VitaMedica : Jurnal Rumpun Kesehatan Umum
Journal Title : VitaMedica : Jurnal Rumpun Kesehatan Umum Initials : VitaMedica Frequency : Januari, April, Juli dan Oktober Print ISSN : 3030-900X Online ISSN : 3030-8992 Editor in Chief : Balqis Nurmauli Damanik, SKM., MKM DOI : 10.62027 Publisher : STIKES Columbia Asia Medan VitaMedica : Jurnal Rumpun Kesehatan Umum dengan e-ISSN : 3030-8992, p-ISSN : 3030-900X adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh STIKES Columbia Asia Medan. Jurnal ini adalah VitaMedica : Jurnal Rumpun Kesehatan Umum yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk riset Ilmu Kesehatan Umum. VitaMedica : Jurnal Rumpun Kesehatan Umum menerima artikel dalam bahasa Inggris dan bahasa Indonesia dan diterbitkan 4 kali setahun : Januari, April, Juli dan Oktober. Jurnal ini terakreditasi SINTA 4 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 355/DST/D.D1/HM.01.01/2026 tanggal 24 Juli 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 3 Tahun 2025), dimulai dari Volume 1 Nomor 4 Tahun 2023 sampai Volume 6 Nomor 3 Tahun 2028. Indexed by: Sponsorship and Partner:
Implementasi Artificial Intelligence Dalam Manajemen Rumah Sakit: Systematic Review Terhadap Efisiensi Operasional, Mutu Pelayanan, Dan Keselamatan Pasien
The development of Artificial Intelligence (AI) has driven significant transformation in hospital management, particularly in operational efficiency, service quality, and patient safety. This study aims to analyze the implementation of AI in hospital management based on recent scientific evidence from 2020 to 2026. The method used was a systematic review guided by the PRISMA 2020 framework. Literature was retrieved from PubMed, ScienceDirect, SpringerLink, Google Scholar, and ProQuest. From 360 identified articles, a stepwise selection process was conducted, resulting in 15 articles that met the inclusion criteria. The findings indicate that AI contributes to improved operational efficiency through patient flow optimization, operating room management, workforce scheduling, and electronic medical record management. AI also enhances service quality through predictive data analytics and supports patient safety through risk detection and early warning systems. In conclusion, AI has strong strategic potential to support modern hospital management. However, its implementation still faces several challenges, including human resource readiness, data security, algorithmic bias, system interoperability, and investment requirements. Therefore, AI implementation should be carried out in a planned, ethical manner and evaluated from a health economics perspective.
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Analisis Faktor Yang Mempengaruhi Kepuasan Pasien BPJS Terhadap Kualitas Pelayanan Rawat Jalan Di RSI Malahayati Medan
Patient satisfaction is a key indicator of health service quality in the National Health Insurance era. Outpatient services for BPJS members still face problems regarding waiting time, communication, and facilities. This study aimed to analyze factors affecting BPJS patient satisfaction with outpatient service quality at Malahayati Islamic Hospital Medan in 2026. A cross-sectional analytic design was applied to 150 respondents selected through consecutive sampling. Data were collected using a validated questionnaire (r>0.361; α=0.876) and analyzed by Chi-square and multiple logistic regression. Results showed that waiting time (p<0.001), staff competence (p<0.001), staff attitude (p<0.001), drug availability (p=0.032), facility comfort (p<0.001), administrative ease (p=0.003), and information clarity (p=0.008) were significantly associated with satisfaction. Multivariate analysis revealed waiting time as the most dominant factor (OR=5.42; 95% CI: 2.31–12.71), followed by staff competence (OR=4.18), facility comfort (OR=2.87), and staff attitude (OR=2.42), with Nagelkerke R²=0.512. Hospital management should optimize service flow and adopt digital queuing systems to enhance patient satisfaction.
Implementasi Program Cek Kesehatan Gratis Di Pelayanan Kesehatan Primer: Studi Literatur
The Free Health Check-up (CKG) is a government program designed to strengthen promotive and preventive health efforts through the early detection of risk factors, pre-disease conditions, and diseases across the community according to the life-cycle approach. As a relatively new initiative, the implementation of the CKG program in primary healthcare settings still requires further evaluation to assess implementation readiness, digital support systems, and community participation. This literature review aimed to examine the implementation of the Free Health Check-up Program in primary healthcare services. Relevant literature was retrieved from the Google Scholar database using the keyword "implementation of the free health check-up program" and was limited to open-access, full-text articles published between 2025 and 2026. The search identified eight eligible articles, which were extracted and analyzed in this review. The synthesis revealed three major themes in the implementation of the CKG program: (1) primary healthcare service readiness, (2) digitalization and reporting systems, and (3) community participation and communication strategies. Primary healthcare readiness includes the availability of human resources, infrastructure, medical equipment, consumable medical supplies, funding, service workflows, and cross-sectoral coordination. Digitalization through the SATUSEHATplatform and integrated reporting systems has the potential to improve service efficiency; however, challenges remain regarding digital literacy, internet connectivity, and the technical capacity of healthcare personnel. Community participation is influenced by knowledge, attitudes, the roles of community health volunteers, teachers, healthcare workers, and communication strategies tailored to the characteristics of the target population. The successful implementation of the CKG program requires strengthening primary healthcare systems, optimizing digital health platforms, and adopting community-based communication strategies to ensure the program is more effective, inclusive, and sustainable.
Pendekatan Manajemen Risiko dalam Penerapan Higiene Industri dan K3 pada Lingkungan Kerja
Industrial hygiene is a branch of public health research that aims to prevent illness and promote Industrial hygiene is an aspect of public health that prioritizes health protection measures for workers through the identification, evaluation, and control of various elements of the work environment that can cause health problems. The goal of implementing industrial hygiene is to prevent work-related illnesses and create a safe, healthy work environment that supports workers’ well-being. Industrial Safety and Health (IS&H) encompasses these various components, including risk identification, risk assessment, risk mitigation, and worker health monitoring, waste management, and emergency response planning. Workplace risks can include physical, chemical, biological, psychological, and ergonomic hazards. Hazard analysis is a crucial step in industrial hygiene as it helps identify and document potential health risks in the workplace. The hazard analysis process includes hazard identification, risk assessment, hazard prioritization, and risk control. The implementation of Occupational Safety and Health aims to ensure the protection of employees’ safety and health from potential hazards arising from work, while ensuring a safe and sustainable work environment. The implementation of OSH and environmental health also provides broad strategic benefits such as worker protection, cost efficiency, increased productivity, regulatory compliance, and enhanced corporate reputation.
