Publication Search

Transformation service Primary health care (PHC) is a key pillar in improvement results health public globally, especially in high- income countries low and medium . This article analyze approach comprehensive in strengthening PHC through Healthy Indonesia Program (PIS) policy with approach family (PIS-PK), integration digital technology , and policy reform. This study highlight importance continuity service , participation community , readiness source Power humans , and use technology information For support taking decision data -driven and sustainable services . Research This adopt method qualitative with interviews , observations , and reviews document to implementation of PIS-PK in North Gorontalo Regency . Research results show that success PHC transformation is greatly influenced by communication effective policies , availability​ source power , structure adaptive bureaucracy , as well as support digitalization service . Findings this is also associated in a way direct with theory and practice implementation policies , including classical models such as Van Meter and Van Horn and Edwards III .

One of the important indicators in hospital quality standards is the level of patient satisfaction with the services provided. Therefore, improving the quality of health services is very crucial, not only in the medical aspect, but also in terms of communication and empathy of health workers to patients. This study aims to determine the description of the quality of service of registration staff at the outpatient polyclinic of General Hospital X, South Jakarta, in 2023, based on patient perceptions. This study is a quantitative study with a descriptive approach, conducted on 50 respondents. Data were collected using a questionnaire covering five dimensions of SERVQUAL: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Data analysis was carried out by presenting the frequency distribution and percentage of each service dimension. The results showed that: in the Tangibles dimension, 66% of respondents rated it good and 34% less good; Reliability, 70% good and 30% not good; Responsiveness, 52% good and 48% not good; Assurance, 72% good and 28% not good; and Empathy, 66% good and 34% less good. In conclusion, although most respondents rated the service of the registration staff as good, there are still aspects that need to be improved. Improving the overall quality of service, especially in the dimensions of Responsiveness and Empathy, is needed as a strategic step in an effort to increase patient satisfaction and loyalty.

Gender identity is part of human existence in society. In Indonesia, the diversity of gender identities other than male and female, such as waria (male and female), often causes social and cultural debates. Waria are a group that are biologically born as men but express themselves as women, both in appearance and behavior. The acceptance of waria in society is not uniform. On the one hand, some people show a tolerant attitude, especially in urban areas that are more open to diversity. On the other hand, negative stigmas against waria are still widely found, which are affected by their limited access to education, work, health services, and public spaces in general. This study uses a qualitative research type. The subjects of this study are waria in Jember City. In this study, researchers use qualitative methods in collecting data by conducting direct observations to obtain data by writing, recording and explaining what is happening to get the right information. In this study, the phenomenological method was also used by searching for data through face-to-face interviews with informants and meeting the agreed informants.

Pets and livestock play an important role in everyday life, both economically and socially. However, both require optimal care and health to ensure their well-being and prevent potential health risks to humans. Annajah Vet Care, Pet & Poultry Shop comes as a veterinary clinic that provides comprehensive health services, such as vaccinations, hospitalization, grooming, and provision of feed for livestock and pets. Despite operating for two years, the clinic does not yet have a strong and consistent visual identity, as evidenced by the use of two similar logos that do not reflect the brand image. Promotion is also still limited to physical media and conventional methods such as word of mouth, with no utilization of social media. Surveys show that the majority of people recognize Annajah Vet Care as an animal health service provider, but brand awareness of its role as a pet shop is still low. To overcome this challenge, concept design was conducted as a strategic effort to strengthen brand identity through the application of a consistent and representative visual identity. In addition, the use of social media was optimized to reach a wider audience and support effective promotional efforts. Rebranding is expected to increase brand awareness, improve public perception of the services offered. With the right branding approach, Annajah Vet Care is expected to be able to compete in the market.

