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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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Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia Freya Nazera Iskandar; Ari Suwondo; Bedjo Santoso
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-31553

Abstract

Background: Premature babies are susceptible to a variety of health problems in early of their lives, thus, management of premature care should be designed to optimize the growth and development, with no more cost extension. The management of premature care by non-pharmacological treatments becomes popular nowadays, and applied in the hospital unit care, including the Tactile-Kinesthetic Stimulation (TKS) and Kangaroo Mother Care (KMC).Aims: This study is to present the effect of Tactile-Kinesthetic Stimulation (TKS) on weight gain and reduction length of stay care for premature babies, and to compare the results with the standard Kangaroo Mother Care (KMC) given at the hospital care unit.Methods: The study used a quasi-experimental design with pretest-posttest with a control group. A total of 32 premature babies was equally divided to a control group given a standard KMC procedure and an intervention group receiving the TKS. Sampling was done using a consecutive sampling method where the low birth weight infants were selected from two public hospitals in Semarang of Indonesia, with consent from the parents. Data was then analyzed by a repeated measure ANOVA, general linear model and Mann-Whitney test to find the significant mean difference at p value less than 0.05.Results: The data shows that the babies' weight significantly increased day by day only if the premature neonates received Tactile Kinesthetic Stimulation, gained 148.75 gram only 3 days after the initial measurement. However, from this study we noted that the premature babies' weight at the control group provided only with Kangaroo Mother Care slightly decreased at 35.69 gram at the third day of observation. In average, premature babies receiving TKS need only 3 days before return home, while if receiving the standard KMC the preterm babies required 5 days in the hospital care.Conclusion: Not only effective to gain the weight, giving Tactile-Kinesthetic Stimulation to the low birth weight baby shorter the length of stay in the hospital unit care. It suggests that the TKS intervention will provide good result in maintaining the weight of the low birth weight baby and will reduce the costs of staying in the hospital unit care. Keywords: Tactile-Kinesthetic Stimulation, Kangaroo Mother Care, Low birth weight, Length of stay care, Premature baby Received: 06 September 2018, Reviewed: 13 September 2018, Received: in revised form 24 October 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31553  
Knowledge, attitude, and behavior about sexual and reproductive health among adolescent students in Denpasar, Bali, Indonesia Putu Erma Pradnyani; I Gusti Ngurah Edi Putra; Ni Luh Eka Purni Astiti
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-31554

Abstract

Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems.Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random sampling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV&AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health (SRH), Adolescents, Students, Knowledge, Attitude, Sexual behavior Received: 26 October 2018, Reviewed: 08 January 2019, Received: in revised form 25 February 2019, Accepted: 28 February 2019 DOI: 10.35898/ghmj-31554
Social factors associated to the multiple risk behaviors among high school students: A case study of Hanoi high school students, Vietnam Duong Thi Thu Huong
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23555

Abstract

Background: Young people who engaged in different risk behaviors attracted concern nowadays. Noticeably, the concurrent multiple risk behaviors generate adverse effect to health and their future life.Aims: The objectives of this study were to investigate the prevalence of the concurrent multiple risk behaviors and to evaluate the association between social factors and the concurrent multiple risk behaviors among the high school students in Hanoi, Vietnam.Methods: A quantitative survey with a cross sectional design was applied involving a total of 1,333 Hanoi high school students. The survey was conducted in the end of 2016. The multivariate linear regression models were applied to examine the social factors associated with the concurrent multiple risk behaviors of Hanoi high school students. Eighteen different risk behaviors had been selected for constructing a composite variable of the total risk behaviors that students have engaged in.Results: On average, the high school students have been reported involving in 4.88 behaviors of the 18 selected observed risk behaviors. The multivariate linear regression models with demographic factors and different social connections of high school students could explain for about 37.6% of the difference in composite variable of the total risk behaviors. This present study reveals several factors that increase the number of risk behaviors the students may engage, including the connection to the family's members or friends, duration in social media, and the number of friends in the online network. In the contrast, strong family connection has been demonstrated to provide a "safe haven" for protecting the high school students from involving in increasing multiple different risk behaviors.Conclusion: The research findings strongly recommend early prevention strategies should be conducted among the high school students. The identified concurrent risk behaviors should be targeted as prevention actions rather than focusing on controlling individual risk behaviors. In addition, the involvement of their parents and friends are suggested to be the target audience together with students in concurrent risk behaviors controlling and preventing programs among the high school students and young generation. Keywords: Risk behaviors, Social factors, High school students, Adolescents, Vietnam Received: 30 April 2018, Reviewed: 04 June 2018, Received: in revised form 10 October 2018, : Accepted:  21 October 2018 DOI: 10.35898/ghmj-23555
The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients Mohamat Iskandar; Mardiyono; Hotma Rumahorbo
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23556

