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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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The Effect of Health Education on Childhood Diarrhea on Knowledge and Anxiety Levels of Parents with Toddlers at Abdul Wahab Syahranie Regional Hospital, Samarinda Rizani, Achmad Muzakir; Eiu-Seeyok, Busarin
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.v2i2.2670

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.
Development and Validation of an Integrated Electronic Patient Progress Note-Based Healthcare Evaluation Instrument for Diabetes Management István Fedor; Taisia Chertenko; Junhong Kim
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.v3i1.2671

Abstract

Purpose of the study: This research sought to design and rigorously evaluate an Integrated Electronic Progress Note instrument intended to support frailty risk monitoring and strengthen care coordination among older adults. Methodology: A methodological research approach was undertaken, beginning with conceptual framework development and item generation, followed by expert review for content adequacy and empirical validation. Data were obtained from 210 healthcare professionals alongside 320 de-identified electronic progress notes collected at Uzsoki Street Hospital. Psychometric evaluation included content validity indexing, internal consistency assessment, and construct validation using Partial Least Squares Structural Equation Modeling with bootstrapping procedures to test structural relationships. Main Findings: The developed instrument demonstrated high content agreement among experts (S-CVI = 0.93) and strong reliability indicators, with composite reliability values exceeding 0.90. Convergent validity met recommended thresholds (AVE > 0.50), while discriminant validity was confirmed through HTMT ratios below 0.90. The structural analysis indicated that the model accounted for 68% of the variance in documentation quality (R² = 0.68) and showed meaningful predictive capability (Q² = 0.49). Among the examined constructs, Care Coordination exerted the most substantial positive influence on documentation quality (β = 0.41, p < 0.001). Furthermore, improved documentation performance was significantly linked to a lower likelihood of 30-day readmission (β = –0.32, p < 0.01). Novelty/Originality of this study: This study presents a validated multidimensional measurement tool that connects frailty risk assessment elements with the quality evaluation of electronic clinical documentation, thereby advancing the integration of geriatric clinical assessment and digital health governance frameworks.
Effectiveness of Health Education and Short Message Service Reminders Reminders on Iron Supplement Adherence among Pregnant Women Nare Karapetyan; Lilit Toyonan; Michelle Steenvoorden; Nour Albahri
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.v3i1.2672

Abstract

Purpose of the study: This study aimed to evaluate effectiveness structured health professional led education embedded within routine antenatal care in enhancing iron supplement adherence among pregnant women. Methodology: A quasi-experimental pretest–posttest control group design conducted among 120 pregnant women at Masis Maternity Hospital. Participants allocated to intervention group. receiving structured professional-led education with reinforcement or a control group receiving routine care. Primary outcome was iron supplement adherence (≥80% consumption), while secondary outcomes included knowledge score and hemoglobin level changes over 8 weeks. Data analyzed using chi-square tests, independent and paired t-tests, and logistic regression. Main Findings: After 8 weeks, adherence significantly increased to 81.0% in .intervention group compared with 51.7% in control group (p < 0.001). The intervention group was nearly five times more likely to achieve adequate adherence (AOR = 4.83; 95% CI: 2.01–11.61). Knowledge scores improved by +5.27 points in the intervention group versus +1.78 in controls (p < 0.001). Hemoglobin levels increased by 0.86 g/dL in intervention group icompared to 0.32 g/dL control group (p < 0.001). Novelty/Originality of this study: This study advances maternal health practice by reframing health education as a structured, professionally embedded care model rather than a single counseling encounter, demonstrating measurable behavioral and clinical impact within routine antenatal services.
Enhancing Schoolchildren’s Enterobiasis Prevention Through Booklet-Based Health Educatioan Hnin Wint Aung; HtetMyat Tun
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.v3i1.2677

Abstract

Purpose of the study: This study aims to examine the effect of booklet-based health education on fifth-grade students’ knowledge and preventive behaviors regarding Enterobius vermicularis at Primary School Ye Twin Kaung, Ye Twin Kaung Village, Sagaing. The study focuses on assessing whether visual and verbal educational materials can improve hygiene practices to prevent pinworm infection. Methodology: A pre-experimental one-group pretest–posttest design was applied. Participants were 11 fifth-grade students selected by purposive sampling. Data were collected using structured knowledge questionnaires and observation checklists. The intervention consisted of a 30-minute booklet-based health education session with visual illustrations and verbal explanations. Data were analyzed using the Wilcoxon Signed-Rank Test. Main Findings: Booklet-based health education significantly improved students’ knowledge and preventive behaviors against Enterobius vermicularis. Knowledge levels increased from 9.1% to 90.9% for good knowledge, while good preventive behaviors rose from 18.2% to 81.8%. The intervention effectively translated understanding into observable hygiene practices, such as handwashing and avoiding soil contact, within three days post-intervention. Novelty/Originality of this study: This study introduces a visually engaging, age-appropriate booklet combined with facilitator-led discussion to improve both knowledge and practical preventive behaviors in elementary school children. Unlike prior research relying on static or passive educational materials, this intervention links cognitive understanding directly to action, offering a novel, sustainable approach for school-based enterobiasis prevention programs.
Assessing the Resilience of Primary Health Care Services: Evidence from Public Health Centers in Depok City Venni Nurazizah
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.v3i1.2678