Patient satisfaction is one of the factors that help improve the quality of health services. When a patient's experience after obtaining health services is compared to the patient's expectations, the resulting level of satisfaction can be measured. Finding out how satisfied Malawili Health Centre patients are with their pharmacological care was the motivation for this survey. In this descriptive study with a cross-sectional design, one hundred participants were surveyed between September and October 2023 at the Malawi Health Centre Pharmacy Services Department. Data was collected to measure the level of patient satisfaction through questions in the categories of tangible evidence (reliability), responsiveness, assurance, and empathy. SPSS software was used to analyse patient satisfaction levels. The results of the analysis of each dimension of patient satisfaction were as follows: tangibility 76.4%, reliability 82%, responsiveness 83.8%, assurance 86.7%, and empathy 89.35%. Meanwhile, the P values of the sociodemographic relationship test results and satisfaction levels were all > 0.05, including gender (0.000 < 0.1), age (0.208 > 0.1), education (0.673 > 0.1), occupation (0.000 < 0.1), and income (0.000 < 0.1).

Puskesmas is one of the health services whose traffic is difficult to determine, because it cannot be predicted that people will get sick and need health services. The queuing system at the puskesmas is implemented through several stages, namely the first stage the patient goes to the counter to get a queue number, after that the patient will be called according to the serial number to be served. This has a big impact on patients who were previously queuing because they have to be willing to wait longer to get service. This queue system often causes various kinds of problems and patient dissatisfaction. The Queue Management System at the Sindangkerta Community Health Center has several problems, including long queue waiting times which tend to be detrimental to patients who will receive services. Long queues cause longer waiting times. The queue is not easily accessible to prospective patients, making it difficult to obtain a queue number. This research uses qualitative research methods with a descriptive type. Data collection techniques using direct observation techniques, interviews and documentation. Data analysis techniques using data collection techniques, data reduction, data presentation and drawing conclusions. The results of the research show that the evaluation of the management of the queuing system at the Sindangkerta Community Health Center is quite good, but there are still problems, including long queue waiting times and difficulty for visitors to get a queue number.  

Problems faced by partners related to the role of cadres in attaching P4K stickers at the Babirik Health Center include the lack of community understanding of the importance of the health information provided. Although cadres have tried to attach stickers in strategic locations, community response is often minimal, so that the information is not effective in raising awareness. In addition, cadres also face challenges of limited time and resources, which prevent them from conducting further socialization. The solutions carried out are educating cadres to conduct pregnant women screening; documenting high-risk pregnant women; educating high-risk pregnant women on knowledge; attaching P4K stickers in the homes of high-risk pregnant women. The conclusion from the results of community service activities related to the role of cadres in attaching P4K stickers at the Babirik Health Center shows that this initiative has succeeded in increasing community awareness of maternal and child health. Through the attachment of stickers in strategic locations and the active involvement of cadres, important information about health services becomes more easily accessible and understood by the community. More intensive interaction between cadres and the community shows an increase in requests for information and participation in health programs.

Health service management has an important role in managing resources effectively and efficiently, dealing with the dynamics of community needs, and ensuring quality health services through a systematic and humanistic approach. However, there are still shortcomings in the availability of adequate resources and managerial skills of implementing officers in service units that do not meet the standards. This study aims to analyze the direct impact of health management on accessibility, quality, effectiveness, and policy-making in health services.This study uses a literature review method with data sources obtained from Google Scholar, National Library e-Resources, and Garuda Portal. The research data was taken from 2015-2025. Based on the literature review, effective health management includes strategic planning, strengthening internal management, managing human resources, community involvement, and utilizing technology. The implementation of health management is proven to improve the competence of health workers, accelerate service processes, and increase patient satisfaction. In addition, good health management also encourages the expansion of health facility distribution, maintains the availability of drugs and medical devices, and improves the quality of infrastructure. However, there are challenges that need to be overcome, such as limited human resources and challenges in implementing Electronic Medical Records (EMR) in various healthcare facilities. The review shows that health management positively impacts accessibility, service quality, effectiveness, and evidence-based policymaking. Effective strategies include strategic planning, internal managemen human resource management, technology use, and community involvement, although challenges like limited human resources and Electronic Medical Record implementation remain

