Waluya The International Science of Health Journal
Waluya The International Science of Health Journal (WISH) has changed its URL address from the previous link https://magisterkesmas.umw.ac.id/jurnal/index.php/wish/index due to a server breakdown.
Magister Kesehatan Universitas Mandala Waluya
Home Environmental Factors and the Incidence of Acute Respiratory Infections in Toddlers: A Case Study in the Tanggetada and Watubangga Community Health Centers
Introduction: The initial survey conducted on 10 people in the Tanggetada Community Health Center Working Area stated that of the 10 people, 3 of their children suffered from ARI due to poor ventilation, exposure to cigarette smoke, and 3 people said the cause was dense housing and 3 people said their children had not been immunized. Based on this, the researcher wanted to examine the relationship between smoking habits in the home and cooking fuel with ARI in the Regional Technical Implementation Unit Working area of the Tanggetada Watubangga Community Health Center, Kolaka Regency, Southeast Sulawesi Province. Method: This quantitative research, using a cross-sectional study approach, was conducted in the districts of Southeast Sulawesi Province. The population was 822 toddlers and the sample size was 90, determined using the Slovin formula. Result: The chi square statistical test on smoking habits with a 95% confidence level (α = 0.05) shows that the value indicates that the X2count value = 7.813 > X2table value = 3.841 and on Fuel with a 95% confidence level (α = 0.05) shows that the value indicates that the X2count value = 10.944 > X2table value = 3.841, which means there is a relationship between cooking fuel and the incidence of ARI. Conclusion: There is a weak relationship between smoking habits and fuel and the incidence of ARI in the working areas of Tanggetada Health Center and Watubangga Health Center.
Copyright (c) 2026 Waluya The International Science of Health Journal https://creativecommons.org/licenses/by/4.0
Analysis of the Susceptibility and Seriousness of Hypertension Control Measures with Compliance with Routine Health Checks (Blood Pressure Checks)
Introduction: Hypertension is a serious medical condition that can lead to various health complications and can be significantly prevented through regular blood pressure monitoring. The monthly trend of hypertension in the five districts with the highest number of hypertension cases in Kolaka Regency prompted researchers to conduct a study on the analysis of the relationship between susceptibility and seriousness of hypertension control measures and compliance with routine health checks (blood pressure checks). Method: The type of research used is quantitative research with an analytical observation method and a Partial Least Squares (PLS) research design. The population was 570 people and the sample was 235 people using Sampling (area sampling) in the sampling. Result: The vulnerability is 0.326 (positive direction), the T statistic is 3.655, and the p-value is 0.000. The severity is -0.672 (negative direction), the T statistic is 5.189, and the p-value is 0.000. The test results show that the p-value is <0.05. Conclusion: Vulnerability and seriousness are related to hypertension control measures with compliance with routine health checks (blood pressure checks).
Linking Planning and Implementation with the Realization of the Health Operational Assistance Budget in Kolaka and East Kolaka
Introduction: Health issues in Indonesia, particularly in Kolaka and East Kolaka Regencies, still face significant challenges in improving access to quality healthcare services. Community Health Centers, as primary health care facilities, rely heavily on Health Operational Assistance Funds for their operations. However, Health Operational Assistance budget realization shows significant variation between the two regencies, caused by factors such as budget management, human resource capacity, and infrastructure challenges. This study aims to analyze Linking Planning and Implementation with the Realization of the Health Operational Assistance Budget in Kolaka and East Kolaka. Method: This research is quantitative and uses a cross-sectional study design. It was conducted in all community health centers within the jurisdiction of the Kolaka and East Kolaka District Health Offices. The population comprised 72 Health center employees involved in policy-making and budget management, resulting in a sample size of 70. The sample size was calculated using the Lameslow formula. Result: This indicates that planning has a strong relationship with the realization of Health Operational Assistance funds, with Pearson Chi-Square values ​​of 20.822 and 15.892, respectively, and a significance of 0.000. Meanwhile, implementation shows a moderately significant relationship with a Pearson Chi-Square value of 15.892 and a significance of 0.000. Conclusion: Planning has a strong relationship with the realization of the Health Operational Assistance budget in Kolaka and East Kolaka Regencies, while implementation has a moderate relationship. The effectiveness of Health Operational Assistance fund use is most influenced by sound planning and guidance.
Factors Associated with the Utilization of Health Services Among Decompression Patients in the Soropia Health Center Area
Introduction: Health services are essential facilities needed by communities to achieve optimal health. One common health problem experienced by fishermen is decompression sickness. Data from the Soropia Health Center showed that 25 cases of decompression sickness occurred in 2022, 33 cases in 2023, and 44 cases in 2024. This study aimed to analyze the relationship between information sources and health facilities and the utilization of health services among decompression sufferers in the Soropia Health Center working area. Method: This research is quantitative and cross-sectional. It was conducted in August 2024. The population was all 44 fishermen experiencing decompression in Soropia District, and a sample of 44 people was taken using total sampling. Data were collected using a questionnaire and tested using chi-square tests, correlation tests, and binary logistic regression. Result: Based on the Chi-Square test of knowledge (p value 0.011 and closeness ⱷ 0.421), health information (p value 0.001 and closeness ⱷ (0.553), facilities (p value 0.005 and closeness ⱷ 0.553). Conclusion: There is a moderate relationship between information sources and facilities and the use of health services in decompression patients.
