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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 40 Documents
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The Relationship Between Knowledge of Anemia and Attitudes Toward Adherence to Iron Supplementation Among High School Students Nova Dwi Anggaraini; Dian Lestari
Indonesian Journal of Health Services Vol. 2 No. 3 (2025): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i3.108

Abstract

Background: Anemia affects nearly one-third (33%) of women of reproductive age (15–49 years) worldwide, indirectly threatening child nutrition and overall public health. Globally, the prevalence of anemia among adolescent girls varies. In 2019, approximately 36.5% of pregnant adolescents, 29.6% of non-pregnant women, and 39.8% of children aged 6–59 months were diagnosed with anemia (WHO, 2021). Purpose: This study aimed to analyze the relationship between knowledge of anemia and attitudes toward the compliance of iron supplement tablet consumption among adolescent girls. Methods: This research employed an analytic observational design with a cross-sectional approach. The sample consisted of 57 female students from grades X and XI at Senior High School, selected through purposive sampling. Data were collected using a structured questionnaire to assess knowledge, attitudes, and compliance, and analyzed using the Chi-square test. Results: Univariate analysis showed that most respondents had good knowledge (91.2%), poor attitudes (64.9%), and low compliance in taking iron supplements (89.5%). Bivariate analysis revealed no significant relationship between knowledge (p = 0.439) and attitudes (p = 1.000) with compliance. Conclusion: It can be concluded that there is no significant relationship between knowledge of anemia and attitudes with compliance in taking iron supplement tablets among female students at Senior High School in 2025.
Knowledge of Exclusive Breastfeeding Among Primigravida Mothers: A Descriptive Study Siti Aulia
Indonesian Journal of Health Services Vol. 2 No. 3 (2025): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i3.109

Abstract

Background: Exclusive breastfeeding is an essential intervention to reduce infant morbidity and mortality, yet its coverage in Indonesia remains suboptimal. Maternal knowledge, particularly among primigravida women, is a fundamental factor influencing successful breastfeeding practices. Objective: This study aimed to describe the knowledge level of primigravida mothers regarding exclusive breastfeeding. Methods: A quantitative descriptive design was applied in September 2025 at a public health center. A total of 100 primigravida mothers were recruited using consecutive sampling based on inclusion criteria. Data were collected using a validated and reliable knowledge questionnaire on exclusive breastfeeding. Univariate analysis was performed using frequency distribution and percentage. Results: Most respondents had good knowledge (52%), while 38% had moderate knowledge and 10% had poor knowledge. Educational level and occupation were associated with knowledge variations, where higher education and employment were linked to better knowledge. Age also influenced knowledge, with the 20–30 years age group dominating the good knowledge category. Participation in antenatal classes showed a positive association with higher knowledge levels.  Conclusion: Primigravida mothers’ knowledge of exclusive breastfeeding was generally good, although a proportion still had moderate and poor knowledge. Strengthening antenatal education, particularly for young and less-educated primigravida mothers, is recommended, along with practical simulations to enhance understanding. Future studies should examine the relationship between knowledge and actual breastfeeding practices.
Self-Efficacy of Healthcare Students in Disaster Preparedness and Response: A Descriptive Study Ali Hassan Al Maliki; Zahra Ahmed Al Karbalaei; Mustaga Jassim Al Samarrai
Indonesian Journal of Health Services Vol. 2 No. 3 (2025): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i3.110

Abstract

Background: Disasters present significant global health challenges, demanding well-prepared healthcare professionals with strong self-efficacy in preparedness and response. Previous studies highlight gaps between theoretical knowledge and practical readiness, underscoring the need to evaluate disaster response self-efficacy among healthcare students. Objective: This study aimed to assess the self-efficacy of healthcare students in disaster preparedness and response and to identify factors influencing their confidence in managing disaster situations. Methods: A descriptive cross-sectional design was employed among 312 healthcare students from nursing, medical, and allied health programs. Data were collected using a structured questionnaire that included demographic information and the validated Disaster Response Self-Efficacy Scale. Descriptive statistics summarized the data, while inferential analyses, including t-tests, ANOVA, and regression, identified differences and predictors of self-efficacy. Ethical approval was obtained, and informed consent was secured from all participants. Results: The overall mean score of disaster response self-efficacy was moderate (3.41 ± 0.75). Preparedness and knowledge scored highest, while coordination and leadership scored lowest. Significant differences were found across disciplines, with nursing students reporting higher self-efficacy than allied health students. Gender differences indicated that male students were more confident in leadership-related domains. Regression analysis revealed that academic year, prior disaster-related training, and participation in simulation exercises were strong predictors of self-efficacy. Conclusion: Healthcare students possess adequate theoretical knowledge but remain limited in practical disaster readiness, particularly in coordination and leadership. Academic progression and experiential learning enhance self-efficacy, while gender disparities reflect socio-cultural influences. 
Exploring Nurses’ Attitudes Toward Geriatric Care: A Qualitative Study Mari Criestina; Jose Antonio Santos
Indonesian Journal of Health Services Vol. 2 No. 3 (2025): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i3.111

