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Handri Maika Saputra
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Miracle Get Journal
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 30478839     DOI :  http://doi.org/10.69855/miracle
Core Subject : Health,
Public Health
Miracle Get Journal is an open access and peer-reviewed journal. It refers to the word "MIRACLE" which stands for Manager, Innovator, Researcher, Apprenticer, Communitarian, Leader, and Educator. These components have important roles and functions required in the field of Public Health. Through Miracle Get Journal, we are committed to advancing knowledge in the field of Health Administration and Policy, Epidemiology and Biostatistics, Health Promotion and Behavioral Science, Environmental Health and Sanitation, Occupational Health and Safety, Maternal, Child, and Reproductive Health, Public Health Nutrition and Nutrition, Health Information and Public Health Technology, Multidisciplinary Research Related to Public Health, and Public Health Practice and Community Service. We also aim to encourage collaboration among researchers and provide a space for in-depth discussions on current issues. Miracle Get Journal is a national journal that publishes high-quality articles reviewed by experts in their field. Miracle Get Journal is used to publish research published every month February, May, August, and November.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 84 Documents
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Enhancing the Implementation of the Mapping, Outreach, Advocacy, and Registration (PESIAR) Program through a Lean Six Sigma Approach : A Qualitative Study Maihendra; Arsaythamby Veloo; Mohamad Fazali bin Ghazali
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.451

Abstract

Universal Health Coverage (UHC) remains a major global health policy objective, yet many countries still encounter implementation challenges that hinder equitable service coverage and financial protection at the local level (World Health Organization & World Bank, 2025). In Indonesia, the national health insurance program managed by BPJS Kesehatan has achieved significant expansion; however, disparities across regions and gaps in enrollment and active participation persist within the decentralized governance system (Agustina et al., 2019). To address these challenges, BPJS Kesehatan introduced the PESIAR program (Mapping–Outreach/Sweep–Advocacy–Registration), an outreach-based enrollment strategy emphasizing cross-sector collaboration and operational effectiveness (BPJS Kesehatan, 2023). This qualitative case study examines how Lean Six Sigma (LSS) supports the strengthening of PESIAR implementation at the Bukittinggi Branch, West Sumatra. Data were collected through semi-structured interviews, field observations, and document analysis, and were thematically analyzed using a DMAIC framework (Define–Measure–Analyze–Improve–Control) (Antony et al., 2019). Findings show that LSS enhances program implementation by improving governance processes, clarifying stakeholder responsibilities, and strengthening performance measurement systems. Expanding JKN membership is therefore influenced not only by outreach intensity but also by structured, data-driven management approaches. Continuous improvement emerges as a key requirement for managing complex, multi-stakeholder health programs aimed at achieving UHC. Lean Six Sigma further contributes by fostering an organizational culture that continuously identifies and addresses operational challenges, supporting sustainable health system governance (Purdue University, 2024).
The Role of Work-Life Balance on Psychological Well-Being in Employees with Job Satisfaction as a Mediator Jauharah, Hasna; Zamralita; Fahlevi, Reza
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.415

Abstract

This study examines the role of work-life balance in employees’ psychological well-being, with job satisfaction as a potential mediating variable. Using a quantitative cross-sectional design, data were collected from 284 active employees through convenience sampling using the Work-Life Balance Scale (WLBS), the Psychological Well-Being Scale (PWB-18), and the Job Satisfaction Measurement: the Alternative Method. Data were analyzed using regression and bootstrapping mediation analysis with PROCESS Hayes Model 4. The results indicate that work-life balance has a significant positive effect on psychological well-being. However, work-life balance does not significantly influence job satisfaction, and job satisfaction does not significantly predict psychological well-being; therefore, job satisfaction does not mediate the relationship between work-life balance and psychological well-being. These findings suggest that employees’ psychological well-being is primarily shaped by the direct effect of work-life balance, highlighting the importance of organizational policies that support work-life balance to promote employee well-being.Top of Form
Public Health Management Readiness in Controlling the Risk of Infectious Diseases Post-Disaster Vina Novela
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.482

Abstract

Indonesia is highly vulnerable to natural disasters, which often disrupt health systems and increase the risk of infectious disease outbreaks in the post-disaster period. Empirical quantitative evidence on the relationship between public health management preparedness and infectious disease control at the primary healthcare level remains limited. This study analyzed the association between management preparedness and post-disaster infectious disease control effectiveness in Padang Panjang, West Sumatra. A cross-sectional analytic study was conducted involving 60 health personnel engaged in post-disaster management using total sampling. Data were collected through validated structured questionnaires and supported by surveillance reports. Statistical analyses included descriptive tests, Chi-square, Spearman correlation, and multivariate logistic regression (α < 0.05). Results showed that overall preparedness was categorized as good, particularly in epidemiological surveillance, although logistical readiness was relatively weak. Infectious disease control performance was generally good in case detection, prevention coverage, and response, while disease incidence trends remained moderate. A significant positive association was found between preparedness and disease control effectiveness (p < 0.05; r = 0.462). Multivariate analysis identified surveillance systems as the strongest predictor (Adjusted OR = 4.39), followed by logistics, human resources, and intersectoral coordination. Strengthening surveillance capacity, logistics, resource distribution, and cross-sector collaboration is essential to improve sustainable post-disaster infectious disease control.
Managing Nutritional Needs and Health Status of Children in Communities Affected by Natural Disasters Susilo Wirawan
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.497