The Relationship between Policy and Social Environment and Smoking Habits among High School Students in Kolaka Regency
Introduction: Smoking is one of the most difficult habits for adolescents to stop. The prevalence of smoking among students in Kolaka Regency is reported to be 48%. Smoking behavior among adolescents can be influenced by several factors, including policy and social environment. This study aims to analyze the relationship between policy and social environment and smoking habits among high school students in Kolaka Regency. Method: The study was conducted in August 2024 in three high schools in Kolaka Regency. The population consisted of 810 students, with a sample of 268 respondents selected using cluster random sampling. Data were collected using questionnaires and analyzed using the chi-square test and binary logistic regression. Result: Shows the Chi-Square test of policy (p value 0.000, ⱷ -0.401). Social environment (p value 0.000, ⱷ -0.449) on smoking habits among high school students in Kolaka district, Southeast Sulawesi Province. Conclusion: Policies and social environments are related to students' smoking habits, so schools need to hold regular outreach programs about the dangers of smoking in the form of seminars, discussions, or screenings of educational films.
Effectiveness of Health Promotion through Leaflet Media in Improving Knowledge, Attitudes, and Practices on Occupational Health and Safety among White Copra Workers in Toari District Kolaka Regency
Introduction: Occupational accidents among farmers and plantation workers in Indonesia, including white copra workers in Toari District, Kolaka Regency, are a serious problem with high risks due to exposure to hazardous chemicals, the use of machinery, and unsafe working conditions. Although occupational health and safety are very important, they are often neglected, resulting in high rates of accidents, injuries, and illnesses, and negatively impacting worker health and productivity. This study aims to analyze the effectiveness of health promotion using leaflet media in increasing knowledge, attitudes, and actions regarding occupational health and safety among white copra workers in the Toari District, Kolaka Regency. Method: Quantitative research using a pre-experimental design with a pretest-posttest approach on two groups of randomly selected subjects totaling 40 respondents using a cluster random sampling technique. Result: This study demonstrated that video media was more effective than leaflets in improving the knowledge, attitudes, and preventive actions of white copra workers. Measurements were conducted before and after the intervention to evaluate changes in occupational health and safety behavior. Conclusion: Leaflets can improve the knowledge, attitudes, and preventive measures of white coconut workers in Toari District. It is recommended that the Health Department provide training to health workers and encourage workers to actively participate in health promotion.
The Influence of Transactional and Transformational Leadership Styles of Ward Heads on Patient Safety Culture Implementation in a Regional Hospital in Indonesia
Introduction: Patient safety culture is an indicator of service quality and a system that makes patient care safer. The leadership style of the head of the ward is one factor that influences the implementation of a patient safety culture. Indonesia is still struggling to improve the quality of healthcare services by enhancing the patient safety culture among care professionals, including nurses. This study aims to examine the influence of the Head of Room's transactional and transformational leadership style on the implementation of a patient safety culture in the Regional Public Service Agency, Benyamin Guluh Hospital, Kolaka Regency. Method: Qantitative approach with a cross-sectional design was used, this study took place during July 2024. Involving 140 respondents, consisting of team leaders and nurses working in inpatient care. Result: The positive influence of transformational leadership style (0.332 (positive direction), T statistic 2.665 and p-value 0.008) and laizzes faire (0.309 (positive direction), T statistic 2.828 and p-value 0.005) in the implementation of patient safety culture. Conclusion: This study emphasizes the importance of a ward head's leadership style that supports a patient safety culture, particularly in reporting individual performance indicators and implementing employee work targets. It is recommended that hospitals improve the implementation of a patient safety culture by conducting continuous patient safety rounds, supervising, monitoring, and evaluating the implementation of individual performance indicators, and encouraging staff to report.
The Effect of Consuming Sago (Metroxylon sagu Rottb) Once a Day on Changes in Blood Glucose Levels of Diabetes Mellitus Sufferers in the Matandahi and Motui Community Health Centers
Introduction: Diabetes Mellitus (DM) is a chronic disease that can lead to various complications such as premature death, blindness, heart disease, and kidney failure. The prevalence of DM at Matandahi Community Health Center in 2022 was 5.9% and increased to 6.8% in 2023. Meanwhile, at Motui Community Health Center, it was 7.1% in 2022 and 8.7% in 2023. The purpose of this study was to determine the effect of consuming sago (Metroxylon sagu Rottb) once a day on changes in blood glucose levels of Diabetes Mellitus sufferers in the Matandahi and Motui Community Health Center work area. Method: This type of research is quantitative (pre-experimental), with one group pre-test-post-test design. The sample is 30 type 2 DM patients registered at the Matandahi and Motui Community Health Centers, taken using a simple random sampling technique. Random blood glucose levels were obtained using a portable Easy Touch Meter. Data were analyzed using a paired t-test, one-way ANOVA, and continued with the Least Significant Difference (LSD) test. Result: The results of the study showed that the average blood glucose level, before consuming sago once a day in the paired t-test, obtained a p value of 0.001 (sago consumption once a day). Conclusion: There is an effect of consuming sago once, so it is recommended that Matandari Health Center implement socialization of the importance of consuming sago for Diabetes Mellitus sufferers.
