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International Journal of Health and Pharmaceutical (IJHP)
Published by CV. Inara
ISSN : -     EISSN : 2808845X     DOI : https://doi.org/10.51601/ijhp
Core Subject : Health,
Nursing Public Health
International Journal of Health and Pharmaceutical (IJHP) e- ISSN : 2808-845X is a communication media and scientific publication in the health and pharmaceutical fields published by Inara Publisher. International Journal of Health and Pharmaceutical (IJHP) contains articles from research focusing on basic medicine, clinical medicine, epidemiology, preventive medicine (social medicine), pharmacy, and other medical fields. International Journal of Health and Pharmaceutical (IJHP) is published periodically four times a year (February, May, August and November).
Arjuna Subject : Pharmacology, Toxicology and Pharmaceutics - Pharmacology, Toxicology and Pharmaceutics (Lain-Lain)
Articles 56 Documents
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Search results for , issue "Vol. 6 No. 1 (2026): February 2026" : 56 Documents clear
Effectiveness of Tuberculosis Surveillance System in Remote Areas Through A Mixed-Methods Approach: A Case Study in Kabawo District, Muna Regency Rahmatiani Gani, Tri; Mariane Virenia Wariki, Windy; Debbie Kandou, Grace
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.506

Abstract

Tuberculosis (TB) remains a public health problem, especially in remote areas with limited resources and access to health services. The effectiveness of the TB surveillance system is crucial for successful disease control. This study aimed to assess the effectiveness of the TB surveillance system in Kabawo District, Muna Regency, using a mixed-methods approach. This study employed a mixed-methods design with a concurrent triangulation strategy. Quantitative data were analyzed univariately using SPSS to assess the components of the surveillance system, while qualitative data were obtained through in-depth interviews and analyzed descriptively. The quantitative analysis showed that the availability and capacity of human resources had an average score of 3.28, the TB case reporting system 3.83, the TB treatment success process 3.52, and the availability of facilities and infrastructure 2.89. The TB case detection process had an average score of 0.87. The overall effectiveness of the TB surveillance system was categorized as effective with an average score of 0.85. Qualitative findings revealed barriers such as social stigma, trust in traditional medicine, and limited geographic access that impacted the implementation of TB surveillance. The TB surveillance system in Kabawo District is considered effective, but still requires strengthening in the aspects of active case detection, utilization of facilities and infrastructure, as well as socio-cultural and geographic access-based interventions to increase effectiveness in a sustainable manner.
Assessment of Medical Record Documentation and SOAP Completeness in Outpatient Services at a Primary Health Facility Hermawan, Erwin; Erfira, Erfira
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.507

Abstract

Medical records are essential for clinical decision-making, continuity of care, legal compliance, and accreditation. Despite their importance, incomplete documentation remains a significant challenge in primary health care, particularly in settings that rely on manual record-keeping. This study assessed the completeness of outpatient medical records at the general polyclinic of Klinik UIN Syarif Hidayatullah Jakarta and examined patterns in outpatient service utilisation, including patient demographics, insurance coverage, and referral trends. A mixed-methods design was employed, integrating quantitative analysis of 399 outpatient medical records from January to February 2024 with qualitative data from observations and interviews. The quantitative component evaluated the completeness of SOAP documentation, patient demographics, service utilisation, and referral rates. The qualitative component investigated workflow challenges, clinician perspectives, and factors influencing documentation quality. In January, 201 outpatient visits were recorded, and in February, 198 visits occurred. Each month, more than 64% of patients were female. BPJS beneficiaries accounted for 842% of all visits, indicating they were the predominant users of the service. Referrals increased from 21 in January to 41 in February, for a total of 62. SOAP documentation was largely complete in January but declined in February, with most omissions found in the Assessment and Objective sections. Fourteen incomplete SOAP components were identified over two months, with 12 occurring in February. Although service utilisation remained stable, documentation quality varied substantially. The frequent incompleteness of the Objective and Assessment components underscores the need for improved workflow organisation, enhanced clinician training, and the adoption of electronic medical records. Regular audits and standardisation of SOAP documentation are recommended to strengthen compliance and support accreditation.
The Effect of Healing Touch-Dhikr Therapy on Quality Sleep of Patients With Diabetes Mellitus on The Work Area Kaliwungu Health Center Dita Puspita, Anggi; Sukarmin, Sukarmin; Tri Lestari, Diana
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.509

