Garuda - Garba Rujukan Digital

Telemedicine in Remote Areas: An Innovative Solution for Equal Access to Healthcare Services Firayani Firayani; Seno Lamsir
Journal of Public Health Indonesian Vol. 2 No. 4 (2025): November-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/mqqwg988

Telemedicine has emerged as an innovative solution to address inequities in healthcare access in remote regions, particularly in developing countries facing geographical constraints and uneven distribution of health workers. This study aims to provide a comprehensive analysis of how telemedicine can support equitable healthcare delivery through an evidence-based systematic approach. Using a PRISMA-guided Systematic Literature Review (SLR), the study synthesized 54 eligible articles identified from 412 publications. The findings indicate that the effectiveness of telemedicine is strongly influenced by digital infrastructure readiness, healthcare workforce competence, socio-cultural acceptance, and policy sustainability. Persistent challenges including unstable connectivity, low digital literacy, workforce overload, and fragmented governance continue to hinder optimal deployment in remote settings. The study concludes that telemedicine can serve as a viable equity-enhancing tool only when structurally integrated into the health system, supported by strategic investments in infrastructure, continuous professional training, and community-centered implementation models. These findings offer a foundation for developing more inclusive and sustainable digital health transformation strategies

Social Media as a Health Promotion Tool: Between Education and Misinformation Theresia N.A Narwadan; Seno Lamsir
Journal of Public Health Indonesian Vol. 2 No. 4 (2025): November-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/1788df52

Social media has become a central instrument for health promotion in Indonesia, yet it simultaneously serves as a fertile environment for health-related disinformation. This study provides a comprehensive analysis of how social media functions in these dual roles both as a tool for health education and a channel for misinformation using a mixed-method integrative review approach. A total of 62 eligible articles were analyzed using thematic synthesis integrating quantitative and qualitative findings. The results reveal that social media can enhance the reach of health education through multimodal content, personalized messaging, and community engagement. However, engagement-driven algorithms, low digital health literacy, and the influence of non-expert figures enable disinformation to spread more rapidly than accurate information. These dynamics highlight the necessity for systemic interventions, including stronger information governance, improved health literacy programs, collaborations with content creators, and platform-level reforms that reduce the visibility of misleading content. The study concludes that social media can only function effectively as a health promotion tool if its educational potential is balanced with comprehensive and contextually grounded strategies to mitigate disinformation.

Ultra-Processed Food and the Risk of Obesity Among Urban Youth Andi Nur Arifah Apriani; Seno Lamsir
Journal of Public Health Indonesian Vol. 2 No. 4 (2025): November-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/vkr8hy39

Ultra-processed food (UPF) consumption has risen sharply among urban adolescents in Indonesia due to the modernization of food environments, digital media exposure, and lifestyle transitions. This study examines the relationship between UPF consumption and adolescent obesity using a PRISMA-guided Systematic Literature Review (SLR), synthesizing 58 eligible articles from an initial 612 publications. Findings indicate that UPF consumption is driven by high accessibility, low cost, pervasive digital marketing, obesogenic school environments, and socio-cultural preferences that normalize fast-food intake. Physiologically, UPFs are energy-dense, low in fiber, and contain additives and added sugars that impair appetite regulation, contributing to excessive caloric intake and adiposity. Behavioral mechanisms such as screen-time snacking, emotional eating, and peer influence further exacerbate weight gain risks. Moreover, urban food environments with dense concentrations of convenience stores and fast-food outlets restrict access to healthier options. The study concludes that reducing adolescent obesity requires multi-level strategies including UPF marketing regulations, healthy school food zoning, digital nutrition education, and structural improvements to urban food environments. These findings underscore the need for comprehensive interventions to reduce UPF consumption and enhance urban adolescent health outcomes in Indonesia

The Readiness of the National Health System in Facing a Global Health Crisis Seno Lamsir
Journal of Public Health Indonesian Vol. 2 No. 4 (2025): November-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/a9cy2248

National health system preparedness is a critical determinant of a country’s ability to respond to increasingly frequent global health crises. This study analyzes Indonesia’s readiness through a Systematic Literature Review (SLR) using PRISMA 2020 guidelines. A total of 67 articles from 742 identified publications were reviewed to assess technical capacity, governance, financing, workforce readiness, and digital health integration. Findings indicate that Indonesia has made progress in laboratory expansion, digital health initiatives, and intersectoral coordination. However, structural challenges remain, including unequal distribution of health facilities, limited workforce density, fragmented information systems, and insufficient health financing. The study highlights that preparedness must be multidimensional by strengthening real-time surveillance, integrated digital systems, sustainable financing, and responsive cross-sector governance. The results provide evidence-based insights to support long-term strategies for building a more resilient national health system capable of confronting future global crises

Mental Health Stigma and Barriers to Accessing Psychological Services in Urban Communities Kori Puspita Ningsih; Seno Lamsir
Journal of Public Health Indonesian Vol. 2 No. 4 (2025): November-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/g326fz71

Mental health stigma remains a major obstacle to accessing psychological services in urban communities. This study employs a Systematic Literature Review guided by PRISMA to examine public stigma, self stigma, structural barriers, and digital factors influencing help seeking behaviors. Out of 684 identified publications, 62 articles met the criteria and were thematically synthesized. The findings indicate that stigma is reinforced by cultural norms, social expectations, and gaps in mental health literacy. Economic barriers, limited workforce distribution, and fragmented service systems further restrict access. While digital mental health platforms offer new opportunities, digital inequalities and privacy concerns reduce adoption among vulnerable groups. The study highlights that reducing stigma and improving access require multidimensional approaches involving policy reform, community based interventions, mental health education, and safe, inclusive digital solutions. These findings provide an evidence based foundation for designing systemic interventions to strengthen urban mental health ecosystems in Indonesia

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