International Journal of Health Sciences

E-PPGBM: Opportunities, Challenges, And Gaps

Egy Sunanda Putra — 2026-10-30

Stunting is a chronic nutritional deficiency problem that affects development, cognitive, motor, and verbal abilities, and increases susceptibility to non-communicable diseases. These effects can influence productivity and become a burden on the state. The prevalence of stunting in Indonesia remains relatively high, although Indonesia has succeeded in reducing the prevalence from 37.6% in 2013 to 21.6% in 2022. One strategy for reducing stunting involves accurate community-based recording and reporting through nutrition surveillance, so that information on problems is specific and can serve as a basis for determining appropriately targeted interventions. A good Health Information System is one capable of producing accurate and timely data/information. In practice, however, at the district/city, provincial, and central levels of health management, the e-PPGBM application information system has not played a substantial role because it has not yet produced accurate and timely data/information. This results in incomplete nutritional-status information, leading to inaccuracies in identifying nutritional problems and to inappropriate policy formulation for addressing them. Therefore, it is necessary to examine the opportunities, challenges, and gaps that are important and strategic to the sustainability of the e-PPGBM system. Optimizing the use of e-PPGBM at various stakeholder levels requires active roles and involvement from all relevant parties to ensure that processed data and the information generated can be used to inform appropriate policies for the community.

Analysis of Environmental and Behavioral Factors Affecting the Incident of Diarrhea in Children Under Five

Yermi Yermi — 2026-10-31

Background : Diarrhea remains a common health problems among children under five years of Its age occurrence is associated with environmental and family behavioral factors , particularly water quality , sanitation , waste management , hand hygiene , and childcare hygiene practices . Young children are particularly important vulnerable to the effects of diarrhea because fluid loss can occur rapidly . Objective : To analyze environmental and behavioral factors associated with diarrhea among children under five years of age . Methods : This analytical quantitative study used a cross-sectional design . A total of 115 mothers or primary caregivers of children under five were selected using purposive sampling. Independent variables included water quality , latrine conditions , waste management , hand hygiene , and family hygiene behavior . The dependent variable was the occurrence of diarrhea within the previous month . Data were collected using questionnaires and environmental observation sheets . Data were analyzed using univariate and bivariate analyses with the Chi- square test . Results : Thirty-eight children (33.0%) had experienced diarrhea within the previous month . Poor water quality was found among 35 respondents (30.4%), inadequate latrine conditions among 31 respondents (27.0%), poor waste management among 43 respondents (37.4%), inadequate hand hygiene among 40 respondents (34.8%), and poor family hygiene behavior among 36 respondents (31.3%). Significant associations were found between water quality ( p = 0.008), latrine conditions ( p = 0.014), waste management ( p = 0.021), hand hygiene ( p = 0.003), and family hygiene behavior ( p = 0.001) and diarrhea occurrence among children under five . Conclusion : Environmental and behavioral factors are associated with diarrhea among children under five . Prevention efforts should focus on improving access to safe water and sanitation and strengthening family hygiene practices .

The Relationship Between Patient Family Satisfaction And Service Response Time In The Emergency Installation Of Syekh Yusuf Gowa Regional General Hospital

Irwan Irwan — 2026-10-31

Services in the Emergency Department (ED) require speed and precision in patient care, which can be reflected, among other ways, through the response time of medical personnel. The speed of these services influences the satisfaction of patients' families, who serve as the primary companions throughout the care process. This study aimed to determine the relationship between service response time and the satisfaction level of patients' families in the Emergency Department of Syekh Yusuf Regional General Hospital (RSUD) in Gowa. A quantitative, cross-sectional study design was employed. A sample of 50 respondents—consisting of patients' family members in the ED—was selected using an accidental sampling technique. Data were collected through questionnaires and observations, then analyzed using the Chi-Square test. The results indicate that, while the majority of response times were classified as fast (60%), the level of satisfaction was dominated by the "dissatisfied" category (56%). Statistical analysis revealed a significant relationship between response time and the satisfaction of patients' families (p = 0.001 < 0.05). It is concluded that a faster service response time correlates with a higher level of satisfaction among patients' families. Therefore, it is necessary to improve the quality of care through better time management, communication, and empathy from healthcare personnel.

