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Jurnal Ilmiah Kesehatan (JIKA)
Published by Sarana Ilmu Indonesia
ISSN : 23379847     EISSN : 26862883     DOI : https://doi.org/10.36590/jika
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Ilmiah Kesehatan (JIKA) aims to provide forum exchanges and interfaces between researchers and related practitioners in the field of health. The journal only accepts articles from original research results (top priorities), case study articles (not priorities), and scientific studies of recent articles (not preferences). JIKA is a scientific journal that contains research papers from the field of health sciences including: Medical and clinical research, food and nutrition research, public health research, obstetrics management research, nursing management research, and pharmacy research.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 341 Documents
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Predictors of Cognitive Function in School Children: Screen Time, Nutritional Status and Pneumonia Melly Kristanti; Isniani Ramdhani; Yosha Putri Wahyuni; Faiz Isra Rizqie; Khairunnisa Khairunnisa; Baiq Devinta Putri Syafira; Nyimas Fathiya Muthmainnah; Dina Varisiya; Ayudya Anjani
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.1990

Abstract

Cognitive development and intelligence of children are shaped by multifactorial influences, including genetic predisposition, environmental conditions, nutritional status, cognitive stimulation, educational exposure, and overall health status. The average Intelligence Quotient (IQ) of the Indonesian population is 89.96, which is categorized within the average range at the global level. This study aims to identify significant risk factors associated with lower cognitive function in children and to determine the optimal risk score threshold. A cross-sectional analytical study was conducted involving 80 school-aged children selected through simple random sampling. IQ was measured using the CFIT administered by child psychologists, while nutritional status was assessed BMI-for-age (BMI/U) criteria. This research we used logistic regression modeling to identify significant determinants, followed by ROCcurve analysis, Youden Index calculation, and risk score estimation—derived from the ratio of each significant predictor to the smallest significant coefficient. The result significant association is screen time (PR=5,23; 95% CI:1,49–18,29), history of pneumonia (PR=3,92; 95% CI:1,13–13,68), and poor nutritional status (PR=4,03; 95% CI:1,34–12,11). The predictive model showed an Area Under the Curve (AUC) of 0.794, with a Youden Index threshold of 2 (0,630–0,882), indicating the cut-off point for increased risk of lower intelligence in children. Screen time, a history of pneumonia, and poor nutritional status were identified as key predictors of lower cognitive function, with a risk score of  ≥ 2 as the threshold. Parental control over digital exposure and the reinforcement of preventive health behaviors are essential components in improving children’s cognitive outcomes.
Type of Feeding and Age Group with the Incidence of Diarrhea in Infants Aged 0–6 Months R Yusuf Firdaus Albana; Raden Ayu Libert Gatho Reza
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 1 (2026): Volume 8 Nomor 1 April 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i1.2001

Abstract

Diarrhea remains a common health problem among infants, particularly during the first six months of life. Differences in feeding methods and the level of maturity of the infant digestive system are believed to influence susceptibility to diarrhea. This study aimed to determine the relationship between the incidence of diarrhea and type of feeding (exclusive breastfeeding or formula feeding) as well as infant age group (0–3 months and 4–6 months). Medical records of 84 infants treated at Hermina Hospital, Bogor, during 2025 were analyzed using the Chi-square statistical test, while the strength of the association was measured using prevalence ratio analysis. The results showed that infants who received formula feeding tended to experience diarrhea more frequently than those who received exclusive breastfeeding, and this difference was statistically significant. In addition, older infants tended to experience diarrhea more frequently than younger infants, and this difference was also statistically significant. These findings emphasize the importance of promoting exclusive breastfeeding as a preventive measure against diarrhea in infants, while also highlighting the need for close monitoring of early signs of digestive disorders, especially during the transitional phase after two months of age. Providing educational support for parents and healthcare workers is also important to improve understanding of the benefits of exclusive breastfeeding and to facilitate early detection of diarrhea.
Body Composition and Handgrip Strength for Early Detection of Sarcopenia in Employees Iriyanti Harun; Stephanie Melia; Iriyani Harun
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 1 (2026): Volume 8 Nomor 1 April 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i1.2008