Inovasi Manajemen Edukasi Kesehatan Berbasis Teknologi Dalam Meningkatkan Literasi Kesehatan Siswa Di Era Society 5.0
The Society 5.0 era demands increased student health literacy as an essential competency. However, previous research has tended to focus only on the health education aspect and has not comprehensively examined the integration of technology-based health education management. Therefore, this study aims to analyze the effectiveness of technology-based health education management innovations and identify key factors influencing their successful implementation. This study used a mixed methods approach with a sequential explanatory design. Quantitative data were collected through a survey of 200 students, while qualitative data were obtained through in-depth interviews with 10 teachers and the principal. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed using a thematic approach to strengthen the interpretation of the results. The results indicate that technology-based health education management innovations have a significant impact on improving student health literacy. Furthermore, it was found that successful implementation is influenced by five main factors: school institutional support, availability of technological infrastructure, teacher training, student motivation, and parental involvement. The novelty of this research lies in the integration of managerial and technological approaches in health education, tested through a mixed methods approach. These findings confirm that successful health literacy improvement is determined not only by the use of technology, but also by organizational readiness and multi-stakeholder collaboration. The implications of this research provide theoretical contributions to the development of technology-based health education management models and practical recommendations for educational institutions facing the challenges of Society 5.0.
Evaluasi Kepatuhan Petugas Pendaftaran Rawat Jalan dalam Penerapan Kebijakan Privasi Rekam Medis Elektronik di RSD K.R.M.T. Wongsonegoro
RSD K.R.M.T Wongsonegoro has implemented Electronic Medical Records (EMR) in healthcare services. However, several issues related to data security are still encountered in its implementation, including the continued use of paper-based forms, staff practices that may compromise account confidentiality, errors in patient data entry, and system disruptions affecting data availability. This study aimed to evaluate the compliance of Outpatient Registration Officers with the Electronic Medical Record privacy policy based on three main aspects of information security: privacy, integrity, and availability. This study employed a qualitative method with a descriptive approach. Data were collected through in-depth interviews with Outpatient Registration Officers and direct field observations. Data analysis was conducted through data reduction, data presentation, and conclusion drawing using triangulation of interview and observation results. The results showed that, in terms of privacy, officers understood the importance of maintaining data confidentiality and used personal accounts; however, practices such as recording usernames were still found, which may pose security risks. Regarding integrity, officers generally followed data entry procedures and performed data verification, although accuracy was not always consistent during periods of high workload. In terms of availability, the EMR system supported healthcare services, but system disruptions still occurred and hindered access to patient data. It can be concluded that staff compliance with EMR data security policies was generally good but not yet optimal. Therefore, improvements in supervision, staff compliance, and system reliability are needed to enhance data security and service quality.
Gambaran Sarana Sanitasi Lingkungan Pada Rumah Tangga Balita Penderita Stunting Di Puskesmas Rawat Inap Daya Murni Kecamatan Tumijajar Kabupaten Tulang Bawang Barat Tahun 2026
Background: Stunting is a chronic nutritional problem that remains a public health concern in Indonesia. One of the factors contributing to stunting is inadequate household environmental sanitation. Poor sanitation can increase the risk of infectious diseases that hinder children’s growth and development. Objective: To describe environmental sanitation facilities in households with stunted children under five in the service area of the Daya Murni Inpatient Health Center, Tumijajar District, West Tulang Bawang Regency, in 2026. Methods: This descriptive study used a total sampling technique involving 19 households with stunted children under five. Data were collected through interviews and observations using a checklist and analyzed using univariate analysis. Results: Most environmental sanitation facilities did not meet health standards, including water supply facilities (73.7%), household latrines (57.9%), solid waste disposal facilities (89.5%), and wastewater disposal facilities (84.2%). Conclusion: Environmental sanitation conditions in households with stunted children under five remained inadequate. Therefore, improvements in basic sanitation facilities and increased community education are needed to support efforts to prevent stunting.
Gambaran Media Dan Bangunan Rumah Penderita Tuberkulosis Paru Di Wilayah Kerja Puskesmas Gedong Air Kota Bandar Lampung Tahun 2026
Pulmonary tuberculosis (TB) remains a communicable disease and a major public health problem in Indonesia. The media and building conditions of houses occupied by pulmonary tuberculosis patients play an important role in the transmission of this disease. This study aimed to describe the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026, covering occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. This study employed a quantitative descriptive design with an observational approach. A total of 60 houses of pulmonary tuberculosis patients were selected using a simple random sampling technique. Data were collected through observation and interviews and were analyzed using univariate analysis. The results showed that most of the media and building conditions of houses occupied by pulmonary tuberculosis patients did not meet health requirements in terms of occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. It can be concluded that the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026 were predominantly not in accordance with healthy housing requirements. Therefore, education for patients and their families regarding health-compliant media and building requirements, particularly related to occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate, is needed to help reduce the risk of pulmonary tuberculosis transmission.