Intensity of Treatment Support as Determinants of Medication Adherence among Tuberculosis Patients

Warda Elmaida Rusdi — 2026-10-27

Introduction: Tuberculosis (TB) remains a major public health problem, with treatment adherence being a critical determinant of therapeutic success. The Directly Observed Treatment Short-course (DOTS) strategy emphasizes the role of treatment supervisors; however, evidence regarding the influence of supervision intensity on patient adherence remains limited. This study aimed to examine the relationship between the intensity of medication supervision by treatment supporters (PMO) and medication adherence among pulmonary tuberculosis patients. Methods: An analytical observational study with a case–control design was conducted from December 2025 to January 2026 at a primary health center in Surabaya, Indonesia. A total of 22 pulmonary TB patients who met the inclusion criteria were included using total sampling. Data were collected using structured questionnaires to assess PMO characteristics, supervision intensity, and patient adherence, measured using the Morisky Medication Adherence Scale-8 (MMAS-8). Data were analyzed using Fisher’s Exact test. Results: Among the 22 pulmonary tuberculosis patients, 13 of 15 patients (86.7%) receiving high-intensity PMO supervision were adherent to treatment, compared with none of the 7 patients receiving moderate-to-low-intensity supervision. Fisher’s Exact test indicated a statistically significant association between supervision intensity and medication adherence (p < 0.001). Conclusion: These findings suggest that the quality and consistency of supervision play a more important role than demographic attributes of treatment supporters. Strengthening structured and intensive supervision may enhance treatment adherence and support tuberculosis control efforts.

Quality Of Life Among Patients With End-Stage Renal Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Literature Review

M Hanif Prasetya Adhi — 2026-10-24

End-stage renal disease (ESRD) requires long-term renal replacement therapy, including hemodialysis (HD), peritoneal dialysis (PD), or kidney transplantation. As the prevalence of ESRD increases, more patients must decide which treatment modality to undertake. Studies and literature reviews addressing the effects of PD on the quality of life of patients with ESRD remain limited. This literature review aimed to examine CAPD therapy among patients with ESRD. Searches were conducted using electronic databases reported as PubMed, ProQuest, and Google Scholar, with the terms “ESRD,” “CAPD,” “peritoneal dialysis,” and “quality of life,” informed by the NCBI MeSH database. The review used a PRISMA-based selection strategy and content analysis. English-language publications from 2009 to 2019 were considered eligible. A total of 25 articles were included: 15 quantitative studies, seven qualitative studies, two case reports, and one mixed-methods study. In the physical domain, PD was associated with advantages in physical role functioning, vitality, energy, and pain. In the psychological domain, PD patients generally reported lower anxiety and depression than HD patients; one study described severe depressive symptoms among HD patients. Regarding social relationships, PD was associated with greater independence, self-efficacy, freedom of activity, flexibility, and maintenance of everyday routines. In the environmental domain, PD patients were more likely to continue working and to travel more freely than HD patients, which could contribute to financial and psychological well-being. Overall, the reviewed literature suggests that PD may offer quality-of-life advantages in several domains, supporting further consideration of PD for patients requiring long-term or lifelong dialysis.

The Relationship between Husband Support and Self-Efficacy of Breastfeeding Mothers in the Work Area of the Cibeber Health Center, Cimahi City in 2026

Fitri Nurhayati — 2026-10-23

The self-efficacy of breastfeeding mothers is the mother's confidence in her ability to breastfeed optimally and sustainably. Husband's support as a form of social support is suspected to play a role in increasing the confidence of breastfeeding mothers. However, exclusive breastfeeding coverage in the work area of the Cibeber Health Center in Cimahi City is still low (59.65%) compared to the city's achievements, so a study is needed related to the factors that affect it. This study aims to determine the relationship between husband support and the self-efficacy of breastfeeding mothers in the working area of the Cibeber Health Center, Cimahi City in 2026. The research uses a correlational analytical design and a cross-sectional approach. The total sampling technique was used to select 53 breastfeeding mothers aged 0–6 months as samples. The research instruments consisted of a spouse support questionnaire and a Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) questionnaire. Reliability and validity tests were carried out and declared satisfactory. Chi-Square test to analyze the data. The results showed that the husband's support was less than half in the good category (41.5%) and the mother's self-efficacy was less than half in the high category (45.3%). The chi-square test did not show a significant association between maternal self-efficacy in breastfeeding and partner support (p>0.05). The p-value is 0.389. This study concluded that there was no correlation between maternal efficacy in breastfeeding and partner support. It is recommended that health workers continue to involve couples in breastfeeding education and that future researchers investigate additional factors that affect the self-efficacy of breastfeeding mothers.

