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Medicor : Journal of Health Informatics and Health Policy
Published by PT Penerbit Ilmiah Indonesia
ISSN : -     EISSN : 30309166     DOI : https://doi.org/10.61978/medicor
Core Subject : Health,
Health Professions Public Health
Medicor : Journal of Health Informatics and Health Policy with ISSN Number 3030-9166 (Online) published by Indonesian Scientific Publication, published original scholarly papers across the whole spectrum of Health Informatics and Health Policy Research. The journal attempts to assist in the understanding of the present and potential ability Health Informatics and Health Policy Research
Arjuna Subject : Kedokteran - Informatika Kesehatan
Articles 49 Documents
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Community Perceptions and Adaptation in Smoke Free Zone Policy: A Qualitative Case Study in Kendari City Anas, Adhe Sofyan; Alchamdani; Syam, Sadli; Arwan; Firmansyah
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 3 (2024): July 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i3.708

Abstract

The implementation of Smoke Free Zone (SFZ) policies is a critical public health strategy, especially in densely populated urban settings. This study examines how residents of Kendari City, Indonesia, perceive and adapt to SFZ regulations enacted under Local Regulation No. 4 of 2019. Specifically, it explores community understanding, experiences, and behavioral responses to smoking restrictions in public spaces. A qualitative case study approach was employed, utilizing purposive sampling to select twelve informants from various socio economic backgrounds. Data were gathered through semi structured interviews, non-participant observation, and field documentation. Thematic analysis was used to interpret interview transcripts and observational notes. The findings show limited community understanding of SFZ boundaries, with common misconceptions about designated areas. While most residents support the policy’s intent, cultural norms and perceived lack of authority reduce active enforcement. Structural barriers such as economic hardship, nicotine addiction, and weak public communication further constrain compliance. Nonetheless, positive adaptations are evident, including peer influence, community-led signage, and selective smoking avoidance in public spaces. These behaviors reflect the role of informal networks and increasing health awareness. The study concludes that SFZ policy effectiveness is contingent on interdisciplinary approaches, inclusive communication, and localized community engagement. Rather than relying solely on top down regulation, integrating health messaging, urban design, and community leadership is essential for fostering sustained compliance. The insights from Kendari highlight the potential of participatory and culturally responsive strategies in strengthening public health policies.
Sociocultural and Economic Factors Influencing JKN Participation: A Cross-Sectional Study in Bajoe, Indonesia Ashari, Muhammad Rizki; Arwan; Syam, Sadli
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 4 (2024): October 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i4.709

Abstract

The implementation of the Jaminan Kesehatan Nasional (JKN) program in Indonesia seeks to achieve Universal Health Coverage by ensuring equitable access to health services for all citizens. Despite this aim, disparities in participation persist, particularly in rural and coastal regions. This study aimed to analyze the factors influencing community participation in the JKN program within the working area of Bajoe Community Health Center, Bone Regency. A cross sectional quantitative approach was used to survey 291 respondents selected through purposive sampling. Structured questionnaires were administered to assess demographic characteristics and the influence of five key variables: knowledge, trust, income, health condition, and family support. Data were analyzed using univariate and bivariate (Chi square) statistical techniques. Results revealed that knowledge, trust in the JKN system, income level, and family support had statistically significant associations with program participation (p < 0.05). Specifically, individuals with better knowledge, higher trust, greater income, and supportive families were more likely to be enrolled. Conversely, perceived or actual health status showed no significant correlation with participation. These findings suggest that proactive enrollment behavior is influenced more by informational, economic, and social dynamics than by immediate health needs. The study concludes that increasing JKN participation requires multi-dimensional strategies, including culturally tailored public education, institutional trust building, improved subsidy access for low income households, and family centered outreach. These interventions are essential to bridge participation gaps and strengthen the national health insurance framework.
Factors Influencing the Performance of Health Workers at Pattingalloan Community Health Center, Pinrang Regency Satria, Muhammad Aji; Hilintang, Rendhar Putri; Syahrir, Muhammad Sabri
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.719