Abstract

Natural disasters significantly impact food security, parenting practices, and children's nutritional status, particularly in the post-disaster phase, which is characterized by limited access to food and health services. This study aims to analyze the relationship between household food security and child nutritional management with the nutritional status of toddlers in disaster-affected communities. The study used a descriptive analytical design with a cross-sectional approach in 120 households with toddlers aged 0–59 months. Data were collected through structured interviews and anthropometric measurements, then analyzed using the chi-square test to assess the relationship between variables. The study results show that the majority of households are vulnerable to food insecurity and have adequate to inadequate child nutrition management. Household food security is significantly associated with toddler nutritional status based on indicators of weight for age (W/A), height for age (H/A), and weight for height (W/H). Toddlers from food insecure households are at higher risk of malnutrition, stunting, and wasting. Furthermore, inadequate management of children's nutritional needs is also significantly associated with all indicators of nutritional status disorders. This study concludes that post-disaster nutritional status of toddlers is a multidimensional outcome influenced simultaneously by structural and behavioral family factors. Therefore, post-disaster nutrition interventions need to integrate strengthening household food security with assistance in family- and community-based nutrition management to support sustainable child nutritional recovery.
The Effectiveness of Community-Based Health Education on Health Disaster Preparedness Behaviour in Padang Panjang in 2025 Hajar
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.513

Abstract

Increased disaster risk in Indonesia requires strengthening public health preparedness, especially in vulnerable areas such as Padang Panjang. This study aims to analyze the effectiveness of community-based health education on health disaster preparedness behavior in Padang Panjang in 2025 and to examine the mediating role of knowledge, attitude, and self-efficacy. The study used a non-equivalent control group quasi-experimental design with a pre-test and post-test approach. A total of 120 adult respondents were divided into an intervention group (n=60) and a control group (n=60). The intervention was carried out for one month through participatory counseling, group discussions, and preparedness simulations. Data were collected using a structured questionnaire and analyzed using paired t-tests, independent t-tests, and multiple linear regression. The results show a significant increase in knowledge, attitude, self-efficacy, and preparedness behavior in the intervention group (p<0.001), with the largest increase in preparedness behavior (Δ=17.5). There were no significant changes in the control group (p>0.05). Regression analysis showed that knowledge (β=0.32), attitude (β=0.28), and self-efficacy (β=0.41) had a significant effect on preparedness behavior (R²=0.64), with self-efficacy as the dominant predictor. These findings confirm that community-based health education is effective in improving health preparedness by strengthening psychosocial determinants, particularly self-efficacy. The integration of participatory approaches into disaster risk reduction policies is recommended to strengthen sustainable community health resilience in disaster-prone areas.
The Readiness of Healthcare Workers in Disaster Health Management at Primary Healthcare Facilities Umbu Roga, Anderias
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.443

Abstract

The rising frequency and intensity of disasters, fueled by climate change, urbanization, and population growth, challenge global health systems. Primary health care facilities act as frontline responders, ensuring early intervention and service continuity. Thus, health worker preparedness is vital for effective disaster management at this level. This study evaluated preparedness among health workers in primary facilities, focusing on knowledge, attitudes, skills, and organizational support. A quantitative descriptive-analytic, cross-sectional study involved 120 health workers (doctors, nurses, midwives, others). Data came from structured questionnaires (in-person and online). Analysis used univariate descriptives, Chi-Square tests for associations, and logistic regression for dominant factors. Results show moderate disaster preparedness overall (47.5%). Significant associations existed with education, experience, training participation, and knowledge (p < 0.05). Multivariate analysis identified disaster training as the strongest predictor (OR = 3.21; 95% CI: 1.52–6.78; p = 0.002), with trained workers over three times more likely to exhibit high preparedness. Enhancing preparedness demands ongoing training, routine simulations, better infrastructure, and standardized protocols in primary care to boost resilience and emergency response.
Analysis of the Capacity of the Public Health System in Reducing the Health Impact of Natural Disasters Sri Hazanah; Nora Harminarti
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.481

