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Journal of Health Innovation and Environmental Education
Published by Cahaya Ilmu Cendekia Publisher
ISSN : 30631637     EISSN : 30629632     DOI : https://doi.org/10.37251/jhiee
Core Subject : Humanities, Health, Education, Social,
Humanities Education Environmental Science Public Health
The Journal of Health Innovation and Environmental Education is a double-blind peer-reviewed journal published by Cahaya Ilmu Cendekia Publishers, dedicated to disseminating advances in science and research in the fields of Health and Environmental Education both in Indonesia and in the global context in developing countries. Committed to excellence, the Journal of Health Innovation and Environmental Education publishes comprehensive research articles and invites reviews from leading multidisciplinary educational experts to optimally contribute to policy and practice. The selection criteria prioritize papers that demonstrate high scientific value, convey new knowledge, and have a significant impact on health and the environment. The focus of this journal is health, environment, education and topics related to the fields of health and environmental science at school and college levels.
Arjuna Subject : Umum - Umum
Articles 123 Documents
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Knowledge of Traditional Birth Attendants in the Provision of Safe Delivery Care According to Health Standards Evidence from Longsheng Village, Rural China Xia, Jianfu; Wu, Junjie; Lo, Victor Ei-Wen; Tseveen, Erkhembayar; Nazilovna, Zhumagaliyeva Ardak
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2534

Abstract

Purpose of the study: This study aimed to assess the level of knowledge of traditional birth attendants as community-based health providers in delivering safe childbirth care according to health standards in Longsheng Village, a rural ethnic minority area in China. Methodology: A community-based cross-sectional analytical study was conducted involving all active traditional birth attendants in Longsheng Village (n = 32). Data were collected using a structured and validated knowledge questionnaire developed based on WHO safe motherhood and essential obstetric care guidelines. The instrument assessed four competency domains: recognition of pregnancy danger signs, safe delivery procedures, infection prevention, and referral systems. Descriptive statistics were used to summarize knowledge levels, and a one-sample t-test was applied to compare the mean knowledge score with a predefined competency benchmark of 80%. Instrument reliability was confirmed with a Cronbach’s alpha coefficient of 0.87. Main Findings: The findings showed that only 7 respondents (21.8%) demonstrated adequate knowledge of safe delivery care, while the majority (78.2%) had low to moderate knowledge levels. The overall mean knowledge score was significantly lower than the competency benchmark (p < 0.001). The lowest scores were observed in the domains of referral procedures and infection prevention, indicating critical gaps in emergency response readiness and clinical safety awareness. Novelty/Originality of this study: These findings highlight an urgent need for competency-based training, strengthened referral systems, and closer integration between TBAs and formal health services to improve maternal and neonatal safety in rural ethnic minority settings.
Students' Experiences in Undertaking Nursing Professional Practice During the COVID-19 Pandemic: A Case Study of Strengthening Clinical Adaptation in Taichung City Lin, Wen-Yuan; Wu, Chien-Chih
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2540

Abstract

Purpose of the study: This study aims to explore in depth the experiences of nursing students in performing professional practice during the COVID-19 pandemic, including the challenges, adaptation strategies, and learning processes that emerged in a hospital setting. Methodology: This study used a qualitative descriptive method with in-depth interviews. Data were collected using semi-structured interview guides, audio-recording tools, and verbatim transcription. Thematic analysis was performed using manual coding supported by Microsoft Word and Microsoft Excel to categorize themes and sub-themes. Main Findings: The study identified three major themes: the use of personal protective equipment, students’ concerns regarding virus transmission, and obstacles encountered during clinical practice. Students reported fear of contracting and transmitting the virus, limited patient interaction, and reduced opportunities for hands-on learning. They developed self-adjustment strategies such as consistent PPE use, maintaining physical immunity, and seeking supervision support. Novelty/Originality of this study: This study offers new insight by capturing the unique clinical learning experiences of nursing students during a global health crisis, emphasizing the intersection between psychological stress, safety compliance, and clinical learning limitations. It contributes new knowledge on how pandemics reshape professional nursing education and highlights the need for adaptive, resilient clinical training models.
Transformation of Hospital Occupational Safety and Health as a Pillar of Medical Personnel Resilience and Patient Safety Quality at St. Ann's Bay Regional Hospital, Ocho Rios Thelwell-Reid, Marcia
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2549

