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31	Health Education	ABS-99
Empowering Public Health Education In Indonesia Through Health Law Number 17 of 2023 Ariesta Wibisono Anditya 1), Silvia Ari Agustina 2), Budi Rahayu 3), Melia Nainggolan 4) 1 Ph.D. Student of Faculty of Law, Universiti Malaya, Kuala Lumpur, Malaysia. Associate Professor of Law, Faculty of Economics and Social, Universitas Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia. 2 Doctoral Student of Faculty of Health, Universitas Gadjah Mada, Yogyakarta, Indonesia. Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia. 3 Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia. 4 Faculty of Law, Social Science, and Politics, Universitas Terbuka, Medan, Indonesia. Abstract Background: The Indonesian legislative passed the Bill of Health Law in August of 2023. This set another milestone for Indonesia after enduring a great time fighting against COVID-19. The implementation of health education in Indonesia dates back to the Dutch colonial era in 1849. Health research progress in Indonesia is intricately linked to social and political advancements. The rules and regulations in Indonesia, which emerged from social and political processes, play a crucial role in guiding the progress of education, particularly health education. Purpose: The passing of the latest Health Law, Law 17 of 2023, can be concluded to be a reinforcement of health education from previously existing regulations. This research seeks in detail and explains what empowerment the Novel Health Law of 2023 provides. Methods: This study is conceptual research involving synthesising comprehensive knowledge and information from current data. The acquired data is examined and evaluated from a legal and health education standpoint. Results: The research findings thoroughly explain that Indonesia has reinforced its endorsement of health education by implementing Law No. 17 of 2023 on Health. Conclusion: Indonesia has now implemented health transformation to the entire nation by creating such an omnibus law. Keywords: health education, Indonesia, Health Law 2023, public health Share Link | Plain Format | Corresponding Author (Ariesta Wibisono Anditya)

32	Health Education	ABS-103
THE INFLUENCE OF ANIMATION MEDIA ON CHILDREN^S KNOWLEDGE LEVEL ABOUT HEALTHY SNACKS AT SDN BANGUNTAPAN Fitri Hastari1 , Khristina Dias Utami2 Universitas Jendral Achmad Yani Yogyakarta Abstract School-aged children are children aged between 7-12 years. Schoolaged children often consume random snacks which are sold on the roadside. There are 3 factors that can influence children in choosing snacks, namely food-related factors, socio-economic factors, and personal factors. From these three factors, as many as 45 children could get sick due to random snacks, namely vomiting (13.21%), nausea (11.31%), and even diarrhea (26.41%). The use of animation media in the educational process is an effort to increase knowledge that can change attitudes. Keywords: School-aged children, snacks, knowledge level, animation media2 Share Link | Plain Format | Corresponding Author (Khristina Dias Utami)

33	Management and Informatic Health Science	ABS-10
Analysis of Length of Work and Education on Compliance with the Use of PPE in Outpatient Hospital Employees Oktavy Budi Kusumawardhani, Rada Febria Kurniawati, Riszi Ramadhani Kusuma Husada Surakarta University Abstract Background: The length of work and educational level of employees will affect their ability to carry out an activity or action in their work. One of the actions at work is using personal protective equipment (PPE) in the hospital. The use of PPE is needed by employees to reduce the risks they get from the hospital, especially for outpatient employees. Outpatient care at a hospital has a high risk of infection because patients go back and forth and change patients every day. In contrast to hospitalization, the patient is in the inpatient room for an average of 2-5 days. Inpatient employees can avoid the risk of infection compared to hospital outpatient employees. Purpose: To determine the length of work and level of education regarding compliance with the use of PPE by outpatient employees at Karanganyar Regency Regional Hospital. Methods: using quantitative methods. The research location is Karanganyar District Hospital. The sample used was 90 outpatient employees. The sampling technique uses random sampling. Retrieval of data using a questionnaire. Data analysis with multiple linear regression. Conclusion: There is an influence of length of work and level of education on adherence to the use of PPE by outpatient employees at Karanganyar District Hospital. Keywords: Length of working- education- compliance with the use of PPE- outpatient employees- hospital Share Link | Plain Format | Corresponding Author (Oktavy Budi Kusumawardhani)

34	Management and Informatic Health Science	ABS-22
The Principle Of Open Communication Through Screen Sharing In Electronic Medical Records Yudha Manggala, Winny Setyonugroho Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta, Indonesia Abstract Background: The development of digital technology in society has led to the transformation of digitalization of Health services. However, the application of EMR has complex challenges, one of the most important is the change in communication between doctors and patients. Empathy and eye gaze are the problems most often complained of by patients in the era of applying EMR. Method screen sharing became one of the methods used in applying EMR. After a landslide and literature review from various supporting sources, further studies need to be conducted to determine the effect of communication openness using screen sharing on the application of EMR. Purpose: Applying the principle of openness of communication using screen sharing on EMR in Semarang Army Hospital Method: This research uses qualitative descriptive methods. The steps taken in this study are determining the research method or design, research subjects, research locations, research instruments, data collection methods, and data analysis methods with NVivo 12. Results: The age characteristics of most informants are in the age range of 50-60 years as much as 46.7 %. Whereas, in terms of education most recently in the strata 2 education range of 53.3 %. As much as 60% of informants are involved in female sex research, with the majority of informants working as doctors, which is 40%. The results of the interview show that the main factors contributing to the success of doctor-patient communication on the use of the EMR system with screen sharing are the attention and empathy of doctors towards patients. Supporting factors for effective doctor-patient communication include an attitude of respect, humility, and being able to place oneself in the patient^s condition. One supporting factor for patient satisfaction is that the doctor is more thorough and informative in delivering medical information. Conclusion: The method of information openness is closely related to doctor-EMR interactions and doctor-patient communication. This research provides an understanding of using EMR systems with screen sharing. The parameters used in each theme are important factors in applying the method of screen sharing. Feedback positive on the research theme will realize health services that prioritize patient satisfaction with a center on patient-centered care Keywords: Openness of EMR to patients- Doctor-EMR interactions- Doctor-patient communication. Share Link | Plain Format | Corresponding Author (Yudha Manggala)

