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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)
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info@inschool.id
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GHMJ@inschool.id
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Kota semarang,
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INDONESIA
Global Health Management Journal
ISSN : -     EISSN : 25809296     DOI : 10.35898/ghmj
Core Subject : Health, Education,
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 281 Documents
The Period of Perineal Wound Healing in Postpartum Mothers Between The Decoction Water Treatments of Bihanong Leaves with Red Betel Leaves Nahdiyah Karimah; Nur Khafidhoh; Triana Sri Hardjanti; Riska Ismawati Hakim
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33454

Abstract

Background: The global prevalence of the second degree of the perineal wound of postpartum mothers is 73.4%. Pharmacological treatments have a cytotoxic effect. Other treatments is non-pharmacological treatments are such as using decoc on waters of binahong leaves and red betel leaves. Both have compounds that accelerate epithelializa on of wounds. This study aims to analyze the differences of the perineal wound recovery period of postpartum mothers between the decoc on water treatments of binahong leaves compared to red betel leaves. Methods: This study is a quasi-experiment post-test only without control group design. There are 32 respon- dents mee ng the inclusion criteria who are taken by accidental sampling. The sample is divided equally into two groups, namely binahong group and the red betel group. Binahong or red betel leaf decoc on waters are used for genital washing a er urina ng at the last rinse at 7 am and 3 pm on 1-3 postpartum days. Perineal wound recovery is assessed by using the REEDA score from the second postpartum day un l the wound fully recovered. Sta s c analysis with chi-square, me series analysis, Mann Whitney and Kruskal Wallis test. Results: The average of perineal wound recovery period of binahong group is 6 days, while the red betel group is 4.69 days. There are significant differences of perineal wound recovery period between the binahong group and the red betel group with a p-value of 0.0001 < α (0.05). Respondents’ characteris cs are age, BMI, frequency of changing pads, and educa onal background between binahong and red betel groups have no significant differ- ences. Conclusion: Red betel leaf decoc on water is recommended for postpartum mothers suffering perineal wounds. Further research is needed with a larger number of respondents and true experiments are needed to analyze the effect of red betel leaves on perineal pain, platelets, and leukocyte level.
Determinants of Pre-Diabetes on Teenagers in Palangka Raya City Ester Inung Sylvia; Gad Datak; Visia Didin Ardiyani
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33455

Abstract

Background: Pre-diabetes is a stage prior to diabetes mellitus (DM) and many studies in west countries found the risk factors of diabetes were mostly related to the nutri onal status of being overweight and obese. Dia- betes mellitus is not only experienced by adults but also by teenagers. They have the poten al for pre-diabetes because they may have unhealthy lifestyles such as smoking, consuming alcohol, high-calories, and junk foods and lack of physical ac vity. This study aims to determine the risk factors of pre-diabetes among senior high school students in Palangka Raya, Central Kalimantan, Indonesia. Methods: This study was a qualita ve study using a ques onnaire as an instrument for data collec on. It consists of a set of ques ons on diabetes risk. This research conducted in four public senior high schools in Palangka Raya with the total sample was 131 respondents have par cipated in this research. Results: 25 respondents (19.1%) from a total sample of 131 par cipants suffered from pre-diabetes and 30.5% of respondents had a family with DM. Some students (6.9%) had a smoking habit and 13% incidence of pre- diabetes in high school students related to these factors (R2: 0.13). Only less than half of the total respondents (43.5%) had a normal BMI. As many as 39.7% of respondents were undernourished while the rest were over- weight. Conclusion: Pre-diabetes factors on teenagers in Palangka Raya are female dominate had a history of DM, and being overweight. This study further leads to the importance of weight control that focusing on physical ac vity and dietary management as early precau ons. Health educa on is required to suppress the number of risk fac- tors for diabetes.
Storage Stability of High Fiber Snack Bar Ivana Aprilia Pratiwi; Varongsiri Kemsawasd; Thunnalin Winuprasith
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33456

