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Dedi Purwanto Indra Kusuma
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Journal of Applied Health Sciences
Published by Lembaga Penelitian dan Pendidikan (LPP) Kalibra
ISSN : -     EISSN : 31101852     DOI : https://doi.org/10.70716/jahs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal of Applied Health Sciences (JAHS) is a scientific open-access journal published by Lembaga Penelitian dan Pendidikan (LPP) Kalibra with registered number of e-ISSN 3110-1852. This journal has undergone a peer-reviewed process and is open access. It aims to serve as a forum for researchers, academics, practitioners, and policymakers to disseminate research findings, scientific studies, and the latest innovations related to applied health sciences. JAHS publishes articles relevant to the practice and development of health sciences such as nursing, midwifery, physiotherapy, nutrition, public health, medical laboratory technology, medical records, and other health professions. All published articles have undergone a peer-reviewed process to ensure the quality and originality of the scientific work. This journal accepts manuscripts in both Indonesian and English, and welcomes contributions from both national and international authors.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 20 Documents
 1   2 
A Systematic Review of Walking-Based Rehabilitation to Improve Functional Mobility, Balance, and Motor Strength in Stroke Patients Giani, Maia Thalia; Hurriawati, Iceu Helmina; Asaduddin, Aiman Hilmi
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.179

Abstract

Stroke is a major cause of long-term disability, often impairing gait, balance, and motor strength, thus reducing independence and quality of life. Walking-based rehabilitation is essential in post-stroke recovery, yet the comparative effectiveness of different modalities remains unclear. This review compared conventional physical therapy (CPT) with technology-assisted walking rehabilitation in improving functional mobility, balance, and lower limb strength during acute and subacute stroke phases. A comprehensive search of Scopus, PubMed, and Epistemonikos identified randomized controlled trials (RCTs) from 2021–2025 involving adults (≥18 years) with acute or subacute stroke. Studies compared robotic-assisted gait training (RAGT) or other technology-based walking therapies with CPT. Outcomes included gait function, balance, and motor strength. Risk of bias was assessed using the Joanna Briggs Institute tool. Eighteen RCTs (from 245 screened) met inclusion criteria. RAGT showed superior improvements in gait speed (12 studies), 6-Minute Walk Test (9 studies), and balance (Berg Balance Scale, 3 studies). Lower limb motor strength improved by 8–15 points on the Fugl-Meyer Assessment (6 studies). A higher proportion of RAGT patients achieved independent walking (Functional Ambulation Category ≥4: 56–73% vs. 29–53%). Two studies reported enhanced quality of life and three showed positive neuroplasticity changes. Adverse events were minor and resolved with adjustments. Technology-assisted walking rehabilitation outperforms CPT in improving gait, balance, and strength after stroke, supporting its inclusion in standard care. Further studies should explore long-term outcomes and optimal protocols.
Efektivitas Program Promosi Kesehatan Berbasis Komunitas dalam Menurunkan Faktor Risiko Hipertensi di Praya Lombok Tengah Zikri, Lia Novia; Gufron, Ahmad
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.186

Abstract

Hypertension remains one of the major public health problems contributing significantly to increased morbidity and mortality from cardiovascular diseases, particularly in developing countries such as Indonesia. Low levels of community knowledge, unhealthy lifestyle behaviors, and limited implementation of promotive and preventive approaches at the community level pose major challenges to hypertension control. Therefore, community-based health promotion programs are considered a potential strategy to reduce hypertension risk factors through community empowerment and active participation. This study aims to analyze the effectiveness of a community-based health promotion program in reducing hypertension risk factors among adults in Praya, Central Lombok Regency. A quantitative approach with a pre-experimental one-group pretest–posttest design was employed. The study sample consisted of adult community members who participated in the entire series of community-based health promotion activities. Data were collected using structured questionnaires to assess knowledge and health-related behaviors, as well as measurements of systolic and diastolic blood pressure before and after the intervention. Data analysis was conducted using descriptive statistics and paired statistical tests. The results showed a significant increase in community knowledge regarding hypertension and its risk factors after the intervention. Positive changes in health behaviors were also observed, including reduced salt intake, increased physical activity, and improved awareness of regular blood pressure monitoring. Clinically, the program resulted in a statistically significant reduction in both systolic and diastolic blood pressure among participants. The discussion indicates that the effectiveness of the program was influenced by its participatory approach, social support within the community, the involvement of community health cadres, and the alignment of the intervention with local sociocultural contexts. The community-based health promotion program successfully bridged improvements in knowledge with behavioral changes that produced tangible health outcomes. In conclusion, community-based health promotion programs are effective in reducing hypertension risk factors and have strong potential as sustainable promotive and preventive strategies for controlling non-communicable diseases at the local level. These findings support the strengthening and integration of community-based programs into local health policies to improve population health outcomes.
Peran Kader Kesehatan dalam Meningkatkan Cakupan Pelayanan Kesehatan Ibu dan Anak di Wilayah Pedesaan Wadi, Hamzan; Maksum, Lalu
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.199

