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Arman Harahap
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+6285370005518
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INDONESIA
International Journal of Health and Pharmaceutical (IJHP)
Published by CV. Inara
ISSN : -     EISSN : 2808845X     DOI : https://doi.org/10.51601/ijhp
Core Subject : 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).
Articles 426 Documents
The Dynamics Analysis of Development and Basic Principles of Health Insurance in Indonesia Sulatriningsih, Sri; Sunardi, Didin; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.372

Abstract

Healthcare insurance in Indonesia is mandated by the 1945 Constitution, Article 34 paragraph 2. The basic principles of health insurance in Indonesia are based on social justice and broad coverage and support the sustainability of an inclusive and equitable health service system. The health insurance system in Indonesia has transformed into Universal Health Coverage (UHC) through the National Health Insurance (JKN) program. Problems that are still obstacles to the effectiveness of the JKN system include slow payment of claims to health facilities, moral hazard, and gaps in the quality of services between health facilities in big cities and remote areas. This study aims to analyze the basic principles and dynamics of the development of the national health insurance system in Indonesia. The method used is a literature study of scientific sources, public policies, and official reports. The results of the study and review indicate that the principles of solidarity, equity, and sustainability are the main foundations in the implementation of JKN. Although coverage has expanded significantly, challenges such as gaps in access to services, imbalances in contributions and financing, and low public understanding of health insurance still need attention.
Managed Care In Healthcare Insurance: A Case Study In Indonesia For Review Destya Arini, Kartika; Nurhasanah, Imas; Amnurokhim Malahade, Mohammad; Puspitaloka Mahadewi, Erlina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.375

Abstract

The process of goods and services procurement within the government environment still has vulnerabilities to fraud, which necessitates proper handling. This study aims to identify the factors that can influence efforts to prevent fraud in the procurement of goods and services using an e-procurement system. The data for this research was obtained through the distribution of questionnaires to employees at the Procurement Services Unit (ULP) and the Regional Financial and Asset Management Agency (BPKAD) Office of Dompu Regency. The sampling method used in this study is purposive sampling. Furthermore, the research data were tested using multiple regression analysis. This study demonstrates that the variables of technology utilization, e-procurement, internal control systems, organizational culture, employee ethics, and religiosity can influence the prevention of fraud in the procurement of goods and services. The research findings can serve as a reference for evaluating the use of information technology through e-procurement and the application of internal control systems for optimal results. Additionally, it is important to consider human resources, specifically employees, in maintaining organizational culture, good ethics, and religious values as a foundation for actions in the workplace to avoid various deviant or unlawful behaviors.
Analysis Of The Influence Of Human Resource Competency, Price, And Hospital Image On Patient Satisfaction In General, That Impact Patient Loyalty At Karya Husada Hospital Haicha Pratama, Irza; Napiah Nasution, Ali; Nainggolan, Nathasya
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.377

Abstract

To increase patient satisfaction and loyalty, not only are superior human resource competence and prices appropriate to the health services provided to patients needed, but the hospital image also influences patient satisfaction and loyalty. This research aims to analyze the influence of human resource competence, price, and hospital image on general patient satisfaction, which impacts loyalty at Karya Husada Hospital. The type of research used is analytical, quantitative research. The sample used in this study was 200 patients, and the analysis used was univariate, bivariate, and multivariate. The research results showed that most patients felt satisfied with the human resources, prices, and image of Karya Husada Hospital—as many as 178 (89%), and the majority of patients felt loyal to Karya Husada Hospital, as many as 184 (92%). There is an influence of human resource competency on general patient satisfaction at Karya Husada Hospital, there is an influence of price on general patient satisfaction at Karya Husada Hospital, there is an influence of hospital image on general patient satisfaction at Karya Husada Hospital, there is an influence of human resource competency on general patient loyalty at Karya Husada Hospital, there is an influence of price on the loyalty of general patients at Karya Husada Hospital, there is an influence of hospital image on the loyalty of general patients at Karya Husada Hospital. The variable that most influences patient satisfaction is the price variable (X2). The variable that most influences patient loyalty is the hospital image variable (X3).
Analysis Of Nursing Service Quality Strategy Indicators On The Perception Of Satisfaction Of Inpatients At Royal Prima Medan Hospital Suci, Tri; Sari Mutia, Maya; Stefanie Sinaga, Cindy
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.379

