International Journal of Health Engineering and Technology https://afdifaljournal.com/journal/index.php/ijhet <p><strong style="font-size: 18pt; font-weight: 800;">International Journal of Health, Engineering and Technology (IJHET)</strong> is to provide research media and an important reference for the progress and dissemination of research results that support high-level research in the field of Health, Engineering and technology . Original theoretical work and application-based studies, which contribute to a better understanding of all areas of Health, Engineering and Technology , the journal publishes articles six times a year in May, July, September, November, January and March. E-ISSN : <a href="https://issn.brin.go.id/terbit/detail/20220430081592733">2829-8683</a> (Online)</p> en-US aminharahap19@gmail.com (Dr. Amin Harahap, M.Si) aminharahap19@gmail.com (Dr. Amin Harahap, M.Si) Sat, 01 Aug 2026 00:00:00 +0000 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 The Relationship Between Family Support and TB Prevention Behavior at Level II Hospital, RW Mongisidi, Manado https://afdifaljournal.com/journal/index.php/ijhet/article/view/982 <p>Introduction: Tuberculosis (TB) is an infectious disease that remains a public health problem in Indonesia. Preventive behavior against TB transmission is an important effort in breaking the chain of disease transmission. Family support is a factor that can influence patient health behavior, including behavior against TB transmission. Methods: This study used a quantitative method with an observational analytical design through a cross-sectional approach. The study was conducted at Level II RW Mongisidi Hospital, Manado in May 2026. The study sample consisted of 37 respondents selected using a purposive sampling technique. Data collection was carried out using a questionnaire and analyzed using the Chi-Square test with a significance level of α = 0.05. Results: The results showed that most respondents received supportive family support (21 respondents (56.8%), and most had good TB transmission prevention behavior (23 respondents (62.2%). The results of the bivariate analysis showed that of the 21 respondents who received supportive family support, 18 respondents (48.6%) had good TB transmission prevention behavior. The results of the Chi-Square test obtained a p-value of 0.002 (p&lt;0.05), so H₀ was rejected and H₁ was accepted. Conclusion: There is a significant relationship between family support and TB transmission prevention behavior in TB patients at Level II RW Mongisidi Hospital, Manado. Good family support plays a role in improving TB transmission prevention behavior in patients</p> Agatha Marischa Annasthasya Frans, Ratna Roesardhyati Copyright (c) 2026 Agatha Marischa Annasthasya Frans, Ratna Roesardhyati https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/982 Thu, 06 Aug 2026 00:00:00 +0000 The Effect Of Otago Exercise On Gait Walking Speed In Elderly Women At Posyandu Harapan Bunda In 2026 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1111 <p><em>Elderly individuals are prone to a decline in walking ability, which is commonly indicated by reduced gait walking speed and may increase the risk of falls. Gait walking speed is an important parameter in gait analysis as it reflects functional mobility, balance, and lower extremity muscle strength in older adults. One exercise program recommended to improve walking ability and reduce fall risk is the Otago Exercise Program. This study aimed to determine the effect of the Otago Exercise Program on improving gait walking speed in elderly women with a risk of falling at Posyandu Harapan Bunda. This study employed a pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 52 elderly women aged 60–69 years with a risk of falling, selected using total sampling. The Otago Exercise Program was conducted for 8 weeks with a frequency of three sessions per week (12 sessions). Gait walking speed was measured using the 10 Meter Walking Test (10MWT) before and after the intervention. Data were analyzed descriptively and inferentially using the Wilcoxon test. The results showed an improvement in gait walking speed after the Otago Exercise intervention. The mean 10MWT score increased from 65.55 before the intervention to 95.22 after the intervention. The Wilcoxon test results indicated a significant effect of the Otago Exercise Program on improving gait walking speed in elderly women with a risk of falling (p &lt; 0.05). In conclusion, the Otago Exercise Program has a significant effect on improving gait walking speed in elderly women with a risk of falling. This exercise program can be recommended as an effective intervention to enhance walking ability and reduce fall risk in the elderly population.