MEDICA (International Medical Scientific Journal)
MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, published by Borneo Scientific Publishing. MEDICA (International Medical Scientific Journal) will publish journals three times yearly: January, May, and October. Manuscripts are published as original articles, review articles, and case reports. The Journal invites public health concerned with any of these areas to submit research on topics including, but not limited to Health promotion & disease prevention in all stages of human life, Medical laboratory, Nursing, Environmental Health, Epidemiology and biostatistics. Health policy and administration, Public health nutrition, Occupational health and safety, Health Promotion, Reproductive health, maternal and child health, and other related articles in public health.
Articles
63 Documents
<![CDATA[Knowledge, Attitudes, and Personal Hygiene Practices among Applied Bachelor Students in Occupational Health and Safety ]]>
<![CDATA[Suyitno Suyitno]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i1.746
<![CDATA[Personal hygiene is an essential component of health promotion, particularly among students in Occupational Health and Safety (OHS) programs who are expected to apply healthy behaviors in academic and practical settings. This study aimed to examine differences in knowledge, attitudes, and personal hygiene practices among OHS D4 students based on individual characteristics. A quantitative observational study with a cross-sectional design was conducted involving 271 OHS D4 students selected through total sampling. Data were collected using a structured self-administered questionnaire assessing respondent characteristics, knowledge, attitudes, and personal hygiene practices. Descriptive analysis and one-way Analysis of Variance (ANOVA) were performed using statistical software with a significance level of p < 0.05. The results indicated that academic level and practical training experience were consistently associated with differences in knowledge, attitudes, and personal hygiene practices, while gender differences were observed only in knowledge. Effect size estimates suggested small to moderate practical significance, indicating meaningful associations rather than mere statistical differences. Although causal inference is limited due to the cross-sectional design and reliance on self-reported data, the findings underscore the importance of early integration of hygiene-focused learning activities and competency-based practical training within OHS curricula to support the development of consistent personal hygiene behaviors among future occupational safety professionals.]]>
<![CDATA[The Effect of Education Using Audiovisual Media on Mothers' Knowledge about Japanese Encephalitis Immunization ]]>
<![CDATA[Rosmaniah Rosmaniah]]>;
<![CDATA[Rakhmawati Rakhmawati]]>;
<![CDATA[Oon Fatonah Akbarini]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i1.758
<![CDATA[Japanese Encephalitis (JE) is a viral disease and a leading cause of encephalitis worldwide. Immunization represents the most effective primary prevention strategy to protect individuals and reduce disease transmission. This study aimed to analyze the effect of audio-visual educational media on mothers’ knowledge regarding JE immunization in the working area of the Parit Timur Community Health Center. This quantitative study employed a pre-experimental design using a one-group pretest–posttest approach. A total of 66 mothers with toddlers were selected through accidental sampling. Data were analyzed using the Wilcoxon signed-rank test. The results demonstrated a significant improvement in mothers’ knowledge following the educational intervention. Prior to the intervention, knowledge scores ranged from 6 to 10, with a median of 8.00. After the intervention, scores increased to a range of 10 to 15, with a median of 14.00, indicating a median difference of 7.00. The Wilcoxon test yielded a p-value of <0.001, confirming a statistically significant difference between pretest and posttest scores. In conclusion, education using audio-visual media has a significant effect on improving mothers’ knowledge regarding JE immunization in the working area of the Parit Timur Community Health Center.]]>
<![CDATA[Factors Influencing Mothers' Participation in Visiting Integrated Health Posts for Infants and Toddlers ]]>
<![CDATA[Siti Sarifah]]>;
<![CDATA[Dianna Dianna]]>;
<![CDATA[Dessy Hidayati Fajrin]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i1.759