Abstract

Purpose of the study: This study aims to analyze the effectiveness of K3RS implementation from the aspects of policy, safety facilities, and medical personnel preparedness as the main pillars of improving patient safety and protecting health workers. Methodology: The research method uses a quantitative descriptive approach with survey techniques on medical and health workers, supplemented by data analysis through frequency and percentage distribution. Main Findings: The results of the study indicate that all three aspects of K3RS implementation are in the very good category, indicated by high average scores for regulatory completeness, availability of safety facilities, and a high level of medical personnel preparedness in facing occupational risks. These findings are supported by previous research that confirms that K3RS effectiveness has a direct impact on improving service quality and reducing safety incidents. Novelty/Originality of this study: The novelty of this research lies in the integration of the analysis of medical personnel resilience with patient safety quality in the context of the transformation of the K3RS system after the hospital management reform, which has not been widely explored in previous research
A Wall Magazine of Postpartum Mothers' Health Literacy on Anemia at the Bangetayu Community Health Center, Genuk District Nurjannah, Siti
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2550

Abstract

Purpose of the study: This study aimed to map the level of health literacy related to anemia among postpartum mothers at the Bangetayu Community Health Center, Genuk District, Semarang City, focusing on mothers’ knowledge, understanding, and awareness of anemia prevention and management during the postpartum period. Methodology: A descriptive quantitative study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected using a validated and reliable questionnaire consisting of 28 items assessing knowledge of postpartum anemia. Univariate data analysis was performed using SPSS version 21 to generate frequency distributions and percentages. Main Findings: The results showed that most postpartum mothers had a sufficient level of knowledge regarding anemia (76.7%), while 16.7% had good knowledge and 6.7% had poor knowledge. Respondents generally understood the definition, causes, and symptoms of anemia; however, misconceptions persisted regarding iron supplementation duration, nutritional sources of iron, and the long-term impact of anemia on maternal health. Novelty/Originality of this study: This study provides a structured health literacy mapping of postpartum mothers related to anemia at the primary healthcare level, which has rarely been explored in previous studies. The findings offer practical evidence to support the development of targeted, context-based health education interventions to improve postpartum anemia prevention and maternal health outcomes.
Health Service Utilization Patterns Among Health Equity Fund Beneficiaries at Khmer-Soviet Friendship Hospital Ngeth, Rithea; Nguyen-Quang, Duy
Journal of Health Innovation and Environmental Education Vol. 1 No. 2 (2024): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2582

Abstract

Purpose of the study: This study aims to analyze health service utilization patterns among Health Equity Fund beneficiaries at the Khmer–Soviet Friendship Hospital (KSFH), Phnom Penh, with a particular focus on the distribution of service types and the role of HEF in facilitating access to advanced healthcare services. Methodology: A descriptive quantitative study was conducted using secondary data obtained from the medical records unit of KSFH. Data were processed through standardized procedures, including editing, coding, processing, and cleaning. Descriptive (univariate) analysis was employed to examine the frequency and percentage distribution of healthcare service utilization across outpatient, inpatient, emergency, surgical, diagnostic, and maternal services. Main Findings: The findings revealed that outpatient services were the most frequently utilized by HEF beneficiaries (38%), followed by inpatient care (26%) and emergency services (18%). Surgical services accounted for 10% of total utilization, with orthopedic and general surgeries being the most common. Diagnostic services (7%) and maternal and child health services (5%) were also accessed, indicating improved access to both essential and specialized care. Novelty/Originality of this study: This study provides novel evidence by systematically mapping HEF beneficiaries’ healthcare utilization patterns at a major national referral hospital using a structured SOFFIIWIER-based data processing framework.
Modeling Impact of Perceived Service Quality on Revisit Intention: A Health Information Management Perspective from Primary Care Diah, Halimatusa; Kariuki, Martin N; Awingan, Joan S; Graff, John van der
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2596