35	Management and Informatic Health Science	ABS-23
A Long Waiting Time For A Brief Doctors Consultation. Is It Worth The Effort? Muhamad Taufan Iskandar, Sri Sundari Hospital Administration Masters Program, Muhammadiyah University of Yogyakarta Abstract Long waiting times were one of the causes of patient dissatisfaction with health service providers. Long waiting times were a problem that has always existed since ancient times, now and in the future. This happens because most health service providers continue to strive to increase the number of patient visits but were not followed by increasing service capacity and capabilities. The duration of a patients waiting time to receive health services is influenced by various factors, one of the factors that can influence the duration of a patients waiting time is the duration of the doctors consultation. The duration of a doctors consultation was one factor in determining patient satisfaction. The duration of the doctors consultation should not be too short and should not be too long. Nowadays, patients can decide for themselves whether long waiting times for short doctor consultations are worth the effort. This study aimed to determine patient satisfaction based on the duration of the doctors consultation. This research was conducted at the Internal Medicine Clinic using a quantitative observational analytical research design with a cross-sectional data collection method using a questionnaire. The patient satisfaction questionnaire uses a 1-5 Likert scale, while the doctor consultation duration questionnaire uses actual recording in minutes. The respondents for this study were 139 respondents based on epi-info software calculations with a confident interval of 95% and the sampling method used consecutive sampling. The research results were analyzed using SPSS version 21 with the chi square analysis method. The duration of the doctors consultation with an average of 6 minutes does not affect patient satisfaction (P-Value 0.842). Patient satisfaction was not only influenced by the duration of the doctors consultation. There are many other factors that can influence patient satisfaction, not limited to the duration of the doctors consultation. Keywords: Waiting Time- Doctos Consutation- Patient satisfaction Share Link | Plain Format | Corresponding Author (Muhamad Taufan Iskandar)

36	Management and Informatic Health Science	ABS-30
The Effect Of Clinical Pathway Implementation On Reducing Length Of Stay, Cost and Readmission On Community-Acquired Pneumonia Hospitalized Toddlers Corina Lisa1 Merita Arini2 1Magister Administrasi RS, Program Pascasarjana, Universitas Muhammadiyah Yogyakarta, Indonesia 1RSU Sarila Husada Sragen 2Magister Administrasi RS, Program Pascasarjana, Universitas Muhammadiyah Yogyakarta, Indonesia 2Departemen Ilmu Kedokteran Keluarga dan Ilmu Kesehatan Masyarakat, Pendidikan Dokter, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta, Indonesia 2Sustainable Development Goals (SDGs) Center, Universitas Muhammadiyah Yogyakarta, Indonesia Corresponding author: drcorinalisa[at]gmail.com Abstract Background: Community-acquired pneumonia (CAP) in Indonesia is one of the leading causes of mortality in children under five. A clinical pathway is a multidisciplinary treatment plan built on the best clinical practices that aims to minimize care delays while maximizing care quality and clinical results. A clinical pathway is being used by hospitals to improve the efficiency of hospitalization for CAP patients. Purpose: This study aimed to evaluate the impact of CP implementation among toddlers hospitalized with community-acquired pneumonia (CAP) on average length of stay (LOS), hospital cost, and readmission rate less than 30 days. Methods: This cross-sectional study was conducted with subjects of pneumonia toddlers hospitalized in Sarila Husada Hospital Sragen from August 2022 to January 2023 whose clinical pathway was completed by doctors. The data were analyzed using SPSS. Results: A total of 134 subjects were enrolled in this study, the majority were under 36 months old (111-83%), with a male preponderance (61% male to 39% female). There was a reduction in hospital costs- the cost of diagnostic investigations decreased by IDR 10.104,55 (p 0.562), the cost of medications decreased by IDR 214.025,17 (p <0.01), and the total cost decreased by IDR 448.448,87 (p <0.01). The mean length of stay decreased by 0.3 days (p 0,175), and readmissions decreased after the implementation of CP CAP, but the results were not statistically significant (p 0,57). Conclusion: In this study, implementation of the CP could reduce hospital costs and average LOS but have no significant effect on reducing readmission rates. It needs further research on detailed cost-unit analysis to prove the effectiveness of CP implementation. Keywords: Keywords: Community-acquired pneumonia- clinical pathway- length of stay- cost- readmission. Share Link | Plain Format | Corresponding Author (Corina Lisa)

37	Management and Informatic Health Science	ABS-35
Failure Modes of Electronic Medical Record Implementation: A Bibliometric Study Ellya Yudianti1*, Merita Arini2 1,2Master of Hospital Administration, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia 2Family Medicine and Public Health Department, School of Medicine, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia- Sustainable Development Goals (SDGs) Center, Universitas Muhammadiyah Yogyakarta, Indonesia Abstract Background: Numerous studies have concluded that electronic medical records (EMRs) and electronic health records (EHRs) are progressively enhancing the quality of health services. On the other hand, due to the significant role of EMRs in the healthcare sector, the use and utilization of EMRs still need to be improved in developing countries. Additional research is necessary concerning the failure mode EMR implementation. Before further study, it is essential to know how previous studies describe publication patterns and research development. Purpose: This study aims to determine publication patterns and research developments on the failure modes of EMRs or EHR implementation. Methods: This research used qualitative description and bibliometric analysis with VOSviewer. This study collected the data on January 19, 2023, with the keywords (Failure Mode AND Electronic Medical Record Implementation) OR Electronic Health Record Implementation and limitations on year, field, type of document, and publication source. Results: The past decade has brought about the accumulation of eighty-one research documents. The publication trend has fluctuated for ten years, with the highest peak in 2015 and the lowest in 2018. The United States is the country that contributes the most (61). Medicine (56%) and nursing (15%) are the most common subjects. Most affiliates were from Harvard Medical School. Most journal sources are from CIN (Computers Informatics Nursing) and the Journal of The American Medical Informatics Association. The highest number of citations was 59 times. There were 139 co-occurrence keywords according to cluster, grouped into four themes, including the subject of EMRs, the quality of the EMR system, the use of EMRs, and the policy of using EMRs. Conclusion: There has yet to be much research on this topic, so it opens up a novelty opportunity in the following study, according to four themes, mainly for the nursing profession as the primary EHR users. Keywords: bibliometric- VOSviewer- failure mode- electronic medical record- electronic health record Share Link | Plain Format | Corresponding Author (Ellya Yudianti)

38	Management and Informatic Health Science	ABS-40
Human Resource Performance Analysis Utilizing The Human Resource Scorecard Method at Balikpapan Baru General Hospital Azmilla Nurrachmalia Adha1, Qurratul Aini2 1,2Master in Hospital Administration, Universitas Muhammadiyah Yogyakarta Jl. Brawijaya Kasihan Bantul Yogyakarta 55183, Telp. (0274) 387656 Corresponding Email: millapikaa[at]gmail.com Abstract Background: HRP plays a pivotal role in determining OP. HR constitute a vital asset for any organization, and their performance can exert a substantial impact on both customer satisfaction and financial outcomes, ultimately influencing the success of the organization. Utilizing the HRSC approach for measurement empowers organizations to create specific strategies aimed at enhancing their HRP. Purpose: The objective of this research is to measure the HRP at Balikpapan Baru General Hospital with HRSC approach. Methods: This study constitutes cross-sectional quantitative research. It employs HRSC questionnaires derived from the BSC, which were thoroughly adapted from prior research and administered on the Likert scale. The research was conducted among nurses and midwives. Validity and reliability assessments were performed before data collection. The data were subjected to descriptive analysis, and the CDMG method was utilized to determine the importance of the KPIs. Results: The Pearson Correlation analysis yielded 27 valid statements with a significance (2-tailed) value less than 0.05, and the Cronbachs Alpha coefficient was 0.962. The study included a total of 69 respondents. Following the implementation of the CDMG method, this hospital attained a KPI score of 4.15. Conclusion: While the performance across all HRSC perceptions is outstanding, hospitals should assess their current policies or develop new ones to sustain these favorable performance outcomes. Keywords: performance- HRSC- human resources- hospital Share Link | Plain Format | Corresponding Author (Azmilla Nurrachmalia Adha)

