Journal of Health Education a starting in 2024 migrates to better secure from various unwanted things, including journal hacking and so on. To submit, the author please visit the new website page of our journal at the link https://journal.unnes.ac.id/journals/jhealthedu MIGRATION OFFICIAL STATEMENT HERE JHE (Journal of Health Education) is abbreviated J. Health Edu publishes articles from the results of research in the field of health education. This includes research in school environments as well as communities.
Utilization of Mobile-Based Educational Applications (E-Stunted) to Improve Mothers’ Knowledge About Stunting: A Quasi-Experimental Study
Background: Stunting remains a major public health concern in Indonesia, particularly in rural areas where access to health education is limited. Enhanc ing maternal knowledge through digital interventions offers a promising solu tion.. Objective: This study aimed to evaluate the effectiveness of a mobile-based educational application (E-Stunted) in improving maternal knowledge about stunting prevention. Methods: A quasi-experimental design with a non-equivalent control group pretest- posttest was conducted in Brebes, Indonesia. A total of 138 mothers of children under five were purposively assigned to either an intervention group (n=70) that received the E-Stunted application or a control group (n=68) that received standard health education. Knowledge scores were measured using a validated 20-item questionnaire before and after the 7-day intervention. Statis tical analysis included paired and independent t-tests, and Cohen’s d to assess effect size. Results: The intervention group showed a significant increase in knowledge scores from 10.7 ± 2.8 to 16.2 ± 2.1 (p<0.001), while the control group improved modestly from 10.5 ± 2.7 to 12.1 ± 2.5 (p<0.001). Between-group differences post-intervention were statistically significant (p<0.001), with a large effect size (Cohen’s d = 1.58). Conclusions: The E-Stunted application significantly improved maternal knowledge on stunting prevention and holds potential as a scalable digital health education tool in rural settings.
Copyright (c) 2026 Journal of Health Education
Improving Adolescent Health Literacy on Systemic Lupus Erythematosus Through a School-Based Educational Seminar: A Community Service Program (LUPUS CERDAS)
Background: Awareness of Systemic Lupus Erythematosus (SLE) is critically low among Indonesian adolescents, despite clinical evidence showing that ap proximately 52% of pediatric cases occur between the ages of 11 and 15. This study evaluated the effectiveness of a health education seminar conducted dur ing a community service program entitled “LUPUS CERDAS: Cekatan, Energik, Responsif, dan Sadar Sehat” in improving health literacy regarding SLE, photo protection, and physical activity among junior high school students. Methods: A quasi-experimental one-group pre-test/post-test design was con ducted at SMPN 2 Jatinangor, involving 35 students from Grades 7 to 9. Data were collected using a validated 20-item multiple-choice questionnaire and a thematic qualitative feedback form. Results: There was a statistically significant improvement in knowledge scores, increasing from a mean of 72.29 ± 12.97 to 81.71 ± 15.34 (p < 0.001), represent ing a 13.04% gain from the baseline. Qualitatively, 57.1% of students identi fied the pathology of Lupus as the most engaging topic due to its novelty, while 85.7% rated the visual educational aids as "Very Helpful." Notably, the study identified a "Silent Knowledge Gap," with 28.6% of participants remaining un certain about their family medical history regarding autoimmune symptoms. Conclusions: Targeted community service interventions are powerful tools in enhancing adolescent health literacy. By providing students with an evidence based framework for understanding autoimmune triggers, these programs in crease awareness regarding early recognition and family health communication. Future outreach should prioritize the integration of mental health and lifestyle management into school-based health curriculum.
A Health Education Intervention to Improve Diabetic Foot Ulcer Prevention: Effects on Knowledge, Self-Efficacy, Social Support, and Foot Care Practices
Background: Type 2 diabetes mellitus (T2DM) is a major global health concern that disproportionately affects low- and middle-income countries. Health education is a fundamental component of diabetes management, as it enhances health literacy by improving patients' knowledge, self-efficacy, foot care practices, and social support. This study aimed to evaluate the effectiveness of a health education intervention in preventing diabetic foot ulcers (DFUs). Methods: This quasi-experimental study employed a one-group pretest–posttest design. The study was conducted over a nine-month period among patients with T2DM in Pringsewu Regency. Of the 350 patients with T2DM, 107 participants were recruited using purposive sampling. Data were analyzed using the chi-square test. Results: The health education intervention significantly improved participants' knowledge, self-efficacy, foot care practices, and perceived social support. Furthermore, the intervention demonstrated a significant effect in preventing DFUs, with all outcome measures showing statistical significance (p < 0.05). Conclusion: Health education effectively enhances knowledge, self-efficacy, foot care practices, and social support, thereby contributing to the prevention of DFUs among patients with type 2 diabetes mellitus.