<![CDATA[Infant and toddler health services at integrated health posts (posyandu) play a crucial role in disease prevention and the improvement of child health through routine monitoring, which requires active maternal participation. Mothers’ participation is a key determinant of the effectiveness of these services. This study aimed to identify factors influencing mothers’ participation in posyandu visits for infants and toddlers in the working area of the Pahauman Community Health Center. This study employed an analytical survey design with a cross-sectional approach. The population consisted of all mothers with children aged 12–59 months, totaling 1,437 individuals. A sample of 65 respondents was selected using stratified random sampling. Data were analyzed using univariate and bivariate analyses. The univariate results showed that most respondents had good knowledge, lived close to the health center, and had access to complete posyandu facilities, although family support was relatively low. The majority of mothers demonstrated active participation in posyandu visits. Bivariate analysis revealed significant relationships between knowledge, distance from home, and family support with mothers’ participation in posyandu visits. In conclusion, mothers’ knowledge, proximity to health facilities, and family support are important factors influencing participation in posyandu visits. Strengthening these factors is essential to improve maternal involvement and optimize child health services.]]>
<![CDATA[The Effect of Pocket Book on Kangaroo Care Method for Mothers Giving Birth to Babies Weighing ]]>
<![CDATA[Siti Rahmayanti]]>;
<![CDATA[Oon Fatonah Akbarini]]>;
<![CDATA[Dianna Dianna]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i1.760
<![CDATA[Low Birth Weight (LBW) is defined as a birth weight of less than 2,500 grams regardless of gestational age, measured within one hour after birth. Globally, the prevalence of LBW reaches approximately 21% of all births. In Landak District, the incidence of LBW fluctuated from 4.5% in 2020 to 2.6% in 2021 and increased again to 5.0% in 2022. Kangaroo Care (KC) is an effective method for improving the survival and health outcomes of LBW infants; however, its implementation requires adequate maternal knowledge and skills. Educational media, such as pocket books, can facilitate learning by making information easier to understand and remember. This study aimed to determine the effect of pocket book-based education on mothers’ knowledge and skills regarding Kangaroo Care among mothers who gave birth to LBW infants in Landak Regency. This study employed a pre-experimental design using a one-group pretest–posttest approach. A total of 22 respondents were selected using consecutive sampling. Data were analyzed using the Wilcoxon signed-rank test. The results showed a significant improvement in both knowledge and skills after the intervention, with p-values of <0.001. In conclusion, pocket book-based education is effective in improving mothers’ knowledge and skills regarding Kangaroo Care among mothers with LBW infants in Landak Regional General Hospital.]]>
<![CDATA[The Effect of Booklets on Husbands' Knowledge and Support Regarding Basic Immunization ]]>
<![CDATA[Septia Sri Lestari]]>;
<![CDATA[Desy Rosita]]>;
<![CDATA[Emy Yulianti]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i1.761
<![CDATA[Complete basic immunization is a key strategy in strengthening children’s immunity, preventing the transmission of infectious diseases, and reducing morbidity and mortality. However, immunization coverage in Indonesia remains suboptimal, as evidenced by the large number of children who did not receive complete basic immunization between 2017 and 2021. In West Kalimantan, immunization coverage is still below the national target, with Pontianak City achieving only 55% of the 95% Universal Child Immunization (UCI) target and Kubu Raya Regency reaching 68.3% as of December 2023. This study aimed to analyze the effect of booklet media on husbands’ knowledge and support regarding basic immunization. A quantitative approach was employed using a quasi-experimental design with a one-group pretest–posttest format. The study involved 83 respondents selected through non-probability sampling. Data were analyzed using the paired sample t-test to assess differences before and after the intervention. The results showed a statistically significant increase in both knowledge and support among husbands after the booklet intervention (p < 0.05). These findings indicate that booklet-based education is effective in improving husbands’ understanding and involvement in supporting basic immunization. In conclusion, the use of booklet media significantly enhances husbands’ knowledge and support regarding complete basic immunization in the Kuala Mandor B Community Health Center area, Kubu Raya Regency.]]>
<![CDATA[Anxiety Levels and Associated Factors Among Elderly Patients with Cardiovascular Diseases: A Mixed-Methods Study ]]>
<![CDATA[Lola Felnanda Amri]]>;
<![CDATA[Heppi Sasmita]]>;
<![CDATA[Murniati Muchtar]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i2.881
