INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)
Indonesian journal of health sciences research and development is a double blind peer reviewed international journal. The frequency is monthly from 2019. It deals with all aspects of health sciences including Community Medicine, Public Health, Epidemiology, Occupational Health, Environmental Hazards, Clinical Research, and Public Health Laws, pharmacology biotechnology, health instruments, nursing, clinical psychology and covers all medical specialties concerned with research and development for the masses. The journal strongly encourages reports of research carried out within Indonesian continent and South East Asia.
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ISOLATION AND CHARACTERIZATION OF COMPOUND FROM THE LEAF EXTRACT OF ALBIZIA CHEVALIERI
Background: Albizia chevalieri is a medicinal plant that grows up to 12 m height under temperate condition of the dry savanna in the republic of Niger, Nigeria, Senegal and Cameroon. This study was performed to isolate and characterize a compound from the leaf extract of Albizia chevalieri. Methods: The crude extract was obtained by macerating the powdered sample of Albizia chevalieri which was further fractionated with n-hexane, dichloromethane, acetone and methanol solvents. The dichloromethane was subjected to column chromatography packed with silica gel for the isolation of compound. The isolated compounds were further purified using Preparative Thin Layer Chromatography which yielded compound. The isolated compound was characterized by subjecting it to Fourier Transform Infrared Resonance Spectroscopy (FTIR), and Proton and Carbon-13 Nuclear Magnetic resonance spectroscopy (proton and carbon-13 NMR) techniques Results: From the results, it has been observed that acetone extract has the highest percentage yield (50.15 %), followed by n-hexane extract (25 %), dichloromethane extract (16.87 %), ethanol extract (12.00 %), and then methanol extract (7.70 %), respectively. FTIR analysis reveals the presence of -OH, -C-H, C=O, and C-O. functional groups. Chromatographic separation revealed a compound obtained at a retention factor of 0.4. The compound isolated was named 3a-Methyl-oxo-1-(3,4,5-trihydroxy-6-hydroxymethyl-tetrahydro-pyran-2-yloxy)-octahydro-indene-5-carboxylic acid using the information provided by the FTIR and NMR, respectively. Conclusion: The result of this research could pave the way for the evaluation of the pharmacological activities of the isolated compound, thereby providing scientific validation for the ethnomedicinal usage of Albizia chevaieri leaf in the treatment of different numerous diseases.
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NURSE PERFORMANCE IN PROVIDING CARE FOR PATIENTS WITH MENTAL DISORDERS AT THE MENTAL HOSPITAL OF SOUTHEAST SULAWESI PROVINCE
Performance reflects the level of success in carrying out organizational activities. Higher nurse performance facilitates the achievement of organizational goals, while poor performance hinders progress and disrupts planned activities. This study aims to identify factors influencing nurse performance in caring for patients with mental disorders at the Southeast Sulawesi Provincial Mental Hospital. Methods: This study used a quantitative, correlational analytic design with a cross-sectional approach. The population consisted of 56 nurses, with a sample of 36 respondents selected using total sampling based on the Slovin formula. Data were analyzed using the Chi-Square test. Results: The study found significant relationships between several factors and nurse performance in caring for patients with mental disorders. Work attitude (ρ = 0.001 < α = 0.05), workload (χ² = 13.107 ≥ χ²ₜₐᵦₗₑ = 5.591; ρ = 0.001 < α = 0.05), compensation (ρ = 0.000 < α = 0.05), and skills (ρ = 0.000 < α = 0.05) were all significantly associated with nurse performance. Conclusion: Work attitude, workload, compensation, and skills are significantly related to nurse performance in caring for patients with mental disorders at the Southeast Sulawesi Provincial Mental Hospital. Future research is recommended to explore additional factors, such as work motivation and work environment, that may influence nurse performance.