Abstract

Purpose of the study: This study aims to quantitatively assess the resilience level of primary health care services at Public Health Centers (Puskesmas) in an urban setting by measuring multiple resilience dimensions under routine service conditions in Depok City, Indonesia. Methodology: This quantitative descriptive cross-sectional study used a structured questionnaire based on the WHO Primary Health Care Measurement Framework and the Oktari–Kurniawan resilience model. Data were collected via Google Forms from 100 purposively selected Puskesmas staff and analyzed using descriptive statistics with univariate analysis. Main Findings: The findings show that primary health care services demonstrated high resilience across all assessed dimensions. Good resilience was reported for physical conditions (83%), institutional roles (88%), staff capacity (83%), external relationships (84%), and environmental exposure (81%), indicating strong organizational readiness and service continuity at the primary care level. Novelty/Originality of this study: This study provides novel quantitative evidence on primary health care resilience during routine, post-crisis operational conditions rather than emergency phases. It integrates five resilience dimensions within a single empirical framework at the Puskesmas level, contributing localized urban evidence to strengthen primary health care resilience assessment and policy development.
Strengthening Participant Education and Healthcare Service Delivery through Mobile JKN at BPJS Healt in Bantaeng Regency Palunsu, Christine Angela
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.v3i1.2679

Abstract

Purpose of the study: This study aims to examine the role of the Mobile JKN application in strengthening healthcare service delivery and participant education within the National Health Insurance system at BPJS Kesehatan Bantaeng Regency, focusing on its function as a digital service innovation and an educational platform for JKN participants. Methodology: This study used a qualitative case study design. Data were collected through in-depth interviews, direct observation, and document review. Informants included BPJS Kesehatan officers and Mobile JKN users, selected purposively. Data analysis applied interactive qualitative analysis techniques, including data reduction, data display, and conclusion drawing. Main Findings: The findings show that Mobile JKN improves healthcare service efficiency, accessibility, and administrative convenience. The application reduces queues and physical visits while providing integrated educational features on JKN procedures, rights, and obligations. However, utilization remains uneven, with lower adoption among elderly participants and those with limited digital literacy and internet access. Novelty/Originality of this study: This study presents an integrative perspective by positioning Mobile JKN as both a healthcare service delivery tool and a participant education medium. It advances existing knowledge by emphasizing education as a core dimension of digital health innovation within a national health insurance system, supported by localized empirical evidence from a regional BPJS context.
The Relationship between Health Education and Mothers’ Knowledge, Attitudes, and Practices in Early Detection of Toddler Growth and Development O'Connor, Winthrop; Kay, Kang
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.v1i2.2680

Abstract

Purpose of the study: This study aims to examine the effect of structured health education on mothers’ knowledge, attitudes, and practices in early detection of toddler growth and development at a community health center in Bangkalan, Indonesia. The study focuses on understanding how educational interventions influence maternal behavior in routine Posyandu services. Methodology: A pre-experimental one-group pretest–posttest design was employed. Data were collected using structured questionnaires and observation checklists. Health education was delivered through lectures, demonstrations, and discussions using flipcharts and leaflets. Participants were mothers with toddlers aged 12–36 months. Data were analyzed with descriptive statistics and the Wilcoxon signed-rank test. Main Findings: Health education significantly improved mothers’ knowledge, attitudes, and practices in early detection of toddler growth and development. Post-intervention scores increased for knowledge (45.2 → 68.7), attitudes (38.6 → 52.4), and practices (41.3 → 59.8), indicating effective translation of understanding and readiness into observable behavior during growth monitoring and developmental screening activities. Novelty/Originality of this study: This study integrates structured, hands-on health education with practical demonstrations at Posyandu, linking maternal knowledge and attitudes directly to behavior. Unlike previous research focusing on single KAP components, this approach evaluates all dimensions simultaneously in a real-world setting, offering new insights for designing effective, behavior-oriented maternal education programs in early childhood development monitoring.
Redefining Early Childhood Growth and Development Surveillance: A Sustainable, Technology-Integrated Primary Care Ecosystem Linking Maternal Health Literacy, Digital Monitoring, and Predictive Analytics M Agus Suryadinata; Abel Girma; Shyam Sundar Tiwari; Faraja Mpemba
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.v2i2.2686

