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International Journal of Health Sciences
Published by Asosiasi Guru dan Dosen Seluruh Indonesia
ISSN : -     EISSN : 29870836     DOI : https://doi.org/10.59585/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
International Journal of Health Sciences (IJHS) is an international peer-reviewed journal published by the Association of Teachers and Lecturers throughout Indonesia. This Journal of Health Sciences is open access and aims to share and promote the quality of community services by applying science and technology to help people or solve some of the problems of everyday life. The journal publishes 7 articles for each volume four times a year in March, June, September and December. If you are interested, we encourage you to read our policies and author guidelines.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 482 Documents
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The Relationship between Pregnant Women's Knowledge of Nutritional Fulfillment and Anemia Status in the Community Health Center Work Area Winda Dwi Puspita; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1820

Abstract

Background Anemia during pregnancy remains an important maternal health problem. It May be caused by inadequate intake of essential nutrients , particularly iron , folate , and vitamin B12. Maternal knowledge regarding nutritional fulfillment during pregnancy May influence food selection and anemia prevention behaviors . Objective This study aimed to determine the relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Methods A quantitative analytic study with a cross-sectional design was conducted in September 2026 in the working area of a community health center . The sample consisted of 84 pregnant women selected using purposive sampling. Knowledge of nutritional fulfillment was assessed using a structured questionnaire , while anemia status was determined based on hemoglobin measurement using a standardized hemoglobin testing device . Data were analyzed using the chi-square test with a significance level of 0.05. Results Thirty-four pregnant women (40.5%) had good nutritional knowledge , while 50 (59.5%) had poor knowledge . Hemoglobin assessment showed that 32 women (38.1%) were anemic and 52 (61.9%) were non- anemic . The prevalence of anemia was 48.0% among women with poor knowledge and 23.5% among those with good knowledge . The chi-square test demonstrated a significant relationship between nutritional knowledge and anemia status (p=0.023). Conclusion There was a significant relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Strengthening antenatal nutrition education regarding iron-rich foods , folate , vitamin B12, protein, vitamin C, dietary diversity , and adherence to iron-folic AC ID supplementation is recommended .
The Relationship Between Complementary Feeding and Infant Nutritional Status Kiki Rezki Aulia; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1821

Abstract

Background Complementary feeding is the process of introducing foods and beverages at around six months of age when breast milk alone is no longer sufficient to meet the nutritional requirements of infants . The timing , frequency , amount , consistency , diversity , and quality of complementary foods are important determinants of child growth and nutritional status. Objective This study aimed to determine the relationship between complementary feeding practices and the nutritional status of infants . Methods A quantitative analytic study with a cross-sectional design was conducted in October 2026 in the working area of a community health center . The sample consisted of 96 infants aged 6–23 months selected using purposive sampling. Complementary feeding practices were assessed based on timing of introduction , frequency , amount , food consistency , dietary diversity , and feeding practices . Nutritional status was assessed through weight and length / height measurements according to age using standard child growth assessment procedures . Data were analyzed using the chi-square test with a significance level of 0.05. Results Fifty- seven infants (59.4%) received appropriate complementary feeding , while 39 (40.6%) received less appropriate complementary feeding . Sixty-eight infants (70.8%) had normal nutritional status and 28 (29.2%) had normal nutritional status problems . The proportion of nutritional problems was 46.2% among infants receiving less appropriate complementary feeding compared with 17.5% among those receiving appropriate complementary feeding . The chi-square test showed a significant relationship between complementary feeding practices and nutritional status (p=0.004). Conclusion Complementary feeding practices were significant associated with infant nutritional status. Appropriate age of introduction , adequate frequency and consistency , dietary diversity , and responsive feeding should be strengthened through parental and caregiver education.
Analysis Of Blood Triglyceride Levels In Active Smokers Based On Smoking Duration At Muhammadiyah Clinic Garut Ghina Yuliana; Nursalam Sri Julianti B. Salampessy
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1822