THE EFFECT OF EDUCATIONAL PUZZLE GAMES ON BALANCED NUTRITION KNOWLEDGE AND ATTITUDES AMONG JUNIOR HIGH SCHOOL STUDENTS AT SMP NEGERI 7 BUKITTINGGI IN 2025
Background: Adolescent nutrition is a complex public health issue, encompassing undernutrition, overnutrition, and micronutrient deficiencies such as anemia. Nutritional imbalances during adolescence affect physical growth, brain development, academic performance, and long-term productivity. Therefore, innovative, engaging, and age-appropriate educational approaches are necessary. One such effective method is the use of educational games such as puzzles, which present nutritional messages in an interactive and enjoyable way. This study aimed to analyze the effect of the Balanced Nutrition Puzzle Game on students’ knowledge and attitudes toward balanced nutrition. Methods: A quasi-experimental design with a pre-test and post-test control group was used. The sample consisted of 60 junior high school students selected through purposive sampling, with valid and reliable questionnaires used as instruments. Results: The results showed a significant increase in knowledge and attitude scores in the intervention group after the puzzle game was implemented (p < 0.05), whereas the control group showed no significant changes. Conclusion: These findings suggest that the Balanced Nutrition Puzzle Game is an effective educational medium for improving adolescent understanding and promoting positive attitudes toward healthy eating and lifestyle.
THE THE EFFECT OF MANJUJAI-BASED PSYCHOSOCIAL STIMULATION EDUCATION USING ANIMATED VIDEO ON THE KNOWLEDGE AND ATTITUDE OF MOTHERS WITH CHILDREN AGED 6–24 MONTHS
Background: According to the Indonesian Ministry of Health's 2016 Health Profile, 56.4% of children under five years old experience growth and development disorders. This study aims to determine the effect of Manjujai-based psychosocial stimulation education using animated video on the knowledge and attitude of mothers with children aged 6–24 months. Methods: This study employed a quantitative approach using a quasi-experimental design with a pretest-posttest control group. A total of 60 respondents were selected using purposive sampling. The study was conducted from April to May 2025. Data were analyzed up to the multivariate level using the General Linear Model (GLM). Results: The independent t-test showed a significant difference (p < 0.001) in the mean score changes of maternal knowledge and attitude between the intervention and control groups. This indicates that Manjujai-based psychosocial stimulation education through animated video has a significant effect on improving maternal knowledge and attitude. Multivariate analysis using GLM confirmed the significant effect of the intervention (p < 0.001) after controlling for confounding variables. Conclusion: Psychosocial stimulation education using animated video is proven to significantly improve maternal knowledge and attitude in providing psychosocial stimulation care for children.
CORRELATION BETWEEN FOOD QUALITY AND MICROBIOTA PROFILE OF PREGNANT WOMEN IN THE CITY OF PADANG
Background: Pregnancy is a complex physiological period that requires systemic adaptation of the body. During pregnancy, a balanced blood microbiota plays an important role in maintaining the mother's immune system and supporting fetal development. This study aims to determine the correlation between food quality and the microbiota profile of pregnant women in Padang City. Methods: This is an observational study with a cross-sectional design. The study was conducted from January to March 2025 at the Centre for Diagnostic and Research on Infectious Diseases (PDRPI) Laboratory, Andalas University. The sample size was 20 participants, selected using total sampling. Microbiota profiling was performed using 16S rRNA metagenomic sequencing. The results of the microbiota profile analysis were analyzed using Microbiome Analysist software. Results: Statistical analysis showed a p-value of 0.14702 and a t-statistic of -1.5182, indicating that there was no statistically significant difference between food quality and microbiota profile. The comparison of the Firmicutes/Bacteroidetes ratio (F/B ratio) was 1.06, indicating a balanced microbiota in pregnant women. Conclusion: Although not statistically significant, these differences in microbiota composition are biologically important and suggest a potential association between dietary patterns and systemic health in pregnant women.