</em></p> Bunga Anisa, Robiatun Amalia Ranti, Slamet Sumarno Copyright (c) 2026 Bunga Anisa, Robiatun Amalia Ranti, Slamet Sumarno https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1111 Wed, 05 Aug 2026 00:00:00 +0000 The effect of date palm juice on increasing hemoglobin (HB) in pregnant women at the Sadar Jaya Community Health Center, Bengkalis Regency https://afdifaljournal.com/journal/index.php/ijhet/article/view/983 <p>Anemia due to iron deficiency is the main cause of anemia in pregnant women. In 2024, 843 pregnant women underwent ANC at the Sadar Jaya Health Center, of which 129 or approximately 56% experienced anemia. This study aims to determine the effect of date palm juice on increasing hemoglobin (Hb) in pregnant women at the Sadar Jaya Health Center, Bengkalis Regency. This type of research is pre-experimental. The population was all pregnant women in the first trimester in March 2026, totaling 30 people, the sampling technique was total sampling. Data analysis used the t-test. The results showed that the hemoglobin (Hb) levels in pregnant women before being given date palm juice were mostly 18 respondents (57.2%) with moderate Hb levels. The hemoglobin (Hb) levels in pregnant women after being given date palm juice were mostly 20 respondents (66.7%) with mild Hb levels. The effect of date palm juice on increasing Hemoglobin (Hb) in pregnant women with a ρ value of 0.000 &lt;0.05. The conclusion of this study is that there is an effect of date palm juice on increasing Hemoglobin (Hb) in pregnant women at the Sadar Jaya Community Health Center, Bengkalis Regency. Therefore, it is hoped that the community health center will increase knowledge and understanding, especially in providing services to pregnant women regarding the prevention of anemia by providing date palm juice to pregnant women in the first trimester.</p> Juyanti Lamhotria Naibaho, Fajar Sari Tanberika, Fatma Nadia, Nurhidaya fitria Copyright (c) 2026 Juyanti Lamhotria Naibaho Juyanti Lamhotria Naibaho, Fajar Sari Tanberika, Fatma Nadia, Nurhidaya fitria https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/983 Sat, 01 Aug 2026 00:00:00 +0000 Provision Of Local Food-Based Supplementary Feeding For Undernourished Toddlers In Primary Care: A Systematic Literature Review https://afdifaljournal.com/journal/index.php/ijhet/article/view/1113 <p><em>Undernutrition among children under five in Indonesia remains aggravated by poor diet quality and comorbidities such as tuberculosis, anemia, and thalassemia. This review evaluated the effectiveness of local food-based supplementary feeding compared with standard supplements or no intervention, assessed the moderating role of major comorbidities on nutritional recovery, and identified determinants of program success. A PRISMA 2020-guided systematic literature review was conducted using Consensus.app sources published in 2015–2026, prioritizing systematic reviews, meta-analyses, randomized controlled trials, and quasi-experimental studies. Supplementary foods and complementary feeding interventions improve recovery, body weight, Weight-for-Height Z-Score (WHZ), Weight-for-Age Z-Score(WAZ), dan Mid-Upper Arm Circumference (MUAC), sementara perbaikan tinggi badan whereas gains in height/ Height-for-Age Z-Score (HAZ) are smaller and require longer exposure. Local food-based products, including moringa-fortified foods, moringa nuggets, and other locally formulated diets, also improved weight, height, or Mid-Upper Arm Circumference (MUAC) in studies from Indonesia and other low-resource settings. Tuberculosis and anemia consistently predicted slower nutritional recovery, while evidence for thalassemia mainly indicates elevated malnutrition risk rather than tested response to supplementary feeding. Program success depends on adequate duration, adherence, nutrient composition, training, family support, and primary care delivery capacity. The main research gap is the lack of integrated screening for tuberculosis, anemia, and thalassemia within primary-care supplementary feeding programs. Locally-based PMT effectively improves short-term nutritional status of undernourished children, but its effectiveness decreases in children with TB and anemia comorbidities. Integration of tuberculosis, anemia, and thalassemia screening in PMT programs at primary healthcare facilities is needed.