Teacher Training on Healthy Canteen Improves Knowledge and Attitude of Primary School Student
Background: School age is one of the periods that experience rapid growth and development and are highly vulnerable to nutritional problems due to poor eating habits influenced by their school environment. Nutrition education in terventions in schools are essential to improve knowledge, attitudes, and behav iors related to healthy eating among students and teachers. This study aimed to evaluate the effectiveness of nutrition education interventions using videos and leaflets in improving the knowledge, attitudes, and practices of students and teachers, regarding healthy snack selection in elementary schools. Methods: This quasi-experimental study with a non-randomized one group pre-post test design was conducted in two elementary schools in Semarang, in volving students and teachers. Data were collected through nutrition education interventions using videos and leaflets, with knowledge, attitudes, and practices measured before and after the intervention. Results: There is an effect of nutrition education on students' knowledge and attitude in choosing healthy snacks (p<0.001), the effect of nutrition education on teachers' attitude choosing healthy snacks in both groups (p=0.027). Conclusion: The results showed that nutrition education interventions using videos and leaflets effectively improved students’ knowledge and attitudes to ward healthy snack choices, and also enhanced attitudes among teachers. How ever, the intervention had limited effect on improving teachers’ knowledge, highlighting the need for more targeted and interactive approaches, especially for adults
school-aged children; canteen; NCDs; nutrition education
School-Based Immunization, Access to Health Facilities, Breastfeeding, and Vitamin A Supplementation are Correlated with the Incidence of Measles: Ecological Study at the Provincial Level in Indonesia
Background: Measles remains a significant public health concern in Indonesia. The number of measles rose sharply from more than 4,800 cases in 2022 to over 10,600 cases in 2023. Objective: This study aimed to analyze the correlation between school-based immunization, access to health facilities, breastfeeding practices, vitamin A supplementation, integrated health post capacity, and the incidence of suspected measles cases at the provincial level in Indonesia. Methods: An ecological study design was applied using aggregated provincial level data from the Indonesia Health Profile 2024. Spearman’s rank correlation test was used to examine the correlation between some independent variables with measles incidence as dependent variable. Result: In this study, several variables showed significant negative correlations with measles incidence of measles. Variables with significant correlations at p value<0.005 were number of children receiving school immunization (ρ =-0.930), number of regencies achieving 80% complete basic immunization (ρ=-0.730), number of students accessing health facilities (ρ=-0.798), number of babies receiving exclusive breastfeeding (ρ = -0.826) number of children receiving booster measles immunization (ρ=-0.659), number of babies receiving vitamin A (ρ=-0.505) and number of children under five receiving vitamin A (ρ=-0.477). Meanwhile, variables related to number of regencies receiving integrated health post training and activity levels 80% of active integrated health post did not show significant correlations with the incidence of measles (p value>0.05). Conclusion: It can be concluded that school-based immunization, access to health facilities, breastfeeding, and vitamin A supplementation are correlated with the incidence of measles at the provincial level in Indonesia
Copyright (c) 2025 Journal of Health Education
Factors Influencing Complete Basic Immunization Coverage among Infants in Lubuk Siam Village: A PRECEDE-Based Approach
Background: Immunization coverage in Indonesia declined, with most prov inces, including Riau, missing the Ministry of Health's strategic plan targets. In Lubuk Siam Village, Riau, community awareness of the importance of im munization was low. A 2023 survey showed that only 13% of toddlers were im munized. Methods: This mixed-method study utilized a sequential exploratory design. It began with the collection of qualitative data, which was then followed by quan titative data to enhance the findings. The study was conducted from May to September 2025 in Riau, Indonesia. The target population consisted of all moth ers with toddlers aged 0 to 60 months. A total of 113 mothers participated in the study. Results: Bivariate analysis showed that family support (p = 0.031), knowledge (p = 0.004), and attitude (p < 0.001) were significantly associated with immu nization status. In the final multivariable model, attitude was the strongest pre dictor of immunization status (AOR = 9.11; p < 0.001). Qualitative findings identified parental concerns about vaccine side effects, lack of paternal support, low maternal education, weak community leadership, limited health promotion activities, and family-centered decision-making as barriers to immunization. Conclusions: Maternal attitude was the most influential factor associated with immunization status. Family support, community influences, and health educa tion were identified as key factors affecting immunization uptake. Strengthen ing family engagement and health promotion programs may improve immuni zation coverage
Teacher Bullying and Emotional Harm: Power, Silence, and Gendered Struggles for Voice in Indonesian Schools
Background: Teacher-to-student bullying in Indonesian schools often operates subtly within hierarchical educational cultures. This study aimed to examine how institutional power dynamics and cultural expectations shape students’ perceptions of bullying and their emotional well-being, with the working hy pothesis that hierarchical norms and respect for authority influence recogni tion, reporting, and coping. Methods: This qualitative study employed Focus Group Discussions (FGDs) with 12 participants (male students, female students, and teachers) from a sen ior high school in Indonesia. Discussions examined teacher authority, bully ing behaviors, and students’ emotional responses. Recordings were transcribed verbatim and analyzed using Braun and Clarke’s thematic analysis, involving familiarization, initial coding, and iterative theme development across groups. Results: Participants described teacher behavior that was considered bullying, causing emotional distress. This study highlights how disciplinary practices, which function as symbolic violence, have become commonplace in institution al dynamics, thereby inhibiting students from complaining or reporting bully ing. This research offers a new perspective by linking power structures and gen dered emotional responses to the persistence of bullying in educational settings. Conclusions: Teacher-to-student bullying is intertwined with institutional and cultural hierarchies that shape students’ perceptions and coping, contributing to emotional suppression and disengagement. Addressing it requires a compre hensive, culturally attuned approach that strengthens institutional support sys tems and centers teacher empathy.
