Indonesian Journal of Health Services

About the Journal

Indonesian Journal of Health Services (Indones. J. Health Serv.) is a peer-reviewed open-access journal dedicated to advancing knowledge in the field of health services research. Our mission is to publish high-quality original research, systematic reviews, and policy analyses that provide insights into health service systems, healthcare management, health policy, and clinical practice. The journal particularly emphasizes work relevant to Indonesia and other Asian countries, promoting evidence-based practices that improve healthcare quality, accessibility, and equity.
e-ISSN: 3089-1590 |DOI prefix : 10.63202/ijhs
Frequency: Four issues per year

Announcements

16 Feb 2026

CALL FOR PAPER 2026

The Indonesian Journal of Health Services (IJHS) invites researchers, academics, healthcare professionals, and policymakers to submit their best manuscripts for the 2026 publication cycle. IJHS is a peer-reviewed, open-access journal dedicated to advancing knowledge in health services research. Our mission is to publish high-quality scholarly work, including: Original Research, Systematic Reviews, or Policy Analyses that provide valuable insights into: Health service systems, Healthcare management, Health policy, and Clinical practice.

Current Issue

Vol. 3 No. 1 (2026): January - March

This issue features scholarly contributions from researchers affiliated with institutions in Indonesia (Mitra Keluarga School of Health Sciences, Universitas Ichsan Satya, Universitas Kader Bangsa), Bangladesh (Comilla University), and the Netherlands (KIT Royal Tropical Institute). These contributions reflect the journal’s commitment to promoting academic exchange, interdisciplinary collaboration, and the dissemination of knowledge across national boundaries. The articles in this issue are published as part of the journal’s regular publication cycle for the January–March period. Through this issue, the journal continues to support the advancement of high-quality research and international scholarly communication.

DOI: https://doi.org/10.63202/ijhs.v3i1

Published: 31-03-2026

Articles

Trustworthiness in qualitative inquiry as a foundation for rigorous research
M Agung Akbar Science Center Group, Ogan Komering Ulu, Indonesia Indonesia
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Trustworthiness represents a fundamental criterion for ensuring rigor and scientific validity in qualitative research. Qualitative inquiry provides in-depth insights into human experiences within complex social and healthcare contexts; however, its credibility depends on systematic methodological rigor. This paper discusses the four core components of trustworthiness—credibility, dependability, confirmability, and transferability—as essential foundations for rigorous qualitative research. Credibility emphasizes accurate representation of participants’ lived experiences, dependability focuses on methodological consistency and transparency, confirmability ensures neutrality grounded in empirical evidence, and transferability addresses contextual applicability of findings. Various strategies, including prolonged engagement, triangulation, member checking, audit trails, reflexive journaling, and thick description, enhance trustworthiness across qualitative studies. Strengthening trustworthiness not only improves research quality but also increases confidence in qualitative findings for healthcare practice, policy development, and academic scholarship. Therefore, systematic application of trustworthiness principles is essential for producing reliable, meaningful, and impactful qualitative research outcomes.

Pages: 1-4

DOI: https://doi.org/10.63202/ijhs.v3i1.133

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Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review
Joni Siahaan Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Dessy Syahfitri Pohan Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Zulaika Harissya Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Armi Armi Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Yana Setiawan Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Kharina Nurshadrina Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia , Primaloya Septiavy Estiadewi Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia Indonesia
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Background: Breast cancer patients frequently experience wound complications following surgery, radiotherapy, or disease progression, which may negatively affect healing outcomes, comfort, and quality of life. Modern dressing technologies have been developed to improve wound management through antimicrobial, hemostatic, protective, and moisture-balancing properties.

Objective: This systematic review aimed to evaluate the effectiveness of modern dressings in wound care for breast cancer patients by synthesizing current clinical evidence on infection prevention, radiation dermatitis control, bleeding management, symptom relief, and patient-centered outcomes.