39	Management and Informatic Health Science	ABS-42
Phototherapy Device for healing infant patients with hyperbilirubinemia Solikhah Solikhah1, Ekha Rifki fauzi2, Murinto3, Angger Maharesi3 Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia 1. Program Study of Electro Medical Engineering Technology, Faculty of Sciences and Technology, Universitas PGRI Yogyakarta 2. Program Study of Informatics Engineering, Universitas Ahmad Dahlan, Yogyakarta, Indonesia 3. Prambanan Hospital, Yogyakarta, Indonesia Abstract Background: Neonatal hyperbilirubinemia continues to be an issue of concern for all stakeholders, including the government. Icterus, which is one of the causes of stillbirth, is potentially fatal if not treated appropriately. Hence, the objective of this study is to fabricate telemedicine comprised of a camera that enables health professionals to remotely oversee and administrate blue light therapy while embedding a data logger that records the progression of blue light wavelength doses to patients throughout phototherapy treatment. Method: Internet of things technology and telemedicine are being added to phototherapy devices to monitor radiation levels. The primary focus of this prototype^s development is on infants with hyperbilirubinemia, or yellow babies, as well as those with other health issues. Results: In order to collect data on infants exposed to blue light, the phototherapy apparatus has telemedicine and a data logger. Later on, this innovation will prevent an increase in infant/child mortality rates and enhance the health status of patients with jaundiced babies. Additionally, health professionals can easily monitor patients in real time using only IoT-enabled devices. Conclusion: Developing a photo device that can control the amount of blue light radiation from a distance and is comparatively more economical. Scientific advancement in this field will focus on AI and machine learning. Big data will undoubtedly enable predicting to enhance patient health status. Keywords: hyperbilirubinemia, infant patients, phototherapy devices, telemedicine, device innovation Share Link | Plain Format | Corresponding Author (Solikhah Solikhah)

40	Management and Informatic Health Science	ABS-53
HOSPITAL INFORMATION SYSTEM IMPLEMENTATION FOR BIOMATERIAL PRODUCT IN TISSUE BANK: BEST PRACTICES AND LESSON LERANED Analisa Sawiji Putriyekti1*, Elsye Maria Rosa1 1 Master of Hospital Administration Program Universitas Muhammadiyah Yogyakarta Abstract Background Biomaterials are materials from natural or synthetic sources, that are used to strengthen or replace part or all of the body^s tissues. Tissue Bank is the unit in Dr Soetomo General Hospital that produces products biomaterial from human tissue. According to the standard, biomaterial products must be able to be traced quickly and accurately. Therefore, the tissue bank has been developing an Information System for Biomaterial Products (ISOMERIC) to facilitate documentation of all activities in real time. Implementation of the information system is not always successful, as well as ISOMERIC, so an evaluation is needed. Purpose This research aims to explore the factors that influence the success or failure of ISOMERIC implementation. Method The method of this study is qualitative with a phenomenological approach. In-depth interviews were conducted with 14 respondents such as users and developers to explore their experiences in implementing this system. The research instrument was developed by Human, Organization, and Technology Fit (HOT-Fit) framework. Result ISOMERIC implementation could not be implemented as planned. Factors causing failure to implement ISOMERIC on time include the priority of implementation, raw material problems, and lack of infrastructure. Until this research was completed, the implementation was still 20%. Factors that cause ISOMERIC to be implemented include support from the hospital, Person In Charge (PIC), training, system security, user acceptance, easy system interface, and trouble and improvement handling. Conclusion The inhibiting factors for ISOMERIC implementation are mainly from the management of network banks. Network banks need to improve their management and maintain more supportive factors so that ISOMERIC can be fully implemented. Keywords: Biomaterial Products, Hospital Information Systems, Tissue Bank Share Link | Plain Format | Corresponding Author (Analisa Sawiji Putriyekti)

41	Management and Informatic Health Science	ABS-58
A Qualitative Case Study on the Factors Influencing the Reporting of Patient Safety Incidents among Healthcare Workers at Primary Health Centers in North Lampung, Indonesia Bayu Anggileo Pramesona1*, Nur Hasanah2, Dwi Aulia Ramdini3, Dyah Wulan Sumekar Rengganis Wardani1 1Department of Public Health, Faculty of Medicine, Universitas Lampung, Indonesia 2Department of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Pringsewu, Indonesia 3Department of Pharmacy, Faculty of Medicine, Universitas Lampung, Indonesia *Corresponding author: bayu.pramesona[at]fk.unila.ac.id Abstract Background: Quantitative research on patient safety incidents in hospitals has been widely carried out worldwide and in Indonesia. However, qualitative research on the factors that influence the reporting of patient safety incidents, especially among healthcare workers at primary health centers, still needs to be improved. Purpose: This study aimed to explore the factors that influence the reporting of patient safety incidents among healthcare workers at primary health centers. Methods: This qualitative research with a case study approach recruited 12 healthcare workers consisting of doctors, nurses, pharmacists, health analysts, and patient safety team leaders who were directly involved in reporting patient safety incidents at two primary health centers in North Lampung Indonesia, purposively from April-September 2023. In-depth interviews were conducted to collect data and analyzed using thematic analysis. Results: The factors that influence incident reporting among healthcare workers at primary health centers were divided into supporting factors with themes including 1) motivation, 2) attitude, 3) policy, 4) leadership, and 5) facilities. Meanwhile, themes that emerged for factors inhibiting incident reporting included: 1) understanding of incidents, 2) socialization and training, 3) incident reporting procedures, 4) routines, 5) organizational culture, and 6) rewards and punishment. Conclusion: The regency health office, together with primary health center management, needs to increase active outreach and training to healthcare workers, provide the facilities needed for incident reporting, provide rewards, and strengthen monitoring of the implementation of incident reporting policies. Keywords: Reporting- Patient safety incident- Health workers- Primary health centers Share Link | Plain Format | Corresponding Author (Bayu Anggileo Pramesona)