Abstract

Background: Recently, there has been considerable interest in increasing the dietary fiber content in food products because of inadequate dietary fiber consump on when considering the daily recommended intake. To in- crease dietary fiber intake, dietary fiber for fied foods are recommended. This study aimed to develop a high fiber snack bar (HFSB) using a combina on of Jerusalem ar choke powder (JAP) and low-fat desiccated coconut (LFDC) as sources of dietary fiber. Methods: The changes in physicochemical and microbiological proper es, and sensory acceptability were mea- sured during storage at 35 oC and 45 oC for 12 weeks. Therefore, the shelf-life of the products was calculated by Q10 test. Results: The HFSB had a higher L* value (lightness) than control (C) due to the addi on of LFDC. Total dietary fiber of the HFSB was approximately 3.7 mes higher than that of the C formula. The L*, a*, and b* values of both C and HFSB were sta s cally significant different (p<0.05) a er storage. The total color different ( E) values of the HFSB were higher than those of the C formula due to inulin from JAP, which par cipated in the Maillard reac on. During storage, the moisture content (MC) and water ac vity (aw) of the HFSB remained more stable compared to those of the C due to the water-holding capacity of the fiber used. The aw of the C and HFSB during storage were in the range of 0.57to 0.60 and 0.53 to 0.57, respec vely. Those ranges should be stable against microbial growth. Higher storage temperature would increase the TBARS values and decrease the pH (p<0.05) of the C and HFSB due to deteriora on. In terms of shelf-life calcula on, the C and HFSB snack bar could be kept in metalized polyester at 30 oC for 11 weeks. Conclusion: The JAP and LFDC exhibited great poten al for use as fiber ingredients. Although the JAP and LFDC influenced the physicochemical proper es and sensory acceptability, the shelf-life of both C and HFSB was com- parable. Therefore, further studies should be conducted to extend the shelf-life of the formulated snack bar.
The Correlation of Age, Gender, Heredity, Smoking Habit, Obesity, and Salt Consumption with Hypertension Grade in Cirebon, Indonesia Alif Hamzah; Uswatun Khasanah; Dini Norviatin
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33457

Abstract

Background: Hypertension is one of the most global killer diseases that causes death. The World Health Or- ganiza on es mated around 1.5 billion people in the world will be diagnosed with hypertension every year. The increasing incidences of hypertension in the world may be affected by several predictors including age, sex-linked, heredity, smoking habit, obesity, and salt consump on. This study has objec ve to examine those predictors to hypertension grade. Methods: This research was used observa onal analy c method with cross-sec onal study. This study involved 136 respondents who came to Kalijaga Permai Public Health Center, Cirebon City. The variables were measured by microtoise, sphygmomanometer, stethoscope, scales, and ques onnaires. Spearman correla on test and lo- gis c regression test was analyzed for this study. Results: 59.9% of respondents were in hypertension grade 1 and 54% of respondents were in high risk age. The bivariate results revealed that age, sex-linked, heredity, and salt consump on were sta s cally correlated with hypertension grade (p=0.001). However, smoking habit and obesity were not sta s cally correlated. Mul vari- ate analysis found that those who add extra salt were 3.3 mes more likely to have hypertension grade 2 and those in high risk age were 3.1 more likely to have hypertension grade 2 as well. Compared with female and those who have nega ve heredity, male and posi ve heredity were 2.7 mes more likely to have hypertension grade 2. Conclusion: Salt consump on, age, sex-linked, heredity was significantly correlated with hypertension grade. Salt consump on was a risk factors which has the highest impact. Public health center should educate people about the recommenda on of daily salt intake to prevent the excessive intake that may affect hypertension.
In Vitro Inhibitory Activity of Dayak Onion (Eleutherine bulbosa Mill.) Essential Oil Against Klebsiella pneumoniae Marwan Hermawan; Amanah Amanah; Nurbaiti Nurbaiti
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33458

Abstract

Background: The cases of Klebsiella pneumoniae infec on in West Java province is s ll high. Klebsiella pneu- moniae bacterium can produce the Extended Spectrum Beta Lactamase enzyme leading to an bio cs resistant, so it is important to look for natural and inexpensive an bio c alterna ves; one of which is Dayak onion plant (Eleutherine bulbosa Mill). The content found in Dayak onion is believed to inhibit the growth of Klebsiella pneu- moniae bacteria. This study aims to determine the effec veness of Dayak onion essen al oil on the growth of Klebsiella pneumoniae bacteria. Methods: This study was an experimental study with a post-test control group design using the culture of Kleb- siella pneumoniae on the media Muller Hinton Agar in 7 groups. Groups 1 to 5 (K1 to K5) were given sequen ally Dayak Onion essen al oil solu on in 10% DMSO solvent with concentra ons of 50%, 25%, 12.5%, 6.25%, and 3.125%. Group 6 (K6) was posi ve control (+) with 5 μg Levofloxacin, and Group 7 (K7) was Nega ve (-) with 10% DMSO. The treatment results were measured by the diameter of the host zone and the collected data were analyzed using One-way ANOVA with appropriate Post hoc analysis. Results: The results showed that that there are differences in each group to inhibit the growth of bacteria (p <0.005). K1 are higher than K2, K3, K4, K5, and K7 with increasing concentra ons showed greater inhibi on. Levofloxacin (K6) showed the highest inhibitory power. Conclusion: The results showed that that there are differences in each group to inhibit the growth of bacteria (p <0.005). K1 are higher than K2, K3, K4, K5, and K7 with increasing concentra ons showed greater inhibi on. Levofloxacin (K6) showed the highest inhibitory power.
Critics on Policy of Soy-Based Infant Formula in Indonesia: Compared to Australian and New Zealand Food Standards Agnescia Clarissa Sera
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33459