<![CDATA[The increasing prevalence of cardiovascular diseases among the elderly is often accompanied by psychological problems, particularly anxiety, which may worsen health outcomes and quality of life. However, limited studies have comprehensively explored anxiety levels and their associated factors among elderly patients in primary healthcare settings. This study aimed to assess anxiety levels and identify associated factors among elderly individuals with cardiovascular disorders in the working area of Puskesmas Anak Air, Padang City. A mixed-methods approach with an explanatory sequential design was employed, combining quantitative and qualitative data. The study involved 139 participants in the quantitative phase and eight participants in the qualitative phase. Most participants were aged 60–74 years (87.1%) and female (69.1%). A small proportion had both hypertension and cardiovascular disease (7.2%), while 30.9% experienced moderate anxiety. Qualitative findings revealed that anxiety was mainly triggered by exposure to distressing information, such as news about death, disasters, and conflicts. Participants commonly managed anxiety through distraction techniques, including light physical activity, watching television, and avoidance coping. In conclusion, moderate anxiety is prevalent among elderly individuals with cardiovascular disorders and is influenced by psychosocial factors. These findings highlight the need for appropriate coping strategies and supportive interventions to reduce anxiety and improve the well-being of the elderly.]]>
<![CDATA[The Effect of an Android-Based HIV/AIDS Monitoring Application on Adolescents’ Knowledge and HIV/AIDS Screening ]]>
<![CDATA[Maulidiyah Salim]]>;
<![CDATA[Elma Marsita]]>;
<![CDATA[Tessa Siswina]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i2.922
<![CDATA[Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) remain major global public health challenges, including in Indonesia, where adolescents are particularly vulnerable due to high-risk behaviors. This study aimed to evaluate the effectiveness of an Android-based HIV/AIDS monitoring application (PAHIVA) in improving adolescents’ knowledge and facilitating early HIV/AIDS risk screening. A pre-experimental study with a one-group pretest–posttest design was conducted among 90 high school students in Singkawang City. Data on HIV/AIDS knowledge were collected using structured questionnaires before and after the intervention and analyzed using the Wilcoxon signed-rank test. The results showed a statistically significant increase in knowledge scores, with the median rising from 67 at baseline to 87 after the intervention (p < 0.001). A total of 76 participants demonstrated improved knowledge, while 14 showed no change. Additionally, the application-based screening identified 9 participants (10%) as being at high risk for HIV/AIDS, who were subsequently referred to the nearest Voluntary Counseling and Testing (VCT) clinic for further evaluation. In conclusion, the PAHIVA application was associated with improved knowledge and demonstrated potential as a preliminary HIV/AIDS risk screening tool among adolescents. This mobile health innovation may contribute to strengthening adolescent-focused HIV/AIDS prevention strategies, although further studies with more robust designs are recommended to confirm its effectiveness.]]>
<![CDATA[The Effectiveness of Application (Adolescent Thalassemia Self) on the Quality of Life of Children with Thalassemia ]]>
<![CDATA[Ria Andriani]]>;
<![CDATA[Burhanudin Basri]]>;
<![CDATA[Hadi Abdillah]]>;
<![CDATA[Reni Mulyani]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i2.863
<![CDATA[Thalassemia is a chronic hereditary blood disorder that requires lifelong blood transfusions and iron chelation therapy, significantly affecting the physical, emotional, social, and academic functioning of adolescents. These challenges highlight the need for innovative, technology-based interventions to support sustainable self-care. This study aimed to determine the effectiveness of the SETARA (Self-Care Thalassemia Adolescents) application in improving the quality of life among adolescents with thalassemia compared to standard education. A quasi-experimental pre–post design with a control group was conducted involving 34 adolescents aged 12–18 years with transfusion-dependent thalassemia. Participants were equally divided into intervention and control groups (n = 17 each). The intervention group used the SETARA application for 4–8 weeks, while the control group received standard education. Quality of life was measured using the PedsQL Thalassemia Module and analyzed using a paired samples t-test. The results showed a statistically significant improvement in the quality of life in the intervention group (p < 0.001), indicating the effectiveness of the SETARA application. In contrast, the control group did not show a significant change (p = 0.205). In conclusion, the SETARA application is effective in improving the quality of life of adolescents with thalassemia and has the potential to complement standard education and clinical care. It is recommended that adolescents use the application regularly, and healthcare professionals integrate it into patient education and family support programs.]]>