</em></p> Asyifa Tsulus Sandi, Titik Kuntari, Utami Utami, Raden Edi Fitriyanto, Yaltafit Abror Jeem, Yayuk Fathonah, Tien Budi Febriani, Emi Azmi Choironi, Gita Yusmira, Rini Syahriani, Mohamad Rahman Suhendri Copyright (c) 2026 Asyifa Tsulus Sandi, Titik Kuntari, Utami Utami, Raden Edi Fitriyanto, Yaltafit Abror Jeem, Yayuk Fathonah, Tien Budi Febriani, Emi Azmi Choironi, Gita Yusmira, Rini Syahriani, Mohamad Rahman Suhendri https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1113 Wed, 05 Aug 2026 00:00:00 +0000 Analysis Of Healthcare Workers’ Compliance With National Quality Indicator Implementation In Inpatient Units At Dr. H. Mohamad Rabain Regional General Hospital https://afdifaljournal.com/journal/index.php/ijhet/article/view/1098 <p><em>Healthcare workers’ compliance with National Quality Indicators plays an important role in maintaining healthcare quality and patient safety. This study aimed to analyze healthcare workers’ compliance and identify the most dominant associated factor in the inpatient units of Dr. H. Mohamad Rabain Regional General Hospital. This quantitative study used a cross-sectional design and involved 80 nurses and midwives selected through proportionate stratified random sampling. The researchers collected data using structured questionnaires and a direct observation checklist that assessed hand hygiene, personal protective equipment use, patient identification, and fall-risk prevention. The researchers analyzed the data using descriptive analysis, the Chi-square test, and multiple logistic regression. The results showed that most healthcare workers complied with the National Quality Indicators. Age, sex, educational level, knowledge, attitude, length of service, supervision, workload, training, and facilities and infrastructure were significantly associated with compliance. Knowledge, attitude, training, and facilities and infrastructure remained significant in the adjusted model. Facilities and infrastructure represented the most dominant factor associated with healthcare workers’ compliance. Hospital management should ensure the availability of adequate facilities and strengthen continuous training, supervision, competency development, and compliance monitoring to improve quality implementation and patient safety.</em></p> Citra Dewi Agus Sari, Arie Wahyudi, Gema Asiani, Fera Novitry Copyright (c) 2026 Citra Dewi Agus Sari, Arie Wahyudi, Gema Asiani, Fera Novitry https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1098 Wed, 05 Aug 2026 00:00:00 +0000 Determinants of Antenatal Care Adherence among Pregnant Women in a Midwifery Practice: A Cross-sectional study https://afdifaljournal.com/journal/index.php/ijhet/article/view/1048 <p>Background: Antenatal care adherence supports early identification and management of pregnancy-related complications. However, maternal and family-related factors may prevent women from completing the recommended antenatal care schedule. Objective: This study examined the associations of maternal age, educational attainment, occupational status, and husband support with antenatal care adherence. Methods: This analytical cross-sectional study included 34 women who had received antenatal care during their most recent pregnancy at an independent midwifery practice in Ogan Komering Ulu Regency, Indonesia. Data were collected using a demographic questionnaire, husband-support questionnaire, and antenatal care record checklist. Frequencies, percentages, and Pearson’s chi-square test were used for data analysis. Results: Twenty participants (58.8%) did not adhere to the recommended antenatal care schedule. Maternal age was significantly associated with antenatal care adherence (p = .003). Educational attainment showed a significant association with adherence (p &lt; .001), while occupational status was also significantly associated with adherence (p = .003). Husband support demonstrated a significant association with antenatal care adherence (p = .001). Conclusion: Maternal age, education, occupation, and husband support were associated with antenatal care adherence. Midwives should provide flexible services, individualized education, and husband-inclusive counseling to improve attendance.</p> Ita Haryanti, Maya Sartika, Yeviza Puspitasari Copyright (c) 2026 Ita Haryanti https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1048 Wed, 05 Aug 2026 00:00:00 +0000 Implementation Of A Profile Matching Based Decision Support System For Selecting Eligible Candidates Of Kip College Scholarships At Sam Ratulangi University https://afdifaljournal.com/journal/index.php/ijhet/article/view/1115 <p><em>The implementation of the KIP Kuliah scholarship program at Sam Ratulangi University (UNSRAT) faces challenges in ensuring objective, transparent, and accurate recipient selection due to limitations in the verification process. This study aims to develop and implement a web-based Decision Support System (DSS) using the Profile Matching method to support the selection of eligible KIP Kuliah scholarship recipients. The system was developed using the Waterfall methodology, including requirements analysis, system