Abstract

This study aims to analyze how leadership, motivation, and discipline influence the performance of healthcare workers at Puskesmas Pattingalloan, Kabupaten Pinrang, Indonesia. Workforce performance is a key determinant of service quality, especially in rural and resource-limited contexts. Using a quantitative cross sectional design, data were collected from 98 health workers through validated Likert scale questionnaires and analyzed using chi square tests and ordinal logistic regression. The results show that leadership, motivation, and discipline significantly affect performance. Participative and communicative leadership styles were strongly linked to higher productivity and staff commitment. Health workers with high levels of intrinsic and extrinsic motivation were notably more consistent and effective in service delivery. Likewise, strong adherence to disciplinary standards, including punctuality and professional responsibility, correlated with improved performance and patient satisfaction. These findings reinforce existing theories on transformational leadership and motivational dynamics, especially within decentralized healthcare systems. This study offers valuable policy implications for strengthening human resource management at the primary care level. Integrating leadership development, sustainable motivation programs, and supportive disciplinary frameworks can foster a culture of accountability and efficiency. The insights generated contribute to the global discourse on healthcare workforce optimization and provide direction for future empirical studies.
Strengthening Preventive Health Services in Urban Indonesia: A Qualitative Study from Puskesmas Kuta Alam Arwan; Syam, Sadli; Firmansyah; Syahrir, Muhammad Sabri; Satria, Muhammad Aji; Hilintang, Rendhar Putri
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 3 (2025): July 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i3.720

Abstract

This study specifically examines how promotive and preventive health strategies are implemented in Puskesmas Kuta Alam, Banda Aceh, Indonesia, to address the challenges of urban health services. This study aims to explore the implementation dynamics of these strategies at Puskesmas Kuta Alam, an urban public health center in Banda Aceh, Indonesia. Using a qualitative descriptive approach, data were collected through interviews, observations, and document analysis, focusing on four themes: communication, resources, staff disposition, and bureaucratic structure. Findings reveal that while health promotion efforts exist, they are constrained by unidirectional communication practices, low community engagement, and a lack of culturally adapted messaging. Human resource limitations, including an absence of trained personnel and insufficient educational infrastructure, further weaken program effectiveness. Staff demonstrated moral commitment to preventive care but lacked formal training and policy literacy, leading to inconsistent implementation of national health regulations. Moreover, the absence of a clearly defined organizational structure for promotive preventive programs resulted in poor coordination and accountability. These insights highlight the systemic challenges faced by Puskesmas in Banda Aceh in translating health policy into practice. The study recommends adopting participatory communication strategies, enhancing training and infrastructure, and establishing a dedicated institutional unit for preventive services. By contributing to the growing body of knowledge on primary health care implementation in LMICs, the study offers evidence based recommendations to strengthen health promotion capacity at the local level.
Bridging the Gap: Help Seeking Behavior and Mental Health Service Utilization Among Indonesian Adolescents Kartiani, Andi
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.747

Abstract

Adolescent mental health has become a critical public health priority in low- and middle-income countries (LMICs), yet the use of professional services remains very limited. This study investigates patterns of help-seeking behavior and mental health service utilization among Indonesian adolescents, drawing on nationally representative data from the 2022 Indonesia National Adolescent Mental Health Survey (I-NAMHS). The main objective is to identify how adolescents access formal and informal support systems, and to analyze key barriers that prevent engagement with professional care. A cross-sectional design was applied to 7,866 adolescents aged 10–17 years across 34 provinces. Mental health status was assessed using DSM-5 criteria via the MINI-KID diagnostic tool, while help-seeking behavior was measured with structured questionnaires completed by adolescents and their caregivers. Data were analyzed using descriptive statistics and logistic regression to determine service utilization patterns and predictors. Results show that only 2.6% of adolescents with a diagnosed disorder accessed formal mental health services in the past year. In contrast, 43.8% sought help from family or friends and 38.2% accessed school-based counseling. Stigma (40%), limited service availability (25%), high costs (20%), and low awareness (15%) were identified as the main barriers. Service use was higher among urban adolescents, females, and those with better-informed caregivers, highlighting significant sociodemographic disparities. This study emphasizes the urgent need to expand adolescent mental health services in Indonesia. Practical implications include strengthening school-based interventions, implementing nationwide anti-stigma campaigns, and improving caregiver mental health literacy. Building culturally responsive and integrated systems of care is essential to close the treatment gap and ensure equitable access for all Indonesian adolescents.
Urban Obesity in Transition: Socioeconomic, Lifestyle, and Environmental Drivers in Jakarta, Indonesia Alchamdani; Anas, Adhe Sofyan
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.748