Abstract

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital.Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength.Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients.Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412.Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. Keywords: Discharge planning, Range of motion (ROM) training, Nonhemorrhagic stroke patients, Muscle strength Received: 25 August 2018, Reviewed: 01 September 2018, Received: in revised form 23 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23556
Stress, coping, and mental health status among nursing students at a private university in Nakhon Pathom, Thailand Stephanie Molina; Sarah Jane Racal
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23557

Abstract

Background: Stress, especially among young people, leads to life-threatening mental conditions such as depression and suicide. Nursing students, in particular, are exposed to different kinds of stress such as pressures from both academic and clinical exposures coupled with expectations to succeed. These stressors influence individual coping styles which may eventually affect students' mental, physical, and over-all wellbeing leading to the decline in their learning and academic performance.Aims: This descriptive-correlational study was aimed at exploring the relationships among stress, coping, and mental health status among nursing students at a private university in Nakhon Pathom, Thailand.Methods: Using a systematic random sampling, a descriptive cross-sectional study was done among one hundred and fifty 3rd and 4th year nursing students under the international nursing program. The Perceived Stress Scale, Brief COPE, and the General Health Questionnaire were used to assess the level of stress, the coping strategies used, and the mental health status of the respondents. Descriptive statistics, t-test, and Pearson's correlation were used to answer the research questions.Results: It revealed that the nursing students had moderate level of perceived stress, used acceptance as the most common form of coping, and substance use and denial as the least used. Furthermore, the respondents had mild level of mental health related illness. Significant gender differences were found in the perceived level of stress, and use of coping strategies. While mental health status significantly differed according to year level and interest in nursing. Significant mild to moderate relationships were found among perceived stress level, coping strategies, mental health status, and selected socio-demographic variables.Conclusion: The findings of the study provide additional useful information on the relationships of stress, coping, and health outcomes. Results can also be useful in creating a stress management program for nursing students such as awareness on individual stress response and reinforcing the use of healthy coping strategies. Keywords: Stress, Coping, Mental Health, Nursing students, Thailand Received: 08 August 2018, Reviewed: 10 September 2018, Received: in revised form 17 October 2018, Accepted: 21 October 2018 DOI: 10.35898/ghmj-23557
Gargling with Aloe vera extract is effective to prevent the Ventilator-Associated Pneumonia (VAP) Mita Agustina; Bedjo Santoso; Sudirman
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23558

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 preposttest 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 Ventilator-Associated Pneumonia (VAP) compared to chlorhexidine. Keywords: Aloe vera extract, Ventilator-Associated Pneumonia, Clinical Pulmonary Infection Score Received: 25 August 2018, Reviewed: 30 August 2018, Received: in revised form 22 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23558
Mothers' knowledge of the causes and prevention associated with diarrhea among under-five children in Hlaing Thar Yar Township, Yangon, Myanmar Khaing Zar Lwin; I Gusti Ngurah Edi Putra
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23559