This study investigates the impact of toxic parenting on the mental health of late adolescents in Benda Baru, South Tangerang. The background of this research is rooted in the increasing number of adolescent mental health issues linked to unhealthy parenting practices, including excessive control, verbal abuse, physical violence, criticism, and neglect. The study aims to analyze the underlying causes of toxic parenting from the perspectives of adolescents, parents, and other family members, as well as to identify its psychological, social, and behavioral consequences. Using a qualitative descriptive approach, data were collected through in-depth interviews, observations, and documentation involving late adolescents aged 18–22, their parents, siblings, and key community informants. The findings indicate that toxic parenting often originates from intergenerational trauma, unresolved stress, and socio-cultural pressures, leading parents to adopt coercive and destructive parenting strategies. These practices contribute to significant mental health problems among adolescents, including anxiety, depression, low self-esteem, difficulties in social adaptation, and tendencies toward self-harm. The study underscores the importance of preventive efforts through parenting education, psychosocial support at the community level, and the development of youth-friendly mental health services. The implications suggest that multi-sector collaboration involving families, schools, community leaders, and local government is essential to create a supportive environment that can break the cycle of toxic parenting and promote adolescent well-being.

The quality of National Health Insurance (NHI) services is one of the important aspects of the health system in Indonesia. So that in an effort to improve the quality of health services, every health service facility is required to improve the quality of health services both internally and externally and continuously and sustainably. The purpose of this study is to determine the quality of service to the satisfaction of national health insurance (NHI) users. The method in this article uses a literature study, namely a method of collecting data by understanding and studying theories from various literatures related to a study that is being conducted. There are four stages of making a literature study in research, namely preparing the necessary literature sources, managing literature, organizing time and reading or recording research materials and by compiling articles. The results of this study show that the quality of service to the satisfaction of National Health Insurance (NHI) users is very important because it has a direct impact on the quality of life of the community with the quality of service, service waiting time, ease of access, affordable costs, good communication, availability of facilities, ability to overcome problems and satisfaction with the service process. It can be concluded that the quality of health services is very important because it has a direct impact on the quality of life of the community and patient safety. Good service quality can increase the satisfaction of NHI users and improve the quality of life of the community. For the government, it is necessary to improve evaluation and monitoring. Improve evaluation and monitoring of the quality of NHI services. Improve accessibility of information on NHI evaluation and monitoring.

Tuberculosis (TB) remains one of the main challenges in the health sector in Indonesia, with a fairly high number of cases each year. This study aims to analyze the distribution of TB cases based on occupation and identify community groups that are at higher risk of spreading this disease. The data used in this study were obtained from estimates of the 2022 TB epidemiology report. The results of the analysis show that informal workers, such as laborers and traders, are the group with the highest number of TB cases, at 36.0%. This is followed by formal workers (21.6%), farmers/fishermen (17.3%), housewives (14.4%), students (6.5%), and unemployed or retired groups (4.2%). The high prevalence of TB in informal workers is caused by several factors, including an unhygienic work environment, limited access to health services, and unhealthy lifestyles. Based on these findings, a more effective strategy is needed in efforts to prevent and control TB, especially for groups with high levels of vulnerability. Health education, increasing access to health services, improving work environment sanitation, and early detection programs are important steps in reducing the spread of TB. With the right intervention, it is hoped that the number of TB cases in Indonesia can be reduced significantly.

The National Health Insurance Program, the Healthy Indonesia Card, is increasingly being utilized by the community. Improving the quality of services is also the focus of the efforts made. However, these improvements are expected not to be fragmented in just one aspect of the service. The goal of service quality is to meet or even exceed community expectations. The purpose of this literature review is to review how to improve the quality of National Health Insurance services in public health facilities. The literature used in this study is by determining articles that meet the inclusion criteria. The database used is Google Scholar. The year of publication of the literature sources taken is the last 5 years between 2020 and 2025. The literature sources use English or Indonesian. The results of 5 articles obtained that to improve the quality of National Health Insurance (NHI) services in public health facilities, namely by providing access to services, completing infrastructure that is still lacking, implementing the Healthy Indonesia Card Health Insurance Program Policy, and increasing the professionalism of human resources. It can be concluded that improving the quality of National Health Insurance (NHI) services in public health facilities can also be done by building an ecosystem with integrity, utilizing technology to facilitate access to health services that can facilitate the community in utilizing health services. For the government, it is necessary to provide new policies to facilitate NHI participants in obtaining health services, strengthening cross-sector support, whether in the form of regulations, infrastructure, or funding. In addition, there is also a need for evaluation from various aspects in order to create good quality in the utilization of health services.

