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Hypertension is a common health problem in the elderly that is often unrealized, so it requires effective education to improve blood pressure management. This study aims to determine the effect of DASH diet education on knowledge and compliance with blood pressure control in hypertensive elderly at the Surabaya Elderly Posyandu. A quasi-experimental method with a pretest-posttest design and a control group involved 40 elderly hypertensive respondents who were divided into intervention and control groups. The intervention group received DASH diet education through counseling, leaflets, and 1x/week discussions for 4 weeks. Results showed a significant improvement in p=0.000 knowledge and p=0.000 blood pressure control adherence in the intervention group, while the control group showed no significant change. Systolic and diastolic blood pressure in the intervention group also decreased significantly (158.2/94.3 to 139.7/84.5 mmHg), with 55% of respondents achieving normal blood pressure, compared to 10% in the control group. Conclusion: DASH diet education is effective in improving knowledge, compliance, and controlling blood pressure in hypertensive elderly. Similar educational programs are recommended to be implemented continuously in primary health services for more optimal hypertension management.

Quality health services are key to improving patient satisfaction among National Health Insurance (JKN) participants. This study aims to systematically review various studies that have been conducted in Indonesia related to the level of JKN patient satisfaction with health services at Community Health Centers. The method used is a literature study by selecting relevant articles published in 2023-2025. Inclusion criteria include articles that discuss the relationship between service quality and JKN patient satisfaction. A total of 11 articles that meet the criteria have been analyzed. The results of the analysis show that the dimensions of service quality that most often influence the level of patient satisfaction are reliability, responsiveness, empathy, and tangibles. Most studies also use a quantitative approach with statistical tests such as chi-square and logistic regression to analyze the relationship between variables. However, not all dimensions always significantly affect the assurance dimension in several studies showing inconsistent results. The conclusion of this study is the importance of improving the quality of health services at Community Health Centers to improve JKN patient satisfaction. Health centers must develop patient-focused service strategies by training human resources, improving service systems, and conducting continuous quality evaluations.  

Integration between traditional and modern midwifery care practices is a very important strategic step in efforts to improve the quality of maternal health services, especially in indigenous communities such as the Dayak tribe. This article aims to explore the opportunities and benefits that can be obtained from combining the two approaches, including how this integration can improve maternal and child health outcomes. The method used in this study is a qualitative method with a literature study approach. The conclusion of this study is that there is a relationship between traditional and modern midwifery care practices. Traditional practices that contain cultural, spiritual, and local experience values ​​have been shown to provide a sense of security for pregnant women. On the other hand, the modern midwifery approach provides the clinical basis and medical interventions needed in high-risk conditions.

A cooperation agreement is a legal instrument that underlies the regulation of rights, obligations, and responsibilities between the parties involved in a collaboration. In the context of public health financing, this agreement aims to ensure access to adequate health services, especially for disadvantaged groups. Along with the reform of the health sistem in Indonesia in recent years, the government has sought to improve accessibility and quality of services through the transformation of the health financing sistem. The National Health Sistem (SKN) as the main framework is organized to ensure equitable health services. One of the crucial components in the SKN is health financing which is realized through the National Health Insurance (JKN). Legal provisions regarding the form and mechanism of this collaboration have been regulated in Law Number 17 of 2023, specifically Article 4 paragraphs (1) and (2), which emphasize that collaboration between BPJS and central and regional government institutions is carried out through a written agreement, which can be in the form of a memorandum of understanding, operational cooperation, functional cooperation, or other forms mutually agreed upon.

Financing in the health sector plays an important role in ensuring the sustainability of hospital operations and the provision of quality health services. Structured and efficient financing planning contributes greatly to improving the health of the community. However, in practice, it is not uncommon to find problems due to weak financial planning, such as budget limitations that have an impact on the low quality of health services and waste due to inappropriate spending. To overcome these problems, strategic steps are needed, including through increasing funding, more accountable management and allocation of funds, and controlling service costs. Thus, the issue of health financing has a significant influence on the quality of public health and is an important part of the development of the national health system.