Abstract

Background: World Health Organiza on (WHO) recommends breast milk as sole and the most complete infant food during the first 6 months. However, in certain circumstances, when breas eeding is not possible, not de- sired or not advised, infant formulas like those are made of soy can be given to newborns. However, the safety of long-term use soy-based formula has been argued due to the possible adverse effects of phytoestrogen, phytates and aluminum in human body as well as the consequences of agrochemicals residue. Therefore, those problems should be taken into account while developing, reviewing or amending policy of infant formulas. This ar cle re- views the adequacy of soy-based infant formula policy in Indonesia to an cipate issues in SIF consump on. Methods: Australian and New Zealand Food Standards Code was used to compared to the decree of Indonesian NADFC. The results were described narra vely and analyzed from the perspec ve of the author. Results: Accordingly, only small aspects of SIF are regulated in Indonesian policy. The use of SPI for SIF in In- donesia is not a compulsory though scien fically another source may trigger diarrhea in newborn baby. No clause related to aluminum content, zinc to copper ra o, isoflavone level, GM soy and pes cide residue found in In- donesian policy. Conclusion: Apparently, very limited provision regarding SIF has been covered by Indonesian policy. The regu- la on of SIF marketed and manufactured in Indonesia should be more specific and developed based on recent clinical and epidemiological studies. On the other hand, Indonesia needs a comprehensive system where society may par cipate in reviewing the laws.
Global health initiatives to reduce malaria morbidity in school-aged children Andrew John Macnab
GHMJ (Global Health Management Journal) Vol. 4 No. 1 (2020): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-41495

Abstract

Aim: To review global initiatives to reduce the burden of disease from malaria on school-aged children. The focus is on approaches with potential to reduce mortality and morbidity, improve the health and ability of children to attend school, avoid malaria impacting their potential academic achievement, and minimize the risk of short- and long-term cognitive impairment. Methods: Literature searches using defined terms related to malaria and education, and a scoping review of the key literature selected,  to provide a narrative summary of the challenges and potential solutions identified. Results: There is robust evidence that school-aged children are particularly vulnerable to malaria, and need special measures to protect them; calls are widespread for better diagnostic approaches and program innovation because of current levels of malaria-related morbidity and mortality. School-based programs that educate children broadly on causation, prevention and care required can improve access to timely diagnosis and treatment; however, currently national malaria control interventions do not specifically target school-age children. The literature describes intervention strategies that include seasonal chemoprophylaxis, intermittent protective treatment and antimalarial therapy linked to mass drug administration for neglected tropical diseases. Recently, a community participatory intervention model based on WHO-endorsed diagnostic and treatment principles has taught teachers to screen all children sick at school using rapid point-of-care diagnostic testing and treat promptly with Artemesinin combination therapy; morbidity and absenteeism are significantly reduced. There is no consensus on the optimal intervention strategy; approaches will need to vary, but  evidence of ‘what works and why’ exists to guide constructive implementation measures in each endemic region.   Conclusion: Malaria exemplifies how health inequity negatively impacts a child’s health and ability to benefit from education, yet simple and effective school-based approaches exist that positively impact morbidity, provide access to WHO-endorsed diagnosis and treatment, are applicable worldwide and can  increase the capacity of children to learn. Keywords: Absenteeism; Artemesinin Combination Therapy; Cognitive Impairment; Intermitient Protective Treatment;Rapid Diagnostic Testing; Seasonal Malaria Chemoprophylaxis; Teachers Received: 14 May 2020 Reviewed: 14 June 2020 Revised: 28 June 2020 Accepted: 28 June 2020DOI: 10.35898/ghmj-41495
Predisposing Factors Related to Four ANC Visits (K4) on TM III Pregnant Women at Danurejan I Primary Health Center of Yogyakarta Yulyani, Linda; Daryanti, Menik Sri
GHMJ (Global Health Management Journal) Vol. 4 No. 1 (2020): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-41496