Abstract

Cigarettes are processed tobacco products containing addictive substances that are consumed by burning and inhaling the smoke. Long-term smoking can trigger cardiovascular disease, one mechanism of which is hyperlipidemia resulting from elevated blood triglyceride levels. Triglycerides are the primary lipids found in fat deposits and dietary sources. This study aimed to analyze differences in blood triglyceride levels among active smokers based on smoking duration at Muhammadiyah Clinic Garut. A quantitative cross-sectional design was used, involving 20 male smokers registered as patients at the clinic who underwent triglyceride testing. Triglyceride levels were measured using the GPO-PAP method. The Shapiro-Wilk test indicated normally distributed data (p>0.05), followed by Levene's test, ANOVA, and Tukey post hoc analysis. Mean triglyceride levels were 153.3 ± 4.2 mg/dL in the <1-2-year group, 187.3 ± 18.8 mg/dL in the 3-5-year group, and 320.6 ± 69.5 mg/dL in the >10-year group. Shapiro-Wilk p-values were 0.910, 0.231, and 0.648, while Levene's test indicated homogeneous variance (p=0.051). ANOVA demonstrated significant differences in triglyceride levels according to smoking duration (p<0.001), and Tukey testing showed significant differences between all groups (p=0.002 and p<0.001). These findings demonstrate significant differences in triglyceride levels based on smoking duration.
Evaluation Of Electronic Medical Record Downtime Management On Patient Service Efficiency At Hospital X Muhamad Yassar; Sali Setiatin
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1824

Abstract

Electronic medical record (EMR) implementation in hospitals is vulnerable to downtime, during which the system becomes inaccessible because of infrastructure disruption, network failure, software malfunction, or cyberattack, potentially delaying care and increasing patient-safety risks. Evidence concerning how downtime management affects service efficiency in Indonesian hospitals remains limited. This study evaluated EMR downtime management and its implications for patient service efficiency at Hospital X. A descriptive qualitative design was applied using semi-structured interviews with four informants directly involved in downtime management. Data were analyzed using the Miles and Huberman interactive model and validated through source triangulation with internal standard operating procedures and official downtime reports. Hospital X had a basic response mechanism consisting of conversion to manual documentation followed by data re-entry after system recovery, with responsibilities divided between electrical-facility maintenance and the hospital information-system unit. Official documentation for March-April 2026 recorded five downtime events totaling approximately 4 hours 28 minutes, caused by a firewall anomaly, Transmedik server anomalies, and a total power outage. Server anomalies occurred most frequently, while the firewall anomaly produced the longest single disruption. Downtime resulted in patient backlogs, slower clinical services, longer waiting for supporting examinations, and additional staff workload from retrospective data entry. Major constraints were delayed or unclear notifications, uncertain recovery estimates, and dependence on hierarchical approval, whereas existing standard operating procedures did not explicitly define escalation criteria or decision-making authority. Current management is operationally usable but remains predominantly manual. Hospital X therefore requires more structured communication triggers, explicit escalation authority, and consideration of digital backup mechanisms to strengthen service continuity, efficiency, and patient safety during EMR disruption.
Intensity of Treatment Support as Determinants of Medication Adherence among Tuberculosis Patients Warda Elmaida Rusdi; Irmawan Farindra; Mohammad Rizqi Rifai; Chaedar Sufy Magna; Wilhemus Dionysius Mario Randy Benge
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1836

Abstract

Introduction: Tuberculosis (TB) remains a major public health problem, with treatment adherence being a critical determinant of therapeutic success. The Directly Observed Treatment Short-course (DOTS) strategy emphasizes the role of treatment supervisors; however, evidence regarding the influence of supervision intensity on patient adherence remains limited. This study aimed to examine the relationship between the intensity of medication supervision by treatment supporters (PMO) and medication adherence among pulmonary tuberculosis patients. Methods: An analytical observational study with a case–control design was conducted from December 2025 to January 2026 at a primary health center in Surabaya, Indonesia. A total of 22 pulmonary TB patients who met the inclusion criteria were included using total sampling. Data were collected using structured questionnaires to assess PMO characteristics, supervision intensity, and patient adherence, measured using the Morisky Medication Adherence Scale-8 (MMAS-8). Data were analyzed using Fisher’s Exact test. Results: Among the 22 pulmonary tuberculosis patients, 13 of 15 patients (86.7%) receiving high-intensity PMO supervision were adherent to treatment, compared with none of the 7 patients receiving moderate-to-low-intensity supervision. Fisher’s Exact test indicated a statistically significant association between supervision intensity and medication adherence (p < 0.001). Conclusion: These findings suggest that the quality and consistency of supervision play a more important role than demographic attributes of treatment supporters. Strengthening structured and intensive supervision may enhance treatment adherence and support tuberculosis control efforts.
Quality Of Life Among Patients With End-Stage Renal Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Literature Review M Hanif Prasetya Adhi
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1838

