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All Journal Indonesian Journal of Global Health research Jurnal Epidemiologi Kesehatan Indonesia
Audila, Hanna
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Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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The Benefits of Diabetes Self Management Education (DSME) on Glycemic Control (HBA1C) Among Adult Type 2 Diabetes Mellitus Patients in Southeast Asia: A Systematic Review Febriani, Ba'da; Anggondowati, Trisari; Silalahi, Jessica Veronica; Fatimah, Fatimah; Nurhalimah, Nurhalimah; Audila, Hanna
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6360

Abstract

The number of people with Type 2 Diabetes Mellitus (T2DM) in Southeast Asia ranks second highest compared to other regions in the world. Lifestyle modification is known to be significant in controlling glycemic control in T2DM patients. Diabetes Self-Management Education (DSME), which includes lifestyle changes such as diet modification and physical activity, has been implemented in healthcare facilities in Southeast Asian countries. Nevertheless, evidence on the advantage of DSME for patients with T2DM in Asia Tenggara remains limited. This systematic review aims to determine the benefits of DSME on glycemic control (HbA1c) among T2DM patients in Southeast Asia. This systematic review searched for relevant articles from three electronic databases, i.e., MEDLINE (PubMed), ProQuest, and Cochrane from 01 Januari 2013 until 30 December 2024. The inclusion criteria for this review are studies with a randomized controlled trial (RCT) design that evaluate the effect of DSME interventions on glycemic control (HbA1c) in patients with T2DM in Southeast Asian countries. Quality of the included studies were assessed using the Risk of Bias (RoB 2.0) Cochrane Methods Bias. A total of 474 studies were identified from the databases, of which six RCT met the inclusion criteria. The review results showed that patients who received at least 3 months of intervention with lifestyle change education, including both diet modification and physical activity, showed a significant reduction in HbA1c. Educational interventions focusing on self-efficacy, particularly in diet modification, effectively reduced HbA1c by 1.1% after 3 months. The benefit of DSME on reduction of HbA1c varied across the different type of interventions. DSME leads to positive effect on glycemic control among patients with T2DM. The diversity of DSME highlights the need for further evaluation of the impact of different types of DSME on the effectivseness of education in achieving long-term HbA1c reduction. PROSPERO registration number: CRD42025634450.
Hubungan Kualitas Pemeriksaan Kehamilan Terhadap Kejadian Stunting Pada Anak Usia 6-23 Bulan di Indonesia (Analisis SKI 2023) Audila, Hanna; Helda, Helda; Ronoatmodjo, Sudarto
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Stunting is still a nutritional problem and remains a major public health issue. Especially in Indonesia, the prevalence of stunting among children under two years old (toddlers) remains high, at 18.50%. The annual average rate of reduction of stunting among toddlers has been relatively slow for over the past 10 years. Therefore, optimizing stunting interventions-particularly during the first 1000 days of life is essential, including through antenatal care (ANC). This study aims to analyze the relationship between the quality of antenatal care and the incidence of stunting among children aged 6-23 months-old in Indonesia, after being controlled by the other variables, such are; sociodemographic factors, pregnancy’s health, and child’s health. This is a cross-sectional study, in which both of the exposures and the outcome were being measured at the same point of time. The data used are from the Indonesia Health Survey in 2023. There are 18.898 weighted-children aged 6-23 months-old and fulfilled the inclusion criteria. The analysis of association was conducted by cox-regression while the time-dependent methods and backward elimination were performed to control the covariate factors. Findings: Children aged 6-23 months-old in Indonesia, whose mothers receive low quality of antenatal care have a 1.23 times higher risk (aPR=1.23, 95%CI: 1.11-1.36, p-value = 0.000) of experiencing stunting, after controlling for the other covariate variables. Receiving at least four antenatal care (ANC) visits and accessing 10 cares can reduce the risk of stunting among children aged 6-23 months old in Indonesia. Keywords : Antenatal Care, ANC, Stunting, Toddlers, The Quality of ANC
Co-Authors fatimah Fatimah Febriani, Ba'da Helda Helda Nurhalimah Nurhalimah Silalahi, Jessica Veronica Sudarto Ronoatmodjo Trisari Anggondowati