Abstract

Purpose of the study: The present investigation was conducted to construct an empirical model explaining how patients intention to return is shaped by multiple dimensions of perceived service quality. Methodology: This research applied a quantitative method using a cross-sectional design to explore the associations among the studied variables at one specific point in time. A total of 75 outpatient respondents participated in the study. Data were gathered through a structured questionnaire consisting of closed questions measured likert scale. Collected responses were processed and analyzed using partial least squares–structural equation modeling (PLS-SEM) with assistance of SmartPLS version 4 to assess the suitability of the measurement model and to examine magnitude relationships among constructs. Main Findings: The analysis confirmed that every construct satisfied the established criteria for reliability and validity. Composite reliability values were all above 0.70, while.average variance extracted.(AVE) for each variable exceeded 0.50, indicating adequate convergent validity. Within the structural model, the independent variables jointly accounted for 68.4% of the variance in patients’ intention to revisit healthcare services (R² = 0.684), demonstrating substantial explanatory capacity. Each hypothesized path showed a positive direction and achieved statistical significance (p < 0.05). Of all examined determinants, service interaction quality emerged as the strongest predictor of revisit intention. Novelty/Originality of this study: The originality research lies in its theoretical contribution, as it broadens the application of the DeLone. and McLean information systems success model by adapting and contextualizing it within a healthcare service setting to better understand patient behavioral intentions.
Mobile Technology Enhanced Diabetes Self-Management Education Improves Self-Efficacy and Glycaemic Control in Adults with Type 2 Diabetes Tengah, Armah; Yusoff, Wan Faizah Wan; Sajali, Helmi; Sookkumnerd, Terasut; Vinh, Hồ Xuân
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2597

Abstract

Purpose of the study: This study aimed to evaluate the effectiveness of a mobile technology enhanced diabetes self-management education and support (DSME) programme in improving glycaemic control and diabetes-related self-efficacy among adults with Type 2 diabetes in primary and community health care settings. Methodology: A parallel-group randomized controlled trial was conducted in primary and community health care facilities in Temburong District, Brunei Darussalam. Adults with uncontrolled Type 2 diabetes (n = 120) were randomized to a mobile-enhanced DSME intervention or standard care for 3 months. The primary outcome was change in HbA1c; the secondary outcome was diabetes self-efficacy. Analyses followed an intention-to-treat approach using ANCOVA and repeated-measures ANOVA. Main Findings: At 3 months, the intervention group demonstrated a significantly greater reduction in HbA1c compared with the control group (adjusted mean difference −0.71%, 95% CI −0.92 to −0.50; p < 0.001; Cohen’s d = 0.89). Mean HbA1c decreased by −1.06% in the intervention group versus −0.33% in the control group. A significant group × time interaction was observed for self-efficacy (F(1,118) = 32.47, p < 0.001), with the intervention group showing a larger increase in self-efficacy scores (+12.3 points) compared to the control group (+3.3 points; Cohen’s d = 0.95). Novelty/Originality of this study: A behaviourally grounded, mobile-enhanced DSME programme produced clinically meaningful metabolic improvement alongside significant gains in self-efficacy. Integrating structured digital self-management support into routine primary care may represent a scalable strategy to strengthen multidisciplinary diabetes management and reduce long-term complication risk.
The Effect of Health Education on Mothers’ Knowledge, Attitudes, and Practices in Early Detection of Toddler Growth and Development Alarsan, Sami
Journal of Health Innovation and Environmental Education Vol. 1 No. 2 (2024): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v1i2.2658