Hubungan Kualitas Dashboard Manajemen Rumah Sakit Dengan Kecepatan Pengambilan Keputusan Manajerial Pada Rumah Sakit Islam Malahayati Medan Tahun 2026
The rapid digital transformation of Indonesian hospitals has positioned management dashboards as strategic instruments to support evidence-based managerial decision-making. However, the extent to which the quality of hospital management dashboards influences the speed of managerial decision-making has not been sufficiently examined in Indonesian tertiary hospitals. This study aimed to analyze the relationship between the quality of the hospital management dashboard and the speed of managerial decision-making at Malahayati Islamic Hospital Medan in 2026. A quantitative analytical study with a cross-sectional design was conducted on 70 managerial staff (heads of units, heads of installations, supervisors, head nurses, and managers) selected through simple random sampling from a population of 85. Data were collected using a validated Likert-scale questionnaire (1–5) covering six dimensions of dashboard quality and four dimensions of managerial decision-making speed. Univariate, bivariate (Spearman's rank correlation), and simple linear regression analyses were performed. The results showed that 68.6% of respondents perceived the dashboard quality as good and 71.4% reported fast managerial decision-making. A significant, strong, and positive correlation was found between dashboard quality and managerial decision-making speed (r = 0.782; p < 0.001), with an R² of 0.612. The study concludes that improving dashboard quality substantially accelerates managerial decisions, supporting the DeLone & McLean Information System Success Model in the Indonesian hospital context.
Pengaruh Implementasi Rekam Medis Elektronik Dan Literasi Digital Petugas Terhadap Efisiensi Pelayanan Rawat Jalan
Digital transformation of hospitals in Indonesia has accelerated following the Ministry of Health Regulation No. 24 of 2022 that mandates the adoption of Electronic Medical Records (EMR) in every healthcare facility. Nevertheless, the effectiveness of EMR in improving outpatient service efficiency remains inconsistent because it depends heavily on the digital literacy of health workers. This study aims to analyze the effect of EMR implementation and staff digital literacy on outpatient service efficiency at Mitra Sejati General Hospital. This research employed a quantitative analytical design with a cross-sectional approach. The population comprised 120 outpatient staff, and 92 respondents were selected through simple random sampling. Data were collected using a validated Likert-scale questionnaire (1–5) and analyzed through univariate, bivariate, and multiple linear regression tests supported by classical assumption testing. The results indicated that EMR implementation (β = 0.412; p = 0.000) and digital literacy (β = 0.368; p = 0.000) had a positive and significant effect on outpatient service efficiency, both partially and simultaneously (F = 58.734; p = 0.000), with an Adjusted R² of 0.559. The findings imply that strengthening EMR governance and continuous digital literacy training are strategic interventions for improving outpatient service efficiency in Indonesian hospitals.
Determinan Kepatuhan Follow-Up Pasca Skrining DNA HPV Terhadap Keterlambatan Diagnosis Kanker Serviks Di RSU Murni Teguh Medan Tahun 2026
Cervical cancer remains a leading cause of female cancer mortality despite the availability of highly sensitive HPV DNA primary screening. In line with the WHO 90-70-90 Cervical Cancer Elimination Strategy, screening coverage has increased, yet post-screening follow-up adherence has become the critical bottleneck causing diagnostic delay. This study aims to analyze determinants of follow-up adherence after HPV DNA screening and its effect on cervical cancer diagnostic delay at Murni Teguh General Hospital Medan in 2026. An analytical observational study with cross-sectional design was conducted on 208 women aged 30-65 years who underwent HPV DNA screening between January and June 2026, recruited by consecutive sampling. Data were collected using validated structured questionnaires and medical record extraction, then analyzed using Chi-square, Fisher Exact, and multiple logistic regression at 95% confidence level. Results showed that 57.2% of respondents adhered to follow-up, and among non-adherent participants 74.2% experienced diagnostic delay (>90 days). Multivariate analysis identified five dominant determinants of non-adherence: low knowledge (aOR=4.82; 95%CI 2.11-11.02), inadequate family support (aOR=3.94; 95%CI 1.78-8.72), long residential distance (aOR=3.27; 95%CI 1.55-6.89), poor health worker communication (aOR=2.98; 95%CI 1.42-6.25), and absent hospital reminder system (aOR=2.61; 95%CI 1.24-5.51). Non-adherent follow-up increased diagnostic delay risk 6.71-fold (95%CI 3.28-13.72; p<0.001). The Hosmer-Lemeshow test (p=0.612) and Nagelkerke R² (0.548) indicated a good model fit. Strengthening health literacy, family-based education, and hospital reminder systems is imperative for accelerating cervical cancer elimination.
General Anesthesia pada Tindakan Sirkumsisi Pasien Phimosis dengan Sindrom Nefrotik
Pathological phimosis is a condition characterized by the inability to retract the prepuce due to fibrotic narrowing, often presenting with dysuria, recurrent infections, or urinary obstruction, and requiring circumcision as definitive treatment. The presence of nephrotic syndrome as a comorbidity increases the complexity of perioperative anesthetic management because of potential hypoalbuminemia, altered pharmacokinetics of anesthetic agents, and the risk of perioperative complications. This case report describes a 12-year-old boy with pathological phimosis and nephrotic syndrome in remission who presented with difficulty retracting the foreskin, painful urination, and low-grade fever. Physical examination revealed a non-retractile prepuce without signs of paraphimosis or active infection. Laboratory investigations demonstrated mild leukocytosis, serum albumin of 2.8 g/dL, and proteinuria (2+), consistent with nephrotic syndrome in remission. The patient was classified as American Society of Anesthesiologists (ASA) physical status II and underwent elective circumcision under general anesthesia with endotracheal intubation. Anesthesia was induced with fentanyl and propofol and maintained with sevoflurane. The intraoperative and postoperative courses were uneventful, with stable hemodynamic parameters and satisfactory recovery. This case highlights that elective circumcision under general anesthesia can be performed safely in pediatric patients with nephrotic syndrome in remission through comprehensive preoperative assessment, appropriate anesthetic selection, careful perioperative fluid management, and multidisciplinary collaboration.
