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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 282 Documents
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Improving Pulmonary Tuberculosis Treatment Adherence: The role of patient knowledge in Cirebon, West Java, Indonesia Marfuati, Sri; Fitriani, Hikmah; Weni, Mustika; Riawan, Firanda Putri
GHMJ (Global Health Management Journal) Vol. 7 No. 2 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-72987

Abstract

Background: With 10 million cases around the world, pulmonary tuberculosis (TB) has been classified as a highly contagious disease and mostly affecting low and middle countries. Having the second highest incident cases in West Java of Indonesia, Cirebon becomes a challenging city in order to reduce the number of TB cases in the country. Aims: This study aims to identify the patients’ knowledge and treatment phases, and how the two factors encourage patients to comply with their medication. Methods :  This cross-sectional observational study was conducted among 91 new pulmonary tuberculosis patients at the Cirebon City Community Lung Health Centre, selected using random sampling. Not only respondent characteristics, but also data on the patients' knowledge levels, treatment phases, and medication adherence were collected using a questionnaire and medical records. To assess the relationship between these variables, the collected data was then analyzed using the Spearman Correlation test. Ethical clearance was obtained from the Health Research Ethics Commission, and informed consent was gathered from all participants. Results: This study reveals the most updated characteristics of the Tuberculosis patients at the Cirebon City Community Lung Health Center aged 15-64 years old with treatment duration ranged 1-6 months. The majority have insufficient knowledge about tuberculosis (45.1%), and 75.8% of patients adhered to their prescribed medication regimen, regardless of their knowledge level. The data indicates a significant positive correlation between knowledge level and medication adherence (p = 0.015), with 95% of patients with good knowledge adhering to treatment compared to only 34% with poor knowledge. Furthermore, there is a significant relationship between adherence and treatment duration (p = 0.002), as 85% of patients who adhered to treatment did so for more than two months. Conclusion: The study shows that patients with better knowledge of tuberculosis are more likely to stick to their medication, which also leads to longer treatment durations. Given the high incidence of TB in the region, these findings suggest the need for targeted educational programs to enhance patients' understanding of TB, thereby improving adherence to treatment protocols. Received: 20 May 2024, Reviewed: 09 June 2024, Revised: 26 August 2024, Accepted: 30 August 2024.
Determinants of Fish Consumption in East Kalimantan, Indonesia: Health Knowledge, Socio-Economic Factors, and Sustainable Fishing and Culturing Practices Oktawati, Nurul Ovia; Boa, Handayani
GHMJ (Global Health Management Journal) Vol. 7 No. 2 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-72996

Abstract

Background: Fish consumption preferences vary among communities. The issue of fish consumption achievement of East Kalimantan residents which has decreased compared to 2019 has encouraged the government to intensify programs, especially considering socio-economic factors for liking to consume fish. In this study, the issue of fish consumption is also associated with the residents’ knowledge of the benefits of fish nutritional content for health. Aims: This recent study aims to investigate the appreciation of East Kalimantan residents for the health of fish consumption benefits and to analyze factors which influence the fish consumption of East Kalimantan residents. Methods: Data collection was done through a questionnaire completed by 160 people in 10 regency and city sites in East Kalimantan with purposive random sampling method during January to March 2024. Also employing Multiple Linear Regression (MLR) is in data analysis. Results: Most of East Kalimantan residents (85%) appreciate the benefits of fish consumption for their health, even though there are still residents (15%) who lack information and knowledge about its benefits. The residents’ understanding and knowledge cover fish as a rich source of omega-3 fatty acids, high-quality protein, and related with reducing risk of heart disease, stroke, and certain types of cancer. The most residents (90%) approve that the fish protein content is of high quality of protein and vitamins-mineral. In the analysis, all variables that build this model have amounting to 82% (R2) affected into fish consumption residents. Partially, age, income, fish price, ethnic, education, and fish substitute variables significantly influence the fish consumption of East Kalimantan residents at p<0.05. Except, the status at the family variable, it has not influence partially to fish consumption of residents. Conclusion: Residents who understand and know of fish consumption benefit for health are high. The research findings indicate that various variables (age (X1), income (X2), fish price (X3), ethnic (D2), education (D3), and fish substitute (D4) variables) significantly influence the fish consumption of East Kalimantan residents. Hence, to stimulate awareness of fish consumption, the government has to support the residents through more measurable programs for the increase of fish consumption such as socializing the benefit of fish consumption for health and fish eating program. Received: 12 July 2024,  Reviewed: 22 July 2024, Revised: 23 August 2024, Accepted: 26 August 2024.
Nationalism on Social Media: The impacts of comments on ASEAN Football Pages on mental health Perdana, Rangga Cipta; Gempita, Genta Iverstika
GHMJ (Global Health Management Journal) Vol. 7 No. 2 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-72997

