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INDONESIA
Indonesian Journal of Health Science
Published by PT WIM Solusi Prima
ISSN : -     EISSN : 28091167     DOI : https://doi.org/10.54957/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Indonesian Journal of Health Science is a place for disseminating research results in the field of health, including, but not limited to topics of public health, environmental health, occupational health, pharmacy, nutrition, epidemiology, medical laboratories, physiotherapy, or other general health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 403 Documents
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Nursing care for ischemicstroke and Tetralogy of Fallot (ToF) in the regional general hospital of Banda Aceh: Case study Dwi Afraah Syaakirah; Sufriani Sufriani
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2179

Abstract

Ischemic stroke is an acute neurological disorder caused by impaired blood flow to brain tissue, resulting in disruption of oxygen and nutrient supply and leading to cerebral tissue damage. In children, this condition may be associated with congenital heart defects such as Tetralogy of Fallot, which causes chronic hypoxemia and increased blood viscosity, thereby elevating the risk of cerebral thrombosis. This case study aimed to analyze nursing care for a pediatric patient An. A diagnosed with ischemic stroke accompanied by Tetralogy of Fallot in the Arafah 1 inpatient ward of dr. Zainoel Abidin Regional General Hospital in Banda Aceh. The identified nursing problems included decreased intracranial adaptive capacity, ineffective breathing pattern, ineffective airway clearance, nutritional deficit, ineffective peripheral perfusion, impaired physical mobility, and risk of aspiration. The nursing interventions implemented included intracranial pressure management, respiratory management, nutritional management, peripheral perfusion management, energy management, mobility management, and aspiration prevention. Evaluation of care outcomes for An. A showed that ineffective breathing pattern, ineffective airway clearance, and ineffective peripheral perfusion were resolved; decreased intracranial adaptive capacity, fatigue, and risk of aspiration were partially resolved, while nutritional deficit and impaired physical mobility remained unresolved. Therefore, continuous care and comprehensive evaluation are required during hospitalization. The findings of this scientific paper are expected to contribute for optimizing nursing care for pediatric patients with ischemic stroke accompanied by Tetralogy of Fallot, as well as supporting the improvement of professional, comprehensive, and continuous nursing services.
The influence of work discipline, employee competence and information system on the efficiency of outpatient administration services for BPJS participants at Kendari Bhayangkara Hospital Christina Mariet Naressy; Nani Yuniar; Kamrin Kamrin
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2183

Abstract

Efficiency in administrative services is an important factor in improving the quality of population services, especially outpatient services for BPJS employees. The purpose of this study was to analyze the impact of work discipline, employee competence, and information systems on the effectiveness of outpatient administrative services for BPJS participants at Bhayangkara Hospital Kendari. This study used a quantitative cross-sectional approach. The population in this study were all hospital administrative employees, using a total sampling technique. Data analysis was performed using univariate analysis, bivariate analysis using chi-square analysis, and multivariate analysis using logistic regression. The results showed a significant impact of work discipline (p = 0.002), employee competence (p = 0.014), and information systems (p = 0.012) on the effectiveness of outpatient administrative services for BPJS participants. Together, these three variables influenced the effectiveness of administrative services, with work discipline being the most important variable. This indicates that as work discipline, employee competence, and the information systems used increase, the level of administrative service efficiency also increases. The conclusion of this study is that work discipline, employee competence, and information systems significantly influence the effectiveness of outpatient administrative services for BPJS employees. Therefore, it is necessary to improve employee discipline, develop competencies through training, and optimize information systems to increase the efficiency of home services.
Nursing care for patients with Acute Respiratory Distress Syndrome (ARDS) in the intensive care unit at dr. Zainoel Abidin General Hospital Elsa Fitria; Jufrizal Jufrizal
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2200