Abstract

In conditions of tight competition, the main thing that hospitals need to prioritize is a strategy to improve the quality of service to their patients. The quality of nursing services indicates the quality of health services. Nurses determine the image of health service institutions in society. This research aims to analyze indicators of nursing service quality strategies on the perception of satisfaction of inpatients at RSU Royal Prima Medan. This type of research is quantitative descriptive. The population in this study was inpatients at RSU Royal Prima from January 2024 to February 2024, totaling 300 patients. The sampling technique in this research used an accidental sampling technique with a sample size of 300 patients. Data analysis used SEM and SPSS, including univariate, bivariate, and multivariate analysis. The research results showed that the majority of respondents in this study were 31-40 years old, 137 (45.7%); the majority were female, 215 (71.7%); and had a PT (higher education) education, 157 (52.3%). There is an influence of the reliability service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the responsiveness service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the assurance service quality strategy indicator on the perception of satisfaction of inpatients inpatients at RSU Royal Prima Medan, there is an influence of the empathy service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, there is an influence of the tangible service quality strategy indicator on the perception of satisfaction of inpatients at RSU Royal Prima Medan, Service quality strategy indicator variable The most influential influence on the perception of satisfaction of inpatients at RSU Royal Prima Medan is the reliability service quality strategy indicator variable.
The Influence of Social Media on HIV-Aids and LGBT Cases among the Young Generation in Jakarta Puspitaloka Mahadewi, Erlina; Reza Hilmy, Mohamad; Silviana Mustikawati, Intan; Muniroh, Muniroh; Chairun Nisa, Puspita; Mandala Putra, Juniawan; Harahap, Arman
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.384

Abstract

The study focused on the purpose of finding out the effect and the roles challenges faced by activists in the JPC Jakarta Foundation community in their efforts to prevent HIV and AIDS infections among LGBT people in Jakarta. This study applies a qualitative approach to observe the activities carried out by activists in three areas in the DKI Jakarta Province of Indonesia. The activities of the activists include field and online outreach, interactive group discussions, HIV counseling and testing, distribution of condoms and pelicans for LGBT youth, and social support for people living with HIV and AIDS (PLWHA). This study uses the theory of social action and symbolic interactionism to analyze the activities carried out by activists. This study found that the activities carried out by volunteer activists of the JPC Jakarta foundation in 2023. The study shows the results of the formation of rational-instrumental social action and a symbolic interaction in the context of HIV and AIDS prevention, with the LGBT community being a group affected by the increasing deviation of social media among the younger generation, especially Gen Z.
Analysis of Systemic Immune-Inflammation Index (Sii) And Cd4 Count In Hiv/Aids Patients With And Without Tuberculosis Co-Infection Fathiyah, Riza; Paramita, Kartika; Handayani, Irda
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.386

Abstract

Background: The Global Incidence Of Human Immunodeficiency Virus (Hiv) Infection Continues To Rise, With Increased Mortality Observed In The Presence Of Opportunistic Infections Such As Tuberculosis (Tb), Torch Infections (Toxoplasmosis, Rubella, Cytomegalovirus, Herpes Simplex), And Candidiasis. The Systemic Immune-Inflammation Index (Sii), Derived From Neutrophil, Lymphocyte, And Platelet Counts Obtained Through Routine Complete Blood Count Testing, Has Recently Been Explored As A Potential Marker Of Immune Response And Inflammation In Hiv Patients, Particularly In Those With Tb Co-Infection. Objectives: To Analyze The Sii Index And Cd4 Count In Hiv Patients With And Without Tb Co-Infection. Methods: This Retrospective Study Analyzed Secondary Data From Hiv-Infected Patients Treated At Wahidin Sudirohusodo Hospital, Makassar, Between January 2022 And June 2024. The Mann–Whitney U Test Was Used To Compare Sii And Cd4 Counts Between Groups, And Receiver Operating Characteristic (Roc) Curve Analysis Was Performed To Assess The Predictive Value Of Sii For Tb Co-Infection. Results: Among 144 Patients, Sii Values Were Significantly Higher In The Hiv-Tb Co-Infection Group Compared To The Non-Tb Group (P = 0.001). Roc Analysis Revealed That An Sii Cut-Off Value Of 562.3 Yielded A Sensitivity Of 82.4% And A Specificity Of 35.5%, With An Area Under The Curve (Auc) Of 0.661, Indicating Weak Discriminatory Power. Cd4+ T Cell Counts Were Significantly Lower In Patients With Tb Co-Infection (P < 0.001). Conclusion: Sii Was Significantly Elevated In Hiv Patients With Tb Co-Infection, Demonstrating Relatively High Sensitivity And Suggesting Its Potential Utility As A Screening Tool For Identifying Tb Co-Infection In Hiv-Infected Individuals. Cd4+ T Cell Counts Were Also Significantly Lower In The Co-Infection Group, Consistent With Greater Immunosuppression.
Analysis Of Factors Related To The Incidence Of Acute Respiratory Infection In Toddlers In The Area Of Tuntungan Community Health Center, Deli Serdang Regency 2024 Suhartina, Suhartina; Deasy Siregar, Santy; Oculi Zaluchu, Sarah
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.388

