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Rahmat Perdana
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Cahaya Ilmu Cendekia Publisher, Jl. Danau No 35 Rt 004 Rw 001. Kel. Dusun Besar, Kec. Singaran Pati, Kota Bengkulu, 38229, Indonesia
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Journal of Health Innovation and Environmental Education
ISSN : 30631637     EISSN : 30629632     DOI : https://doi.org/10.37251/jhiee
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 63 Documents
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.
Redefining Early Childhood Growth and Development Surveillance: A Sustainable, Technology-Integrated Primary Care Ecosystem Linking Maternal Health Literacy, Digital Monitoring, and Predictive Analytics Suryadinata, M Agus; Tiwari, Shyam Sundar; Girma, Abel; Mpemba, Faraja
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
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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
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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.
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
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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.
Household Sanitation Access, Maternal Personal Hygiene, and Child Snacking Practices as Predictors of Diarrheal Morbidity in Under-Five Children Living Along the Citarum River Basin Sudasman, Fuad Hilmi; Pham , Manh Van
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2874

Abstract

Purpose of the study: This study aimed to examine household sanitation access, maternal personal hygiene, and child snacking practices as predictors of diarrheal morbidity among under-five children living along the Citarum River Basin, Indonesia. Methodology: A community-based case–control study was conducted in Kelurahan Andir, Baleendah Subdistrict. A total of 122 participants (61 cases and 61 controls) were selected using simple random sampling. Data were collected through structured questionnaires, non-participant observation, and environmental assessment of sanitation facilities. Variables included clean water access, latrine condition, wastewater disposal, solid waste management, maternal hygiene practices, and child snacking behaviors. Data were analyzed using descriptive and bivariate statistical approaches to assess associations between exposures and diarrheal morbidity. Main Findings: Although 75.8% of households had access to clean water meeting health standards, substantial deficiencies were observed in latrine adequacy (54.1% not meeting standards), wastewater disposal systems (59.0% inadequate), and solid waste management (67.6% inadequate). These sanitation gaps, combined with suboptimal hygiene practices and unsafe snacking behaviors, indicate multiple environmental and behavioral exposure pathways contributing to diarrheal morbidity in the study area. Novelty/Originality of this study: ffective prevention strategies should adopt an integrated environmental–behavioral approach that simultaneously strengthens sanitation infrastructure and promotes hygiene behavior change in high-risk settlements.
Determination of Environmental Sanitation Factors as a Risk Factor for Diarrhea in KaoFe Village, Buton Regency: A Public Health Approach Mbolosi, Anwar; Porntrai, Supaporn
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2877

Abstract

Purpose of the study: This study aimed to analyze environmental sanitation factors as determinants of diarrhea incidence in Desa KaoFe, Kecamatan Kadatua, Kabupaten Buton. Methodology: A quantitative analytic study with a cross-sectional design was conducted among 156 randomly selected households from a population of 260 households. Data were collected through structured interviews and direct observation of sanitation facilities. Variables included access to clean water, household latrine availability, solid waste management, wastewater disposal, and diarrhea incidence within the last three months. Data were analyzed using descriptive statistics and Chi-square tests at a 95% confidence level. Main Findings: The prevalence of diarrhea was 31.4%. Households without adequate clean water access accounted for 34.6%, unhealthy or absent latrines 43.6%, inadequate solid waste management 49.4%, and improper wastewater disposal 75.6%. All sanitation variables showed statistically significant associations with diarrhea incidence (p < 0.05). Novelty/Originality of this study: This study provides a multidimensional assessment of sanitation determinants within a small island rural context, demonstrating that wastewater disposal and integrated sanitation deficiencies play a critical role in diarrhea transmission beyond water access alone.
The Meaning and Practice of Environmental Hygiene in Preventing Skin Diseases in Toddlers in the Service Area of Sabirabad Rayon Polyclinic Osunla, Charles Ayodeji; Chertenko, Taisia
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2878

Abstract

Purpose of the study: This study aimed to explore the meaning and daily practice of environmental hygiene in preventing infectious skin diseases among toddlers in the service area of Sabirabad Rayon Polyclinic. Methodology: A qualitative descriptive–exploratory design was employed. Data were collected through in-depth interviews with 10 mothers or primary caregivers of toddlers who had experienced infectious skin conditions within the past six months. Participants were selected using purposive sampling. Data were analyzed using the interactive model of Matthew B. Miles and A. Michael Huberman, involving data reduction, data display, and conclusion drawing. Main Findings: All participants (100%) emphasized the importance of environmental cleanliness for child health; however, cleanliness was predominantly defined in terms of visible order rather than microbial risk prevention. Daily hygiene practices such as sweeping and bathing children were routinely performed, yet recurrent skin infections were reported by most caregivers, particularly during hot seasons. Barriers included limited water access, housing density, and financial constraints. Novelty/Originality of this study: This study shifts the analytical focus from measurable environmental risk factors to the socially constructed meanings of cleanliness and maternal responsibility, providing a culturally grounded perspective on hygiene behavior and skin disease prevention in primary care settings.
Designing a Web-Based Health Information System to Improve Data Accuracy and Service Quality at Phana Hospital, Amnat Charoen Thanjangreed, Weerapong; Malaluan, Lloyd Arvin
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2879

Abstract

Purpose of the study: This study aimed to design and evaluate a web-based Health Information System to improve data accuracy and service quality at Phana Hospital, Amnat Charoen. Methodology: A research and development design with a mixed-method sequential approach was employed. The system was developed using a structured SDLC framework and implemented over a three-month pilot period. Data accuracy was assessed through medical record audits (n=1,250), usability was measured using the System Usability Scale (n=35 staff), and service quality was evaluated using a modified SERVQUAL questionnaire (n=120 patients). Statistical analysis included paired t-tests to compare pre- and post-implementation outcomes. Main Findings: Incomplete records decreased from 21.0% to 11.8%, duplication errors declined from 10.7% to 4.9%, and average documentation time was reduced from 14.2 to 10.6 minutes (p < 0.001). Service quality improved significantly across all five dimensions, with reliability increasing by +0.67 and responsiveness by +0.69 points. The system achieved a SUS score of 78.4, indicating good usability. Novelty/Originality of this study: This study introduces an integrative framework linking workflow-based system design, embedded real-time validation mechanisms, and service quality performance evaluation within a district-level hospital context, providing a scalable and context-sensitive digital transformation model.