Evaluation Of Electronic Medical Record Downtime Management On Patient Service Efficiency At Hospital X

Muhamad Yassar — 2026-10-14

Electronic medical record (EMR) implementation in hospitals is vulnerable to downtime, during which the system becomes inaccessible because of infrastructure disruption, network failure, software malfunction, or cyberattack, potentially delaying care and increasing patient-safety risks. Evidence concerning how downtime management affects service efficiency in Indonesian hospitals remains limited. This study evaluated EMR downtime management and its implications for patient service efficiency at Hospital X. A descriptive qualitative design was applied using semi-structured interviews with four informants directly involved in downtime management. Data were analyzed using the Miles and Huberman interactive model and validated through source triangulation with internal standard operating procedures and official downtime reports. Hospital X had a basic response mechanism consisting of conversion to manual documentation followed by data re-entry after system recovery, with responsibilities divided between electrical-facility maintenance and the hospital information-system unit. Official documentation for March-April 2026 recorded five downtime events totaling approximately 4 hours 28 minutes, caused by a firewall anomaly, Transmedik server anomalies, and a total power outage. Server anomalies occurred most frequently, while the firewall anomaly produced the longest single disruption. Downtime resulted in patient backlogs, slower clinical services, longer waiting for supporting examinations, and additional staff workload from retrospective data entry. Major constraints were delayed or unclear notifications, uncertain recovery estimates, and dependence on hierarchical approval, whereas existing standard operating procedures did not explicitly define escalation criteria or decision-making authority. Current management is operationally usable but remains predominantly manual. Hospital X therefore requires more structured communication triggers, explicit escalation authority, and consideration of digital backup mechanisms to strengthen service continuity, efficiency, and patient safety during EMR disruption.

Analysis Of Blood Triglyceride Levels In Active Smokers Based On Smoking Duration At Muhammadiyah Clinic Garut

Ghina Yuliana — 2026-10-14

Cigarettes are processed tobacco products containing addictive substances that are consumed by burning and inhaling the smoke. Long-term smoking can trigger cardiovascular disease, one mechanism of which is hyperlipidemia resulting from elevated blood triglyceride levels. Triglycerides are the primary lipids found in fat deposits and dietary sources. This study aimed to analyze differences in blood triglyceride levels among active smokers based on smoking duration at Muhammadiyah Clinic Garut. A quantitative cross-sectional design was used, involving 20 male smokers registered as patients at the clinic who underwent triglyceride testing. Triglyceride levels were measured using the GPO-PAP method. The Shapiro-Wilk test indicated normally distributed data (p>0.05), followed by Levene's test, ANOVA, and Tukey post hoc analysis. Mean triglyceride levels were 153.3 ± 4.2 mg/dL in the <1-2-year group, 187.3 ± 18.8 mg/dL in the 3-5-year group, and 320.6 ± 69.5 mg/dL in the >10-year group. Shapiro-Wilk p-values were 0.910, 0.231, and 0.648, while Levene's test indicated homogeneous variance (p=0.051). ANOVA demonstrated significant differences in triglyceride levels according to smoking duration (p<0.001), and Tukey testing showed significant differences between all groups (p=0.002 and p<0.001). These findings demonstrate significant differences in triglyceride levels based on smoking duration.

