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Diagnostic Accuracy of Artificial Intelligence-Based Systems for Detecting Diabetic Retinopathy: A Systematic Review Nurul Hidayati; Ika Yuni Widyawati; Ira Suarilah; Trihaningsih Puji Astuti; Fauzi Tsanifiandi; Andi Safutra Suraya
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4011

Abstract

Diabetic retinopathy (DR) represents a leading cause of blindness worldwide, early detection is critical to prevent vision loss. However, traditional screening methods, which rely on human experts, prove to be costly and time-consuming. The systematic review aims to assess the validity of artificial intelligence (AI) as a screening tool for detecting DR among diabetic patients. A systematic literature search was performed of the following databases: PubMed, Scopus, CINAHL, and Web of Science. The last date of our search was January 31, 2024. We included all observational studies, including cohort, case–control and cross-sectional studies and evaluated their quality using the Joanna Briggs Institute tool. We included diagnostic test accuracy studies evaluating the use of AI algorithms for DR screening in patients with diabetes. Studies were excluded if they exclusively assessed diagnostic accuracy for DR that did not use AI algorithms as a diagnostic tool and studies with incomplete or inaccessible data. Thirteen studies with sample sizes ranging from 69 to 1378 participants, reported good sensitivity of AI for detecting visually threatening DR (VTDR). The lowest sensitivity was 89.2%, and the highest was 100%. In terms of specificity, Any DR exhibited higher specificity compared to RDR and VTDR, ranging from 80.2% to 100%. The sensitivity and specificity of the Artificial Intelligence (AI)-based tools available for DR screening was considered acceptable, especially in detecting VTDR and Any DR, was regarded as good. These results implied the potential usefulness of these tools for DR screening in settings with limited resources. However, further high-quality comparative studies were deemed necessary to evaluate their effectiveness in real-world clinical settings.
Sexual Health Education Based on the Theory of Planned Behavior to Prevent Risky Sexual Behavior in Adolescents: A Systematic Review Stephani Dwiyana Putri; Shrimarti Rukmini Devy; Ira Nurmala; Andi Safutra Suraya
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4408

Abstract

Risky sexual behavior is a serious issue as it is a major risk factor for the emergence of diseases such as Sexually Transmitted Infections (STIs), disabilities, and mortality among adolescents due to a lack of information about sexual health. The aim of this study is to prevent risky sexual behavior through health education based on the Theory of Planned Behavior (TPB). A systematic review was conducted using four electronic databases (Scopus, PubMed, Web of Science (WoS), and Science Direct) on previous studies employing cross-sectional, quasi-experimental, and Randomized Control Trials (RCT) designs from the last 5 years (2017-2021). The database search was performed from November to December 2021. The Joanna Briggs Institute (JBI) was used as a guide for assessing the quality of the studies, and PRISMA was used as the research guideline. Data analysis utilized descriptive analysis to identify themes. There were 11 articles that met the inclusion criteria in the review. All selected studies discussed sexual health education using the TPB approach. There was an improvement in behavior change based on TPB (attitudes, subjective norms, control, and intention) among adolescents who received sexual health education. The factors influencing adolescents' intentions are closely related to the process of behavior formation. These factors include attitudes, subjective norms, and behavioral control. A Sexual health education based on TPB can be an appropriate intervention to prevent risky sexual behavior among adolescents, as its priority is to strengthen behavioral intentions by enhancing attitudes, subjective norms, and behavioral control through continuous health education.
The Effect of Psychoeducation on Sexual Behavior Knowledge Among Adolescents at SMP Negeri 1 Telaga, Indonesia Siti Fatmawaati Ali; Pipin Yunus; Nur Uyuun I. Biahimo; Andi Safutra Suraya
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 3: 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i3.10582

Abstract

Adolescent sexual behavior is a significant public health concern due to its association with sexually transmitted infections, unintended pregnancies, and psychosocial problems. Limited knowledge about reproductive health increases adolescents’ vulnerability to risky sexual behavior, highlighting the importance of effective educational interventions. This study aimed to analyze the effect of psychoeducation on adolescents’ sexual behavior knowledge at SMP Negeri 1 Telaga, Indonesia. A quantitative quasi-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 38 students selected through purposive sampling. Data were collected using a structured questionnaire before and after psychoeducation intervention and analyzed using the Wilcoxon signed-rank test. The results showed an improvement in knowledge after the intervention, with the mean score increasing from 2.05 to 2.39. Statistical analysis indicated a significant effect of psychoeducation on adolescents’ knowledge (p < 0.05). Psychoeducation is an effective strategy for improving adolescents’ understanding of sexual health and can be implemented as a school-based health promotion program to support healthy behavioral development.
The Influence of Acceptance and Commitment Therapy (Act) anxiety disorders in Patients at Limboto Health Center Nanda Nurhalizah; Sabirin B. Syukur; Nur Uyuun I. Biahimo; Andi Safutra Suraya
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10735

