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Program Studi Magister Kesehatan Masyarakat Fakultas Ilmu-Ilmu Kesehatan Universitas Mandala Waluya Jl. Jend. AH. Nasution, Kambu, Kec. Kambu, Kota Kendari, Sulawesi Tenggara 93561, Indonesia
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Waluya The International Science of Health Journal
Published by UNIVERSITAS MANDALA WALUYA
ISSN : 28292278     EISSN : -     DOI : https://doi.org/10.54883/28292278.v2i3.88
Core Subject : Health, Education,
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Other
The focus and scope of Waluya the International Science of Health Journal covers the development of public health science which consists of: Epidemiology, Environmental Health and Occupational Health, Health Administration and Policy, Health Promotion, Nutrition and Reproductive Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 263 Documents
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Analysis of the Relationship between Child Health and Integrated Policy System and Pulpitis Incidence in Kendari City Sri Galuh Deviarsita; Sunarsih Sunarsih; Asbath Asbath
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/98ann756

Abstract

Introduction: Pulpitis in children is a dental health problem that requires special attention through effective and integrated health policies. Kendari City faces challenges in reducing the incidence of pulpitis, thus supporting a child health policy system, the Child Health and Integrated Policy System (CHIPS). This study aims to analyze the relationship between the Child Health and Integrated Policy System and pulpitis incidence in Kendari City. Method: The research used a quantitative approach with the Partial Least Squares Structural Equation Modeling (PLS-SEM) model, data were collected through surveys of related agencies and health workers in Kendari City. Result: Child Health and Integrated Policy System were shown to have a very strong and significant influence on the incidence of pulpitis (β=0.667; p=0.000), which indicates that an integrated policy system can improve the detection, reporting, and handling of pulpitis cases effectively. Conclusion: Health workers in Kendari are encouraged to develop promotive and preventive approaches supported by the Child Health and Integrated Policy system to accelerate the detection and treatment of pulpitis in children.
The Effects of Performance Expectancy and Effort Expectancy on Behavioral Intention to Use the Mobile NHI Application at Bahteramas Hospital Indonesia Novebriani Novebriani; Sartini Risky; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/am6e3y95

Abstract

Introduction: Mobile NHI is a digital health service developed to facilitate access to National Health Insurance services in Indonesia. Despite its increasing adoption, continued use of the application may depend on users’ perceptions of its usefulness and ease of use. This study aimed to analyze the effects of performance expectancy and effort expectancy on behavioral intention to use the Mobile NHI (National Health Insurance) application at Bahteramas Hospital, Southeast Sulawesi, Indonesia. Method: A quantitative cross-sectional study was conducted among Mobile NHI users at Bahteramas Hospital. The study population comprised 2,092 users, from whom 180 respondents were selected using accidental sampling. Data were collected using a structured questionnaire based on selected constructs of the Unified Theory of Acceptance and Use of Technology (UTAUT). Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS. Result: Performance expectancy did not have a statistically significant effect on behavioral intention to use Mobile NHI (t < 1.96; p > 0.05). In contrast, effort expectancy had a statistically significant effect on behavioral intention to use Mobile NHI (t > 1.96; p < 0.05). These findings indicate that perceived ease of use plays a more important role than perceived performance benefits in shaping users’ intention to use Mobile NHI in this setting. Conclusion: Effort expectancy significantly influenced behavioral intention to use Mobile NHI, while performance expectancy did not. Improving usability, user support, digital literacy, and service integration may encourage sustained use.
Implementation of the Employee Performance Target System for Functional Officials: A Qualitative Case Study of Performance Management Processes in the Southeast Sulawesi Provincial Health Office, Indonesia Irmayanti Irmayanti; Sartini Risky; Wa Ode Nova Noviyanti Rachman
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/4fcqga58

Abstract

Introduction: The implementation of the functional official performance assessment system through Employee Work Targets based on the Minister of Administrative and Bureaucratic Reform Regulation Number 1 of 2023 and Number 6 of 2022 faces various complex challenges in its implementation. This study aims to examine the implementation of the Employee Performance Target System for Functional Officials: A Qualitative Case Study of Performance Management Processes in the Southeast Sulawesi Provincial Health Office, Indonesia. Method: The research used a qualitative approach with a descriptive evaluative case study type, involving 8 informants consisting of 4 regular informants (functional officials) and 4 key informants (assessors and personnel managers). Data collection was conducted through in-depth interviews, with data analysis using the NVivo application. Result: The findings identified a gap between the availability of digital performance management infrastructure and organizational capacity to implement the system substantively. Three major process-related issues emerged: implementation of Employee Performance Targets, monitoring, and evaluation. Although the electronic performance system facilitated data entry, performance documentation, and managerial access, challenges remained in regulatory understanding, digital literacy, assessor competence, structured monitoring, feedback mechanisms, coordination, and performance dialogue. The absence of consistent performance dialogue limited the use of performance assessment as a mechanism for employee development. Conclusion: Effective implementation of Employee Performance Targets requires more than digital system availability and regulatory compliance. Strengthening assessor capacity, regulatory socialization, structured monitoring and feedback, and performance dialogue is essential to ensure that performance management contributes to continuous improvement and professional development of functional officials.
Service Quality Assessment Using Total Quality Management Principles: A Qualitative Case Study of Patient Focus and Quality Commitment at Oputa Yi Koo Heart and Vascular Hospital, Indonesia Fitriani Zainuddin; La Ode Saafi; Sartini Risky
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/e791ma79

