cover
Contact Name
Fandro Armando Tasijawa
Contact Email
fandrotasidjawa@gmail.com
Phone
+6281247200128
Journal Mail Official
jurnal.kks@gmail.com
Editorial Address
Jln Ot Pattimaipauw RT.003/RW.003 Talake, Kel Wainitu, Nusaniwe, Kota Ambon, Maluku
Location
Kota ambon,
Maluku
INDONESIA
Karya Kesehatan Siwalima
ISSN : 28288408     EISSN : 28288181     DOI : https://doi.org/10.54639/kks.v1i1
Core Subject : Health,
Karya Kesehatan Siwalima (KKS) is a peer-reviewed scientific journal committed to the dissemination of knowledge, research findings, and evidence-based practices in the field of health sciences. The journal aims to advance interdisciplinary perspectives and promote innovative approaches to improving health outcomes at the individual, family, and community levels, both nationally and globally. KKS serves as a scholarly platform for academics, researchers, practitioners, and policymakers to publish high-quality original research articles, systematic reviews, case studies, and theoretical analyses that contribute to the advancement of health sciences and the development of healthcare services. The journal places strong emphasis on research-based practice, community-oriented interventions, and the integration of science, technology, and humanistic care in addressing contemporary health challenges. In particular, Karya Kesehatan Siwalima highlights the importance of contextual and culturally sensitive approaches, especially within archipelagic and multicultural settings such as Indonesia, while maintaining relevance within the broader global health discourse. The journal also supports the achievement of the Sustainable Development Goals (SDGs), especially those related to health and well-being, through the publication of empirical studies, innovative models, and conceptual frameworks. Managed by the Faculty of Health, Universitas Kristen Indonesia Maluku, Karya Kesehatan Siwalima publishes articles derived from both research projects and community service activities. These works encompass a wide range of themes, including health education, counseling, community engagement and socialization programs, as well as evaluations of development initiatives, survey-based studies, and experimental research in the health sector.
Articles 137 Documents
Analysis of Sanitation Hygiene and the Presence of Escherichia coli in Side Dishes at Restaurants in the Sunggal Area, Medan Indah Rizqika; Syafran Arrazy
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): March-August
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1807

Abstract

Foodborne illness remains a significant public health concern, with Escherichia coli contamination being one of the major causes. This study aims to describe the sanitation and hygiene conditions of restaurants and the presence of E. coli in side dishes in Sunggal Village, Medan Sunggal District. A descriptive research design was employed, using observation and laboratory examination methods conducted at the Medan Health Polytechnic laboratory. The study population comprised all 18 restaurants in Sunggal Village, while fried chicken samples were selected for laboratory analysis. Data were collected through direct observation using a sanitation and hygiene checklist, as well as laboratory testing of side dish samples to detect E. coli using Endo Agar media. The results showed that most restaurants did not meet sanitation and hygiene standards, particularly in terms of food handler personal hygiene, equipment sanitation, water sources, and food selection and presentation. Laboratory findings indicated that while most samples tested negative, several samples were positive for E. coli. In conclusion, the sanitation and hygiene conditions of restaurants in Sunggal Village remain suboptimal, and there is still a risk of E. coli contamination. Strengthened guidance and supervision are therefore necessary to improve food safety in the community.
“Mama Papua Berencana”: Women’s Empowerment Toward Healthy and Quality Families Novila Hardiana Utami; Siswanto Pabidang; Lidia Febriyanti
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): March-August
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1867

Abstract

The low participation of indigenous Papuan mothers in Family Planning (FP) programs remains a significant public health concern, influenced by cultural factors, limited health literacy, and restricted access to information. The perception that having many children symbolizes family strength leads some communities to view FP programs as a form of limiting reproduction that conflicts with traditional values. This community service initiative aims to improve the knowledge, attitudes, and perceptions of indigenous Papuan mothers regarding the importance of family planning through culturally grounded health education. The methods employed included interactive counseling sessions, myth clarification discussions, administration of pretest–posttest questionnaires, and the distribution of educational booklets. The activity was conducted among 30 women of reproductive age (WRA) in Doyo Baru Village, Jayapura Regency. The results demonstrated significant improvements in knowledge (p = 0.000), attitudes (p = 0.000), and perceptions (p < 0.001) following the intervention. The proportion of participants with good knowledge increased from 26.7% to 86.7%, positive attitudes increased to 100%, and positive perceptions rose to 90%. This initiative proved effective in enhancing mothers’ readiness to consider the use of modern contraceptives through a contextual and participatory educational approach. It is recommended that similar programs be implemented sustainably, involving community health cadres and local leaders to strengthen social support for FP programs.
Innovation of Natural Therapy in Continuity of Care (CoC) Midwifery Dwi Cipto Astuti; Syarifah; Fitria Hikmatul Ulya
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): March-August
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1922

