Journal of Economics and Public Health

Sustainable Community Health Module for Nursing Students: Supporting Vulnerable Children in Aceh

2026-07-07T03:59:23+00:00

This study aims to develop a sustainable community health module to enhance nursing students’ capacity in delivering community-based health services to vulnerable children at Rumoh Seujahtera Aneuk Nanggroe (RSAN), Aceh Besar. This study is grounded in the increasing need for effective and sustainable community health interventions for vulnerable children who often experience limited access to health education, preventive care, psychosocial support, and healthy living environments. Many children living in social welfare institutions remain at risk of poor health literacy and unmet health needs, which may negatively affect their physical, emotional, and social development. At the same time, nursing students require more structured and experiential learning opportunities to strengthen their competencies in community nursing, health promotion, and child-centered care. Despite the importance of community-based nursing education, there is still a lack of sustainable and context-specific health modules designed for vulnerable child populations in Aceh. Therefore, this research is important to bridge the gap between academic nursing training and real community health needs while supporting sustainable health services and improving the well-being of vulnerable children. A sequential mixed methods design was employed, integrating quantitative and qualitative approaches. The quantitative phase involved a survey of 70 children aged 5–18 years selected using a purposive sampling technique to assess health literacy and health-related challenges using validated instruments. The qualitative phase consisted of in-depth interviews with caregivers, nursing students, lecturers, and community health workers to explore perceptions, needs, and implementation challenges. Findings from both phases were triangulated to inform the development of a contextually relevant health module. The module was subsequently validated by experts and piloted among nursing students and children at RSAN using a pre-test and post-test design. The study is expected to produce an effective, context-based, and sustainable community health module that strengthens nursing education and community engagement.

Relationship between Immunization Completeness and of Stunting in Under Five Years Old Children

2026-06-12T15:16:49+00:00

Stunting is problem global health that is hampering development children, where the prevalence in Indonesia (21.6%) is still above the WHO target (20%). District Pati, especially the work area Community Health Center Gabus II, has prevalence sufficient stunting significant that is by 20.28%. One of them effort prevention stunting is through giving immunization base complete. For know connection between completeness immunization toddler with incident stunting in the work area Community Health Center Gabus II Regency Starch. Type this research is studies observational with design research conducted at the Community Health Center Cork II. Sample study totaling 76 toddlers, consisting of from group cases and controls. Data were collected through questionnaires and notes KIA book, then analyzed using statistical tests Chi-Square. Analysis bivariate show existence significant relationship between completeness immunization with incident stunting with mark p-value 0.010 (p < 0.05). The Odds Ratio (OR) value of 0.000 (95% CI: 0.113-0.759) indicates that immunization base complete play a role as factor protector to incident stunting. There is connection between completeness immunization toddler with incident stunting in the work area Community Health Center Gabus II Regency Pati. Toddlers who get immunization base complete own risk more low For experience stunting compared to toddler with immunization No complete.

Analysis of the Difference Between Actual Costs and Indonesian Case-Based Group (INA-CBG) Rates for Inpatients with Stroke

2026-07-14T03:44:00+00:00

The implementation of the INA-CBGs prospective payment system requires hospitals to ensure that reimbursement tariffs adequately cover actual treatment costs, particularly for stroke, which is a high-cost catastrophic disease. Differences between INA-CBGs tariffs and actual hospital costs may affect hospital financial sustainability. This study aimed to analyse the differences between actual hospital costs and INA-CBGs tariffs in inpatient stroke cases and to identify the effects of length of stay, stroke severity, stroke type, complications, and Cost Recovery Rate (CRR) on these cost differences. This quantitative retrospective study used secondary data from medical records and BPJS claims of 101 inpatient stroke cases selected using total sampling, including all eligible stroke inpatients treated at RSUD dr. Abdul Aziz Singkawang in 2024. Data were analysed using descriptive analysis, t-tests, logistic regression, and CRR calculations. Total actual hospital costs exceeded INA-CBGs reimbursement, resulting in a financial deficit and an overall CRR of 93%. Stroke severity and stroke type significantly influenced cost differences, while length of stay and complications showed indirect effects through increased resource utilisation and prolonged hospitalisation. Severe haemorrhagic stroke cases generated the largest financial losses. Differences between actual costs and INA-CBGs tariffs are influenced by multiple interrelated factors. Severe stroke cases, particularly haemorrhagic stroke, create the greatest financial burden. Tariff evaluation and improved hospital cost management are required to enhance financial efficiency.

Validity and Reliability Testing of the Modified Indonesian Version of the Smartphone Addiction Scale-Short Version

2026-07-14T01:51:40+00:00

Smartphone usage has increased rapidly worldwide, making the potential for smartphone addiction a focus of research. To identify potential smartphone addicts, several scales have been developed to assess smartphone addiction; among them, the Smartphone Addiction Scale-Short Version (SAS-SV) is frequently used. This study aimed examine the reliability and validity of the Indonesian version of the SAS-SV. A cross-sectional research design with a population consisting of 100 of Pharmacy students at Farmasi Nasional Vocational High School in Surakarta. Data were analyzed using SPSS; validity was established by showing that the calculated r-value exceeded the r-table value, while reliability was assessed using Cronbach's alpha. The evaluation showed that the research instrument possesses robust validity and reliability. Internal consistency analysis yielded a Cronbach's alpha coefficient of 0.980, substantially exceeding the acceptable threshold of 0.60. Furthermore, construct validity was confirmed as the calculated r-values for all ten items ranged from 0.853 to 0.939, consistently surpassing the critical r-table value of 0.195 (n = 100).

Socioeconomic Factors Influencing the Implementation of Good Agricultural Practices in Sustainable Vegetable Farming

2026-07-21T21:09:23+00:00

Good Agricultural Practices (GAP) is a certification-based farming standard intended to guarantee food safety, environmentally sound management, worker welfare, and product traceability, and its adoption is mandated for Indonesian horticultural producers under Law No. 13/2010 on Horticulture. Despite this mandate, uptake among smallholder vegetable farmers remains inconsistent, partly because many producers have not perceived a clear benefit from certification and are reluctant to renew it once obtained. This study aimed to determine the level of implementation of GAP standard operating procedures (SOP-GAP) among vegetable farmers in the Argoayuningtani Farmer Group, Selo Sub-district, Boyolali Regency, and to analyse the socioeconomic factors associated with that implementation. A quantitative descriptive study was conducted on 30 vegetable farmers in the Argoayuningtani Farmer Group, Boyolali, Indonesia. Data were collected via structured questionnaires and analyzed using descriptive statistics and Spearman’s rank correlation. Data were analysed using descriptive statistics and Spearman rank correlation. Implementation fell into the good category for land preparation, seed selection, fertilizer and pesticide provision, planting, and fertilizer application, and into the fair category for equipment use, plant maintenance, irrigation, pest and disease control, and harvesting. Farmers' age, education, land area, farming experience, livestock ownership, and income were significantly and positively correlated with SOP-GAP implementation across most components, whereas land-ownership status showed weak and largely non-significant associations. socioeconomic characteristics substantially shape the extent of GAP adoption among smallholder vegetable farmers. Strengthening farmer education, facilitating land access, and improving household income may accelerate the sustainability of GAP implementation in similar farming communities.