Abstract

Introduction: Oputa Yi Koo Heart and Vascular Hospital is a newly established specialty hospital that faces challenges in maintaining service quality and patient utilization. Total Quality Management (TQM) provides a framework for evaluating service quality through patient-centered processes and a sustained organizational commitment to quality. This study aimed to describe service quality from the perspectives of patient-focused activities and quality commitment at Oputa Yi Koo Heart and Vascular Hospital, Southeast Sulawesi, Indonesia. Method: This qualitative research, using a case study design, employed purposive sampling techniques with 10 informants. Data collection was conducted through in-depth interviews, with analysis using the NVivo application to identify patterns and relationships between themes. Result: Dimensions demonstrating good implementation include a responsive multi-channel service system, top management commitment with a clear vision, advanced medical technology as a differentiation factor, and a structured training program. However, challenges remain in the service standardization aspect due to limited cooperation with the Social Security Administration, suboptimal coordination between units, a quality culture dependent on top management, and budget constraints that affect the equitable distribution of Human Resource Development programs. Conclusion: Patient focused service processes and organizational commitment to quality have been established, but further strengthening of standardization, inter unit coordination, middle management leadership, and quality governance is needed to support sustainable patient-centered service improvement.
The Influence of National Quality Indicators on Customer Satisfaction at the Southeast Sulawesi Provincial Health Laboratory, Indonesia Jasrawati Jasrawati; Sartini Risky; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/tf227n03

Abstract

Introduction: National quality indicators are essential for ensuring patient safety and service quality in health laboratories. However, evidence regarding their association with customer satisfaction in provincial health laboratories remains limited. This study aimed to examine the association between national quality indicators and customer satisfaction at a provincial health laboratory in Southeast Sulawesi, Indonesia. Method: A quantitative cross-sectional study was conducted from May 7 to June 16, 2025, involving 95 repeat customers of the Southeast Sulawesi Provincial Health Laboratory. Participants were selected using accidental sampling. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Result: National quality indicators were positively and significantly associated with customer satisfaction (β = 0.497, t = 8.406, p < 0.001). The findings indicate that better implementation of national quality indicators was associated with higher levels of customer satisfaction. Conclusion: The implementation of national quality indicators is significantly associated with customer satisfaction in the provincial health laboratory. Strengthening compliance with hand hygiene, personal protective equipment use, and patient identification procedures may contribute to improving users' perceptions of laboratory service quality and satisfaction.
Human Factors Associated with Readiness to Implement a Hospital Management Information System: A Cross-Sectional Study at Central Buton District Hospital, Indonesia Devi Devi; La Ode Saafi; Fitri Rachmillah
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/6b399104

Abstract

Introduction: The use of a Hospital Management Information System, which should be beneficial and facilitate work, has not been implemented optimally due to a lack of preparedness. The purpose of this study was to Human Factors Associated with Readiness to implement a Hospital Management Information System: A Cross-Sectional Study at Central Buton District Hospital, Indonesia. Method: This study used an observational design with a quantitative descriptive approach. Data from variable measurements were analyzed using descriptive analysis, inferential analysis, and multivariate analysis to identify factors related to readiness for implementing a Hospital Management Information System at the Central Buton District General Hospital. The sample size for this study was 105 individuals. Result: Using SPSS with inferential analysis (chi-square) at a significance level of 0.05%, the results obtained showed that human resources (0.000) were significantly related to the readiness to implement the Hospital Management Information System at the Central Buton District General Hospital. Conclusion: Implementation of a Hospital Management Information System is important to facilitate the administration service system, medical, non-medical, and nursing services, as well as the management of other resources.
Effect of WhatsApp Group Based Health Education on Health Seeking Behavior among Tuberculosis Patients and Individuals with Presumptive Tuberculosis at Morosi Community Health Center Indriani Indriani; Waode Nova Noviyanti Rachman; Laode Saltar
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/j923q950