Abstract

Climate change has intensified natural disasters, straining health systems and threatening public health service sustainability. This study analyzes public health system capacity to mitigate disaster health impacts and identifies influential components. Employing a quantitative descriptive-analytical, cross-sectional design, the research targeted disaster-prone Indonesian areas across three high-risk districts/cities. The population comprised disaster-response health facilities; a purposive sample of 90 facilities was selected. Data came from structured 30-item, 5-point Likert-scale questionnaires assessing five capacity components: human resources, infrastructure, information/surveillance, logistics/financing, and governance/coordination. Analysis used descriptive statistics, Pearson correlation, and multiple linear regression (95% significance). Results revealed moderate capacity, with information/surveillance as the primary weakness. Disaster health impacts were high, especially service access disruptions and essential service interruptions. Correlation indicated a significant negative link between capacity and impacts. Regression showed capacity explaining 48% of impact variation, with governance/coordination as the strongest predictor. Findings underscore strengthening governance, integrating health information systems, and enhancing cross-sector coordination to boost health system resilience against disasters.
The Role of Health Risk Communication in Improving Community Preparedness for Disasters Ester
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.507

Abstract

The increasing frequency and complexity of disasters require strengthening community preparedness through effective health risk communication strategies. This study aims to analyze the role of health risk communication in improving community preparedness for disasters and examine risk perception as a mediating variable. This study used a quantitative approach with an explanatory design and a cross-sectional survey of 245 respondents in disaster-prone areas. Data were collected using a structured questionnaire based on the Health Belief Model (HBM) and Protection Motivation Theory (PMT), then analyzed using Structural Equation Modeling (SEM). The results showed that risk communication significantly influenced risk perception (β=0.62; p<0.001) and community preparedness (β=0.29; p<0.001). Risk perception also significantly influenced preparedness (β=0.48; p<0.001) and partially mediated the relationship between risk communication and preparedness (β indirect=0.30; p<0.001). The research model had a good fit and explained 56% of the variation in community preparedness. These findings confirm that clear, credible, timely, and participatory risk communication can enhance preparedness by shaping proportionate threat perceptions. This research contributes to the development of a community-based health risk communication model and offers practical implications for the formulation of more responsive and evidence-based disaster mitigation strategies in disaster-prone areas.
Health Literacy as a Determinant of Family Preparedness in Facing Disasters Sumarah
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.514

Abstract

Family preparedness is an important component in disaster mitigation and response efforts at the community level. However, the level of community preparedness is often influenced by individuals' ability to understand and use health information accurately. Health literacy plays a crucial role in enhancing the capacity of families to recognise risks, make informed decisions, and take effective preventive and disaster response actions. This study aims to analyse the relationship between health literacy and family preparedness in facing disasters. This study uses an analytical observational design with a cross-sectional approach. The research population consists of families living in disaster-prone areas. The sampling technique used is the probability sampling method. A total of 210 families met the inclusion criteria and were involved as research respondents. Data collection was conducted using a health literacy and family preparedness questionnaire that had been tested for validity and reliability. Data analysis was conducted univariately, bivariately using correlation tests, and multivariately using linear regression to identify factors influencing family preparedness. The research results show that a higher level of health literacy is significantly associated with a better level of family preparedness in facing disasters. These findings indicate that health literacy is one of the important determinants in improving family preparedness. Therefore, efforts to improve public health literacy need to be an integral part of the disaster preparedness strengthening strategy at the family and community levels.
The Relationship between Emergency Sanitation Access and Post-Disaster Environmentally Based Disease Incidences Sari, Mila
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.498

Abstract

Natural disasters often cause serious disruptions to clean water and sanitation systems, which directly impacts the increased risk of environmentally-related diseases in affected communities. Emergency sanitation is a key component of post-disaster health responses, but its availability and quality vary widely across evacuation sites. This study aims to analyze the relationship between emergency sanitation access and the incidence of environmentally-related diseases in communities living in post-disaster evacuation sites. The study used an observational analytical design with a cross-sectional approach and involved 210 adult respondents in evacuation sites in disaster-prone areas in Indonesia. Data were collected through structured interviews and observations of ion conditions, then analyzed using the Chi-Square test and logistic regression. The results showed that 60.0% of respondents lived in environments with inadequate emergency sanitation access and 41.0% of households reported incidences of environmentally-related diseases. There was a significant relationship between emergency sanitation access and disease incidence (p = 0.001), with respondents with inadequate sanitation having a higher risk of disease. Multivariate analysis showed that inadequate emergency sanitation was the dominant factor (OR = 2.98; 95% CI: 1.63–5.44), followed by overcrowding and hygiene practices. This study concluded that providing adequate and timely emergency sanitation is a priority intervention to reduce the burden of disease and improve community health resilience in post-disaster situations.

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