Analysis Of The Impact Of Hospital Management Information System (HMIS) Use On The Efficiency Of Outpatient Service Flow At Maranatha Hospital

Icha Miftah Ulfalah — 2026-10-14

Outpatient services require a reliable information system to accelerate work processes, improve information accessibility, and support coordination among service units. This study aimed to analyze the impact of the Hospital Management Information System (HMIS) on the efficiency of outpatient service processes at Maranatha Hospital and to identify supporting and inhibiting factors in its implementation. A descriptive qualitative approach with a case study design was employed. HMIS implementation was analyzed using the Human–Organization–Technology Fit (HOT-Fit) framework proposed by Yusof et al. (2008), operationalized through technology, human, and organizational dimensions according to the scope and available data. Data were collected through semi-structured interviews, observations, documentation, and questionnaires as supporting data. The study involved 19 purposively selected informants, consisting of 10 outpatient registration officers and 9 medical record officers. The findings indicate that HMIS supported efficiency through faster registration, easier access to patient information, reduced movement of physical records, and improved coordination among units. However, these benefits were not yet optimal because of unstable networks and servers, limited system features, inconsistent data integration, and users’ competency needs. Optimization should focus on strengthening technological infrastructure, improving data integration and validation, developing user-oriented features, strengthening downtime procedures, and providing regular training and user assistance.

Comparison Of Fasting Blood Glucose Levels Between Immediate And Delayed Testing In Patients With Diabetes Mellitus At Karisma Hospital

Muhammad Ikhsan Perdana — 2026-10-14

Fasting blood glucose testing is a crucial laboratory procedure for diagnosing diabetes mellitus. Test result accuracy is influenced by the pre-analytical phase; specifically, delays in testing can lead to a decrease in glucose levels due to glycolysis. This study aimed to determine the difference in fasting blood glucose levels between immediate testing and testing delayed by three hours in patients with diabetes mellitus at Karisma Cimareme Hospital. An observational analytic design with a comparative approach was employed, involving 30 patients with diabetes mellitus. Fasting blood glucose levels were measured using the Glucose Oxidase Peroxidase Aminoantipyrine (GOD-PAP) method. Data were analyzed using the Shapiro-Wilk normality test followed by a paired-sample t-test. The results showed that the mean fasting blood glucose level was 180.27 mg/dL for immediate testing and 165.53 mg/dL for testing delayed by three hours, representing a mean decrease of 14.73 mg/dL. The paired-sample t-test yielded a p-value of <0.001 (p < 0.05), indicating a significant difference between the two testing conditions. The study demonstrates that a three-hour delay in testing contributes to a reduction in fasting blood glucose levels; therefore, testing should be performed promptly.

The Relationship Between Complementary Feeding and Infant Nutritional Status

Kiki Rezki Aulia — 2026-10-13

Background Complementary feeding is the process of introducing foods and beverages at around six months of age when breast milk alone is no longer sufficient to meet the nutritional requirements of infants . The timing , frequency , amount , consistency , diversity , and quality of complementary foods are important determinants of child growth and nutritional status. Objective This study aimed to determine the relationship between complementary feeding practices and the nutritional status of infants . Methods A quantitative analytic study with a cross-sectional design was conducted in October 2026 in the working area of a community health center . The sample consisted of 96 infants aged 6–23 months selected using purposive sampling. Complementary feeding practices were assessed based on timing of introduction , frequency , amount , food consistency , dietary diversity , and feeding practices . Nutritional status was assessed through weight and length / height measurements according to age using standard child growth assessment procedures . Data were analyzed using the chi-square test with a significance level of 0.05. Results Fifty- seven infants (59.4%) received appropriate complementary feeding , while 39 (40.6%) received less appropriate complementary feeding . Sixty-eight infants (70.8%) had normal nutritional status and 28 (29.2%) had normal nutritional status problems . The proportion of nutritional problems was 46.2% among infants receiving less appropriate complementary feeding compared with 17.5% among those receiving appropriate complementary feeding . The chi-square test showed a significant relationship between complementary feeding practices and nutritional status (p=0.004). Conclusion Complementary feeding practices were significant associated with infant nutritional status. Appropriate age of introduction , adequate frequency and consistency , dietary diversity , and responsive feeding should be strengthened through parental and caregiver education.

