International Journal on Health and Medical Sciences

Determinants of antenatal care attendance among women in Akabiluru District: A cross-sectional study

Vittria Meilinda — 2026-07-15

Antenatal care (ANC) is essential for the early detection of pregnancy complications and the preparation for safe childbirth. Despite national targets of 90% coverage for the fourth ANC visit (K4) and 80% for the sixth ANC visit (K6), ANC utilization in Akabiluru District remains below these standards. In 2024, K4 and K6 coverage reached only 65.2% and 67.6%, respectively, at Piladang Primary Health Center, while Batu Hampar Primary Health Center reported lower rates of 42.0% and 36.0%. This study aimed to identify factors associated with ANC visits among women in Akabiluru District. A descriptive quantitative study with a cross-sectional design was conducted among 48 postpartum mothers within two months after delivery, selected through total sampling. Data were collected using structured questionnaires and analyzed using frequency distribution and Chi-square tests. The findings revealed that most respondents were aged 20–34 years (79.2%), multiparous (66.7%), had completed senior high school education (58.3%), and had family incomes below the regional minimum wage (66.7%). More than half of the respondents had low knowledge (58.3%) and did not complete the recommended ANC visits (58.3%). Bivariate analysis showed that attitude (p=0.000), motivation (p=0.001), husband’s support (p=0.008), and access to information media (p=0.000) were significantly associated with ANC visits. Knowledge, healthcare provider support, and socio-cultural factors were not significantly associated. Strengthening health promotion, antenatal education, and family planning programs may improve ANC utilization among pregnant women.

Correlation between smartphone thermographic temperature and visual infusion phlebitis score in surgical patients with peripheral intravenous access at Dr. Hasan Sadikin General Hospital

Teguh Marfen Djajakusumah — 2026-08-03

Phlebitis is a common complication of peripheral intravenous catheter use that increases patient morbidity and length of hospital stay. The Visual Infusion Phlebitis (VIP) score is widely used for clinical assessment but remains subjective and does not incorporate temperature as an inflammatory marker. Smartphone-based infrared thermography offers a potential objective, non-invasive, and practical adjunct parameter. This study aimed to determine the correlation between local temperature measured by smartphone thermography and VIP score in patients with peripheral intravenous access at Dr. Hasan Sadikin General Hospital. An observational analytic study with a cross-sectional design was conducted in 37 patients with catheter dwell time ≥72 hours. Temperature at the infusion site was measured using a smartphone-based thermal camera and compared with the contralateral healthy area, while phlebitis severity was simultaneously assessed using the VIP score. Data were analyzed using the Shapiro–Wilk normality test and Spearman correlation test at a 95% confidence level. The mean VIP score was 1.86 ± 1.38 (range 0–4), and the mean infusion-site temperature was 35.9 ± 1.7°C (range 33.2–38.1°C). A statistically significant, moderate positive correlation was found between VIP score and thermographic temperature (r = 0.52; p = 0.002), indicating that higher VIP scores were associated with increased local temperature, reflecting the underlying inflammatory process. These findings suggest that smartphone-based thermographic imaging may serve as a useful objective adjunct in phlebitis evaluation among patients with peripheral intravenous access, complementing rather than replacing comprehensive clinical assessment.

Implementing sidik gizi: A digital screening program for mapping nutritional status of adolescents in islamic boarding school

Fatati Larasati — 2026-07-15

Traditional, paper-based health logging in residential schools often hinders timely public health responses due to manual diagnostic calculation lags. This study aimed to implement and evaluate "SIDIK GIZI" (Sistem Digital Skrining Gizi Mandiri), an e-Health application designed to streamline adolescent nutritional surveillance and assess end-user satisfaction. A cross-sectional implementation study was conducted in May 2026 at Pondok Salafy Al Fithroh, Gresik, Indonesia. Anthropometric data, comprising body weight, height, mid-upper arm circumference (MUAC), and waist circumference, were digitally registered from adolescent students (santri). Concurrently, system validation was measured using an integrated 5-point Likert scale survey completed by Santri Husada volunteers who operated the system across three domains: Ease of Use, Efficiency & Usability, and Usefulness & Impact. The application successfully mapped double-burden malnutrition indicators, flagging specific prevalence rates for underweight, stunting, chronic energy deficiency (CED) risks, and abdominal obesity. Furthermore, user satisfaction analysis demonstrated exceptionally positive feedback, specifically highlighting automated formula calculations, practical navigation layouts, and enhanced operational confidence among non-medical peer cadres. SIDIK GIZI reduced field screening times to 15–20 minutes per student while eliminating manual recording errors. In conclusion, this digital tracking model offers a sustainable, highly accepted health informatics framework that empowers boarding school communities to execute autonomous health monitoring, paving the way for data-driven preventive nutrition programs.

