Journal of Health Education Innovation and Practice

Analysis of the Influence of Human Resources on Employee Performance in Supporting Preparation for the Implementation of the BPJS Kesehatan KRIS Policy at Bun Tangerang Hospital

Fitriyani Zulkarnain — 2026-01-02

Background: The implementation of the BPJS Health Standard Inpatient Class (KRIS) policy requires optimal human resource readiness, in which employee performance is a key factor in its success. This study aims to analyse the influence of human resource factors, including knowledge, communication effectiveness, perception, work motivation, and attitude towards employee performance in supporting the preparation for the implementation of the BPJS Health KRIS policy at Bun Hospital in Tangerang.

Method: The study used a quantitative approach with a cross-sectional design and multiple linear regression analysis. The study population consisted of all Bun Hospital employees using total sampling technique. Data were collected through a Likert scale questionnaire and 145 respondents who met the criteria were obtained. Data analysis was performed using validity, reliability, normality, linearity, multicollinearity, heteroscedasticity, t-test, F-test, and coefficient of determination tests.

Results: The results of the study showed that all instruments were valid and reliable. Bivariate analysis showed a significant positive relationship between all independent variables and employee performance. The t-test proved that knowledge, communication, perception, motivation, and attitude had a significant effect on employee performance. The F test showed a significant simultaneous effect with a coefficient of determination (R²) of 0.337, meaning that 33.7% of the variation in employee performance is explained by the five independent variables. Knowledge is the dominant factor influencing performance.

Conclusion: knowledge, communication, perception, motivation, and attitude, both partially and simultaneously, have a significant effect on employee performance in supporting the preparation for the implementation of the KRIS BPJS Kesehatan policy at Bun Tangerang Hospital. Hospital management needs to optimise these factors through continuous training, improved communication, increased motivation, and the formation of positive employee attitudes.

The Relationship between Mother's Education, Knowledge, and Occupation with the Completeness of Basic Immunization in Toddlers at the Bintuhan Community Health Center, Kaur Regency

Ria Saputri — 2025-01-05

Background: This study analyzes the relationship between mother's education, knowledge, and occupation and the completeness of basic immunizations in toddlers at the Bintuhan Community Health Center in Kaur Regency. The background is the high infant mortality rate due to vaccine-preventable diseases—more than 1 million cases per year according to the WHO—and the continued lack of complete basic immunizations in Indonesia as mandated by Minister of Health Regulation No. 12/2017. Maternal sociodemographic factors are suspected to be important determinants of immunization completeness.

Method: The study used a cross-sectional analytic design with 59 mothers of toddlers aged 12-24 months, drawn using purposive sampling from a population of 143 toddlers. Data were collected through a primary questionnaire and analyzed using the chi-square test.

Results: he results showed no significant relationship between maternal education and completeness of immunizations (χ²=4.354; p=0.113). Conversely, there was a significant relationship between maternal knowledge (χ²=17.213; p=0.000) and maternal occupation (χ²=19.132; p=0.000) and immunization completeness. 88.5% of toddlers with mothers with good knowledge had their immunizations completed, while only 25% of toddlers with mothers with less knowledge had their immunizations completed. 86.1% of unemployed mothers had their immunizations completed, compared to only 26.1% of employed mothers.

Conclusion: Maternal knowledge and occupation significantly influence the completeness of basic immunizations for toddlers, while education was not found to be related. It is recommended that community health centers increase routine outreach and counseling on immunization, especially for working mothers.

The Effect of Delayed Umbilical Cord Cutting on Hemoglobin Levels in Newborns

Juanda Syafitasari — 2026-01-02

Background: This quasi-experimental study evaluated the effect of delayed cord clamping on hemoglobin (Hb) levels in neonates at Kaur Regional Hospital. The background is the high neonatal mortality rate due to iron deficiency anemia, which is exacerbated by the practice of Immediate Cord Clamping (ICC), which results in the loss of 54-160 cc of blood in infants. The WHO recommends delaying cord clamping (DCC) for 1-3 minutes to improve neonatal iron status.

Method: The study used a quasi-experimental design with 30 respondents drawn by purposive sampling from the birth population at Kaur Regional Hospital. Subjects were divided into an intervention group (cord clamping >1 minute) and a control group (cord clamping <1 minute). Primary data were collected and analyzed using univariate and bivariate t-tests.

