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Journal : Journal Interdisciplinary Health

Effectiveness of chest physiotherapy in stabilizing breathing rate in children with upper respiratory tract infections Syamsidar, Syamsidar; Cahya Mulat, Trimaya; Supriyatno, Heru
Journal Interdisciplinary Health Vol. 1 No. 3 (2025): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i2.123

Abstract

Introduction: Acute Respiratory Tract Infections (ARTIs) remain a leading cause of morbidity and mortality among children, particularly in developing countries. Elevated respiratory rate is a common clinical manifestation in pediatric ARTI cases, often resulting from airway obstruction due to mucus accumulation. Chest physiotherapy is a non-pharmacological intervention aimed at mobilizing secretions, improving ventilation, and reducing respiratory effort. This study aimed to evaluate the effectiveness of chest physiotherapy in stabilizing the respiratory rate in preschool children diagnosed with ARTI. Methods: This case study involved two pediatric inpatients aged 1 and 3 years with a confirmed diagnosis of ARTI at Sandi Karsa Hospital, Makassar. Each patient received daily chest physiotherapy including percussion, vibration, and postural drainage for three consecutive days. Respiratory rate was measured before and after each session using direct observation and timing methods.. Results: A consistent reduction in respiratory rate was observed in both patients following each chest physiotherapy session. The average decrease ranged from 8 to 9 breaths per minute, indicating a significant clinical improvement. No adverse effects were reported during or after the intervention. Conclusion: Chest physiotherapy is an effective and safe non-pharmacological intervention for stabilizing the respiratory rate in children with ARTI. It facilitates mucus clearance, improves pulmonary ventilation, and alleviates respiratory effort. This intervention is recommended for integration into pediatric respiratory care protocols in hospital settings
Strengthening the role of community health workers through supportive supervision: A Scoping Review Cahya Mulat, Trimaya; Asprimi Anggraeni, Tirta; Hardi, Wahyudi; Kamaruddin, Muh Ihsan; Andre Mangaya Takke, Jessy
Journal Interdisciplinary Health Vol. 1 No. 4 (2025): Journal Interdisciplinary Health
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i3.139

Abstract

Introduction: Community health workers (CHWs) are critical in expanding access to primary healthcare, particularly in underserved areas. Despite their essential role, CHWs often face challenges such as inadequate supervision, limited feedback, and lack of professional development. Supportive supervision, which emphasizes mentorship, joint problem-solving, and performance improvement, has emerged as a key strategy to strengthen CHW effectiveness and retention. Methods: This scoping review followed Arksey and O’Malley’s framework and the PRISMA-ScR guidelines. Relevant literature published between 2010 and 2025 was systematically searched in PubMed, Scopus, and Web of Science. Studies focusing on supportive supervision models, strategies, or outcomes for CHWs were included. Data were extracted and synthesized thematically to identify supervision approaches, implementation factors, and impacts on CHW performance. Results: Thirty-seven studies met the inclusion criteria. The findings revealed that supportive supervision enhances CHW motivation, service quality, and community trust. Effective supervision models were characterized by regular feedback, participatory monitoring, and peer learning. Barriers included insufficient resources, supervisor workload, and weak institutional support. Digital tools and community-based supervision showed promise in improving supervision frequency and data-driven decision-making. Conclusion: Supportive supervision plays a pivotal role in strengthening the performance and sustainability of CHW programs. Integrating structured, participatory, and technology-assisted supervision mechanisms into health systems can foster CHW empowerment, accountability, and long-term impact.