The Relationship between Pregnant Women's Knowledge of Nutritional Fulfillment and Anemia Status in the Community Health Center Work Area

Winda Dwi Puspita — 2026-10-13

Background Anemia during pregnancy remains an important maternal health problem. It May be caused by inadequate intake of essential nutrients , particularly iron , folate , and vitamin B12. Maternal knowledge regarding nutritional fulfillment during pregnancy May influence food selection and anemia prevention behaviors . Objective This study aimed to determine the relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Methods A quantitative analytic study with a cross-sectional design was conducted in September 2026 in the working area of a community health center . The sample consisted of 84 pregnant women selected using purposive sampling. Knowledge of nutritional fulfillment was assessed using a structured questionnaire , while anemia status was determined based on hemoglobin measurement using a standardized hemoglobin testing device . Data were analyzed using the chi-square test with a significance level of 0.05. Results Thirty-four pregnant women (40.5%) had good nutritional knowledge , while 50 (59.5%) had poor knowledge . Hemoglobin assessment showed that 32 women (38.1%) were anemic and 52 (61.9%) were non- anemic . The prevalence of anemia was 48.0% among women with poor knowledge and 23.5% among those with good knowledge . The chi-square test demonstrated a significant relationship between nutritional knowledge and anemia status (p=0.023). Conclusion There was a significant relationship between pregnant women's knowledge of nutritional fulfillment and anemia status. Strengthening antenatal nutrition education regarding iron-rich foods , folate , vitamin B12, protein, vitamin C, dietary diversity , and adherence to iron-folic AC ID supplementation is recommended .

Analysis Of Risk Factors For Falls Among The Elderly

Sri Ariyanti — 2026-10-12

Falls are a major health problem among older adults and may result in injuries, functional limitations, loss of independence, and increased healthcare utilization. Fall risk is multifactorial and may involve intrinsic and extrinsic factors, including age, previous falls, balance impairment, muscle weakness, visual impairment, medication use, comorbidities, and environmental hazards. To analyze factors associated with fall risk among older adults. A quantitative analytic study with a cross-sectional design was conducted in August 2026 in the working area of Sukamaju Public Health Center. A total of 78 older adults were selected using purposive sampling. Independent variables included age, history of falls, muscle strength, balance, visual impairment, use of fall-risk medications, comorbidities, and home environmental conditions. Fall risk was assessed using the Timed Up and Go (TUG) test and categorized into low and high risk. Bivariate analysis used the chi-square test, while multivariate analysis used logistic regression. Of the 78 older adults, 43 (55.1%) were classified as having high fall risk and 35 (44.9%) as having low fall risk. Significant associations were found between fall risk and history of falls (p=0.002), muscle strength (p=0.011), balance impairment (p<0.001), visual impairment (p=0.019), use of fall-risk medications (p=0.028), comorbidities (p=0.037), and home environmental conditions (p=0.014). Age was not significantly associated with fall risk (p=0.083). Multivariate analysis showed that balance impairment was the strongest determinant of fall risk, with an odds ratio of 4.72. History of falls, muscle strength, balance, visual impairment, medication use, comorbidities, and environmental conditions are associated with fall risk among older adults. Balance impairment is the strongest determinant.

Analysis of Factors Associated with Clean and Healthy Living Behavior in the Community

Nur Andani — 2026-10-08

Background : Clean and Healthy Living Behavior is an important component of community health promotion through preventive daily practices life . PHBS may be influenced by various factors , including knowledge , attitudes , family support , and access to health and sanitation facilities. Objective : To analyze factors associated with clean and healthy living behavior among community members. Methods : This study used an observational analytics design with a cross-sectional approach . The study was conducted from May to July 2026 in a community served by a healthcare facilities . A total of 113 respondents were recruited using consecutive sampling. Independent variables included knowledge , attitude , family support , and access to health and sanitation facilities . The dependent variable was clean and healthy living behavior . Data were collected using a structured questionnaire and analyzed using the Chi- square test with a significance level of α=0.05. Results : Sixty-nine respondents (61.1%) demonstrated good clean and healthy living behavior , while 44 respondents (38.9%) demonstrated less favorable Good behavior knowledge was found in 68 respondents (60.2%), positive attitudes in 71 respondents (62.8%), good family support in 65 respondents (57.5%), and adequate access to health and sanitation facilities in 74 respondents (65.5%). Knowledge (p=0.003), attitude (p=0.001), family support (p=0.012), and access to health and sanitation facilities (p=0.021) were significant associated with clean and healthy living behavior. Conclusion : Knowledge , attitude , family support , and access to health and sanitation facilities were significantly associated with clean and healthy living behavior among community members

The Relationship between Family Support and Self-Efficacy with the Success of Exclusive Breastfeeding in Postpartum Mothers

