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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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Examining the Relationship between Environmental Health Conditions and the Incidence of Acute Respiratory Tract Infections (ARI) Among Students at San Roque Elementary School Vinh Nguyen Hoang; Ellen Tsholofelo
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.v3i1.2875

Abstract

Purpose of the study: This study aimed to examine the relationship between environmental health conditions and the incidence of ARI among elementary school students. Methodology: An analytic observational study with a cross-sectional design was conducted among 80 students at San Roque Elementary School. Environmental health conditions were assessed using a structured observational checklist covering ventilation, sanitation, classroom density, waste management, and water availability. ARI incidence was determined through school health records and parental confirmation. Data were analyzed using Chi-square tests and multivariate logistic regression at a 95% confidence level. Main Findings: Of the observed classrooms, 40.0% were classified as having inadequate environmental health conditions. ARI prevalence among students was 36.3%. A significant association was identified between environmental health status and ARI incidence (p = 0.001). Students exposed to inadequate environmental conditions had 4.12 times higher odds of developing ARI (AOR = 4.12; 95% CI: 1.68–10.09; p = 0.002). Novelty/Originality of this study: This study advances prior research by operationalizing environmental health as a multidimensional composite construct within a real-world public elementary school setting, thereby generating context-specific empirical evidence linking structural environmental exposure to respiratory morbidity.
The Role of Cupping Therapy in Non-Pharmacological Approaches to Hypertension Control: Analysis of Changes in Systolic and Diastolic Blood Pressure Thamrin, Husnita; Rahmani, Samaneh
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.v2i2.2880

Abstract

Purpose of the study: This study aimed to analyze changes in systolic and diastolic blood pressure following wet cupping therapy as a non-pharmacological intervention for hypertension control. Methodology: An analytical pre–post experimental study was conducted involving 32 adult participants undergoing wet cupping therapy. Blood pressure was measured before and after intervention using standardized procedures. Data were processed through editing and coding stages and analyzed using paired-samples t-test or Wilcoxon signed-rank test based on normality distribution. Statistical significance was set at p < 0.05. Main Findings: The mean change in systolic blood pressure was 1.09 ± 8.20 mmHg, while the mean change in diastolic blood pressure was 0.31 ± 7.06 mmHg. Twelve participants (38%) experienced a reduction in systolic blood pressure. However, overall differences in systolic and diastolic values before and after therapy were not statistically significant (p > 0.05). Novelty/Originality of this study: This study advances current evidence by positioning wet cupping therapy within an evidence-based non-pharmacological hypertension control framework and by separately analyzing systolic and diastolic hemodynamic responses using standardized statistical procedures.
The Effect of Audio Visual Educational Media in Increasing Knowledge Retention and Compliance with the Use of Personal Protective Equipment as an Effort to Prevent Occupational Health Risks among Apple Farmers Choundhury, Payal; Jorge Pereira, Santiago
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.v1i2.2900

Abstract

Purpose of the study: This study aimed to determine the effect of audio-visual health education media on knowledge retention and compliance with personal protective equipment (PPE) use as a strategy to prevent occupational health risks among apple farmers in Kuala Pilah, Malaysia. Methodology: A pre-experimental one-group pretest–posttest design was conducted involving 20 apple farmers selected through total sampling. Data were collected at four time points: baseline (T0), immediately after intervention (T1), one week (T2), and two weeks (T3) post-intervention. Knowledge was measured using a structured questionnaire, while PPE compliance was assessed through observation and self-report. Repeated measures analysis and paired categorical tests were applied with a significance level of p < 0.05. Main Findings: The mean knowledge score increased from 56.4 at baseline to 82.7 immediately after the intervention, and remained significantly higher at 78.9 (week 1) and 74.6 (week 2) (p < 0.001). PPE compliance improved from 30.0% at baseline to 70.0% post-intervention and was maintained at 70–75% during follow-up (p < 0.05). Novelty/Originality of this study: This study provides integrated evidence on both sustained knowledge retention and measurable behavioral compliance using repeated follow-up assessments in an agricultural occupational health context, demonstrating the effectiveness of audio-visual media beyond immediate learning outcomes.
Cupping Therapy Approach as a Nonpharmacological Strategy for Controlling Headaches in Outpatients Yanti, Rahmatul Fithri; Babeker, Mohamed M
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.v1i2.2901