SEXUAL BEHAVIOR, KNOWLEDGE LEVEL, AND CONDOM USE AMONG MSM AND TRANSGENDER COMMUNITIES IN BAUBAU CITY
Background: The MSM (Men who have Sex with Men) and transgender communities are key populations at high risk for sexually transmitted infections (STIs), including HIV/AIDS. This vulnerability is driven by risky sexual behaviors, low consistency in condom use, as well as stigma and discrimination that hinder access to community-friendly healthcare services. Empirical data on these issues in Baubau City remain limited, making this study essential to provide a comprehensive overview. Methods: This study employed a quantitative descriptive survey method with a cross-sectional approach. The sample consisted of 60 respondents, including 54 MSM and 6 transgender individuals, selected through purposive and snowball sampling techniques. Data were collected using a structured questionnaire measuring knowledge of HIV and STIs, risky sexual behaviors, and condom use. Descriptive statistics were used for data analysis. Results: The majority of respondents engaged in risky sexual behaviors, with 63% having more than one partner in the past six months, 92% having practiced anal sex, and 55% having engaged in transactional sex. Although 66.7% of respondents demonstrated a high level of knowledge about HIV and STIs, there remains a significant gap between knowledge and safe sexual practices. Consistent condom use during anal sex was reported by only 30% of respondents, and the use of water-based lubricants was similarly low. Conclusion: Risky sexual behavior remains prevalent among MSM and transgender communities in Baubau City despite relatively high knowledge levels. Condom and lubricant use is still inconsistent. Comprehensive education interventions, improved access to condoms and lubricants, and strengthened community-friendly healthcare services are necessary to promote safer sexual behaviors.
ANALYSIS OF PHYSICAL ACTIVITY AND NITRIC OXIDE ON THE INCIDENCE OF HYPERTENSION AMONG THE ELDERLY IN THE WORKING AREA OF NANGGALO PUBLIC HEALTH CENTER IN 2025
Background: Hypertension is a condition characterized by blood pressure rising above normal levels, commonly referred to as high blood pressure. Hypertension is defined as a systolic blood pressure of ≥140 mmHg and diastolic pressure of >90 mmHg. It is a disease with a high prevalence of disability and mortality rates each year and is often referred to as “the silent killer.” This study aimed to determine the relationship between physical activity and nitric oxide levels with the incidence of hypertension among the elderly at Nanggalo Public Health Center. Methods: This study employed a quantitative approach with a cross-sectional design. A total of 137 respondents were selected using a simple random sampling technique. The research was conducted from March to April 2025. Data analysis was performed using Chi-square and Pearson Correlation tests. Results: The Chi-square test showed a significant relationship between physical activity and the incidence of hypertension (p = 0.006) at Nanggalo Public Health Center, indicating that physical activity is associated with hypertension among the elderly. Meanwhile, the Pearson Correlation analysis revealed no significant relationship between nitric oxide intake and hypertension (p = 0.146; p > 0.05). Conclusion: There is a significant relationship between physical activity and the incidence of hypertension among the elderly. However, there is no significant relationship between nitric oxide intake and the incidence of hypertension.
THE EFFECT OF MOBILE APPLICATION-BASED NUTRITION EDUCATION ON DIABETES KNOWLEDGE AND BLOOD GLUCOSE LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE WORKING AREA OF BELIMBING PUBLIC HEALTH CENTER
Background: Diabetes remains the most prevalent non-communicable disease (NCD) in Padang City, with the highest case burden reported at Belimbing Health Centre (74.3%, or 998 cases). This study aimed to evaluate the effect of mobile-based nutrition education on diabetes knowledge and blood glucose control among patients with type 2 diabetes mellitus. Methods: A quasi-experimental design was employed involving 66 respondents, using a pre-test–post-test with control group design. Participants were selected through simple random sampling, and the intervention was conducted from December 2024 to July 2025. Data analysis was performed using univariate and bivariate methods. Results: The intervention demonstrated statistically significant improvements in all outcome variables within the intervention group. The proportion of respondents with good diabetes knowledge increased from 0.0% to 90.9% (p < 0.001) and normal blood glucose levels rose from 27.3% to 81.8% (p < 0.001). In contrast, the control group showed no statistically significant changes across all variables (p > 0.05). Conclusion: In conclusion, mobile-based nutrition education is effective in improving diabetes knowledge, promoting adherence to recommended dietary patterns, and achieving better glycemic control. This approach represents a practical and scalable educational intervention for supporting self-management of type 2 diabetes mellitus, particularly in primary care settings.