Behavioral and Social Factors Influencing Sweetened Condensed Milk Consumption in Toddlers in Semarang
Background: Continuous consumption of sweetened condensed milk can in hibit the optimal growth and development of children aged 1-3 years. These consumption habits in toddlers impact their nutritional status, including the risk of being overweight, obese, and undernourished. This study aims to deter mine the determinants of sweetened condensed milk consumption in toddlers from a behavioral and social perspective in the Sekaran and Bandarharjo Health Center Area, Semarang City. Methods: This study employs quantitative research with observational and ana lytical methods, utilizing cross-sectional approaches. The respondents in this study were 100 toddlers residing in Sekaran and Bandarharjo Health Centers, Semarang City. The sampling technique employed was purposive sampling, and data analysis was conducted using univariate analysis with frequency distribu tion, bivariate analysis with the Pearson statistical test or Spearman Rank cor relation (α = 5%), and multivariate analysis with logistic regression. Results: Approximately 35.8% of children had been provided with sweetened condensed milk for no less than twelve months, while 41.2% were reported to consume it three or more times within a single day. The elevated intake of sweetened condensed milk observed in this study demonstrated a statistically significant correlation with lower maternal educational attainment (p = 0.028). Notably, although 51.0% of surveyed mothers acknowledged that sweetened condensed milk is a sugar-laden beverage with added milk content, it is still administered to toddlers. Conclusions: In conclusion, despite over half of mothers recognizing sweet ened condensed milk as a sugar-rich beverage with added milk, its frequent administration to toddlers—often three or more times daily and sustained for over a year—is significantly associated with lower maternal education levels, highlighting a critical gap in nutritional awareness and practice. The consump tion of sweetened condensed milk among toddlers remains relatively high, and this elevated intake is influenced by maternal education
Evaluating Competency-Based Learning Outcomes of Public Health Graduates in Indonesia: A Case Study at Diponegoro University
Background: Public health graduates are increasingly expected to possess not only theoretical knowledge but also practical competencies such as task execution, adaptability, and effective communication. In Indonesia, however, assessment practices predominantly focus on cognitive domains, often overlooking essential workforce competencies. Methods: This study employs a descriptive case study approach at the Faculty of Public Health, Diponegoro University, analyzing 18 group reports from the 2024 Field Learning Practice 2 (FLP_2) program. Assessment focuses on five competency dimensions defined by the Indonesian National Professional Certification Agency (BNSP): Task Skills (TS), Task Management Skills (TMS), Contingency Management Skills (CMS), Transfer Skills (TRS), and Job/Role Environment Skills (JRES). Results: Students demonstrated TS through systematic problem identification using the Multiple Criteria Utility Analysis (MCUA). TMS was evident in the planning and management of community interventions. CMS was reflected in effective responses to health crises, such as dengue outbreaks. TRS was noted for its ability to adapt to different socio-cultural environments. JRES was demonstrated through professional conduct in diverse institutional contexts. Authentic learning activities fostered readiness for complex public health roles. Conclusion: FLP_2 effectively evaluates comprehensive public health competencies. A shift towards performance-based, contextual assessment frameworks is essential for aligning education with workforce needs. Embedding such frameworks into curricula will enhance the quality and preparedness of graduates for addressing real-world challenges
Social Connectedness in the Transition to Retirement Among Civil Servants: A Crosssectional Study in Yogyakarta, Indonesia
Background: Retirement is a transitional phase that affects various life aspects, including social relationships. Many civil servants feel socially unprepared, leading to reduced interactions, increased isolation, loneliness, and depressive symptoms. This highlights the need for social readiness to support retirees' well-being. Therefore, this study describes the social relationship readiness of prospective retired civil servants in the Special Region of Yogyakarta, Indonesia. Methods: A descriptive quantitative study with a cross-sectional design was conducted online via WhatsApp from November to December 2024, involving 171 prospective civil servant retirees who participated in the retirement preparation program organized by the Regional Civil Service Agency, using a consecutive sampling technique. The instrument used was the civil servant retirement readiness questionnaire by Mardova, which had been modified. Data analysis included univariate and bivariate analysis (Spearman’s rho, Chi-square, and Fisher’s exact test). Results: Most respondents (60.2%) were categorized as "Ready" regarding social relationship readiness. There was a significant difference in social relationship readiness based on gender (p-value=0.005), where female respondents tended to be more socially prepared than males. Conclusions: Most prospective civil servant retirees are classified as socially ready. The level of social readiness among prospective retirees varies by gender.
