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International Archives of Medical Sciences and Public Health
Published by Yayasan Pena Cendekia Insani
ISSN : 2798561X     EISSN : 27985172     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Archives of Medical Sciences and Public Health is a peer-reviewed journal dedicated to disseminating and discussing scientific literature and other health-related research. This journal is intended to serve as a forum for communication between stakeholders in health research, including researchers, educators, students, practitioners from the Health Office, Department of Health, Public Health Service centers, and members of the general public with interest in the subject. The journal is attempting to satisfy the increasing demand for health research. Journal considers submissions on any aspect of the health field across age groups and settings, these include: Capacity in public health systems and workforce Dentistry Environmental health Environmental Science Health Economic and Policy Studies Health law and ethics Health Professions Maternal and child health Medical Science Midwifes Nursing Public health nutrition Public health practice and impact Reproductive health Islamic and health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 170 Documents
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ASSOCIATION BETWEEN FAMILY-CENTERED COUNSELING AND INTRAUTERINE DEVICE (IUD) UPTAKE: A CROSS-SECTIONAL STUDY IN GIRSANG SIPANGAN BOLON SUBDISTRICT, INDONESIA Yeni Trisna Purba; Santi Widya Purba; Dini Pajriani Khairunnisa
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1506

Abstract

Intrauterine device (IUD) uptake remains suboptimal in Indonesian primary care, partly due to limited family involvement in contraceptive counseling. This study examined the association between family centered counseling and current IUD uptake among couples of reproductive age. A cross-sectional study was conducted at a Family Planning Counseling Center in North Sumatra, Indonesia. Thirty eligible couples, recruited by total sampling, were allocated into two naturally occurring groups (15 family-centered; 15 standard counseling). Associations were analyzed using Chi-square or Fisher’s exact tests; the primary outcome was expressed as an odds ratio (OR) with 95% CI, and Bonferroni correction was applied to secondary analyses. Current IUD use was reported by 86.7% (13/15) of the family-centered group versus 40.0% (6/15) of the standard group (OR = 9.75, 95% CI: 1.59–59.70, p= 0.023). Only family knowledge remained significant after correction (p = 0.001). Given the small, non-randomized sample, findings are exploratory and warrant larger prospective confirmation.
THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE OF HOUSEWIVES ON THE IMPLEMENTATION OF CLEAN AND HEALTHY LIVING BEHAVIOR IN CIPADUNG VILLAGE, CIBIRU DISTRICT, BANDUNG CITY; CROSS-SECTIONAL STUDY Jumadiah Wardati; Eggi Indriani Pratami; Sufi Idya
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1508

Abstract

This study aims to identify the relationship between the level of knowledge of housewives and the implementation of Clean and Healthy Living Behavior (PHBS) in Cipadung Village, Cibiru District, Bandung City. This study used an analytical observational design with a cross-sectional approach. Data were collected from 82 respondents through a questionnaire covering 10 PHBS indicators. A statistically significant relationship was found between the level of knowledge and PHBS implementation (p < 0.05). Respondents with low knowledge may beassociated with poor PHBS implementation than respondents with good knowledge. Knowledge in this study is seen as a factor associated with PHBS implementation, not as a proven causal determinant. This study highlights the importance of health education to improve PHBS practices.
EFFECTIVENESS OF LOCAL FOOD–BASED NUTRITION EDUCATION AND IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN SECOND-TRIMESTER PREGNANT WOMEN Dianita Widya Gandhi; Gunarmi; Toto Sudargo; Nurhayati; Juda Julia Kristiarini
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1515

Abstract

Anemia affects 40.0% of pregnant women in Taliabu Island Regency, North Maluku—a severe public health problem by WHO classification. This study evaluated the effectiveness of local food-based nutrition education combined with iron supplementation on hemoglobin levels in second-trimester pregnant women. A quasi-experimental pretest posttest control group design was conducted from October to December 2025. Forty-four pregnant women (13–28 weeks gestation) were recruited by purposive sampling and allocated by facility to an intervention group (n = 22) or control group (n = 22). Over eight weeks, the intervention group received four biweekly nutrition education sessions using the P-Process framework, weekly locally sourced iron-rich foods, and daily iron-folic acid supplementation (60 mg elemental iron, 400 mcg folic acid); controls received supplementation only. Hemoglobin was measured by HemoCue hemoglobinometry at baseline and endpoint, and analyzed using the Wilcoxon Signed Rank and Mann-Whitney U tests. The intervention group showed significant within-group hemoglobin improvement (Z = -4.110, p < 0.001) and higher endpoint hemoglobin than controls (Z = -5.691, p < 0.001). Tablet compliance was also higher (Z = -6.032, p < 0.001), though knowledge, attitude, and practice scores did not differ (p = 1.000). Local food-based nutrition education integrated with iron supplementation is more effective than supplementation alone and is recommended for scale-up in comparable remote, resource-constrained settings.
WORK ENGAGEMENT, BURNOUT, AND QUALITY OF MIDWIFERY CARE: THE MEDIATING ROLE OF MIDWIFE PERFORMANCE IN A CROSS-SECTIONAL STUDY Devy Lestari Nurul Aulia; Arum Dwi Anjani; Dainty Maternity; Sunesni
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1526