NURSING CARE HYPOVOLEMIA MANAGEMENT CHILDREN WITH DENGUE HEMORRHAGIC FEVER IN RSHD BENGKULU
Background: Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus which is classified as an Arthropod-Borne Virus, genus Flavivirus, and family Flaviviridae. DHF is transmitted through mosquito bites from the genus Aedes, especially Aedes aegypti which can attack all age groups. According to data from the World Health Organization, an estimated 500,000 DHF patients require home care each year and most of the sufferers are children, in Indonesia there are 129,435 cases. This study aims to determine the Description of Nursing Care for Hypovolemia Management in Children with Dengue Hemorrhagic Fever with Hypovolemia. Methods: This case study uses a qualitative descriptive research design using a death process approach, providing a systematic, actual and accurate description of Nursing Care for Hypovolemia Management in Children with Dengue Hemorrhagic Fever with Hypovolemia. Results: there was an increase in fluid status with SLKI at level 3 (moderate) in both patients Conclusion: increase in fluid status with SLKI at level 3 (moderate).
ANALYSIS OF DETERMINANTS OF WASTING INCIDENCE AMONG CHILDREN AGED 12–59 MONTHS IN THE WORKING AREA OF KAYU GADANG PUBLIC HEALTH CENTER IN 2025
Background: Wasting is a condition of acute undernutrition where a toddler's weight is not appropriate for their height, or the z-score is below -2SD. This study aims to analyze the determinants of wasting among children aged 12–59 months in the working area of Kayu Gadang Public Health Center in 2025. Methods: This research uses a mixed methods approach, which is a combination of quantitative and qualitative methods. The quantitative method applies a cross-sectional approach, while the qualitative method uses a case study approach. The strategy used is the Convergent Parallel Design, in which both quantitative and qualitative data are collected and analyzed simultaneously (in parallel). The sampling technique applied is proportional random sampling, with a total of 104 samples. Data analysis in this study includes multivariate analysis using the Backward LR test. Results: The results show that energy intake (p-value 0.001), protein intake (p-value 0.001), carbohydrate intake (p-value 0.003), fat intake (p-value 0.005), infectious disease (p-value 0.647), mother's knowledge (p-value 0.001), completeness of immunization (p-value 0.004), and environmental sanitation (p-value 0.001) are statistically significantly associated with wasting among children aged 12–59 months. Family income (p-value 0.647), mother's education (p-value 0.070), and exclusive breastfeeding history (p-value 0.211) are not statistically significantly associated with wasting in this age group. Multivariate analysis showed that the most dominant factor associated with wasting was protein intake. Conclusion: There is a significant relationship between macronutrient intake (energy, protein, carbohydrates, fat), infectious diseases, maternal knowledge, completeness of immunization, and environmental sanitation with the incidence of wasting. The most dominant factor is protein intake.
