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Open Access Health Scientific Journal
Published by Griya Eka
ISSN : -     EISSN : 28076184     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Open Access Health Scientific Journal (OAHSJ) is an international open access journal (e-journal) which publishes the scientific works for health practitioners and researchers. The focus and scopes of the journal include Nursing, Public Health, Medical Science, Pharmacist, Nutritionist, Health Community, Mental Health, Health Management, Health Education. The OAHSJ Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. Submitted papers must be written in English for initial review stage by editors and further review process by minimum two reviewers.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 98 Documents
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Strategic Analysis of The Fire and Rescue Service Preparation of Medan City in Handling Disaster Incidents Fire in 2023 Mutiara, Grace; Ketaren, Otniel; Damanik, Elsarika; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.82

Abstract

Background: Fire is one of the disasters that has a significant impact on safety and property. Medan City, as a centre of urban activities with a high population density, faces a significant risk of fire. Therefore, the readiness of the Medan City Fire and Rescue Department is a crucial factor in fire countermeasures. This research aims to analyse the readiness strategies of the agency in dealing with fires.Methods: This study was conducted in Medan City using a descriptive qualitative approach. The informants included the head of the service, heads of various fields, and operational fire extinguisher officers. Data collection techniques comprised in-depth interviews, observations, and document studies. Data analysis employed the Miles and Huberman interactive model, which includes data reduction, data presentation, and conclusion extraction.Results: The research findings indicate that the Medan City Fire and Rescue Department's readiness still faces several challenges, including a lack of trained personnel, limited facilities and infrastructure, and constraints in inter-agency coordination. The strategies implemented include regular training improvements, budget optimisation, and strengthening cross-sector synergy.Conclusion: The readiness of the Medan City Fire and Rescue Department in addressing fires requires strengthening in terms of human resources, logistics, and collaboration with various stakeholders. The results of this research have important implications for the development of disaster mitigation policies in the field of public health and safety.
Determinants of Dengue Hemorrhagic Fever Incidents in Medan District, Johor in 2023 Hutahaean, Sri Hartati Rahayu Lambok; Nababan, Donal; Sinaga, Janno; Manurung, Kesaktian; Sinaga, Taruli Rohana
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.83

Abstract

Background: Dengue hemorrhagic fever (DHF) is a disease transmitted through the bite of the Aedes aegypti mosquito. Indonesia, as a tropical country with high humidity and a dense population, is particularly vulnerable to the spread of dengue fever. Several risk factors, such as the level of knowledge, societal attitudes, customs related to hanging clothes, and the implementation of the 3M Plus programme, also play a role in the incidence of dengue cases. The Medan Johor District is one of the areas with the highest number of dengue fever cases in Medan City.Method: This study employed an observational analytic design with a cross-sectional approach, conducted in Kuala Bekala Village, Medan Johor District, in 2023. Data were collected through a structured questionnaire designed to measure knowledge, attitudes, preventive behaviours (3M Plus), use of mosquito repellent, and habits related to hanging clothes. The larval index was obtained through direct inspection of the respondents' homes. Data analysis was performed using chi-square tests and logistic regression.Results: There is a significant connection between the incidence of dengue fever and various factors, including the level of knowledge, attitudes, implementation of the 3M Plus programme, use of mosquito repellent, habits related to hanging clothes, and the number of free larvae (p < 0.05). Respondents with a lack of knowledge and at-risk behaviours were significantly more likely to be affected by dengue fever. The habit of hanging clothes poses nearly five times the risk of dengue fever incidence.Conclusion: The incidence of dengue fever in the Medan Johor District is influenced by several modifiable factors related to behaviour and the environment. Health promotion efforts that focus on improving knowledge and the consistent application of the 3M Plus programme are essential. The findings of this research are important for developing dengue fever prevention strategies in high-risk urban areas.
Factors Related to Compliance in Taking Medication in Tuberculosis Patients in The Work Area of Tanjung Morawa Community Health Center, Deli Serdang Regency in 2024 Silalahi, Hotnida Estirawaty; Wandra, Toni; Sinaga, Taruli Rohana; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.84