Digital outpatient services are an important alternative in providing fast, efficient, and affordable health services, especially after the COVID-19 pandemic. However, this system change requires an active role from Health Care Administrators in designing strategies that can maintain and improve patient satisfaction. This article aims to analyze how the role of health administrators in developing technology-based quality management strategies to optimize patient experience in digital services. This study uses a qualitative approach with literature studies and analysis of digital outpatient service policies. The results of the study indicate that the success of increasing the patient satisfaction index depends on the administrator's ability to design effective digital communication strategies, virtual queue management, digital HR training, and strengthening online feedback systems. The involvement of administrators in strategic decision-making also makes a major contribution to improving service quality. The main recommendation of this study is the need to strengthen the capacity of health administrators in aspects of information technology, digital risk management, and patient engagement. With this strategic role, health administrators are at the forefront of the transformation of digital health services in the future.

The use of formula milk for infants is still common in the early stages of life and has the potential to hinder successful breastfeeding, even though the benefits of breast milk have been widely proven. Education and lactation counseling are considered important strategies to support breastfeeding practices and reduce the unnecessary use of formula milk. However, empirical evidence on the effectiveness of lactation counseling in reducing the intensity of formula milk use is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effectiveness of lactation counseling in reducing the intensity of formula feeding in infants. This study uses a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 20 mothers who had infants and met the inclusion criteria in the Popayato Community Health Center working area, selected using total sampling technique. The intervention took the form of structured lactation counseling provided by health workers. The intensity of formula feeding was measured before and after the intervention using a structured questionnaire. Data analysis was performed descriptively and bivariately using the Wilcoxon Signed Rank Test. The results showed a decrease in the intensity of formula feeding after lactation counseling. The Wilcoxon test showed a significant difference between the intensity of formula feeding before and after education (p = 0.000). Lactation counseling was proven to be effective in reducing the intensity of formula feeding in infants. This educational intervention has the potential to be an important promotional strategy in maternal and child health services to support more optimal breastfeeding practices..

E-Puskesmas is a solution to problems caused by manual systems. It was created to streamline the method of reporting data to the Health Office and digitize the process of providing health services to the community at the Puskesmas. In addition, the online reporting system facilitates the dissemination of information effectively and efficiently. This study aims to determine the impact of using E-Puskesmas in improving the effectiveness of health services at the Pancur Community Health Center in Tanjungpinang City. The research method used is descriptive research with a qualitative approach conducted through observation, interviews, and documentation. The results of the study indicate that the implementation of E-Puskesmas has brought significant improvements in managing patient data, appointment scheduling, and reporting processes to the Health Office. Health workers find the system beneficial for storing accurate data, reducing paperwork, and enabling faster coordination with other health facilities. However, the use of the system is still hampered by unstable or slow internet or Wi-Fi networks, which often delay data input and retrieval during busy operational hours. This issue not only reduces efficiency but also causes frustration among staff who rely on the system for daily activities. The conclusion of this study highlights that the use of E-Puskesmas is effective in supporting digital health services but remains suboptimal due to technical challenges. Improving internet connectivity is critical to ensuring seamless operation and maximizing the benefits of the system. The study recommends that the local government and relevant stakeholders enhance the quality of network infrastructure and provide regular technical support and training for Puskesmas staff. By addressing these challenges, the Pancur Community Health Center can improve the stability of its operations and ensure that the E-Puskesmas application delivers optimal results in supporting high-quality, efficient, and technology-driven health services for the community.

Legal protection of personal health data amidst the rapid digitalization of health services, such as telemedicine, electronic medical records, and online consultation applications is very important. Sensitive health data requires careful management, but in fact, many digital service providers in Indonesia have not implemented adequate security standards. The case of the BPJS Kesehatan participant data leak is a real example of the weakness of the data protection system, coupled with the practice of data misuse by digital platforms without valid consent. The method used is qualitative with a normative legal approach, through a literature study of primary and secondary regulations such as Law No. 27 of 2022 concerning Personal Data Protection (UU PDP), the ITE Law, and related Government Regulations and Permenkes. The results of the study show that although regulations are comprehensively available, implementation in the field still faces serious challenges such as the lack of appointment of Data Protection Officers (DPOs), weak supervision, and low awareness of data protection. Real threats such as cyber attacks, data leaks due to negligence, and misuse by third parties are the main issues. Electronic system providers have a great responsibility in building an information security system, preparing privacy policies, and implementing the principle of "privacy by design".  