Determinan Keterlambatan Diagnosis Rinosinusitis Kronis Berdasarkan Karakteristik Pasien Dan Temuan CT-SCAN di RSU Mitra Medika Bandar Klippa Tahun 2026
Chronic rhinosinusitis (CRS) is a persistent inflammatory disease of the paranasal sinus mucosa lasting at least twelve weeks. Its non-specific presentation frequently causes diagnostic delay, worsens patient outcomes, and increases healthcare costs. This study aimed to analyse the association between patient characteristics and paranasal sinus CT scan findings with delayed diagnosis of CRS at Mitra Medika Bandar Klippa General Hospital in 2026. An observational analytic study with a cross-sectional design was conducted on 120 patients selected through consecutive sampling from January to December 2026. Data were obtained from medical records and paranasal sinus CT scan reports. Bivariate analysis employed Chi-Square and Fisher's Exact tests with a significance level of p<0.05, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were calculated. Delayed diagnosis was identified in 56.7% of patients. Variables significantly associated with delayed diagnosis were age ≥40 years (OR=2.38; p=0.024), low educational level (OR=2.46; p=0.030), smoking status (OR=2.96; p=0.006), history of allergy (OR=2.39; p=0.022), duration of symptoms ≥12 weeks before consultation (OR=4.45; p<0.001), Lund-Mackay score ≥12 (OR=3.46; p=0.001), presence of nasal polyps (OR=4.20; p<0.001), and bilateral sinus involvement (OR=2.78; p=0.009). Duration of symptoms and nasal polyps demonstrated the strongest associations. Strengthening early detection, patient education, and timely referral pathways for CRS is recommended to reduce diagnostic delay
Transformasi Layanan Telinga Hidung Tenggorokan–Kepala Leher (THT-KL) Melalui Artificial Intelligence: Literature Review
The development of Artificial Intelligence (AI) has driven a significant transformation in medical services, including in the field of Otorhinolaryngology–Head and Neck Surgery (ENT-HNS). This literature review aims to comprehensively analyze the utilization of AI in ENT-HNS services, covering diagnosis, medical imaging interpretation, disease detection, clinical decision-making, and implementation challenges. The method used is a narrative review of articles indexed in PubMed, Google Scholar, ScienceDirect, SpringerLink, and Wiley Online Library published between 2021–2026, in English and Indonesian. A total of 32 articles that met the inclusion criteria were analyzed. The results show that AI, especially machine learning and deep learning, has been widely applied for detecting chronic rhinosinusitis, otitis media, hearing loss, head and neck cancer, laryngeal disorders, and obstructive sleep apnea. AI also improves the accuracy of CT-scan and MRI interpretation through image segmentation, polyp detection, and tumor identification, while serving as a Clinical Decision Support System integrated with Electronic Medical Records. The main challenges include data privacy, ethics, dataset limitations, infrastructure, and workforce readiness. AI has strong potential to transform ENT-HNS services, although sustainable regulation, human resources, and evaluation are still required.
Penerapan Teknik Slow Stroke Back Massage dalam Mengontrol Tekanan Darah pada Penderita Hipertensi
Hypertension is a chronic disease known as the “silent killer” because it may cause serious complications such as stroke, heart disease, and kidney failure. In addition to pharmacological treatment, non-pharmacological therapies such as slow stroke back massage (SSBM) can support hypertension management by providing relaxation, improving blood circulation, and helping reduce blood pressure. This study aims to analyze the application of evidence-based nursing care using the SSBM technique to reduce blood pressure in hypertensive patients. A case study was conducted involving three hypertensive patients at Bhayangkara Moh. Hasan Hospital, Palembang. Data were collected through interviews and physical examinations, while the SSBM intervention was implemented for three consecutive days. The results showed a decrease in blood pressure in all patients after receiving the intervention. The greatest reduction occurred in Mrs. K, from 140/85 mmHg to 120/70 mmHg, followed by Mrs. S, from 153/85 mmHg to 143/82 mmHg. The smallest reduction was observed in Mrs. R, from 201/125 mmHg to 196/128 mmHg. SSBM can be considered a complementary non-pharmacological therapy to support hypertension management.
Perilaku Wanita Usia Subur Terhadap Minat Dalam Pencegahan Kanker Serviks Di Puskesmas Kampung Baru
Cervical cancer is one of the leading causes of morbidity and mortality among women in Indonesia. Although it can be prevented through Human Papillomavirus (HPV) vaccination and early detection using IVA screening or Pap smears, screening coverage remains low due to a lack of knowledge, attitudes, and awareness among women of childbearing age. This study aims to analyze the behavior of women of reproductive age regarding their interest in cervical cancer prevention at the Kampung Baru Community Health Center. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 98 women of reproductive age selected using purposive sampling. Data were collected using a questionnaire that measured respondents’ behavior and interest in cervical cancer prevention. The results showed that the majority of respondents were aged 26–35 years (41.8%) and had a high school education (45.9%). The behavior of the respondents was classified as “good” for 56 individuals (57.1%), while 62 respondents (63.3%) expressed a high level of interest in cervical cancer prevention. The results of the study showed that the majority of respondents were aged 26–35 years (41.8%) and had a high school education (45.9%). The behavior of the respondents fell into the “good” category for 56 individuals (57.1%), while 62 respondents (63.3%) expressed a high level of interest in cervical cancer prevention. The results of the Chi-Square test analysis indicate a significant association between the health behaviors of women of reproductive age and their interest in cervical cancer prevention (p = 0.001). The educational activities provided also improved participants’ knowledge, attitudes, and motivation to undergo early detection through IVA screening and Pap smears. It is concluded that good health behaviors play a crucial role in increasing the interest of women of reproductive age in cervical cancer prevention. Therefore, ongoing health education must continue to be implemented to increase screening coverage and reduce the incidence of cervical cancer.