Immunization is one of the important disease prevention efforts for toddlers. Complete immunization in toddlers can prevent various diseases that can be high-risk for children's health, such as diphtheria, polio, hepatitis, and measles. However, the level of complete immunization coverage in toddlers in Indonesia, including in the working area of ​​the UPTD Sawang Health Center, North Aceh Regency, is still a challenge. This study aims to identify factors that influence the implementation of complete immunization in toddlers in the area. The method used in this study is quantitative research with a descriptive approach. The research sample consisted of parents or caregivers of toddlers in the working area of ​​the UPTD Sawang Health Center, with a total of 100 respondents. Data were collected through a questionnaire that included factors such as parental knowledge, attitudes, accessibility of health services, and family socio-economic factors. Data analysis was carried out using descriptive statistics. The results of the study showed that there were several factors that influenced complete immunization in toddlers, namely parental knowledge about the importance of immunization, parental attitudes towards immunization, accessibility to health facilities, and parental education levels. Socioeconomic factors, such as family income and parental occupation, also played an important role in the success of complete immunization. In addition, there was a significant influence between the distance from the house to health facilities on the level of immunization coverage. From the results of this study, it can be concluded that efforts to increase the coverage of complete immunization in toddlers in the Sawang Health Center UPTD area need to consider these factors.

Health is a basic human need, so it requires high awareness so that people maintain their health. One way to protect yourself and your family from the financial risks arising from health care costs is by having health insurance. The impact of this insurance provides protection against possible future losses and invests part of the funds collected from policyholders. Health insurance is important not only for reducing the financial burden of health services but also for ensuring that individuals have access to timely and quality medical care. The purpose of this theoretical study is to determine the impact of health insurance on the utilization of health services from a public health perspective. The method used is a theoretical study, which analyzes existing theories and previous research to understand the effects of health insurance. This approach is intended to draw conclusions regarding how insurance affects public health and health service usage. The results of this theoretical study indicate that, from a public health perspective, health insurance has a positive impact in various ways. It helps reduce the risk of disease, minimizes the economic burden when individuals fall ill, reduces financial risks, provides peace of mind, and facilitates access to quality medical services. Furthermore, insurance contributes to preventive care and early treatment. Accessibility to health services is identified as a crucial factor in enhancing the positive impact of insurance on the welfare and health of the community in Indonesia.

Ambarawa Regional General Hospital (RSUD) is a Public Service Agency Regional (BLUD) belonging to Semarang Regency which operates in the field of public health services. Ambarawa Regional Hospital is located at Jalan Kartini No. 101 Ambarawa. So far, inventory data processing. At the Ambarawa Regional General Hospital (RSUD) it is still processed manually, there are several problems. What often arises is not knowing the depreciation value of goods each month, not yet applying it database system and low inventory data security system. The author used 3 research methods for data collection in this research, namely observation, interviews and literature study. The observation method used by the author is by carry out direct practice on problems that occur. Interview conducted by the author with the employees concerned, while in the literature study the author looked for related literature with research and used as a theoretical basis. From the analysis and research results, it can be seen that the solution to the problem above is: create an Inventory Data Recording Information System that uses a programming language Microsoft Visual Basic 6.0 and Microsoft SQL Server 2000 database processing system. Procedures will consist of p5 main parts, namely inventory data collection, room data collection, inventory item placement transactions, inventory item mutation transactions and line method depreciation straight. This system is expected to increase the effectiveness of inventory data processing in hospitals Ambarawa Regional General Hospital (RSUD).    

This research aims to see the results of activities to increase employee capacity through the disaster safe hospital (RSAB) program at Kilisuci Regional Hospital, Kediri City. Hospital preparedness plans are very important in ensuring the safety of the hospital environment and the actions that need to be taken to ensure health services remain available during a disaster situation. Kilisuci Regional Hospital does not yet have a preparedness plan that is documented, tested, and involves the surrounding community to be ready to face disasters. The methods used in this community empowerment activity include pretest-posttest, lecture-discussion, direct training/practice, observation and evaluation methods. The research results show that Disaster Management at the Kilisuci Regional Hospital is very necessary considering that Kediri City has a variety of potential disasters and is in an area that has potential threats from floods, fires, the Covid-19 pandemic, Mount Kelud eruptions, traffic accidents and earthquakes. There was an increase in pretest and posttest results of 14.60 points. It is felt that activities to strengthen employee capacity through the Hospital Disaster Plan (HDP) program need to be developed further because hospitals need more preparedness capacity in facing disasters or emergency situations and can support during hospital accreditation.

