https://cahaya-ic.com/index.php/JHIEE <p style="text-align: justify;">The Journal of Health Innovation and Environmental Education is a double-blind peer-reviewed journal published by Cahaya Ilmu Scholar Publishers, dedicated to disseminating advances in science and research in the fields of Health and Environmental Education both in Indonesia and in the global context in developing countries. Committed to excellence, the Journal of Health Innovation and Environmental Education publishes comprehensive research articles and invites reviews from leading multidisciplinary educational experts to optimally contribute to policy and practice. The selection criteria prioritize papers that demonstrate high scientific value, convey new knowledge, and significantly impact health and the environment. This journal focuses on health, the environment, education, and related topics at the school and college levels.</p> Cahaya Ilmu Cendekia Publisher en-US Journal of Health Innovation and Environmental Education 3063-1637 <div> <p style="text-align: justify;">Authors who publish with this journal agree to the following terms:</p> </div> <ol style="text-align: justify;"> <li class="show">Authors retain copyright and acknowledge that the Journal of Health Innovation and Environmental Education is the first publisher licensed under a <a href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</a>.</li> <li class="show">Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.</li> <li class="show">Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work.</li> </ol> https://cahaya-ic.com/index.php/JHIEE/article/view/2550 <p><strong>Purpose of the study: </strong>This study aimed to map the level of health literacy related to anemia among postpartum mothers at the Bangetayu Community Health Center, Genuk District, Semarang City, focusing on mothers’ knowledge, understanding, and awareness of anemia prevention and management during the postpartum period.</p> <p><strong>Methodology: </strong>A descriptive quantitative study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected using a validated and reliable questionnaire consisting of 28 items assessing knowledge of postpartum anemia. Univariate data analysis was performed using SPSS version 21 to generate frequency distributions and percentages.</p> <p><strong>Main Findings: </strong>The results showed that most postpartum mothers had a sufficient level of knowledge regarding anemia (76.7%), while 16.7% had good knowledge and 6.7% had poor knowledge. Respondents generally understood the definition, causes, and symptoms of anemia; however, misconceptions persisted regarding iron supplementation duration, nutritional sources of iron, and the long-term impact of anemia on maternal health.</p> <p><strong>Novelty/Originality of this study: </strong>This study provides a structured health literacy mapping of postpartum mothers related to anemia at the primary healthcare level, which has rarely been explored in previous studies. The findings offer practical evidence to support the development of targeted, context-based health education interventions to improve postpartum anemia prevention and maternal health outcomes.</p> Siti Nurjannah Copyright (c) 2025 Siti Nurjannah https://creativecommons.org/licenses/by/4.0 2025-12-29 2025-12-29 2 2 142 151 10.37251/jhiee.v2i2.2550 https://cahaya-ic.com/index.php/JHIEE/article/view/2534 <p><strong>Purpose of the study: </strong>This study aims to describe the level of knowledge of traditional birth attendants (TBAs) regarding delivery assistance according to modern midwifery standards in Longsheng Village, China, an area that still relies on traditional birth practices.</p> <p><strong>Methodology: </strong>This study used a descriptive design with a cross-sectional approach, involving 42 respondents selected through purposive sampling. Data were obtained using a validated closed-ended questionnaire, then analyzed using descriptive statistics in the form of frequency distributions and percentages.</p> <p><strong>Main Findings: </strong>The results indicate that the level of knowledge of TBAs remains low, with only 21.8% of respondents having good knowledge, while 71.9% did not understand safe birth procedures according to midwifery standards. Knowledge regarding care of the first and second stages of labor tended to be limited to traditional experiences, while understanding of active management of the third and fourth stages of labor was significantly higher. This situation suggests that traditional delivery practices have the potential to increase the risk of complications if not synergized with modern health care standards.