design, implementation, testing, and deployment, and was implemented using PHP, MySQL, and HTML/CSS. The evaluation employed six assessment criteria consisting of three Core Factors (parental income, family asset ownership, and number of family dependents) weighted at 60% and three Secondary Factors (academic performance, parents' employment status, and living condition) weighted at 40%. The Profile Matching algorithm calculates the GAP between applicant profiles and the ideal profile to generate recommendation rankings. Functional evaluation using Black-box Testing confirmed that all system modules operated according to the</em><em>ir specifications. Validation using simulated applicant data demonstrated that the proposed system generated objective and consistent recommendation results based on the predefined criteria. The developed DSS improves the efficiency, transparency, and objectivity of the KIP Kuliah scholarship selection process at Sam Ratulangi University.</em></p> Hierro Deandro Frederik Dannari, Benny Pinontoan, Mahardika I. Takaendenga Copyright (c) 2026 Hierro Deandro Frederik Dannari, Benny Pinontoan, Mahardika I. Takaendenga https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1115 Wed, 05 Aug 2026 00:00:00 +0000 The Effect Of Village Service Information Systems On Community Satisfaction In Gidosebua Village, Gunungsitoli Idanoi District, Gunungsitoli City, North Sumatra Province https://afdifaljournal.com/journal/index.php/ijhet/article/view/1134 <p><em>This study aims to analyze the effect of the Village Service Information System on community satisfaction in Gidosebua Village, Gunungsitoli Idanoi District, Gunungsitoli City. The development of information technology encourages village governments to improve the quality of administrative services through the implementation of information systems that are more effective, efficient, transparent, and accountable. This research employed a quantitative approach using a survey method. Data were collected through questionnaires distributed to residents who had received administrative services at the Gidosebua Village Office. The independent variable in this study was the Village Service Information System, while the dependent variable was community satisfaction. Data analysis was conducted using validity tests, reliability tests, simple linear regression analysis, t-tests, correlation coefficient analysis, and coefficient of determination. The results of this study are expected to provide an overview of the influence of information system implementation on improving the quality of public services and serve as an evaluation reference for the village government in enhancing technology-based administrative services.</em></p> Dippos Pasaribu, Ibnu Rasyid Munthe, Syaiful Zuhri Harahap, Angga Putra Juledi Copyright (c) 2026 Dippos Pasaribu, Ibnu Rasyid Munthe, Syaiful Zuhri Harahap, Angga Putra Juledi https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1134 Sun, 16 Aug 2026 00:00:00 +0000 The Success of Acid Fracturing Job In Water Disposal Injection Well In “NJT-25” Well of “Subang” Field https://afdifaljournal.com/journal/index.php/ijhet/article/view/1090 <p>Acid fracturing is one of the well stimulation methods that aims to restore or even increase the decline in well productivity caused by several factors, such as unstable production rates by giving a new way (bypass) to hydrocarbons. The NJT-25 well in the Subang Field is a well that was stimulated using acid fracturing on Friday, October 25, 2024. The NJT-25 well has a low permeability of Limestone rock mineralogy of about 2.2 mD with a porosity value of 12%. The mixing fluid used is Water Base Fluid, which is the water-based and acid-based mixing fluid used is 15% Hcl. The process of implementing acid fracturing begins with a step rate test, and immediately plays frac. The reason for acid fracturing in the NJT-25 well is that water injection wells as water disposal are less effective when injected with water because of the small rate of water injection, which is with a value of 365.49 BWPD. After acid fracturing, the NJT-25 well experienced an increase in permeability value of around 572.51 mD with an average permeability of around 9.2 mD followed by an increase in the productivity index (PI) with the Prats method of around 3.1 times and the Cinco-Ley method of around 3.3 times. The rate of water injection in the NJT-25 well is 1511.59 BWPD.</p> <p><strong><em>&nbsp;</em></strong></p> Adrian Indarti, Desi Kusrini, Agustina Prihantini, Neo Jowintono Copyright (c) 2026 Adrian Indarti, Desi Kusrini, Agustina Prihantini, Neo Jowintono https://creativecommons.org/licenses/by-nc/4.0 https://afdifaljournal.com/journal/index.php/ijhet/article/view/1090 Tue, 04 Aug 2026 00:00:00 +0000