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Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Published by Politeknik Sandi Karsa Makassar
ISSN : 23546093     EISSN : 26544563     DOI : https://doi.org/10.35816/jiksh
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
The scope of this journal includes research that intends to review and understand nursing health care interventions and health policies that utilize advanced nursing research from an Asian perspective. The Sandi Husada Health Scientific Journal publishes research related to clinical, community, and health policy settings in Asia from a comparative and international perspective. We aim to evaluate and understand complex nursing care interventions on Nursing Fundamentals, Clinical Nursing, Community, and mental health nursing. The journal is also committed to improving high-quality research by publishing analytical research techniques, measures, and methods, including systematic review papers. Nursing, public health; public health nursing, home care nursing; midwifery, medical health, health policy administration, and pharmaceutical nursing. The journal prioritizes manuscripts with strong methodological rigor, ethical compliance, and clear implications for practice, policy, or future research.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 46 Documents
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Effectiveness of audio-visual and poster media in improving handwashing knowledge among adolescents Farida Latif; Sri Wahyuni; Sarifudin Andi Latif
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.282

Abstract

Introduction: Handwashing with soap (HWWS) is a key indicator of clean and healthy living behavior and plays a crucial role in preventing infectious diseases among adolescents. Schools are strategic settings for health promotion, and educational media such as audiovisual materials and posters are widely used to improve students’ knowledge and hygiene practices. This study aimed to determine the effectiveness of health education using audiovisual media and posters in increasing adolescents’ knowledge of HWWS. Methods: This quasi-experimental study employed a one-group pretest–posttest design involving 37 eighth-grade students at SMPN 5 Kendari. Participants received health education delivered through audiovisual media and posters. Knowledge was assessed using pretest and posttest questionnaires. Data were analyzed using univariate and bivariate methods, including the Wilcoxon Signed Rank Test due to non-normal data distribution. Results: The findings showed an increase in the mean knowledge score from 56.89 to 63.78 after exposure to audiovisual media, and from 57.43 to 74.46 after exposure to poster media. The Wilcoxon test indicated significant differences between pretest and posttest scores for both press (p = 0.000), confirming the effectiveness of both approaches. Poster media demonstrated a greater improvement in students’ HWWS knowledge compared to audiovisual media. Conclusion: Health education using both audiovisual and poster media effectively increased adolescents’ HWWS knowledge, with poster media showing superior impact. These results highlight the importance of utilizing a variety of educational tools in school-based hygiene promotion. Schools are encouraged to integrate both media regularly in health education activities and collaborate with local health centers to promote continuous HWWS. Future studies should explore more advanced audiovisual content and evaluate long-term behavioral changes among students.
Socioeconomic and educational determinants of nutritional status among children under five Esmiralda; Nursyahraeni; Hasnidar; Sulfianti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.283

Abstract

Introduction: Nutritional status in children under five remains a critical public health concern, especially in low- and middle-income countries. Socioeconomic and educational factors play a pivotal role in determining nutritional outcomes. This study aimed to investigate the relationship between socioeconomic status, parental education, and the nutritional status of children aged five and under. Methods: A cross-sectional design was employed, involving 150 children aged 6–59 months. Data were collected through structured questionnaires assessing parental education, household income, and other demographic factors. Nutritional status was assessed using anthropometric indicators, including weight-for-age, height-for-age, and weight-for-height, based on the WHO growth standards. Data analysis used chi-square and logistic regression to identify significant associations. Results: The study found that 32% of children were undernourished, with 18% stunted and 14% underweight. Children from low-income families and those whose mothers had only a primary education were more likely to experience malnutrition (p < 0.05). Maternal education emerged as the strongest predictor of a child’s nutritional status after controlling for income and occupation. Conclusion: Socioeconomic and educational factors are significant determinants of nutritional status in children under the age of five. Improving parental education, especially among mothers, and addressing poverty are essential to combating malnutrition. Strengthen community-based nutrition education programs, promote women’s education, and develop poverty reduction strategies to ensure equitable access to nutritious food and healthcare services.
Mother’s role in maintaining oral health of children under five Aisyah AR; Zulkarnain
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.284