Methods: This study employed a systematic literature review design following the PRISMA 2020 guidelines. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2013 and 2023 in English and Indonesian. Eligible studies included randomized controlled trials, quasi-experimental, and prospective clinical studies examining modern dressing or topical interventions in breast cancer wound care. Data extraction and risk of bias assessment were performed independently by two reviewers, and findings were synthesized narratively due to methodological heterogeneity.

Results: Eleven studies met the inclusion criteria. Modern dressings demonstrated effectiveness in reducing surgical site infections, minimizing radiation dermatitis severity, controlling bleeding and exudate, reducing bacterial colonization, and improving patient comfort. Several interventions also showed positive effects on wound malodor reduction and quality of life improvement. Overall findings suggest that modern dressings provide multidimensional benefits in clinical and psychosocial aspects of wound management in breast cancer patients.

Conclusion: Modern dressing strategies represent effective interventions for improving wound healing outcomes and patient well-being in breast cancer care. Integration of evidence-based dressing technologies into clinical practice may enhance both physiological recovery and holistic patient comfort, although further high-quality research is recommended to strengthen clinical guidelines.

Pages: 5-15

DOI: https://doi.org/10.63202/ijhs.v3i1.142

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Association of food consumption patterns and physical activity with obesity among junior high school students in Tangerang, Indonesia: A cross-sectional study
Riswahyuni Widhawati Universitas Ichsan Satya, Tangerang Selatan, Indonesia Indonesia , Beata Rivani Universitas Ichsan Satya, Tangerang Selatan, Indonesia Indonesia , Syifaa Budi Nurazizah Universitas Ichsan Satya, Tangerang Selatan, Indonesia Indonesia
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Background: Adolescent obesity has become an increasing global public health concern due to its association with unhealthy dietary behaviors and insufficient physical activity. Changes in food consumption patterns, particularly the frequent intake of energy-dense fast foods, along with sedentary lifestyles, contribute significantly to the rising prevalence of obesity among school-aged populations.

Objective: This study aimed to examine the association between food consumption patterns and physical activity with obesity among junior high school students.

Methods: A quantitative analytical study with a cross-sectional design was conducted among 70 eighth-grade students at a junior high school in Tangerang City, Indonesia. Participants were selected using simple random sampling. Food consumption patterns were assessed using a Food Frequency Questionnaire (FFQ), physical activity was measured using the International Physical Activity Questionnaire (IPAQ), and obesity status was determined based on Body Mass Index (BMI). Data were analyzed using descriptive statistics and Chi-square tests to identify associations between variables, with Odds Ratios calculated to estimate risk magnitude.

Results: More than half of respondents were categorized as obese. Habitual junk food consumption was reported by the majority of students, and most participants demonstrated low levels of physical activity. Significant associations were identified between junk food consumption and obesity (p < 0.001; OR = 42.095) and between physical activity level and obesity (p < 0.001; OR = 133.714). Students with habitual junk food consumption and poor physical activity levels showed substantially higher odds of obesity.

Conclusion: Unhealthy food consumption patterns and insufficient physical activity are strongly associated with obesity among junior high school students. Integrated school-based interventions focusing on nutritional education and physical activity promotion are essential to reduce obesity prevalence in adolescent populations.

Pages: 16-26

DOI: https://doi.org/10.63202/ijhs.v3i1.143

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Determinants of maternal and reproductive health service utilization among plain land tribal women in Bangladesh: A mixed-methods study
Md Ruhul Amin Department of Public Administration, Comilla University, Cumilla, Bangladesh Bangladesh
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Background: Maternal and reproductive health disparities persist among indigenous populations in Bangladesh despite national progress in reducing maternal mortality. Plain land tribal women remain particularly vulnerable due to socioeconomic marginalization, geographic isolation, and cultural barriers that limit equitable access to essential healthcare services.

Objective: This study aimed to examine the barriers, utilization patterns, and determinants of maternal and reproductive health service use among plain land tribal women in northern Bangladesh.

