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Global Health Management Journal
Published by Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)
ISSN : -     EISSN : 25809296     DOI : 10.35898/ghmj
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
GLOBAL HEALTH MANAGEMENT JOURNAL (GHMJ) focuses on health field with strong preference (but not limited) on public health in general, maternal and child health, nursing, midwifery, sexual and reproductive health, public health nutrition, environmental health, occupational health and safety, health promotion, health economics in South East Asia and other regions. Applied science in health also becomes one of our priority, especially in the field of health information and technology, innovation in health, and development of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives.
Arjuna Subject : -
Articles 279 Documents
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The benefits of automated dispensing machine for hospital pharmacy in Indonesia: situation, implementation, and feasibility Suryadinata, Haryman Utama
Global Health Management Journal Vol 1, No 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Pharmacy as the main core of hospital is responsible for the quality and safety of medicines.Yet the numbers of medication errors are still high. Automated Dispensing Machine (ADM) is one of the solutions to reduce the dispensing errors in pharmacy. Many countries had studied and proved that the use of ADM gives more benefit than liability. However, ADM is considered as something new, a “nice to have” product.Aims: This study will explain the benefits of ADM especially in Indonesian hospital pharmacy.Methods: Systemic Review with PRISMA method uses 5 databases as Scopus, Springerlink, Google Scholar, Science Direct and ProQuest, with keywords Automated Dispensing Machine, Automated Dispensing Device, Automated Dispensing System, Automated Drug Dispensing System, or Robotic Dispensing System. The inclusion criteria are all the studies that showed any impact in minimum of one aspect ofADM in hospital.Results: There are 13 studies that explained ADM benefits such as increase staff satisfaction for the nurse and pharmacist, reduce dispensing errors about 35% or up to reducing all dispensing errors, time saving until 50% in peak hours and cost analysis and effectiveness. The cost anaylsis such as inventory stock reduction, increases the cost saving.Conclusion:In Indonesia, it needs many considerations to implement ADM but it had already installed in 1 Indonesia Hospital. This hospital had proved that ADM can reduce dispensing errors and can solve some pharmacy problem such as the human resources problems and the long waiting time.With the proven benefits of ADM, it is justified for Indonesian hospital to implement ADM and information system in their pharmacy. The effectiveness will perceive the pharmacy andpositively affect to all related departments in hospital. Keywords: Automated dispensing machine, automated dispensing system, automated dispensing device, robotic dispensing system, automated drug dispensing system 
Gargling with Aloe vera extract is effective to prevent the Ventilator-Associated Pneumonia (VAP) Agustina, Mita
Global Health Management Journal Vol 2, No 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Long-term use of a mechanic ventilator may cause Ventilator- Associated Pneumonia (VAP) infection, nosocomial pneumonia that occurs after 48 hours in patients using mechanical ventilation either through the endotracheal tube or the tracheostomy tube. To prevent the occurrence of VAP, antiseptic liquid (mouthwash) such as chlorhexidine 2% maybe recommended. However, gargling using chlorhexidine may also cause allergies, thus, Aloe vera extract could be an alternative. Aims: The purpose of this study was to determine the effectiveness of Aloe vera extract as mouthwash to prevent the occurrence of Ventilator-associated pneumonia. Methods: This research is a quasi-experiment case-control study with a pre- posttest control group design. The sample size in this study was 30 respondents who were equally distributed into two groups; intervention group was administered using Aloe vera extract, while chlorhexidine was practiced for the control group. To determine the occurrence of VAP, Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia was measured on the first day of intubation and the fourth day, enumerated by nurses in the emergency room. CPIS is a set of indicators comprised of temperature, leucocyte, trachea secretion, oxygenation (PaO2/FiO in mm Hg), and thorax photo. CPIS value below than five will be regarded non-VAP, while CPIS scored 6-9 will be diagnosed as VAP. Results: Oral hygiene with Aloe vera extract was able to prevent the occurrence of VAP (p-value = 0.001), but there was no significant difference between the control group and intervention in the CPIS component temperature, leukocytes, tracheal secretions, FiO2, and the thoracic component. Conclusions: Oral hygiene with Aloe vera extract effectively prevented the occurrence of V entilator-Associated Pneumonia (V AP) compared to chlorhexidine. 
