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Hospitals have crucial roles during an outbreak of emerging infectious diseases. They are expected to manage the surge of patients while continuing essential health services. This study aims to investigate the factors that influence hospital disaster preparedness and resilience in facing emerging infectious disease threats. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) method. International electronic databases, including PubMed, Science Direct, ProQuest, and SAGE, were investigated for the research studies that were published between 2001 and 2022 in English-language. The inclusion and exclusion criteria were determined to extract factors or indicators influencing hospital disaster preparedness and resilience encounter emerging infectious diseases. For the initial 672 articles, we identified 16 articles that specifically addressed the aims of this review and formed the basis of the intended analysis. Seven factors influence hospital preparedness, with human resources and crisis management being the most important. The hospital’s resilience has 18 factors that are classified according to the disaster phase. Hospital resilience is concerned with all phases of a disaster (mitigation, preparedness, response, and recovery), not just operational management during a disaster (as is preparedness).

Background: Previous studies have provided evidence of inequalities in the coverage of COVID-19 vaccination. However, evidence of such inequalities in delays in vaccinations is lacking. Our study examined the socioeconomic and geographic disparities in terms of days to get the first and second dose of COVID-19 vaccinations in Indonesia. Methods: We conducted a cross-sectional study using the WhatsApp messaging app and social media platforms during December 2021–February 2022. We distributed the questionnaire through our university network to reach all regions. We included 3592 adults aged 15+ years in our analysis. We used two main dependent variables: days to receive the first dose (after national vaccine rollout) and days to receive the second dose (after receiving the first dose). We examined a range of socioeconomic and geographic indicators, including education level, income level, formal employment, working in health facilities, being a health worker, and region. We controlled for sex, age, religion, and urbanicity. We performed multivariate logistic regressions in STATA 15. Results: Our findings show considerable delays in getting the first dose among participants (160.7 days or about 5.4 months on average) from Indonesia’s national COVID-19 vaccination rollout on 13 January 2021. However, we found a shorter period to receive the second dose after receiving the first dose (41.1 days on average). Moreover, we found significant socioeconomic (i.e., education, income, formal employment, working in health facilities, and being a health worker) and geographic (i.e., in and out of the Java region) inequalities in terms of delays in getting the first dose. However, we did not find significant inequalities in getting the second dose for most inequality indicators, except for working in health facilities. By region, we found that participants living in more deprived areas (out of the Java region) received the second dose 4.9 days earlier. One of the study’s key limitations is that there may be an inherent bias with respect to socioeconomics factors since it was conducted online (web-based). Conclusions: While there were considerable delays in getting the first dose, especially among those of a lower socioeconomic status and those in more deprived areas, the waiting time for the second dose was relatively similar for everyone once they were in the system. Effective efforts to address inequalities are essential to ensuring the effectiveness of the national COVID-19 vaccination rollout.

The aim of the study was to determine how patients' experiences in receiving family support for type-2 diabetes mellitus. We conducted scoping review using the Joanna briggs institute guidelines and Levac, Colquhoun and O'Brien. Five electronic databases including PubMed, Scopus, ScienceDirect, ProQuest and Sage Pub were systematically searched by keywords for literature published between 2013 to 2023. Ten articles were used to final review. Analysis revealed that family support is an important factor to improve diabetes self-management behaviour for patients with type-2 diabetes mellitus. The availability of family support primarily comes from their spouses and children. Some obstacles, such as the emotional distance between patients and their families, can be overcome by improving shared knowledge and skills in self-management. Family support also has a positive impact on behavioural control and health outcomes for patients with type 2 diabetes mellitus. L'objectif de cette étude était de déterminer comment les expériences des patients en matière de soutien familial pour le diabète sucré de type 2. Nous avons procédé à un examen de la portée de l'étude en utilisant les lignes directrices de l'institut Joanna Briggs et Levac, Colquhoun et O'Brien. Cinq bases de données électroniques, dont PubMed, Scopus, ScienceDirect, ProQuest et Sage Pub, ont fait l'objet d'une recherche systématique par mots-clés de la littérature publiée entre 2013 et 2023. Dix articles ont été retenus pour l'examen final. L'analyse a révélé que le soutien familial est un facteur important pour améliorer le comportement d'autogestion du diabète chez les patients atteints de diabète sucré de type 2. Le soutien familial provient principalement des conjoints et des enfants. Certains obstacles, comme la distance émotionnelle entre les patients et leur famille, peuvent être surmontés en améliorant le partage des connaissances et des compétences en matière d'autogestion. Le soutien familial a également un impact positif sur le contrôle du comportement et les résultats pour la santé des patients atteints de diabète de type 2.