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 preven Keywords: Diarrhea, Under-five children, Mothers' knowledge, Causes and prevention, Myanmar Received: 29 August 2018, Reviewed: 31 August 2018, Received: in revised form 08 September 2018, Accepted: 21 October 2018 DOI: 10.35898/ghmj-23559
Knowledge transfer of advances in applied health and science Macnab, Andrew John
GHMJ (Global Health Management Journal) Vol. 2 No. 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Abstract is not required for this Editorial. Below are the summary and keywords the journal provides for insight to our reader.  DOI: https://doi.org/10.35898/ghmj-22202 Summary: The editorial highlighted the practice of starting Global Health Management Journal's edition with selected papers from the prestigious International Conference on Applied Science and Health. The journal follows a gold standard for the peer-review process, ensuring the publication of high-quality research. The primary goal of the journal is to facilitate knowledge transfer and dissemination of advances in applied health and science. The editorial also provides a succinct summary of the key research findings from the selected papers presented at the conference. This approach not only reinforces the journal's dedication to academic rigor but also serves as a platform for sharing valuable insights and advancements in the field of applied health and science. Accepted: 27 June 2018. Keywords: Global Health Management Journal International Conference on Applied Science and Health Gold Standard Peer Review Knowledge Transfer Advances in Applied Health and Science.
Factors Influencing Stigma to Lesbian, Gay, Bisexual, and Transgender (LGBT) Among Teenagers at Ngaran Village, Gamping, Sleman, Indonesia Astuti, Dhesi Ari; Kurniati, Nurul
GHMJ (Global Health Management Journal) Vol. 2 No. 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Lesbian, Gay, Bisexual, and Transgender (LGBT) still becomes a social, theological, and psychological problem. Similar to trauma, low selfacceptance, low self-esteem, and anxiety, if it is not handled properly, the condition will be getting worse.Aims: The objective of this study is to increase prevention efforts toward stigma to the LGBT, a growing phenomenon on the teenagers.Methods: This is a quantitative study with one group pretest and posttest design. The work involved forty one (41) teenagers at at Ngaran Village, Balecatur, Gamping, Sleman, Indonesia. A set of questionnaires that has been tested for validity and reliability 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 the factors correlated to stigma about LGBT on teenagers such as knowledge, attitude, perception, access to any service, and peer's attitude. The study noticed the knowledge to LGBT (p value < 0.001) and peers' attitude (p value = 0.02) strongly build stigma among the teenagers.Conclusion: The most influencing factor of the stigma on LGBT is knowledge and peer attitudes. Involving peers in improving teenagers' knowledge and better understanding to the phenomenon are necessary to suppress discrimination and negative stigma to the LGBT people. Received: 6 February 2018, Reviewed: 12 February 2018, Received in revised form: 16 June 2018, Accepted: 27 June 2018. DOI: https://doi.org/10.35898/ghmj-22192
Sentinel surveillance for HIV among people who inject drugs at Gia Lai Province, Vietnam Hoang, Thang Nghia; Pham, Duoc Tho; Thu, Ha Nguyen Thi
GHMJ (Global Health Management Journal) Vol. 2 No. 2 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: HIV remains a public health challenge, especially among people who inject drug (PWID). The HIV Sentinel Surveillance (HSS), together with the HIV/AIDS case reporting, are two core components of the HIV/AIDS surveillance system providing systematic, on-going monitoring of HIV epidemic in Viet Nam. The HSS was first conducted in 1994 to determine HIV prevalence among the high-risk group by collecting blood sample. But in 2009, this system was monitored the risk behaviors by addition of a brief behavioral questionnaire, known as HSS+. In Central Highland, the HIV situation in Gia Lai province has primarily affected PWID, which are main criteria to select into the surveillance system.Aims: This study aims to determine risk factors for HIV infection to improve intervention programs for PWID in Gia Lai province, Vietnam.Methods: We performed a cross-sectional survey of 150 randomly selected PWID from June to September 2014 in Gia Lai province. Face-to-face interviews were conducted to collect information regarding drug use, sexual behavior, accessibility of HIV/AIDS counseling and testing services. Blood samples were collected and tested for the presence of HIV antibodies using ELISA and rapid test. For data analysis, the frequencies and proportions were calculated. Chi-square or Fisher's exact tests and multivariable logistic regression were performed to assess the association between risk factors and HIV infection.Results: We identified 14 infections among 150 PWID (prevalence = 9.3%). Among PWID, 22.7% (34/150) had shared needles and 3 HIV prevalence among PWIDs injecting drug for at least 3 years was 2.4%. HIV prevalence among PWIDs who have had sexual intercourse with more than one commercial sex worker (CSW) per month was 6.5%. In multivariable logistic regression, the odds of HIV infection with sharing needles, injecting for over 3 years, and sexual intercourse with more than one CSW per month was 6.7 (95% CI: 1.6-27.7), 6.1 (95% CI: 1.2-30.3) and with 4.0 (95% CI: 1.0-15.3), respectively.Conclusion: We identified a few modifiable risk factors among PWID. Based on these data, we recommend improving harm reduction intervention and behavior change communication. The sentinel surveillance site should continue monitoring PWID behavior over time. Received: 28 May 2018, Reviewed: 31 May 2018, Received  in revised form: 11 June 2018, Accepted: 29 June 2018. DOI: https://doi.org/10.35898/ghmj-22201

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