Knowledge transfer of advances in applied health and science Macnab, Andrew John
Global Health Management Journal Vol 2, No 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

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The evaluation of early initiation breastfeeding implementation in dr. Mohammad Hoesin Hospital of Palembang, Indonesia: Complaints and barriers Bernolian, Nuswil
Global Health Management Journal Vol 1, No 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Abstract Background: Early Initiation of Breastfeeding (EIB) is a worldwide health demand of both mother and child. EIB programme implementation is the duty and responsibility of all health care practitioners, ranging from executive staff and manager, which haven’t runs well in Dr. Moh. Hoesin hospital. Objective: To identify opportunities and challenges in running the EIB programme in Obstetric Department of Dr. Moh. Hoesin hospital.  Method: In this cross sectional study, all of birth mothers and health professionals were included. Samples were selected by purposive sampling. Secondary data were obtained from the questionnaire respondents which have been tested for validity and reliability. Results: During November to December 2016 period, there were 19 (51.3%) patients did EIB while 18 (48.6%) others did not. Most patients in no EIB group had abdominal delivery (p = 0,003) and complained that no EIB policy in operating room. Most of EIB implementers (29 doctors and 14 midwives) stated that EIB were already done well but complained of low level of maternal EIB knowledge and lack of EIB practice support from hospital manager. While managerial staff (n = 12) blaming the EIB implementers worked attitude for this issue. Our study found disintegration EIB implementation between the managerial and implementer staff.  Conclusion: Our hospital EIB implementation faces challenges, such no EIB policy in operating room, majority of patients are obstetric referral case with complication and unfit for EIB, managerial staff knowledge of EIB differ greatly, low socialization of EIB regulations and other elements of implementation, patient’s level of knowledge, disintegration between the manager and executive staff causing ambiguity in the implementation of the EIB, and the lack of supervision of EIB implementation in the field. Key words: early initiation of breastfeeding, challenge.
The Use of Photo-Essay to Report Advances in Applied Science and Health Macnab, Andrew John; Mukisa, Ronald; Stothers, Lynn
Global Health Management Journal Vol 2, No 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: In the applied health and science disciples there is an expectation that project work is reported through a publication. The conventional papers written to do this follow a structure that includes sections providing background, methods, results and a discussion or conclusion, supported by figures and tables. Sometimes photographs are included, and with more on-line publications the opportunities have increased for these to be available in full color. Borrowing from the field of photojournalism photo-essays are now a publication option where a series of images are used to tell the story; these are often related to health and well-being.Aims: To summarize the methodology used to effectively combine a series of images with a brief text, and short reference list to create a visually engaging and informative short report.Guidelines: Images are taken throughout the project with consent obtained from those whose images will be recognisable. Creative licence is used to compile representative images into a sequence that conveys the background, method, results and outcome(s) of the project. Images need to be of high resolution; editing for light, colour and contrast, and cropping is allowed to increase their clarity and relevance. The ethics of photojournalism apply making inappropriate manipulation of images or erroneous captions unacceptable.Conclusions: Photo-essays are a novel and informative way to report on an applied health, social or scientific topic. The format is an excellent one to use for a brief report, or to prepare a research presentation for a scientific meeting.Keywords: Photograph, Photojournalism, Photo-manipulation.
The diagnostic and prognostic value of right ventricle systolic and diastolic function in inferior myocardial infarction patients Purwaningtyas, Niniek
Global Health Management Journal Vol 2, No 1 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Inferior myocardial infarction (MI) with right ventricular (RV) involvement will increase mortality and morbidity. Data of systolic and diastolic RV function in inferior ST-segment elevation MI (STEMI) are useful to predict the RV involvement.  Aims: To evaluate the prognostic and diagnostic significance of RV systolic and diastolic function compared to RVMI diagnostic criteria by electrocardiography in inferior MI patients.Methods: Consecutive patients with first, acute, inferior STEMI were prospectively assessed. The RVMI was defined as an ST-segment elevation ≥ 0.1 mV in lead V4R. Echocardiography was performed within 24 hours of the inferior STEMI symptoms. We assessed the RVMI diagnostic criteria in inferior MI patients using echocardiography.Results: Out of 31 patients (mean age 56.39 ± 9.02 years), RVMI by electrocardiography and echocardiography was found in 18 (37%). Moreover, multivariate analysis showed that two variables — RV systolic and diastolic function, were independent predictors of RVMI in inferior MI patients. Sensitivity and specificity of the RV systolic function were 94.4% and 69.2%, respectively, while RV diastolic functions were 44% and 76.9%, respectively.Conclusion: RV systolic function predict RVMI with relatively high sensitivity and specificity. RV diastolic function predicts RVMI with relatively low sensitivity but with high specificity.
