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All Journal Preventif : Jurnal Kesehatan Masyarakat
Stella Maris Bakara
Institut Nalanda
Public Health

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Environmental Health Implementation Strategies in GEDSI-Friendly Health Facilities: Towards Inclusive and Equitable Services Stella Maris Bakara; Nur Annisa Fauziyah nur; Nabila Aulia Tsaqifah3 Nabila; Bayu Pratama Tarigan Bayu
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/zdtr5g45

Abstract

Inclusive health services are vital for ensuring equitable access, especially for vulnerable groups such as women, persons with disabilities, the elderly, and children. However, environmental health (Kesling) strategies in many health facilities still emphasize technical aspects, often neglecting gender, disability, and social inclusion (GEDSI). This qualitative study aimed to explore GEDSI-responsive Kesling strategies through Focus Group Discussions (FGDs) involving 33 environmental health officers from various institutions. Data were collected from group discussions, observational notes, and documentation of strategy proposals. Using thematic analysis, researchers identified key ideas and categorized them into three main themes: (1) gender responsive; (2) disability inclusive; and (3) socially inclusion. Proposed interventions included gender-neutral toilets, menstrual hygiene facilities, wheelchair access, child-friendly waiting rooms, and inclusive health education. The study demonstrates that FGD is an effective method to elicit grounded insights and collaborative strategies. It concludes that integrating GEDSI principles into environmental health planning requires not only technical adjustments but also inclusive dialogue with stakeholders.
Effects of Qigong Interventions on Physical and Mental Health Outcomes: A Systematic Review of Randomized Controlled Trials Published Between 2010 and 2025 Zen Prasetya Wirya Zen Prasetya Wirya; Willie Japaris; Stella Maris Bakara
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/4wf2x715

Abstract

Qigong is a traditional Chinese mind–body intervention that combines gentle movement, breathing regulation, and focused attention and has increasingly been investigated as a complementary approach to physical and mental health. This systematic review examined the impact of Qigong interventions on physical and mental health outcomes based on randomized controlled trials (RCTs) published between 2010 and 2025. A systematic literature search was conducted in PubMed, Scopus, Web of Science, and Google Scholar in accordance with PRISMA 2020. After screening and eligibility assessment, 30 RCTs were included and narratively synthesized because of substantial heterogeneity in populations, Qigong modalities, intervention characteristics, and outcome measures. The findings indicated generally favorable effects on blood pressure, physical function, balance, pain, sleep quality, depression, anxiety, and quality of life. However, several studies reported mixed or non-significant between-group effects, indicating that the magnitude and consistency of benefits varied across populations and intervention types. Overall, Qigong appears to be a promising complementary mind–body intervention for supporting physical and mental health, although further high-quality RCTs with standardized protocols, active control conditions, and consistent effect-size reporting are needed.
Co-Authors Bayu Pratama Tarigan Bayu Nabila Aulia Tsaqifah3 Nabila Nur Annisa Fauziyah nur Willie Japaris Zen Prasetya Wirya Zen Prasetya Wirya