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INDONESIA
Indonesian Journal of Health Services
Published by Science Center Group
ISSN : -     EISSN : 30891590     DOI : https://doi.org/10.63202/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
The Indonesian Journal of Health Services (IJHS) is committed to advancing research that supports the Sustainable Development Goals (SDGs), particularly SDG 3: "Good Health and Well-being." The journal focuses on a broad range of topics within health services and public health that address critical healthcare needs in Indonesia, Asia and also worldwide to contributing to global health improvement. The following are the primary areas of focus and scope for IJHS: Health Policy and Governance Research on policy development, healthcare regulation, and the impact of governance on health service quality, access, and equity. Healthcare Management and Quality Improvement Studies on healthcare organization, management practices, and strategies for quality improvement in health facilities and health systems. Primary Healthcare and Community Health Services Focus on strengthening primary healthcare and community-based health services, including maternal and child health, elderly care, and disease prevention. Public Health and Epidemiology Research on public health issues, epidemiological studies, and surveillance of infectious and noncommunicable diseases relevant to the region. Health Economics and Financing Economic analyses of healthcare costs, financing models, resource allocation, and economic impact of health policies. Environmental Health and Occupational Health Studies on the health impact of environmental factors, occupational hazards, climate change, and sustainable practices in healthcare. Healthcare Equity and Social Determinants of Health Research that addresses health disparities, social determinants of health, and initiatives to improve healthcare equity and access for vulnerable populations. Digital Health and Health Informatics Exploration of digital innovations in healthcare, such as telemedicine, electronic health records, and the application of artificial intelligence in healthcare delivery. Mental Health and Psychosocial Support Studies on mental health services, access to psychosocial support, and the integration of mental health into primary healthcare systems. Health Education and Health Promotion Research on effective health education, community health promotion programs, and interventions that encourage healthy behaviors and lifestyle changes.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 45 Documents
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Relationship between self-efficacy and self-care management of type 2 diabetes mellitus patients: A cross-sectional study Martadinata, Umar Hasan; Soares, Domingos
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.1

Abstract

Background: Type 2 diabetes mellitus represents a major global health problem that requires continuous self-management to prevent complications and improve quality of life. Effective diabetes management depends not only on medical treatment but also on patients’ behavioral and psychological readiness, particularly self-efficacy in performing daily self-care activities. Objective: This study aimed to analyze the relationship between self-efficacy and self-care management among patients with type 2 diabetes mellitus. Methods: This study employed an analytical cross-sectional design conducted in the working area of Lubuk Batang Primary Health Center. The study population consisted of patients diagnosed with type 2 diabetes mellitus, and a total of 93 respondents were selected using the Slovin formula. Inclusion criteria included individuals aged ≥19 years, diagnosed with diabetes mellitus without acute complications, and willing to participate in the study. Data were collected using the Diabetes Management Self-Efficacy Scale (DMSES) and the Diabetes Self-Management Instrument (DSMI). Data analysis included univariate analysis to describe the characteristics of the variables and bivariate analysis using the Chi-square test to examine the relationship between self-efficacy and diabetes self-care management. Results: The results showed that most respondents demonstrated good self-efficacy (64.5%), while the majority of respondents had moderate levels of diabetes self-care management (60.2%). Bivariate analysis revealed a statistically significant relationship between self-efficacy and diabetes self-care management (p = 0.017). Patients with higher self-efficacy were more likely to demonstrate better diabetes self-care management compared with those with lower self-efficacy. Conclusion: Self-efficacy has a significant relationship with diabetes self-care management among patients with type 2 diabetes mellitus. Strengthening patient self-efficacy may improve diabetes self-management behaviors and support better disease control in primary healthcare settings.
Strategies to address stigma and discrimination of people with HIV/AIDS through community system strengthening Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.2

Abstract

The COVID-19 pandemic has diverted attention from the HIV/AIDS epidemic, despite the ongoing need for substantial attention. In Indonesia, HIV/AIDS cases continue to fluctuate, with a significant cumulative number, highlighting the importance of community involvement in prevention and treatment efforts. The main barrier to addressing HIV/AIDS is the stigma and discrimination faced by People Living with HIV/AIDS (PLWHA), which hinders their access to healthcare services and social support. This article examines the approach of Community System Strengthening as a strategy to reduce stigma and discrimination against PLWHA. Through education, community involvement, and continuous counseling, it is hoped that society can become more supportive and reduce the social stigma PLWHA face. This study also provides community-based intervention guidelines as a solution to enhance the health and well-being of PLWHA in Indonesia.
Relationship between knowledge and adherence of type 2 diabetes mellitus patients in treatment: A cross-sectional study Akbar, M Agung; Harto, Toto; Al Hakim, Abdul Rahman
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.3