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

The computer-based Hospital Management Information System (SIMRS) is a tool that supports and plays an important role in managing hospital operations. In the SIMRS regulations regulated in the Minister of Health of the Republic of Indonesia Regulation Number 82 of 2013 article 2, the aim of the SIMRS regulations is stated, namely, to improve efficiency, effectiveness, professionalism, performance, as well as hospital access and services. The participation of nurses in providing good hospital services will determine the success of health services. This research aims to determine the relationship between the implementation of the Hospital Management Information System and the performance of nurses at the Sultan Agung Islamic Hospital, Semarang. This research uses quantitative research with a cross-sectional approach. Data collection used a questionnaire using 100 respondents. This research uses a total sampling technique and is processed statistically with the correlation test used in this research, namely the chi square test. So from the chi square test of Hospital Management Information System (SIMRS) data with nurse performance, a p value of 0.000 (<0.05) was obtained, which shows that Ha is accepted or there is a fairly strong relationship and closeness (0.468) and the direction of the relationship is positive. There is a relationship between the implementation of the Hospital Management Information System and Nurse Performance.  

This study analyzes the psychological impact of the armed conflict in Yemen by comparing urban and rural populations through a systematic review and meta-analysis of 47 published studies (N=28,463) from 2015 to 2024. The analysis reveals a significantly higher prevalence of PTSD in the urban population (42.8%, 95% CI [39.2-46.4]) compared to the rural population (31.5%, 95% CI [28.1-34.9], p<.001). In addition, multilevel regression analysis indicates a strong correlation between the level of exposure to conflict and the severity of depressive symptoms (r=.68, p<.001) and anxiety (r=.72, p<.001) in both populations. Additionally, when examining specific urban risk factors, calculations indicate that population density (OR=1.86, 95% CI [1.54-2.18]) and loss of infrastructure (OR=1.73, 95% CI [1.45-2.01]) are significant. Moreover, geographic isolation (OR=1.92, 95% CI [1.67-2.17]) and limited access to mental health services (OR=2.14, 95% CI [1.89-2.39]) also demonstrate prominent risk factors, thereby emphasizing the predominance of specific urban risk factors in rural areas. These findings contrast with the research conducted by Le & Nguyen (2023) and Carpiniello (2023), which focused solely on general impacts; thus, the novelty of this research lies in its success in identifying distinct patterns of psychological trauma based on geographic characteristics. In addition, this study successfully reveals the differing mediating mechanisms of social support between urban (β=-.42, p<.001) and rural (β=-.28, p<.01) populations in mitigating the impacts of the Yemeni war trauma.

Sharia nursing is often applied in health services with Islamic standards which aim to maintain boundaries between members of the opposite sex and respect religious values. This practice is expected to increase patient satisfaction and loyalty, especially those who are predominantly Muslim. To prevent errors, hospitals and medical personnel need to prepare service standards and have a good understanding of sharia nursing. This study aims to analyze whether there is a correlation between sharia nursing and patient loyalty. This is a quantitative research with a cross-sectional approach. Data collection using a questionnaire. Population in this study amounted to 749 people. This study used 260 respondents using non-probability sampling techniques with purposive sampling methods. Data obtained were processed using the Spearman rank test. Results of this study indicate that the majority of respondents to sharia nursing are in the high category with a total of 230 (88.5%) respondents, while patient loyalty with the most respondents is in the high category with a total of 242 (93.1%) respondents. results of the statistical test obtained a p-value: 0.000 with a closeness of 0.456 which means that there is a correlation between sharia nursing and patient loyalty with a strong level of closeness. There is a significant correlation between sharia nursing and patient loyalty with (p-value <0.05).