Abstract

Purpose of the study: This study aims to assess the effectiveness of health education in improving mothers’ knowledge, attitudes, and practices regarding early detection of toddler growth and development at Posyandu Mawar, Puskesmas Arosbaya. The study focuses on maternal ability to monitor developmental milestones to prevent long-term developmental delays. Methodology: A pre-experimental one-group pretest-posttest design was used. Thirty mothers of toddlers aged 12–36 months participated. Data were collected using structured questionnaires, direct observation, demonstrations, and interactive health education sessions. Analysis was performed with the Wilcoxon signed-rank test (α = 0.05) to measure improvements in knowledge, attitudes, and practices. Main Findings: After the health education intervention, mothers’ knowledge improved with 60% achieving good knowledge and 40% sufficient. Positive attitudes increased from 23.3% to 53.3%. Practices also improved, with 50% demonstrating good practices and 50% fair practices. Statistical tests confirmed significant improvements (p < 0.05) in all three domains. Novelty/Originality of this study: This study integrates cognitive, affective, and psychomotor domains by simultaneously evaluating knowledge, attitudes, and practices. It positions mothers as the main subjects, applying interactive lectures, discussions, and demonstrations in a primary healthcare setting. The approach provides comprehensive insights into health education effectiveness in real-world community contexts, informing future promotive and preventive programs.
Strengthening General Health Professions through the Integration of Educational Interventions and Traditional Health Services Nicoleta, Cheptanari; Fahreza, Aldieo Hartman
Journal of Health Innovation and Environmental Education Vol. 1 No. 2 (2024): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v1i2.2659

Abstract

Purpose of the study: This study aims to investigate the integration of educational interventions with traditional health services in Tanjung Raya Village, Way Kanan, to enhance community knowledge and align practices with Fiqh Siyasah principles, ensuring culturally and religiously compliant healthcare. Methodology: A qualitative field research design was employed, collecting primary data through observations, interviews with traditional practitioners, community leaders, and residents, and document reviews. Data were processed using editing, reconstruction, and systematization, and analyzed through qualitative content analysis to identify themes and patterns in traditional health practices. Main Findings: Traditional health services remain widely utilized and trusted. Educational interventions improved understanding of safe and permissible practices, increased compliance with Fiqh Siyasah, and encouraged a balance between traditional and modern health knowledge. Community trust, affordability, and cultural familiarity remain key factors in service utilization. Novelty/Originality of this study: The study integrates empirical, cultural, and religious perspectives to address a gap in previous research by combining health education with traditional practices under Fiqh Siyasah. This approach offers a novel model for culturally sensitive and legally compliant health interventions in rural communities, advancing knowledge on integrating tradition and modern education.
The Effect of Health Education on Childhood Diarrhea on Knowledge and Anxiety Levels of Parents with Toddlers at Abdul Wahab Syahranie Regional Hospital, Samarinda Rizal Renaldy; Faruk Bojaxhi
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2660

Abstract

Purpose of the study: This study aimed to assess the effect of health education on childhood diarrhea on parents’ knowledge and anxiety levels regarding their toddlers, focusing on improving both informational and emotional outcomes in a hospital setting. Methodology: A quasi-experimental design with pretest-posttest was employed involving 50 parents of toddlers admitted to the Melati ward at Abdul Wahab Syahranie Regional Hospital, Samarinda. Data were collected using structured questionnaires for knowledge and a validated anxiety scale. Paired t-tests analyzed pre- and post-intervention scores using SPSS version 25. Ethical approval and informed consent were obtained. Main Findings: The results showed a significant increase in parental knowledge scores from 55.2 ± 8.3 to 82.5 ± 6.2 (p < 0.001). Anxiety levels decreased significantly from 52.4 ± 10.1 to 38.7 ± 7.5 (p < 0.001). Health education effectively enhanced parents’ competence in managing diarrhea and reduced psychological stress, confirming the dual impact of the intervention. Novelty/Originality of this study: This study uniquely integrates both cognitive and emotional outcomes, demonstrating that structured health education simultaneously improves knowledge and reduces anxiety. Unlike previous research focusing only on information, this study highlights the psychosocial dimension of parental support, providing practical insights for hospital-based educational programs and contributing to holistic pediatric care strategies

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