THE RISK FACTORS FOR WASTING IN CHILDREN AGED 24–59 MONTHS IN RURAL AREAS OF WEST SUMATRA PROVINCE: ANALYSIS OF SKI 2023 DATA
Background: Wasting is still a major health problem in toddlers, especially in rural areas. This study aims to analyze the risk factors of wasting in children under five years of age 24-59 months in rural areas of West Sumatra Province. Methods: This study used a quantitative approach with a cross-sectional design. The study used secondary data from the Indonesian Health Survey in 2023 with a sample size of 541 toddlers. Data analysis was conducted bivariate using the chi-square test. Results: The results of the analysis showed that of the five variables studied, the history of infectious diseases (p=0.001) and vitamin A supplementation (p=0.003) had a significant association with the incidence of wasting in children aged 24-59 months in rural areas of West Sumatra Province. Meanwhile, economic status (p=0.414), environmental sanitation (p=0.104), and drinking water source (p=0.094) had no significant association. Conclusion: In rural areas, infectious diseases and lack of vitamin A supplementation were the causes of wasting. Health promotion and prevention of infectious diseases need to be evaluated and improved including efforts to increase the immune system of children under five.
DANCE TO WELLNESS: THE GOBHANGRA WORKOUT'S HEALTH IMPACT ACROSS DIVERSE POPULATIONS
Background: The GoBhangra Workout is a culturally adaptive fitness class that utilizes traditional Punjabi Bhangra and Bollywood dance fused with specialized adaptations for various types of abilities that leads to exceptional health and wellness benefits for people of all abilities. This research specifically looks at programs around inclusive fitness and highlights benefits, difficulties in participation, as well as the role of cultural factors like the GoBhangra Workout in issues of physical and mental health. Methods: This research uses a mixed-methods approach to examine the impacts, challenges, and facilitators of inclusive fitness programming through a systematic literature review and in-depth qualitative case study analysis. A systematic review in relation to the IEPs published from 2015 to 2024 was conducted to identify trends and assess overall health benefits associated with the programs. Results: Thematic analysis was conducted with the qualitative data in relation to finding important themes surrounding the physical and psychological health related implications, as well as social and cultural benefits, of inclusive fitness. Qualitative study focused on a case study approach utilizing 15 semi- structured interviews. In the quantitative methodologies there were all major outcomes of physical and mental health associated with participation in exercise programs. Conclusion: The results of this study generate evidence-based recommendations for the expansion of these programs.
MUSCULOSKELETAL DISORDER COMPLAINTS AMONG WELDERS AND GRINDING WORKERS AT PT. X
Background: Welders and grinding work at PT. X is carried out manually with non-ergonomic working postures, such as bending or prolonged standing. This study aims to describe work-related musculoskeletal disorder (MSDs) complaints based on individual characteristics (age, gender) and job-related factors (length of employment, daily working hours, and type of work). Methods: The method used is a descriptive quantitative approach with a cross-sectional design, involving 47 respondents using a total population sampling technique. Data were collected using a musculoskeletal complaint survey instrument based on the Indonesian National Standard (SNI) 9011:2021. Results: The results showed that the majority of respondents were male (93%), aged 25-34 years (42%), and had 1-5 years of work experience (70%). The most reported MSDs complaints were in the lower back (36%), upper back (55%), and neck (23%). Conclusion: Based on the descriptive analysis, both individual and occupational factors contributed to MSDs complaints, particularly in body parts affected by non-ergonomic working postures. Recommended interventions include proper posture training, provision of ergonomic aids to reduce physical load, and regular health check-ups to decrease the prevalence of MSDs among workers.