Abstract

End-stage renal disease (ESRD) requires long-term renal replacement therapy, including hemodialysis (HD), peritoneal dialysis (PD), or kidney transplantation. As the prevalence of ESRD increases, more patients must decide which treatment modality to undertake. Studies and literature reviews addressing the effects of PD on the quality of life of patients with ESRD remain limited. This literature review aimed to examine CAPD therapy among patients with ESRD. Searches were conducted using electronic databases reported as PubMed, ProQuest, and Google Scholar, with the terms “ESRD,” “CAPD,” “peritoneal dialysis,” and “quality of life,” informed by the NCBI MeSH database. The review used a PRISMA-based selection strategy and content analysis. English-language publications from 2009 to 2019 were considered eligible. A total of 25 articles were included: 15 quantitative studies, seven qualitative studies, two case reports, and one mixed-methods study. In the physical domain, PD was associated with advantages in physical role functioning, vitality, energy, and pain. In the psychological domain, PD patients generally reported lower anxiety and depression than HD patients; one study described severe depressive symptoms among HD patients. Regarding social relationships, PD was associated with greater independence, self-efficacy, freedom of activity, flexibility, and maintenance of everyday routines. In the environmental domain, PD patients were more likely to continue working and to travel more freely than HD patients, which could contribute to financial and psychological well-being. Overall, the reviewed literature suggests that PD may offer quality-of-life advantages in several domains, supporting further consideration of PD for patients requiring long-term or lifelong dialysis.
Characteristics And Risk Factors Of Hiv Incidence In Adolescents And Young Adults Aged 10-24 Years In Bandung City 2023-2025 Period Firna Asma An&#039;nida; Neneng Martini; Fardila Elba
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1876

Abstract

HIV remains a public health problem worldwide, including in Indonesia. Research on the characteristics and risk factors for HIV cases in the 10-24 age group in Bandung City is still limited. This study aims to describe the characteristics and risk factors for HIV cases in adolescents and young adults aged 10-24 in Bandung City for the period 2023-2025. This study used a descriptive quantitative method with a retrospective design through a retrospective report review approach. The data used were secondary data from the HIV/AIDS Information System (SIHA) of the Bandung City Health Office. The sample was obtained using a total sampling technique and 383 cases that met the research criteria were analyzed using univariate analysis and cross-tabulation. The results showed that the most HIV cases were found in young adults aged 20-24 years (293 cases (76.5%), men (351 cases (91.6%), high school/equivalent education (214 cases (55.9%), and private sector employees (99 cases (25.8%). The most frequently recorded risk factor each year is homosexuality or men who have sex with men (MSM), namely 56 cases (77.8%) in 2023, 119 cases (70.8%) in 2024, and 99 cases (69.2%) in 2025. Another risk factor that is quite frequently recorded is Children of PLHIV Mothers. This study provides an overview of the characteristics and distribution of risk factors for HIV cases recorded in the 10-24 year age group in Bandung City and can be supporting information in the preparation of promotive and preventive efforts that are appropriate to the characteristics of the target.
The Relationship Between Patient Family Satisfaction And Service Response Time In The Emergency Installation Of Syekh Yusuf Gowa Regional General Hospital Irwan Irwan; Erlina HB Erlina HB; Adi Hermawan; Zulfitrawati Zulfitrawati
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Services in the Emergency Department (ED) require speed and precision in patient care, which can be reflected, among other ways, through the response time of medical personnel. The speed of these services influences the satisfaction of patients' families, who serve as the primary companions throughout the care process. This study aimed to determine the relationship between service response time and the satisfaction level of patients' families in the Emergency Department of Syekh Yusuf Regional General Hospital (RSUD) in Gowa. A quantitative, cross-sectional study design was employed. A sample of 50 respondents—consisting of patients' family members in the ED—was selected using an accidental sampling technique. Data were collected through questionnaires and observations, then analyzed using the Chi-Square test. The results indicate that, while the majority of response times were classified as fast (60%), the level of satisfaction was dominated by the "dissatisfied" category (56%). Statistical analysis revealed a significant relationship between response time and the satisfaction of patients' families (p = 0.001 < 0.05). It is concluded that a faster service response time correlates with a higher level of satisfaction among patients' families. Therefore, it is necessary to improve the quality of care through better time management, communication, and empathy from healthcare personnel.
Analysis of Environmental and Behavioral Factors Affecting the Incident of Diarrhea in Children Under Five Yermi Yermi; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1886