Effectiveness of Motivational Intervention on Early Initiation of Mobilization among Postpartum Mothers: A Quasi-Experimental Study
Background: Early mobilization is an important component of postpartum re covery; however, psychological barriers such as fear, low confidence, and lim ited support often delay its initiation. This study aimed to evaluate the effective ness of motivational interventions in accelerating postpartum mobilization and improving maternal self-efficacy. Methods: A quasi-experimental design was employed involving 40 postpartum mothers who were equally divided into intervention and control groups. The intervention group received structured motivational support during the early postpartum period. Data on the timing of first mobilization and self-ef ficacy levels were collected using validated instruments. Statistical analysis was conducted using the independent t-test to compare mean differences between groups and the paired t-test to measure changes before and after the interven tion. Results: The intervention group demonstrated a significantly earlier mean time to first mobilization (8.2 ± 1.3 hours) compared to the control group (13.6 ± 2.1 hours) (p < 0.001). Self-efficacy scores in the intervention group also showed a significant increase from 62.5 ± 6.7 at baseline to 80.2 ± 5.1 after the interven tion (p < 0.001). Conclusion: Motivational interventions effectively accelerate postpartum mo bilization and enhance maternal self-efficacy. Integrating motivational strategies into postpartum care is recommended to support optimal maternal recovery
The Reality of Smoke-Free Area Policy in Healthcare: "Case Study in The Special Lung Hospital of North Sumatra Province, Medan, Indonesia"
Background: The Special Lung Hospital of North Sumatra Province, Medan, Indonesia is mandated by city regulations to implement the Smoke-Free Area (SFA) policy. In the fact, smoking by visitors and security personnel still occurs, posing health risks to patients and staffs. However, smoking activities by visitors and security staff were observed, posing health risks to patients and mployees. This study aims to analyse the implementation, challenges, and possible solutions related to the SFA policy. Methods: Using a qualitative case study design, six informants were interviewed, including the Hospital Director, Health Safety Environment Committee, security staff, employees, cleaning staff, and visitors. Data were collected through interviews, observations, and documentation, with triangulation used to ensure validity. Result: The study indicates that, although the policy has been implemented, its effectiveness remains limited due to weak communication, insufficient resources, a lack of commitment, and an inadequate bureaucratic structure. Major obstacles include poor coordination with the government in Medan, limited no-smoking signage, low compliance and awareness among staffs, a lack of a dedicated task force, and weak law enforcement without clear sanctions. Conclusion: Additionally, socialization and outreach regarding SFA regulations remain minimal. To strengthen implementation, proposed solutions include improving interagency communication, enhancing enforcement and signage, issuing a director's circular, reactivating cessation clinics, and fostering collaboration among hospital units to promote and supervise continuous SFA
Issue of Adolescent Educational Needs on Reproductive Health in The Rural Area of Kulon Progo Yogyakarta: A Qualitative Study
Background: Adolescents in rural areas often face greater challenges with reproductive health problems than adolescents in urban areas, including more difficult access to health services, less access to reproductive health information, and limited social support. This affects the high prevalence of reproductive health problems such as teenage pregnancy, sexually transmitted infections (STIs), and limited understanding of sexual and reproductive health rights The objective of this study was to explore the educational needs The purpose of this study is to investigate more comprehensively the needs of adolescents about reproductive health education in rural areas of Kulon Progo, Yogyakarta. Method: This is a qualitative study with a phenomenological approach, and data collection methods with in-depth interviews. The research participants consisted of 10 adolescents who lived in a rural area and were analysed using thematic analysis. Result: Four major themes were found from the results of this research, among others: adolescents' experience of getting education about reproductive health, challenges faced by adolescents around reproductive health education, the most appropriate person to provide reproductive health education to adolescents, and the need for adolescent education on reproductive health. Conclusion: The challenges faced by adolescents living in rural areas regarding reproductive health education:Adolescents feel uncomfortable discussing reproductive health with their parents, but feel comfortable discussing it with their peers, even though they cannot help them. The internet is still the main source for asking questions about reproductive health, but often they do not get the right answers.
