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Can Peritoneal Dialysis Be The First-Line Treatment For End-Stage Kidney Disease? A SWOt Analysis Sasmitaningsih, Irine Puspita; Aviati, Kurnia; Lukitasari, Putri Emyta; Mahananny, Nonnytha; Pranasari, Maria Carisita Suci Puspa; Sukartini, Ni Made
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1896

Abstract

End-stage kidney disease (ESKD) is a global health challenge, with kidney transplantation being the preferred treatment. However, due to a shortage of donor organs and medical complications, many patients rely on dialysis. Peritoneal dialysis (PD) is a promising alternative but is underused compared to hemodialysis (HD). This study explores whether PD could be considered a first-line treatment for ESKD, using a SWOT analysis to assess its strengths, weaknesses, opportunities, and threats. Method Systematic literature review (2015–2025) with SWOT framework. PD improves patients' quality of life with treatment flexibility and better preservation of kidney function. However, the risk of infection such as peritonitis is a weakness in the widespread use of PD therapy in the elderly and remote areas. The development of PD use requires government support in equalizing the distribution of healthcare professionals skilled in PD and providing reasonable cost reimbursement. PD has the potential to be an effective first-line treatment for ESKD, but its widespread use is constrained by various challenges. Addressing these barriers could enhance its accessibility and efficacy.
A Systematic Literature Review on Nutritional Meals for School Children and the Implications for Public Policy in Indonesia Mahananny, Nonnytha; Mukti Wibawa, Wahyu Aditama Putra; Suci Puspa Pranasari, Maria Carisita; Aviati, Kurnia; Sasmitaningsih, Irine Puspita
Eduvest - Journal of Universal Studies Vol. 6 No. 1 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i1.52104

Abstract

This study aims to evaluate the nutritional needs of school children in relation to the Free Nutritious Eating (MBG) policy in Indonesia through a systematic literature review approach. The study was conducted on 26 scientific articles from various countries selected using the PRISMA 2020 method, with the inclusion criteria set include: (1) articles in the last ten years (2015–2025), (2) articles that explicitly discuss the nutritional needs of elementary to secondary school children, (3) articles that examine the contribution of school food programs to the fulfillment of children's nutrition,  and (4) studies that are available in full text and written in English. The results show that school meals consistently make a significant contribution to meeting the needs of energy, protein, iron, calcium, fat, fiber and vitamin D, as well as positively impacting children's cognitive function and reducing the consumption of ultra-processed foods, especially in low-socioeconomic groups. In addition, it was found that the success of the program was greatly influenced by the diversity of menus, children's preferences, physical activity, and public policy support. This research makes an important contribution in formulating evidence-based MBG policies that take into account actual nutritional needs, socio-cultural contexts, and behavioral dynamics of children. In conclusion, MBG has great potential as a national strategy to improve the nutritional status and equal access to food for school children, but its successful implementation requires a multidimensional approach and advanced local studies.