Abstract

Background : Diarrhea remains a common health problems among children under five years of Its age​ occurrence is associated with environmental and family behavioral factors , particularly water quality , sanitation , waste management , hand hygiene , and childcare hygiene practices . Young children are particularly important vulnerable to the effects of diarrhea because fluid loss can occur rapidly . Objective : To analyze environmental and behavioral factors associated with diarrhea among children under five years of age . Methods : This analytical quantitative study used a cross-sectional design . A total of 115 mothers or primary caregivers of children under five were selected using purposive sampling. Independent variables included water quality , latrine conditions , waste management , hand hygiene , and family hygiene behavior . The dependent variable was the occurrence of diarrhea within the previous month . Data were collected using questionnaires and environmental observation sheets . Data were analyzed using univariate and bivariate analyses with the Chi- square test . Results : Thirty-eight children (33.0%) had experienced diarrhea within the previous month . Poor water quality was found among 35 respondents (30.4%), inadequate latrine conditions among 31 respondents (27.0%), poor waste management among 43 respondents (37.4%), inadequate hand hygiene among 40 respondents (34.8%), and poor family hygiene behavior among 36 respondents (31.3%). Significant associations were found between water quality ( p = 0.008), latrine conditions ( p = 0.014), waste management ( p = 0.021), hand hygiene ( p = 0.003), and family hygiene behavior ( p = 0.001) and diarrhea occurrence among children under five . Conclusion : Environmental and behavioral factors are associated with diarrhea among children under five . Prevention efforts should focus on improving access to safe water and sanitation and strengthening family hygiene practices .
The Effect of Illustrated Module-Based Education on Improving Mothers’ Knowledge of Toddler Nutrition Anti Kumala Sari; Vivin Nur Hafifah; Sri Astutik Andayani
International Journal of Health Sciences Vol. 4 No. 4 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i4.1900

Abstract

Toddler nutrition is an important aspect of child growth and development, while mothers’ nutritional knowledge plays a key role in supporting appropriate feeding practices. This study aimed to determine the effect of illustrated module-based education on mothers’ knowledge of toddler nutrition in Baderan Village, Sumbermalang District, Situbondo Regency. This study employed a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 83 mothers with toddlers aged 0–59 months, and total sampling was used to include all 83 respondents. Data were collected using a 14-item knowledge questionnaire administered before and after the educational intervention. The intervention was delivered using an illustrated module containing information on toddler nutritional requirements, nutritious food sources, balanced eating patterns, the consequences of nutritional deficiencies, and prevention of nutritional problems. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05. Before the intervention, 45 respondents (54.2%) had a fair level of knowledge and 38 respondents (45.8%) had a poor level, while none had a good level of knowledge. After the intervention, 57 respondents (68.7%) had a good level of knowledge and 26 respondents (31.3%) had a fair level, with no respondents remaining in the poor category. The median knowledge score increased from 8 before the intervention to 12 after the intervention. The Wilcoxon test showed a significant difference in knowledge before and after the intervention (p<0.001). Illustrated module-based education was associated with a significant improvement in mothers’ knowledge of toddler nutrition and may serve as a supporting medium for nutrition education among mothers of toddlers

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