health education and reproductive health
Correlation Between Physical Activity And Screen Time With Sleep Duration: A Cohort Study Among Pre to Elementary School-aged Children Before, During, And After The Covid-19 Pandemic
Background: The COVID-19 pandemic has significantly altered children's daily routines, particularly increasing screen time, decreasing physical activity, and changing sleep duration, which may impact their physical and mental health. It is important to know how changes in physical activity and screen time can affect children's sleep duration before, during and after the COVID-19 pandemic. Methods: This study used a quantitative analytical observational cohort study method with 240 child samples aged 6–12 years in Semarang City. The sampling technique used simple random sampling. The research instrument used the SMALLQ® questionnaire. Data analysis techniques used normality tests, Spearman-Rank tests to determine correlations, and Kruskal-Wallis tests to compare data. Results: The correlation between screen time and sleep duration was not statistically significant (p>0.05), while physical activity showed a significant positive correlation with sleep duration (r = 0.253 on weekdays, r = 0.21 weekly, p<0.05). Significant differences were found in screen time, physical activity, and sleep duration across the three periods (p<0.001), with increased screen time and decreased physical activity and sleep duration persisting post-pandemic. Conclusions: The pandemic led to lasting increases in screen time and decreases in physical activity and sleep duration among children. Promoting healthier routines is essential to mitigate these impacts in the new normal era.
Interactive Nutrition Education Using Animated Videos and Puzzles Improves Fruit and Vegetable Nutrition Knowledge Among Elementary School Children
Background: Low consumption of fruits and vegetables in elementary school children is at risk of causing health and nutrition problems in the future, one of which is due to lack of nutritional knowledge. Nutrition education from an early age is needed as a preventive effort, and the use of interactive media such as animated videos and puzzles is considered effective in increasing children's understanding of the importance of fruit and vegetable consumption. The purpose of this study is to analyze the effectiveness of nutrition education through interactive media in the form of animated videos and puzzles on the knowledge of fruit and vegetable consumption in elementary school children. Methods: The study used a quasi-experimental design with a pretest-posttest non-equivalent control group design. The 54 students were divided into experimental and control groups. The experimental group was educated using animated videos and puzzles, while the control group used the lecture method. Data analysis used Independent Sample t-Test, Paired Sample t-Test and N-Gain test. Results: Results showed a significant increase in knowledge in the experimental group (p = 0.000) compared to the control (p = 0.054), with moderate effectiveness based on the N-Gain value (0.5854 or 58.54%). Conclusion: Nutrition education with interactive media of animated videos and puzzles is effective in significantly increasing the knowledge of fruit and vegetable consumption in elementary school children, and can be an interesting educational strategy and in accordance with the learning characteristics of children of that age.
Revealing the Social and Reproductive Health Dimensions Associated with Stunting among Children 6 – 23 months in Urban Areas of Indonesia
Background: The prevalence of stunting in Indonesia has generally experienced a decline, although not significantly. The issue of stunting is not solely caused by a single, simple factor; rather, it is influenced by complex factors. This study aims to analyze the factors associating with stunting in urban areas across Indonesia. Methods: This study used a cross-sectional survey approach. The data were from the 2023 Indonesian Health Survey. The sample in this study were children aged 6 to 23 months residing in urban areas across Indonesia. Multiple logistic regression analysis was used to examine the associate between the independent variables and the dependent variable. Results: This study found that male (PR = 1.37), history of stunting at birth (PR = 1.41), low birth weight (PR = 2.13), history of tuberculosis (TB) (PR = 4.53) and family wealth status (PR = 2.28) were significantly associated with stunting status among children in urban areas. These factors were identified as key determinants, with their respective prevalence ratios indicating a substantial association with the prevalence of stunting in the population under study. Conclusions: In the urban context, there are predictive factors of stunting prevalence that require serious attention, such as having a history of TB illness and poor environmental health conditions
Enhancing Athletes' Physical Performance Through the Intervention of 'Tiliaya' Food Supplement Derived from Traditional Food Reformulation
Background: Athlete nutrition can indirectly improve athlete performance. One of the efforts to improve athlete nutrition is by providing additional food such as Tiliaya. Tiliaya is a traditional Gorontalo food that is believed to increase stamina, because it has high calories. This study aims to increase the physical activity of athletes through the intervention of reformulated tiliaya products. Method: This study used 20 respondents of Gorontalo Student Training and Education Program (STEP) Taekwondo athletes. The intervention was carried out for 3 months with the parameters measured, namely nutritional status based on body mass index, measurement of cholesterol levels (Cholesterol OxidasePhenol Aminophenazone/CHOD-PAP) and VO2max, before and after the in tervention. Result: The results of the athlete's blood cholesterol test showed that there were 75.00% in the normal category and 25.00% in the high category. The results of T-Test of Cholesterol level and VO2Max significant for treatment group and not significant for control group. Conclusion: This study demonstrates that the intervention of a reformulated food supplement, Tiliaya (using fiber creme as a substitute for coconut milk), has a significant impact on improving the physical fitness of STEP taekwondo athletes in Gorontalo, particularly by reducing total cholesterol levels and enhancing VO2max capacity
The impact of playing a snakes and ladders game about Mount Merapi disaster awareness on students' preparedness knowledge at Kepuharjo Cangkringan Elementary School
Background: Indonesia is a country that is highly susceptible to natural disasters, particularly due to the frequent volcanic eruptions occurring on the island of Java. This situation underscores the importance of ensuring that students in disaster-prone regions are well-prepared for such events. Traditional outreach methods have often been deemed insufficient in enhancing students' understanding of disaster preparedness. In response to this challenge, this research introduces an innovative educational tool: modified "Disaster Snakes and Ladders" game. This game aims to improve students' readiness for a specific focus on the potential eruptions of Mount Merapi. The study’s objective is to evaluate the effectiveness of the game in enhancing the understanding of disaster preparedness among students at Kepuharjo State Elementary School. Method: Employing a quasi-experimental design with a one-group pre-test and post-test approach, the study selected fifty students through total sampling. Data collection involved administering questionnaires before and after game implementation. Analysis using the Wilcoxon Signed-Rank Test revealed promising results: initial scores averaged 17.08, increasing to 17.92 post-test. Statistical significance was confirmed p-value of 0.016, indicating a substantial improvement in students' disaster preparedness knowledge. Conclusion: the Disaster Snakes and Ladders game effectively enhances elementary students' awareness and understanding of disaster preparedness, specifically geared towards Mount Merapi-related disasters.