42	Management and Informatic Health Science	ABS-59
ANALYSIS OF THE LEADERSHIP STYLE OF THE HEAD OF THE ROOM ON JOB SATISFACTION AND ITS IMPACT ON NURSE PERFORMANCE IN THE INPATIENT WARD OF RST dr. ASMIR SALATIGA Ahmad Agus Salim Universitas Muhammadiyah Yogyakarta Abstract This research analyzes Leadership Style On Job Satisfaction And Its Impact On Nurses^ Performance In The Inpatient ward of RST dr. Asmir Salatiga. The total sample was 88 nurses with the criteria of having worked for more than 2 years at RST Dr. Asmir Salatiga. Data Collection Method uses a questionnaire. The data analysis method uses PLS (Partial Least Square) analysis. From the results of the analysis described in the research results, it is known that the results of the analysis described in this study show that the results (1) There is a positive and significant influence between leadership style on nurse satisfaction in the Inpatient Ward of RST Dr Asmir Salatiga (2) There is a positive and significant influence between satisfaction with the performance of nurses in the Inpatient Ward of RST Dr Asmir Salatiga (3) There is a positive and significant influence between leadership style on satisfaction and its impact on the performance of nurses in the Inpatient Ward of RST Dr Asmir Salatiga Keywords: Leadership style, job satisfaction, nurse performance Share Link | Plain Format | Corresponding Author (Ahmad Agus Salim)

43	Management and Informatic Health Science	ABS-71
Please Just Try to Submit This Sample AbsThe Influence of Hospital Case Manager to Nurses Satisfactiontract Puga Sharaz Wangi (1*), Sri Sundari (2) 1* Hospital Administration Master, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia 2 Hospital Administration Master, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia Abstract Background: The implementation of patient-centered care (PCC) in hospitals is supported by Case Management, carried out by professionals called Case Manager (CM). Case Manager interact and collaborate with nurses as one of the primarily involved healthcare professionals in patient care. One of the indicators which can be used to evaluate CM is nurses^ satisfaction. Purpose: This study seeks to measure and investigate the influence of case manager on nurses^ satisfaction. Methods: This study was an analytical observational study, using quantitative methods with a cross-sectional approach. The data were collected using modified questionnaires from SERVQUAL, research of The Emergency Department Case Manager and quality of nursing services in Korea- then were descriptively analyzed and evaluated using Partial Least Square (PLS) analysis. Results: The result showed most of the nurses (64,7%) were satisfied with CM. Case manager had significant influence on nurses^ satisfaction (p=0.000- R2=0.366). The dimensions of tangible, reliability, assurance, and empathy of SERVQUAL represented the concepts of access and support, patient involvement, respect, and information of PCC as CM performances which influences nurses^ satisfaction. Conclusion: Hospital case managers influence nurse satisfaction. This indicates positive responses to CM performances and can be used to enhance the capability and skills of CM in hospitals to optimize the implementation of PCC. Keywords: Case manager- Nurse satisfaction- Patient-centered Care- SERVQUAL Share Link | Plain Format | Corresponding Author (Puga Sharaz Wangi)

44	Management and Informatic Health Science	ABS-77
THE CORRELATION BETWEEN INFORMATION QUALITY AND USER SATISFACTION OF THE HOSPITAL MANAGEMENT INFORMATION SYSTEM AT BALIMED HOSPITAL DENPASAR Putu Vierda Lya Suandari (1), I Gede Suasnawa (2), I Nyoman Adikarya Nugraha (3), Ni Nyoman Dwi Sutrisnawati (4*) 1,2,3,4 Department of Hospital Administration, Faculty of Health Sciences, Universitas Bali Internasional, Indonesia Corresponding author : dwi.sutrisnawati[at]gmail.com Abstract Background: The Hospital Management Information System (HMIS) is a system of communication and information that processes and integrates the entire flow of hospital service in a network of coordination, reporting and administrative procedures to obtain accurate information. Integrated HMIS will help speed up the hospital management process. Based on the preliminary study conducted at BaliMed Hospital Denpasar, there were several complaints from the employee regarding HMIS, for example the system sometimes experienced errors. Purpose: To determine the correlation between the quality of information produced by HMIS and user satisfaction in terms of the benefits generated at Balimed Hospital Denpasar. Methods: This research used a quantitative method by administering a questionnaire. The study conducted on July-August 2022. The number of samples was 69 respondents HMIS users from 15 unit in the hospital with Proportionate Random Sampling technique. Spearmans Test was conducted for Hypothesis testing. Results: Variable of information quality has good category with overall average value is 2.71. The statement with the highest average value is ^HMIS produces accurate information^ which is 3.27. The statement with the lowest average value is ^how HMIS works is difficult to understand^ which is 1.88. Variable of user satisfaction has the satisfied category with overall average value is 2.95. The statement with the highest average value is ^the information systems, facilities and equipment currently provided and used, can help and satisfy user^ which is 3.27. The statement with the lowest average value is ^The information provided is not reliable/trustworthy^ which is 2.21. The results of the analysis obtained r value = 0.76 with p value <0.001. These results mean that information quality has a positive and significant effect on user satisfaction. Conclusion: Information quality has a positive and significant effect on user satisfaction in Balimed Hospital Denpasar. Keywords: The Hospital Management Information System- Information Quality- User Satisfaction Share Link | Plain Format | Corresponding Author (Ni Nyoman Dwi Sutrisnawati)

45	Management and Informatic Health Science	ABS-80
MEDICAL TOURISM HOSPITAL IN ASIA Abdul Latief1,2 , Maria Ulfa1,3 1Master of Hospital Administration, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia 2 RSUD Yogyakarta, Yogyakarta, Indonesia 3School of Medicine, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia Abstract Please Just Try to Submit This Sample Abstract You Can Edit It Again Later The purpose of this study is to identify previous research on medical tourism in Asian hospitals. Understanding the connection between medical tourism and hospitals in Asia is crucial. Title-ABS-KEY (hospital), Title-ABS-KEY (medical), Title-ABS-KEY (tourist), and Title-ABS-KEY (asia) are bibliometric studies that have been conducted. To identify and locate, a qualitative literature evaluation was employed. 68 articles were acquired through the Scopus database and the aforementioned search terms. To perform the data analysis, VOSviewer was used. Two clusters were derived from the VosViewer results in this study. . In addition, this research identified two distinct groups, which are referred to as follows: medical tourism and health care. This study revealed that healthcare has played an important role in the growth of medical tourism in Asia. However, there is not a lot of study looking at how medical tourism has developed in hospitals in Asia today. This is consistent with Heung^s theory of medical tourism, which holds that hospitals in Asia have not adequately investigated the role that healthcare performs in medical tourism. Keywords: Healthcare, Medical Tourism, Asia, Bibliometric Analysis Share Link | Plain Format | Corresponding Author (dr Abdul Latief)

46	Management and Informatic Health Science	ABS-85
The Impact of Work Motivation on Subjective Well-Being: A Study of Optometry Academy Lecturers in Jakarta Ferry Doringin, Karla Sasia, Nisa Zakiati Umami Akademi Refraksi Optisi dan Optometry Gapopin Abstract This research explores the relationship between work motivation and subjective well-being in lecturers at an optometry academy in Jakarta. It aims to identify the dominant factors that influence lecturers^ subjective well-being and provide practical insights to increase work motivation and overall satisfaction. Using purposive sampling, data were collected through a questionnaire that measures the Subjective Well-Being and Work Motivation of the lecturers and staff. The findings show that work motivation has a significant effect on lecturers^ subjective well-being, and there are no significant differences based on gender, years of experience, or certification status. This study highlights the importance of addressing work motivation as a key factor in supporting lecturer wellbeing. Recommendations include strategies to increase work motivation, provide training to improve teaching skills and offer recreational activities to reduce stress. This insight can be useful for individual lecturers and institutions in developing sustainable programs to support lecturers^ welfare, which ultimately impacts their performance and job satisfaction. Keywords: Work motivation, Subjective Well-Being, lecturers, optometry, Jakarta Share Link | Plain Format | Corresponding Author (Ferry Doringin)

