Nirwan, Multy Syaddam
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The Intersection of Policy, Economics, and Workforce Resilience in Global Healthcare Systems: A Narrative Review Novianita Rulandari; Nirwan, Multy Syaddam; Putri Ayu Lestari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4: APRIL 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.7178

Abstract

Introduction: In this study, we aimed to examine systemic barriers and facilitators affecting healthcare workers, including policy frameworks, economic conditions, and organizational structures. With healthcare worker support mechanisms playing a critical role in ensuring the effectiveness and sustainability of healthcare systems, our objective was to assess the impact of these factors on healthcare worker well-being, service quality, and healthcare disparities, particularly among marginalized populations. Methods: This comprehensive narrative review involved an in-depth analysis of peer-reviewed literature from major academic databases. The study focused on healthcare worker experiences, policy impacts, and cultural considerations. Articles were selected based on relevance to healthcare worker support mechanisms, and data synthesis was conducted to identify key themes. Results: The primary outcome of the study indicated that inadequate healthcare worker support contributes to disparities in care, burnout, and reduced service quality. Additionally, findings emphasized the importance of policies promoting equitable resource allocation, mental health support, and interdisciplinary collaboration. Economic stability and culturally sensitive healthcare models were identified as crucial for improving worker well-being and patient outcomes. Conclusion: In conclusion, our study contributes to the understanding of healthcare worker support by highlighting the systemic barriers and facilitators affecting their well-being and performance. This research provides insights into the need for policy reforms and organizational interventions to enhance healthcare workforce resilience. Future studies should focus on longitudinal evaluations of healthcare worker support mechanisms and comparative analyses of different healthcare systems, ultimately advancing strategies for sustainable and effective global healthcare systems.
Health Literacy as a Public Health Priority in Crisis Management: Strategies and Policy Recommendations Nirwan, Multy Syaddam
Journal of Health Literacy and Qualitative Research Vol. 3 No. 1 (2023): March 2023
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/jhlqr.v3i1.541

Abstract

Health literacy is a critical determinant of crisis preparedness, influencing how individuals access, comprehend, and utilize health information during emergencies. This study systematically reviews the role of health literacy in emergency preparedness and response, examining its impact on individual decision-making, community resilience, and public health interventions. A comprehensive literature search was conducted across academic databases, including PubMed, Scopus, and Google Scholar, focusing on studies published from 2018 onward. Findings indicate that higher health literacy levels enhance adherence to emergency health guidelines, facilitate risk perception, and contribute to better health outcomes. However, disparities in health literacy—shaped by socioeconomic inequalities, digital accessibility, and misinformation—continue to pose challenges in crisis management. The study highlights the increasing role of digital health communication and social media in disseminating health information, emphasizing the need for regulatory measures to counteract misinformation. Policy recommendations include integrating health literacy into public health strategies, enhancing community-driven education initiatives, and leveraging digital health tools for widespread information dissemination. Future research should explore the effectiveness of tailored interventions in marginalized communities and the long-term impact of digital health literacy initiatives. By prioritizing health literacy in crisis management frameworks, policymakers can improve population-level health resilience and ensure equitable access to critical health information.
Early Marriage and Reproductive Health: A Scientific Study on Risks and Consequences Nirwan, Multy Syaddam
Jurnal Riset Kualitatif dan Promosi Kesehatan Vol. 2 No. 1 (2023): January 2023
Publisher : Yayasan Sinergi Kawula Muda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/jrkpk.v2i1.663

Abstract

Early marriage remains a critical global issue with significant implications for reproductive health, education, and economic stability. This study examines the adverse effects of early marriage, emphasizing its impact on maternal health, educational attainment, and socio-economic opportunities. Using a systematic literature review, data were collected from academic databases such as PubMed, Scopus, and Google Scholar to analyze trends and factors contributing to early marriage. The results indicate that women who marry before the age of 18 face higher risks of pregnancy complications, maternal mortality, and limited access to reproductive healthcare. Additionally, early marriage significantly reduces educational opportunities, leading to economic dependence and perpetuating poverty cycles. Cultural and religious factors, along with socio-economic pressures, play crucial roles in sustaining this practice. Policy recommendations include improving girls' access to education, implementing comprehensive sexuality education, enforcing legal frameworks against child marriage, and engaging communities in intervention programs. Future research should explore digital strategies to increase awareness and prevention efforts. Addressing early marriage requires a multidisciplinary approach integrating health, education, and socio-economic policies to promote gender equality and reproductive health rights.
Digital Health Innovation and Public Trust in Pandemic Preparedness Nirwan, Multy Syaddam; Arwan; Syam, Sadli; Firmansyah; Syahrir, Muhammad Sabri; Satria, Muhammad Aji; Hilintang, Rendhar Putri
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 2 (2024): April 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i2.1058

Abstract

This narrative review examines the role of digital health technologies and big data analytics in pandemic preparedness, with particular reference to COVID-19. The objective was to synthesize evidence on how technological innovations supported healthcare and education during crises and to identify barriers that limit their effectiveness. Literature searches were conducted across PubMed, Scopus, Web of Science, and Google Scholar, focusing on empirical studies, case analyses, and systematic reviews related to telehealth, artificial intelligence, digital dashboards, and citizen science initiatives. The review found that digital innovations enabled remote consultations, predictive modeling, and real-time monitoring, which reduced pressure on health systems and informed public policy. Evidence highlighted the value of visual analytics and community-driven data in filling information gaps. However, infrastructural limitations, weak governance, and low public trust constrained adoption, particularly in low- and middle-income countries. Comparative analyses showed that countries with strong infrastructures and transparent policies, such as Taiwan and South Korea, achieved more effective outcomes than regions with limited technological readiness. These findings indicate that digital health tools are powerful enablers of crisis response but insufficient in isolation. Sustainable integration requires investment in infrastructure, capacity-building, transparent communication, and participatory approaches. Embedding these reforms into health systems will be critical to ensure equitable access, strengthen resilience, and optimize the benefits of technological innovation for future pandemic preparednessof technological innovations in global health preparedness.