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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 knowledge of anemia and attitudes toward adherence to iron supplementation among high school students: A cross-sectional study Anggaraini, Nova Dwi; Lestari, Dian
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: Iron deficiency anemia remains a major public health concern among adolescent girls, particularly in developing countries. Iron supplementation programs have been implemented to prevent anemia; however, adherence to iron tablet consumption among adolescents remains low despite educational efforts. Understanding behavioral determinants such as knowledge and attitudes is important for improving program effectiveness. Objective: To examine the relationship between knowledge of anemia and attitudes toward adherence to iron supplementation among female high school students. Methods: A quantitative analytic survey using a cross-sectional design was conducted from March to June 2025 at a senior high school in Ogan Komering Ulu Regency, South Sumatra, Indonesia. The study involved 57 female students selected through purposive sampling from grades X and XI. Data were collected using a validated structured questionnaire assessing knowledge about anemia, attitudes toward iron supplementation, and adherence to iron tablet consumption. Descriptive statistics were used for univariate analysis, while the Fisher Exact Test was applied to assess associations between variables due to unmet assumptions for the Pearson Chi-square test. Statistical analysis was performed using SPSS. Results: Most respondents demonstrated good knowledge about anemia (91.2%). However, adherence to iron supplementation was low, with 89.5% of respondents categorized as non-adherent. Bivariate analysis showed no significant association between knowledge and adherence to iron supplementation (p = 0.439). Similarly, no significant relationship was found between attitudes and adherence (p = 1.000). The findings indicate that adequate knowledge and attitudes alone may not be sufficient to influence adolescents’ compliance with iron supplementation programs. Conclusion: Knowledge and attitudes toward anemia were not significantly associated with adherence to iron supplementation among adolescent girls. Behavioral, environmental, and motivational factors may play a greater role in influencing adherence, suggesting that future interventions should integrate educational strategies with behavioral support mechanisms to improve program outcomes.
Knowledge of exclusive breastfeeding among primigravida mothers: A descriptive study Aulia, Siti
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 a key public health strategy for improving infant survival and promoting optimal growth and development. Breast milk provides complete nutrients and immunological protection that reduces the risk of infectious diseases and long-term health problems. Despite global recommendations for exclusive breastfeeding during the first six months of life, its implementation remains suboptimal in many settings. Maternal knowledge, particularly among primigravida mothers who experience pregnancy for the first time, is considered a critical factor influencing breastfeeding practices. Objective:To describe the level of knowledge regarding exclusive breastfeeding among primigravida mothers attending antenatal care services. Methods: A quantitative descriptive study was conducted in September 2025 in the working area of a Public Health Center (Puskesmas). The study involved 100 primigravida mothers attending antenatal care visits who were selected using consecutive sampling. Data were collected using a validated questionnaire consisting of 20 multiple-choice items covering the definition, benefits, duration, techniques, and barriers related to exclusive breastfeeding. Content validity was assessed by experts, and reliability testing showed a Cronbach’s alpha value above 0.7. Data were analyzed using univariate analysis to describe respondent characteristics and knowledge levels, which were categorized as good, moderate, or poor. Results: More than half of the respondents demonstrated good knowledge regarding exclusive breastfeeding (52%), while 38% had moderate knowledge and 10% had poor knowledge. Respondents correctly answered questions related to the definition of exclusive breastfeeding (90%), whereas knowledge regarding technical aspects such as breast milk storage and maternal benefits remained limited. Higher knowledge levels were more frequently observed among mothers with higher education (72%), employed mothers (65%), and those aged 20–30 years. Participation in antenatal maternal classes was also associated with a higher proportion of good knowledge. Conclusion: Primigravida mothers generally possess adequate knowledge of exclusive breastfeeding; however, disparities remain across educational level, employment status, age, and exposure to antenatal education. Strengthening antenatal health education programs and providing practical breastfeeding guidance are essential to improve maternal readiness and support the successful implementation of exclusive breastfeeding practices.
Self-efficacy of healthcare students in disaster preparedness and response: A descriptive study Al Maliki, Ali Hassan; Al Karbalaei, Zahra Ahmed; Al Samarrai, Mustaga Jassim
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 Criestina, Mari; Santos, Jose Antonio
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 Mehta, Arjun; Sharma, Priya; Petel, Rahul; Reddy, Ananya
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 but demonstrate resilience through social support and personal coping strategies.
The role of nurses in improving self-care for diabetes mellitus patients in primary care: A cross-sectional study Aulia, Siti; Rizky, Virza
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 represents a major global health challenge requiring continuous self-care management to prevent long-term complications. Primary health care services play a crucial role in supporting patient self-management through structured education and behavioral guidance. Nurses working in community health centers (Puskesmas) function as key facilitators in empowering patients to perform independent self-care practices. Objective: To analyze the role of nurses in improving self-care behaviors among patients with diabetes mellitus within the Puskesmas service area. Methods: A quantitative descriptive-analytic study with a cross-sectional design was conducted among patients with type 2 diabetes mellitus receiving treatment at a Puskesmas. Participants were selected using a consecutive sampling technique based on predefined inclusion criteria. Data were collected using two validated instruments: a nurse role questionnaire assessing educational, motivational, and facilitative roles, and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire measuring dietary management, physical activity, blood glucose monitoring, and foot care. Data were analyzed using descriptive statistics and bivariate analysis with the Chi-square test to determine associations between nursing roles and patient self-care behavior. Results: Most respondents perceived nurses’ roles positively, particularly in educational and motivational domains. The overall level of patient self-care was categorized as moderate, with the highest adherence observed in dietary management practices. Lower adherence was found in physical activity and foot care domains. Statistical analysis demonstrated a significant relationship between the active role of nurses and improved patient self-care behavior. Patients receiving comprehensive nursing education and motivational support were more likely to demonstrate regular blood glucose monitoring and consistent disease management practices. Conclusion: The role of nurses as educators and motivators contributes significantly to improving self-care independence among patients with diabetes mellitus at the primary health care level. Strengthening structured nursing interventions in community health services may enhance patient empowerment and reduce the risk of diabetes-related complications.
Urgency of equitable access to and quality of hemodialysis services at the community level Wabula, La Rakhmat
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

Chronic kidney disease (CKD) continues to increase in Indonesia and requires long-term kidney replacement therapy, particularly hemodialysis, to sustain patients’ lives. However, hemodialysis services remain largely centralized in urban hospitals, creating significant physical, financial, and psychological burdens for patients living in peri-urban and rural areas. Limited accessibility often reduces treatment adherence and negatively affects patients’ quality of life. This article highlights the urgency of expanding equitable access to hemodialysis services at the community level through the decentralization of dialysis units and the strengthening of community-based nursing roles. Community nurses play a critical role in patient education, self-management support, and continuity of care beyond the clinical setting. In addition, integrating psychosocial support, peer groups, and family involvement is essential to address the emotional challenges faced by hemodialysis patients. Strengthening community-level hemodialysis services is therefore a strategic approach to improve treatment accessibility, patient empowerment, and overall quality of life.
Perceptions of a peaceful death among Indonesian muslim nurses: A qualitative study Akbar, M Agung
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 Kastina, Kastina; Regina, Regina; Apriyadi, Iman
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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