Abstract

Purpose of the study: Headache is a highly prevalent neurological complaint commonly managed with pharmacological therapy, which may cause adverse effects with long-term use. This study aimed to evaluate the effectiveness of cupping therapy as a nonpharmacological strategy for controlling headache among outpatients. Methodology: A quasi-experimental one-group pretest–posttest design was employed involving 16 outpatients with headache. Pain intensity was measured before and after cupping therapy using the Visual Analog Scale (VAS). Data were analyzed using the Shapiro–Wilk normality test followed by paired sample t-test with a significance level of p < 0.05. Main Findings: The mean VAS score significantly decreased from 6.75 ± 1.29 before intervention to 3.12 ± 1.15 after intervention, with a mean reduction of 3.63 points (t = 14.21; p < 0.001). Severe pain prevalence declined from 56.2% to 6.2% following therapy. These findings indicate that cupping therapy effectively reduces headache pain intensity in outpatient settings. Novelty/Originality of this study: This study positions cupping therapy as an evidence-informed nonpharmacological intervention within structured outpatient healthcare services, quantitatively bridging traditional therapeutic practice with modern clinical evaluation using standardized pain measurement and statistical validation.
Continuity of Open Umbilical Cord Care and Risk of Neonatal Infection in a Primary Obstetric Setting: A Retrospective Cohort Study Aidevbo Otuyoma Eyaufe; Myada Ibrahim; Satya Narayan Yadav; Nurgul Rysalieva
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.v3i1.2915

Abstract

Purpose of the study: This study aimed evaluate association between open umbilical cord care and neonatal infection within 28 days postpartum in primary midwifery facilities in Iseyin, Oyo State, Nigeria, and to identify independent biological and environmental predictors of infection risk. Methodology: A retrospective cohort design was applied to 980 term neonates delivered between January 2022 and December 2024 in six registered primary obstetric centers in Iseyin, Oyo State, Nigeria. Data were extracted from maternity registers and follow-up records. Multivariable log-binomial regression and 1:1 propensity score matching were performed using STATA version 17 to estimate adjusted relative risks (RR) with 95% confidence intervals. Main Findings: Neonatal infection occurred in 8.7% of the open cord care group and 6.5% of antiseptic group. After multivariable adjustment and propensity score matching, open cord care was not significantly associated with increased infection risk (aRR 1.15; 95% CI 0.76–1.73; p = 0.49). Low birth weight, prolonged rupture of membranes, and limited household sanitation were independent predictors, while early breastfeeding initiation was protective. Novelty/Originality of this study: This study provides context-specific effectiveness evidence on open umbilical cord care within real-world primary midwifery services in semi-urban West Africa. By integrating propensity score matching with routine service data, it bridges the gap between controlled antiseptic trials and implementation-level nursing practice, supporting risk-stratified and system-oriented neonatal infection prevention strategies.
Clinical Skills Development and Competency Assessment Needs among Nursing Assistant Students: A Design and Development Study Lachezar Manchev; Gedamu Gebreamlak Hailu; Maurizio Martin Cavani Brain; Pichayaporn Ratt; Taisia Chertenko
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.v3i1.2916

Abstract

Purpose of the study: This study aimed to develop and validate a competency-based clinical skills development model for nursing assistant students and evaluate its effectiveness in improving clinical performance, procedural competence, and self-efficacy. Methodology: A Design and Development Research (DDR) approach with a sequential exploratory mixed-methods design was employed. Phase 1 involved qualitative needs assessment with 24 students and 6 clinical instructors to identify competency gaps. A competency-based learning model integrating structured simulation, standardized rubrics, DOPS-based formative feedback, and OSCE assessment was subsequently constructed and validated by seven experts (S-CVI = 0.92). Effectiveness was evaluated using a quasi-experimental pre-test–post-test control group design with 64. Outcomes included OSCE performance, DOPS ratings, and clinical self-efficacy. Data were analyzed using ANCOVA and effect size calculations. Main Findings: The intervention group demonstrated significantly higher post-test OSCE scores (82.6 ± 5.9 vs. 69.4 ± 6.7; p < 0.001; d = 1.95), improved DOPS ratings (4.3 ± 0.4 vs. 3.5 ± 0.5; p < 0.001), and increased self-efficacy (81.1 ± 7.5 vs. 64.3 ± 8.1; p < 0.001; d = 2.09) compared to controls. Skill retention at four weeks remained significantly higher in the intervention group (p < 0.001). Novelty/Originality of this study: Findings support structured operationalization of competency-based education in assistant-level nursing training and provide an empirically grounded framework for curriculum reform.
Nursing Assistant Students’ Digital Cultural Intelligence and Clinical Adaptability in a North African Health College: A Cross-Sectional Study Oulhiq, Ridouane; W, Shi ching; Ratt, Pichayapor; Brain, Maurizio Martin Cavani
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.v2i2.2917