Abstract

This study examined the associations of work engagement and burnout with midwifery care quality through the mediating role of midwife performance in Batam City primary health centers. A cross-sectional study involving 156 midwives from all community health centers (Puskesmas), selected through purposive sampling, was conducted. Work engagement was measured using the Utrecht Work Engagement Scale, and burnout using the Maslach Burnout Inventory, while performance and care quality were assessed via instruments based on Indonesia’s Midwifery Service Standards. Data were analyzed using SEM-PLS with SmartPLS 4.0, including bootstrapping with 5,000 subsamples. Work engagement was positively associated with midwife performance (? = 0.481,p < 0.001) and care quality (= 0.356,p < 0.001), whereas burnout was negatively associated with both. Midwife performance significantly mediated these relationships, and the model explained 67.5% of the variance in care quality. Midwives’ psychological well-being is significantly associated with care quality, with performance serving as a critical mediating mechanism.
FACTORS ASSOCIATED WITH SITUATION AWARENESS AMONG NURSES IN INPATIENT SETTINGS: A SCOPING REVIEW Nina Risnianingsih; Ayu Prawesti Priambodo; Etika Emaliyawati
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1543

Abstract

Situation awareness (SA) is a critical cognitive skill for nurses in inpatient settings, where patient conditions are complex and can change rapidly. Adequate SA enables nurses to perceive, comprehend, and anticipate clinical situations, supporting timely decision-making and patient safety. However, evidence on factors associated with nurses’ SA across inpatient settings remains fragmented. This scoping review aimed to identify, map, and synthesize these factors. The review followed the Arksey and O’Malley framework and was reported according to PRISMA-ScR guidelines, with eligibility structured using the Population–Concept–Context (PCC) framework. PubMed, Scopus, and EBSCOhost were searched up to 3 January 2026 for studies examining SA or related constructs among nurses in inpatient settings. Data were extracted and analyzed using descriptive and thematic synthesis. Twelve of 2,615 studies were included, published between 2012 and 2025. Five major categories of factors emerged: individual, information- and technology-related, communication and teamwork, organizational, and environmental. These interact dynamically and influence all three levels of SA. Nurses’ SA is therefore a multifactorial, dynamic construct, and enhancing it requires a system-level approach extending beyond individual competencies to information systems, team communication, and organizational support.
DISPARITIES IN STUNTING PREVENTION KNOWLEDGE AND PRACTICES AMONG PREGNANT WOMEN IN 3T OUTERMOST ISLANDS VERSUS URBAN AREAS OF RIAU ISLANDS PROVINCE, INDONESIA: A COMPARATIVE CROSS-SECTIONAL STUDY Risqi Utami; Angga Putri; Prasida Yunita
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1574

Abstract

Stunting remains a major public health challenge in Indonesia despite declining prevalence, with disparities in maternal knowledge and preventive practices persisting in outermost, frontier, and least-developed (3T) regions. To compare stunting-prevention knowledge and practices among pregnant women in the 3T outermost islands and a non-3T urban area of the Riau Islands Province, and identify factors associated with adequate knowledge. A comparative cross-sectional study was conducted among 420 pregnant women using multistage cluster sampling. Data were collected using a validated questionnaire and analyzed with chi-square tests and multivariable logistic regression. Women in the 3T islands had lower adequate knowledge (37.6% vs. 63.8%), attendance of 6 ANC contacts (40.5% vs. 77.6%), adherence to 90 iron–folic acid tablets (33.8% vs. 60.5%), and adequate dietary diversity (30.0% vs. 54.8%) (all p < 0.001). Residence in the 3T region (aOR 0.42), tertiary education (aOR 2.98), distance > 5 km to a health facility (aOR 0.55), and nutrition counselling (aOR 2.41) were independently associated with adequate knowledge. Geographic disparities persist, high lighting the need for targeted maternal education, nutrition counselling, and improved access to maternal health services in 3T settings.
EFFECTIVENESS OF COMBINED SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) AND LACTATION EDUCATION ON BREASTFEEDING SELF-EFFICACY AMONG POSTPARTUM MOTHERS: A QUASI-EXPERIMENTAL STUDY Silvia Mona; Susanti
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1576