Drinking Water Factors and Stunting Among Children Under Five in Konawe Islands Regency
Introduction: Stunting remains a major nutritional problem affecting children's growth and development and contributes to the quality of human resources. The prevalence of stunting in several community health centers in Konawe Islands Regency remains high. This study aimed to analyze the relationship between drinking water factors (source, treatment, and physical quality) and the incidence of stunting among children under five years old. Method: This study used a quantitative approach with a cross-sectional design. The population consisted of 1,125 toddlers, and 89 respondents were selected using simple random sampling. Data were analyzed using the Chi-Square test, correlation test, and binary logistic regression. Result: The Chi-Square test results showed a significant relationship between drinking water sources and stunting (p=0.000), drinking water treatment and stunting (p=0.000), and drinking water quality and stunting (p=0.000) with correlation coefficient φ = 0.396. Conclusion: Drinking water factors, including water source, treatment, and physical quality, are significantly associated with the incidence of stunting among children under five in Konawe Islands Regency.
Patient Satisfaction Based on Responsiveness at the Kolaka Regency Health Center Using the American Customer Satisfaction Index (ACSI) Model
Introduction: This study examines patient satisfaction levels at Kolaka Regency Community Health Centers using the American Customer Satisfaction Index (ACSI) model. The background of the study indicated patient satisfaction issues, particularly related to service responsiveness, identified through initial observations at four of the 14 health centers. The main issues included long waiting times, difficulty accessing information, and a lack of effective communication. The study aimed to evaluate patient satisfaction with a focus on the responsiveness of patient care at Kolaka Regency Community Health Centers. Method: This research employed a qualitative method with a case study design, involving 15 informants selected through purposive and snowball sampling techniques. Data collection was conducted through in-depth observation and triangulation, with data analysis using the N-VIVO application. Result: Despite positive aspects such as good communication and competent medical services, several areas still require improvement. Key challenges include long waiting times, the need for facility upgrades in some areas, and the need for efficiency in stock management and service times. Analysis using the ACSI Model revealed variations in patient satisfaction levels across various service aspects, with some community health centers performing better than others. Conclusion: Patient satisfaction levels at Kolaka Regency Community Health Centers vary and require improvement in several areas. Factors such as community health center accreditation, the number of healthcare workers, and the quality of facilities significantly influence patient satisfaction.
Evaluating Healthcare Worker Performance through Leadership: A Malcolm Baldrige National Quality Award Approach at Benyamin Guluh Regional Hospital
Introduction: Benyamin Guluh Regional General Hospital in Kolaka Regency faces various challenges in healthcare service performance, including declining healthcare worker performance, leadership adaptability challenges, and weaknesses in strategic planning and performance measurement systems. This study aims to evaluate healthcare worker performance with a focus on the management dimension of leadership. Method: A qualitative research method with a case study design was applied, utilizing triangulation techniques from 12 informants, including the Director and Head of the Hospital Human Resources Department. Snowball sampling was used in selecting informants, with data analysis conducted inductively. Performance evaluation was based on the Malcolm Baldrige National Quality Award (MBNQA) Method. Result: The study results show that hospital leadership is effective but needs to improve adaptability in crisis situations. The existing strategic plan is clear but lacks flexibility and insufficient involvement of healthcare workers in planning. Customer focus is good, but capacity management needs improvement. The performance measurement system is effective but requires additional training. Conclusion: The need for adjustments in leadership and strategic planning to deal with crisis situations at the Benyamin Guluh Regional General Hospital, Kolaka Regency.
Evaluation of Program Inputs (Financing, Human Resources, Infrastructure, and Guidelines) in the URC-KISS Policy for Stunting Reduction in North Konawe Regency
Introduction: Stunting is a chronic nutritional problem affecting children and remains a major public health issue in Indonesia. The prevalence of stunting in North Konawe Regency was 21.6% in 2022 and increased to 25.6% in 2023. One of the policy efforts implemented by the North Konawe Regency Government is the URC-KISS program (Rapid Response Unit for Extreme Poverty, Inflation, and Stunting). However, the effectiveness of this policy has not yet been evaluated. This study aimed to evaluate the input components of the URC-KISS policy in efforts to reduce stunting rates. Method: This study used a qualitative approach with a case study design. A total of twelve informants were recruited, consisting of two key informants and ten supporting informants. Informants were selected using snowball sampling techniques. Data were analyzed manually through data reduction, data display, and conclusion drawing. Result: The findings show that program inputs include financing provided directly by the local government, adequate human resources with appropriate competencies, and infrastructure such as operational vehicles and anthropometric measurement tools. In addition, program implementation is supported by official guidelines for stunting reduction in North Konawe Regency. Conclusion: The URC-KISS program is supported by adequate inputs, including funding, human resources, infrastructure, and implementation guidelines, which contribute to efforts to reduce stunting rates in North Konawe Regency.