47	Management and Informatic Health Science	ABS-87
The Model of Optic Management Using the Total Quality Management Concept Ferry Doringin, Wahyu Budiana, Karla Sasia Akademi Refraksi Optisi dan Optometry Gapopin Abstract This research aims to develop the model of the optical management based on Total Quality Management (TQM). Through a qualitative case study method, researchers investigated best practices in six medium-scale optical companies in the West Jakarta and South Jakarta areas. Data collection was carried out through interviews with the leaders of each optical agency, observation and analysis of documents related to planning, implementation, monitoring and evaluation, including the Standard Operating Procedures (SOP) of each Optic. The research findings revealed that the five pillars of TQM, which focus on quality, product, process, leadership, and employee commitment, are in a transition phase in the optical companies studied. Although various efforts have been initiated, legacy practices and conflicts of interest remain obstacles in achieving the desired quality. This study provides insight into the importance of implementing TQM-based governance in the small and medium-sized optical industry to improve eye care services, especially in the context of technological advances. Keywords: Total Quality Management, Eye Health, best practices, model, Optic Share Link | Plain Format | Corresponding Author (Ferry Doringin)

48	Management and Informatic Health Science	ABS-91
Implementation Of Electronic Signature On Electronic Medical Records At RSUD Kota Yogyakarta Mayzen Tita Loka, Amd, Kes. Rizky Yuspita Sari, S.Kep. Ns., MPH Laili Rahmatul Ilmi, A.Md., SKM., MPH Retno Nurhidayanti, SKM. Universitas Jenderal Acmad Yani Yogyakarta Abstract The development of technology at this time has a rapid impact on health services which require every health service to apply Electronic Medical Records. Electronic Medical Record Processing currently has an impact with the existence of Electronic Signatures. The provision of Electronic Signatures to RME will make Electronic Medical Records more perfect and accountable for authenticity as well as a valid verification tool in the eyes of the law in accordance with the Law on Electronic Information and Transactions (ITE). The purpose of this study is to find out how the implementation of Electronic Signatures in Electronic Medical Records at Yogyakarta City Hospital This study uses a type of qualitative descriptive research using a case study research design, in determining the sample using purposive sampling techniques. implementation of Electronic Signatures on Outpatient Electronic Medical Records at Yogyakarta City Hospital since June 2021 but Electronic Signatures are currently not certified in BsrE but are in the process of certification. The electronic signature at RSUD Kota Yogyakarta changes the scan results of each user^s wet signature sent to SIMRS. In the implementation of Electronic Signatures on Electronic Medical Records, there are still several obstacles faced such as DPJP Signatures that are confused, signatures do not appear, the automatic logout process is still long, awareness from system users, and registration for TTE certification which has several requirements that must be met by hospitals. The application of TTE in RME has benefits such as efficiency and effectiveness in carrying out work, as well as the security of TTE used at Yogyakarta City Hospital using a Password and Username system which causes the Hospital to limit access rights to users to maintain data security. The implementation of Electronic Signatures on Electronic Medical Records at Yogyakarta City Hospital has many benefits for Electronic Signature users and hospitals, besides that there are still obstacles in the implementation of Electronic Signatures. Keywords: Electronic Signature, Electronic Medical Record Share Link | Plain Format | Corresponding Author (Mayzen Tita Loka)

49	Management and Informatic Health Science	ABS-97
Designing A Web-Based Medical Record Document Borrowing Information System in the Mitra Paramedika Hospital Annisa Mutiara Ridwan, Untoro Dwi Raharjo, Imaniar Sevtiyani, Ida Aninda Department of Medical Record and Health Information, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia Medical Record Unit, Mitra Paramedika Hospital, Indonesia Abstract Background: The manual technique of medical record document borrowing still presents several problems, such as delays in returning medical files or even misfiling. A digitized medical record document borrowing system needs to be developed through a systematic development process. Defining and designing an information system are essential steps in developing a proper medical record document borrowing information system. Purpose: The purpose of this study is to identify and design a medical record document borrowing information system at Mitra Paramedika Hospital. Methods: We compiled data by interviewing five key informants who were purposively selected based on predefined criteria. The research followed the full action research process, including diagnosis, planning, implementation, and evaluation during one month. The borrowing information system was designed using Figma and evaluated using the System Usability Scale Questionnaire (SUS). Results: Our findings identified some underlying causes that led to misfiling when using the traditional method, including an incomplete duration for document usage and the absence of clear names for borrowers or staff who lend the documents. We also identified the necessary data elements, which include the date, duration for borrowing, patient^s name, patient^s number, healthcare worker^s name, and document status. Subsequently, we created a document flow diagram, use case diagram, entity relationship diagram, and flowchart as required by the medical record document borrowing information system. We formulated 36 wireframes as blueprints for the user interface designs (UIs) of the medical record document borrowing system. In the evaluation, we obtained a score of 85 on the SUS, which corresponds to a grade B, indicating that the UIs were good. Conclusion: The designs of the medical record document borrowing information system have good quality and a high potential for development and serve as a guide for the next steps in information system development. Keywords: Medical record document borrowing information system- user interface- misfile Share Link | Plain Format | Corresponding Author (Annisa Mutiara Ridwan)

50	Management and Informatic Health Science	ABS-101
THE RELATIONSHIP OF THE ONLINE REGISTRATION SYSTEM QUALITY AND THE EFFECTIVENESS OF SERVICE TIME WITH PATIENT SATISFACTION AT THE BALI MANDARA EYE HOSPITAL POLYCLINIC Putu Vierda Lya Suandari (1), I Nyoman Adikarya Nugraha (2*), Ni Nyoman Dwi Sutrisnawati (3) 1,2,3) Department of Hospital Administration, Faculty of Health Sciences, Universitas Bali Internasional, Indonesia *Corresponding author : inyomanadikarya[at]gmail.com Abstract Background: The implementation of an online registration system is one of the efforts made by the Bali Mandara Eye Hospital to reduce the backlog of patients, The problem that often causes a buildup of patients in polyclinics is due to a lack of understanding of registering online. Over the last three years, the service time has the lowest score in the community satisfaction index report at the Bali Mandara Eye Hospital. Purpose: This study aims to analyze the relationship between the quality of the online registration system and the effectiveness of service time, with patient satisfaction at the Bali Mandara Eye Hospital Methods: This research uses a quantitative research approach using a questionnaire. The sample for this study was patients who visited the Bali Mandara Eye Hospital polyclinic with the number of samples was 96 samples. The analysis method used is multiple regression analysis. Results: The online registration system quality variable is in the good category with average value is 2.78. The service time effectiveness variable is in the good category with average value is 2.80. The patient satisfaction variable has a satisfied category with average value is 2.96. The results of the analysis obtained a significance value for the F test, namely 0.001 < 0.05. These results mean that those two variables have a significant influence together on Patient Satisfaction. The coefficient of determination (R2) obtained was 0.869. This means that 86.9% of patient satisfaction is influenced by the Online Registration System Quality and Effectiveness of Service Time. Conclusion: The online registration system quality and the effectiveness of service times have a significant influence together on patient satisfaction at the Bali Mandara Eye Hospital. Socialization and simulations of online registration needs to be carried out more massive and online registration using iOS smartphones needs to be developed. Keywords: The Online Registration System Quality- The Effectiveness of Service Time- Patient Satisfaction Share Link | Plain Format | Corresponding Author (I Nyoman Adikarya Nugraha)