Administrasi Keperawatan Dalam Implementasi HPV DNA Self-Sampling: Literature Review Strategi Eliminasi Kanker Serviks Di Kota Medan Tahun 2026
Cervical cancer remains a major public health problem in Indonesia and constitutes the second most common cancer among women in North Sumatra. The World Health Organization has set the 90-70-90 cervical cancer elimination target by 2030, in which 70% of women aged 35 and 45 must undergo high-performance screening. HPV DNA testing using self-sampling has emerged as an innovative strategy to increase screening coverage, particularly in areas with limited access such as Medan. This literature review aims to synthesize scientific evidence regarding the effectiveness, acceptability, implementation barriers, and opportunities of HPV DNA self-sampling to strengthen cervical cancer screening programs in Medan. The review followed PRISMA 2020 guidelines using narrative synthesis. Literature searches were conducted across PubMed, Scopus, ScienceDirect, SpringerLink, Wiley, ProQuest, and Google Scholar for articles published between 2021 and 2026 using Boolean combinations of the keywords cervical cancer, HPV DNA, self-sampling, nursing, and screening. Of 1,248 articles identified, 32 met the inclusion criteria for narrative synthesis. The results demonstrate that HPV DNA self-sampling has diagnostic sensitivity comparable to clinician sampling (relative sensitivity 0.96-1.02), high acceptability (78-94%), and effectively increases screening participation among women who have never or rarely been screened. Nurses have a strategic role as educators, counselors, coordinators, and community health promoters in program implementation. The main barriers include limited health literacy, cultural stigma, distribution logistics, and integration with primary health services. This review concludes that HPV DNA self-sampling is a feasible and evidence-based strategy for accelerating cervical cancer elimination in Medan and provides substantial implications for strengthening community nursing practice.
Gambaran Pengetahuan dan Kepatuhan K3 terhadap Perilaku Tidak Aman Pekerja di PT. Bhumi Phala Perkasa
Occupational accidents remain a significant concern in the industrial sector, as most incidents are associated with unsafe work behavior (unsafe actions). Although companies have implemented Occupational Safety and Health (OSH) programs, unsafe behaviors continue to occur due to differences in workers' levels of knowledge and compliance with established safety procedures. This condition highlights the importance of understanding the role of OSH knowledge and OSH compliance in shaping workers' behavior. Therefore, this study aims to describe the influence of OSH knowledge and OSH compliance on unsafe work behavior among employees at PT. Bhumi Phala Perkasa. This study employed a qualitative approach using a descriptive research design. Informants were selected through purposive sampling, consisting of workers as the primary informants, while the Supervisor, Production Manager, and HSE Officer served as supporting informants. Data were collected through in-depth interviews, observations, and documentation. The collected data were analyzed using the stages of data reduction, data presentation, and conclusion drawing. Data trustworthiness was ensured through source triangulation, technique triangulation, and time triangulation. The findings revealed that most workers possessed a good level of knowledge regarding workplace hazards, the use of personal protective equipment (PPE), and OSH procedures implemented within the company. However, compliance with OSH practices was not consistently maintained, resulting in the continued occurrence of unsafe work behaviors. These behaviors included the incomplete use of PPE, failure to comply with established work procedures, and a tendency to take shortcuts to complete tasks more quickly. The study concludes that unsafe work behavior is influenced by workers' level of knowledge, compliance with OSH procedures, work habits, the effectiveness of supervision, and the prevailing safety culture within the organization. Therefore, future research is recommended to explore safety culture and safety leadership in greater depth by involving a broader range of informants to obtain a more comprehensive understanding.
Peran Bank Sampah terhadap Kesehatan Lingkungan di Nawala
Waste is a major environmental health issue in areas with rapid population growth, such as Perum Nawala, Bekasi. Poorly managed waste accumulation has the potential to pollute soil, water, and air, as well as trigger environmental-based diseases such as diarrhea, acute respiratory infections (ARI), and vector-borne diseases. This study aims to describe the role of waste banks as an alternative solution to improving environmental health through active community participation. The research method used was descriptive analytical with a qualitative phenomenological approach. Data were collected through observation, in-depth interviews, and documentation studies involving waste bank owners, employees, customers, and the local community. Data analysis was conducted through data reduction, data presentation, and conclusion drawing. The results show that Bank Sampah Nawala, established in 2021, implements the 3R principle (Reduce, Reuse, Recycle) through a community-based system organized at the neighborhood (RT) level. Management mechanisms include household collection and sorting of organic and inorganic waste at the RT level. In addition to providing economic benefits to customers, waste banks serve as educational platforms for Clean and Healthy Living Behaviors (PHBS) and minimize the potential for environmental pollution, thereby reducing the risk of disease. This program has been shown to increase public awareness of wise waste management and reduce the volume of waste transported to final disposal sites (TPA).
Dampak Krisis Kemanusiaan Yemen terhadap Kesehatan Mental Anak: Meta-analisis Multisitus
The humanitarian crisis in Yemen, which has persisted for more than a decade, has produced profound multidimensional consequences for children's psychosocial development. However, large-scale empirical syntheses examining its impact on child mental health remain limited. This study aimed to quantify the effects of the Yemeni humanitarian crisis on children's mental health through a random-effects meta-analysis of 47 studies involving a total of 12,487 child participants published between 2015 and 2024. The findings revealed a pooled prevalence of post-traumatic stress disorder (PTSD) of 68.3% (95% CI: 63.7–72.9%), depression of 54.2% (95% CI: 49.8–58.6%), and anxiety of 61.7% (95% CI: 57.3–66.1%), indicating an exceptionally high psychological burden among conflict-affected children. Moderator analyses demonstrated that age (β = 0.43, p < .001), duration of conflict exposure (β = 0.38, p < .001), and parental loss (β = 0.51, p < .001) were significant predictors of increased psychological symptom severity. Furthermore, meta-regression identified an average annual increase of 7.2% in the prevalence of mental health disorders since 2015. Compared with the findings of Alhariri et al. (2021) and Aljalei (2025), which reported prevalence rates ranging from 45% to 50%, the present study demonstrates a substantial escalation in mental health disorders among Yemeni children. The novelty of this study lies in its identification of longitudinal patterns, examination of previously unexplored conflict-specific moderators, and integration of multisite evidence representing the full geographical scope of the Yemeni conflict.