Effect of Educational Intervention using Video Role-playing on Nursing Students Perceived Civility-Incivility
Background: This study aimed to examine the effect of educational interven tion using video role-playing on the knowledge of civility among second-year nursing students at a private faculty of nursing. Methods: This study employed a quasi-experimental design using pre-post ap proach. A total of 148 nursing students completed the intervention. The educa tional intervention consisted of 60 minutes-online learning, including watch ing video role-plays and discussions. This study applied a paired t-test for data analysis. Results: There was a significant effect before and after the educational interven tion. Before the intervention, few respondents reported their perceived civility were under uncivil and mildly civil categories. After the intervention, all re spondents perceived their civility were moderate to highly civility. Conclusions: Video-based educational intervention significantly affects stu dents' perceived civility
Civility; Educational; Intervention; Role-playing
Copyright (c) 2024 Journal of Health Education
Analysis of The Effect of Patient Eating Satisfaction On Food Waste: A Medical Informatics Perspective at Caruban Regional Hospital, Madiun Regency
Background: Patient meal satisfaction is an important aspect of health services that can influence the patient's health and well-being. In the hospital context, this satisfaction is not only related to the quality of the food served but also to the management of food waste. High levels of food waste can have a negative impact on the environment and hospital operational costs. This research aims to explore the influence of patient eating satisfaction on the amount of food waste from the perspective of medical informatics produced at Caruban Hospital, Madiun Regency. Methods: This research method uses a cross-sectional study design with a population of patients treated at Caruban District Hospital. The data collection technique was carried out through a questionnaire adopted from ACHFPSQ and Schiavone to measure eating satisfaction. Data analysis was carried out using descriptive and inferential statistical methods. Results: These findings indicate that there is a significant relationship between the level of patient eating satisfaction and the amount of food waste produced. Patients who are satisfied with the food served tend to produce less food waste compared to those who are dissatisfied. Conclusions: The research conclusion is that there is a significant relationship between patient eating satisfaction and the amount of food waste at Caruban Regional Hospital. The overall level of patient satisfaction with the quality of food and hospital services is quite good, with a score of 3.94 ± 0.77. However, there are still complaints about the taste of 35% and the portion of the food served. Patients consume around 70.25% of the food provided, while the remaining 27.25% becomes waste. Socio-demographic factors such as age and cultural preferences also influence satisfaction, and the habit of bringing food from outside the hospital also contributes to increased waste.
Teachers' Views on Air Pollution and Personal Hygiene Promotion Strategies
Background: Children are vulnerable to air pollution, especially in their early life and so far there are no personal hygiene promotion strategies specifically aimed at addressing health threats or vulnerabilities in children in industrial areas. Therefore, the study aimed to determine teachers' views on air pollution and personal hygiene promotion strategies for children's health. Methods: This study used a quantitative method conducted with structured interviews. Respondents in this study were kindergarten teachers who taught in Ngaliyan District, totaling 95 teachers. The data analysis technique used was theme analysis technique. Results: Based on the interview results, teachers' views on air pollution are categorized as good. Respondents can mention sources of information about air pollution, causes of air pollution, the effect of air pollution on children's health, and diseases that arise due to air pollution. Teachers' views regarding personal hygiene promotion strategies are not good, especially in protecting children's health from air pollution. Conclusion: Teachers' views on air pollution are good but in personal hygiene promotion strategies, especially related to protecting children's health from exposure and the impact of air pollution, counseling, seminars, workshops, or similar activities are still rare. This study is expected to contribute to early childhood education, especially related to children's health.
