Pancasakti Journal Of Public Health Science And Research

Differences in Social Skills according to Developmental Stimulation Level Among Preschool Children with Speech Delay: A Cross-Sectional Study

2026-09-30T14:58:34+00:00

Speech delay is a developmental disorder that can impair children's communication and social interactions. Although developmental stimulation is a modifiable factor that supports child development, evidence regarding differences in social skills among preschool children with speech delay according to the level of developmental stimulation remains limited. This study aimed to compare the social skills of preschool children with speech delay according to the level of developmental stimulation they received. A quantitative analytical study with a cross-sectional design was conducted among 72 preschool children with speech delay selected through consecutive sampling. Developmental stimulation was assessed using the Developmental Stimulation Questionnaire, and social skills were measured using the Preschool and Kindergarten Behavior Scales (PKBS). Descriptive statistics were presented as median (minimum–maximum) and frequency distributions. The Mann–Whitney U test was used to compare social skills between groups, with a significance level of p < 0.05. Of the participants, 36 (50%) received good developmental stimulation. The median social skills score was higher in the good stimulation group (107.5 [82–120]) than in the poor stimulation group (102 [61–122]). A significant difference was observed between the groups (p = 0.023; z= 2.27) with rank-biserial correlation of 0.27, indicating a moderate effect. Preschool children with speech delay who received good developmental stimulation demonstrated significantly better social skills than those who received poor developmental stimulation.

Factors Associated with Sexually Transmitted Infections among Adults Attending Biak Kota Health Center, Papua: A Case–Control Study

2026-09-30T14:58:34+00:00

Sexually transmitted infections (STIs) remain a major global health concern, with significant impacts in Indonesia and Papua. This study aimed to identify protective and risk factors associated with STIs in Biak Numfor. A quantitative case–control design was conducted involving 80 adults attending Biak Kota Health Center, Papua (40 cases and 40 controls). Cases were defined based on physician-confirmed STI diagnoses in medical records, while controls were adults visiting the same facility for non-STI conditions and confirmed free of STIs. Data were collected using validated questionnaires on education, knowledge, media exposure, peer support, and alcohol consumption. Logistic regression was applied to estimate adjusted odds ratios (AORs) with 95% confidence intervals. Higher education (AOR = 0.006; 95% CI: 0.000–0.320; p = 0.015), media exposure (AOR = 0.001; 95% CI: 0.000–0.120; p = 0.015), and peer support (AOR = 0.008; 95% CI: 0.000–0.450; p = 0.025) were associated with lower odds of STIs. Alcohol consumption before sexual intercourse was associated with higher odds (AOR = 44.6; 95% CI: 1.6–1230; p = 0.026). Knowledge showed a non-significant association (p = 0.057). In conclusion, Education, media exposure, and peer support were associated with lower odds of STIs, while alcohol consumption was associated with higher odds. Integrated interventions are recommended to reduce STI prevalence in Papua.

Knowledge, Attitudes, and Practices Regarding Household Fire-Hazard Detection Among Housewives in Makassar: A Sequential Explanatory Mixed-Methods Study

2026-09-30T14:58:34+00:00

Household fires remain an important public health concern, particularly in densely populated residential areas. This study aimed to assess housewives’ knowledge, attitudes, and practices regarding early detection of potential household fire hazards and explore factors underlying preventive behavior. A sequential explanatory mixed-methods design was conducted in Karuwisi Utara, Makassar City, from March-July 2026. The quantitative phase involved 200 housewives selected through probability random sampling. Data were analyzed using univariate analysis and Chi-square tests. The qualitative phase included purposively selected housewives with extremely low or high preparedness scores, local community leaders or PKK cadres, and Fire and Rescue Service representatives as key informants. Participants were recruited until data saturation was achieved. Qualitative data were analyzed using NVivo-supported thematic analysis and triangulation. Most respondents had good knowledge (61.5%), while attitudes (69.5%) and practices (73.5%) were predominantly moderate. Educational attainment was significantly associated with knowledge (p < 0.001), as was employment status (p = 0.037), but neither was significantly associated with attitudes or practices. Qualitative findings highlighted personal experience, household routines, perceived risk, limited practical training, and contextual barriers as factors associated with the gap between knowledge and preventive practices. Practical, behavior-oriented, and community-based interventions are needed to strengthen household fire prevention.

