Indonesian Journal of Health Services
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.
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<![CDATA[Relationship between self-efficacy and self-care management of type 2 diabetes mellitus patients: A cross-sectional study ]]>
<![CDATA[Martadinata, Umar Hasan]]>;
<![CDATA[Soares, Domingos]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i1.1
<![CDATA[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.]]>
<![CDATA[Strategies to address stigma and discrimination of people with HIV/AIDS through community system strengthening ]]>
<![CDATA[Akbar, M Agung]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i1.2
<![CDATA[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.]]>
<![CDATA[Relationship between knowledge and adherence of type 2 diabetes mellitus patients in treatment: A cross-sectional study ]]>
<![CDATA[Akbar, M Agung]]>;
<![CDATA[Harto, Toto]]>;
<![CDATA[Al Hakim, Abdul Rahman]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i1.3
<![CDATA[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.]]>
<![CDATA[Relationship between knowledge level and smoking habit behavior with the incidence of pulmonary tuberculosis patients: A cross-sectional study ]]>
<![CDATA[Nurhayati, Nurhayati]]>;
<![CDATA[Febrianti, Febrianti]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March ]]>
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DOI: 10.63202/ijhs.v1i1.4
<![CDATA[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.]]>
<![CDATA[Effect of diaphragmatic breathing exercise on respiratory rate and oxygen saturation in patients with bronchial asthma ]]>
<![CDATA[KK, Indra Frana Jaya]]>
<![CDATA[ Indonesian Journal of Health Services Vol. 1 No. 1 (2024): January - March ]]>
Publisher : <![CDATA[Science Center Group ]]>
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DOI: 10.63202/ijhs.v1i1.5
<![CDATA[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.]]>