Abstract

Breastfeeding self-efficacy is a key determinant of successful exclusive breastfeeding and contributes to improved maternal and infant health outcomes. However, many postpartum mothers experience psychological and educational barriers that reduce confidence in breastfeeding, highlighting the need for effective supportive interventions. To evaluate the effectiveness of a combined Spiritual Emotional Freedom Technique (SEFT) and structured lactation education program on breastfeeding self-efficacy among postpartum mothers. A quasi-experimental pretest posttest control-group study was conducted involving 56 postpartum mothers recruited through purposive sampling and non-randomly allocated to an intervention group (n = 28) or a control group (n = 28). The intervention group received a combination of SEFT and structured lactation education, whereas the control group received standard postpartum care. Data were analyzed using analysis of covariance (ANCOVA), controlling for baseline self-efficacy scores. Following the intervention, breastfeeding self-efficacy was significantly higher in the intervention group than in the control group (p < 0.001), with a large effect size (Cohen’s d = 2.35). This association remained significant after adjustment for baseline self-efficacy, age, parity, education, and spousal support. The combination of SEFT and structured lactation education was associated with improved breastfeeding self-efficacy among postpartum mothers. As a low-cost psychosocial and educational intervention, this approach may strengthen maternal confidence in breastfeeding and support efforts to improve exclusive breastfeeding practices.
FACTORS ASSOCIATED WITH PATIENT UNDERSTANDING OF PHYSIOTHERAPY SERVICE FLOW: A CROSS-SECTIONAL STUDY BASED ON PERMENKES NO. 65 OF 2015 Balqis Wasliati; Nadia Wasliati; Laily Wasliati
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1585

Abstract

Patient understanding of physiotherapy service flow is essential for adherence and outcomes. This study analyzes factors associated with patients' understanding based on Minister of Health Regulation No. 65/2015 at BLU Timikan Hospital. A cross-sectional study was conducted among 158 outpatients selected by consecutive sampling at BLU Timikan Hospital from January to March 2025. Data were collected using observation sheets, a validated questionnaire (Cronbach's alpha = 0.87), and medical records. Bivariate analysis employed chi-square tests, and multivariate analysis used logistic regression to calculate adjusted odds ratios (AOR) with 95\% confidence intervals (CI), controlling for age and education. Complete implementation was lowest for periodic evaluation (41.8%) and discharge planning (36.7%). Overall, 45.8% of patients demonstrated good understanding, with the poorest comprehension observed for informed consent (27.8%) and follow-up plans (25.3%). Bivariate analysis showed that incomplete flow implementation (chi^2 = 7.34, p = 0.007, phi = 0.215), verbal-only education (chi^2 = 10.82, p = 0.001, phi = 0.262), and lack of family support (chi^2 = 8.71, p = 0.003, phi = 0.235) were significantly associated with poor understanding, whereas waiting time was not (p = 0.218). After controlling for age and education, incomplete flow implementation (AOR = 2.84; 95% CI: 1.42-5.68; p = 0.003) and verbal-only education (AOR = 2.93; 95% CI: 1.44-5.96; p = 0.003) remained independently associated with poor understanding. The model demonstrated adequate fit (Hosmer Lemeshow p = 0.612).
ABC-VEN ANALYSIS FOR OPTIMIZING CHRONIC DISEASE MEDICINE INVENTORY: A SCOPING REVIEW Azharayesha Nurendra Deltaverona Mahardika; Muhammad Murtadho; Sutopo Patria Jati; Septo Pawelas Arso
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1610

Abstract

Chronic disease care requires stable medicine availability and efficient pharmaceutical spending. This scoping review mapped empirical evidence on the use of ABC-VEN/VED analysis for chronic disease medicine inventory optimization in health facilities. PubMed, ScienceDirect, Scopus, and Google Scholar were searched in July 2026 for full-text empirical studies published from 1 January 2021 to 30 June 2026. Screening followed PRISMA-ScR. After duplicate removal, 672 records were screened and 232 studies were included. The evidence showed that a small proportion of high-value and clinically important medicines accounted for most pharmaceutical expenditure. ABC-VEN/VED was used to support medicine planning, procurement prioritization, stock monitoring, stock-out reduction, overstock control, and waste prevention. Integrating ABC-VEN/VED into routine inventory policy may support rational pharmaceutical budgeting, improve medicine availability, and strengthen continuity of chronic disease treatment.
FAMILY-BASED NURSING EDUCATION TO IMPROVE FAMILY HEALTH LITERACY AND MANAGEMENT FOR STUNTING PREVENTION : A QUASY EXPERIMENTAL STUDY Nurhafizah Nasution; Ratna Dewi Silalahi
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1638

Abstract

Child stunting remains one of the most serious public health challenges worldwide, including in Indonesia. This study evaluated the effectiveness of a Family-Based Nursing (FBN)-based educational programme in improving family health literacy and family management for childhood stunting prevention. A quasi-experimental pre-test–post-test control group study was conducted among 80 families with children aged 0–24 months recruited from two Primary Healthcare Centers in Batam City, Indonesia. The intervention group received a four-week FBN-based educational programme, while the control group received routine health education. The FBN program is more effective at improving health literacy than conventional education, particularly in terms of families’ ability to apply health information to support nutrition, growth monitoring, and stunting prevention, and effective at strengthening families’ ability to manage, coordinate, and implement child health practices related to stunting prevention.The FBN-based educational programme effectively strengthened family stunting prevention behaviours and enhanced families' capacity to support optimal child growth.

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