Abstract

Maternal and child health (MCH) services in rural areas continue to face various challenges, including limited access to health facilities, low utilization of services, and the influence of socio-cultural factors. In this context, community health cadres play a strategic role as a bridge between the formal health system and the community. This study aims to analyze the role of health cadres in increasing the coverage of maternal and child health services in Janapria Village, Central Lombok Regency. This research employed a qualitative approach with a case study design. Data were collected through in-depth interviews, field observations, and document analysis involving health cadres, village midwives, and pregnant women as well as mothers of children under five. Data analysis was conducted thematically through data reduction, data display, and conclusion drawing to obtain a comprehensive understanding of the roles, strategies, and challenges faced by health cadres in delivering MCH services. The results indicate that health cadres play an active role in registering pregnant women and children under five, implementing posyandu activities, providing health education, conducting home visits, and reminding mothers of scheduled MCH services. These roles contribute significantly to increased community participation in utilizing maternal and child health services. The social and cultural approaches adopted by health cadres, including interpersonal communication and the use of local social networks, enhance community trust and acceptance of health services. Nevertheless, several challenges were identified, such as limited training opportunities, inadequate supervision, high workload, and insufficient incentives for health cadres. The discussion highlights that the effectiveness of health cadres in improving MCH service coverage is strongly influenced by their integration into the formal health system and the availability of sustainable policy support. Health cadres function not only as technical implementers but also as agents of behavioral change within rural communities. This study concludes that strengthening the role of health cadres is a crucial strategy for improving maternal and child health service coverage in rural areas. Therefore, policy support focusing on capacity building, continuous supervision, and adequate incentives is essential to ensure the sustainability and effectiveness of health cadre programs.
Peran Pelayanan Kesehatan Sekolah dalam Meningkatkan Status Kesehatan Remaja di Indonesia Gazali, Muhammad; Zaroni, Muhammad
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.200

Abstract

School health services play a strategic role in supporting the improvement of adolescent health status, particularly in developing countries such as Indonesia. Adolescents are a vulnerable population facing various physical, mental, and behavioral health challenges, making early promotive and preventive health interventions essential. Schools, as institutions that engage adolescents continuously, provide an effective setting for the implementation of school-based health services. This study aims to analyze the role of school health services in improving adolescent health status in Indonesia. This study employs a qualitative approach using a library research design. Data were collected from reputable national and international scientific journal articles, reports from international organizations, and relevant policy documents related to school health services and adolescent health. The data were analyzed using thematic analysis to identify key patterns, findings, and policy implications emerging from the literature. The findings indicate that school health services, particularly through the School Health Unit (UKS) program, contribute positively to improving adolescents’ health knowledge and health literacy, promoting healthy behaviors, and supporting both physical and mental health outcomes. However, the implementation of school health services in Indonesia still faces several challenges, including limited resources, regional disparities, and weak cross-sectoral coordination. In conclusion, strengthening school health services through integrated policies, capacity building for implementers, and active involvement of all stakeholders is crucial to achieving sustainable improvements in adolescent health status in Indonesia.
Risiko Kesehatan Lingkungan dan Gangguan Pernapasan pada Masyarakat yang Tinggal di Sekitar Kawasan Industri di Kota Makassar, Indonesia Yulistiani, Liana; Pratama, Ananda
Journal of Applied Health Sciences Vol. 2 No. 1 (2026): Journal of Applied Health Sciences, February 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i1.201