Armiyati Nur — 2026-10-08

Exclusive breastfeeding during the first six months of life is an important strategy to support infant growth and Successful development exclusive breastfeeding is influenced not only by maternal and infant conditions but also by family support and maternal confidence in her ability to breastfeed , known as breastfeeding self-efficacy. This study aimed to determine the relationship between family support and self-efficacy with exclusive breastfeeding success among postpartum mothers . An analytical observational study with a cross-sectional design was conducted at a primary health care facility in an urban area from May to July 2026. The sample consisted of 93 postpartum mothers selected using purposive sampling. Family support and breastfeeding self-efficacy were assessed using questionnaires , while exclusive breastfeeding success was assessed through interviews regarding the infant's history of food and fluid intake . Chi- square tests were used for bivariate analysis. The results showed that 58 respondents (62.4%) received good family support , 55 respondents (59.1%) had high breastfeeding self-efficacy , and 61 respondents (65.6%) succeeded provided exclusive breastfeeding . Exclusive breastfeeding success was 75.9% among mothers with good family support compared with 48.6% among mothers with inadequate Exclusive support breastfeeding success was 78.2% among mothers with high self-efficacy compared with 46.1% among mothers with low self-efficacy. Chi- square analysis demonstrated significant associations between family support and exclusive breastfeeding success (p=0.011) and between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.004). Family support and breastfeeding self-efficacy were associated with exclusive breastfeeding success among postpartum mothers

The Relationship between Maternal Knowledge and Administering Hepatitis B Immunization in the First 24 Hours to Newborns

Rusnaeni Saide — 2026-10-08

Background : Hepatitis B immunization in newborns is an important strategy to prevent hepatitis B virus transmission from the beginning of life . The birth dose is recommended as soon as possible after birth , particularly within the first 24 hours . Maternal knowledge regarding the benefits and timing of immunization May contribute to timely immunization practices. Objective : To determine the relationship between maternal knowledge and Hepatitis B immunization within the first 24 hours among newborns. Methods : This study used an observational analytics design with a cross-sectional approach . The study was conducted from May to July 2026 at a healthcare facilities . A total of 109 mothers with newborns who met the inclusion criteria were recruited using consecutive sampling. The independent variable was maternal knowledge , while the dependent variable was timely Hepatitis B immunization within the first 24 hours . Data were collected using knowledge questionnaire and immunization observation / documentation records . Data were analyzed using the Chi- square test with a significance level of α=0.05. Results : Sixty-two mothers (56.9%) had good knowledge , 31 mothers (28.4%) had moderate knowledge , and 16 mothers (14.7%) had poor knowledge . Hepatitis B immunization within the first 24 hours was administered to 78 newborns (71.6%), while 31 newborns (28.4%) were not received immunization within this time limit. The proportion of timely immunization was higher among mothers with good knowledge (83.9%) than among those with moderate (64.5%) and poor knowledge (43.8%). The Chi- square test demonstrated a significant relationship between maternal knowledge and Hepatitis B immunization within the first 24 hours (p=0.006). Conclusion : Maternal knowledge was significantly associated with Hepatitis B immunization within the first 24 hours among newborns

The Effect of Hair Personal Hygiene Education Using Comic Media on the Incidence of Pediculosis Capitis Among Female Students in Islamic Boarding Schools

Ziyadatul Inayah — 2026-10-03

Pediculosis capitis is a common health problem among students in Islamic boarding schools due to close interpersonal contact and communal living conditions. Health education using engaging media may support preventive behavior and reduce the occurrence of head lice infestation. This study aimed to determine the effect of hair personal hygiene education using comic media on the occurrence of Pediculosis capitis among female students at Nurul Jadid Islamic Boarding School. This study used a pre-experimental design with a one-group pretest–posttest approach. The population consisted of 451 female students, with 212 respondents selected using simple random sampling. Hair personal hygiene education was delivered using comic media, while the occurrence of Pediculosis capitis was assessed through direct examination using a fine-toothed lice comb before and after the intervention. Data were analyzed using the McNemar test with a significance level of 0.05. Before the intervention, 195 respondents (92.0%) were positive for Pediculosis capitis and 17 (8.0%) were negative. After the intervention, the number of positive respondents decreased to 132 (62.3%), while 80 (37.7%) were negative. The McNemar test showed a statistically significant difference between the pretest and posttest results (p < 0.001). The findings indicate that hair personal hygiene education using comic media had a significant effect on reducing the occurrence of Pediculosis capitis. Comic-based health education can be used as a promotive and preventive approach to support the reduction of head lice infestation among female students in Islamic boarding school settings