Pengaruh Optimalisasi Mini SBAR Terhadap Kepatuhan Komunikasi Timbang Terima Serta Persepsi Dan Kepatuhan Perawat Terhadap Indikator Keselamatan Pasien Di Ruang Rawat Inap
Effective communication between nurses during the handover process is a crucial component in supporting continuity of care and patient safety in inpatient wards. However, incomplete, unstructured, and inaccurate information is still common, potentially leading to miscommunication in nursing care. This study aimed to analyze the effect of Mini SBAR optimization on handover communication compliance and nurses' perceptions and compliance with patient safety indicators measured in inpatient wards. This study used a quasi-experimental design with a one-group pretest-posttest. The sample consisted of 80 nurses (n=80) working in inpatient wards, selected using a purposive sampling technique. The intervention was conducted through training and implementation of Mini SBAR for four weeks. Data analysis used a paired t-test with a significance level of α = 0.05 and effect size calculations. The study showed increased communication compliance across all Mini SBAR components, with average total compliance increasing from 37.3% before the intervention to 81.3% after. Improvements were also found in patient safety indicators: perception of adverse event risk prevention increased from 55.0% to 70.0%, timeliness of nursing actions from 60.0% to 78.8%, and communication effectiveness from 42.5% to 83.8%. The paired t-test results showed a statistically significant difference (p < 0.001), with a large effect size. Optimizing Mini SBAR has the potential to be a strategy for improving the quality of handover communication in inpatient nursing practice.
Penerapan Terapi Bermain Congklak terhadap Fisiologi Memori Jangka Pendek pada Lansia di Panti Werdha Dharma Bhakti Palembang
Abstract. The aging process in older adults triggers a decline in neurological function, particularly short-term memory, due to reduced dopamine secretion and nerve impulse transmission in the brain. A non-pharmacological intervention to stimulate cognitive function is Congklak play therapy. This study aimed to analyze the effectiveness of implementing comprehensive gerontic nursing care through modification of high-frequency congklak play therapy interventions on short-term memory function in the elderly. The research design was a descriptive case study conducted on three elderly participants (Mrs. A, Mr. R, and Mrs. S) with memory impairment at the Dharma Bhakti Nursing Home in Palembang. The intervention consisted of traditional high-intensity congklak play therapy modification (two 15-minute sessions per day for three consecutive days). Cognitive function was measured using the Mini-Mental State Examination (MMSE) before (pre-test) and after (post-test) the intervention. Final assessment results showed an increase in MMSE scores for all participants: Mrs. A's score increased from 20 to 25, Mr. R's score from 23 to 26, and Mrs. S's score from 11 to 15. The overall average MMSE score increased by 4.0 points. The application of high-frequency modification of congklak play therapy was proven effective in improving short-term memory capacity in elderly people with mild to moderate cognitive impairment.
Analisis Kandungan Merkuri (Hg) Pada Sedimen Dan Ikan Di Teluk Totok Kabupaten Minahasa Tenggara
Totok Bay is a coastal area affected by artisanal gold mining activities that have the potential to generate mercury (Hg) waste and contaminate the aquatic environment. Mercury can accumulate in sediments and aquatic organisms, posing potential health risks to humans through the food chain. This study aimed to determine mercury (Hg) concentrations in sediments and fish from Totok Bay, Southeast Minahasa Regency. A descriptive laboratory-based survey design was employed. The samples consisted of 16 sediment sampling points selected using purposive sampling and four commonly consumed fish species, namely cobia (Rachycentron canadum), bigeye trevally (Caranx sexfasciatus), Japanese threadfin bream (Nemipterus japonicus), and areolate grouper (Epinephelus areolatus). Mercury analysis was conducted at the Makassar Public Health Laboratory using the ICP-MS (Inductively Coupled Plasma-Mass Spectrometry) method. The results were compared with the marine sediment quality standard of 0.41 mg/kg and the fish mercury standard of 0.5 mg/kg. The findings showed that 15 out of 16 sediment samples exceeded the permissible limit, with the highest concentration recorded at 6.8159 mg/kg, the lowest at 0.1425 mg/kg, and an average concentration of 2.121 mg/kg. In contrast, all fish samples contained mercury levels below the regulatory threshold, namely cobia <0.00003 mg/kg, bigeye trevally 0.1501 mg/kg, Japanese threadfin bream 0.0626 mg/kg, and areolate grouper 0.0401 mg/kg. It can be concluded that the sediments in Totok Bay have experienced significant mercury contamination, while mercury concentrations in fish remain within safe limits. Nevertheless, the presence of mercury in all fish samples indicates that mercury contamination has entered the aquatic food chain of the Totok Bay ecosystem.
Gambaran Sanitasi Kapal Dan Keberadaan Kecoak Pada Kapal Kargo Di Pelabuhan Kota Bitung
Ships as a means of maritime transportation, carry the risk of becoming vectors for disease transmission, especially when sanitation conditions do not meet standards. The presence of vectors such as cockroaches on cargo ships can indicate poor sanitation and pose a potential health risk to the crew. Therefore, ship sanitation monitoring is a critical component of efforts to prevent infectious diseases and protect public health in port areas. This study aims to determine the sanitary conditions of cargo ships and the presence of cockroaches on ships docked at the Port of Bitung. This study uses a descriptive design with a cross-sectional approach. The research sample consisted of five cargo ships selected using purposive sampling. Data collection was conducted through observation using a sanitation inspection checklist and a BPP vector checklist attached to Minister of Health Regulation No. 40 of 2015. The results showed that 60% of the vessels included in the study met sanitation requirements. Non-compliance with sanitation standards was found in several areas, including liquid waste management, food preparation areas, storage areas, cargo holds, sleeping quarters, engine room conditions, and medical facilities. Signs of cockroach infestation were found on two of the five vessels (40%) in areas that did not meet sanitation requirements.