Abstract

Introduction: Based on 2023 data from the Health Office, there were 87 active TB cases and 112 TB suspects, with low levels of treatment adherence and limited access to health information. Low levels of knowledge, positive attitudes, and health-seeking behavior are key challenges in TB control. Health education is a crucial intervention that can improve these aspects in both TB patients and TB suspects. With the advancement of digital technology, social media platforms like WhatsApp can be utilized as a flexible, accessible, and sustainable educational tool. Method: The study used a quantitative, quasi-experimental approach using a pretest-posttest design with a control group. The sample size was 40 respondents: 20 TB patients in the intervention group who received education through a WhatsApp group, and 20 TB suspects in the control group without education, using a total sampling technique. Result: Shows a significant influence of education through a WhatsApp Group on increasing health-seeking behavior (p = 0.001). Therefore, WhatsApp Groups can be used as a continuous education medium for TB patients by health workers in the Morosi Community Health Center work area. Conclusion: Healthcare workers need to routinely use WhatsApp Groups as an educational medium for TB patients and suspects, and Community Health Centers need to form digital education teams to manage content and interactions effectively.
Association of Responsiveness and Empathy with Inpatient Satisfaction at Dewi Sartika General Hospital, Indonesia Dewa Ayu Risya Putri; Waode Nova Noviyanti Rachman; Erwin Azizi Jayadipraja
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/kfyw1b98

Abstract

Introduction: The increasing number of inpatients at Dewi Sartika General Hospital in Kendari City without a corresponding increase in facility capacity and medical personnel has the potential to reduce service quality and patient satisfaction. Good service quality is crucial for improving patient satisfaction, particularly in the Service Quality dimensions of responsiveness and empathy. Method: This study was quantitative with a cross-sectional design, involving 233 inpatients. Data were collected through questionnaires and analyzed using the Chi-Square test to determine the relationship between variables and logistic regression to determine the dominant factor. Result: The results showed a positive and significant relationship with patient satisfaction. The Chi-Square value showed significance at the α = 0.05 level, with the Phi coefficient varying from a moderate relationship for responsiveness to a strong relationship for empathy. Conclusion: Improving service quality, particularly in terms of empathy and responsiveness, is crucial for enhancing inpatient satisfaction at Dewi Sartika General Hospital. Hospital management is recommended to focus on improving interpersonal services, meeting patient expectations, and enhancing infrastructure and service systems.
Association of Clean Water and Handwashing Facilities with Stunting among Toddlers in the Morosi Community Health Center Mining Area Ayu Utami Suddin; Tasnim Tasnim; Sunarsih Sunarsih; Anry Hariadhin Depu
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/r4yj9p78

Abstract

Introduction: Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia, including in mining areas. Although the prevalence of stunting in Indonesia has shown a downward trend, it has not yet reached the national target of 14%. In Konawe Regency, particularly in the area served by Morosi Community Health Center, the prevalence of stunting has increased over the past three years, from 14% in 2022 to 15% in 2024. This study aimed to examine the association between access to clean water and the availability of handwashing Association of Clean Water and Handwashing Facilities with Stunting among Toddlers in the Morosi Community Health Center Mining Area. Method: The study was quantitative, with a case-control study design. The sample consisted of 32 mothers with toddlers registered in the Morosi Community Health Center mining area during June 2025. Case data were collected using total sampling, and control data were collected using a matching system. Data were analyzed using the chi-square test, correlation coefficient, odds ratio, and binary longitudinal regression. Result: The results of the study obtained p-value (0.04), φ (0.29), OR (5.87) for clean water facilities; p-value (0.002), φ (0.416), OR (6.333) for handwashing facilities, p value (0.022), φ (0.318). The results of the binary longitudinal regression test obtained a significance of 0.004 and Wald 8.491 for handwashing facilities. Conclusion: There is a weak relationship between clean water facilities and a moderate relationship between handwashing facilities and stunting in the Morosi Community Health Center mining area.
Health Worker Competence as a Predictor of Minimum Service Standard Fulfillment in Maternal Health Services: A Cross Sectional Study in South Konawe Regency, Indonesia Sakinah Sakinah; La Ode Saafi; Wa Ode Nova Noviyanti
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/xp76vp19

Abstract

Introduction: The fulfillment of Minimum Service Standards (MSS) for maternal health services remains an important indicator of the quality and adequacy of antenatal care. Health worker competence is considered an important factor in ensuring that maternal health services are delivered according to established standards. This study aimed to examine the Health Worker Competence as a Predictor of Minimum Service Standard Fulfillment in Maternal Health Services: A Cross Sectional Study in South Konawe Regency, Indonesia. Method: A quantitative cross-sectional study was conducted from May to July 2025 across 24 community health centers in South Konawe Regency that had not achieved the 100% MSS target. The study included 233 midwives selected from a population of 557 midwives using cluster random sampling. Data were collected using a structured questionnaire, observation sheets, and secondary MSS data obtained from the South Konawe District Health Office. Result: The results of this study indicate that the midwife competency variable has a positive and significant effect on the fulfillment of Minimum Service Standards for maternal health services in South Konawe Regency. Conclusion: The suggestions in this study are to develop an integrated quality management system for maternal health services, conduct routine evaluation and monitoring of the achievement of ANC service Minimum Service Standards, and create clear and effective referral protocols between community health centers, village midwives, and hospitals.

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