Abstract

Sarcopenia is a degenerative disorder characterized by the decline of skeletal muscle mass, strength, and function, which is now emerging among the sedentary productive-age population. Early detection of this condition can be practically and affordably achieved through body composition analysis and handgrip strength measurement.This study aimed to investigate the correlation between body composition parameters and handgrip strength among the staff at Immanuel Health Institute. This study used a cross-sectional analytic study design on 75 employees selected using total sampling. Body mass index (BMI), body fat percentage, visceral fat, and skeletal muscle mass were measured using a Bioelectrical Impedance Analysis (BIA) scale, while handgrip strength was assessed with a digital hand dynamometer. The analysis revealed a positive correlation between skeletal muscle mass and handgrip strength (r = 0.602, p < 0,001), while a significant negative correlation was found with body fat percentage (r = -0.536, p < 0.001). Neither BMI (r = 0.033, p = 0.778) nor visceral fat (r = 0.175, p = 0.133) demonstrated a significant relationship. Multiple linear regression analysis identified skeletal muscle mass as the only significant predictor of handgrip strength (β = 2.176, p < 0.001), with an adjusted R² value of 0.530. In conclusion, skeletal muscle mass was a key predictor of handgrip strength among employees. Skeletal muscle mass using BIA in conjunction with handgrip strength was suggested as an effective and practical method for early detection of sarcopenia in the productive workforce. 
Intervention Programs and Determinant Factors of Stunting Prevalence in Indonesia: An Ecological Study Charoline Adelyn Dwi Della; Hadi Riyadi; Yayuk Farida Baliwati
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2024

Abstract

Stunting remains a critical public health challenge in Indonesia. According to recent national reports, the prevalence still exceeds the WHO threshold, indicating a persistent burden.  This study aimed to analyze the effectiveness of intervention programs and identify the determinants of stunting prevalence at the provincial level in Indonesia. This ecological study uses secondary data from 2022 covering 34 provinces, sourced from official ministry and agency reports. The study variables consisted of stunting prevalence; contributing factors (health, nutrition intake, socioeconomic); and intervention programs (nutrition, health, environment, social). Data were analyzed using Pearson and Spearman tests. The results showed a national stunting prevalence average of 23.29 ± 6.47%, with 50% of provinces classified in the high category. Factors positively correlated with stunting (p<0.05) included low birth weight, poverty, food expenditure, access to proper drinking water, and the family hopes program (PKH), all of which were associated with higher stunting prevalence. Conversely, factors negatively associated with stunting (p<0.05) included dietary pattern score, birth certificate ownership, average years of schooling, non-food expenditure, supplementary feeding for pregnant women with chronic energy deficiency (CED) and underweight toddlers, iron supplementation for pregnant women and adolescent girls, health professional-assisted delivery, antenatal care visits, immunization, postpartum family planning, and access to proper sanitation, all of which were linked to lower stunting prevalence. In conclusion, stunting is driven by multidimensional health, nutritional, and structural factors. Thus, integrated multisectoral interventions are  essential to accelerate stunting reduction.
Bibliotherapy Using Picture Books in Improving Knowledge of Clean and Healthy Living Behaviours Among Lower-Year Primary School Children Putri Aprillia Brilliant Pratama; Rifzul Maulina; Sulistiyah Sulistiyah
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2032

