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

Sudirman Sudirman — 2026-05-14

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

Sartika Suyuti — 2026-05-14

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

Suryanti S — 2026-05-14

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.