Analysis of Knowledge, Attitude, Personal Hygiene Practices, and Sanitation in the Prevention of Skin Diseases among the Bajo Community in Baliara Village West Kabaena Island
Introduction: Skin diseases are among the most common public health problems in coastal areas, including among the Bajo community in Baliara Village, West Kabaena Subdistrict, Bombana Regency. The community’s close interaction with the marine environment, limited implementation of personal hygiene, and inadequate sanitation conditions increase the risk of skin diseases. This study aimed to analyze the relationship between the level of knowledge, attitudes, personal hygiene practices, and environmental sanitation with the incidence of skin diseases among the Bajo people. Method: This research employed a quantitative analytic design with a cross-sectional approach. A total of 330 respondents were selected using purposive sampling. Data were collected using a structured questionnaire and analyzed using the Spearman Rank test and logistic regression. Result: The results showed a significant relationship between all independent variables and the incidence of skin diseases, namely knowledge (p = 0.001; OR = 2.31), attitude (p = 0.005; OR = 1.92), personal hygiene practices (p = 0.041; OR = 1.67), and environmental sanitation (p = 0.000; OR = 2.86). Among all variables, environmental sanitation was the most dominant factor. Conclusion: The study concludes that personal hygiene behavior and environmental sanitation play a crucial role in preventing skin diseases. Therefore, public health interventions involving education, behavior change, and improvement of sanitation infrastructure are essential to reduce the incidence of skin diseases in coastal communities.
Copyright (c) 2025 Waluya The International Science of Health Journal https://creativecommons.org/licenses/by/4.0
Factors Influencing the Implementation of Electronic Medical Record Systems at Bhayangkara Hospital and Benyamin Guluh Kolaka Hospital
Introduction: Electronic Medical Records (EMR) are a crucial technology for improving the efficiency and quality of healthcare services compared to manual, paper-based systems. This study compares the implementation of EMRs at the Benyamin Guluh Hospital in Kolaka and Bhayangkara Hospital in Kendari to evaluate differences in efficiency and quality of healthcare services after the implementation of EMRs. Method: This study employed a qualitative approach with phenomenology. The researcher served as the key instrument, with data collection techniques including in-depth interviews and participant observation. The study population consisted of IT directors and staff as primary informants, as well as doctors, nurses, laboratory personnel, pharmacists, and patients as regular informants. The sample was drawn using purposive sampling. Data were collected from 14 informants and analyzed inductively. Result: Bhayangkara Kendari Hospital has made significant progress in integrationElectronic Medical Records, with adequate technological infrastructure, fast and secure data access, and comprehensive staff training. In contrast, Benyamin Guluh Hospital in Kolaka faces challenges related to inadequate infrastructure and challenges in training and network quality. Despite progress in reducing paper use and improving coordination between units, technical issues and inadequate training impact efficiency and patient satisfaction. Conclusion: The needs of both hospitals include improving information technology infrastructure, regular and comprehensive training, policy evaluation and adjustment, improving data management and security, and increasing coordination between institutions.
The effect of Moringa vegetable + small eggplant therapy on increasing the blood hemoglobin levels of pregnant women in the working area of ​​the Lamparinga Health Center, North Konawe Regency
Introduction: Pregnancy is a vulnerable period for anemia due to iron deficiency. The prevalence of anemia in pregnant women at the Lamparinga Community Health Center was 26.88% in 2020, 41.17% in 2021, and 57.14% in 2022. Consuming moringa leaves is an alternative to address anemia. Variation therapy with moringa and local vegetables is crucial for pregnant women to support increased hemoglobin levels. This study aims to determine the effect of moringa and small eggplant therapy on increasing hemoglobin levels in pregnant women in the Lamparinga Community Health Center, North Konawe Regency. Method:Using quantitative research, a pre-test, post-test, one-group design was used. The population was all pregnant women in the Lamparinga Community Health Center working area from 2024 until March, totaling 32 people. A sample of 25 people was selected using simple random sampling. Result:Using the paired t-test, a p value of 0.001 was obtained for moringa + eggplant on increasing blood hemoglobin levels of pregnant women in the working area of ​​the Lamparinga Health Center, North Konawe Regency. Conclusion:Moringa and small eggplant therapy has been shown to increase hemoglobin levels in pregnant women. Pregnant women are advised to regularly consume locally sourced foods, including green vegetables and fruits, to increase their hemoglobin levels during pregnancy.
Linking Individual and Public Health Efforts to the Quality of Community Health Centers Evidence from Central Buton Regency
Introduction: Community health center accreditation is one method for achieving quality health services. Most accredited community health centers in Central Buton Regency operate health services that do not comply with internal regulations, including policies, guidelines, and standard operating procedures (SOPs). Some even fail to implement or comply with suggestions or recommendations provided by surveyors. The purpose of this study was to determine the relationship between individual and community health efforts and the accreditation status of community health centers in Central Buton Regency. Method: The research type is quantitative, with a cross-sectional study design. The population is all civil servant and non-civil servant health workers working at the Buton Tengah Regency Community Health Center in 2024, totaling 238 people. A sample of 71 people was obtained using the Cluster Random Sampling method. Data were collected using a questionnaire and analyzed using the chi-square test, correlation density, and binary logistic regression. Result: Shows that of the 71 samples, the majority of the Health Center accreditation status is Basic and Intermediate, as many as 41 people (57.7%). The results of the Chi-Square test obtained a p value of 0.000, φ (0.486) for individual health efforts and a p value of 0.000 and φ (0.518) for public health efforts. Conclusion: There is a moderate relationship between individual and community health efforts and the Accreditation Status of Community Health Centers.