Abstract

Acute Respiratory Distress Syndrome (ARDS) is a condition of acute respiratory failure characterized by increased permeability of the alveolar-capillary membrane and pulmonary edema, leading to impaired gas exchange and severe hypoxemia. ARDS can occur in critically ill patients due to various conditions, including complications following major surgery. This condition often requires mechanical ventilation support and intensive monitoring in the Intensive Care Unit (ICU). The purpose of this case study was to describe nursing care for patients with ARDS in the Intensive Care Unit at dr. Zainoel Abidin Regional General Hospital. The methodology used was a case study employing the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. Assessment findings indicated several nursing diagnoses, such as impaired gas exchange, hypovolemia, risk of aspiration, risk of infection, and ineffective renal tissue perfusion. Nursing interventions focused on mechanical ventilation management, monitoring of respiratory and hemodynamic status, fluid and organ perfusion stabilization, prevention of aspiration, and prevention of infections resulting from the use of invasive devices during care in the ICU. The conclusions of this case study indicate that the patient experienced progressive clinical deterioration, including unstable gas exchange, persistent hypotension, acute kidney failure, and the development of shock with multiple organ failure despite receiving optimal therapy. It is hoped that the management of patients with ARDS following major surgery can be carried out promptly, comprehensively, and collaboratively to prevent more severe complications.
The relationship between pregnant women's knowledge of nutrition and efforts to prevent stunting in children at Wijaya Kusuma Hospital Siti Urifah; Maulana Maulana
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2214

Abstract

Pregnancy is a natural process, but if it is not properly monitored throughout the period, early detection of complications in the mother and fetus can be missed. Additional calories and other nutrients are essential to meet the mother's nutritional needs, support fetal growth and development, and provide energy for the birth process. Stunting prevalence: According to UN Statistics (2020), 149 million toddlers worldwide suffer from stunting, and 6.3 million of them are in Indonesia. The 2022 Indonesian Nutritional Status Survey (SSGI) recorded a national stunting rate of 21.6%, with a target of reducing it to 14% by 2024. This study aims to determine the relationship between pregnant women's knowledge about nutrition and the prevention of stunting in children at Wijaya Kusuma Hospital, Lumajang Regency. The type of research used is observational analytical research. The research design used is a cross-sectional survey. The research design used was a cross-sectional survey. The study population was pregnant women visiting the RSWK Obstetrics and Gynecology clinic. A sample of 60 respondents according to the inclusion and exclusion criteria. Data collection was carried out using interview methods and filling out questionnaires. The analysis was then conducted using the chi-square test. Table 1 shows that the majority of the 60 respondents, 46.7%, had an elementary/junior high school education. Table 2 shows that 25% of the 60 respondents had good knowledge of pregnancy. So it can be concluded that most pregnant women have poor knowledge about nutrition during pregnancy. Poor knowledge about pregnancy nutrition is caused by the majority of pregnant women's education level in this study being at the elementary level (elementary school, junior high school).    
The utilization of electronic medical records in improving the quality of healthcare facilities: A literature review Assyifa Ramadhani; Raeesah Wahlullizar; Reynanda Sabrina; Alvamuna Khairani Sudarmaji; Rifa Neisya Azalia Putri; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2253

Abstract

Global health digitalization, supported by WHO’s Global Strategy on Digital Health and Indonesia's MoH Regulation No. 24/2022, mandates Electronic Medical Records (EMR) implementation to achieve Universal Health Coverage. However, its execution faces various technical and non-technical barriers. Objective: This systematic literature review aims to analyze and synthesize empirical evidence regarding EMR utilization in improving healthcare service quality and patient safety in Indonesia. Methods: A systematic literature search was conducted through Google Scholar for full-text articles published between 2020 and 2026. Data synthesis was performed using a narrative descriptive approach. Results: EMR implementation significantly enhances healthcare quality by reducing patient waiting times, accelerating clinical decision-making, and mitigating human errors like medication errors. EMR also ensures operational efficiency and heightens patient satisfaction through well-structured documentation. Nevertheless, challenges persist, including unstable networks, limited infrastructure in primary care, low digital literacy, staff resistance, and incomplete data entry. Public health professionals hold a strategic role as change agents and data analysts to optimize EMR governance. Conclusion: EMR serves as a potent digital transformation tool to foster efficient and safe healthcare. Full realization of its benefits heavily relies on systemic readiness, comprising robust technological infrastructure, continuous training to overcome human resource resistance, strong managerial commitment, and national-level system interoperability.
Organizational culture towards patient safety in hospitals: A literature review Rizky Khaeran; Nadia Putri Untiami; Donna Ndari Santoso Putri; Nirna Dwi Anggraini; Amanda Safitri; Siti Aisyah; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2259