Digital transformation in health services faces significant challenges, particularly the gap between rapid technological advancements and the readiness of institutional work culture. This study investigates the cultural lag experienced during the implementation of digital systems at the East Nunukan Health Center. Using an observational qualitative approach, it examines health workers' responses to digital applications such as e-Puskesmas and various Health Information Systems. The findings reveal substantial resistance to change, attributed to factors like limited digital literacy, inadequate infrastructure, and the persistence of traditional work patterns. Despite the introduction of digital systems, healthcare practices remain largely dependent on manual methods, highlighting the disconnect between technological progress and the socio-cultural preparedness of healthcare organizations. The study concludes that this cultural lag within healthcare institutions can significantly impede the effectiveness of digital transformation efforts. To address these issues, the research advocates for ongoing training, improvement of supporting facilities, and the adoption of strategies that align with local work culture. This research provides valuable insights into the socio-cultural dynamics affecting the digitization of public services, especially in border regions with limited technological access.

This study aims to determine the level of community satisfaction with Posyandu services in the Bekasi area. Posyandu, as the frontline of community health services at the village level, plays an important role in monitoring the growth and development of toddlers, providing immunization services, and delivering health education. The method used in this study was a quantitative survey, with questionnaires distributed to 150 respondents who were users of Posyandu services in several subdistricts in Bekasi. The aspects evaluated include service quality, facility availability, staff attitude, and the effectiveness of the information provided. The survey results indicate that the majority of respondents are satisfied with the services provided, although there are some notes regarding limitations in facilities and service hours that need to be improved. These findings are expected to serve as input for Posyandu managers and local governments in enhancing the quality of community health services at the grassroots level.

Background: Patient satisfaction is a form of feeling happy or disappointed with the service received after the patient compares it with what is expected. In the era of digitalization, telemedicine has an impact on health services, especially patient satisfaction. This study aims to determine the use of telemedicine on increasing patient satisfaction in health services in Indonesia. Research methods: Systematic review using PRISMA guidelines and the PICO model, Population = patients who use telemedicine; Intervention = telemedicine; Comparison = not using telemedicine; Outcome = patient satisfaction in health services in Indonesia. Articles were collected through Google Scholar, Jurnal Manajemen Kesehatan (JMK), Jurnal Kebijakan Kesehatan Indonesia (JKKI), Jurnal Pendidikan dan Teknologi Kesehatan (JPTK), Jurnal Ilmiah Indonesia (JII), and Jurnal Komunikasi which focus on Indonesia. Keywords use: patient satisfaction, health services, telemedicine, Indonesia. A total of 6 articles met the inclusion criteria for a systematic review. Results: 6 articles out of 119 articles were studied for systematic review. Six articles did not find a significant difference in patient satisfaction between telemedicine and face-to-face meetings. There are several factors that influence patient satisfaction, including: most are female, productive age, college educated, and work as private employees. Conclusion: Telemedicine services have been shown to increase patient satisfaction in health services in Indonesia. This shows that the more telemedicine services used, the higher the level of patient satisfaction. However, further research is needed to analyze how effective the use of telemedicine is on patient satisfaction in health services in Indonesia.

This study compares sex work regulations in Indonesia and Thailand through the lens of human security. Using qualitative comparative literature approach, the research analyzes four core dimensions including health, economy, legal protection, and social inclusion. Findings show that Indonesia still relies on criminalization, which exacerbates vulnerability, restricts access to health services, and reinforces stigma. Conversely, Thailand is undergoing a regulatory transition marked by community engagement, harm reduction practices, and early steps toward decriminalization. However, Thailand’s policy remains incomplete in addressing the rights of migrant and transgender sex workers. The study concludes that while Thailand provides a more inclusive model, both countries require further policy reform distinguishing voluntary sex work from exploitation, strengthening grassroots organizations, and regional policy harmonization under ASEAN human rights framework.