The UN Sustainable Development Goals; using WHO ‘Health Promoting Schools’ to create change. Macnab, Andrew John; Mukisa, Ronald
Global Health Management Journal Vol 1, No 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Not required for photo essay
Mothers' knowledge of the causes and prevention associated with diarrhea among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar Lwin, Khaing Zar; Edi Putra, I Gusti Ngurah
Global Health Management Journal Vol 2, No 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Diarrhea among under-five children remains a major public health problem in developing countries, such as Myanmar. Its complications contribute to the worse health outcomes as well as increase the child mortality in Myanmar. Hlaing Thar Yar was recognized as a township with the highest incidence of diarrhea in Yangon region. Aims: This study aimed to identify the association of mother’s knowledge on diarrhea with the diarrheal disease among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar. Methods: This was a cross-sectional study by collecting primary data in the Hlaing Thar Yar Township of Yangon, Myanmar from November to December 2016. About 277 records of mothers and their under-five children have been collected through multistage random sampling. A dependent variable in this study was the occurrence of diarrhea among under-five children whilst independent variables consisted of socio-demographic characteristics of parents and five domains of mother’s knowledge on diarrhea. Data were analyzed by using univariate, bivariate and multivariate analysis. Results: This study found that a half (53.43%) of under-five children suffered diarrhea within two weeks prior to the survey. Based on multivariate analysis by controlling all socio-demographic factors, two out of five domains of mother’s knowledge showed significant association. An increased one score of mother’s knowledge on causes and prevention of diarrhea contributed to decrease the likelihood of diarrheal disease by 37% (OR=0.63; 95%CI=0.44-0.90) and 27% (OR=0.73; 95%CI=0.54-0.99), respectively. Conclusions: This study confirmed that the knowledge of mothers on causes and prevention of diarrhea appears to have important effects on the occurrence of diarrhea among the under-five children. Therefore, health promotion program with an emphasis on providing information related to diarrhea causes and prevention is worth to enhance mother’s knowledge and their ability to prevent diarrhea among under-five children in Hlaing Thar Yar Township, Yangon. 
Factors Influencing Stigma to Lesbian, Gay, Bisexual, and Transgender (LGBT) Among Teenagers at Ngaran Village, Gamping, Sleman, Indonesia Astuti, Dhesi Ari; Kurniati, Nurul
Global Health Management Journal Vol 2, No 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: As the part of sexual orientation varieties and gender identities, until now the existence of Lesbian, Gay, Bisexual, and Transgender (LGBT) still becomes a social, theological, and psychological problem. Similar to trauma, low self acceptance, low self esteem, and anxiety, if it is not handled properly, the condition will be getting worse. Aims: The aim of the study is to increase prevention efforts toward growing phenomena of TGBT on teenagers. Methods: This is a quantitative study with one group pretest and posttest design. The work involved a total of 41 teenagers at at Ngaran Village, Balecatur, Gamping, Sleman, Indonesia. A set of questionnaires was given to the respondents to measure knowledge, attitude, perception, service access, and also peer’s attitude to LGBT. Counseling was given once together with material content about LGBT awareness in family. Statistical analysis was employed to process and analyze the data. Results: The result showed factors correlated to stigma about LGBT on teenagers namely knowledge, attitude, perception, access to any service, and peer’s attitude. The most influential factor was knowledge factor with p value 0.00 and peer’s attitude with p value 0.02.Conclusion: After being participated in the study, it is expected that teenagers can give information to the family members, so the family members and the society will have appropriate knowledge and attitude related LGBT stigma. Keywords       : Teenagers, LGBT, Stigma, Indonesia
Engaging schools in diagnosis and treatment of malaria: Evidence of sustained impact on morbidity and behavior Macnab, Andrew John; Mukisa, Ronald; Mutabazi, Sharif; Steed, Rachel
Global Health Management Journal Vol 1, No 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background:  In low and middle income countries (LMICs) teachers send home children found sick in class devolving subsequent care to parents; where malaria is endemic, morbidity is high as the most parents fail to access WHO-endorsed rapid diagnostic testing (RDT and prompt treatment with artemisinin combination therapy (ACT). Consequently malaria is the principal reason a child misses school; so, we trained teachers to use RDT to evaluate all sick pupils and give ACT promptly to those positive.Aims: Pre, intra and post intervention evaluation of impact of using the WHO Health Promoting School (HPS) model to empower teachers to provide RDT and ACT and engage and inform pupils about malaria in 4 schools in rural Uganda.Methods: Documenting duration of absence from school as a surrogate measure for morbidity and change in children’s knowledge and reported behaviors regarding malaria. Pre-intervention (year 1) baseline evaluation of days of absence and children’s malaria knowledge/behavior; Intervention (year 2) trained teachers administered RDT in all sick children and treated those positive with ADT; Post-intervention (end of year 3) after schools independently continued RDT/ACT and education on malaria.Results: Pre-intervention <1:5 pupils had basic knowledge about malaria (caused by mosquitos; can be prevented; requires rapid diagnosis and prompt medication). In year 1: 953 of 1764 pupils were sent home due to illness. Mean duration of absence was 6.5 (SD 3.17) school days. In year 2: 1066 of 1774 pupils were sick, all had RDT, 765/1066 (68%) tested positive and received ACT; their duration of absence fell to 0.59 (SD 0.64) school days (p<0.001). By year 2 all children knew the signs and symptoms of malaria and had essential epidemiological knowledge. Twelve months post intervention the universality of this knowledge had been sustained and the whole-school focus on malaria continued. Children reported better health, more consistent attendance and improved academic achievement, and had become proactive in prevention strategies; 6% fewer tested positive for malaria; and key health knowledge was being passed to new pupils.Conclusion: Teacher administered RDT/ACT reduced child morbidity from malaria significantly; essential knowledge was generated and new health practices acquired that changed behaviors. Our WHO HPS model is applicable to other LMICs where malaria is endemic and morbidity high. 

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