The Impact of Mining Activities on the Prevalence of Stunting in Children (A Comparative Study in the Mining Area of Langgikima Pesisir and the Non-Mining Area of Wawolesea)
Introduction: Stunting remains a major public health issue worldwide, with 149 million children (21.9%) affected in 2020. In Indonesia, despite the 2024 target of 14%, prevalence was still 21.6% in 2022. Beyond nutrition, stunting is influenced by environmental, socioeconomic, and maternal factors. In North Konawe, Southeast Sulawesi, mining activities further threaten water, sanitation, and food security. The aim of this study is to see Impact of Mining Activities on the Prevalence of Stunting in Children (A Comparative Study in the Mining Area of Langgikima Pesisir and the Non-Mining Area of Wawolesea). Method: A cross-sectional study was conducted on 58 children aged 24–59 months from mining (Coastal Langgikima) and non-mining (Wawolesea) areas. Data on water access, sanitation, breastfeeding, maternal nutrition, diet, and socioeconomic status were collected through questionnaires and anthropometry. Chi-Square and logistic regression were used to analyze associations and key predictors. Result: Stunting prevalence was higher in mining areas (48.3%) compared to non-mining (27.6%). Bivariate analysis revealed significant associations with access to clean water (p=0.008), sanitation (p=0.001), exclusive breastfeeding (p=0.001), maternal nutritional status (p=0.001), and socioeconomic status (p=0.035). Multivariate analysis showed that exclusive breastfeeding remained the most influential factor, while other variables lost significance after adjustment. Conclusion: Children in mining areas face greater risk of stunting due to combined environmental, maternal, and socioeconomic vulnerabilities. Exclusive breastfeeding emerged as the strongest protective factor. Policies should integrate nutrition programs with improvements in water, sanitation, and maternal health, alongside multisectoral collaboration between health, environment, and mining sectors.
The Role of Self-Monitoring of Blood Glucose in Reducing Blood Glucose Levels among Type 2 Diabetes Mellitus Patients at Kendari City Hospital
Introduction:Diabetes mellitus (DM) is a silent killer that causes premature death, blindness, heart disease, and kidney failure. The number of DM in 2020 was 422 million people and 537 million in 2021. Indonesia in 2020 was 10.7 million and 19.5 million in 2021. DM cases in Southeast Sulawesi in 2020 were 60.31%, and in 2021 were 64.48%, and in 2022 were 70.76%. The prevalence of DM in Kendari City in 2020 was 12.7%, in 2021 it was 12.3% and in 2022 it was 12.6%. This study aims to determine the relationship between self-monitoring of blood glucose levels and decreasing blood glucose levels in patients with type 2 diabetes mellitus in the Internal Medicine Polyclinic of Kendari City Regional General Hospital. Method:This study was quantitative and conducted using a cross-sectional design. The sample consisted of 178 type 2 diabetes patients visiting the internal medicine clinic of Kendari City Regional General Hospital, obtained through accidental sampling. Data were analyzed using the chi-square test, the correlation test, and binary logistic regression. Result:Using the chi-square test, a p value of 0.000 < 0.05 was obtained for the variable of monitoring glucose levels independently against decreasing blood glucose levels. Conclusion:There is a relationship between monitoring blood glucose levels independently in Type 2 Diabetes Mellitus Patients at the Internal Medicine Polyclinic of Kendari City Regional General Hospital.
Overview of the Standards and Objectives of Implementing the Dengue Hemorrhagic Fever (DHF) Control Policy through the One House One Mosquito Net Movement Program at the Rahandouna Village Health Center, Kendari City
Introduction:Dengue fever remains a serious health problem in Indonesia, including in Kendari City, with cases occurring annually. In 2023, Kendari City successfully reduced dengue fever morbidity through the "1 house, 1 mosquito larvae" initiative. This study aims to describe the "1 house, 1 mosquito larvae" initiative at the Poasia Community Health Center. Method:Qualitative research and case study design were conducted in 2024. The key informants in this study were the coordinators of infectious disease control at community health centers, while general informants included the heads of community health centers, movement managers, village heads, and the heads of the infectious disease prevention and control section of the Kendari City Health Office. Result:Demonstrate conformity with the policy implementation theory and guidelines of this movement which include standards and objectives, characteristics of implementing organizations, communication between implementing organizations, disposition, and environment (social, economic, and political). Conclusion:There is a need for training in the use of Android-based applications for coordinators and supervisors, forming a team with the Village Office and socializing how to become a Coordinator and Supervisor to the Community.
