Pancasakti Journal Of Public Health Science And Research

Implementation of Learning Organization in Public Health Center: A Systematic Literature Review on Enablers, Barriers, and Organizational Outcomes

2026-05-14T08:40:04+00:00

Public health services face various complex challenges such as limited human and financial resources, fragmentation of health information systems, and policy dynamics and accreditation requirements. These conditions require adaptive organizational capacity and a focus on continuous learning to maintain consistent service quality. This study aims to analyze (1) implementation characteristics, (2) enablers and barriers to implementation, and (3) the impact on organizational performance and service quality. This study is a descriptive literature review using data from Google Scholar with the keyword “learning organization.” The study includes open-access, full-text, English-language articles indexed in Scopus that were filtered using the Rapid Journal Quality Check tool and published between 2021 and 2025 in the field of health. A total of 26 articles meeting these criteria were analyzed using a thematic analysis approach with the SciSpace tool. LO implementation is characterized by continuous learning processes at the individual and team levels, data-based reflection, and knowledge-sharing systems between organizational units. LO implementation is influenced by supporting factors such as transformative leadership, interprofessional collaboration, mentoring systems, and policy support, while obstacles include hierarchical organizational culture, limited resources, and inadequate digital infrastructure. The implementation of LO has proven to strengthen adaptive capacity, improve organizational effectiveness, and support the sustainability of primary health care quality improvement

Diagnostic Accuracy of the Perinatal Anxiety Screening Scale (PASS) Against MINI-ICD-10: A Cross-Sectional Study Among Pregnant Women in Primary Care Settings, Indonesia

2026-05-14T08:40:05+00:00

Anxiety disorders during pregnancy are prevalent mental health concerns that can affect both maternal and fetal outcomes. Valid and reliable screening tools are essential for early detection and intervention. This study aimed to evaluate the diagnostic performance of the Perinatal Anxiety Screening Scale (PASS) compared to MINI-ICD 10 as the gold standard in detecting anxiety disorders among pregnant women. A cross-sectional diagnostic accuracy study was conducted at Kaluku Bodoa Community Health Center, Makassar City, from October to November 2025. Eighty pregnant women attending antenatal care were recruited using purposive sampling. Data were collected through structured interviews using PASS and MINI-ICD 10 questionnaires. Diagnostic accuracy measures including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy were calculated. The prevalence of anxiety disorders was 36.25% (n=29) based on MINI-ICD 10 and 53.8% (n=43) based on PASS. The majority of participants were aged 21-35 years (80%), had completed senior high school education (53.8%), and were housewives (77.5%). Most were in their third trimester (67.5%) and nulliparous (43.8%). PASS demonstrated good diagnostic performance with sensitivity of 86.21%, specificity of 64.71%, PPV of 58.14%, NPV of 89.19%, and overall accuracy of 72.5%. PASS showed acceptable diagnostic performance as a screening tool for anxiety disorders in pregnant women, with high sensitivity making it suitable for initial screening in primary healthcare settings. However, the moderate specificity suggests that positive screening results should be confirmed with gold standard diagnostic interviews.

Lived Experiences of Pregnant Women in Prenatal Classes and Their Influence on Antenatal Anxiety: A Phenomenological Thematic Analysis

2026-05-14T08:40:05+00:00

Prenatal classes serve as both educational and psychosocial interventions aimed at enhancing maternal preparedness during pregnancy. This study explores the subjective experiences of pregnant women participating in prenatal classes and examines how these experiences influence antenatal anxiety. A qualitative phenomenological study was conducted at the Rappokalling Community Health Center between July and December 2025. Six participants were purposively selected based on predetermined inclusion criteria, including being in the second or third trimester of pregnancy, having attended at least four prenatal class sessions, being in stable physical condition, and demonstrating willingness to participate in in-depth interviews. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis. Four major themes emerged: (1) enhanced knowledge and understanding of pregnancy and childbirth, (2) Reduced anxiety through relaxing and coping strategies, (3) Social support as an emotional buffer, and (4) Mothers’ classes contribute significantly to maternal psychological well-being by increasing health literacy, strengthening emotional regulation, and fostering peer support. Integrating prenatal classes into routine antenatal care is recommended as effective strategy to reduce antenatal anxiety.

Effectiveness of Soursop (Annona Muricata) Leaf Decoction on Vaginal Discharge Symptoms Among Injectable Hormonal Users: A Quasi-Experimental Study in Makassar, Indonesia

2026-06-02T02:27:46+00:00

Vaginal discharge is one of the common complaints experienced by acceptors of injectable hormonal contraception and may negatively affect reproductive health and quality of life. This study aimed to analyze the effect of soursop leaf (Annona muricata) decoction on reducing vaginal discharge symptoms among injectable hormonal contraceptive acceptors. A quasi-experimental study with a pre-test and post-test two-group design was conducted at the Rappokalling Community Health Center, Makassar, over a period of 10 months. The study involved 50 women of reproductive age who experienced vaginal discharge and were selected using the Slovin formula. Data were collected using observation sheets assessing the color, odor, and itching intensity of vaginal discharge before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test to determine differences before and after administration of soursop leaf decoction. The results demonstrated a significant improvement in vaginal discharge conditions after the intervention (p < 0.05). Respondents with clear white vaginal discharge increased from 54% to 96%, while abnormal vaginal discharge decreased from 46% to 4%. Complaints of unpleasant odor significantly decreased, with respondents reporting no odor increasing from 26% to 84%. Itching symptoms also improved markedly, as moderate itching decreased from 30% to 0%, mild itching decreased from 52% to 16%, and respondents without itching increased from 14% to 84%. These findings indicate that soursop leaf decoction is effective in reducing vaginal discharge symptoms among injectable hormonal contraceptive acceptors and may serve as a complementary non-pharmacological intervention for reproductive health management.