Abstract

Background: Tuberculosis (TB) remains one of the main causes of death globally. One of the main challenges in TB control is low compliance with treatment, which is often due to limited patient knowledge. This research aimed to investigate the connection between the level of knowledge among patients and their compliance with TB treatment at the Tanjung Morawa Health Centre in Deli Serdang Regency.Methods: This study employs an analytic quantitative design with a correlational approach and a cross-sectional cut. Data were collected simultaneously for both independent and dependent variables from 68 TB patients in the working area of the Tanjung Morawa Health Centre. A structured questionnaire was used to evaluate the level of knowledge and compliance with treatment. Data were analysed using the Chi-Square test to determine the connection between variables.Results: The research results show that there is no significant relationship between age (p=0.077), gender (p=0.098), level of education (p=0.410), and health officers (p=0.509) with compliance to treatment. However, there are significant relationships between employment (p=0.026), family support (p=0.008), and medication supervision (p=0.005) with compliance to treatment. The variable of medication supervision has the highest Exp(B) value (7.800), indicating that this variable is the most influential factor regarding treatment compliance.Conclusion: The presence of medication supervision and strong family support play an important role in increasing compliance with TB treatment. These findings emphasise the need for a health strategy that strengthens the community's patient supervision system and encourages family involvement to optimise TB treatment outcomes.
Factors Related to The Compliance of Medan Johor Public Health Center Hajj Pilgrimages in Returning The Health Alert Cards of 2024 Hajj Pilgrimages Elidatati, Elidatati; Santoso, Heru; Hutajulu, Johansen; Nababan, Donal; Sembiring, Rinawati
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.85

Abstract

Background: The Hajj pilgrimage is an obligation for Muslims, as established in Constitution Number 8 of 2019. One of the important components in the organisation of the Hajj is health, especially due to the high proportion of elderly and chronically ill congregants, who are considered a high-risk group. The Hajj Pilgrim Health Alert Card (K3JH) is issued to detect infectious diseases early after the congregation returns home. However, the rate of K3JH returns in Medan City has not yet reached the target of 90%.Methods: This study employed a cross-sectional design and was conducted at the Medan Johor Health Centre in 2024. The research sample consisted of all Hajj pilgrims registered in the work area. Data were collected through questionnaires and documents monitoring K3JH returns. The variables analysed included age, gender, education, occupation, distance to health facilities, disease status, information received, and the mechanism of K3JH return. Data analysis was performed using chi-square tests and logistic regression.Results: The majority of congregants who did not return their K3JH cards were elderly individuals with accompanying diseases. The main reasons for not returning the K3JH were forgetfulness, loss of the card, and lack of communication. Significant factors associated with K3JH return included age, education, disease status, and access to health services.Conclusion: Compliance among pilgrims in returning the K3JH is influenced by both individual and systemic factors. There is a need for targeted education, effective communication strategies, and strengthened coordination between health centres and KBIHU to increase the rate of K3JH returns. The results of this research have important implications for community health policy and the prevention of infectious diseases among Hajj pilgrims.
Analysis of Community Preparedness in Facing Disasters Following the Establishment of Village Disaster Preparedness Teams in Situmeang Hasundutan Village, North Tapanuli Regency Simanjuntak, Bobby; Ketaren, Otniel; Tarigan, Fridalina; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.88