Good Corporate Governance (GCG) Dalam Kerjasama Perusahaan Penyalur Alat Kesehatan PT X Di Kota Manado
PT X, as a medical equipment distribution company, is a partner of several hospitals in Manado City. Good corporate governance (GCG) helps improve company productivity and the sustainability of cooperation. This includes the principles of transparency, accountability, responsibility, independence, and fairness. This study uses a qualitative method in the form of a case study with a descriptive approach. Informants in this study numbered 4 people, from the North Sulawesi Provincial Health Office and PT X's customers, namely government and private hospitals. The research instrument used interview guidelines, stationery, mobile phones, and laptops, and in-depth interview techniques. Data processing used the Miles and Huberman analysis model. The results of this study indicate that the implementation of Good Corporate Governance in PT X's cooperation with customers is influenced by compliance with laws and regulations as well as internal and external factors. The application of the principles of Good Corporate Governance includes information transparency in the type and mechanism of cooperation. This is influenced by the internal structure of PT X and the hospital. In addition, communication and negotiation assist in the provision and distribution. Obstacles to cooperation are payments from customers that are often delayed, which affects procurement at the hospital.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Daging Ikan Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Oceanic Fishing Port (PPS Bitung) is one of the largest fisheries centers in Eastern Indonesia, with intensive port activities that may contribute to heavy metal contamination in surrounding waters. This study aimed to analyze the concentrations of arsenic (As), lead (Pb), and cadmium (Cd) in fish meat collected from the waters of PPS Bitung and to evaluate their safety based on the Indonesian National Standard (SNI 7387:2009). A descriptive observational design with laboratory analysis was employed. Samples consisted of squirrelfish (Holocentridae), green jobfish (Aprion virescens), and red snapper (Lutjanus malabaricus), selected using purposive sampling. Heavy metal concentrations were determined using Atomic Absorption Spectrophotometry (AAS). The results showed that arsenic (As) concentrations in fish meat ranged from 0.83 to 1.43 mg/kg. Two out of three samples exceeded the maximum permissible limit established by SNI (1.0 mg/kg), while one sample remained within the acceptable range. Lead (Pb) concentrations ranged from 0.02 to 0.05 mg/kg, and cadmium (Cd) concentrations ranged from 0.008 to 0.01 mg/kg; all samples were below their respective maximum allowable limits. In conclusion, arsenic contamination detected in some fish samples from PPS Bitung may pose a potential health risk to consumers. Therefore, regular monitoring of water quality and seafood safety is recommended.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Kerang Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Ocean Fishing Port is one of the largest fisheries centers in Eastern Indonesia, with various port activities that have the potential to contribute to environmental pollution, including heavy metal contamination. The Pacific oyster (Crassostrea gigas), as a filter-feeding organism, has the ability to accumulate heavy metals and can therefore serve as a bioindicator of aquatic environmental quality. This study aimed to determine the concentrations of arsenic (As), lead (Pb), and cadmium (Cd) in oysters collected from the waters of PPS Bitung and to compare the results with the maximum permissible limits established by the Indonesian National Standard (SNI No. 7387:2009). This research employed descriptive observational design with laboratory analysis. Oyster samples were collected using purposive sampling method from three sampling points within the PPS Bitung area and analyzed using the Atomic Absorption Spectrophotometry (AAS) method. The results showed that arsenic (As) concentrations were 0.02 mg/kg at Point 1, 0.65 mg/kg at Point 2, and <0.02 mg/kg at Point 3. Lead (Pb) concentrations were 0.13 mg/kg, 0.14 mg/kg, and 0.15 mg/kg, respectively. Cadmium (Cd) concentrations were 0.02 mg/kg, 0.02 mg/kg, and 0.003 mg/kg, respectively. All measured concentrations were below the maximum allowable limits for heavy metal contamination according to SNI No. 7387:2009. In conclusion, the concentrations of arsenic, lead, and cadmium in oysters from the waters of PPS Bitung were within the acceptable safety limits and complied with national food safety standards.
Analisis Kandungan Logam Berat Arsenik (As), Timbal (Pb), Dan Kadmium (Cd) Pada Sedimen Di Perairan Pelabuhan Perikanan Samudera Bitung
Port activities, the fishing industry, and maritime transportation in the Bitung Ocean Fishing Port area have the potential to cause heavy metal pollution in the waters. Heavy metals such as arsenic (As), lead (Pb), and cadmium (Cd) can accumulate in sediments and endanger ecosystems and human health. This study aimed to determine the levels and distribution of heavy metals As, Pb, and Cd in sediments at the Bitung Ocean Fishing Port based on ANZECC standards. The study used a quantitative descriptive method with a laboratory analysis approach. Surface sediment samples were taken at three locations using purposive sampling and analyzed using an Atomic Absorption Spectrophotometer (AAS). The results showed As levels ranging from 3.55–4.79 mg/kg, Cd 0.005–0.2 mg/kg, and Pb 1.69–3.14 mg/kg. All results were below the ANZECC quality standards, indicating that the sediment conditions in the waters of the Bitung Ocean Fishing Port are still considered safe and do not show significant heavy metal pollution.
Analisis Kandungan Logam Berat Arsenik (As), Kadmium (Cd), Dan Timbal (Pb) Pada Cumi-Cumi Di Perairan Pelabuhan Perikanan Samudera Bitung
The Bitung Ocean Fishing Port (PPS Bitung) is a coastal area with high vessel activity, making it a potential source of heavy metal contamination in surrounding waters. Squid, as a widely consumed marine organism, is vulnerable to heavy metal accumulation through bioaccumulation and biomagnification processes. This study aimed to analyze the content of heavy metals arsenic (As), cadmium (Cd), and lead (Pb) in squid from the waters of PPS Bitung and compare the results with the maximum contamination limits set by BPOM Regulation No. 9 of 2022. This was an observational study with a cross-sectional design. Samples consisted of 3 squid specimens collected from 3 different points at Pier T of PPS Bitung, analyzed using Atomic Absorption Spectrophotometry (AAS) at BARISTAND Manado. Results showed arsenic (As) concentrations ranging from 1.14 to 2.08 mg/kg, with samples from point II (2.08 mg/kg) and point III (2.01 mg/kg) exceeding the BPOM maximum limit of 2.0 mg/kg. Cadmium (Cd) concentrations ranged from 0.02 to 0.08 mg/kg and lead (Pb) from 0.04 to 0.08 mg/kg, both below the maximum limit of 0.30 mg/kg. Squid from two sampling points did not meet food safety requirements based on the arsenic parameter, while cadmium and lead parameters across all samples remained within safe limits.