Abstract

Background: The ageing population worldwide has created increasing demands on healthcare systems, particularly in low- and middle-income countries where geriatric services are underdeveloped. Nurses play a pivotal role in caring for older adults, yet their attitudes and preparedness remain inconsistent due to limited training, systemic constraints, and emotional challenges. Objective: This study aimed to explore nurses’ attitudes toward geriatric care and to identify the factors that influence their perceptions and practices. Methods: A qualitative descriptive exploratory design was employed in selected hospitals providing adult and geriatric care. Eighteen nurses were recruited using purposive sampling, with inclusion criteria of at least one year of clinical experience and direct involvement in elderly care. Data were collected through semi-structured, in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured through member checking, peer debriefing, and an audit trail. Results: Four major themes emerged: perceptions of ageing and older adults, professional challenges in care delivery, emotional and relational dimensions of care, and opportunities for improvement in geriatric nursing practice. Nurses demonstrated empathy and respect toward older adults but faced barriers such as high workload, limited gerontological training, communication difficulties, and lack of institutional support. Despite these challenges, participants described meaningful relationships and rewarding experiences that reinforced their professional commitment. Conclusion: Nurses’ attitudes toward geriatric care are shaped by a balance between compassion and systemic limitations. Positive attitudes were linked to personal values and cultural respect for elders, while negative experiences stemmed from institutional gaps and insufficient preparedness. Strengthening gerontological education, providing continuous professional development, enhancing institutional support, and prioritizing geriatric services in health policy are essential to foster positive professional attitudes and ensure quality care for ageing populations.
Lived Experiences of Patients with Hypertension in Managing Daily Life Challenges: A Phenomenological Study Arjun Mehta; Priya Sharma; Rahul Petel; Ananya Reddy
Indonesian Journal of Health Services Vol. 2 No. 3 (2025): July - September
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i3.112

Abstract

Background: Hypertension is a major global health problem that not only leads to serious medical complications but also significantly impacts patients’ psychological, social, and daily life functioning. Despite the availability of effective pharmacological and non-pharmacological interventions, many individuals continue to struggle with uncontrolled blood pressure due to lifestyle, emotional, and systemic barriers. Understanding the lived experiences of patients is crucial for developing patient-centered interventions. Objective: This study aimed to explore the lived experiences of patients with hypertension in managing daily life challenges, focusing on their burdens, coping strategies, and interactions with healthcare systems. Methods: A qualitative study with a phenomenological approach was conducted in a referral hospital and selected community health centers. A total of 18 participants with a confirmed diagnosis of hypertension were recruited purposively. Data were collected through in-depth, semi-structured interviews and analyzed using Colaizzi’s descriptive phenomenological method. Themes and subthemes were developed to capture participants’ voices and experiences. Results: Three major themes emerged: (1) physical and emotional burdens, which included disruption of daily activities and fear of complications; (2) navigating lifestyle modifications, encompassing struggles with dietary restrictions and difficulties in maintaining medication and exercise routines; and (3) coping strategies and sources of resilience, which highlighted the role of social and familial support and spiritual as well as personal coping mechanisms. These themes demonstrated that patients face persistent barriers in managing hypertension but also develop adaptive strategies to sustain daily life. Conclusion: Living with hypertension involves multidimensional challenges beyond biomedical management, including psychological, social, cultural, and spiritual aspects. Patients often struggle with adherence to treatment and lifestyle modifications 
The role of nurses in improving self-care for diabetes mellitus patients in primary care: A cross-sectional study Siti Aulia; Virza Rizky
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.122

Abstract

Background: Diabetes mellitus is a global health problem that requires strict self-care management to prevent complications. Nurses in Community Health Centers (Puskesmas) have a strategic role as educators and motivators in improving patient independence. Objective: This study aims to analyze the role of nurses in improving the self-care of diabetes mellitus patients in the Puskesmas working area. Methods: This study used a descriptive-analytic quantitative design with a cross-sectional approach. Samples were selected using a consecutive sampling technique among type 2 diabetes patients in the Puskesmas working area. Research instruments included a nurse role questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Results: The majority of respondents gave a positive perception of the nurse's role as educator and motivator. The patient's self-care level was in the sufficient category, with the highest compliance in the diet management domain. Analysis showed a significant correlation between the active role of nurses and the improvement of patients' independent self-care behavior.  Conclusion: The optimal role of nurses as agents of change contributes significantly to improving the health status and independence of diabetes patients at the primary care level.
Urgency of equitable access to and quality of hemodialysis services at the community level La Rakhmat Wabula
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.123