Determinants of Toddler Motor Development: The Role of Maternal Knowledge, Husband Support, Parity, and Socio-Cultural Factors in a Cross-Sectional Study in Makassar, Indonesia

2026-06-02T02:33:05+00:00

Exclusive breastfeeding has benefits for the development and growth of babies. This study aimed to analyze the relationship between maternal knowledge, husband's support, parity, and socio-cultural factors on motor development in toddlers. This research was conducted at the Rappokalling Community Health Center from August to November 2025. This research method was an analytical observational survey with a cross-sectional study approach. The sample in this study consisted of 65 toddlers. The sampling technique used was purposive sampling, a sampling technique based on certain considerations. Data analysis was carried out using the SPSS program, utilizing the Chi-square test. The results of this study indicate that husband's support and socio-cultural factors influence toddler motor development, with a p-value of 0.000, which is less than α = 0.05. Meanwhile, there was no significant relationship between maternal knowledge and maternal parity. The findings highlight the importance of the role of the family, especially the husband and the social environment, in supporting the success of exclusive breastfeeding and motor development in toddlers. Husband and family support are key determinants of successful exclusive breastfeeding practices. The husband's active involvement in seeking lactation information, along with family support in infant stimulation and navigating social norms, significantly impacts parenting patterns and toddler motor development. Therefore, health interventions need to focus on strengthening the family support system to improve the quality of child growth and development

Effectiveness of Peer Group Education on Breast Self-Examination Skills for Early Detection of Fibroadenoma Mammae: A Quasi-Experimental Study among Adolescent Girls in Indonesia

2026-06-02T02:39:44+00:00

Fibroadenoma Mammae (FAM) is the most common benign breast tumor occurring in adolescent girls and women under 30 years of age. This study aims to determine whether peer group education can significantly enhance students' ability to perform breast self-examination (BSE) as a preventive effort against Fibroadenoma Mammae. This research employed a quasi-experimental design with a one-group pre-test and post-test approach. The study was conducted at State Senior High School 3 Gowa with 50 respondents, consisting of female students from grades X and XI selected through purposive sampling based on inclusion and exclusion criteria. The intervention involved Peer Group Education, where selected students (peer educators) were trained to educate their peers using discussion sessions, video demonstrations, and educational tools. Data were collected through questionnaires and observation sheets and analyzed using the Wilcoxon Signed Rank Test to assess differences before and after the intervention. The average pre-test score of early detection skills was 3.46, which increased to 8.60 after the intervention. The Wilcoxon test result showed Z = -6.557 with p = 0.000 (p < 0.05), indicating a statistically significant improvement in early detection skills after the Peer Group Education intervention. In conclusion, Peer Group Education was proven effective in enhancing the early detection skills of Fibroadenoma Mammae among adolescent girls at State Senior High School 3 Gowa. The peer-led approach increased motivation, engagement, and practical understanding, demonstrating that peer-based learning can be a valuable method for promoting adolescent reproductive health awareness.

Association Between Calcium Intake Adequacy and Blood Pressure Among Pregnant Women: A Cross-Sectional Study in Makassar

2026-06-02T02:43:38+00:00

Hypertensive disorders of pregnancy remain a major cause of maternal morbidity and mortality worldwide. Inadequate calcium intake has been identified as a modifiable risk factor associated with elevated blood pressure during pregnancy. This study aimed to examine the association between calcium intake adequacy and blood pressure among pregnant women attending the Rappokalling Health Center, Makassar. This analytical observational study employed a cross-sectional design involving 50 pregnant women selected through accidental sampling. Calcium intake adequacy was assessed using a structured dietary questionnaire based on recommended daily calcium intake, while blood pressure was measured using a calibrated sphygmomanometer during antenatal care visits. Data were analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that 50.0% of respondents had adequate calcium intake and 50.0% had inadequate intake. Most participants (70.0%) had normal blood pressure, while 30.0% had abnormal blood pressure. All pregnant women with adequate calcium intake had normal blood pressure (100.0%), whereas 60.0% of those with inadequate calcium intake experienced abnormal blood pressure. Statistical analysis revealed a significant association between calcium intake adequacy and blood pressure (p < 0.001). Adequate calcium intake was significantly associated with normal blood pressure during pregnancy. Strengthening nutritional counseling and calcium supplementation during antenatal care may help prevent hypertensive disorders of pregnancy.

Effect of Health Service Quality Education on Phlebitis Prevention Practices among Nurses in Community Health Centers: A Quasi-Experimental Study

2026-06-02T02:49:44+00:00

Phlebitis is one of the most common complications associated with intravenous (IV) catheter insertion and is characterized by inflammation of the vein wall, causing pain, redness, and discomfort. This study aimed to analyze the effect of health service quality education on phlebitis prevention practices among healthcare workers at selected inpatient Community Health Centers (Puskesmas) in Makassar City. This study employed a quasi-experimental design using a one-group pretest-posttest approach. The study was conducted from January to March 2025 at Bara-Baraya Community Health Center, Mamajang Kassi-Kassi Community Health Center, and Pattingalloang Community Health Center in Makassar City. A total of 50 healthcare workers were selected using purposive sampling based on predetermined inclusion criteria. Data were collected using validated questionnaires and observation sheets before and after the educational intervention. Instrument validity and reliability tests were conducted prior to data collection, and all instruments were declared valid and reliable. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results showed that 37 respondents experienced an increase in posttest scores, while 13 respondents showed no change. No respondents experienced a decrease in scores after the intervention. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores with a p-value of 0.000 (p < 0.05). These findings indicate that health service quality education had a significant effect on improving phlebitis prevention practices among healthcare workers at Community Health Centers in Makassar City.