Ray Wagiu Basrowi
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Economic value of atopic dermatitis prevention via partially-hydrolyzed whey-based infant formula (PHF-W) use in high-risk, non-exclusively breastfed, Indonesian urban infants: results of a cost-effectiveness model Marc F Botteman; Zakiudin Munasir; Astrid W Sulistomo; Erica G Horodniceanu; Abhijeet J Bhanegaonkar; Xiang Ji; Wing Yu Tang; Ray Wagiu Basrowi; Patrick Detzel
World Nutrition Journal Vol. 2 No. 2 (2019)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V02.i2.0008

Abstract

Background:  Early nutritional intervention with partially-hydrolyzed whey-based formula (PHF-W) instead of standard cow’s milk formula (CMF) has been found to reduce the risk of atopic dermatitis (AD) development in non-exclusively breastfed infants with familial heredity of AD.Objective:  To estimate the 6-year economic impact of this nutritional intervention in non-exclusively breastfed Indonesian urban infants with family history of AD.Methods:  A mathematical model simulated AD incidence and burden of using PHF-W vs. CMF in the target population from birth to age 6. The model integrated literature, current cost and market catalogues, and expert clinician opinion. Modeled outcomes included AD risk, time spent post-AD diagnosis, days without flare, quality-adjusted life-years, and costs.Results: Using PHF-W instead of CMF resulted in an estimated absolute 14% (95% CI: 4%, 23%) AD risk reduction, a 0.69 year (95% CI: 0.26, 1.13) per-child reduction in time spent post-AD diagnosis, a 38 (95% CI: 12, 67) increase in days without AD flare, and a 0.046 gain in quality-adjusted life-years. The AD-related 6-year cost estimates when feeding high-risk urban infants with PHF-W were Indonesian Rupiah (IDR) 8,695,057 (95% CI: IDR 4,519,447, IDR13,995,605) and IDR13,139,569 (95% CI: IDR 7,098,794, IDR 19,216,068) per child, respectively, resulting in a net per-child difference of IDR 4,444,512 (95% CI: IDR1,893,080, IDR 8,557,946) favoring PHF-W.Conclusion: PHF-W for the first 17 weeks of non-exclusively breastfed Indonesian urban infants with a hereditary risk of AD demonstrated a reduction in AD incidence, increased days without flare, and increased quality-adjusted life-years and net cost reductions.
Breastfeeding is Best. But What After Breastfeeding? Yvan Vandenplas; Hegar Badriul; Ray Wagiu Basrowi
World Nutrition Journal Vol. 2 No. 2 (2019)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V02.i2.0001

Abstract

Long-term exclusive breastfeeding is definitively the best feeding for every infant. Exclusive breast feeding should be for six months. From the age of six months onwards, solid food should be introduced while breast feeding is continued.1There are only very few contra-indications for breast feeding or mother’s milk. A maternal severe disease is an example of a contra-indication for breast feeding. If a mother has to take medication or undergo a treatment that may have a deleterious effect on the health of the baby, such as chemotherapy or radiotherapy, breast feeding cannot be recommended.2In such a situation, mother’s milk from a different mother or a “milk bank” may offer a solution. If this are not possible, infant formula is indicated. Some seldom metabolic diseases such as galactosemia are also contra-indications for mother’s milk, because in such a situation lactose is causing severe damage to the baby. Cow’s milk based lactose containing infant formula is then as well contra-indicated, since the baby cannot metabolize lactose. However, it speaks for itself that these situation are exceptional.3,4
A Constant Struggle of Breastfeeding at Workplace: A Narrative Review Panggabean, Elda Oncossya; Ray Wagiu Basrowi
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 3 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i3.127.172-8

Abstract

Breastfeeding has been shown and proved to offer numerous health benefits for infants and mothers. Despite this fact, studies have found that the level of exclusive breastfeeding continues to be low both in developed and developing countries. The issues with breastfeed and continue breastfeeding due to multiple factors, one of the biggest challenges is as a working mother. Working mothers face the challenge of balancing breastfeeding and paid work, thereby increasing the risk of early cessation of breastfeeding in general and exclusive breastfeeding. There are many studies to overcome these issues, however not many studies exposing the ethical issues, difficulties and opportunities while solving this matter. Such as moral work women undertake when engaging with breastfeeding, influenced by cultural and social norms that makes it harder for breastfeeding mother.
A Literature Review: Potential Ethical Risk in Mental Health Research at Workplace Setting Era Nurissama; Ray Wagiu Basrowi
The Indonesian Journal of Community and Occupational Medicine Vol. 4 No. 3 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v4i3.133.104-8

Abstract

Introduction: Research on mental health in the workplace presents a complex ethical landscape due to the dual relationships and power dynamics inherent in employer-employee interactions. Workers may feel pressured to participate in research due to real or perceived pressure from their employer, which may affect the voluntariness of their consent. The aim of this review is to describe ethical issues in informed consent related in mental health research interventions in the workplace. Methods: We conducted a search at the Google Scholar database in May 2024, examining various publications and journals from the past five years related to ethical issues surrounding informed consent for mental health research in the workplace using the keywords: informed consent, mental health, ethics, workplace. Results: Total of 3 journals as literature review. Significant impacts from such stigma and discrimination were found in all the journal. Disclosed mental health situation increased a positive impact result at workplace eventough the outcome is infuenced by many factors. The findings indicate a need to provide support mechanisms and to change the culture of workplaces to improve employment opportunities and outcomes for people living with mental health problem. Conclusions: Ensuring ethical informed consent in mental health research within workplace settings requires careful consideration of confidentiality, voluntariness, and transparency. Addressing these issues through multi-stakeholder engagement and fostering a supportive organizational culture can enhance ethical standards. Future research should continue to explore these dynamics and develop strategies to protect participants’ rights and well-being.
Mapping Interventions for Adolescent Mental Health: A Scoping Review Across Multiple Settings and Approaches Wahyuni, Fani Cahya; Ulfatul Karomah; Annisa Asti Pratiwi; Anindita Dwi Hapsari; Ray Wagiu Basrowi; Dela Riadi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.189-200

Abstract

Background: According to the World Health Organization (WHO), one in seven adolescents aged 10–19 years has experienced a mental disorder. In the United States, adolescents report symptoms of anxiety and depression, while in Southeast Asia, many students feel lonely, excessively worried to the point of disturbed sleep, and lack close friends. Multiple factors, including psychosocial and environmental elements, influence adolescent mental health. There is a growing need for culturally appropriate education and support programs tailored to Indonesian adolescents. Various factors can affect adolescent mental health. Indonesian adolescents need culturally appropriate mental health education and support programs. Objective: This study aims to examine mental health programs based on school, digital platform, community, and healthcare settings. Methods: This scoping review analyzed mental health programs worldwide from 2015-2025. The PRISMA diagram was used as a selection flow where 34 articles met the inclusion criteria, obtained from three databases (PubMed, Science Direct, SpringerLink), and selected from 649 articles. Results: Most mental health programs were delivered through school-based, digital, community, and healthcare settings. These programs employed innovative approaches for promotion, prevention, and treatment. Key outcomes included improvements in mental health and overall well-being. Several programs were found to be effective, feasible, and acceptable among adolescents. Program selection should address the core mental health issue, such as anxiety or depression. Multi-sectoral collaboration is crucial for ensuring the sustainability and effectiveness of adolescent mental health programs. Future literature reviews should focus on specific mental health issues to enable deeper analysis and more targeted recommendations