Abstract

According to the WHO (World Health Organization), acute respiratory infection (ARI) is an infectious disease of the upper or lower respiratory tract that can cause various types of diseases, from asymptomatic diseases or mild infections to severe and fatal diseases, depending on the causative pathogen, environmental factors, and host factors. Acute respiratory infection (ARI) is caused by more than 300 bacteria, viruses, and rickettsia types. The incidence, distribution, and consequences of acute respiratory infections vary based on several factors, namely environmental conditions, such as air pollution, household density, humidity, cleanliness, season and temperature; availability and effectiveness of medical care; infection prevention and control (IPC) measures to contain the spread, such as vaccines, access to health care facilities, and isolation capacity; individual factors, such as age, smoking, the ability of personal factors to transmit infection, immune status, nutritional status, previous or concurrent infections with other pathogens, and underlying medical conditions; pathogen characteristics, such as mode of transmission, transmissibility, virulence factors and microbial load (WHO, 2020). This study aims to analyze several factors related to the incidence of ARI in toddlers in the Tuntungan Health Center area, Deli Serdang Regency, in 2024. This research method uses a questionnaire containing questions to obtain primary data from respondents. The questionnaire is processed using validity, reliability, normality, and logistic regression tests. This study concludes that environmental factors, such as maternal education history, individual children, nutrition, socioeconomics, and family smoking behavior, have a relationship with the incidence of ARI in toddlers. In contrast, the results for immunization factors show no relationship with the incidence of ARI in toddlers.
Partial Sternotomy Due To Intrathoracic Foreign Body Suspected Implant Migration: A Case Report Tangkilisan, Adrian; Riahna, Else; Sukanto, Wega; Zenithy Tamburian, Christha; Kent Paat, Rigel
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.410

Abstract

Intrathoracic foreign bodies pose notable surgical challenges, particularly with concerns of implant migration. This case report details a 55-year-old male admitted to the ICU, exhibiting symptoms of coughing and hematemesis following partial sternotomy due to presumed implant migration. Comprehensive clinical assessment revealed stable vital signs and leukocytosis, but no signs of infection. The management strategy included a multidisciplinary approach encompassing infection control, wound care, and pharmacologic support. Partial sternotomy was performed, allowing for effective retrieval with minimized postoperative complications. Postoperative care emphasized respiratory support and regular monitoring of laboratory parameters to detect potential complications. The case underscores the importance of integrating traditional and innovative surgical techniques while prioritizing patient safety and health outcomes. Close monitoring and a tailored care plan were essential in managing the escalating symptoms and potential complications arising from the intrathoracic foreign body.
Mitroanoff Appendicovesicostomy Procedure On Bladder Neck Stenosis: A Case Report Arianto, Eko; Hardianti Kusanto, Putri; Astram, Ari; Toreh, Christof; Wihono, Frendy; R. Torry, Stivano
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.411

Abstract

The Mitrofanoff Appendicovesicostomy (MAC) procedure is a significant surgical intervention for patients with bladder neck stenosis, particularly in cases of severe urological dysfunction. This case report presents a 34-year-old female with a history of urinary incontinence and vesicovaginal fistula (VVF) following a cesarean section. The patient underwent the MAC procedure to address her bladder neck stenosis and restore urinary continence. Preoperative assessments, surgical techniques, and postoperative outcomes are discussed, highlighting the effectiveness of the MAC procedure in providing a new pathway for urine flow and improving the patient's quality of life. This report emphasizes the importance of a multidisciplinary approach in managing urinary incontinence, considering both physical and psychological factors. It also underscores the need for timely diagnosis and tailored surgical interventions to enhance patient outcomes. Future research should focus on identifying risk factors and developing personalized treatment strategies to mitigate urinary incontinence and related complications in postpartum patients. By integrating clinical evidence and holistic care, healthcare providers can better navigate the complexities of urinary incontinence and improve the quality of life for affected individuals.
Comparison Of The Antibacterial Activity Of Palm Kernel Oil (PKO) & Virgin Coconut Oil (VCO) Against Pseudomonas Aeruginosa Bacteria Purnamasari, Juwita; Wahyuni Gayatri B, Sri; Sitti Fahirah Arsal, Andi; R. Bamahry, Aryanti; Karim, Marzelina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.412

Abstract

Pseudomonas aeruginosa, a gram-negative bacterium, is a significant cause of nosocomial infections and exhibits high levels of multidrug resistance, necessitating the exploration of alternative antibacterial agents. This study investigates the antibacterial activity of Palm Kernel Oil (PKO) and Virgin Coconut Oil (VCO) against Pseudomonas aeruginosa, employing a true experimental post-test design with microdilution and agar dilution methods. Conducted at the Universitas Muslim Indonesia, the study determined the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) of PKO, VCO, and gentamicin. Results revealed that PKO had an MIC of 4096 µg/mL and an MBC of 8192 µg/mL, while VCO exhibited an MIC of 2048 µg/mL and an MBC of 4096 µg/mL. Gentamicin, used as a control, demonstrated superior antibacterial effectiveness with an MIC of 2 µg/mL and an MBC of 4 µg/mL. Statistical analysis indicated that VCO, with its higher lauric and myristic acid content, was more effective than PKO in inhibiting bacterial growth, although both oils were less effective than gentamicin. The study highlights the potential of VCO as a natural antibacterial agent, suggesting further research to optimize its efficacy through formulation modifications and combinations with other antimicrobial agents. Additionally, evaluating the effectiveness of VCO and gentamicin against other bacterial strains is recommended to expand the understanding of VCO's antibacterial capabilities. These findings contribute to the growing body of evidence supporting the use of natural products in combating antibiotic-resistant infections.