Abstract

N/A
Perceptions of a peaceful death among Indonesian muslim nurses: A qualitative study M Agung Akbar
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.124

Abstract

Background: Nurses, as frontline healthcare providers, play a pivotal role in shaping patients’ end-of-life experiences. In Indonesia, where Islam is the predominant religion, nurses’ perceptions of a peaceful death are closely intertwined with religious and cultural values. However, empirical evidence exploring peaceful death from the perspective of Indonesian Muslim nurses remains limited. Objective: This study aimed to explore in depth the perceptions of a peaceful death among Indonesian Muslim nurses within the context of end-of-life care. Methods: This study employed a qualitative exploratory descriptive design. Participants were Muslim nurses with experience in caring for terminally ill patients and were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Four main themes emerged from the data analysis: (1) acceptance of death as a divine decree, (2) peaceful death as freedom from unnecessary suffering, (3) the central role of family and interpersonal relationships, and (4) the professional role of nurses in facilitating a dignified death. These themes illustrate that a peaceful death is perceived as an integration of spiritual, physical, emotional, relational, and professional dimensions of care. Conclusion: Indonesian Muslim nurses perceive a peaceful death as a holistic process emphasizing spiritual acceptance, patient comfort, family support, and dignified nursing care. These findings highlight the importance of culturally and spiritually sensitive palliative nursing practices. 
Application of hold finger therapy in patients with fracture pain: A nursing case study Indra Frana Jaya KK; Kastina Kastina; Regina Regina; Iman Apriyadi
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.125

Abstract

Background: Fracture-related pain is a common clinical problem experienced by patients following surgical procedures or traumatic injuries, which may hinder recovery and early mobilization. In addition to pharmacological treatment, non-pharmacological interventions are essential as part of holistic nursing care. One relaxation technique that can be implemented by nurses is hold finger therapy, which has the potential to reduce pain perception through relaxation mechanisms and sensory stimulation. Objective: This study aimed to describe the application of hold finger therapy and evaluate its effect on pain intensity in patients with fracture pain using a nursing case study approach. Methods: This study employed a case study design involving two patients with fracture-related conditions, including a post–Open Reduction Internal Fixation (ORIF) malunion of the right humerus and a patient with suspected nasal fracture. Hold finger therapy was administered over three consecutive days with two sessions per day. Pain intensity was measured using the Numeric Rating Scale (NRS) before the intervention and after the final session. Data were analyzed descriptively by comparing pre- and post-intervention pain scores. Results: The findings demonstrated a reduction in pain intensity in both patients following the implementation of hold finger therapy. Pain scores decreased from 7 to 4 in the first patient and from 5 to 2 in the second patient. Patients also reported increased comfort, relaxation, and improved ability to perform gradual mobilization. Conclusion: Hold finger therapy is effective as a non-pharmacological nursing intervention for reducing pain in patients with fracture-related conditions. This technique supports holistic nursing care by enhancing patient comfort and pain control.
Relationship between social support and loneliness among older adults: A cross-sectional study Yuliana Yuliana
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.127

Abstract

Background: Loneliness is a prevalent psychosocial problem among older adults and is associated with adverse mental health and quality of life outcomes. Social support has been identified as a potential protective factor that may reduce loneliness in later life; however, empirical evidence among community-dwelling older adults remains limited, particularly in non-institutional settings.Objective: This study aimed to examine the relationship between social support and loneliness among community-dwelling older adults.Methods: This study employed a cross-sectional design involving older adults aged 60 years and above living in the community. Participants were recruited using a non-probability sampling approach based on predefined inclusion criteria. Data were collected through face-to-face interviews using standardized questionnaires to assess perceived social support and loneliness. Descriptive statistics were used to summarize participant characteristics and key variables. Bivariate analysis was conducted to examine the relationship between social support and loneliness.Results: The findings showed that loneliness was prevalent among community-dwelling older adults, with varying levels across the study population. Perceived social support differed according to living arrangements and social participation. Higher levels of perceived social support were significantly associated with lower levels of loneliness. Emotional support demonstrated a stronger association with reduced loneliness compared to other forms of support. The relationship between social support and loneliness remained consistent across selected sociodemographic characteristics.Conclusion: Social support has a significant inverse relationship with loneliness among community-dwelling older adults. Older adults with stronger perceived social support experience lower levels of loneliness.

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