Background: The quality of health centers, patient satisfaction, and loyalty are three key factors that enable health care providers to improve their services and cost-effectiveness. This study, therefore, aims to determine patient satisfaction and loyalty in public and private primary health care centers. D esign and Methods: Data were obtained from a cross-sectional design of 1470 self-administered questionnaires and analyzed based on mean, standard deviation, and correlation coefficients. Results: The results showed respectively a strong and moderate correlation between patient satisfaction and loyalty in private (r=0.767) and public (r=0.54) primary health care centers, respectively. In addition, in both centers patients received adequate medical services, with social aspects as the least important factors affecting patient satisfaction. Conclusions: In conclusion, primary health care practices need to recognize the needs that influence patients’ satisfaction and loyalty, to improve the quality of their services.

Visiting health center for getting ANC service, at least four times during pregnancy consisting of the first visit (K1) during the first trimester, the second visit (K2) during the second trimester, and K3 and K4 visit during the third trimester must be done by pregnant women in Indonesia. The objective of this research is to analyze therapeutic and interactive communication by midwives during ANC service. This observational research used cross sectional design. The sample size is 30 women with babies under six months old from 3 PHCs working areas in Lombok Tengah District. Among all therapeutic and interactive communication indicators performed by the midwives, only responsive indicator in therapeutic communication showed insignificant influence on K4 of pregnant women. The other indicators showed significant impact. More than 50% of respondents said that midwives providing ANC had poor attending skill, respect, responsiveness, empathy, informing, persuading, and reminding. The conclusion is that the worse the pregnant women perception of midwives communication behavior is, the higher the chance for the pregnant women to drop-out during K4 is.

This study used the observational quantitative method to analyze the acceptance of information technology  in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users  was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance

Background: The Health-Promoting Hospital (HPH) aims to improve the overall quality of health services for patient, families, and the community as a whole, with assessment and intervention as the essential components. In hospitals, this activity needs to be vigorously developed through interdisciplinary teamwork, shared decision-making process, and by involving patients and families during treatment and through the delivery of an evidence-based health promotion process. Previous studies analyzed some steps to improve patient loyalty through the HPH. However, limited studies were carried out on its use in the public sector. This study, therefore, aims to analyze the impact of HPHs to improve patient loyalty in the public sector. Design and Methods: The simple random sampling method was used to obtain data from 101 respondents in a public hospital, with the cross-sectional design used to gain a better understanding of patient loyalty. Results: The result showed that HPHs influenced patient expectations (P=0.030), which in turn affected perceived value (P=0.014) and satisfaction (P=0.002). In addition, perceived value and satisfaction have effects on patients’ loyalty (P=0.001). Conclusion: In conclusion, HPHs have a positive impact on patient loyalty. Therefore, the public sector needs to enhance its services in accordance with the standards and guidelines.

The ability of pregnant women to detect early of a high risk pregnancy is still below the average which is one of the causes of complications that can endanger the wellbeing of the mother and fetus. The purpose of this study is to determine the relationship between factors of parity, knowledge and exposure to information on the independence of mothers in early detection of the risk of pregnancy. This type of analytic observational research uses a cross sectional design. A total sample of 125 pregnant women was chosen by “Stratified Random Sampling” technique. The results of Multiple Logistic Regression Analysis show that the knowledge variable Exp (B) 6.657 is a significant variable, the exposure to danger information variable Exp (B) 7.657 is a significant variable and the parity variable Exp (B) 8.060 is also a significant variable. Midwives and health workers further increase counseling so that pregnant women and families can receive more information about the danger signs of pregnancy, especially the high risk of pregnancy and being able to do early detection.

Numerous NGOs and donors from high-income countries (HICs) offer diverse funding to assist LMICs. A collaborative effort in nutrition programs in urban communities was conducted by an international NGO with a local university, representing the NGO’s first mode of partnership with academia. This study used realist evaluation to understand how and why Positive Deviance/Hearth intervention conducted by NGOs collaborated with university work or failed to work in urban population. We uncovered the underlying mechanisms that lead to certain outcomes in different situations of academia-NGO partnership. The initial program theory was formulated after discussions with main program officers from both NGO and academia. We conducted stakeholder interviews and FGD, along with validation and reviewing secondary data. The initial program theory underwent testing and refinement through a series of Focus Group Discussions (FGDs) involving program officers and local government health offices. We adhered to the RAMESES II reporting standards for realist evaluations when presenting the findings. Five Context Mechanism-Outcome (CMO) configurations are identified from three program theories. Our findings illustrate the importance of considering the local context of the population when implementing standardized international NGO interventions. All the CMOs indicate that at the very least, collaborative programs between academia and NGOs should involve more stakeholder involvement and build clearer expectations between stakeholders.

Patient loyalty and satisfaction are outcome quality variables of health services that have a major contribution to the sustainability of the hospital. Hospitals that are able to provide the best service quality, as well as provide convenience and speed of service, will be able to improve quality care and can increase profitability in the long term. Patient satisfaction in the Outpatient Installation which has decreased and is still below the hospital's minimum service standard (Permenkes RI No. 129/Menkes/SK/II/2008), which is <90%, needs attention for hospitals.