Abstract

Background: Type 2 diabetes mellitus is a chronic metabolic disorder that requires long-term pharmacological treatment and sustained adherence to therapy to achieve optimal glycemic control and prevent complications. However, many patients experience difficulties maintaining consistent treatment adherence, which may worsen disease outcomes. Patient knowledge regarding diabetes management is considered an important factor influencing adherence behavior. Understanding the relationship between knowledge and treatment adherence is therefore essential for improving diabetes management strategies in primary healthcare settings. Objective: This study aimed to analyze the relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus in a primary healthcare setting. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. The research was conducted in October 2022 in the working area of UPTD Puskesmas Tanjung Baru. The study population consisted of patients diagnosed with type 2 diabetes mellitus, and a total of 30 respondents were included using a total sampling technique. The independent variable was patient knowledge regarding diabetes mellitus, while the dependent variable was treatment adherence. Data were collected using structured questionnaires and adherence checklists. Descriptive statistics were used to summarize respondent characteristics, and bivariate analysis was performed using the Chi-square test with a significance level of α = 0.05. Statistical analysis was conducted using SPSS software. Results: The results showed that most respondents had a moderate level of knowledge (43.3%), followed by good knowledge (33.3%) and poor knowledge (23.3%). Regarding treatment adherence, the majority of respondents demonstrated moderate adherence (53.3%), while 26.7% were categorized as adherent and 20.0% were non-adherent. The Chi-square test indicated a statistically significant relationship between knowledge and treatment adherence among patients with type 2 diabetes mellitus (p = 0.011). Respondents with higher knowledge levels tended to demonstrate better adherence to diabetes treatment. Conclusion: Knowledge level is significantly associated with treatment adherence among patients with type 2 diabetes mellitus. Improving patient knowledge through targeted education and counseling programs may enhance treatment adherence and support better diabetes management outcomes in primary healthcare settings.
Relationship between knowledge level and smoking habit behavior with the incidence of pulmonary tuberculosis patients: A cross-sectional study Nurhayati, Nurhayati; Febrianti, Febrianti
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.4

Abstract

Background: Pulmonary tuberculosis remains one of the leading infectious diseases contributing to the global health burden. Behavioral factors such as smoking habits and inadequate knowledge about the disease may increase individual susceptibility to Mycobacterium tuberculosis infection. Understanding the relationship between knowledge level and smoking behavior with pulmonary tuberculosis incidence is important to strengthen behavior-based prevention strategies in tuberculosis control. Objective: This study aimed to analyze the relationship between knowledge level and smoking habit behavior with the incidence of pulmonary tuberculosis patients. Methods: This study employed a quantitative descriptive design with a cross-sectional approach. The sample consisted of 32 pulmonary tuberculosis patients selected using an accidental sampling technique. The independent variables were knowledge level and smoking habit behavior, while the dependent variable was pulmonary tuberculosis incidence. Data were collected using structured questionnaires and checklists developed by the researchers. Data analysis was performed using the Chi-square test with SPSS software at a significance level of α = 0.05. Results: The results showed that among 32 respondents, 43.8% were diagnosed with pulmonary tuberculosis. Most respondents had poor knowledge levels (59.4%) and unfavorable smoking behaviors (59.4%). Bivariate analysis indicated a significant relationship between knowledge level and pulmonary tuberculosis incidence (p = 0.020). Smoking habit behavior also demonstrated a significant association with pulmonary tuberculosis incidence (p = 0.020). Conclusion: Knowledge level and smoking habit behavior are significantly associated with pulmonary tuberculosis incidence. Strengthening community knowledge and implementing smoking cessation interventions are important components in pulmonary tuberculosis prevention and control programs.
Effect of diaphragmatic breathing exercise on respiratory rate and oxygen saturation in patients with bronchial asthma KK, Indra Frana Jaya
Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i1.5