Evaluation of the role of family support as an educator, monitor, and motivator in improving OSH practices in the informal sector in Gunungkidul, Yogyakarta
Background: Continuous education, training, and monitoring are the keys to success in increasing Occupational safety and Heallth (OSH) knowledge, attitudes, and practices, so evaluation of treatment is necessary Methods: This research method uses a pre-test post-test group design with control, The research population is limestone workers in Gunungkidul Regency, Daerah Istimewa Yogyakarta, with a population of 32 limestone processing groups taken as research samples using purposive sampling so that 90 research respondents are obtained. divided into four research and control groups. Treatment for 1 month and evaluation carried out after more than three months after the treatment was completed. Data were analyzed using the Kruskal-Wallis test (α : 0.05) and continued with the pairwise comparison test. Results: The evaluation results show that there are differences in all treatments, with the result that family support (FS) has an influence on changes in OSH knowledge and attitudes when compared to peer support (PS) and controls and still has the same effect when compared to a combination of FS and PS. Conclusions: The conclusion is that FS has a good effect on increasing OSH knowledge, attitudes, and practices, and it is suggested for further research related to the role of PS for workers.
Determinants of Low Open Defecation Free (ODF) Status in the Implementation of the First Pillar of Community-Led Total Sanitation (CLTS) Program in Panjunan Village, Coastal Area of Cirebon City, Indonesia
Background: Open Defecation Free (ODF) is the first pillar of the Community-Led Total Sanitation (CLTS) program. The ODF achievement in Cirebon City is 82%. However, one area in Cirebon City, namely Panjunan Village, has an ODF achievement of only 70%. This study aims to analyze the causes of low ODF. Methods: This study used a qualitative approach with a case study design. Data collection was conducted in June-September 2024. The research subjects were residents of Panjunan Village, Cirebon City. Data were collected through six in-depth interviews and observations. Results: Based on the research results, there are several indicators that cause low ODF among the residents of Panjunan Village, including: Low literacy about CLTS, minimal support from cadres, as well as low awareness and community participation, in addition to limited sanitation facilities and infrastructure.
Background: This study aimed to determine the psychosocial aspects of diabetes management and treatment. Methods: A qualitative research method was used to guide this study. The study population was diabetic patients over the age of 50 years. A semi-structured interview was used to obtain data, which was transcribed and coded and later developed into themes. Results: Five broad themes emerged from the analyses, viz., patient understanding of diabetes, psychological effects, the impact of diabetes on life, experiences of support, and treatment and management of diabetes. Conclusion: The findings from this study highlight the personal health and social strain of diabetes, as well as the challenges experienced in terms of the stress and anxieties associated with the disease
Conspiracy Beliefs and Covid-19 Vaccination Hesitancy in Italy: A Cross-Sectional Study
Background: This cross-sectional study examines sociodemographic characteristics and conspiracy beliefs among vaccinated and unvaccinated during the COVID-19 pandemic. Methods: 317 Italian-speaking participants were surveyed online, categorized by vaccination status. Sociodemographic variables were compared, and an exploratory factor analysis assessed conspiracy beliefs. Results: Of 217 vaccinated and 100 unvaccinated participants, differences in demographics and vaccine-related attitudes were observed. Vaccinated individuals sought more information online and had lower conspiracy beliefs than unvaccinated individuals. The exploratory factor analysis revealed a single factor, which was found to be significantly higher among unvaccinated participants, suggesting a correlation between vaccine hesitancy and belief in conspiracy theories. Conclusion: Addressing conspiracy beliefs may help increase vaccination rates in Italy. The study's limitations and implications for future research are discussed.
Using Progressive Muscle Relaxation for Reducing Fatigue among Truck Drivers
Background: Long working hours, poor working conditions, and irregular sleep patterns increase the risk of burnout in freight truck drivers. Progressive muscle relaxation (PMR) is a procedure to relax muscles. This study aims to analyze the effectiveness of progressive muscle relaxation on truck drivers. Methods: This research is a quasi-experimental study with one group pretest-posttest design. 60 truck drivers working in Belawan Port were given PMR video tutorials and underwent PMR therapy for two months. The researcher used the standard KAUPKK questionnaire to measure subject fatigue. The data were tested using the Wilcoxon Signed-Rank test. Results: With a z score (-5.798) greater than the z-table value (-1.645) and a p-value of 0.000, it can be concluded that there are differences in complaints of fatigue among truck drivers before and after PMR. Conclusions: The results of this study indicate that the fatigue of truck drivers can be reduced by PMR therapy.