Abstract

Introduction: Oral health in early childhood is strongly influenced by maternal behavior, knowledge, and daily caregiving practices. Mothers play a crucial role in shaping healthy oral hygiene habits, promoting proper toothbrushing techniques, and preventing dental problems such as cavities. In many rural areas, limited access to dental health information and services increases the risk of poor oral health among children under the age of five. This study aimed to describe the role of mothers in maintaining oral health among young children in Guali Village. Methods: This descriptive study employed a cross-sectional approach involving mothers of children under five years of age residing in Guali Village. Data were collected using a structured questionnaire that assessed maternal knowledge, attitudes, and practices related to oral hygiene. Variables included toothbrushing routines, supervision patterns, dietary habits, and access to oral health services. Descriptive statistics were used to summarize the findings. Results: The study revealed that although most mothers recognised the importance of maintaining their children’s oral health, there were gaps in their daily oral health practices. A considerable number of mothers reported inconsistent toothbrushing routines, limited supervision, and inadequate knowledge about proper brushing techniques. Sugary snacks and bottle-feeding habits were also commonly reported, contributing to an increased risk of early childhood caries. Additionally, access to regular dental check-ups remained low due to distance and lack of awareness. Conclusion: The findings suggest that while mothers recognise the general importance of oral hygiene, their actual practices remain suboptimal. Strengthening maternal education and improving access to dental health services are crucial for enhancing early childhood oral health in Guali Village. Community-based interventions are recommended to support sustainable behavior change.
Nutritional status of pregnant women and its impact on fetal development: A qualitative study Rika Riyandani; Lilis; Eka Fitri Amir
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.285

Abstract

Introduction: Maternal nutrition plays a fundamental role in ensuring optimal fetal growth and development. Inadequate nutrient intake during pregnancy increases the risk of complications such as low birth weight, preterm birth, and developmental delays. This study examines the nutritional status of pregnant women and its impact on fetal development, with a focus on dietary practices and maternal perceptions of nutrition. Methods: This qualitative study involved in-depth interviews with 20 pregnant women selected through purposive sampling. Data were collected using semi-structured interview guides and analyzed through thematic content analysis. The study focused on participants’ nutritional knowledge, dietary behaviors, access to nutritious foods, and perceptions of fetal development. Results: Findings revealed three major themes: (1) Maternal nutritional awareness, where most participants had basic knowledge of essential nutrients but lacked detailed understanding of recommended dietary intake; (2) Dietary practices and influencing factors, showing that meal patterns were often inconsistent due to socioeconomic constraints, food aversions, and cultural beliefs; and (3) Perceived impact on fetal development, with participants acknowledging the importance of nutrition but demonstrating limited ability to maintain balanced diets. Poor nutritional status was commonly associated with symptoms such as fatigue, inadequate weight gain, and concerns about fetal growth. Conclusion: The study concludes that suboptimal nutritional status among pregnant women may have a negative impact on fetal development. Improving maternal nutrition requires targeted educational interventions, enhanced access to nutritious foods, and culturally appropriate health counseling. Collaboration between healthcare providers, families, and community programs is essential to promote healthier dietary behaviors during pregnancy. Further research is recommended to explore effective strategies for improving maternal dietary adherence.
Consumer perception of the use of antibiotic drugs in society: A descriptive study Nurul Izza AR; Kristiana Mbu
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.286

Abstract

Introduction: The inappropriate use of antibiotics in the community remains a major public health concern, as it can lead to treatment failure, increased risk of side effects, and the emergence of antibiotic resistance. Consumer perception plays an important role in determining whether antibiotics are used correctly. This study aims to describe consumer perceptions regarding the use of antibiotic drugs in PK IV RT 003/RW 002, Tamalanrea District, Makassar City. Methods: This descriptive study employed a survey approach using a structured questionnaire consisting of seven statements related to knowledge and perceptions of antibiotic use. A total of 44 respondents, selected through purposive sampling with inclusion criteria of being between 18 and 60 years old and having used antibiotics, participated in the study. Data were analyzed using a Likert scale scoring system and presented in percentage form to determine the perception category. Results: The findings indicate that most respondents demonstrated good perceptions of antibiotic use, with an overall score of 73.91%. Respondents generally understood that antibiotics are used to treat bacterial infections, must be taken until finished, and that improper use can contribute to bacterial resistance. However, misconceptions were still found, particularly the belief that antibiotics can treat viral infections such as colds and flu. Conclusion: Overall, consumer perceptions of antibiotic use fall into the good category. Nevertheless, certain misunderstandings persist. Continuous health education, including counseling and access to reliable health information platforms, is recommended to enhance community understanding and prevent the development of antibiotic resistance.
Analyzing the implementation of health information systems to improve service efficiency in community health centers Muh Ihsan Kamaruddin; A. Syamsinar Asmi; Wa Ode Novi Angraeni; Wahyudi Hardi; Jessy Andre Mangaya Takke
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.287