Abstract

Background: Asthma is a chronic respiratory disorder characterized by airway narrowing and increased airway resistance, leading to recurrent episodes of dyspnea, wheezing, chest tightness, and coughing. Effective nursing management of asthma requires the identification and control of trigger factors as well as supportive interventions to improve respiratory function. One non-pharmacological intervention that can be applied in nursing care is the Diaphragmatic Breathing Exercise, which aims to enhance ventilation efficiency and oxygenation. Objective: This study aimed to analyze the effect of diaphragmatic breathing exercise on respiratory rate and oxygen saturation in patients with bronchial asthma. Methods: This study employed a quasi-experimental approach using a one-group pretest–posttest design. A total of 37 patients diagnosed with bronchial asthma were recruited using purposive sampling. Participants received the diaphragmatic breathing exercise intervention. Data were collected by measuring respiratory rate and oxygen saturation before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test to determine differences between pretest and posttest values. Results: The findings indicated a significant improvement in respiratory parameters after the intervention. The mean respiratory rate decreased from 24.95 (SD = 1.649) at pretest to 17.54 (SD = 1.789) at posttest, showing a statistically significant difference (p = 0.000). Oxygen saturation also demonstrated a significant change, with a mean pretest value of 96.16 (SD = 1.068) and a posttest value of 98.62 (SD = 0.681) (p = 0.000). These results suggest that diaphragmatic breathing exercise contributes to improved respiratory efficiency and oxygenation among patients with bronchial asthma. Conclusion: The implementation of diaphragmatic breathing exercise significantly reduces respiratory rate and improves oxygen saturation in patients with bronchial asthma. This intervention can be incorporated into nursing care as a simple, non-pharmacological strategy to enhance respiratory function and support holistic patient management. Nurses are encouraged to provide education and training on diaphragmatic breathing exercises as part of comprehensive asthma care.
Implementation of red rice consumption education for diabetes mellitus patients: A case study Bastian, Angga Densi; Budianto, Yudi; Zulkifli, Ahmad Firdaus Bin
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.6

Abstract

Background: Dietary management represents a fundamental component of diabetes care because carbohydrate intake significantly influences postprandial blood glucose levels. In many Asian countries, white rice remains the primary carbohydrate source, which may contribute to higher glycemic responses. Whole grain rice varieties such as red rice contain higher levels of dietary fiber and bioactive compounds that may help regulate blood glucose levels. Therefore, patient education regarding healthier carbohydrate alternatives is essential to support effective diabetes self-management. Objective: This study aimed to examine the implementation of red rice consumption education for diabetes mellitus patients and explore its potential role in supporting blood glucose control in a primary healthcare setting. Methods: This study used a descriptive case study design conducted in the working area of the UPTD Tanjung Baru Community Health Center from February to March 2022. Two patients diagnosed with diabetes mellitus who met predetermined inclusion criteria were recruited as study participants. The intervention consisted of structured education on the nutritional benefits of red rice and guidance on incorporating red rice into daily dietary patterns. Data were collected through observation, structured interviews, documentation review, and literature analysis. The nursing care process included patient assessment, nursing diagnosis formulation, care planning, intervention implementation, and evaluation of patient responses. Results: Baseline assessment indicated that both participants had limited knowledge regarding appropriate dietary management for diabetes mellitus and were uncertain about strategies to control blood glucose levels. Following the educational intervention, participants demonstrated increased awareness of dietary management and greater interest in adopting red rice as an alternative carbohydrate source. Although the nursing problem related to knowledge deficit was not fully resolved during the observation period, participants showed improved understanding of healthy dietary practices and expressed willingness to modify their eating habits. Conclusion: Educational intervention focusing on red rice consumption may improve dietary awareness and support glycemic management among patients with diabetes mellitus. Integrating nutrition education into nursing care programs in primary healthcare settings may contribute to improved diabetes self-management and healthier dietary behaviors.
Turning evidence into action: The role of research in shaping policy Akbar, M Agung
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.12

Abstract

Evidence-based policy is essential for addressing complex global challenges such as health crises, climate change, and social inequalities. Despite its importance, translating research findings into effective public policy remains difficult due to gaps between researchers and policy makers, including differences in language, priorities, and working approaches. Strengthening communication and collaboration between academia and government is necessary to ensure that scientific evidence can inform policy decisions. Institutional mechanisms, adequate funding, and research agendas aligned with societal needs are also crucial to support evidence-based decision making. Strong synergy between research and policy will enable governments to develop more responsive, effective, and sustainable public policies.
Complementary massage therapy intervention for hypertensive patients to lower blood pressure: A case study Oktarisa, Yunika; Budianto, Yudi
Indonesian Journal of Health Services Vol. 1 No. 2 (2024): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i2.13

