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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.
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Articles 281 Documents
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Protected sex with paid sexual partner among married men in Indonesia I Gusti Ngurah Edi Putra
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32541

Abstract

Background: Married men who are male clients of sex workers play an important role as "bridge population" of HIV infection from the concentrated epidemic population to the general population. This study aimed to investigate the protected sex with last paid sexual partner among currently married men in Indonesia.Methods: A nationally representative population-based survey, 2012 Indonesia Demographic and Health Survey (IDHS) which covered 33 provinces in Indonesia was applied in this study. Out of 9,306 currently married men, 510 records of married men who reported for ever paying someone for having sex were eligible for this study. A dependent variable was protected sex (i.e. condom use) at last sex with a paid sexual partner whilst independent variables consisted of socio-demographic factors, spousal communication on HIV prevention, knowledge of HIV prevention, and attitude of condom use. Binary logistic regression was applied for bivariate and multivariate analysis.Results: Prevalence of condom use with a paid sexual partner at last sex among currently married men was 27.86% [95%CI=23.89-32.20]. Based on multivariate analysis, married men were less likely to use a condom with a paid sexual partner if they aged 40 years old (OR=0.48; 95%CI=0.30-0.76) versus those aged < 40 years old and worked in some sectors: clerical (OR=0.22; 95%CI=0.08-0.61), sales (OR=0.40; 95%CI=0.17-0.95), agricultural/selfemployed (0.32; 95%CI=0.13-0.75), skilled manual (OR=0.38; 95%CI=0.18-0.79) compared to those working in professional/technical/engineering sectors. However, those who were from poorer (OR=2.28; 95%CI=1.08-4.82) and richest household (OR=3.08; 95%CI=1.32-7.20) were more likely to perform protected sex compared to the poorest ones. In addition, the likelihood of protected sex also increased when married men had spousal communication on HIV prevention (OR=1.84;95%CI=1.17-2.90), knew that using condoms can reduce HIV infection (OR=2.15; 95%CI=1.14-4.08) and had a positive attitude of using condoms can protect against diseases (OR=3.05; 95%CI=1.14-8.16).Conclusion: Since condom use with a paid sexual partner was low, interventional approach by providing HIV-related information targetting married men who are clients of sex workers is essential. The intervention can be integrated with the current existing programme on key affected population (KAP), such as FSWs as the potential sexual partner of married men. Keywords: Married men, clients, condom use, paid partners, protected sex, HIV, IndonesiaReceived: 1 January 2019; Reviewed: 29 April 2019; Revised: 1 May 2019; Accepted: 22 June 2019 DOI: 10.35898/ghmj-32541    
Effect of red fruit oil soap (Pandanus conoideus LAM) as wound cleansing on wound healing and the number of bacterial colonies among Grade II Diabetic Ulcer Patients at Griya Qound Care Clinic Kudus, Indonesia Hevny Kartika Dewi; Mardiyono; Sudirman; Djenta Saha
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32542

Abstract

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process. This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer. Keywords: Red fruit oil soap, Wound cleansing, Wound healing, Diabetic ulcerReceived: 25 August 2018; Reviewed: 4 September 2018; Revised: 24 June 2019; Accepted: 28 June 2019 DOI: 10.35898/ghmj-32542
Cost awareness analysis on acute appendicitis treatment with social security agency for health (BPJS in health sector) at Budi Kemuliaan Hospital Batam Anjari Wahyu Wardhani; Chriswardani Suryawati; Puji Harto
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32543

Abstract

Background: Financial costs are recognized as one of the causes of lack of access to adequate health services, not least in the treatment of Acute Appendicitis with Social Security Agency for Health (BPJS in Health) in Budi Kemuliaan Hospital, Batam. Data describing health workers' awareness of costs is still limited. Increasing awareness of health workers can encourage increased treatment efficacy and reduce wasteful spending costs. This research aims to analyze the cost awareness of health workers' in the efficiency of Acute Appendicitis treatment.Methods: This research was a qualitative descriptive study accompanied by direct observation on the implementation of clinical pathways and SOP in cases of Appendicitis Acute in Budi Kemuliaan Hospital, Batam. In this study also conducted interviews involving nine main informants and three triangulation informants.Results: The average loss value Budi Kemuliaan Hospital in 2017 was Rp. 3,898,635, - and increased in 2018 to Rp.5,597,241,-. Low knowledge of health workers about case-mix which causes low cost awareness behavior. There was a low awareness of costs identified in the implementation of clinical pathways and SOP in cases of Appendicitis Acute in general surgeons, resulting in high financing. There was also low management monitoring. This has the potential to be a source of financial loss for hospitals.Conclusion: The lack of cost efficiency for Appendicitis Acute due to lack of cost awareness and monitoring of hospital management, so that it is necessary to carry out periodic monitoring related to the Cost awareness behavior of health workers. Keywords: cost awareness, Appendicitis Acute, Social Security Agency for Health, BPJS in Health, cost efficiencyReceived: 7 February 2019; Reviewed: 29 April 2019; Revised: 29 June 2019; Accepted: 29 June 2019 DOI: 10.35898/ghmj-32543
Determinants of condom use status among men who have sex with men (MSM) group in 5 Indonesian cities in 2015 Ni Wayan Putri Larassita Parwangsa; Krisnawati Bantas
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32544