Abstract

Industrial growth in Makassar City has expanded in parallel with increasing urban economic activities. This development occurs alongside densely populated residential areas and poses significant environmental health risks, particularly respiratory disorders. Continuous exposure to industrial air pollutants may adversely affect community health. This study aims to analyze the relationship between environmental health risks and the occurrence of respiratory disorders among communities living around industrial areas in Makassar City, Indonesia. This study employed an analytical observational design with a cross-sectional approach. A total of 200 adult respondents who had resided for at least five years in areas surrounding industrial zones were included. Data were collected using structured questionnaires and environmental observation checklists. The independent variable was environmental health risk, measured through ambient air quality, distance of residences from industrial areas, and physical housing conditions. The dependent variable was respiratory disorders, assessed based on reported respiratory symptoms within the last six months. Data analysis was conducted using univariate and bivariate statistical methods. The results showed that 59.0 percent of respondents experienced respiratory disorders. Most respondents were exposed to moderate to high levels of environmental health risk. Bivariate analysis indicated a significant association between environmental health risk and respiratory disorders, with a p-value of 0.001. Respondents living within less than one kilometer from industrial areas had a higher prevalence of respiratory disorders compared to those residing farther away. The discussion highlights that industrial environmental exposure plays a dominant role in increasing the risk of respiratory disorders. Long-term exposure and close residential proximity to pollution sources intensify adverse health effects. Environmental factors were found to have a stronger influence than individual factors. This study concludes that effective control of industrial pollution and healthy spatial planning are essential to protect community health in industrial areas of Makassar City. The findings provide empirical evidence to support evidence-based environmental health policies at the local level.
Hubungan Sanitasi Lingkungan dengan Kejadian Stunting pada Balita di Desa Aikmel, Kabupaten Lombok Timur Ghazi Fathurrahman Alfarizi; Rayyan Dzakwan Prasetya
Journal of Applied Health Sciences Vol. 2 No. 2 (2026): Journal of Applied Health Sciences, May 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i2.260

Abstract

Stunting remains a major public health problem in Indonesia, particularly in areas with inadequate environmental sanitation. This study aims to analyze the relationship between environmental sanitation and the incidence of stunting among children under five in Aikmel Village, East Lombok Regency. This research employed an analytical observational design with a cross-sectional approach. The sample consisted of children aged 0–59 months selected using simple random sampling. Data were collected through anthropometric measurements, environmental sanitation observations, and structured interviews using questionnaires. Data analysis was conducted using univariate analysis, bivariate analysis with chi-square tests, and multivariate analysis with logistic regression. The results showed a significant relationship between environmental sanitation and stunting incidence (p < 0.05). Variables such as access to clean water, availability of latrines, and hygiene practices had significant effects on stunting. Children living in households with poor sanitation were more likely to experience stunting compared to those in households with adequate sanitation. Multivariate analysis indicated that access to clean water and latrine ownership were the most dominant factors influencing stunting. In conclusion, environmental sanitation is a key determinant of stunting. Efforts to prevent stunting should involve integrated interventions, including improving access to clean water, providing adequate sanitation facilities, and promoting healthy hygiene practices. The findings of this study are expected to contribute to evidence-based public health policy development for more effective stunting reduction programs.
Evaluasi Implementasi Rekam Medis Elektronik terhadap Efisiensi Pelayanan Pasien di Puskesmas Kecamatan Pontianak Selatan, Kota Pontianak Muhammad Fadhil Ramadhana; Dewi Kartika Lestari
Journal of Applied Health Sciences Vol. 2 No. 2 (2026): Journal of Applied Health Sciences, May 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i2.261

Abstract

This study aimed to evaluate the implementation of Electronic Medical Records on patient service efficiency at the South Pontianak District Public Health Center, Pontianak City. Digital transformation in primary healthcare requires administrative systems that are fast, accurate, and integrated. This research employed a quantitative approach with an analytical cross sectional design. The sample consisted of 32 healthcare professionals using the system and 210 outpatients selected through systematic random sampling. Independent variables included system quality, information quality, and service quality based on the information systems success model. The dependent variable was service efficiency measured by registration waiting time, data retrieval time, clinical service duration, and documentation error rate. Data were analyzed using descriptive statistics and multiple linear regression. The results indicated that Electronic Medical Record implementation was categorized as good with a mean score of 4.12. Registration waiting time decreased by 39.1 percent, data retrieval time decreased by 63.1 percent, and total service time decreased by 29.9 percent compared to the manual system. Documentation errors declined from 12.3 percent to 4.1 percent. Regression analysis revealed that system quality and information quality significantly influenced service efficiency, explaining 61 percent of the variance. This study concludes that Electronic Medical Record implementation significantly improves patient service efficiency at the primary healthcare level. Strengthening technical support and enhancing human resource capacity are necessary to sustain optimal system performance.
Faktor Risiko Lingkungan dan Perilaku terhadap Kejadian ISPA pada Anak Usia Balita di Lingkungan Karang Taliwang Timur, Kelurahan Karang Taliwang, Kota Mataram Kaizar Rafif Adiwangsa; Althaf Rasyid Pradipta
Journal of Applied Health Sciences Vol. 2 No. 2 (2026): Journal of Applied Health Sciences, May 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i2.278