FACTORS ASSOCIATED WITH MORTALITY OF ELDERLY PATIENTS WITH COVID-19 INFECTION AT M. DJAMIL HOSPITAL, PADANG, WEST SUMATRA, INDONESIA
Background: To analyze the factors influencing the mortality incidence of elderly patients with COVID-19 infection in Padang, West Sumatra, Indonesia. Methods: This is a retrospective study at M. Djamil Hospital, Padang. Data was collected from the medical records of COVID-19 patients treated during July-September 2021. Results: Of the 243 elderly patients who experienced COVID-19, the most deaths were male (58.6%) with an average age of 69.64 ± 7.74 years. Multivariate analysis showed that patients with critical-severe clinical symptoms (odds ratio (OR) 12.95; 95% confidence interval (CI) 6.66–25.19), heart disease (OR 6.94; 95% CI 1.63–29.60), respiratory rate ≥30 breaths per minute (OR 3.48; 95% CI 1.04–11.60), pulse ≥100 beats per minute (OR 2.88; 95% CI 1.03–8.04), using a ventilator or high-flow nasal cannula (OR 19.78; 95% CI 5.92–66.10), prothrombin time >13.16 second (OR 12.35; 95% CI 2.43–62.77), interleukin-6 >6 pg/mL (OR 15.19; 95%CI 2.53–91.26), and random blood glucose >199 mg/dL (OR 3.45; 95% CI 1.02–11.68) have a high risk of death. Conclusion: Elderly patients with COVID-19 infection with critical-severe clinical symptoms accompanied by heart disease, using ventilator or high-flow nasal cannula, longer prothrombin time, high level of interleukin-6, and random blood glucose have higher risk of mortality.
THE FACTORS ASSOCIATE WITH THE INCIDENCE OF TYPE 2 DIABETES MELLITUS IN WOMEN IN THE WORKING AREA OF THE BIARO COMMUNITY HEALTH CENTER
Background: The global prevalence of type 2 diabetes mellitus is steadily increasing, with a particularly notable rise among women. This study aims to identify factors associated with type 2 diabetes mellitus among women in the working area of Biaro Public Health Center. Methods: A case-control study design was employed, involving 50 women diagnosed with type 2 diabetes mellitus (cases) and 50 women without type 2 diabetes mellitus (controls), selected randomly from the same population. Data were analyzed using both bivariate and multivariate statistical methods to determine significant predictors of type 2 diabetes mellitus. Results: Bivariate analysis revealed significant associations between type 2 diabetes mellitus with age, family history of diabetes, level of education, physical activity, and stress (p < 0.05). Multivariate analysis identified that low physical activity as the most influential risk factor. Conclusion: These findings highlight the urgent need for targeted health promotion strategies—particularly in the Biaro Public Health Center area— behavioral interventions such as physical activity on high-risk groups to effectively reduce the incidence of type 2 diabetes mellitus among women.
ANALYSIS OF THE RELATIONSHIP BETWEEN FAMILY AND ENVIRONMENTAL FACTORS WITH FAMILIES AT RISK OF MOTHERHOOD STUNTED CHILDREN IN AGAM REGENCY AREA
Background: Stunting prevalence in Agam Regency continues to rise, making it the highest in West Sumatra. This condition is influenced by various family factors—such as number of children, birth spacing, and age at marriage—as well as environmental factors like access to clean water and adequate sanitation. Therefore, this study aims to analyze the relationship between family and environmental factors and the risk of mothers giving birth to stunted children, as a basis for more targeted preventive interventions. Methods: This quantitative study used a cross-sectional design and was conducted in Agam Regency from September 2024 to May 2025. A total of 398 families were selected from 67,429 families based on BKKBN data. Data were collected through questionnaires and analyzed using the Chi-Square test to assess variable relationships, and logistic regression to identify dominant factors influencing the risk of stunting in mothers. Results: The study in Agam Regency found a significant relationship between various family and environmental factors and the risk of mothers giving birth to stunted children. Chi-Square tests showed that the number of children, birth spacing, extreme marriage age, source of drinking water, and sanitation were all significant (p < 0.05). Logistic regression identified the drinking water source as the most dominant factor (p = 0.019). These findings highlight the importance of access to clean water and proper sanitation in preventing stunting at the family level. Conclusion: This study concludes that family and environmental factors significantly influence the risk of mothers giving birth to stunted children, with the source of drinking water identified as the most dominant factor. Therefore, improving access to clean water and providing nutrition education-particularly for pregnant women and mothers of children under five-is crucial in preventing stunting.