Abstract

Background: Significant increase in HIV cases among men who have sex with men (hereafter MSM) group during the 2015-2016 period confirmed that sexual behavior is a major risk factor in exposure to HIV & AIDS with unprotected sexual intercourse as the dominant risk factor. This study aims to identify the determinants of condom use status among MSM group in 5 cities in Indonesia.Methods: This study used a cross sectional design, carried out in 5 cities in Indonesia: Jakarta, Bandung, Semarang, Surabaya, and Denpasar using secondary data from the Integrated Biological and Behavioural Survey (IBBS) in 2015.Results: Variables that are significantly related to the condom use status were marital status, exposure to information on HIV&AIDS, and knowledge about condoms. The marital status variable has a POR value of 1.351 (95% CI OR 0.709 í¢AS 2.576), whilst exposure to HIV&AIDS information has 1.668 (95% CI OR 1.148 í¢AS 2.422) POR value, and knowledge about condoms has POR value as much as 1.925 (95% CI OR 1.274 í¢AS 2.907).Conclusion: The number of respondents who used condoms consistently for the past one month were 76.1% and those who did not were 23.9%. Variables that are significantly related to the behaviour of not using condoms are marital status, exposure to HIV&AIDS information, and knowledge of condoms. Keywords: Determinants, Behavior, Condom, MSM, HIV&AIDS Received: 12 March 2019; Reviewed: 16 April 2019; Revised: 26 April 2019; Accepted: 30 June 2019 DOI: 10.35898/ghmj-32544
Teach your children well Andrew J Macnab
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32547

Abstract

This perspective looks at the importance of providing parents with the information they need to make informed decisions about their children's health, and particularly of encouraging parents to teach their children health-related practices that help prevent illness and injury; it is the viewpoint of a grandparent who is also a children's doctor. Keywords: Perspectives, Parents, Children's Health, Health Practices Received: 7 May 2019; Reviewed: 13 June 2019; Revised: 14 June 2019; Accepted: 19 June 2019 DOI: 10.35898/ghmj-32547  
Wound healing angiogenesis: A perspective of nurse Alia Andriany; Takdir Tahir; Elly Lilianty Sjattar; Julianus Ake; Hasanuddin Nuru
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31548

Abstract

-Abstract is not required - Keywords: Wound healing, Angiogenesis, Regulating Factors, Nurses, Perspectives Received: 08 January 2019; Reviewed: 19 January 2019; Received: in revised from 25 February 2019; Accepted: 28 February 2019 DOI: 10.35898/ghmj-31548
A modified gentle human touch (GHT) to increase oxygen saturation levels on low birth weight infants: A study at a Private and Public Hospital in Central Java, Indonesia Agi Yulia Riadini; Agus Suwandono; Runjati
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31549

Abstract

Background: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home. Keywords: Gentle human touch, Left lateral position, Low birth weight babies, Oxygen saturation. Received: 25 August 2018, Reviewed: 04 September 2018, Received: in revised form 26, February 2019, Accepted: 28 February 2019 DOI: 10.35898/ghmj-31549  
The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia Agista Delima Permadani; Mardiyono; Aris Santjaka
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31550

Abstract

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14 (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma. Keywords: Alkaline water, Asthma-induced exercise, Peak expiratory flow rate Asthma Received: 25 August 2018, Reviewed: 06 September 2018, Received : in revised form 23 February 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31550  
Potential of garlic (Allium sativum) essence in changing blood lipid profile of the hypertension patients with hypercholesterolemia Hadi; Suharyo Hadisaputro; Djamaluddin Ramlan
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31551

Abstract

Background: As like hypertension, hypercholesterolemia is a major risk factor for cardiovascular disease and hypertension and its complications are one of the highest causes of death in the world.Aims: This study aims to determine the potential of garlic essence (Allium sativum) mixed with honey in changing blood pressure and lipid profile of blood in the hypertension patients with hypercholesterolemia, and to compare the effectiveness with those who received Simvastatin, the most preferred pharmacological treatment of hyperlipidemia.Methods: This research is a quasy experiment study with a Nonequivalent control group design. There were 22 hypercholesterolemia outpatients purposively selected from local health centers. The respondents were then divided equally to (a) a control group where the patients were provided with generic Simvastatin 10 mg single dose taken once in the afternoon, and (b) an intervention group where the respondents received a non-pharmacological supplement of garlic essence in 2 grams honey. The blood pressure and the blood lipid profile were examined before (Pretest) and at the Day 22 after the treatment (Posttest). The collected data was then analyzed using a T-test to define the significant mean difference between two groups, and a Cohen's effect was measured to interpret the size of changes.Results: Either the additions of Simvastatin or the provision of garlic essence mixed with honey decreased the blood pressure (systole and diastole) and the cholesterol, triglyceride, and LDL cholesterol, but increased the HDL cholesterol. While significant difference was observed for all parameters at the intervention group, the improvement at the control group for triglyceride was not significant (p value = 0.041). Overall, by the Cohen's effect size effect, we can interpret that the changes was moderate for diastole and systole blood pressure, and also triglyceride and DLD-cholesterol; however the effect size was low for Cholesterol and HDL-cholesterol.Conclusion: The findings show the importance of the garlic essence mixed with honey to be offered as a nutritional supplement for hypertensive patients with hypercholesterolemia. Keywords: Garlic (Allium sativum) essence, Simvastatin, Hypertension, Hypercholesterolemia, Blood pressure, Blood lipid profile Received: 25 August 2018, Reviewed: 03 September 2018, Received: in revised form 24 February 2019, Accepted: 28 February 2019 DOI: 10.35898/ghmj-31551
The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia Muzaroah Ermawati Ulkhasanah; Suharyo Hadisaputro; Rr. Sri Endang Pujiastuti
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31552

Abstract

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease.Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients.Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test.Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560).Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone. Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglyceride Received: 25 August 2018, Reviewed: 04 September 2018, Received: in revised form 23 February 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31552

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