The incidence of chronic diseases is not comparable to the ratio of chronic disease service utilization in Jambi City. Data from BPJS Kesehatan Jambi states that Talang Banjar Health Center is a health center with the lowest achievement of the Controlled Chronic Disease Management Program Participant Ratio (RPPT) of 0.55% from ≥ 5%. It is suspected that the behavior of chronic disease sufferers influences this figure. The study aims to analyze the behavior of health service utilization by chronic disease patients in the work area of Talang Banjar Health Center, Jambi City. Quantitative research with a cross-sectional study design. The research sample was selected through the Total Sampling Technique, namely all prolanis participants who have been registered at Talang Banjar Health Center, Jambi City, totaling 75 respondents. Data analysis using the chi square test. The results of the study showed that there was a relationship between Education (p = 0.049), knowledge (p = 0.000), accessibility (p = 0.043), and perception of disease (0.020) with prolanis utilization. There is no relationship between age (p = 0.254), gender (p = 0.383), occupation (p = 1.000), and health worker attitudes (p = 0.320) with the utilization of prolanis health services. It is concluded that education, knowledge, accessibility and perception of disease factors influence patient behavior in utilizing Prolanis services.

Hospitals as a health service industry are required to provide quality services through marketing strategies so that the quality of health services in hospitals becomes higher. One strategy that can be used by hospitals is to implement the Marketing Mix. From the results of initial interviews, it was found that most patients were elderly patients at RSI Ibnu Sina Bukittinggi who had difficulty getting information through social media, resulting in a backlog of registrations and decreased patient satisfaction. This study aims to determine the relationship between the marketing mix and outpatient satisfaction at RSI Ibnu Sina Bukittinggi. This study uses a quantitative method with a cross-sectional design. The sample used was 100 respondents taken from the outpatient population. Data analysis was carried out using the Chi-Square statistical test at α = 0.05 to see the significance of the relationship between the marketing mix and patient satisfaction. The results of the study found that there was a relationship between the product marketing mix and patient satisfaction and there was no relationship between the marketing mix of price, promotion, people, process, physical evidence and outpatient satisfaction. Based on the results of the study, it is expected that the marketing mix in the Outpatient Unit of RSI Ibnu Sina Bukittinggi will maintain and improve its marketing services.

Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis. Indonesia is one of the countries with the highest number of TB cases in the world. The key to successful TB treatment is treatment adherence. One factor that influences treatment adherence is stigma, which can result in incomplete treatment. This study aimed to determine the relationship between stigma and adherence to pulmonary TB treatment in the city of Lhokseumawe. The research method used was descriptive correlational with a cross-sectional approach. The sampling method was quota sampling with a sample size of 83 pulmonary TB patients. Data were filled in by filling out the Internalized Stigma of Mental Illness (ISMI) scale and Morisky Medication Adherence Scale (MMAS-8) questionnaires, and the data were analyzed using the Spearman correlation test (p = 0.05). The results of the bivariate test of age, gender, last education, occupation, and PMO did not have a relationship with adherence to pulmonary TB treatment, with a p value> 0.05. However, the duration of treatment had a relationship with the level of adherence to pulmonary TB treatment, with a p-value = 0.008. The study's results also showed that stigma and treatment compliance did not have a significant relationship, with p-value = 0.197. It was concluded that there was no relationship between stigma and compliance with pulmonary TB treatment. Health services in Lhokseumawe City are expected to continue to provide education and motivation to pulmonary TB patients to comply with their treatment.

he digital era brings significant changes in various aspects of life, including early childhood (ECD) parenting patterns. Easy access to gadgets ultimately results in excessive use that has a negative impact on children's growth and development. This study aims to examine strategies for overcoming the impact of excessive gadget use on ECD through optimizing Holistic Integrative Early Childhood Education (PAUD HI) services at TK Negeri Pembina Salakan. The methods used are literature studies and participatory observations of the implementation of the PAUD HI program. The results of the study indicate that the PAUD HI approach that includes integrated education, health, nutrition, care, protection, and welfare services can be an effective solution. At TK Negeri Pembina Salakan, its implementation is realized through learning activities that stimulate all aspects of development, active involvement of parents in digital parenting education, provision of an environment rich in non-gadget stimulation, and collaboration with health services and the community. It is concluded that PAUD HI has a strategic role in mitigating the negative risks of gadgets and supporting optimal growth and development of ECD.