Abstract

Introduction: The increasing demand for efficient, accurate, and integrated health services in primary care underscores the essential role of Health Information Systems (HIS) in Puskesmas. Despite national policies encouraging digital transformation, many Puskesmas still face challenges, including limited infrastructure, inadequate digital literacy among health workers, and fragmented system integration. This study aims to analyze the implementation of HIS in Puskesmas, assess its contribution to service efficiency, and identify supporting and inhibiting factors that influence system adoption. Methods: The study employs a qualitative case-study approach involving several Puskesmas that have implemented HIS. Data were collected through in-depth interviews with health workers and administrative staff, direct observations of HIS use in daily operations, and document analysis related to system policies and operational procedures. The qualitative data were analysed through thematic coding and triangulation across sources to ensure validity and reliability. Results: The findings reveal that HIS significantly supports faster patient data processing, improves the accuracy of medical records, and reduces administrative burdens. However, system effectiveness varies across facilities depending on infrastructure readiness, staff competency, and leadership support. Barriers such as insufficient training, inconsistent internet connectivity, and inadequate system maintenance hinder optimal utilisation. Conversely, strong managerial commitment, user-friendly system design, and continuous government support emerge as key enablers. Conclusion: This study concludes that the implementation of HIS has the potential to substantially enhance service efficiency in Puskesmas when supported by adequate resources and policy alignment. Recommendations include strengthening digital literacy training, improving infrastructure, ensuring continuous technical support, and developing adaptive policies to sustain long-term HIS utilization.
Construction of the image of healthy living in a digital germ campaign: Kritis Analysis Jean Baudrillard Muhammad Ilyas; Samsu A. Kamaruddin; Arlin Adam
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.288

Abstract

Introduction: The increasing use of social media by the Indonesian government as a platform for health promotion has led to the construction of visually appealing and idealized representations of healthy living. In the context of the Healthy Living Community Movement (GERMAS), these representations often emphasise symbolic aesthetics over everyday realities. This study aims to critically analyze how the digital GERMAS campaign constructs the image of healthy living through Jean Baudrillard’s theory of simulation and simulacra. Methods: This research employed a qualitative case study design conducted from August to October 2025, focusing on digital content disseminated through the official platforms of the Ministry of Health, including Instagram, YouTube, and the website kemkes.go.id. Data were collected through digital documentation, online observation, and in-depth interviews with ten informants from risk-vulnerable groups, comprising six adolescents and four homemakers. Thematic analysis was employed to identify symbolic patterns and narratives, which were then interpreted through the lens of Baudrillard’s conceptual frameworks. Results: Findings indicate that the GERMAS digital campaign constructs healthy living as a modern, visually attractive lifestyle that is often disconnected from the lived realities of the target audience. Adolescents perceived the content as aesthetically pleasing yet overly idealized, while homemakers viewed it as informative but challenging to implement due to economic and contextual barriers. Both groups highlighted that the campaign’s imagery often functions as a performative symbol rather than a reflection of authentic health practices. Conclusion: The study concludes that the digital campaign reinforces hyperreality, where symbolic representations of health are consumed more actively than the practices themselves. To achieve a meaningful behavioral impact, digital health communication must adopt more contextual and participatory approaches that resonate with everyday socio-economic conditions.
Effectiveness of ginger drink in reducing emesis gravidarum among first-trimester pregnant women Suriyanti; Sulfianti; Mustar
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.289