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators of a nation's health status. Elevated rates are often associated with unmonitored complications during pregnancy and childbirth. The Continuity of Care (CoC) approach provides a continuous care model that enables early detection of potential complications through sustained relationships between midwives and patients. This study aims to provide comprehensive midwifery care to Mrs. Y (41 years old) and Mrs. D (22 years old), encompassing the third trimester of pregnancy, labor, newborn care, postpartum care, and family planning services. The research employed a descriptive observational design using Varney’s seven-step midwifery management approach and SOAP documentation. The results showed that both patients experienced physiological pregnancies. The labor process was normal, with care focusing on pain management for Mrs. Y and comprehensive management of stages I–IV of labor for Mrs. D. The newborns were healthy, supported by the implementation of Early Initiation of Breastfeeding (EIB). The postpartum period progressed without complications, facilitated by education on nutrition and breastfeeding techniques. At the end of the care period, both patients chose long-term contraceptive methods, with Mrs. Y opting for tubectomy (MOW). In conclusion, the implementation of CoC effectively supports a safe reproductive process and minimizes the risk of complications through continuous monitoring and patient education.
An Overview of Electronic Medical Record Completeness in the Management of Fracture Patients Arjuna Ginting; Jey Boris; Angelia Pasaribu
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1651

Abstract

Medical records are comprehensive documents that provide detailed information throughout a patient’s hospitalization. The quality of a medical record is determined by its accuracy, completeness, validity, and timeliness. This study aimed to evaluate the completeness of electronic medical records for fracture patients at Santa Elisabeth Hospital, Medan. Samples were selected using simple random sampling and Slovin’s formula. Data analysis focused on patient identity sheets, anamnesis, informed consent forms, and medical resumes. The review of medical record completeness from January to December 2024 revealed 100% completeness for patient identity sheets, 90.8% for anamnesis, and 98.7% for medical resumes. In contrast, informed consent forms had a notably low completeness rate of only 19.7%, particularly in sections requiring patient or family signatures and administrative authorization. These findings highlight the need for targeted improvements, especially in completing informed consent forms, to meet the standards for optimal medical record quality.
The Improvement of Elderly Health through the Utilization of Posyandu at Rumberu Public Health Center Magdalena Paunno; Yohana Djurumana; Clara Titarsole
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1652

Abstract

Elderly individuals are characterized by a decline in biological functions, which can manifest through physical symptoms, including reduced cognitive abilities. Therefore, accessible healthcare facilities are essential to provide routine health examinations for older adults. The utilization of the Elderly Posyandu (Integrated Health Post) at Rumberu Public Health Center remains notably low, influenced by various factors. The aim of this community service activity was to provide education and guidance on the importance of the Elderly Posyandu and its utilization at Rumberu Public Health Center. The findings indicate that many elderly individuals have not yet accessed the Elderly Posyandu, and available facilities remain limited. Strengthened collaboration among health cadres and the provision of adequate facilities are expected to enhance the utilization of Elderly Posyandu services at Rumberu Public Health Center.
Cerdik: Screening for Non-Communicable Disease at The Amaory Landfill, Passo Benteng Karang Village Pollan Versilia Wuritimur; Minnalia Soakakone
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1653

Abstract

Non-communicable diseases (NCDs) pose a significant global health challenge. Diabetes mellitus (DM) and hyperuricemia are among the most prevalent non-communicable diseases in Indonesia. Screening is a process to identify both pre- and post-diseases. The purpose of this community service is to detect non-communicable diseases early through blood glucose and hyperuricemia tests. The results of this screening activity indicate that some individuals still have abnormal blood glucose and uric acid levels. This screening is expected to facilitate the early detection of diabetes mellitus (DM) and hyperuricemia, enabling timely treatment and contributing to a healthier and more productive society.
The Relationship Between Sedentary Lifestyle and the Risk of Type 2 Diabetes Mellitus in Generation Z Nurdina Nurdina; Kurnia Harli; Irfan Wabula
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1655