Physiotherapy Management Of Right-Sided Bell's Palsy Using Electrical Stimulation, Massage, And Mirror Exercise At Hermina Soreang Hospital

Lona Thesalonika — 2026-10-02

Bell's palsy is a unilateral peripheral facial nerve paralysis that may cause facial asymmetry, impaired eye closure, difficulties with eating and drinking, and psychosocial consequences. This scientific paper aims to describe clinical changes following physiotherapy management consisting of electrical stimulation (ES), massage, and mirror exercise in a patient with right-sided Bell's palsy. A descriptive case-report method was used in a 15-year-old female patient who underwent six physiotherapy sessions from March 7 to April 25, 2026. Evaluation was performed using the Numeric Rating Scale (NRS), Ugo Fisch Scale, Manual Muscle Testing (MMT), and the Facial Disability Index (FDI) instrument as used in the case report. Tenderness decreased from 3 to 1, movement-related pain from 4 to 2, and resting pain from 1 to 0. The mean MMT score of eight facial muscles increased from 2.0 at T1 to 5.0 at T6. The Ugo Fisch score increased from 58 to 99. The mean FDI physical-domain score increased from 2.8 to 5.0 and the social-domain score from 3.6 to 5.0. These findings indicate improvements in pain, motor function, and functional ability after six intervention sessions. However, because this case report had no control group and used combined modalities, the changes cannot be causally attributed to any single modality. Combined intervention may be considered as part of an individualized rehabilitation program with periodic monitoring.

Analysis Of The Effectiveness Of Outpatient Registration In Supporting The Achievement Of Minimum Service Standards At Bandung City Regional Public Hospital

Yuda Maulana Sidik — 2026-10-02

Outpatient services are among the healthcare services with high activity levels; therefore, the effectiveness of registration and medical record provision plays an important role in supporting the achievement of Minimum Service Standards (SPM). This study aimed to analyze the effectiveness of outpatient registration based on a comparison of medical record provision time in March, April, and May 2026 at Bandung City Regional Public Hospital. The study used an embedded mixed methods design, with a qualitative approach as the primary method and a quantitative approach as supporting data. Quantitative data included registration time, retrieval time for existing medical records, delivery time of medical records to the destination clinic, total provision time, and clinic. The sample was selected using a total sampling technique, consisting of 300 records, with 100 records from each month. Qualitative data were obtained through interviews, observations, and documentation. Descriptive analysis was conducted by comparing medical record provision time across months. The results showed variations in medical record provision time during the study period. These findings can serve as a basis for evaluating and improving the effectiveness of registration and medical record provision to support the achievement of SPM.

Evaluation Of Electronic Medical Record Implementation In Khanza Hospital Management Information System Using The Hot-Fit Method At KMM Sukabumi Eye Specialist Clinic

Ratila Azzahra — 2026-10-02

The implementation of Electronic Medical Records (EMR) is an important component of digital transformation in healthcare services. This study aimed to evaluate the implementation of EMR within the Khanza Hospital Management Information System (SIMRS) using the HOT-FIT method at KMM Sukabumi Eye Specialist Clinic. A descriptive qualitative design with an evaluative approach was applied to eight informants. Data were collected through direct observation, in-depth interviews, document review, and literature review. The findings showed that the Human, Organization, and Technology dimensions generally supported EMR implementation and generated benefits such as facilitating staff work, reducing duplicate documentation, improving access to patient information, and supporting service quality. Nevertheless, implementation had not yet reached an optimal level. Identified constraints included the longer adaptation period required by new users, uneven training, geographically distant IT support, incomplete utilization of Khanza SIMRS features, and monitoring and evaluation that were not conducted regularly. Basic technological infrastructure, including computers, LAN/Wi-Fi, servers, UPS/stabilizers, and daily data backup, was available; however, printer/scanner availability remained limited and network disruptions occasionally slowed BPJS bridging and service processes. Regular and equitable training, stronger and more responsive technical support, optimization of system features according to clinic needs, additional supporting devices, and scheduled monitoring and evaluation are therefore recommended to improve the sustainability and effectiveness of EMR implementation.