Abstract

Background: Disasters are unpredictable events that can occur suddenly at any time and in any place. In response, the Indonesian government has prioritised disaster preparedness through various programmes, one of which is the Disaster Resilient Village (Desa Tangguh Bencana/Destana) initiative by BNPB. Situmeang Hasundutan Village is among those designated as a Destana. This study aims to analyse the community’s preparedness for facing disasters following the formation of Destana in Situmeang Hasundutan Village, North Tapanuli Regency.Methods: This qualitative study employed a phenomenological approach and was conducted in Situmeang Hasundutan Village, Sipoholon Sub-district, North Tapanuli Regency, from September 2023 to April 2024. A total of seven informants participated in the study. Data were collected through in-depth interviews, observations, and documentation.Results: The findings revealed that the informants’ knowledge and attitudes towards disaster preparedness improved through consistent dissemination of information and socialisation. Disaster simulations have been conducted, supported by an effective disaster information management system, including hazard maps and evacuation routes. Preventive efforts, such as the preparation of medicines, were in place. The mobilisation of human resources, including village leaders, religious and traditional figures, and youth representatives (18 people in total), demonstrated strong community readiness.Conclusion: The implementation of Destana has significantly contributed to increasing disaster preparedness in Situmeang Hasundutan Village. It is recommended that the North Tapanuli BPBD conduct regular simulations and provide continuous support to Destana cadres. Community members are also encouraged to remain informed about earthquake disaster risks due to the village's vulnerable location.
Determinants of Self-Management Behavior in Individuals with Hypertension: A Cross-Sectional Analysis Sinaga, Friska; Ari, Elizabeth; Triastuti, Lidwina
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.90

Abstract

Background: Hypertension is a leading contributor to global morbidity and mortality, necessitating not only pharmacological management but also effective self-management practices by patients. Identifying the factors influencing self-management behavior among hypertensive patients is essential for developing targeted interventions to improve health outcomes.Methods: This study employed a quantitative descriptive correlational design. A total of 105 hypertensive patients residing in the Saguling sub-district were selected using accidental sampling. Data collection instruments included a demographic questionnaire and the validated Hypertension Self-Management Behavior Questionnaire (HSMBQ). Data were analyzed using univariate and bivariate statistical methods, including Kendall’s Tau and Chi-square tests, with a significance level set at p < 0.05.Results: The findings revealed that various demographic factors—including age, education level, occupation, and duration of hypertension—were significantly associated with self-management behaviors. Most respondents demonstrated moderate levels of self-management. The study identified perceived barriers, self-efficacy, and social support as crucial factors affecting the patients’ ability to manage hypertension effectively.Conclusion: Understanding the demographic and psychosocial factors influencing self-management behaviors in hypertensive patients is vital for the development of effective health education and intervention programs. Strategies aimed at reducing perceived barriers and enhancing support systems could significantly improve hypertension outcomes.
Correlation Between Illness Perception and Self-Management Among People With Diabetes Mellitus Triastuti, Lidwina; Sinaga, Friska; Ari, Elizabeth
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.91

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disease with a rising global prevalence. Successful diabetes management heavily relies on patients’ engagement in self-management behaviors, which are significantly influenced by their illness perception. This study aimed to examine the correlation between illness perception and diabetes self-management among elderly individuals with type 2 diabetes.Methods: A quantitative, cross-sectional study was conducted involving 120 elderly participants with diabetes mellitus selected through purposive sampling from three community health centers. Data were collected using the Brief Illness Perception Questionnaire (Brief IPQ) and the Diabetes Self-Management Questionnaire (DSMQ). Pearson Product Moment analysis was employed to examine the correlation between the two variables.Results: The mean illness perception score was 48.72 (SD 15,75), while the mean self-management score was 78.75 (SD 11,35). A significant positive correlation was found between illness perception and self-management (p < 0.001, r = 0.568).Conclusion: Individuals with a higher perception of their illness demonstrate better self-management behaviors. Health education strategies should focus on improving illness perceptions to enhance diabetes self-management.
Illness Perception and Its Association with Anxiety Among Hypertensive Outpatients Ari, Elizabeth; Sinaga, Friska; Triastuti, Lidwina
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.92