</p> <p><strong>Novelty/Originality of this study: </strong>The novelty of this study lies in presenting the latest empirical data on the integration of traditional and standard midwifery practices in one Chinese village, as well as providing a scientific basis for the development of a community-based training model to improve delivery safety.</p> Junjie Wu Ei-Wen Lo Copyright (c) 2025 Junjie Wu, Ei-Wen Lo https://creativecommons.org/licenses/by/4.0 2025-12-29 2025-12-29 2 2 152 160 10.37251/jhiee.v2i2.2534 https://cahaya-ic.com/index.php/JHIEE/article/view/2540 <p><strong>Purpose of the study: </strong>This study aims to explore in depth the experiences of nursing students in performing professional practice during the COVID-19 pandemic, including the challenges, adaptation strategies, and learning processes that emerged in a hospital setting.</p> <p><strong>Methodology: </strong>This study used a qualitative descriptive method with in-depth interviews. Data were collected using semi-structured interview guides, audio-recording tools, and verbatim transcription. Thematic analysis was performed using manual coding supported by Microsoft Word and Microsoft Excel to categorize themes and sub-themes.</p> <p><strong>Main Findings: </strong>The study identified three major themes: the use of personal protective equipment, students’ concerns regarding virus transmission, and obstacles encountered during clinical practice. Students reported fear of contracting and transmitting the virus, limited patient interaction, and reduced opportunities for hands-on learning. They developed self-adjustment strategies such as consistent PPE use, maintaining physical immunity, and seeking supervision support.</p> <p><strong>Novelty/Originality of this study: </strong>This study offers new insight by capturing the unique clinical learning experiences of nursing students during a global health crisis, emphasizing the intersection between psychological stress, safety compliance, and clinical learning limitations. It contributes new knowledge on how pandemics reshape professional nursing education and highlights the need for adaptive, resilient clinical training models.</p> Wen-Yuan Lin Chien-Chih Wu Copyright (c) 2025 Wen-Yuan Lin, Chien-Chih Wu https://creativecommons.org/licenses/by/4.0 2025-12-29 2025-12-29 2 2 161 169 10.37251/jhiee.v2i2.2540 https://cahaya-ic.com/index.php/JHIEE/article/view/2549 <p><strong>Purpose of the study: </strong>This study aims to analyze the effectiveness of K3RS implementation from the aspects of policy, safety facilities, and medical personnel preparedness as the main pillars of improving patient safety and protecting health workers.</p> <p><strong>Methodology: </strong>The research method uses a quantitative descriptive approach with survey techniques on medical and health workers, supplemented by data analysis through frequency and percentage distribution.</p> <p><strong>Main Findings: </strong>The results of the study indicate that all three aspects of K3RS implementation are in the very good category, indicated by high average scores for regulatory completeness, availability of safety facilities, and a high level of medical personnel preparedness in facing occupational risks. These findings are supported by previous research that confirms that K3RS effectiveness has a direct impact on improving service quality and reducing safety incidents.</p> <p><strong>Novelty/Originality of this study: </strong>The novelty of this research lies in the integration of the analysis of medical personnel resilience with patient safety quality in the context of the transformation of the K3RS system after the hospital management reform, which has not been widely explored in previous research</p> Marcia Thelwell-Reid Copyright (c) 2025 Marcia Thelwell-Reid https://creativecommons.org/licenses/by/4.0 2025-12-30 2025-12-30 2 2 170 177 10.37251/jhiee.v2i2.2549 https://cahaya-ic.com/index.php/JHIEE/article/view/2582 <p><strong>Purpose of the study: </strong>This study aims to analyze health service utilization patterns among Health Equity Fund beneficiaries at the Khmer–Soviet Friendship Hospital (KSFH), Phnom Penh, with a particular focus on the distribution of service types and the role of HEF in facilitating access to advanced healthcare services.