Abstract

Patient safety is a key indicator of hospital service quality and is strongly influenced by the organizational culture within healthcare settings. An organizational culture that promotes openness, collaboration, and continuous learning contributes to the creation of a safe care environment. This study aimed to examine the relationship between organizational culture and patient safety implementation in hospitals through a literature review. Literature searches were conducted using the Google Scholar, Springer, and Garuda databases. Eligible studies included full-text articles published in Indonesian or English between 2015 and 2024. The review of ten selected articles indicated that organizational culture positively influences patient safety. The dimensions that contributed most significantly to patient safety included teamwork, open communication, management support, organizational learning, and a non-punitive culture. However, staffing issues and inadequate non-punitive responses to errors remain challenges in patient safety implementation. Furthermore, a positive organizational culture was found to enhance incident reporting and strengthen healthcare workers’ commitment to patient safety. These findings suggest that fostering a supportive organizational culture is a strategic approach to improving the quality and safety of hospital care.
Performance contracts in the procurement of primary care services under the national health insurance program and lessons learned from the Netherlands: A literature review Evita Mutiara; Siti Rahima Kiram; Salsabila Firdausi; Cahya Arbitera; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2260

Abstract

Primary health care plays a crucial role in the National Health Insurance (JKN) program, making performance contracts essential for improving the quality and efficiency of services. Lessons learned from the Netherlands can serve as a reference for strengthening their implementation in Indonesia. This study evaluates performance contracts in the strategic procurement of primary health care services under the JKN program and identifies lessons from the Netherlands to improve service quality. This study is a literature review of eight articles published between 2017 and 2026 to analyze performance contracts in the procurement of primary care services under the JKN and lessons from the Netherlands. Performance contracts have proven effective in improving the efficiency and quality of primary care services when designed with balanced incentives between cost control and service quality achievement. The success of their implementation is highly dependent on relevant performance indicators, an integrated information system, and continuous monitoring and evaluation. The Dutch experience demonstrates that a combination of population-based payments, shared savings, contractual flexibility, and strong regulation can provide important lessons for strengthening strategic purchasing and improving the quality of primary care services within the JKN. Performance contracts have the potential to improve the efficiency and quality of primary care services if supported by relevant indicators, an integrated information system, and ongoing monitoring. Lessons from the Netherlands show that population-based payments, shared savings, and strong regulations can serve as a model for strengthening the implementation of performance contracts within the National Health Insurance (JKN) program.
Determination of total alkaloid content in 70% and 96% ethanol extracts of red seaweed (Eucheuma spinosum) obtained by maceration using UV-Vis spect Sindi Arlin Natasya; Dwi Kurnia Putri; Rose Intan Perma Sari; Samwilson Slamet; Putri Mulia; Nurfitriyana Nurfitriyana
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2261