Abstract

Purpose of the study: This study examined the predictive relationship between digital cultural intelligence and clinical adaptability among nursing assistant students at a health sciences college in Morocco. Methodology: A cross-sectional design was employed with 287 students who had completed at least one clinical placement. Data were analysed using partial leas squares structural equation modellingi (PLS-SEM) to test a theory-driven conceptual framework. Measurement model evaluation confirmed satisfactory reliability and validity (CR > 0.90; AVE > 0.50; HTMT < 0.85). Structural analysis revealed that digital cultural intelligence significantly predicted clinical adaptability (β = 0.64, p < 0.001), explaining 41% of the variance (R² = 0.41). Predictive relevance was supported (Q² = 0.29), and robustness checks using covariance-based SEM confirmed acceptable model fit indices. Main Findings: The findings indicate that the capacity to navigate culturally diverse interactions within digitally mediated healthcare environments is a substantial determinant of adaptive clinical reasoning, flexible communication, and ethical responsiveness. By empirically validating digital cultural intelligence as a multidimensional construct in vocational nursing education, this study advances theoretical integration between intercultural competence and adaptive expertise frameworks. Novelty/Originality of this study: This study contributes Global South evidence to international nursing education research and provides a predictive model for curriculum innovation in digitally transitioning healthcare contexts.
Meaning of Childbirth Experiences Handled by Traditional Midwives for Mothers in Parung District, Bogor: A Phenomenological Approach in Public Health Studies Alhikma Alhikma
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.v3i1.2935

Abstract

Purpose of the study: This study aimed to explore the meaning of childbirth experiences among mothers who delivered with the assistance of traditional birth attendants in Parung District, Bogor.] Methodology: A qualitative study with a descriptive phenomenological approach was conducted. Participants were selected using purposive sampling, consisting of eight mothers who had experienced childbirth assisted by traditional birth attendants. Data were collected through in-depth semi-structured interviews and analyzed using phenomenological thematic analysis to identify significant statements, meaning units, and emerging themes.] Main Findings: The findings identified four major themes shaping mothers’ childbirth experiences: emotional comfort and trust in traditional birth attendants, accessibility barriers to formal health services, influence of family and cultural traditions, and perceptions of safety during childbirth. Although traditional birth attendants provided emotional support and cultural familiarity, concerns regarding medical safety and emergency management were also reported by several participants. Novelty/Originality of this study: This study provides a phenomenological perspective on the lived experiences of mothers delivering with traditional birth attendants in a community where formal maternal health services are available. The research highlights the sociocultural and experiential factors that sustain traditional childbirth practices and offers insights for developing culturally responsive maternal health interventions.]
Integration of Health Education Technology to Improve Mothers' Understanding of Toddler Nutrition in the Ciputat Timur Community Health Center Area, South Tangerang Wahyunita Gani Wintarti
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.v3i1.2936

Abstract

Purpose of the study: This study aimed to analyze the effectiveness of integrating health education media in improving maternal knowledge regarding toddler nutrition in the working area of the Ciputat Timur Community Health Center, South Tangerang. Methodology: A quantitative study with a quasi-experimental design using a non-equivalent control group approach was conducted. The study involved 36 mothers of toddlers, consisting of 9 mothers of underweight toddlers (intervention group) and 27 mothers of well-nourished toddlers (control group). Data were collected using a structured questionnaire measuring maternal knowledge before and after the educational intervention. The intervention included health education using flipchart media and video-based educational materials, while the control group received education using flipchart media only. Main Findings: The results showed a significant improvement in maternal knowledge after the educational intervention. In the underweight toddler group, the median knowledge score increased from 65.00 to 80.00 (p = 0.007). In the well-nourished toddler group, the median knowledge score increased from 70.00 to 80.00 (p < 0.001). Furthermore, the proportion of mothers with knowledge scores above 70 increased from 0% to 66.7% in the underweight group and from 48.1% to 85.2% in the well-nourished group. Novelty/Originality of this study: The novelty of this study lies in the integration of multiple health education media, including flipcharts and video-based learning, within a community-based nutrition education intervention at the primary health care level, providing a more interactive and effective approach to improving maternal nutrition literacy.
Development of a Web-Based Patient Service Management Information System to Improve Administrative Efficiency at Su'adah Clinic, Palembang Syahabiah Syahabiah
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.v3i1.2937

Abstract

Purpose of the study: This study aimed to develop and evaluate a web-based patient service management information system to improve administrative efficiency at Su’adah Clinic in Palembang. Methodology: This research employed a research and development approach using the Waterfall system development model. Problem identification was conducted using the PIECES framework (Performance, Information, Economy, Control, Efficiency, and Service). Data were collected through observation, interviews, and documentation analysis at the clinic. The developed system integrates patient registration, administrative data management, payment processing, and automated reporting into a single web-based platform. Main Findings: The implementation of the developed system significantly improved administrative performance at the clinic. The average patient registration time decreased from approximately 10 minutes to 3 minutes, while average patient waiting time was reduced from 25 minutes to 10 minutes. The time required to retrieve patient records decreased from 5–7 minutes to less than 1 minute, and the preparation of monthly administrative reports was reduced from 2–3 hours to approximately 15 minutes. In addition, daily paper usage decreased from about 120 sheets to around 30 sheets after system implementation. User evaluation results indicated high acceptance of the system, with an overall satisfaction score of 4.5 out of 5. Novelty/Originality of this study: The novelty of this study lies in the development of an integrated web-based patient service management system specifically designed for small-scale healthcare clinics, combining online patient registration, administrative management, payment documentation, and automated reporting within a single accessible platform.

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