Abstract

Approximately 90% of diabetes cases in Indonesia are classified as type 2 diabetes mellitus (T2DM). In Indonesia, particularly among Generation Z, sedentary lifestyles are becoming increasingly prevalent. The primary aim of this study was to examine the association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z. A cross-sectional design was employed, with 135 respondents selected through purposive sampling. The study participants were undergraduate students from the 2023 cohort of the Accounting Study Program, Faculty of Economics, University of West Sulawesi. Data were collected using the Adolescent Sedentary Activity Questionnaire (ASAQ) and the Finnish Diabetes Risk Score (FINDRISC). The findings revealed that 101 respondents (74.8%) demonstrated a high sedentary lifestyle, while 5 respondents (3.7%) exhibited a high risk of developing type 2 diabetes mellitus. Results from the Chi-square test indicated a p-value of 0.861, which is greater than ? = 0.05, suggesting that there is no significant relationship between sedentary lifestyle and the risk of type 2 diabetes mellitus in Generation Z. In conclusion, this study found no significant association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z.
Analysis of Traders’ Knowledge Level on Formalin Detection in Fresh Fish at Tavip Market Binjai City Adinda Azima Riskiya Sibarani; Yulia Khairina Ashar
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1665

Abstract

Formalin is a prohibited food additive due to its harmful effects on human health. An inspection conducted by the Indonesian Food and Drug Authority (BPOM) in North Sumatra at Tavip Market, Binjai City, found the presence of formalin in several types of fresh fish being sold. The low level of traders’ knowledge regarding the dangers of formalin is believed to be one of the main factors contributing to its use in fresh fish. This study aimed to analyze the association between traders’ knowledge levels and the presence of formalin in fresh fish at Tavip Market, Binjai City. A quantitative approach with a cross-sectional design was employed. The study population consisted of all 32 fresh fish traders at Tavip Market, selected using a total sampling technique. Data were collected through a validated questionnaire to measure traders’ knowledge levels and laboratory testing using the spot test method to detect formalin in fish. Data analysis was conducted using Fisher’s exact test. The results revealed a significant association between traders’ knowledge levels and the presence of formalin in fresh fish (p-value = 0.021). Low knowledge levels were found to increase the risk of formalin use in fresh fish. Continuous education and intensive supervision by relevant authorities are necessary to reduce the circulation of formalin-contaminated fish in traditional markets. 
The Relationship Between Climate Factors and Leptospirosis Incidence in Central Java in 2019-2023 Amalia Rahmi Nasution; Yulia Khairina Ashar
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1666

Abstract

Each year, more than 500,000 cases of Leptospirosis are reported worldwide. This disease is spread globally, especially in humid tropical countries like Indonesia. Based on the 2023 Indonesian Health Profile, there were 2,554 cases with a CFR of 8%, and Central Java ranked second (884 cases). This study aims to determine the relationship between climate factors and the incidence of Leptospirosis in Central Java in 2019–2023. The study used a quantitative approach with an ecological study design. The sample includes data on Leptospirosis incidence, air temperature, humidity, rainfall, and sunshine duration for 60 months. This study utilized secondary data sourced from the Central Java Provincial Health Office, accessed through the Central Java PPID website, for Leptospirosis case data and the BMKG website for Climate data. Data processing was carried out using the Spearman rho correlation test method. The results are the relationship between air temperature and leptospirosis incidence (p=0.053; r=-0.251), the relationship between humidity and leptospirosis incidence (p=0.000; r=0.546), the relationship between rainfall and leptospirosis incidence (p=0.022; r=0.295), and the relationship between the duration of sunlight and leptospirosis incidence (p=0.002; r=-0.383). It was concluded that humidity, rainfall, and duration of sunlight were significantly related to leptospirosis incidence, while temperature was not. It is recommended that the government strengthen vector control, especially during the rainy season, that the community maintain personal and environmental hygiene, and that further research use a wider time and area coverage with more complex methods.
Analysis of Antenatal Care Implementation in Reducing Maternal and Infant Mortality Rates at Community Health Center in Medan City Cut Nasywa Kesuma Dany; Rapotan Hasibuan
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1667

Abstract

One of the primary targets of the Sustainable Development Goals (SDGs) 2030 and a key indicator of national development success is the reduction of maternal mortality (MMR). Because maternal health significantly influences the health of the next generation, antenatal care services are utilized to reduce MMR. The purpose of this study was to explore the inputs, processes, and outputs of antenatal care services provided by Community Health Centers (Puskesmas) in Medan City. A qualitative descriptive phenomenological method was employed, generating descriptive data. The study involved two main informants, one key informant, and five triangulation informants. Data were collected through in-depth interviews. The findings revealed that a high level of community preference for specialist services contributed to many cases of maternal and infant mortality as well as a decline in antenatal care visits at Puskesmas. In addition, the study identified the limited effectiveness of ultrasound examinations, which were only conducted once a week. Complaints from patients also emerged regarding the health workers’ approach, particularly their responsiveness, focus, and attentiveness, which led many patients to prefer specialists over Puskesmas services. Based on these findings, it is recommended that Puskesmas in Medan City address the issue of overlapping workloads, improve the standardization of supporting facilities, and increase the frequency of ultrasound examinations to twice per week.

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