Abstract

Background: Hypertension remains a major public health problem that contributes to cardiovascular morbidity and mortality worldwide. Pharmacological therapy is widely used to control blood pressure, yet many patients continue to experience symptoms such as headache and psychological stress. Complementary interventions including massage therapy have gained attention because they promote relaxation and improve cardiovascular regulation. Objective: This study aimed to explore the implementation of complementary massage therapy intervention for hypertensive patients to lower blood pressure through a nursing case study approach. Methods: This study used a case study design following the CARE guideline from the EQUATOR Network. Two hypertensive patients who received nursing care at Puskesmas Tanjung Baru in 2022 were included. Nursing care followed the nursing process including assessment, nursing diagnosis, intervention, implementation, and evaluation. The complementary intervention consisted of Swedish massage therapy applied for 20–30 minutes. Blood pressure and clinical indicators were measured before and after the intervention using standard vital sign monitoring procedures. Results: The intervention showed improvements in blood pressure and clinical symptoms in both patients. Patient A demonstrated a reduction in blood pressure from 160/90 mmHg to 140/90 mmHg, while Patient B experienced a decrease from 150/90 mmHg to 130/80 mmHg. Both patients also reported reductions in headache intensity and improved relaxation following the intervention. Conclusion: Complementary massage therapy appears to provide beneficial effects in lowering blood pressure and reducing symptoms among hypertensive patients. This intervention may serve as a supportive nursing strategy in primary healthcare settings to enhance holistic hypertension management.
Management of hyperthermia with the application of tepid water sponge in pediatric patients with hyperthermia: A case study Agustina, Winda; Angela, Victoria
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.14

Abstract

Background: Hyperthermia in children with typhoid fever requires timely and safe management because elevated body temperature may increase discomfort, raise metabolic demand, and interfere with recovery. Non-pharmacological measures such as tepid water sponge represent a simple nursing intervention that is feasible and relevant in primary care settings. Objective: To analyze the application of tepid water sponge in the management of hyperthermia among pediatric patients with typhoid fever using a case study approach. Methods: This study used a descriptive case study design involving two pediatric patients aged 5–11 years with typhoid fever and body temperature above 37°C in the working area of UPTD Puskesmas Tanjung Baru from 28 to 31 May 2022. Data were collected through observation, interviews, documentation review, and implementation of the nursing process, including assessment, diagnosis, intervention, implementation, and evaluation. The main intervention was tepid water sponge as part of hyperthermia management. Results: Both patients showed gradual reductions in body temperature over three days of care. In the first case, body temperature decreased from 38.5°C on day 1 to 37.2°C on day 2 and 36.0°C on day 3. In the second case, body temperature decreased from 39.0°C on day 1 to 37.5°C on day 2 and 36.5°C on day 3. Differences in response appeared to be related to the child’s cooperation, medication adherence, fluid intake, and family understanding of hyperthermia management. Conclusion: Tepid water sponge may serve as a supportive nursing intervention to reduce body temperature in children with hyperthermia due to typhoid fever. Its effectiveness should be supported by appropriate monitoring, family education, and active caregiver involvement during care.
Implementation of hyperthermia management with warm compress technique in fever convulsive children: A case study Setiawati, Shella; Ferdi, Roni; Jian, Lim Wei
Indonesian Journal of Health Services Vol. 1 No. 3 (2024): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i3.15

Abstract

Background: Hyperthermia in children with febrile seizures represents a critical clinical condition that requires prompt and appropriate management to prevent complications. Pediatric thermoregulation remains physiologically immature, which increases vulnerability to temperature instability and neurological disturbances during fever episodes. Effective nursing interventions are therefore essential for controlling body temperature in pediatric patients experiencing febrile seizures. Objective: This study aimed to explore the implementation of hyperthermia management using warm compress techniques in children with febrile convulsions through a case study approach. Methods: This study employed a descriptive case study design involving two pediatric patients aged 6 months to 5 years who experienced febrile seizures. The study was conducted in the working area of UPTD Tanjung Baru in June 2022. Data were collected through nursing assessment, observation, interviews with caregivers, and documentation review. The intervention consisted of hyperthermia management using warm compress techniques combined with nursing observation and caregiver education. Results: The initial assessment indicated that both patients experienced severe hyperthermia with body temperatures above 40°C. Following the implementation of warm compress interventions, body temperatures decreased to normal ranges, reaching 36.5°C in Patient A and 36.0°C in Patient R. Clinical evaluation demonstrated improved physiological stability and caregiver-reported improvement in the children’s conditions. Conclusion: Warm compress techniques represent an effective non-pharmacological nursing intervention for reducing hyperthermia in children with febrile seizures. The implementation of structured nursing care and caregiver education contributes to improved pediatric fever management in primary healthcare settings.

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