51	Management and Informatic Health Science	ABS-104
IMPLEMENTATION OF E-BOOK SERVICES (ADKUH BOOK) FOR THE PUBLIC AT SURAKARTA ORTHOPEDIC HOSPITAL Herawati Prianggi1), Dola Fitritha Raras Handayani2), Nella Tri Surya3), Devi Elvina Rachma4) , Nur Rachmat 5) 123)Jurusan Administrasi Kesehatan, Universitas Kusuma Husada Surakarta 4)Jurusan Gizi Kesehatan, Universitas Kusuma Husada Surakarta 5)Ortotik Prostetik, Poltekkes Kemenskes Surakarta Abstract Abstract is submitted as file Keywords: Informasi kesehatan, Sistem Pelayanan Kesehatan, Aplikasi E book (Adkuh Book) Share Link | Plain Format | Corresponding Author (Herawati Prianggi)

52	Management and Informatic Health Science	ABS-110
Increased Workload of Nurses Leads to More Stress in Nurses Saepudin, Rahayu Iskandar Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Nurse workload is the volume of work of nurses in a hospital unit, with two types of workload, namely physical workload and mental workload. Physical workload includes mobilising patients, installing IVs and installing oxygen. While the mental workload is in the form of work complexity, dealing with patients and families with critical conditions so that nurses must also calm. The faculturation of this workload will have an impact on work stress in nurses. Stress is an unspecific reaction of the body due to the pressure it experiences. There are several factors for the occurrence of stress in nurses, including high job demands, an uncertain number of patients and sometimes not proportional to the number of nurses on duty, varying patient conditions so that this makes pressure on nurses and the onset of stress for nurses. Purpose: The purpose of this study was to determine whether the increasing workload on nurses has an impact on the stress level of the Executive Nurse in the Inpatient Room of RSPAU dr. Suhardi Hardjolukito. Methode: This study uses quantitative research with a Cross Sectional approach. Tools using questionnaires. The sampling technique in this study used total sampling with a sample size of 34 nurses. Statistical tests using Gamma. Result : The results obtained Pvalue 0.000 and the value of r 1.0 means that there is a very strong relationship, where the higher the workload on nurses, the higher the stress level of executive nurses in the inpatient room of RSPAU dr. Suhardi Hardjolukito. Conclusion : There is a very strong relationship between workload and stress level of executive nurses at RSPAU dr Suhardi Hardjolukito Keywords: Nurse, workload, stress Share Link | Plain Format | Corresponding Author (Rahayu Iskandar)

53	Management and Informatic Health Science	ABS-117
The relationship between self-awareness and problem-solving skills with burnout: comparison between junior and senior midwives in Indonesia 1. Novita 1.2 2.Fredie Robinson 1 3. Patricia Sator 1 1 Rehabilitation Medicine Unit, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia 2 Department Kebidanan, STIKES Abdi Nusantara, Indonesia Abstract Background: Midwife burnout is a significant issue affecting healthcare quality and profession sustainability due to constant stress and shift work. Self-awareness and problem-solving skills are vital for personal and professional growth, enabling individuals to handle daily challenges independently. Objectives: This study aimed to explore the relationship between self-awareness and problem-solving skills with burnout in comparison between junior and senior midwives in Indonesia. Methods: This study employed a cross-sectional survey design at three hospitals on Indonesia^s Java. The study^s inclusion criteria required midwives to have a minimum of three months of experience at their present hospital. The self-awareness scale, problem-solving questionnaire, and the Maslach burnout inventory human service survey was used to measure variables. A linear regression was used to examine the relationship between self-awareness and burnout among junior and senior midwives. Results: In the junior group, respondents showed moderate self-awareness and problem-solving skills, with an average score of 3.11 (SD=1.43) and 3.56 (SD=1.93), respectively. The mean score for burnout was 3.32 (SD=1.25) , while in the senior group, self-awareness and problem-solving skills were moderate, with an average score of 3.23 (SD=1.26) and was 3.09 (SD=1.25), respectively. In junior group, education level, working unit, working experience, self-awareness, and problem-solving skills contributed significantly to burnout with R square was 43.3%. In senior group, working unit, working experience, working status, self-awareness, and problem-solving skills contributed significantly to burnout with R square was 39.8%. Conclusion: The study emphasizes the importance of monitoring and addressing burnout, as well as enhancing self-awareness and problem-solving skills among midwives. Future research should explore longitudinal variations in self-awareness, problem-solving abilities reported burnout to understand the bidirectional relationship between burnout and self-awareness. Keywords: self-awareness, problem-solving skills, burnout, midwives Share Link | Plain Format | Corresponding Author (Novita Novita)

54	Maternal and Child Health	ABS-5
The Influence of Health Care Practice and The Diversity of Consumption of Animal Protein among Under Two Years Children in East Kalimantan5n Annisa Nurrachmawati, Ike Anggraeni, Nurul Afiah Public Health Faculty Mulawarman University Abstract Stunting is still a major problem in child health in East Kalimantan Province. Various prevention and management efforts have been carried out through specific and sensitive interventions. Even so, the complex determinants of stunting risk still require further analysis, especially regarding parenting practices in families with under-two years aged children. This study was an observational study with a retrospective case control approach. The sample in this study were mothers who had under-two years aged children who lived in the selected stunting locus, namely North Penajam Paser, East Kutai and Kutai Kartanegara Regencies. Complete data were obtained from cases of 88 children and controls of 171 children. Health care pattern data were analyzed by Mann Whitney test and child feeding pattern was analyzed by Chi square test. This study showed that healthy children receive good health care (21.6%), greater than stunted children (13.6%). Bivariat analysis showed there were a difference in the scores for health care (pvalue=<0.01*) and child feeding pattern (pvalue=0.02*) between families of under-two years aged children who are not stunted and those who are stunted. The diversity of animal protein sources is quite diverse, but the percentage of mothers who provide processed foods such as nuggets and sausages is still quite high. It is concluded that stunted children had inadequate health care and feeding pattern. BKKBN is expected to support parents with educational packages that focus on health care and child feeding patterns Keywords: stunting, health care pattern, child feeding pattern, under-two years aged children Share Link | Plain Format | Corresponding Author (Annisa Nurrachmawati)