MULTILEVEL ANALYSIS OF DETERMINANT OF DEATH OF INDONESIAN HAJJ PILGRIMS 2022-2024
Background: The Hajj pilgrimage is an annual religious activity carried out at specific times, locations, and activities, attended by millions of Muslims from around the world (mass gathering). Indonesia, as the country with the largest number of Hajj pilgrims, faces serious challenges in terms of relatively high pilgrim mortality rates each year. Data indicates that the mortality rate of Indonesian Hajj pilgrims peaking at 3.38‰ in 2023. Pilgrim deaths are influenced by various factors, including individual factors, factors related to the the Hajj, and environmental factors. This study aims to identify the factors influencing mortality among Indonesian hajj pilgrims during the Hajj pilgrimage period from 2022 to 2024. Methods: This cross-sectional study consisted of 1,686 samples from the Hajj Health Center data source, Indonesian Ministry of Health (SISKOHATKES SHAR'I) and environmental data from NASA POWER. Results: The determinants of death with p<0.05 were age, gender, history of anemia, history of hypertension, high-risk health status, and history of chronic respiratory disease. The individual level was the most significant contributor to the outcome, accounting for 75,29%. Conclusion: Knowing the determinants of pilgrim mortality enables health education to be implemented from the first health examination and can also be carried out in collaboration with the Hajj Organizing Agency through the existing KBIH.
DESIGN OF AN ANDROID-BASED ONLINE REGISTRATION APPLICATION FOR OUTPATIENT SERVICE AT THE NUR ILAHI MENTAL HEALTH CLINIC
Background: Nur Ilahi Mental Health Clinic is a health care facility that has implemented service digitization. Currently, patient who are registered as health insurance (JKN) participants can register online through the Mobile JKN application provided by BPJS Health. This condition creates inequality in the queuing service experience of general patients an BPJS patients, especially in terms certainty of queue numbers and estimated service time received. Based on these problems, this study aims to design an android-based outpatient registration application that is easy to use by general patients (Non-BPJS). Methods: The research method used in this research in the prototyping method which is a software method in the form of a physical model directly involving the creation of an initial model of the software to feedback before final development begins. Results: The results showed a percentage of 100% on ease of use as well as satisfaction and availability of using the application. With the design of this android-based general patient registration application, it is hoped that it will be able to provide solutions to patients who do not have BPJS insurance to register for queues online. Conclusion: So that there is no gap between BPJS patient and Non-BPJS patients in registering at the Nur Ilahi Mental Clinic.
THE EFFECT OF PELVIC ROCKING ON PAIN REDUCTION DURING THE FIRST STAGE OF LATENT PHASE LABOR AT POASIA COMMUNITY HEALTH CENTER KENDARI CITY
Background: The latent phase of the first stage of labor, during the initial period of contractions until the cervix dilates to 3 centimeters, can last approximately 6-12 hours. During this phase, the body starts preparing the cervix to open and widen, allowing the baby to pass through the birth canal. One method that can be used to reduce labor pain is pelvic rocking. Methods: This study employed a true experimental design using a pretest-posttest group design, involving both an experimental group and a control group. The study population consisted of 56 pregnant women. The research instrument used was a pain assessment observation sheet with the Numeric Rating Scale. Data were analyzed using SPSS. Results: The study showed that, in the experimental group, the average pain level of mothers in the first stage of labor before the intervention was 4.11. After the intervention, which involved pelvic rocking, there was a decrease in the pain scale, with an average pain level of 2.38. In the control group, the pretest pain showed an average pain level of 4.27, while the posttest pain assessment showed an average pain level of 3.83. Based on statistical tests, a p-value (asymp. sig. 2-tailed) of 0.000 < 0.05. Conclusion: This study states that pelvic rocking has an effect on reducing pain during the first stage of labor. It is suggested that a combination therapy be provided to enhance comfort through pain scale reduction.