Abstract

Introduction: Emesis gravidarum is one of the most common discomforts experienced by pregnant women during the first trimester, characterized by nausea and vomiting that may disrupt daily activities and nutritional intake. Hormonal changes, particularly increased levels of estrogen, progesterone, and human chorionic gonadotropin (hCG), play a significant role in the onset of these symptoms. Ginger is widely recognized as a natural remedy with antiemetic properties, thanks to its active compounds, including gingerol, shogaol, and essential oils, which help suppress the vomiting reflex and promote gastrointestinal comfort. This study aims to determine the effectiveness of ginger drink in reducing emesis gravidarum among pregnant women in the first trimester. Methods: This research employed a quantitative approach with a quasi-experimental one-group pretest–posttest design. The study was conducted in the working area of BLUD UPT Puskesmas Cina, involving 25 pregnant women in their first trimester who experienced emesis gravidarum. Respondents received a ginger drink intervention, and measurements of nausea and vomiting frequency and severity were collected before and after the intervention. Data were analyzed using statistical tests to determine significant differences. Results: The findings revealed a significant reduction in nausea and vomiting after regular consumption of a ginger drink. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a statistically significant difference between pre- and post-intervention scores. The results support the alternative hypothesis that ginger drink effectively reduces symptoms of emesis gravidarum. Conclusion: Ginger drink is proven to be an effective, safe, and accessible non-pharmacological intervention for reducing emesis gravidarum in first-trimester pregnant women. Its use can serve as an alternative therapy before pharmacological treatment, supporting maternal comfort and well-being.
Effect of betel leaf decoction on perineal wound healing in postpartum women Juspiana; Sulfianti; Nur Eva Sapartina; Mustar
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.290

Abstract

Introduction: Perineal wounds are among the most common complications experienced by postpartum mothers, contributing to discomfort, delayed recovery, and increased risk of puerperal infection. One non-pharmacological treatment widely used in Indonesian traditional medicine is betel leaf (Piper betle) decoction, which contains antibacterial, antiseptic, and anti-inflammatory compounds that may support tissue healing. Despite its extensive use, scientific evidence regarding its effectiveness in perineal wound recovery remains limited, particularly within primary healthcare settings. This study aimed to analyze the effect of betel leaf decoction on perineal wound healing among postpartum mothers in the working area of BLUD UPT Puskesmas Cina. Methods: This quantitative research applied a pre-experimental posttest-only control group design. The study involved 44 postpartum mothers with first- and second-degree perineal wounds selected through purposive sampling. The intervention group received betel leaf decoction treatment twice daily for four days, while the control group received standard postpartum care. Wound healing was assessed using the REEDA scale (Redness, Edema, Ecchymosis, Discharge, Approximation). Data were analyzed using univariate and bivariate techniques to compare healing outcomes between groups. Results: The findings showed that mothers who received betel leaf decoction demonstrated significantly faster wound healing, as reflected by lower REEDA scores compared to the control group. Improvements were observed in reduced redness, edema, and better wound approximation within the first week postpartum. Conclusion: Betel leaf decoction is effective in accelerating perineal wound healing among postpartum mothers. Its traditional use is supported by empirical evidence, indicating potential as a safe, accessible, and affordable complementary therapy in maternal care.
Comparative analysis of cholesterol and hemoglobin levels in dewormed and non-dewormed school-age children Nuril Sofiantin; Marisca Jenice Sanaky; Hardyansa; Army Dwi Israyanti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.291

Abstract

Introduction: Helminth infections continue to be a significant public health concern among school-age children, particularly in areas with inadequate sanitation. Chronic helminthiasis can impair nutrient absorption, disrupt lipid metabolism, and contribute to anemia. Regular deworming is recommended as a preventive strategy, yet evidence regarding its biochemical impact on cholesterol and hemoglobin levels remains limited. This study aimed to compare cholesterol and hemoglobin levels between dewormed and non-dewormed school-age children. Methods: A comparative descriptive design was employed involving 30 school-age children, consisting of 15 who routinely consumed deworming medication and 15 who did not. Blood samples were collected by trained health personnel and analyzed in a clinical laboratory. Hemoglobin levels were measured using a photometric method, while total cholesterol levels were determined using an enzymatic method. Descriptive analysis was used to compare mean values between groups. Results: Children who routinely consumed deworming medication showed lower mean cholesterol levels (152.9 mg/dL) compared with the control group (169.7 mg/dL). Mean hemoglobin levels were also higher in the dewormed group (12.31 g/dL) than in the non-dewormed group (11.86 g/dL). Although not all children fell within the normal reference ranges, the dewormed group demonstrated more stable biochemical profiles overall. These findings suggest that regular deworming may support healthier lipid metabolism and maintain hemoglobin levels within acceptable limits. Conclusion: The results suggest that periodic deworming has a positive impact on the biochemical status of school-age children. A reduced helminth burden may improve nutrient absorption, stabilize lipid profiles, and prevent chronic blood loss, which can lead to anemia. However, variations between individuals highlight the role of external factors such as diet, sanitation, and reinfection risk. Regular deworming appears to promote better cholesterol and hemoglobin profiles among school-age children, underscoring its importance in child health programs.

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