Evaluation of Drug Inventory Control Using the ABC and VEN Methods at Kendari City Hospital
Introduction: Kendari City Hospital, a regional referral hospital in Southeast Sulawesi, experiences a high number of patient visits and a growing demand for medications. However, approximately 14% of medication items were found to be out of stock, including several vital drugs. Method: The research used a qualitative approach, with the following subjects: the Head of the Hospital Pharmacy Installation, RKO), the pharmacy warehouse officer and the managing pharmacist, and. Data collection was conducted through interviews, participant observation, and documentation studies Result: The ABC-VEN method has been proven to assist Kendari City Hospital in identifying drug procurement priorities and reducing the risk of drug shortages, particularly for vital and essential drugs. This method also increases budget efficiency by focusing funds on the drugs most needed for patient care. The implementation of the ABC-VEN method at Kendari City Hospital provides benefits in drug logistics management, but faces challenges in data, human resources, budget, distribution, regulations, and the dynamics of drug demand. Conclusion: The Pharmacy Unit at Kendari City Hospital has integrated ABC and VEN grouping through the ABC–VEN matrix. This method is more effective in identifying drug procurement priorities than conventional methods. Through a combination of analysis (ABC) and (VEN), the pharmacy unit is able to determine which drugs truly receive high priority due to both budgetary value and medical urgency.
Factors Influencing the Use of Vct (Voluntary Counseling & Testing) Clinics In Groupsmsm (Male Sexual Men) at Kendari City Hospital
Introduction: The VCT Clinic service program is an early detection effort to determine whether a person has been infected with HIV or not through Voluntary Counseling and Testing. Risky sexual behavior with HIV/AIDS is among the MSM group. The aim of this research is to determine the factors that influence the utilization of VCT services in the MSM group. Method: This research is a type of quantitative research with an approach using a cross-sectional study design. The population in this study is all families (heads of families). The population in this study is all HIV/AIDS sufferers who are undergoing ARV treatment at the Kendari City Hospital in 2023, namely 349 people. Result: The results found that 26.3% of the MSM group did not utilize the VCT clinic at, while 73.7% of the MSM group made good use of the VCT clinic. 69.7%. The attitude of the MSM group was negative towards VCT clinics as much as 25% and 75% of the MSM group had a positive attitude towards VCT clinics. The MSM group with negative actions was 28.9% and 71.1% of the MSM group with positive actions. The MSM group who received less family support to utilize the VCT clinic was 34.2%, while 65.8% of other respondents received good family support to utilize the VCT clinic. Conclusion: The results of the analysis show a significance value of <0.05, meaning that there is an influence of knowledge, attitudes, actions, social support and family support on the use of VCT clinic services.
The Influence of Early Marriage and Parenting Practices on the Nutritional Status of Toddlers in Motui District, North Konawe Regency
Introduction: Stunting is a major nutritional problem that determines the quality of human resources. The highest prevalence of stunting in the Konawe Islands Regency is at the Langara Health Center at 34.8% in 2022. Then the Bobolio Health Center is at 31.9% and the Lampeapi Health Center is at 32.6%. Poor or inadequate air, sanitation and hygiene conditions can trigger stunting. Method: This type of research is quantitative, Cross Sectional Study design. The research was conducted in February-June 2024 at the Langara, Bobolio and Lampeapi Health Centers, Konawe Islands Regency. The population was all toddlers registered in the working area of ​​the Langara, Bobolio and Lampeapi Health Centers for the period October-December 2023, totaling 1,125 people and a sample of 89 people was obtained. using simple random sampling. Data analysis used the Chi-Square test, Closeness Test and binary logistic regression test. Results: The results of research on the Chi-Square test on drinking water sources with stunting obtained a p value of 0.000, then drinking water management p value 0.000, drinking water quality p value 0.000, φ (0.396), latrine ownership obtained p value 0.001, waste management p value 0.000, waste management p value 0.000, and hygiene p value 0.000. Conclusion : The conclusion is that there is a relationship between early marriage, parenting patterns in feeding practices, personal hygiene, psychosocial parenting and health care practices with the nutritional status of toddlers and the most dominant factor related to the nutritional
Factors Influencing the Application of Regional Management Information System-Regional Owned Agency in the Kolaka District Health Service
Introduction: Along with the rapid development of information technology, there is also the development of an increasingly sophisticated accounting information system in the world of health care, without exception in terms of goods management. Therefore, the management of information systems is an activity that must be carried out in order to ensure that an application of the information system used by the Government agencies as a tool of goods management can provide adequate guarantees of control. Method: The data used is statistical testing using Warp PLS software to find out the factors which affect the implementation of the information system of regional management - goods owned by the District of Kolaka District. Result: The study was conducted in the Kolaka district health department in southeastern Sulawesi province from March to June 2024. The population in this study was an officer who worked in the management of local property in the Kolaka district health department so they obtained a sample of 54 people. Conclusion: The conclusion in this journal is that Planning, Procurement, Use, Entrepreneurship, Exploitation, Maintenance and Elimination influence the Quality of Management of Local Property. It is recommended that each instance's asset manager be included in order to improve their skills in operating Regional Management Information System - Regional Owned Agency applications and to be able to compile a room inventory card at each of those instances.