55	Maternal and Child Health	ABS-17
INFORMATION-MOTIVATION-BEHAVIORAL-SKILLS MODEL-BASED TRAINING TO IMPROVE COMMUNITY CADRES BEHAVIORAL PERFORMANCE FOR POST-PARTUM HEMORRHAGE AND PRE-ECLAMPSIA PREVENTION Rahmawati1,2, Bhisma Murti 3, Vitri Widyaningsih3 1 Doctoral Program in Public Health, Sebelas Maret University, Surakarta, Indonesia 2 Sekolah Tinggi Ilmu Kesehatan Rajekwesi Bojonegoro, Indonesia 3 Doctor of Public Health Program at Sebelas Maret University, Surakarta, Indonesia Abstract Background: Postpartum hemorrhage and preeclampsia are the biggest causes of maternal death throughout the world. The informational-motivation-behavioral-skills model (IMB) theory approach is applied based on training to increase cadres^ ability to develop preventive behavior against postpartum hemorrhage and preeclampsia. Purpose: To analyze the direct and indirect effect of knowledge, skills and motivation of cadres on preventive behavior for preeclampsia and postpartum hemorrhage. Methods: A quasi-experiment was conducted from October to December 2022 by taking an intervention group from a religious organization and a control group of existing cadres. A total of 97 cadres were given training in preventing preeclampsia and postpartum hemorrhage while 91 cadres from the control group carried out routine activities. Both groups provide assistance to pregnant women to assess preventive behavior. Knowledge questionnaires and skills observations were administered and measured before and after training, while behavioral observations were measured twice for three months. Data was tested using Path Analysis using Stata software version 16.00 Results: Skills have a direct effect on preventive behavior (b=0.43- 95% CI= 0.29 to 0.57- p<0.001). Knowledge has an indirect effect on preventive behavior through skills (b=0.47- 95% CI= 0.36 to 0.58- p<0.001) as well as motivation (b=0.14- 95% CI= 0.01 to 0.26- p=0.027). Conclusion: The IMB theory is able to increase the ability of community cadres to carry out preventive behavior for preeclampsia and postpartum hemorrhage. Keywords: IMB Theory- behavior- preeclampsia, postpartum hemorrhage- cadre Share Link | Plain Format | Corresponding Author (Rahmawati Rahmawati)

56	Maternal and Child Health	ABS-25
A SYSTEMATIC REVIEW EFFECTIVENESS PSYCHOSOCIAL STIMULATION THROUGH INTERPROFESSIONAL COLLABORATIVE APPROACH TO EARLY CHILDHOOD^S MENTAL AND COGNITIF DEVELOPMENT IN STUNTING PREVENTION Sri Mulyanti1, Yulia Lanti Retno Dewi2, Eti Poncorini Pamungkasari3 Universitas Sebelas Maret Surakarta Abstract Background: The prevalence of stunting in Indonesia is still high, reaching 30.8%, still far from the WHO tolerance limit of 20%. Stunting has impacts on growth and development disorders. Psychosocial stimulation is needed to support growth and development in children who have not experienced stunting or who have been diagnosed with stunting. Purpose. Objective: to identify the effect of psychosocial stimulation through Interprofessional Collaborative approach on the mental and cognitif development of children under 2 years old (early childhood) before they are diagnosed with stunting Methods: The systematic review uses electronic databases from Google Scholar, PubMed, ScienceDirect, and ProQuest in 2011 - 2021. The search terms include psychosocial stimulation, early childhood, growth and development, nutritional status, and interprofessional collaboration. The review obtained 3515 articles and the results of data processing with the guidelines of Preferred Reporting Item for Systematic Reviews (PRISMA) of 2015 obtained 12 articles to analyse. The inclusion criteria include: psychosocial stimulation intervention, research of randomized control trial (RCT), and early childhood. Results: 1) The form of psychosocial stimulation was not explained in details- 2) There has not been specific type of game intervention yet- 3) Intervention has not been done with IPC (Interprofessional Collaboration)- 4) The therapeutic effects found were mostly on the development of infants or children, and the effects on infants^ or children^s growth (weight, height) as criteria for stunting had not yet been measured. Conclusion: Psychosocial stimulation has effects on the development of children under 2 years old (early childhood), but it is necessary to prove that it has effects on the growth of children^s weight and height by applying the interprofessional collaborative approach so that stunting cases can be detected and prevented early. Keywords: Psychosocial Stimulation, Early Childhood, Growth and Development, Prevention Stunting, Interprofessional Collaboration Share Link | Plain Format | Corresponding Author (Sri Mulyanti)

57	Maternal and Child Health	ABS-36
Please Just Try to Submit This Sample Comparison of Satisfaction Levels between Post-operative Sectio Caesaria Patients Followed by the Eracs Protocol TAP Block Analgesia Method and IV Patient Controlled Analgesia: A Literature Review Supanji Raharja1 Qurratul Aini2 Try to Submit This Sample Abstract 1Master in Hospital Administration, Postgraduate Program, University of Muhammadiyah Yogyakarta- 2nd Floor Postgraduate Building, UMY Integrated Campus, Jl. Brawijaya, Kasihan, Bantul, Yogyakarta 55183- 0274-387656 Phone number: +618252742 Just Try to Submit This Sample Abstract You Can Edit It Again Later Abstract ABSTRACT Cesarean section is one of the most common methods of delivery in the world. The enhancement of public interest in the cesarean section has also increased perioperative services. In order to increase the clinical benefits of cesarean section, enhanced recovery care is an effective way to do it. ERACS (Enhanced Recovery After Caesarian Surgery) is a fast recovery program after a cesarean section in the form of a series of treatments to improve post-surgical recovery. These conditions make expectations related to patient comfort and satisfaction during treatment. A large number of alternatives and the choice of post-cesarean section analgesic methods and drugs with the ERACS protocol means that pharmacology and anesthesia must be accompanied by aspects of patient satisfaction surveys which play a role in selecting the most effective drug or analgesic method. This literature review aims to examine the results of the past ten years of research related to the satisfaction levels of postoperative sectio cesarea patients followed by the ERACS protocol TAP block analgesia method and IV patient-controlled analgesia. The method used in the preparation of a literature review is to search for several articles by searching through science direct, google scholar, and Pubmed. The results of 20 previous research articles showed that Enhanced recovery after surgery (ERAS) in cesarean section showed the results that standardizing postoperative patient care, improving patient outcomes, reducing the postoperative length of stay, and optimizing patient satisfaction. In postoperative management of the ERAS method, there are various methods, including regional block analgesia and patient-controlled analgesia. TAP block and PCA effectively relieve postoperative pain after cesarean section. Keywords: Sectio Caesarea, ERACS, patient satisfaction, TAP Block Analgesia Method, IV Patient Controlled Analgesia Just Try to Submit This Sample Abstract You Can Edit It Again Later Keywords: Please Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (SUPANJI RAHARJA)

