; nursing staff; job satisfaction; inpatient care
The Role of the Command Center in Regulating Patient Flow in General Hospital Luh Putu Sinthya Ulandari; Putu Aryani Astuti; Ketut Aryawati; Putu Mas Vina Paramitha Cempaka; Ni Luh Putu Nurhaeni; Tri Virgo Wati; Luh Inta Prilandari; Putu Pande Januraga
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170503

Abstract

The Command Center system has been piloted at RSUP Prof. dr. I.G.N.G. Ngoerah for approximately one year; however, its performance has not previously been evaluated. This study aimed to assess the effectiveness and efficiency of the Command Center in regulating patient flow within the hospital. A mixed methods design was employed and conducted from December 2024 to May 2025. Secondary data, consisting of referral volume reports and response time records, were analyzed descriptively. Primary data were collected through in depth interviews and focus group discussions involving seven key informants and four FGD groups, and were analyzed thematically. The findings indicate that the Command Center increased the number of accepted incoming referrals by 53%, while the proportion of unaccepted referrals decreased by 26%. The system also reduced patient congestion in the Emergency Department by enabling direct transfer of referred patients to the appropriate inpatient units based on clinical needs, bypassing the ED when necessary. Response times varied across medical staff groups, ranging from 14 to 136 minutes. However, by January 2025, approximately 93% of referrals achieved a response time of ≤60 minutes, with an average of around 20 minutes per referral. Overall, the Command Center improved the effectiveness and efficiency of the referral process, ensuring that referred patients received timely and appropriate care according to their medical condition and service requirements.Keywords: command center; effectiveness; efficiency; patient flow

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