INTEGRATION OF THE SEHAT-LINGKUNGAN MODEL INTO QUALITY AND ACCREDITATION SYSTEMS: A CASE STUDY OF ENVIRONMENTAL HEALTH RISK MANAGEMENT AT THE MUNA DISTRICT HEALTH CENTRE
Background: Environmental health management in health care facilities is an important determinant in ensuring service quality and patient safety. Community health centres in Muna Regency face real challenges in the form of non-standardized medical waste management, limited water quality monitoring, and inadequate basic sanitation facilities. Previous research emphasizes the importance of water, sanitation, and hygiene (WASH) in primary care accreditation, but the integration of environmental health indicators into the quality system of health centre in Indonesia has rarely been studied, especially in resource-limited areas. Methods: This study used a qualitative approach with a case study design in three Health centre (Kabawo, Katobu, and Tampo) through in-depth interviews, field observations, and document reviews. Results: The results show that the dominant weaknesses in each health centre are different: Kabawo faces problems in medical waste management, Katobu in the consistency of clean water monitoring, and Tampo in limited sanitation infrastructure, all of which have a direct impact on accreditation scores. Conclusion: These findings confirm the relevance of integrating the Environmental health Model into the primary service quality system as an adaptive strategy that can strengthen health policies, improve human resource capacity, and encourage the achievement of accreditation quality standards in areas with limited resources.
ANALYSIS OF THE CLEAN AND HEALTHY LIVING BEHAVIOR ON DIARRHEA INCIDENCE AMONG CHILDREN AGED 6–12 YEARS IN MOROSI HEALTH CENTER
Background: The Clean and Healthy Living Behavior (CHLB) is important for prevent diarrhea, which is still common in children school. WHO (2024) states diarrhea causes 8% of deaths children in developing countries consequence sanitation bad and low habit hygienic. Research This aim analyze relationship between CHLB and incident diarrhea in children ages 6–12 years in the work area Morosi Community Health Center. Methods: Study This use approach quantitative cross-sectional. Population totaling 902 children, with sample as many as 90 children were taken use Slovin's formula. Data collected through questionnaire closed and inspected water laboratory, including four CHLB variables: washing hand use soap, ownership toilet healthy, clean water provision, and consumption vegetables and fruit. Analysis using the chi-square test and the phi coefficient. Results: The results show all CHLB variables are related significant with incident diarrhea, with strength connection medium: hand washing (φ = 0.346), healthy toilets (φ = 0.517), clean water (φ = 0.544), and consumption of fruits and vegetables (φ = 0.451). Conclusion: In conclusion that behavior hygiene and pattern consumption Healthy lower risk diarrhea. It is recommended existence intervention government, health centers, and parents for push implementation of CHLB consistent.
SOCIOECONOMIC ANALYSIS AND PARENTING PATTERNS ON THE INCIDENCE OF STUNTING IN TODDLERS IN AKABILURU DISTRICT, LIMA PULUH KOTA REGENCY
Background: Akabiluru Subdistrict was chosen as the research location because of the high prevalence of stunting among toddlers and its correlation with various socioeconomic factors and parenting patterns at the household level. This study aims to analyze the influence of socioeconomic factors and parenting patterns on the incidence of stunting among toddlers. Methods: This study used a mixed-method design with quantitative and qualitative approaches. The quantitative stage used a case-control study with a sample of 94 cases and 94 controls. The qualitative phase used a sequential explanatory model through FGDs with selected informants to explore mothers' perceptions, cultural factors, family roles, and access to information, which were thematically analyzed to support the quantitative findings. Results: The results of this study found that maternal education, exclusive breastfeeding, and basic immunization status were significantly associated with stunting, with exclusive breastfeeding being the dominant factor. Qualitative findings showed that exclusive breastfeeding practices were influenced by maternal perceptions, cultural factors, family roles, and access to information. Conclusion: This study shows that exclusive breastfeeding is a dominant factor associated with stunting in toddlers in Akabiluru District.