Comparison of acute kidney injury incidence after doxorubicin and cyclophosphamide chemotherapy in breast cancer patients with and without adequate oral hydration prevention

Samuel Pola Karta Sembiring — 2026-08-03

Background: Breast cancer is the leading cause of cancer death among Indonesian women, and the Doxorubicin and Cyclophosphamide (AC) regimen remains one of the primary systemic therapy options. This regimen carries significant nephrotoxic effects that can trigger acute kidney injury (AKI) in 10%–32.8% of patients, potentially causing permanent kidney damage and disrupting treatment continuity. Adequate oral hydration (30 mL/kg body weight/day) is an economical, practical preventive approach that accelerates drug metabolite excretion, but its effectiveness in reducing AKI incidence in clinical practice remains unclear. Aim: To compare AKI incidence in breast cancer patients undergoing AC chemotherapy between those who received adequate oral hydration prevention and those who did not. Methods: A prospective cohort study was conducted at the Surgical Oncology Clinic of Dr. Hasan Sadikin General Hospital, Bandung, from October 2025 to February 2026. Fifty-six subjects selected by consecutive sampling were divided into a prevention group and a no-prevention group (28 each). AKI was assessed using KDIGO criteria via serum creatinine at 48 hours and 7 days post-chemotherapy, and data were analyzed with the Chi-Square test. Results: Overall AKI incidence was 25% (14 of 56 subjects): 8 cases (28.5%) in the no-prevention group versus 6 cases (21.4%) in the prevention group. The Pearson Chi-Square test yielded p = 0.469 (p > 0.05). Conclusion: Although AKI cases were numerically lower in the prevention group, adequate oral hydration did not significantly reduce AKI incidence compared with no prevention in breast cancer patients undergoing AC chemotherapy.

Preoperative lactate, wound complications, and mortality following major amputation in patients with peripheral artery disease

Teguh Marfen Djajakusumah — 2026-08-03

Introduction: Peripheral Arterial Disease (PAD) is a leading cause of major lower-extremity amputation, particularly in patients with severe ischemia, gangrene, infection, or when revascularization is no longer feasible. Preoperative blood lactate is a biomarker reflecting tissue hypoperfusion and systemic metabolic stress, but its prognostic role in predicting postoperative wound complications and mortality after major amputation in PAD remains limited. Methods: This was an analytic observational study with a prospective cohort design conducted at Dr. Hasan Sadikin General Hospital between November 2024 and November 2025. Adult patients with PAD who underwent major amputation were enrolled using total sampling. Preoperative lactate levels were categorized into <2.5, 2.5–4, and >4 mmol/L, and associations with postoperative wound complications and mortality were analyzed using Fisher's Exact test. Results: A total of 51 patients met the study criteria; 60.8% were male and 52.9% were older than 60 years. Diabetes mellitus was the most common comorbidity (64.7%). Postoperative wound complications occurred in all patients with lactate >4 mmol/L, compared with 16 of 44 patients with lactate <2.5 mmol/L (p = 0.016). Mortality occurred in 4 of 5 patients with lactate >4 mmol/L, compared with 7 of 43 patients with lactate <2.5 mmol/L (p = 0.001). Discussion: Preoperative blood lactate is significantly associated with postoperative wound complications and mortality following major amputation in patients with PAD. Elevated lactate, particularly >4 mmol/L, identifies patients with worse postoperative outcomes, supporting its use as a simple, rapid, and accessible biomarker for perioperative risk stratification.