Abstract

Poor sleep quality is a common problem in patients with diabetes mellitus which can negatively impact metabolic control and reduce the patient's quality of life. Therefore, this study is important to find alternative non-pharmacological therapies to improve the sleep quality of diabetic patients. The main purpose of this study is to determine the effect of healing touch-dhikr therapy on the sleep quality of patients with diabetes mellitus in the Kaliwungu Health Center Working Area. This study uses a quantitative method, namely quasi experimental with a pretest-posttest with control group design. The sample consisted of 78 respondents who were selected through purposive sampling and divided into two groups: the intervention group (n = 39) and the control group (n = 39). The healing touch-dhikr intervention was given for seven days with a duration of 15–30 minutes per session. The data collection instrument used the Pittsburgh Sleep Quality Index (PSQI). Data analysis was carried out by dependent t-test and independent t-test test. The results showed a significant decrease in PSQI scores in both groups (p<0.001). The average sleep quality score of the intervention group decreased from 11.92 to 6.00 (difference of 5.92), while in the control group it decreased from 12.10 to 10.05 (difference of 2.05). Although both showed significant changes, the larger decline in the intervention group showed that healing touch–dhikr therapy was more clinically and statistically effective in improving the sleep quality of patients with diabetes mellitus. This is supported by an independent t-test showing a significant difference between the two groups (p< 0.001), which indicates the effectiveness of the intervention. Thus, it can be concluded that healing touch-dhikr therapy has a significant and clinically effective effect in improving the quality of sleep in patients with diabetes mellitus. This research supports the application of spiritual-based non-pharmacological interventions in nursing practice as a holistic approach that pays attention to the physical, psychological, and spiritual aspects of patients.
The Influence of Non-Clinical Factors (Age, Location, and Non-Medical Costs) on Patient Satisfaction and Loyalty at The Outpatient Polyclinic of The Manado City Dental and Oral Hospital M. N. Karinda, Sysilia; M.V. Wariki, Windy; E. Manampiring, Aaltje
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.511

Abstract

Patient satisfaction and loyalty are influenced not only by clinical factors but also by non-clinical factors, especially in the context of dental and oral health services supported by the National Health Insurance system. Three non-clinical factors that are strongly suspected of influencing patient satisfaction are age, non-medical costs, and location. Purpose. This study aims toanalyzing the direct and indirect influence between age, non-medical costs, and location on patient loyalty through patient satisfactionat the outpatient clinic of the Manado City Dental and Oral HospitalMethods. This study is a quantitative study with an analytical observational approach and uses a cross-sectional design, which was conducted in October - December 2025. The study sample consisted of 128 respondents consisting of respondents ≥ 18 years. Data were collected through questionnaires, then analyzed using univariate, bivariate, and multivariate analysis. Results.The results show that there is a direct effect of age and non-medical costs on patient satisfaction (p = 0.001), there is a direct effect of age on patient loyalty (p = 0.001), there is a direct effect of patient satisfaction on patient loyalty (p = 0.001), there is a direct effect of age on patient loyalty through patient satisfaction (p = 0.001) and there is a direct effect of non-medical costs on patient loyalty through patient satisfaction (p = 0.036). Meanwhile, there is no direct effect of location on patient satisfaction and loyalty (p = 0.976 and 0.436), there is no direct effect of non-medical costs on patient loyalty (p = 0.058), and there is no effect of location on patient loyalty through patient satisfaction (p = 0.979).ConclusionPatient satisfaction is a full mediator between non-medical costs and loyalty, and a partial mediator between age and loyalty.
Characteristics of Procalcitonin Values and Absolute Neutrophil-Lymphocyte Ratio in Pneumonia Sepsis Patients in the Intensive Care Unit of a Hospital H. Adam Malik Angela Yurika Purba; Syamsul Bihar; Bintang YM Sinaga
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.516