Abstract

Clean and Healthy Living Behavior (Perilaku Hidup Bersih dan Sehat/PHBS) is an important effort to improve children’s health status from an early age. However, PHBS implementation in Indonesia remains low. Only 39.1% of households comprehensively practice PHBS, while handwashing with soap reaches only 27.2%. In schools, around 29% of elementary schools lack adequate handwashing facilities, and 18% do not have separate toilet facilities. These conditions contribute to diseases among children, including diarrhea, skin infections, and Acute Respiratory Infections (ARI). The limited effectiveness of conventional learning methods indicates the need for more engaging health education strategies, such as bibliotherapy using illustrated storybooks. This study aimed to analyze differences in PHBS knowledge levels before and after bibliotherapy intervention among lower-grade elementary school students. A quantitative pre-experimental one group pretest–posttest design was used. The sample consisted of 30 third-grade students at MI Sunan Gunung Jati Malang selected through total sampling. Data were collected using a PHBS knowledge questionnaire before and after three bibliotherapy sessions using illustrated storybooks. Data were analyzed using the Wilcoxon test with a significance level of p<0.05. The results showed an increase in the average knowledge score from 1.83 to 2.13. Students with good knowledge increased from 20.0% to 36.7%, while those with low knowledge decreased from 36.7% to 23.3%. The Wilcoxon test showed p=0.020, indicating a significant difference before and after intervention. Bibliotherapy using illustrated storybooks demonstrated an increase in PHBS knowledge and has the potential to serve as an alternative health education strategy in primary schools.
Mackerel Fish Soup Supplementation on Hemoglobin Levels Among Second-Trimester Pregnant Women with Anemia Eti Eliza; Reny Retnaningsih; Raden Maria Veronika Widiatrilupi
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2034

Abstract

Several maternal and neonatal health issues can contribute to anemia in pregnant women, which is a significant public health concern, particularly during the second trimester. Iron supplementation should be accompanied by local dietary adjustments focused on dietary intake. As an essential component in hemoglobin production, mackerel (Rastrelliger kanagurta) is a good source of animal protein due to its high iron and vitamin B12 content. This study aimed to assess changes in hemoglobin levels following mackerel soup supplementation among second-trimester pregnant women with mild anemia. The study used a pre-experimental one-group pretest-posttest design with a total sampling technique involving 32 participants. The intervention consisted of 200 ml of mackerel soup containing 100 grams of mackerel, administered twice a week for three weeks. Hemoglobin levels were measured before and after the intervention using a digital hemoglobin meter, and data were analyzed using a paired-sample t-test. A significant difference (p < 0.001) was observed, indicating that the mean hemoglobin level increased from 9.941 g/dL before the intervention to 11.053 g/dL after the intervention. In conclusion, mackerel soup supplementation may serve as a complementary food-based nutritional intervention to support the improvement of hemoglobin levels among second-trimester pregnant women with mild anemia.
Study of Stunting Determinants in the Highest-Prevalence Area of Southeast Sulawesi, Indonesia Venia Oktafiani; Suci Dwi Yanti; Linda Ayu Rizka Putri
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2041

Abstract

While national interventions like the Free Nutritious Meal Program and breastfeeding promotion have shown regional success in Southeast Sulawesi, Buton District experiences a paradoxical rise in stunting. This study aimed to analyze the determinants of stunting in this high-prevalence area. A case-control study was conducted in the 6 subdistricts of Buton District from July to September 2025, involving 106 mothers of children aged 6–59 months (53 stunted and 53 non-stunted). Bivariate and multivariate logistic regression were used to identify factors associated with stunting. Multivariate analysis showed that younger age (aOR = 0.92; 95% CI: 0.87–0.97; p =  0.002), primigravida status (aOR = 0.07; 95% CI: 0.00–0.78; p =  0.031), higher maternal education (aOR = 0.01; 95% CI: 0.00–0.26; p =  0.004), and higher household income (high: aOR = 0.01; 95% CI: 0.00–0.13; p =  0.001; medium: aOR = 0.05; 95% CI: 0.00–0.92; p =  0.044) were protective against stunting. Other variables, including exclusive breastfeeding, maternal history of chronic energy deficiency, iron supplementation, drinking water treatment, and household size, were not significant. The model demonstrated good explanatory power (Nagelkerke R² = 0.665) and fit (Hosmer–Lemeshow = 0.830).Maternal education and household income are key determinants of stunting in Buton District. Interventions should target maternal knowledge, economic empowerment, and support for multigravida mothers to reduce stunting in high-risk areas.
Accuracy and Agreement of ChatGPT Based START Triage in the Emergency Department of Gunung Jati Hospital Efa Dwina; Agil Putra Tri Kartika; Rizaluddin Akbar; Widuri Azmi Atmaji
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2042