Dietary Protein and Fat as Predictors of Hypertension Incidence in the Coastal Community of Basule Village, Lasolo District
Introduction: A preliminary survey of 10 coastal residents of Basule Village revealed that 80% had hypertension and 20% did not have hypertension. A 24-hour recall showed that 70% of macronutrient intakes, consisting of protein, fat, and carbohydrates, were in the excess category, while 80% of micronutrient intakes were in the excess category. This study aimed to analyze the relationship between protein and fat intake and the incidence of hypertension in the coastal community of Basule Village, Lasolo District. Method:The type of research used was quantitative through observation, the research design used a Cross Sectional Study. The population was 247 people and 153 samples used the Slovin formula, sampling used Purposive Sampling. Result:The Chi-Square test obtained a p value of 0.000 < α (0.05), φ (0.496) and X2 Calculation (37.594) > X2 Table (5.991) there is a moderate relationship between the protein aspect and the Chi-Square test obtained a p value of 0.023 < α (0.05), φ (0.221) and X2 Calculation (7.506) > X2 Table (5.991) there is a weak relationship between fat intake and the incidence of hypertension in the coastal community of Basule Village, Lasolo District. Conclusion:There is a moderate relationship between protein intake and a weak relationship between fat intake and the incidence of hypertension in the coastal community of Basule Village, Lasolo District.
The Role of Family and Teachers in Reproductive Health Literacy of Adolescent Girls in Coastal Areas in Iwoimendaa District, Kolaka Regency
Introduction: According to data from the Iwoimendaa Community Health Center, nine teenagers became pregnant outside of marriage between July and December 2023. Furthermore, some women neglect their reproductive systems, leading to reproductive health problems, including unpleasant odors and sexually transmitted infections. Therefore, the researchers investigated the role of families and teachers in improving reproductive health literacy among adolescent girls in the coastal areas of Iwoimendaa District, Kolaka Regency. Method:This quantitative analytical research used a cross-sectional study design, with independent and dependent variables measured simultaneously. The population was all 180 female adolescents at MAN 2 Kolaka, and the sample consisted of 125 adolescents. The sample was determined using the Slovin formula. Result:The correlation test shows a phi value of 0.076, which means there is a very weak relationship between the role of the family and a phi value of 0.535, which means there is a moderate relationship between the role of teachers and health literacy of adolescent girls in the coastal area of ​​Iwoimendaa sub-district, Kolaka district. Conclusion:There is a relationship between the role of the family and the role of teachers with health literacy of adolescent girls in the coastal area of ​​Iwoimendaa sub-district, Kolaka district.
Analysis of the Effect of Providing Local Food Supplements on Weight Gain in Pregnant Women with Chronic Energy Deficiency at the Lamparinga and Tetewatu Community Health Centers in North Konawe Regency
Introduction: Chronic Energy Deficiency is a health problem for pregnant women that can lead to premature birth, birth defects, low birth weight, and even death. The prevalence of chronic energy deficiency in 2022 at the Lamparinga Community Health Center was 11.8% and at the Tetewatu Community Health Center 8.3%. The purpose of this study was to analyze the effect of providing local food supplements on weight gain for pregnant women with chronic energy deficiency at the Lamparinga and Tetewatu Community Health Centers in North Konawe Regency. Method: The type of research is quantitative (Quasi-experiment), with a pre-test, post-test, control group design. The population was 64 pregnant women with chronic energy deficiency in the working area of the Lamparinga and Tetewatu Health Centers in January 2024, and a sample of 18 people using cluster random sampling. Data were analyzed using the independent t-test, Mann-Whitney U test, and Kruskal-Wallis test. Result: The results of the study obtained an average control weight of 48.67 kg pre-test and 48.66 kg post-test, intervention weight, 50.2 kg pre-test and 51.9 kg post-test. The results of the independent t-test p-value 0.001 and the results of the Kruskal-Wallis analysis obtained a p-value of 0.001 on the body weight variable. Conclusion: Providing local food supplements on increasing the weight of pregnant women with chronic energy deficiency and the effectiveness of providing local food supplements on increasing the weight of pregnant women with chronic energy deficiency at the Lamparinga and Tetewatu Health Centers.
Determinants of Dental Health Service Utilization at Community Health Centers in Konawe District: A Cross-Sectional Study
Introduction: Dental health services are an essential component of efforts to improve public health. However, dental health services at the community health center level still face various challenges influenced by both internal and external factors. This study aims to analyze the factors associated with dental health services in community health centers of Konawe District, including the availability of dental health personnel, facilities, community knowledge, and government support. Method: This was an analytical quantitative study with a cross-sectional design. The population is all dental patients in the Health Center amounting to 300 divided into 29 Puskesmas and a sample of 172 using the proportional random sampling technique. The research sample consisted of community respondents utilizing dental health services at the Health centers in Konawe District. Data analysis was conducted using the Chi-Square test with a significance level of α = 0.05. Result: The study revealed that all variables were significantly associated with dental health services. Facilities emerged as the variable with the highest strength of association (χ² = 97.435), followed by government support (χ² = 61.748), availability of dental health personnel (χ² = 59.407), and community knowledge (χ² = 55.257). Conclusion: There is a significant relationship between the availability of dental health personnel, facilities, community knowledge, and government support with dental health services in Health centers of Konawe District. Efforts to improve dental health services can be achieved by strengthening the availability of facilities and health personnel, enhancing community education, and reinforcing government policy support.