Abstract

Purpose of the study: This study aimed to analyze the relationships between maternal health literacy, digital monitoring utilization, growth and development surveillance behavior, and early developmental risk detection among mothers of toddlers. Methodology: A mixed-methods sequential explanatory design was employed at Arosbaya Public Health Center, Bangkalan, Indonesia. The quantitative phase involved a cross-sectional survey of 210 mothers with children under five years old. Data were analyzed using structural equation modeling–partial least squares (SEM-PLS) to examine relationships among variables. The qualitative phase consisted of in-depth interviews with mothers, healthcare workers, and community health volunteers to provide contextual explanations for the quantitative findings. Thematic analysis was used to interpret qualitative data. Main Findings: Maternal health literacy significantly influenced digital monitoring utilization (β = 0.54, p < 0.001) and surveillance behavior (β = 0.32, p = 0.002). Digital monitoring utilization significantly affected surveillance practices (β = 0.41, p < 0.001) and early developmental risk detection (β = 0.29, p = 0.004). Growth and development surveillance behavior demonstrated the strongest association with early risk detection (β = 0.46, p < 0.001). Qualitative findings revealed mothers who possessed higher health literacy were more capable of interpreting child development information and were more likely to utilize digital tools for monitoring their children’s growth. Novelty/Originality of this study: This study integrates maternal health literacy, digital monitoring utilization, and child growth surveillance behavior within a mixed-methods framework, providing a multidimensional understanding of early developmental risk detection in primary healthcare settings.
The Role of Telehealth in Strengthening Health Education and Health Service Quality: A Systematic Review Al-Obaidy, Mawar Hatem; Abdulah, Zhian
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.v2i2.2687

Abstract

Purpose of the study: This study aims to systematically examine the role of telehealth in strengthening health education while simultaneously improving the quality of healthcare services, particularly in contexts with limited access to face-to-face healthcare delivery. Methodology: This study employed a systematic review method. Data were collected from PubMed, Scopus, ScienceDirect, and ProQuest databases using a PEO-based search strategy. Article screening followed PRISMA guidelines, and methodological quality was assessed using the Critical Appraisal Skills Programme checklist. Descriptive and thematic synthesis techniques were applied. Main Findings: The findings indicate that telehealth enhances healthcare accessibility, service efficiency, continuity of care, and patient engagement. Telehealth platforms such as video conferencing and audio-based communication support both clinical services and health education, enabling improved patient understanding, self-management, and satisfaction across diverse healthcare settings. Novelty/Originality of this study: This study offers a novel contribution by synthesizing evidence on telehealth as an integrated approach combining healthcare service delivery and structured health education. Unlike previous fragmented studies, this review highlights the dual function of telehealth in improving service quality and patient empowerment within digital health systems.
Nursing Students’ Experiences of Basic Life Support Training and Its Role in Emergency Care Competence Sumartawan, N Adi; Wróbel, Grzegorz; Rustemi, Florjana
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.v2i2.2835

Abstract

Purpose of the study: This study explored how BLS training shapes emergency care competence development and early professional identity among vocational nursing students. Methodology: A qualitative descriptive design with thematic analysis was employed. Data were collected through semi-structured interviews with vocational nursing students following structured BLS simulation training. Data were analysed using NVivo to generate hierarchical coding structures and thematic integration. Main Findings: Four interrelated themes emerged: (1) transformative experiential learning through embodied simulation, repetition, and instructor feedback; (2) multidimensional construction of emergency competence characterised by confidence, situational awareness, and readiness to act; (3) emotional and contextual barriers including performance anxiety and fear of clinical error; and (4) emerging professional identity grounded in ethical responsibility and teamwork. Competence development was constructed not merely as technical mastery but as embodied readiness moderated by emotional regulation and supported by structured experiential exposure.. Novelty/Originality of this study: BLS training functions not only as a technical instructional strategy but as a formative process shaping cognitive preparedness, emotional regulation, and early professional identity. Integrating structured simulation, reflective debriefing, and role clarification into vocational nursing curricula may enhance emergency care competence development.

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