Abstract

Triage is an essential process in emergency care services aimed at determining patient treatment priorities based on the severity of clinical conditions. This study aimed to analyze the accuracy and level of agreement of Artificial Intelligence (AI), particularly ChatGPT, in triage classification at the Emergency Department of RSUD Gunung Jati compared with medical personnel as the reference standard. This study employed a quantitative observational approach with a retrospective cross-sectional design. Data were obtained from 420 adult patient medical records collected between March and May 2025. Triage classification was conducted using the Simple Triage and Rapid Treatment (START) method by both medical personnel and AI ChatGPT. Data analysis was performed using a confusion matrix and diagnostic tests, including sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV), as well as agreement analysis using Cohen’s kappa and weighted Cohen’s kappa. The results showed that AI ChatGPT achieved an overall accuracy of 72.1% (95% CI: 67.8–76.4). The Cohen’s kappa value was 0.313, while the weighted Cohen’s kappa values were 0.338 using linear weighting and 0.384 using quadratic weighting, indicating a fair level of agreement. These findings suggested that ChatGPT had the potential as a supportive system in triage classification; however, it could not yet fully replace the role of medical personnel and still required further development, particularly in cases involving higher levels of emergency severity.
Prediction Model of Health-Related Quality of Life in Adolescents with Early Marriage Decisions in Bandar Lampung Abdullah Azzam Suyuthi; Suharmanto Suharmanto; Khairun Nisa Berawi; Jhons Fatriyadi Suwandi; Sutarto Sutarto
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2051

Abstract

Early marriage in Lampung exhibited a rate above national average, reaching 7,11%. Early marriage would impact significantly for adolescents because their quality of life in physical, mental health and social functioning aspect was decreasing. This study aimed to analyze the differences in average quality of life scores and develop a predictive model for health-related quality of life among adolescents who decided to marry early in Bandar Lampung. This research utilized a quantitative analytical observational method with a cross-sectional approach. The population and sampling technique involved 116 individuals (both males and females) who entered their first early marriage during 2021-2025 period. Data were analyzed using Anova, T Test and multiple linear regression. The results of the bivariate analysis showed that only two variables were significantly associated with the quality of life of adolescents who married early (p<0,05): parenting style (p=0,019) and family support (p=0,045). The results of multivariate analysis obtained an R2 value of 10.6%, which meant that the research variables affected quality of life by 10.6%. In the multiple linear regression model, the model formula obtained was Y (Quality of Life) = 44,469 -3,036 (Parenting pattern) - 3.497 (Social support). This meant that one-unit increase in the parenting pattern variable, with social support considered constant, would decrease the quality of life of adolescents by 3.036 units. These findings indicate that social support and parenting variables act as factors that encourage a decline in the quality of life of adolescents, not as protective factors that protect their quality of life.
Analysis of Patient Safety Culture on Incident Reporting Compliance at Clinic X in the Bekasi Area Gherriandi Raja Buana; Hana Badiiah; Thalia Carissa Maharani; Innocentius Bernarto
Jurnal Ilmiah Kesehatan (JIKA) Vol. 8 No. 2 (2026): Volume 8 Nomor 2 Agustus 2026
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v8i2.2062

Abstract

Patient safety is an essential indicator in improving the quality of healthcare services. Patient safety culture plays a significant role in encouraging healthcare workers to report incidents as part of organizational learning. However, incident reporting in primary healthcare settings remains suboptimal. This study aimed to analyze the influence of patient safety culture on incident reporting compliance at Clinic X in Bekasi. This research used a quantitative approach with a cross-sectional design involving 35 subjects. Data were collected using the HSOPSC questionnaire and analyzed using descriptive statistics, Spearman correlation, and regression analysis. The results showed that patient safety culture was in the moderate category with a positive response rate of 65%–74%. The correlation test indicated a positive and significant relationship between patient safety culture and incident reporting compliance (p < 0.05). Regression analysis also demonstrated a significant effect of patient safety culture on reporting compliance. Teamwork, communication, and management support were identified as strengths, while non-punitive response to error, staffing, and overall patient safety perception required improvement. In conclusion, patient safety culture played a crucial role in improving incident reporting compliance. Strengthening a non-punitive culture, workload management, and optimizing reporting systems are necessary to enhance patient safety in primary healthcare settings.

Page 34 of 35 | Total Record : 341

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