Puskesmas are the spearhead of the government in providing basic health services to the community in Indonesia. Puskesmas are required to provide excellent quality services to the community, but these expectations have not been met. Government efforts are then made through independent financial management of the Regional Public Service Agency (BLUD). Karang Rejo Health Centre is one of the Health Centres that successfully received a designation by the Government of Tarakan City, North Kalimantan Province as one of the Independent Health Centres with BLUD management. This study aims to analyse the role & interaction between political actors or leaders in Puskesmas in improving the quality of excellent service at Karang Rejo Puskesmas. The research informants are 1). Head of Puskesmas, 2). The Head of Section and Head of Administration. Visitors include patients who come for treatment and take care of health certificates. The research used descriptive qualitative research in order to explore in-depth information about the excellent service of Karang Rejo Health Centre. The results showed that first the Head of Puskesmas is a professional doctor, as a political actor has a very important role, especially when conducting vertical interactions and horizontal interactions. Vertical interaction with the leaders above him (head of department, regent) and horizontal interaction with the leaders below him (head of section & head of administration), causing Karang Rejo Health Centre to become independent with BLUD management. Secondly, in the dimensions of public service quality at Puskesmas Karang Rejo, West Tarakan Sub-district, Tarakan City, North Kalimantan Province, Indonesia, which has been running optimally with an achievement of 85% is the reliability dimension, the responsiveness dimension and the guarantee dimension. These dimensions can be optimal due to changes in the Puskesmas institution which was previously not independent in terms of its finances, turning into independent with BLUD management. Meanwhile, the dimensions of public service quality that have not run optimally and require improved management, amounting to 15%, namely the dimensions of physical evidence and empathy.

The increasing number of elderly people in Yogyakarta City demands the provision of an inclusive environment that supports the welfare of the elderly. This study aims to assess the suitability of Yogyakarta City for the concept of an elderly-friendly city based on seven main variables: green open space, public transportation, pedestrian facilities, health services, social support, elderly-friendly intergenerational interactions, and advocacy for the basic rights of the elderly. The research used a quantitative approach with observation and questionnaire methods to elderly people in all sub-districts in Yogyakarta City. The data were analyzed using a Guttman scale to determine the level of suitability of each variable. The results showed that overall Yogyakarta City is classified as “suitable” for the concept of an elderly-friendly city, with a total score of 5.32 out of a maximum scale of 6.80. Four variables meet the suitability criteria, namely public transportation, health services, social support, and intergenerational interaction. Meanwhile, the other three variables are still not fully suitable and require improvement. This study recommends improvements in these three aspects so that the implementation of the concept of an elderly-friendly city in Yogyakarta City can be more optimal and sustainable.

Patient satisfaction is a form of feeling happy or disappointed with the service received after the patient compares it with what is expected. In the era of digitalization, telemedicine has an impact on health services, especially patient satisfaction. This study aims to determine the use of telemedicine on increasing patient satisfaction in health services in Indonesia. Systematic review using PRISMA guidelines and the PICO model, Population = patients who use telemedicine; Intervention = telemedicine; Comparison = not using telemedicine; Outcome = patient satisfaction in health services in Indonesia. Articles were collected through Google Scholar, Jurnal Manajemen Kesehatan (JMK), Jurnal Kebijakan Kesehatan Indonesia (JKKI), Jurnal Pendidikan dan Teknologi Kesehatan (JPTK), Jurnal Ilmiah Indonesia (JII), and Jurnal Komunikasi which focus on Indonesia. Keywords use: patient satisfaction, health services, telemedicine, Indonesia. A total of 6 articles met the inclusion criteria for a systematic review. 6 articles out of 119 articles were studied for systematic review. Six articles did not find a significant difference in patient satisfaction between telemedicine and face-to-face meetings. There are several factors that influence patient satisfaction, including: most are female, productive age, college educated, and work as private employees. Telemedicine services have been shown to increase patient satisfaction in health services in Indonesia. This shows that the more telemedicine services used, the higher the level of patient satisfaction. However, further research is needed to analyze how effective the use of telemedicine is on patient satisfaction in health services in Indonesia.