Abstract

Acute Respiratory Infection (ARI) is one of the leading causes of morbidity among children under five in Indonesia, particularly in areas with poor environmental conditions and unhealthy behavioral practices. This study aimed to analyze environmental and behavioral risk factors associated with the incidence of ARI among under-five children in Karang Taliwang Timur, Karang Taliwang Subdistrict, Mataram City. This study employed an observational analytic design with a cross-sectional approach. The sample was selected using simple random sampling from the population of children aged 0–59 months. Data were collected through structured questionnaires and direct observation of household environmental conditions, then analyzed using chi-square tests and logistic regression. The results showed significant associations between environmental factors such as ventilation, housing density, humidity, lighting, and indoor smoke exposure with the incidence of ARI (p < 0.05). Behavioral factors including indoor smoking habits, use of traditional cooking fuels, mosquito coil usage, and maternal knowledge were also significantly associated with ARI incidence. Multivariate analysis revealed that house ventilation, exposure to cigarette smoke, and housing density were the most dominant factors influencing ARI among under-five children. In conclusion, ARI incidence among under-five children is influenced by the interaction between environmental and behavioral factors. Therefore, comprehensive interventions focusing on improving household environmental conditions and promoting healthy behaviors are essential to effectively reduce ARI incidence.
Pengaruh Program Posbindu PTM terhadap Pengendalian Hipertensi pada Kelompok Usia Produktif di Kecamatan Cimanggis, Kota Depok Ananda Putrabangsa; Azzahra Nabila
Journal of Applied Health Sciences Vol. 2 No. 2 (2026): Journal of Applied Health Sciences, May 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i2.283

Abstract

Hypertension is a major non communicable disease with an increasing prevalence among the productive age population, particularly in urban areas. Low rates of early detection and blood pressure control remain key challenges in reducing cardiovascular complications. The Integrated Development Post for Non Communicable Diseases program, known as Posbindu PTM, was developed as a community based promotive and preventive strategy to enhance screening, health education, and monitoring of hypertension risk factors. This study aimed to analyze the effect of the Posbindu PTM program on hypertension control among the productive age group in Cimanggis District, Depok City. This study employed a quantitative analytic observational design with a cross sectional approach. A total of 150 respondents aged 15 to 64 years who had attended Posbindu PTM activities at least once in the past six months were included. Data were collected using a structured questionnaire and standardized blood pressure measurements with a calibrated digital sphygmomanometer. Data analysis was conducted through univariate analysis, bivariate analysis using the Chi square test, and multivariate analysis using logistic regression to control for confounding variables including age, sex, body mass index, family history of hypertension, and smoking behavior. The results showed that 56 percent of respondents had controlled blood pressure. There was a statistically significant association between regular participation in Posbindu PTM and hypertension control with a p value less than 0.05. Logistic regression analysis indicated that respondents who regularly attended Posbindu PTM were 3.45 times more likely to achieve controlled blood pressure compared to those with low participation. Body mass index also had a significant influence on hypertension control status. This study concludes that the Posbindu PTM program has a positive and significant effect on hypertension control among the productive age population in an urban setting. Strengthening program implementation and increasing participation among the productive age group are essential strategies to prevent hypertension related complications and improve overall community health outcomes.
Hubungan Pola Konsumsi Makanan Cepat Saji dengan Risiko Obesitas pada Mahasiswa di Kecamatan Rappocini, Kota Makassar Ilham Zaydan Fadhlurrahman; Rafli Dzuhair Alfarabi
Journal of Applied Health Sciences Vol. 2 No. 2 (2026): Journal of Applied Health Sciences, May 2026
Publisher : Lembaga Penelitian dan Pendidikan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jahs.v2i2.284

Abstract

Obesity among university students has become an increasing public health concern due to changes in lifestyle and dietary patterns. Fast food, which is high in calories, fat, and sugar, is considered a major risk factor contributing to excessive weight gain. This study aims to analyze the relationship between fast food consumption patterns and the risk of obesity among students in Rappocini District, Makassar City. This research employed a quantitative design with a cross-sectional approach. A total of 150 students were selected using purposive sampling. Data were collected through structured questionnaires and anthropometric measurements to determine Body Mass Index (BMI). Data analysis was conducted using chi-square tests and logistic regression. The results showed that the majority of respondents had a high frequency of fast food consumption. Nutritional status distribution indicated that 48% of respondents were categorized as overweight and obese. Bivariate analysis revealed a significant relationship between fast food consumption patterns and obesity risk (p < 0.05). Multivariate analysis confirmed that fast food consumption is an independent risk factor for obesity, with more than twice the likelihood compared to those with lower consumption levels. In conclusion, fast food consumption patterns are significantly associated with obesity risk among university students. Preventive efforts should focus on improving dietary behavior through nutrition education, increasing access to healthy food options, and promoting physical activity within the campus environment.

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