Strategic Positioning and Competitiveness of Lembang Regional General Hospital: A Qualitative Case Study Using SWOT–IFAS/EFAS Analysis

2026-09-30T14:58:34+00:00

Indonesian public hospitals face intense market pressure to balance social mandates with operational efficiency. This study aims to analyze current business strategies, evaluate competitiveness, and formulate strategic priorities for Lembang Regional General Hospital. Employing a qualitative single case study from March to August 2026, data were gathered via triangulation using observations, document analysis, and interviews with five purposive informants. Framework thematic analysis supported by NVivo 12 Plus managed the data, while strategic positioning was mapped onto a SWOT Cartesian diagram using weighted IFAS/EFAS matrices. The empirical results reveal an operational paradox where a doubling of outpatient traffic fails to optimize inpatient care, leaving the bed occupancy rate at a suboptimal 45%. Matrix calculations yield an internal variance of +0.05 and a robust external variance of +0.96, placing the hospital firmly in Quadrant I (Growth). This precarious positioning indicates that growth is heavily subsidized by lucrative external market locations rather than internal capabilities, which are severely constrained by a small footprint. Consequently, RSUD Lembang must leverage its flexible funding to optimize service layouts and establish dedicated marketing units while planning long-term institutional relocation to a representative site.

Training, Technological Infrastructure, and Electronic Medical Record User Satisfaction: A Cross-Sectional Study in Ibu Kota Nusantara, Indonesia

2026-09-30T14:58:35+00:00

The implementation of Electronic Medical Record (EMR) is an important part of the digital transformation of hospitals to improve operational efficiency. The success of EMR adoption is heavily influenced by human resources readiness and information technology infrastructure support. This study aimed to examine the associations of EMR training and technological infrastructure with perceived service efficiency and user satisfaction, including the potential mediating role of perceived service efficiency, among EMR users at Hospital X in Ibu Kota Nusantara. This quantitative research employed an analytical cross sectional survey design. The data collection was conducted from November 2025 to January 2026 at a private Type D general hospital in Ibu Kota Nusantara, Indonesia, involving 46 hospital employees selected through a census technique. Data were gathered using structured questionnaires and evaluated via path analysis. The results showed that EMR training (β = 0.327, p = 0.007) and technological infrastructure (β = 0.529, p < 0.001) significantly affect perceived service efficiency. Furthermore, training (β = 0.348, p = 0.005), infrastructure (β = 0.558, p < 0.001), and perceived service efficiency (β = 0.790, p < 0.001) exhibit significant positive direct associations with user satisfaction. Perceived service efficiency also significantly mediates the indirect relationships within the structural model. In conclusion, both training and technology infrastructure are critical drivers that optimize perceived service efficiency, which ultimately maximizes EMR user satisfaction.

Makatte' Tradition Reviewed from an Epidemiological Aspect with Diseases in Women

2026-09-30T14:58:35+00:00

Female genital cutting persists in parts of Indonesia as a life-cycle ritual, including the makatte’ tradition of the Bugis community in South Sulawesi, yet it has never been documented in routine health surveillance. This study analysed the association between the makatte’ tradition and self-reported reproductive health complaints among women in Rante Alang Village, Luwu Regency, from an epidemiological perspective. An analytical observational study with a cross-sectional approach was conducted in 2026. Purposive sampling recruited 120 women according to predetermined inclusion criteria. Data were gathered by structured interview, questionnaire and observation, then analysed descriptively and for association using Chi-Square at α = 0.05; Fisher’s Exact Test was applied because one cell had an expected count below five. Exposure prevalence reached 86.7%, with 68.3% of procedures performed during childhood, 81.7% by traditional practitioners, 80.0% using non-sterile instruments, and none followed by wound care. Complaints were dominated by abnormal vaginal discharge (53.3%) and dysmenorrhoea (52.5%), yet only 4.2% had sought care. No significant association was found (p = 0.737; OR = 0.714; 95% CI 0.208–2.449). Procedural safety and the health-seeking gap require priority intervention.

Complementary Therapy Interventions in Diabetic Foot Ulcer: A Systematic Review of Randomized Controlled Trials

2026-09-30T14:58:35+00:00

Diabetic foot ulcers (DFUs) are complications of diabetes mellitus that may impair wound healing and reduce quality of life. Complementary therapies have been investigated as adjuncts to conventional wound care, but evidence of their effectiveness remains heterogeneous. This systematic review aimed to evaluate the effects of complementary therapies with conventional care on wound-healing outcomes in patients with active diabetic foot ulcers. The review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Searches were conducted in Scopus, PubMed, ScienceDirect, and SAGE Journals for studies published from 2021 to 2026; the final search was conducted on 15 August 2026. Eligible studies were randomized controlled trials involving patients with active diabetic foot ulcers and complementary therapies as adjuncts to conventional care. Study quality and risk of bias were assessed using the Joanna Briggs Institute critical appraisal checklist for randomized controlled trials. The review protocol was not registered. Following reassessment, five randomized controlled trials met inclusion criteria. The studies reported improvements in wound-healing outcomes, including reduced ulcer size and improved wound-healing indicators. However, heterogeneity in interventions, treatment duration, participant characteristics, and outcome measures precluded quantitative synthesis and pooled effect estimation. The certainty of evidence was limited by small sample sizes, short follow-up periods, and variability in intervention protocols. Complementary therapies may provide additional benefits for wound healing when used alongside conventional care for active diabetic foot ulcers. However, evidence remains limited and heterogeneous. Larger RCTs using standardized interventions and standardized wound-healing outcomes.