Determinants of Dengue Hemorrhagic Fever Deaths: A Hospital-Based Cross-Sectional Study
Background: The increase in the dengue mortality rate in Indonesia and its risk factors which must be addressed immediately. Brebes Hospital, a hospital that is the primary referral for health centers and clinics in Brebes Regency, has a dengue mortality rate (Case Fatality Rate) of 7.88%, contributing to the first death rate in Brebes Regency. Data related to dengue deaths, such as comorbidities and hematocrit levels in dengue patients, were unavailable at the provincial and Brebes district levels, especially at Brebes Hospital. This study aims to determine the determinants of dengue death in inpatients at Brebes Hospital. Methods: This cross-sectional study used medical record data of dengue inpatients from September 2021 to August 2022, with as many as 138 respondents using a simple random sampling technique. The research instrument is an observation sheet, including age, gender, incidence of thrombocytopenia, hypotension, hematocrit levels, hemoglobin levels, diabetes mellitus status, hypertension status, comorbidities, and LOS. The data were analyzed in univariate, bivariate with the chi-square test, and multivariate with a logistic regression test. Results: The bivariate analysis results showed that the variables of hypertension status, DM status, thrombocytopenia, hematocrit levels, and the presence of comorbid diseases were associated with dengue mortality (p<0.01). Multivariate analysis showed that after controlling for other variables, the risk of comorbid diseases was significant 27.54 times (p-value <0.001; AOR= 27.54; 95% CI= 7.21-105.07), and hematocrit levels were at risk of 4.96 times increasing dengue mortality (p-value = 0.005; AOR= 4.69; 95% CI= 1.59-13.83). Conclusion: Hematocrit levels and the presence of comorbid diseases are critical determinants of dengue case mortality. The central comorbid diseases are hypertension, diabetes, and stroke. These two factors must be the primary concern of the clinicians in charge of patients in anticipation of an emergency.
Assessment of Elements Contributing Work Accidents in Construction Projects
Background: In 2019, the number of work accidents in the construction sector in Indonesia was still relatively high, with a total of 130,923 accidents. Education is one of the main factors influencing work accidents, with 16 people (61.5%) at risk of experiencing work accidents and 60 (60.6%) accidents due to non-compliance in using Personal Protective Equipment. In this research project, a work accident occurred, but the company still needs to record all of them entirely. This research aims to determine the relationship between education and the use of personal protective equipment with work accidents on the project. Methods: The design of this research is an observational analytic study with a cross-sectional design. The sample taken in the study was 123 workers, who were obtained using the Slovin formula and adding a minimum of 5% of the research sample size. Data analysis in this study used the chi-square test. Results: This study showed that there was a relationship between education and work accidents (p=0.004), and there was a relationship between the use of personal protective equipment such as safety helmets (p=0.000) and safety shoes (p=0.000) with work accidents on the project. Conclusion: Education and compliance in using safety helmets and safety shoes had a significant relationship with work accidents on the project.
Exploring The Resilience of Primary Health Care during COVID-19 Health Crisis: A Case Study in Depok City, Indonesia
Background: During COVID-19 pandemic, the primary health care must have its resilience during the health crisis. The first case of COVID-19 in Indonesia was found in Depok City. Therefore the objective of this study is to explore the resilience of primary health care during COVID-19 pandemic as a health crisis situation in Depok City, Indonesia. Methods: This study used a qualitative design by using a case study approach, Focus Group Discussion (FGD) was conducted to10 Heads of Public Health Center in Depok City as the main informant in August 2022. The data were analyzed using content analysis. Results: Public Health Centers in Depok City had a good resilience during COVID-19 pandemic. However, they had a low resilient in financing. Conclusions: COVID-19 pandemic has helped the primary health care to identify the resilience which is crucial to maintain and develop to face other health crisis situation that might be occurred in the future.
Determinants of the Use of Conventional Cigarettes in School Children in Yogyakarta City
Background: The prevalence of child smokers in Indonesia continues to increase. The number of child smokers in Yogyakarta City also continues to increase. This study aims to describe the determinants of conventional cigarette use in school children in Yogyakarta City. Methods: The study used a quantitative method with a cross-sectional design. Data was collected through a direct survey of schools using the Kobo toolbox application. The sampling technique was proportional stratified random sampling. There were 582 samples from 3 State Junior High Schools and 4 Private Junior High Schools. Results: There was a correlation between knowledge and the use of conventional cigarettes (PR=4.22; CI=2.726-6.534; p <0.001), the affordability of cigarettes (PR=2.72; CI 95%=1.793-4.122; p <0.001), the availability of cigarettes (PR=2.60; CI 95%=1.738-3.893; p <0.001), family members' smoking behavior (PR=2.39; CI 95%=1.565-3.642; p <0.001) and peer smoking behavior (PR=7.79; CI 95%=4.707-12.920; p <0.001). The multivariate test results showed that the determinants most related to the use of conventional cigarettes in adolescents were peers (PR=9.36; CI 95%=5.138-17.038; p <0.001). Conclusion: The determinants of conventional cigarette use in children are peer smoking behavior, lack of knowledge related to conventional cigarettes and their impacts, smoking behavior of family members, cigarette addiction, and the availability of cigarettes. Suggestion: The results of research related to the determinants of smoking behavior can be used as advocacy material for policymakers to control cigarette consumption in school children.