Abstract

Obesity in Jakarta has reached one of the fastest growth rates in Indonesia, with prevalence now surpassing 40% among adults in certain districts higher than many other major cities in the country. This study provides new evidence on how socioeconomic, lifestyle, and environmental conditions uniquely shape obesity risk in Jakarta’s rapidly urbanizing context. We conducted a cross-sectional survey of adults aged 20–65 years from all five municipalities of Jakarta, using stratified random sampling to ensure representativeness. Data combined structured questionnaires on income, education, physical activity, sedentary time, and dietary patterns with direct anthropometric measurements. Logistic regression models were applied to identify the strongest predictors of obesity, with particular attention to environmental exposures such as proximity to fast-food outlets and access to fresh markets. Results showed that adults with higher income (>Rp 7 million/month) and those sedentary for more than 8 hours/day had the highest prevalence of obesity (44% and 49%, respectively). In contrast, individuals with higher education demonstrated lower risk, underscoring the protective role of health literacy. Environmental factors also mattered: closer distance to fast-food outlets (mean 0.6 km) and greater distance from fresh markets (mean 1.4 km) were associated with higher obesity prevalence. To address these urgent challenges, Jakarta requires concrete and context-specific strategies. Policy actions should include introducing a sugar-sweetened beverage tax, expanding safe and green public spaces particularly in North Jakarta and embedding mandatory nutrition education in public schools and workplace wellness programs. Integrating fiscal policy, urban planning, and health education into a cohesive strategy offers a viable pathway to reverse the city’s obesity trajectory.
Youth Smoking in Indonesia: Demographic Determinants and Policy Imperatives in a Middle Income Country Ramlan, Pratiwi; Syam, Sadli; Arwan; Firmansyah; Anas, Adhe Sofyan; Alchamdani
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 4 (2024): October 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i4.749

Abstract

Tobacco use among Indonesian youth remains alarmingly high despite ongoing anti-smoking initiatives, posing a significant public health challenge. This study aimed to identify the prevalence and key demographic determinants of youth smoking in Indonesia, utilizing a cross-sectional analysis of the 2023 Riskesdas national health survey and a 2024 Ministry of Health press release. Variables examined included age, gender, education, income level, and urban or rural residency, analyzed using frequency distributions, cross-tabulations, and logistic regression. Results revealed that smoking rates peaked among youth aged 20–24 (18.5%), with males and individuals from lower education and income backgrounds at greater risk. Urban youth and those who began smoking before age 15 were also more likely to develop long-term dependence. Socioeconomic disadvantage, limited health literacy, and weak enforcement of tobacco laws emerged as major risk factors. The findings highlight the need for comprehensive, multi-sectoral, and culturally adapted strategies including strengthened school-based programs, community engagement, stricter tobacco advertising bans, and increased tobacco taxation to effectively reduce youth smoking. Coordinated actions across education, policy, healthcare, and media sectors are critical for protecting Indonesia’s next generation from the harms of tobacco.
Escalating Trends of Type 2 Diabetes in Indonesian Youth: A Public Health Perspective on Obesity and Lifestyle Said, Suanandar
Medicor : Journal of Health Informatics and Health Policy Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v3i2.752