<![CDATA[Path Analysis of Food Literacy and eHealth Literacy on Diet Quality through Nutritional Self-Efficacy among Pregnant Women in Urban Indonesia: A Cross-Sectional Study ]]>
<![CDATA[Lina Fitriani]]>;
<![CDATA[Supriadi Supriadi]]>;
<![CDATA[Rosdiana Rosdiana]]>;
<![CDATA[Andi Misna]]>;
<![CDATA[Rochmawati Rochmawati]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i2.893
<![CDATA[Maternal diet quality during pregnancy remains critically suboptimal in Indonesia, contributing to the high prevalence of anemia and adverse pregnancy outcomes. This study aimed to analyze the direct and indirect effects of food literacy and eHealth literacy on diet quality through nutritional self-efficacy among pregnant women in urban Indonesia. A cross-sectional analytical study was conducted on 238 pregnant women in the second and third trimesters at Puskesmas Wara Selatan, Palopo City, South Sulawesi. Data were collected using four validated instruments: the Self-Perceived Food Literacy Scale, the eHealth Literacy Scale (comprising the core eHEALS items and a digital information access sub-dimension), the Nutrition Self-Efficacy Scale, and the Minimum Dietary Diversity for Women indicator via 24-hour dietary recall. Partial Least Squares Structural Equation Modeling with 5,000 bootstrap resamples was employed. Results showed that food literacy had the strongest direct effect on diet quality (β=0.689; p<0.001) and significantly predicted nutritional self-efficacy (β=0.453; p<0.001). eHealth literacy significantly influenced nutritional self-efficacy (β=0.484; p<0.001) but did not directly affect diet quality (β=0.162; p=0.254). Nutritional self-efficacy significantly predicted diet quality (β=0.140; p=0.036) and served as a partial mediator in the food literacy–diet quality pathway and a full mediator in the eHealth literacy–diet quality pathway. The model explained 48.5% of diet quality variance and 77.8% of nutritional self-efficacy variance. These findings confirm that nutritional self-efficacy constitutes a critical intervention point for optimizing maternal diet quality in urban primary healthcare settings.]]>
<![CDATA[The Impact of Nursing Management Information Systems on Workload and Effectiveness of Inpatient Nursing Services ]]>
<![CDATA[Novi Triwanto]]>;
<![CDATA[Astrid Novita]]>;
<![CDATA[Adi Wijaya]]>;
<![CDATA[Ade Suhendri]]>
<![CDATA[ MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) ]]>
Publisher : <![CDATA[Borneo Scientific Publishing ]]>
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DOI: 10.53770/medica.v8i2.911
<![CDATA[The implementation of the Nursing Management Information System (NMIS) represents a strategic effort by hospitals to enhance the quality of nursing services through the digitalization of care documentation. However, during the early stages of implementation, the system may exert varying effects on nurses’ workload and the effectiveness of nursing services. This study aimed to analyze the influence of NMIS implementation on nurses’ workload and the effectiveness of nursing services, with user behavior as a mediating variable, in the inpatient wards of Khidmat Sehat Afiat Regional General Hospital, Depok City, in 2025. This study employed a quantitative analytical observational design with a cross-sectional approach. A total of 94 inpatient nurses were recruited using a total sampling technique. Data collection was carried out using a questionnaire, then analyzed using the Partial Least Square-based Structural Equation Modeling (SEM-PLS) method using SmartPLS 4.0. The results indicated that NMIS implementation had a positive and significant effect on user behavior and the effectiveness of nursing services, while demonstrating a negative and significant effect on nurses’ workload. User behavior was found to negatively and significantly influence nurses’ workload and positively and significantly affect the effectiveness of nursing services. Furthermore, nurses’ workload had a negative and significant impact on service effectiveness. Mediation analysis revealed that user behavior and nurses’ workload functioned as significant sequential mediators in the relationship between NMIS implementation and the effectiveness of nursing services. In conclusion, the optimal implementation of NMIS can contribute to reducing nurses’ workload and improving the effectiveness of nursing services.]]>