Abstract

.Sepsis pneumonia ranks among leading causes of global mortality, particularly in ICU settings, yet local biomarker profiles remain underexplored in resource-limited contexts like Indonesia. This study aimed to characterize procalcitonin (PCT) and absolute neutrophil-lymphocyte ratio (NLR) in ICU sepsis pneumonia patients at RSUP H. Adam Malik Medan (2023). Employing an observational analytic cross-sectional design, total sampling captured 132 patients meeting Sepsis-3 criteria (qSOFA ≥2, SOFA ≥2, age ≥18 years) with complete PCT/NLR data. Secondary data from medical records were analyzed using SPSS 25 via univariate descriptives and Spearman bivariate tests. Results revealed demographic dominance of males (61.37%) and age ≥60 years (40.15%), lymphopenia (94.70%), neutrophilia (90.90%), critical NLR (>17; 50%), and PCT predominantly in sepsis/infection range (0.5-2 ng/mL; 39.39%) followed by septic shock (>10 ng/mL; 29.55%). In conclusion, elevated NLR and PCT confirm severe inflammation patterns aligned with Sepsis-3, supporting biomarker-guided therapy to mitigate antibiotic overuse in Indonesian ICUs.
Factors Associated with Rabies Antibody Titers in Dogs in Mapanget District, Manado City Rosalin Hutasoit, Dimitris; Johnson Kepel, Billy; Iren Christy Manoppo, Jeanette
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.522

Abstract

Rabies remains a highly fatal zoonotic disease and continues to pose a substantial public health challenge in Indonesia, including in Manado City. Mapanget District hosts a considerable dog population, yet empirical data on herd immunity based on rabies antibody titers are scarce. This study aimed to evaluate the determinants associated with rabies antibody titers among dogs in Mapanget District, Manado City. A cross-sectional study was conducted involving 97 dogs selected through purposive sampling. Serum samples were analyzed using the Enzyme-Linked Immunosorbent Assay (ELISA) to classify antibody titers as protective (≥0.5 IU/mL) or non-protective (<0.5 IU/mL). Statistical analyzes included Fisher's Exact Test and multivariable logistic regression to assess associations between host factors and antibody titer status. Only 8.2% of dogs exhibited protective antibody titers, whereas 91.8% demonstrated non-protective levels. Vaccination status showed a highly significant association with antibody titers (p < 0.001). Vaccinated dogs were markedly more likely to achieve protective titers compared to unvaccinated dogs (OR = 35.71; 95% CI: 3.888–328.026). No significant associations were observed for dog type, age, or sex (p > 0.05). The findings underscore a critically low level of immunity within the dog population in Mapanget District, primarily attributable to insufficient vaccination coverage. Vaccination emerged as the predominant factor influencing the development of protective antibody titers. Strengthening routines and mass vaccination programs, coupled with systematic serological monitoring, are imperative to achieve adequate herd immunity and to advance rabies elimination strategies in the region.
Fetal Macrosomia with Suboptimal Antenatal Care: A Case Report Dhiya An, Alfun; Alwiandono, Indrahany; Nur Maulidya, Asri; Maharany Arumningtyas, Restu
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.443

Abstract

Background: Fetal macrosomia is associated with increased maternal and neonatal morbidity. Early detection relies on adequate Antenatal Care (ANC), including appropriate metabolic screening and serial fetal growth assessment. Suboptimal ANC may delay the recognition of maternal risk factors and fetal overgrowth, particularly in high-risk pregnancies. Case presentation: We reported a case of a 46-year-old Indonesian multiparous woman with obesity who was referred from the Community Health Centre (CHC) to a secondary hospital due to post-term pregnancy, suspected fetal macrosomia, and advanced maternal age. Despite multiple ANC visits, random blood glucose testing was not documented during Integrated Antenatal Care at the CHC, the primary healthcare level. Progressive excessive maternal weight gain and marked increases in fundal height were observed during the second and third trimesters without further metabolic evaluation. An elective caesarean section was performed at 40+4 weeks of gestation, delivering a male neonate weighing 5,295 g. Post-operative evaluation revealed maternal prediabetic status, while the neonate required monitoring due to macrosomia but remained clinically stable. Conclusion: This case highlights the consequences of suboptimal antenatal screening and surveillance in high-risk pregnancies. Failure to perform a timely metabolic assessment and respond to clinical indicators of excessive fetal growth may contribute to the delayed diagnosis of fetal macrosomia. Strengthening the quality and completeness of integrated antenatal care, particularly at the primary healthcare level, is essential to improve early detection and prevent adverse maternal dan neonatal outcomes.
Dysphagia Improvement Following Sublingual Nifedipine Administration in Long-Segment Esophageal Stricture: A Case Report Jonathan, Steven; Putu Bayu Triguna, I; Giri Prathiwindya, Gde; Made Suma Wirawan, I
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.504