Methods: A mixed-methods design was employed in four northern districts with substantial tribal populations. The quantitative phase involved a cross-sectional survey of 200 tribal women of reproductive age who had experienced pregnancy within the previous three years. Data were analyzed using descriptive statistics, correlation analysis, and multivariate regression modeling. The qualitative phase included in-depth interviews and focus group discussions with tribal women, community leaders, and healthcare providers. Thematic analysis was conducted to explore sociocultural and institutional factors influencing service utilization.

Results: Although awareness of antenatal care was relatively high (77.5%), only 44% of women reported institutional delivery and 19% completed more than four antenatal visits. Education level, household income, proximity to health facilities, and decision-making autonomy were significant predictors of maternal healthcare utilization. Cultural preferences for traditional birth practices, financial constraints, and geographic barriers were negatively associated with service uptake. Contact with community health workers significantly improved antenatal care awareness, while respectful provider behavior positively influenced service satisfaction.

Conclusion: Maternal and reproductive health service utilization among plain land tribal women is shaped by intersecting structural, socioeconomic, and cultural determinants. Addressing disparities requires integrated strategies that combine educational empowerment, economic support, geographic outreach, and culturally responsive maternity care to ensure equitable healthcare access for marginalized indigenous populations.

Pages: 27-37

DOI: https://doi.org/10.63202/ijhs.v3i1.121

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Effect of progressive muscle relaxation on nurses’ work-related stress: A quasi-experimental study
Indra Frana Jaya KK Program Studi D-III Keperawatan, Fakultas Kebidanan dan Keperawatan, Universitas Kader Bangsa, Palembang, Indonesia; RSUD Siti Fatimah Provinsi Sumatera Selatan, Palembang, Indonesia Indonesia , Iman Apriyadi KIT Royal Tropical Institute, Amsterdam, Netherlands Netherlands
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Background: Nurses experience substantial work-related stress due to high workload, organizational demands, and emotional labor in hospital settings. Persistent occupational stress may contribute to burnout, reduced job performance, and compromised quality of care. Progressive Muscle Relaxation (PMR) has been recognized as a non-pharmacological technique to reduce psychological stress; however, empirical evidence focusing on hospital nurses remains limited.

Objective: This study aimed to examine the effect of Progressive Muscle Relaxation on nurses’ work-related stress in a public hospital setting.

Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 35 nurses at RSUD Siti Fatimah, South Sumatra Province. Total sampling was applied to recruit eligible participants. Work-related stress was measured using the Expanded Nursing Stress Scale (ENSS), consisting of 57 Likert-scale items. The intervention consisted of Progressive Muscle Relaxation administered once daily for seven consecutive days. Data were analyzed using descriptive statistics and paired sample t-test to compare pre- and post-intervention stress scores.

Results: The majority of participants were female (74.3%) and professional nurses (57.1%), with more than three years of work experience (57.1%). The mean stress score decreased from 125 before the intervention to 87.5 after the intervention. The mean difference in stress scores was 35.5 (SD = 13.06), and the paired t-test revealed a statistically significant reduction in stress levels (p = 0.001).

Conclusion: Progressive Muscle Relaxation significantly reduced nurses’ work-related stress after seven consecutive sessions. The findings suggest that PMR is a feasible and practical intervention for stress management in hospital settings. Integration of structured relaxation programs into occupational health strategies may enhance nurses’ psychological well-being and support safer clinical practice

Pages: 38-47

DOI: https://doi.org/10.63202/ijhs.v3i1.126

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Indonesian Journal of Health Services

About the Journal

Announcements

CALL FOR PAPER 2026

Current Issue

Articles

Trustworthiness in qualitative inquiry as a foundation for rigorous research

Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review

Association of food consumption patterns and physical activity with obesity among junior high school students in Tangerang, Indonesia: A cross-sectional study

Determinants of maternal and reproductive health service utilization among plain land tribal women in Bangladesh: A mixed-methods study

Effect of progressive muscle relaxation on nurses’ work-related stress: A quasi-experimental study

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