Abstract

Anxiety disorders not only impact an individual's psychological state, but also affect social functioning, productivity, and quality of life. One of the psychotherapy approaches that is developing to overcome anxiety is Acceptance and Commitment Therapy (ACT). This study aims to determine the effect of Acceptance and Commitment Therapy (ACT) on the level of anxiety of patients at Limboto Health Center. This study uses a quasi-experimental method with a one group pre-test and post-test design approach. The population in this study is all adult patients who experience anxiety at the Limboto Health Center, with a sampling technique using purposive sampling, so that a sample of 18 respondents was obtained. Data analysis was carried out using the Wilcoxon test because the data was abnormally distributed. The results showed that before the intervention, there were 6 respondents with mild anxiety and 12 respondents with moderate anxiety. After being given ACT therapy, the number of respondents with mild anxiety increased to 17 people, while moderate anxiety decreased to 1 person. The Wilcoxon test showed a significance value of p = 0.000 (p < 0.05), which indicates a significant effect of ACT therapy on reducing anxiety levels. This study concluded that Acceptance and Commitment Therapy (ACT) was effective in lowering anxiety levels.
The Relationship between Family Support and the Quality of Life of Elderly Patients with Diabetes Mellitus in the Working Area of the Dungingi Health Center Rhevalina Pricilia Suleman; Rona Febriyona; Inne Ariane Gobel; Andi Safutra Suraya
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10768

Abstract

The elderly experience changes in the endocrine system that are associated with a decrease in insulin production by the pancreas and insulin resistance that causes the degenerative disease diabetes mellitus, this affects the emotional well-being of the sufferer, which leads to a decrease in the quality of life, therefore the family as a support system that provides direct care for the sick elderly is very important in improving the quality of life of the elderly. This study aims to find out how the relationship between family support and the quality of life of the elderly with diabetes mellitus (DM) in the working area of the Dungingi Health Center. The quantitative method with the research design used in this study is cross sectional where samples are selected through the purposive sampling method, the sample number is 36 elderly respondents with DM in the working area of the Dunging health center. The results showed that the majority of respondents had less family support of 26 people (72.2%), moderate quality of life of 22 people (61.1%). Statistical values are obtained by Asymp. sig (2 tailed) p value of 0.029 < 0.05 which means that there is a relationship between family support and the quality of life of elderly people with diabetes mellitus in the working area of the dungingi health center. Family support is essential in improving the quality of life in the elderly with DM.
BARRIERS AND FACILITATORS IN DIGITAL HEALTH FOR ANTENATAL CARE: A SCOPING REVIEW Fitri Kurnia Rahayu; Nunik Puspitasari; Nurul Fitriyah; Evita Kumala Dewi; Andi Safutra Suraya; Yulia Yunara
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.124-138

Abstract

Background: Digital health technologies have great potential to improve antenatal care quality and accessibility. However, their implementation is hindered by various barriers and supported by certain facilitators, influenced by both health workers' and patients' perspectives. Aim: To identify and map these barriers and facilitators in the implementation of digital health technologies in antenatal care, focusing on insights from both health providers and patients. Method: This scoping review systematically searched and analyzed literature, including studies published from 2014 to 2024 on the implementation of digital health solutions in antenatal care services. Sources included PubMed, Scopus, Web of Science, and CINAHL. Results: 484 studies were screened, 38 were assessed in full text, and 16 were included. These studies covered various digital technologies such as PANDA System, eHealth Technologies, SMS-based solutions, Telemonitoring, and mobile applications. Key barriers for providers include lack of readiness and technical issues, while facilitators include care standardization and health worker support. Patients face barriers such as technological illiteracy and financial constraints, while high user satisfaction and culturally adapted approaches are facilitators. Conclusion: Addressing both provider readiness and patient needs is crucial for effective implementation of digital health technologies in antenatal care, requiring a comprehensive approach to overcome barriers and enhance facilitators. Keywords: antenatal care, barriers, digital health, facilitators, health workers, patients, scoping review
OCCUPATIONAL STRESS, QUALITY OF LIFE AND CARING BEHAVIOUR AMONG INDONESIAN NURSES IN JAPAN Nununk Dwi Nur Khairunnissa; Ferry Efendi; Erna Dwi Wahyuni; Rifky Octavia Pradipta; Andi Safutra Suraya; Yong Shian Goh
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.100-111

Abstract

Background: Japan recruits Indonesian nurses to address shortages, but migrant nurses’ work stress may reduce their quality of life and caring behavior Aims: This study analyzed links between occupational stress, quality of life, and caring behavior among Indonesian nurses working in Japan, using the Health and Safety Executive (HSE) work-related stress scale, World Health Organization Quality of Life (WHOQOL-BREF), and Caring Behaviors Inventory (CBI-24). Methods: A correlational cross-sectional study with purposive sampling involved 138 Indonesian nurses in Japan. Data were collected via Google Forms using the HSE Work-Related Stress Scale, WHOQOL-BREF, and CBI-24. Pearson’s correlation test (α ≤ 0.05) was applied to analyze relationships among occupational stress, quality of life, and caring behavior. Results: Job stress correlated with quality of life (p = 0.000; r = 0.595) and caring behavior (p = 0.000; r = 0.411) among Indonesian nurses in Japan. Conclusion: Work-related stress was significantly linked to QoL and caring behavior. Despite moderate stress, most nurses maintained good QoL and optimal caring, reflecting resilience in cross-cultural healthcare. Findings highlight the need for effective workforce management and leadership to sustain care quality. These results offer evidence-based insights for strengthening health systems, particularly in governance and policy planning for transnational nurse deployment.  Keywords: caring behavior, decent work, job stress, migrant nurses, quality of life.