Abstract

Pregnancy may cause problems or become a complication at any time. However, complications of pregnancy and childbirth can be prevented by regular antenatal care (ANC) visits. Four ANC visits (K4) are indicators used to assess the quality of health services for pregnant women. Four ANC visits (K4) are also the indicators to see the frequency that refers to the trimester period when conducting a pregnancy check. Nationally, performance indicators for the coverage of four ANC visits (K4) on pregnant women in 2014 did not reach the target. There are various factors that may contribute to an unsuccessful four ANC visit (K4) of pregnant women that come from predisposing, enabling and reinforcing factors. The objective of the study is to investigate the correlation between maternal age and four ANC visits (K4) on TM III (trimester III) pregnant women at Danurejan I Primary Health Center of Yogyakarta. It is an analytic observational study design with cross-sectional approach. The sample was taken by accidental sampling technique with the inclusion and exclusion criteria as many as 30 TM III pregnant women. The result of this study shows that from four factors that analyzed, only two factors have a significant relationship with four ANC Visits (K4), which are maternal age (pv=0.000) and parity (pv=0.000). Meanwhile, education level (pv=0.155) and occupation (pv=0.210) have no correlation with four ANC Visits K4). Therefore, it can be concluded from this study that the maternal age and parity are the predisposing factors related to the four ANC Visits (K4). As a result, it is clear that promotion and prevention efforts such as health education about mature age at marriage and improving family planning programs are essential to increase four ANC Visits (K4). Future studies are expected to be conducted on larger sample sizes and different epidemiological approaches.
Understanding community's behavioral responses towards Covid-19: Who comply, who don't and reasons of incompliance Dyah Anantalia Widyastari
GHMJ (Global Health Management Journal) Vol. 4 No. 1 (2020)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-41497

Abstract

Perspectives: *) Behavioral responses towards Covid-19 measures: who comply, who donot and reasons of incompliance *) Has the government convey the right messages to the public?
Predisposing Factors Related to Four ANC Visits (K4) on TM III Pregnant Women at Danurejan I Primary Health Center of Yogyakarta Linda Yulyani; Menik Sri Daryanti
GHMJ (Global Health Management Journal) Vol. 4 No. 1 (2020)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-41538

Abstract

Pregnancy may cause problems or become a complication at any time. However, complications of pregnancy and childbirth can be prevented by regular antenatal care (ANC) visits. Four ANC visits (K4) are indicators used to assess the quality of health services for pregnant women. Four ANC visits (K4) are also the indicators to see the frequency that refers to the trimester period when conducting a pregnancy check. Nationally, performance indicators for the coverage of four ANC visits (K4) on pregnant women in 2014 did not reach the target. There are various factors that may contribute to an unsuccessful four ANC visit (K4) of pregnant women that come from predisposing, enabling and reinforcing factors. The objective of the study is to investigate the correlation between maternal age and four ANC visits (K4) on TM III (trimester III) pregnant women at Danurejan I Primary Health Center of Yogyakarta. It is an analytic observational study design with cross-sectional approach. The sample was taken by accidental sampling technique with the inclusion and exclusion criteria as many as 30 TM III pregnant women. The result of this study shows that from four factors that analyzed, only two factors have a significant relationship with four ANC Visits (K4), which are maternal age (pv=0.000) and parity (pv=0.000). Meanwhile, education level (pv=0.155) and occupation (pv=0.210) have no correlation with four ANC Visits K4). Therefore, it can be concluded from this study that the maternal age and parity are the predisposing factors related to the four ANC Visits (K4). As a result, it is clear that promotion and prevention efforts such as health education about mature age at marriage and improving family planning programs are essential to increase four ANC Visits (K4). Future studies are expected to be conducted on larger sample sizes and different epidemiological approaches. Keywords: Pregnancy; Predisposing; Four ANC Visits Received: 5 June 2020 Reviewed: 18 July 2020 Revised: 24 July 2020 Accepted: 28 August 2020DOI: 10.35898/ghmj-41538

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