</p> <p><strong>Methodology: </strong>A descriptive quantitative study was conducted using secondary data obtained from the medical records unit of KSFH. Data were processed through standardized procedures, including editing, coding, processing, and cleaning. Descriptive (univariate) analysis was employed to examine the frequency and percentage distribution of healthcare service utilization across outpatient, inpatient, emergency, surgical, diagnostic, and maternal services.</p> <p><strong>Main Findings: </strong>The findings revealed that outpatient services were the most frequently utilized by HEF beneficiaries (38%), followed by inpatient care (26%) and emergency services (18%). Surgical services accounted for 10% of total utilization, with orthopedic and general surgeries being the most common. Diagnostic services (7%) and maternal and child health services (5%) were also accessed, indicating improved access to both essential and specialized care.</p> <p><strong>Novelty/Originality of this study: </strong>This study provides novel evidence by systematically mapping HEF beneficiaries’ healthcare utilization patterns at a major national referral hospital using a structured SOFFIIWIER-based data processing framework.</p> Rithea Ngeth Duy Nguyen-Quang Copyright (c) 2025 Rithea Ngeth, Duy Nguyen-Quang https://creativecommons.org/licenses/by/4.0 2025-12-30 2025-12-30 2 2 178 185 10.37251/jhiee.v2i2.2582 https://cahaya-ic.com/index.php/JHIEE/article/view/2596 <p><strong>Purpose of the study: </strong>This study aims to analyze the relationship between patient perceptions of service quality and intention to reuse general outpatient services at the Ciputat Timur Community Health Center.</p> <p><strong>Methodology: </strong>The study used a mixed methods approach with a cross-sectional design. Quantitative data were collected through a structured questionnaire from 60 new outpatients using probability sampling techniques, while qualitative data were obtained through in-depth interviews. Quantitative analysis was conducted using the Chi-square test and Smart-PLS, while qualitative data were analyzed using content analysis.</p> <p><strong>Main Findings: </strong>The results showed that the majority of respondents (81.7%) were interested in reuse of outpatient services. Of the five dimensions of service quality, empathy and direct evidence were significantly associated with intention to reuse (p ≤ 0.05), while reliability, responsiveness, and assurance did not show a significant relationship.</p> <p><strong>Novelty/Originality of this study: </strong>The novelty of this study lies in the development of a model of the relationship between perceived service quality and intention to reuse at primary healthcare facilities using a mixed methods approach, which provides a comprehensive understanding based on quantitative data and patient subjective experiences.</p> Halimatusa Diah Copyright (c) 2025 Halimatusa Diah https://creativecommons.org/licenses/by/4.0 2025-12-30 2025-12-30 2 2 186 194 10.37251/jhiee.v2i2.2596 https://cahaya-ic.com/index.php/JHIEE/article/view/2597 <p><strong>Purpose of the study: </strong>Aims to improve the patient's ability and confidence in taking care of himself. This study aims to analyze the effectiveness of Android application-based DM calendar as a DSME medium on self-efficacy and HbA1c levels in Type 2 Diabetes Mellitus patients.</p> <p><strong>Methodology: </strong>The study used a quasi-experimental design with a pretest–posttest approach of the control group, involving 60 Type 2 DM patients who were divided into intervention and control groups. The intervention group received an Android app's DM calendar-based DSME for 12 weeks, while the control group received conventional education.</p> <p><strong>Main Findings: </strong>The results showed a significant increase in self-efficacy in the intervention group compared to the control group, accompanied by a larger and statistically significant decrease in HbA1c levels.</p> <p><strong>Novelty/Originality of this study: </strong>The novelty of this study lies in the integration of Android-based digital calendars as an adaptive educational medium that supports patients' daily routines, thereby strengthening the role of mobile technology in multidisciplinary and sustainable diabetes management.</p> Armah Tengah Wan Faizah Wan Yusoff Helmi Sajali Copyright (c) 2025 Armah Tengah, Wan Faizah Wan Yusoff, Helmi Sajali https://creativecommons.org/licenses/by/4.0 2025-12-30 2025-12-30 2 2 195 201 10.37251/jhiee.v2i2.2597