Hubungan Faktor Sosial Ekonomi Dengan Pertumbuhan Dan Perkembangan Bayi Di Wilayah Kerja UPTD Puskesmas Botombawo
Infant growth and development are important indicators in assessing child health status. Family socioeconomic factors play a significant role in fulfilling infants’ basic needs, which influence optimal growth and development. This study aimed to determine the relationship between socioeconomic factors and infant growth and development in the working area of UPTD Botombawo Public Health Center. This research employed a quantitative analytic design with a cross-sectional approach. The population consisted of all infants aged 0–12 months in the working area of UPTD Botombawo Public Health Center, totaling 55 infants, using a total sampling technique. Data were collected through a socioeconomic questionnaire, anthropometric measurements to assess infant growth, and developmental screening sheets to evaluate infant development. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test at a 95% confidence level. The results of this study are expected to provide evidence of the relationship between socioeconomic factors and infant growth and development as a basis for planning infant health improvement programs.
Hubungan Pekerjaan Dan Dukungan Suami Dengan Asi Eksklusif Di Wilayah Kerja UPTD Puskesmas Gido
Background: Complementary foods and beverages other than breast milk can be introduced starting at six months of age and continued alongside breastfeeding until the child reaches two years old, as breast milk contains various immunoglobulins that help protect infants from infectious diseases. Objective: To analyze the relationship between mothers' employment and husbands' support toward exclusive breastfeeding.. Method: A quantitative study with a cross-sectional design was conducted among 38 mothers with infants aged under six months. The sample was selected using a total sampling technique. Data were collected through structured interviews using a questionnaire and analyzed using the chi-square test to examine the relationship between variables. Results: Most mothers (81.6%) did not practice exclusive breastfeeding, despite 60.5% receiving spousal support, and statistical analysis showed no significant association between maternal employment (p = 1.000; OR = 0.735) or husbands’ support (p = 0.681; OR = 1.806) with exclusive breastfeeding. Conclusion: Husbands’ support and mothers’ employment were not associated with exclusive breastfeeding, highlighting the need for health workers to implement effective educational programs that involve both family and spouses in lactation counseling
Faktor-Faktor Yang Berhubungan Dengan Pemanfaatan Pelayanan Antenatal Oleh Ibu Hamil Di Puskesmas Siulak Gedang Tahun 2025
Physiological changes during pregnancy include the formation of a zygote that develops into a fetus until delivery. Antenatal care (ANC) is a professional health service for mothers during pregnancy, conducted according to established standards. This study aims to determine the factors related to the utilization of antenatal services by pregnant women at the Siulak Gedang Community Health Center in 2025. The research employed a descriptive analytical design with a cross-sectional approach and quantitative explanatory method. The population consisted of 135 pregnant women in the working area of the Siulak Gedang Health Center. Total sampling was applied, with the sample comprising all pregnant women who had not completed ANC visits according to the required schedule and number of visits. Data were collected through questionnaires and observation sheets, then analyzed using univariate and bivariate analysis with the Spearman non-parametric correlation test. The results indicate that factors significantly related to antenatal service utilization are: information sources (p=0.004), availability of ANC personnel (p=0.003), and socio-cultural factors (p=0.001). These findings highlight the need for improved health education and adequate staffing at health centers to increase ANC utilization among pregnant women.
Analisa Faktor Yang Mempengaruhi Perilaku Dan Sikap Ibu Terhadap Deteksi Dini Kanker Serviks (Pap Smear) Pada Wanita Usia Subur Di RS Islam Arafah Jambi Tahun 2025
Cervical cancer is still a women's health problem that continues to be widely discussed, one of which is early detection of cervical cancer (Pap Smear) that should be carried out routinely in women of childbearing age. This study aims to analyze the factors that influence mothers' behavior and attitudes towards early detection of cervical cancer (Pap Smear) in women of childbearing age at the Islam Arafah Hospital, Jambi. This is an analytical observational study with a cross-sectional design. The research was conducted at the Islam Arafah Hospital, Jambi. The population comprised all mothers classified as women of childbearing age at the Islam Arafah Hospital, Jambi. The research sample consisted of 160 mothers in the fertile period at the Islam Arafah Hospital in Jambi. Sampling used a total sampling technique. Data were processed through univariate and bivariate analysis. Bivariate analysis was tested using the Chi-Square correlation test. The results indicate that there is a relationship between behavior and early detection of cervical cancer (Pap Smear) in women of childbearing age with p = 0.003 < 0.05, and there is a relationship between attitude and early detection of cervical cancer (Pap Smear) in women of childbearing age with p = 0.002 < 0.05.
Hubungan Faktor Kebudayaan Terhadap Penerapan Perilaku Hidup Bersih Dan Sehat (PHBS) Di Puskesmas Koto Lolo Kota Sungai Penuh Jambi Tahun 2025
Clean and healthy living behavior is a group of behaviors that are practiced on the basis of awareness as learning outcomes that enable a person or family to help themselves and the health sector and play an active role in realizing public health. This type of research is analytical observational research with a cross-sectional design. This research aims to determine the relationship between cultural factors and the implementation of Clean and Healthy Living Behavior (PHBS) in society. The aim is to determine the relationship between cultural factors and the implementation of clean living behavior (PBHS) at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi in 2025. This research will be carried out at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi, which is located at Jalan Kesehatan Puskesmas, Koto Lolo, Kec. Pesisir Bukit, Sungai Banyak City, Jambi in November 2025. The research population is all 124 families (heads of families) who live in the work area of ​​the Koto Lolo Community Health Center, Sungai Full City. Sampling in this study used the Stratified Random Sampling technique, namely sampling by dividing the population into several strata based on certain characteristics, then samples were taken randomly from each stratum. Based on this technique, the number of samples in the study was 124 people. The data collection method through instruments in this research consists of a questionnaire consisting of cultural factors and a questionnaire about clean and healthy living behavior (PHBS). The analysis carried out on the research results was through univariate and bivariate analysis with the help of a computer to process the research data. The results of the research showed that there was a relationship between culture and the implementation of PHBS at the Koto Lolo Community Health Center, Sungai Banyak City, Jambi with a p value of 0.001>0.05