Abstract

Red seaweed (Eucheuma spinosum) is one of the marine biological resources containing various secondary metabolites, including alkaloids which possess important biological activities. Differences in ethanol concentration may affect the amount of alkaloid compounds extracted. This study aimed to compare the alkaloid content of 70% ethanol extract and 96% ethanol extract of red seaweed (Eucheuma spinosum) obtained by maceration using the UV-Visible spectrophotometric method. This research was conducted experimentally in the laboratory using the maceration extraction method with 70% and 96% ethanol solvents. Qualitative identification of alkaloids was performed using Mayer, Wagner, and Dragendorff reagents, while quantitative determination was carried out using UV-Visible spectrophotometry with caffeine as the standard at a maximum wavelength of 275 nm. Phytochemical screening results indicated that both 70% and 96% ethanol extracts were positive for alkaloid compounds. The extraction yield of the 70% ethanol extract was 22.945%, whereas the 96% ethanol extract yielded 12.45%. The results of alkaloid determination showed that the 70% ethanol extract contained an average alkaloid level of 5.5 ± 0.22 mg QCE/g, while the 96% ethanol extract contained 5.3 ± 0.10 mg QCE/g. It can be concluded that the 70% ethanol extract produced a slightly higher alkaloid content than the 96% ethanol extract of red seaweed (Eucheuma spinosum).
Evaluation of health financial protection policies through cost control and strengthening of JKN benefits: A literature review Salsabila Firdausi; Evita Mutiara; Siti Rahima Kiram; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2277

Abstract

The National Health Insurance (JKN) has increased population coverage in Indonesia through financial protection determined by cost control, service payment governance, and benefit design. Its implementation has not completely eliminated the financial burden on households, with high out-of-pocket (OOP) spending on healthcare services and the associated risk of catastrophic health expenditure (CHE). This study aims to map the drivers of OOP spending and the risk of CHE, as well as strategies for improving financial protection. The method used is a literature review through searching articles obtained from several databases, namely Google Scholar, Garuda, Sciencedirect, Scopus, and Pubmed between 2017 and 2026. The results of the study indicate that JKN participation has proven effective in reducing OOP health expenditure by households, contributing to a reduced risk of CHE. However, the risk of CHE is still influenced by various other factors, such as the number of family members, high utilization of healthcare services, and limited healthcare facilities. Strengthening strategic purchasing, increasing benefits and equal access to healthcare services, and sustainable JKN financing are needed to improve financial protection. Thus, JKN has a role in reducing OOP expenditure which has an impact on reducing the risk of CHE, but financial protection is not yet fully optimal so that cost control and strengthening of JKN benefits are needed.
Evaluation of the Multiple Micronutrient Supplement (MMS) program to prevent anemia in pregnant women at public health center x Adib Maulana Pratama; Vanessa Zaskia Putri; Siti Purwitasari; Nasya Andini Wahda; Era Febriana Rahmadhani; Teguh Irawan; Yulis Indriyani
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2281

Abstract

Anemia in pregnant women remains a significant health issue that requires attention, as it can affect the health of both the mother and the fetus. In the service area of the X Community Health Center, the prevalence of anemia among pregnant women remains quite high, necessitating effective preventive measures, one of which is the Multiple Micronutrient Supplementation (MMS) program. This study aims to evaluate the implementation of the MMS program in preventing anemia among pregnant women at the X Community Health Center. The study employed a qualitative method using the Input, Process, and Output (IPO) evaluation approach. The input aspects examined included policies, human resources, facilities and infrastructure, logistics, funding, and the knowledge of pregnant women. Process aspects included MMS administration, education, consumption compliance, monitoring, side effects, and family support, while output aspects included MMS coverage, changes in pregnant women’s hemoglobin levels, perceived benefits, and satisfaction among pregnant women. The primary informants in this study were 10 pregnant women in the service area of the X Community Health Center, while the triangulation informants consisted of 2 health center staff members from the X area who were selected using purposive sampling. Data were collected through in-depth interviews and analyzed thematically. The results of the study indicate that the MMS program is functioning fairly well, with a consistent supply of supplements and easily accessible services. However, challenges remain, including the absence of specific standard operating procedures (SOPs), suboptimal compliance monitoring, and uneven education. Therefore, improvements are needed in monitoring, record-keeping, and education so that the MMS program can operate more effectively in helping to prevent anemia in pregnant women.

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