Waiting Time, Perceived Staff Competency, Patient Satisfaction, and Loyalty at a Primary Care Clinic in Indonesia: A Cross-Sectional Study

2026-09-30T14:58:35+00:00

The rapid growth of primary healthcare facilities in West Java has led to intense competition, forcing clinics to maximize patient retention through superior service quality. Managing operational efficiency and human resource performance is critical to maintaining a healthcare provider's sustainability. This study aims to analyze the effect of waiting time and human resource competency on patient loyalty, with patient satisfaction serving as an intervening variable. A quantitative research design with a descriptive and verificative approach was deployed at Satoe Dokter Clinic, Bandung Regency, from March to August 2026. Purposive sampling was applied to select 100 outpatient respondents, with the data analyzed through Structural Equation Modeling-Partial Least Squares (SEM-PLS). The structural model reveals that waiting time and human resource competency have significant direct effects on patient satisfaction (p=0.031; p=0.000) and patient loyalty (p=0.026; p=0.035). Furthermore, the indirect effect evaluation proves that patient satisfaction significantly acts as a partial mediator in bridging waiting time (p=0.039) and human resource competency (p=0.006) toward patient loyalty (p=0.002). In conclusion, reinforcing waiting time efficiency and staff soft skills is a strategic prerequisite to lock in long-term patient loyalty through emotional satisfaction.

Associations of Perceived Service Quality and Patient Satisfaction with Patient Loyalty at An-Nisa Hospital, Tangerang: A Cross-Sectional Study

2026-09-30T14:58:35+00:00

Private hospitals face intense competition in dense urban areas, demanding objective evaluations of service delivery to secure institutional sustainability. This study aims to analyze the associations of perceived service quality and patient satisfaction with patient loyalty at An-Nisa Hospital, Tangerang: a cross-sectional study. A quantitative method with a cross-sectional explanatory survey design was implemented from November 2025 to June 2026. Using a purposive sampling technique based on the Slovin formula with a 5% margin of error, 327 respondents were selected from the patient database. Data were gathered via structured questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The empirical findings revealed that all direct and indirect structural pathways are positive and statistically significant (P = 0.000). Perceived service quality holds significant direct linkages with patient satisfaction (β = 0.862) and patient loyalty (β = 0.477). Furthermore, patient satisfaction is significantly associated with patient loyalty (β = 0.408) and successfully operates as an intervening mediator (β = 0.352). Consequently, both direct and indirect structural pathways concurrently shape patient loyalty scores within this regional hospital framework.

Continuous Glucose Monitoring versus Self-Monitoring of Blood Glucose for Glycemic Control in Adolescents with Type 1 Diabetes: A Systematic Review

2026-09-30T14:58:35+00:00

Type 1 diabetes mellitus (T1D) is a chronic condition affecting children and adolescents, and inadequate glycemic control may increase the risk of acute and chronic complications and adversely affect quality of life. This systematic review aimed to synthesize evidence on the impact of adherence to blood glucose monitoring on glycemic control and to identify factors influencing monitoring adherence among children and adolescents with T1D. A systematic literature search was conducted in Scopus, PubMed, and ProQuest for studies published between 2021 and 2026. Study selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The review protocol was registered in PROSPERO (CRD420261403299). The methodological quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tool, and findings were synthesized narratively. Fifteen studies were included in the final review. The findings indicate that continuous glucose monitoring (CGM) is generally associated with improved glycemic control, including reductions in HbA1c, increased time in range, and reduced hypoglycemia in several study populations. Monitoring adherence was influenced by psychological factors, including diabetes-related distress and fear of glucose readings, as well as technological factors, family support, and healthcare-system factors. Overall, CGM may support glycemic management and monitoring adherence; however, its effectiveness depends on patient engagement, psychosocial support, access to technology, and appropriate clinical education. A multidisciplinary approach is therefore needed to optimize glucose-monitoring technologies and improve diabetes self-management among children and adolescents with T1D. These findings highlight importance of integrating technological, behavioral, and clinical support into diabetes care.