58	Maternal and Child Health	ABS-38
COMPARISON OF PATIENT SATISFACTION LEVELS POST POST CAESEORATIVE SECTION OPERATION WITH THE ERACS PROTOCOL CONTINUED WITH THE TAP BLOCK ANALGESIA METHOD WITH IV PATIENT CONTROLLED ANALGESIA AT DR OEN KANDANG SAPI HOSPITAL, SURAKARTA Supanji Raharja1 Qurratul Aini2 Master of Hospital Administration Postgraduate Program Faculty of Medicine, Muhammadyah University of Yogyakarta Abstract ABSTRACT Public interest in cesarean section surgery has increased compared to the vaginal delivery method, making perioperative services also increase. To increase the clinical benefits of cesarean section surgery, Enhanced Recovery After Surgery (ERAS) is an effective way to do it. The number of alternatives and the selection of postoperative analgesic methods and drugs for cesarean section with the ERACS protocol led to the need for survey aspects of patient satisfaction which play a role in selecting the most effective drug or analgesic method. This study aims to determine differences in patient satisfaction levels after ERACS surgery with the Transversus Abdominis Plane (TAP) block and IV Patient-Controlled Analgesia (PCA) methods. The research design used a Cross-Sectional Study, namely by surveying postoperative ERACS patient satisfaction on the first postoperative day (stage I) and the seventh postoperative day or outpatient care (stage II) using the Transversus Abdominis Plane (TAP) block and IV Patient-Controlled Analgesia (PCA) method. Sampling used total sampling for the Transversus Abdominis Plane (TAP) block method of 35 respondents and IV Patient-Controlled Analgesia (PCA) of 34 using the Overall Benefit of Analgesic Score (OBAS) instrument. The analysis of the different test used is the non-parametric test in the form of Mann-Whitney. The Patient Controlled Analgesia (PCA) method has a higher total mean satisfaction score than the Regional Block Analgesia (TAP Block) method, namely 39.34 on the 1st post-operative day and 20.50 on the 7th post-operative day. There is a significant difference in the level of satisfaction after ERACS caesarean section surgery, where the PCA method has a superior OBAS score than TAP Block on the 1st day after surgery with a p-value of 0.001 (p value < 0.05), especially in primigravida patients. as well as patients without a history of CS. There is a significant difference in the level of satisfaction after ERACS caesarean section surgery where the PCA method has a superior OBAS score on the 7th day compared to the TAP Blocked method, with a p-value < 0.05 in both primigravidas and multigravidas, as well as in patients with and without previous SC history Keywords: ERACS, Patient Controlled Analgesia (PCA), satisfaction, Transversus Abdominis Plane (TAP) block Keywords: ERACS, Patient Controlled Analgesia (PCA), satisfaction, Transversus Abdominis Plane (TAP) block Share Link | Plain Format | Corresponding Author (SUPANJI RAHARJA)

59	Maternal and Child Health	ABS-47
Gender-based Violence and Its Correlation with Children^s Health - a Mixed Methods Study Aristina Halawa, Monica Kartini, Deasy Elvianita William Booth Institute of Health Sciences, Indonesia Ngesti Waluyo Institute of Health Sciences, Indonesia Griya Husada Institute of Health Sciences, Indonesia Abstract Background: Gender-based violence (GBV) is an important social and health problems globally. This violence has a major impact on women and can also affect the health of their children. Purpose: To know about GBV that occurs in Eastern Indonesia and its correlation with children^s health, namely birth weight, stunting, and under-five mortality. Methods: This research used a mixed methods design. A quantitative approach was used to determine the relationship between GBV and children^s health. Meanwhile, a qualitative approach was taken to explore more about GBV, and the efforts made about the violence. The research subjects were 120 mothers with children under five years old in West Sumba, East Sumba, and Maluku regions. This study used a research instrument that was adapted from the Domestic Violence Module - Demographic and Health Surveys Methodology by USAID. Results: The research results showed that 50% of respondents experienced GBV. There was no significant relationship between the GBV in general and the history of low birth weight/LBW (p=0.239). However, one type of GBV, namely violence during pregnancy, was associated with history of LBW (p=0.035- OR=2.308- 95% CI:1.022-5.212). No relationship was found between GBV and the incidence of stunting (p=0.369). There was no correlation between GBV and under-five mortality (p=0.619). However, the under-five mortality rate was higher among mothers who experienced violence (5%) compared to those who did not experience violence (1.7%). Conclusion: Even though there was no significant correlation between GBV and children^s health, but mothers who experience violence during pregnancy were at more risk of giving birth to babies with LBW. Furthermore, the history of under-five mortality was higher in mothers who experienced GBV. Therefore, it is important for health workers and all related parties to prevent and overcome this problem. Keywords: gender-based violence- birth weight- stunting- under-five mortality- violence during pregnancy Share Link | Plain Format | Corresponding Author (Monica Kartini)

60	Maternal and Child Health	ABS-68
Exploration of Predictors of Adolescent Adherence to Taking Blood Supplement Tablets 81 81 Abstract Background: Adolescent girls have a ten times greater risk of anemia compared to boys. This is because adolescent girls experience menstruation every month and are in a period of growth that requires more iron intake. One form of anemia prevention in adolescents is the provision of blood supplement tablets. Based on the data, blood supplement tablets coverage is still low, indicating that adolescents^ self-awareness to consume blood supplement tablets is still lacking. Purpose: To determine what factors are associated with the compliance of female students in consuming blood supplement tablets. Methods: This study was conducted at Senior High School 1 Godean with the research subjects were X and XI grade students totaling 81 students. The sampling technique used was purposive sampling. The instruments used in this study were questionnaires about knowledge, family support, teacher support, peer support and health belief model (HBM) behavior questionnaire. The data obtained were then analyzed using univariate, bivariate and multivariate analyses. Results: The results of this study showed that there were 3 factors associated with adherence to blood supplement tablets consumption in adolescents, namely peer support (p=0.02), perceived threat (p=0.02) and perceived self-efficacy (p=0.03). While the variables of knowledge (p=0.74), family support (p=0.51), teacher support (p=0.21), perceived susceptibility (p=0.24), perceived seriousness (p=0.41), perceived benefit (p=0.22), and perceived barrier (p=0.22) did not have an association with adherence in taking blood supplement tablets. Conclusion: Peer support and perceived self-efficacy are associated with adherence of adolescent girls in taking blood supplement tablets. Keywords: Anemia- Adolescent- Blood supplement tablets- Adherence Keywords: Anemia- Adolescent- Blood supplement tablets- Adherence Share Link | Plain Format | Corresponding Author (Dwi Susanti)

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