Abstract

Dysphagia is a difficulty in swallowing either solid food or liquid. Esophageal stricture being one of the most common causes of dysphagia can be caused by inflammation, fibrosis, or neoplasia damaging the esophageal lumen. If left untreated, dysphagia can lead to malnutrition, aspiration, and decreased quality of life. Another common cause of dysphagia is esophageal motility disorder, an impairment in peristalsis of the esophageal. Calcium channel blockers such as nifedipine have been reported to improve dysphagia and may serve as alternative therapy while waiting for endoscopic intervention. A 27-year-old man presented with a two-month history of progressive dysphagia to solids, semisolids, and liquids, after an episode of hematemesis. Esophagogram showed esophageal stricture with impaired peristaltic. Contrast-enhanced CT result was suggestive of an intraluminal esophageal stricture. The patient was given sublingual nifedipine before meals as an alternative therapy while waiting for endoscopic intervention, and showed gradual sympomatic improvement. Dysphagia caused by long-segment esophageal stricture can be exacerbated by secondary motility disorder. While definitive treatment requires endoscopic intervention, sublingual nifedipine offered effective short-term symptomatic relief by reducing esophagogastric junction pressure and improving bolus transit through the narrowed lumen.
Analysis of Food Taboo and Food Belief Compliance in Anemic Pregnant Women at Tuntang Community Health Center Fahmi Hidayat, Nabila; Ika Riani, Risky; Tursinawati, Yanuarita; Muslimah, Muslimah
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.512

Abstract

Background: Anemia in pregnancy is defined as a hemoglobin concentration ≤ 11.0 g/dL. Inadequate diet can be caused by a culture of food taboo and food belief, this causes pregnant women to be at high risk of experiencing anemia. Objective: The aim of this study was to analyze the compliance of anemic pregnant women with food taboos and food beliefs. Methods: This research uses qualitative methods with an ethnological design. This research design was carried out using in-depth interviews. There were 9 research informants, namely 5 pregnant women with anemia and 4 additional informants. Audio recordings were transcribed and analyzed using thematic analysis.Results: The level of compliance of anemic pregnant women at the Tuntang health center towards the culture of food taboo and food disbelief is high. They tend to comply with input regarding intake from the family. Pregnant women who still adhere to this culture admit that they have followed this culture since their first pregnancy. Foods they avoid include goat meat, eggs and papaya leaves. Medical personnel play a role in providing education to pregnant women through routine examinations, classes for pregnant women, and providing additional food. Knowledge of anemic pregnant women at the Tuntang health center is quite good. Conclussion: Food taboo and food belief attitudes and habits are still adhered to due to family influence. They often get nutritional information through advice from medical personnel.
The Effect of Knowledge Level About Chronic Kidney Disease On Psychological Well-Being of Chronic Kidney Disease Patients Nahdiana, Dina; Tiyas Anggraini, Merry; Budi Pratama, Susilo; Muslimah, Muslimah
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.513

Abstract

Background:Chronic kidney disease has emerged as a leading cause of death and suffering in the 21st century. Hemodialysis is the most common renal replacement therapy for patients with chronic kidney disease. Hemodialysis patients experience physical and psychological distress. The psychological effects include increasedFatigue, anxiety, decreased quality of life, and increased risk of suicide are some of the factors contributing to this. Self-acceptance in patients can lead to the development of a new purpose in life, known as psychological well-being. One of the major problems contributing to hemodialysis failure is patient refusal, which is linked to low knowledge. This study aims to analyze the influence of knowledge levels about chronic kidney disease on psychological well-being in patients with chronic kidney disease. Method:This quantitative, observational, and analytical research method utilized a cross-sectional design. A population of 103 patients with chronic kidney disease undergoing hemodialysis in October 2023 served as the study subjects. The sampling technique used was total sampling. The Spearman rank test was also used by the researchers. The research instruments used were a questionnaire on the level of knowledge regarding chronic kidney disease and a questionnaire on the psychological well-being scale theory from Ryf.Results:A total of 89 respondents met the inclusion criteria. The Spearman rank test yielded a p-value of 0.000 and a correlation strength of +0.737, indicating a strong positive effect of knowledge on the psychological well-being of chronic kidney disease sufferers.Conclusion:The better the level of knowledge regarding chronic kidney disease, the greater the impact on improving the psychological well-being of chronic kidney disease sufferers.

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