Results: The average Hb level in the intervention group was 18.27 g/dL (range 16-21 g/dL), significantly higher than the control group at 16.40 g/dL (range 14-18 g/dL). The statistical test obtained a t-value of 3.805 with p = 0.001 (p <0.05), indicating a significant effect of delayed cord clamping on neonatal Hb levels.

Conclusion: DCC is effective in increasing newborn Hb levels. It is recommended that Kaur Regional Hospital integrate DCC interventions lasting >1 minute into the active management protocol for the third stage of labor to prevent neonatal anemia and reduce infant mortality.

Effectiveness Between Lemon and White Ginger Brewing on Reducing Emesis Gravidarum in Pregnant Women in the First Trimester at the Tebat Agung Public Health Center, Muara Enim Regency in 2025

Saniatil Mawa — 2026-01-02

Background: Emesis gravidarum is a common complaint in the first trimester of pregnancy (0-16 weeks) due to increased levels of the hormones hCG and estrogen, which stimulate nausea. Its prevalence tends to increase annually—data from the 2023 Indonesian Demographic and Health Survey (SDKI) reached 52.8%. If left untreated, it can lead to dehydration, electrolyte imbalances, nutritional deficiencies, and weight loss. Non-pharmacological treatments such as lemon tea (containing d-limonene, which reduces stomach acidity) and white ginger (containing gingerol, which blocks serotonin) are considered safe and effective. This study aims to compare the effectiveness of both.

Methods: A quasi-experimental study with a Two Group Pretest-Posttest design was conducted at the Tebat Agung Community Health Center, Muara Enim, on 30 pregnant women in their first trimester in 2025. Samples were taken using total sampling, divided into two groups: 15 women received lemon infusion (2 slices, 3 times/day, inhaled 5 times) and 15 women received white ginger infusion (50 grams boiled for 15-20 minutes, drunk 2 times/day for 7 days). Data analysis used an Independent Sample T-test.

Results: Respondent characteristics: 93.3% were aged 20-30 years, 60% were multiparous, 56.7% had a high school education, 40% were housewives, and 56.7% were ≥10 weeks' gestation. Before the intervention, 86.7% of the lemon group and 73.3% of the ginger group experienced nausea and vomiting >3 times/day. After the intervention, the average frequency of vomiting decreased to 1.53 times (SD=0.52) in the lemon group and 1.13 times (SD=0.35) in the white ginger group. Statistical testing showed a significant difference (p=0.001) with a difference of 0.4 times. White ginger infusion was shown to be more effective in reducing emesis gravidarum.

Conclusion: White ginger infusion was more effective in reducing emesis gravidarum than lemon infusion in pregnant women in the first trimester. It is recommended that health workers promote this non-pharmacological therapy through active counseling and leaflet distribution to pregnant women.

Determinants Influencing Turnover Intention of Nurses at Al-Muchtar Islamic Hospital, Karawang

Sativa Azkia — 2026-01-02

Background: High turnover intention among nurses threatens hospital service continuity. Individual (age, gender, education, tenure) and organizational (career development, compensation, communication, work environment) factors are thought to drive the intention, yet simultaneous evidence at Al-Muchtar Karawang Islamic Hospital was lacking.

Methods: A quantitative cross-sectional study was conducted among 98 of 128 clinical nurses; 4-point Likert questionnaires were validated on 30 additional nurses. Univariate, Chi-square bivariate and multivariate logistic regression analyses identified determinants of turnover intention.

Results: Most respondents were female (56%), aged ≤35 (62%), D3-educated (51%) and had >1 year tenure (94%). Bivariate tests showed gender (p=0.005), compensation (p=0.019), communication (p<0.001) and work environment (p=0.011) were significantly associated with turnover intention, whereas age, education, tenure and career development were not. Multivariate analysis revealed female nurses had 3.3 times higher odds of intending to leave (95% CI 1.20–9.30), while poor compensation and poor communication independently increased risk; work environment became non-significant. The model explained 34.7% of the variance.

Conclusion: Gender, compensation and communication significantly influence nurses’ turnover intention; female gender is the strongest predictor. Hospitals should prioritize gender-responsive scheduling, fair transparent pay and open two-way communication to enhance retention and sustain care quality.