The Relationship Between Triglyceride Levels And Fasting Blood Glucose Levels In Patients With Type 2 Diabetes Mellitus At A Private Hospital

Alya Putri — 2026-10-02

Type 2 diabetes mellitus is a metabolic disease that can cause increased blood glucose levels and disorders of lipid metabolism, including elevated triglyceride levels. This study aimed to determine the relationship between triglyceride levels and fasting blood glucose levels in patients with type 2 diabetes mellitus at Hermina Arcamanik Hospital. This study used an observational analytic design with a cross-sectional approach involving 24 patients. Data were obtained through triglyceride and fasting blood glucose examinations and were analyzed using the Spearman Rank correlation test. The results showed a mean triglyceride level of 176.13 mg/dL and a mean fasting blood glucose level of 115.83 mg/dL. The Spearman test yielded rₛ = 0.331 and p = 0.114 (p > 0.05), indicating a weak positive relationship that was not statistically significant. The findings demonstrate that higher triglyceride levels tended to be accompanied by higher fasting blood glucose levels, although the strength of the association was weak and did not reach statistical significance in the study population. It was concluded that there was no significant relationship between triglyceride levels and fasting blood glucose levels among patients with type 2 diabetes mellitus in this study.

Review Of Readiness For The Use Of The Hospital Management Information System In The Medical Record Unit Using The 7M Approach At Mulyasari Hospital

Anisa Rizkia — 2026-10-02

The Hospital Management Information System (HMIS/SIMRS) plays a crucial role in improving the efficiency and quality of healthcare services and therefore requires adequate organizational readiness for implementation. This study aimed to determine readiness for the use of SIMRS at Mulyasari Hospital based on the 7M approach: Man, Money, Materials, Methods, Machine, Management, and Market. A descriptive qualitative method with a cross-sectional approach was employed. Data were collected through interviews, observation, documentation review, and literature review involving nine informants selected by purposive sampling. The findings showed that the Management and Market aspects were categorized as good, whereas Man, Money, Materials, Methods, and Machine were categorized as fairly good. Identified constraints included training that had not yet been sufficiently comprehensive, limited human resources, facilities that did not fully meet service needs, delays in completing medical resumes, unstable networks, slow computers, and system disruptions during maintenance. Overall, Mulyasari Hospital was considered ready to use SIMRS, although several components still require improvement. Regular and more comprehensive training, additional personnel in understaffed units, optimization of budget utilization, development of system features according to service needs, stronger discipline in completing medical documentation, and improvement of information technology infrastructure are recommended to support more optimal and sustainable SIMRS utilization.

The Role Of Hospital Management In Improving Occupational Health And Safety (OHS) Program Compliance Among Non-Medical Staff At The West Java Provincial Occupational Health Regional Hospital

Ingrid Padmasari — 2026-10-02

Hospitals present various occupational hazards, making the implementation of Hospital Occupational Health and Safety (OHS/K3RS) essential to protect all workers, including non-medical staff. This study aimed to analyze the role of hospital management in improving compliance with the OHS program among non-medical staff at the West Java Provincial Occupational Health Regional Hospital. A descriptive qualitative design was used with six informants selected through purposive sampling. The findings showed that management played an important role through the establishment of K3RS policies and the K3RS Team, confirmed by 50% of informants; provision of personal protective equipment (PPE) and OHS training, confirmed by 83.3%; and periodic program monitoring and evaluation, confirmed by 50%. Compliance among non-medical staff was generally good in PPE use, adherence to standard operating procedures, and participation in OHS activities, each confirmed by 50% of informants, although 66.7% reported variation in compliance across work units. All informants (100%) identified management commitment, policies, PPE, training, and unit-head support as enabling factors, while 66.7% reported barriers including budget limitations, limited K3RS human resources, PPE availability, workload, and inconsistent worker awareness. Management commitment therefore emerged as a key determinant, indicating the need to strengthen monitoring, OHS facilities, continuous training, and safety culture to sustain compliance.