A Cross-Sectional Study of Environmental Pollution Factors Associated with Heavy Metal Levels in Katamba Fish (Lethrinus nebulosus) in Baliara Village Kabaena Island
Introduction: Coastal environmental pollution is one of the biggest challenges for communities whose livelihoods depend heavily on marine resources. Kabaena Island, particularly Baliara Village, faces increasing pollution pressure due to nickel mining activities, unmanaged domestic waste disposal, and intensive fishing vessel operations. This study aimed to analyze the relationship between environmental pollution factors and heavy metal levels in Katamba fish (Lethrinus nebulosus), Method: This research employed a quantitative analytic approach with a cross-sectional design. A total of 97 respondents were selected using purposive sampling. Data were collected through structured questionnaires as well as fish and seawater samples, which were analyzed in the laboratory using Atomic Absorption Spectrophotometry (AAS) and ICP-OES. Data analysis was conducted using Spearman correlation to examine the association between environmental pollution activities. Result: The results showed that heavy metal concentrations in Katamba fish mostly exceeded the safe consumption limits set by WHO and Government Regulation No. 22/2021. Mining activities were significantly associated with Ni levels (r = –0.200) and seawater pollution (ρ = 0.438). Domestic waste exhibited a significant correlation with Pb levels in fish (r = 0.669), while fishing vessel activities were associated with Cd levels (r = 0.317). These findings highlight the substantial contribution of human activities to increasing heavy metal pollution in coastal areas. Conclusion: There is a relationship between environmental pollutants such as mining activities, domestic waste and fishing boat activities with heavy metal levels such as Hg, Ni, Pb and Cd in seawater and catamba fish.
Cross-Sectional Study of Work Motivation, Job Satisfaction, and Nurse Performance at Tanduale Regional General Hospital Bombana Regency
Introduction: Nurse performance is one of the key determinants of hospital service quality. In Regional General Hospital Tanduale, Bombana Regency, the issue of delayed salaries and high workloads may influence work motivation, job satisfaction, and ultimately performance. This study aims to Cross-Sectional Study of Work Motivation, Job Satisfaction, and Nurse Performance at Tanduale Regional General Hospital, Bombana Regency. Method: This study applied a quantitative approach with a cross-sectional design, conducted from June to July 2025. The population was 122 nurses, with a minimum sample size of 94 respondents determined using the Slovin formula. Total sampling was applied based on inclusion criteria. Data were collected through structured questionnaires and analyzed using Path Analysis with Partial Least Squares Structural Equation Modeling (PLS-SEM) through SmartPLS. Result: The results showed that extrinsic motivation had a significant effect on job satisfaction (β = 0.469; p = 0.041) and nurse performance (β = 0.735; p = 0.004). Meanwhile, intrinsic motivation did not significantly affect either job satisfaction (β = 0.325; p = 0.149) or nurse performance (β = -0.010; p = 0.962). Job satisfaction also did not significantly influence nurse performance (β = 0.211; p = 0.401) and did not act as a mediating variable. Conclusion: The study concludes that extrinsic motivation such as salary, incentives, recognition, and supportive work conditions is the dominant factor influencing both job satisfaction and nurse performance.
Factors Related to Mothers Perceptions of the Integrated Nutrition Program in the Working Area of the Pamandati Community Health Center South Konawe Regency
Introduction: Chronic malnutrition among Indonesian children under five remains a challenge despite the implementation of the Supplementary Food Program. his study examined differences in mothers' perceptions of Supplementary Food Program between recipient and non-recipient groups, analyzing five influencing factors: past experience, thinking ability, motivation, feeding time, and social environment. Method: Using a comparative quantitative design, 361 mothers from Pamandati Community Health Center, South Konawe were surveyed through stratified random sampling (146 Supplementary Food Program recipients, 215 non-recipients). Data were analyzed using Mann-Whitney U test and logistic regression. Result: Highly significant differences in perceptions on all factors. Supplementary Food Program recipient mothers showed more positive perceptions regarding past experience (Mean Rank 223.99 vs 151.80, p=0.000), thinking ability (225.86 vs 150.54, p=0.000), motivation (203.16 vs 165.95, p=0.000), feeding time (237.04 vs 142.95, p=0.000), and social environment (265.37 vs 123.70, p=0.000). Logistic regression identified thinking ability (B=2.817, p<0.001) and motivation (B=2.006, p<0.001) as the dominant predictors, explaining 88.4% of the variation in Not Supplementary Food Program acceptance. Conclusion: The study concluded that mothers' perceptions differed significantly based on all factors studied, with thinking ability as the strongest predictor. Health workers should prioritize educational interventions that target mothers' cognitive abilities and motivation. Local governments need to strengthen the social environment support system. Longitudinal studies with broader coverage are recommended to explore additional success factors in integrated nutrition programs.