Abstract

Background: Hypertension is a major chronic condition that affects both physical and psychological health. Among hypertensive patients, anxiety is a common comorbidity that can interfere with disease management and quality of life. Illness perception, or how individuals interpret and respond emotionally to their condition, is thought to be a key factor influencing psychological outcomes. The aim of this study is to examine the association between illness perception and anxiety levels among hypertensive outpatients.Methods: This cross-sectional analytical study involved 130 hypertensive outpatients recruited through purposive sampling. Illness perception was assessed using the Brief Illness Perception Questionnaire (Brief IPQ), and anxiety was measured using the Zung Self-Rating Anxiety Scale (SAS). Pearson’s correlation test was used to analyze the relationship between the two variables.Results: The mean illness perception score was 53.1 (SD = 10.7), while the mean anxiety score was mild to moderate. A moderate, statistically significant positive correlation was found between illness perception and anxiety (r = 0.482, p < 0.001). Patients who perceived their hypertension as more threatening and uncontrollable reported higher levels of anxiety.Conclusion: Negative illness perceptions are significantly associated with increased anxiety among hypertensive outpatients. Routine hypertension management should incorporate strategies to assess and address patients' beliefs and emotional responses toward their illness to support better psychological and clinical outcomes
Assessment of Readiness for Implementing a School Lunch Program among Primary School Children Ramadhani, Khairunisa; Suryani, Dyah; Ansari, Muhammad Ridwan; Ayuningtyas, Cita Eri; Kusuma, Sari
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.93

Abstract

Background: Elementary school children are in a period of rapid growth and development, which requires adequate nutritional intake. Unfortunately, many school-age children skip lunch or consume meals that lack nutritional value. School lunch programs have been proven to improve nutritional status, learning concentration, and student attendance. In Indonesia, school lunch programs have not been implemented evenly, particularly in public schools. The Special Region of Yogyakarta (DIY) has the potential to serve as a model area for the implementation of such programs; however, a readiness assessment is required beforehand, considering the perspectives of schools.Methods: This study employed a descriptive quantitative approach using a survey method. Samples were taken from several public elementary schools located in urban and semi-urban areas of the Special Region of Yogyakarta (DIY). Data was collected through questionnaires distributed to school principals and key decision-makers within the school environment. The data were analyzed descriptively to identify trends, logistical readiness, and stakeholder support. This study obtained ethical approval from the Research Ethics Committee of Universitas Ahmad Dahlan with the approval code 012408284, issued on September 6, 2024.Result: Based on the survey results, it was found that school readiness in terms of infrastructure still faces several challenges. Though the school stated overall readiness, this school lunch program gives benefits such as food behavior change, increasing nutritional status, increasing student performance, and school reputation.Conclusion: Most elementary and Islamic elementary schools (MI) in Yogyakarta reported that they are not yet fully prepared to implement the school lunch program. However, they expressed willingness to participate if supported by the local government and provided with clear technical implementation guidelines. An initial intervention in the form of a pilot project is necessary to evaluate the program’s effectiveness and to make necessary operational adjustments
Human Error and Near Misses in Hospital Occupational Safety: A Root Cause Analysis Using HFACS Framework Hizriansyah, Hizriansyah; Maretalinia, Maretalinia
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.95

Abstract

Background: Occupational health and safety (OHS) at hospitals is at high risk of near-miss events and human error, both of which have an influence on healthcare workers' safety and service quality. Although many hospitals have technical SOPs, problems still occur because the underlying reasons are rarely properly investigated. The Human Factors Analysis and Classification System (HFACS) framework can assist uncover the underlying causes of accidents, however its implementation in Indonesian hospitals is limited.Methods: This study used a qualitative case study methodology and a root cause analysis technique based on HFACS. Data were gathered over a six-month period by reviewing near-miss occurrence reports and conducting in-depth interviews with seven key informants at Patut Patuh Patju Hospital in West Lombok. Thematic analysis was carried out using NVivo, with data triangulation and member verification.Results: A total of 27 near-miss occurrences were discovered, with root cause patterns spanning all four levels of HFACS: risky acts, preconditions for unsafe acts, insufficient supervision, and organizational impacts. SOP breaches, weariness from heavy workloads, inadequate supervision, and an incident reporting culture that did not yet support the program were among the most significant issues.Conclusion: The deployment of HFACS successfully maps the interactions that produce OHS events at all levels in hospitals. These findings highlight the need of transforming the workplace safety culture into a non-punitive learning culture, which is supported by active supervision, continuing training, and work management rules that are more sensitive to tiredness concerns.

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