Abstract

Introduction & Objective : This study analyzes the alarming rise in youth-onset type 2 diabetes mellitus (T2DM) in Indonesia, focusing on lifestyle factors such as obesity, dietary habits, and physical inactivity, while assessing systemic gaps and policy responses to inform targeted intervention strategies. Methodology Summary : A descriptive epidemiological approach was employed, analyzing national health survey data, registry records, and relevant literature from 2010–2024. Key variables included prevalence rates, age specific incidence, dietary habits, physical activity, and obesity trends. The study also reviewed health system capacity and public policy frameworks. Key Results and Discussion : Results indicate that youth T2DM prevalence has reached 2.3% nationally, with adolescents aged 10–19, especially females, showing the highest increase. Primary contributors include obesity (urban youth obesity at 24%), poor nutrition, and reduced physical activity. Urban children were found to be significantly more affected than rural counterparts. Diagnostic infrastructure and pediatric diabetes care remain limited. Influences such as food advertising and weak regulatory frameworks further exacerbate the problem. International models demonstrate that integrated school, community, and healthcare strategies can mitigate risks. Digital tools and regulatory reforms are underutilized in Indonesia but present opportunities for scalable impact. Conclusion and Implications : To mitigate the projected surge in youth onset T2DM, Indonesia must urgently implement school-based screening, regulate unhealthy food advertising to minors, and improve pediatric diabetes care access particularly in underserved regions.
Telemedicine and Rural Healthcare: Bridging Gaps in Access, Equity, and Infrastructure Fissabrina, Lulu Qalbina
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.1057

Abstract

 Telemedicine is increasingly vital in reducing healthcare disparities in rural and underserved areas by lowering travel burdens, reducing costs, and improving diagnostic efficiency. Literature was collected from PubMed, Scopus, and Google Scholar, focusing on rural healthcare contexts. Evidence from China, India, Australia, and Latin America shows that telemedicine enhances healthcare access and patient outcomes, particularly during the COVID-19 pandemic. Telemedicine also promotes equity by reaching marginalized groups, though challenges remain, including inadequate internet connectivity, limited device availability, digital illiteracy, and cultural skepticism. Policy support, infrastructural investment, and context-specific innovations are essential for sustainable implementation. This review concludes that telemedicine represents a transformative strategy to strengthen rural healthcare systems and advance access, equity, and sustainability globally.
Digital Health Innovation and Public Trust in Pandemic Preparedness Nirwan, Multy Syaddam; Arwan; Syam, Sadli; Firmansyah; Syahrir, Muhammad Sabri; Satria, Muhammad Aji; Hilintang, Rendhar Putri
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.1058

Abstract

This narrative review examines the role of digital health technologies and big data analytics in pandemic preparedness, with particular reference to COVID-19. The objective was to synthesize evidence on how technological innovations supported healthcare and education during crises and to identify barriers that limit their effectiveness. Literature searches were conducted across PubMed, Scopus, Web of Science, and Google Scholar, focusing on empirical studies, case analyses, and systematic reviews related to telehealth, artificial intelligence, digital dashboards, and citizen science initiatives. The review found that digital innovations enabled remote consultations, predictive modeling, and real-time monitoring, which reduced pressure on health systems and informed public policy. Evidence highlighted the value of visual analytics and community-driven data in filling information gaps. However, infrastructural limitations, weak governance, and low public trust constrained adoption, particularly in low- and middle-income countries. Comparative analyses showed that countries with strong infrastructures and transparent policies, such as Taiwan and South Korea, achieved more effective outcomes than regions with limited technological readiness. These findings indicate that digital health tools are powerful enablers of crisis response but insufficient in isolation. Sustainable integration requires investment in infrastructure, capacity-building, transparent communication, and participatory approaches. Embedding these reforms into health systems will be critical to ensure equitable access, strengthen resilience, and optimize the benefits of technological innovation for future pandemic preparednessof technological innovations in global health preparedness.

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