Abstract

Background: As a modern communication medium, Facebook provides a new place to people who live far apart to interact and discuss on the same topic, such as football. This research examines how the nationalism is generated through Facebook. From the perspective of social realities, Facebook is observed as a channel of communication utilized by football lovers. However, communication through Facebook also causes conflicts among its users. Aims: This study aims to investigate how nationalism is expressed through communication on Facebook and how conflicts affect mental health but can also build and perpetuate a sense of nationalism and strengthen group identities. Methods: To achieve the objectives, content analysis is used to examine the manifestation with regard to the context of generating a spirit of nationalism through the communication interaction process of Facebook users. Data collection in this study was conducted through ASEAN football page on Facebook. Posts, images and comments left under the related posts were then selected when they are regarding only the spirit of nationalism. Results: Results show that Facebook is not only a social medium but also, a means of generating nationalism through conversations. As nationalism is expressed both in a positive and negative way on ASEAN football page, it, of course, leads to conflicts because of the differences in the orientation of values and interest when the conflicting sides hold different background.   Conclusion: By exploring how nationalism is expressed through Facebook comments on ASEAN football page, the research provides insights into how digital platforms shape and amplify nationalistic sentiments. This understanding is crucial in an era where social media plays a significant role in public discourse and it also highlights the mental health impacts of online nationalistic comments. This is significant for developing strategies to address and mitigate the negative psychological effects that such interactions can have on individuals.   Received: 31 July 2024, Reviewed: 4 August 2024, Revised: 22 August 2024, Accepted: 24 August 2024.
Non-communicable diseases: Opportunities to promote future health during the first 1000 day of life Macnab, Andrew John
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-731003

Abstract

The Developmental Origins of Health and Disease (DOHaD) framework now underlies the evolution and epigenetics of many non-communicable diseases that develop in adult life. Type 2 diabetes, obesity, hypertension, heart disease and stroke in particular have links back to events during the first 1000 days of life, and as the world is witnessing an epidemic of these conditions, identifying measures able to contribute to reducing the potential for these NCDs to develop in our aging populations becomes all the more important. Parental health at conception and good maternal health and nutrition throughout pregnancy are known to be integral to normal infant development and health in later life, but more recently the central importance of infant nutrition that achieves healthy weight gain has become recognized. In this context, achieving growth patterns for infants that avoid either the onset of obesity or development of stunting during the first 1000 days of life appears to be an achievable goal with significant potential for the avoidance of many NCDs in later life. Hence the relevance of health promotion initiatives to share this knowledge among health care providers and educate parents on the benefits of optimal infant nutrition.
Turmeric Topical Application: An effective solution for reducing breast milk secretion delays in new mothers Ariestini, Tri Ratna; Aden, Christine; Berthiana, Berthiana; Mashar, Harlyanti Muthma'innah
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-73998

Abstract

Background: The problem of low coverage of exclusive breastfeeding is partly influenced by insufficient breast milk production. The percentage of exclusive breastfeeding in infants under six months of age in Central Kalimantan in 2020 was 52.98%. This percentage was among the lowest nationally. In 2021, the coverage of exclusive breastfeeding in infants under six months of age reached 56.8%, and in 2022 it did 60.5%. The figure in 2022 exceeded the set target, but several regencies/cities still had low coverage. Insufficient breast milk supply impacts on the nutritional status of the child. Low breast milk production also arises due to several other factors during breastfeeding, namely late initiation of breastfeeding, long breastfeeding time, sore nipples, breast pain and swelling, and inverted nipples. Aims: The study sought to measure the level of success of turmeric topical application in shortening the time it takes to initiate breast milk secretion. Methods: The study uses a true experimental posttest-only control group design. A subject of 50 mothers having full-term spontaneous deliveries and with normal breasts was used in the study. The sample was divided into two groups: control and intervention groups. The sample was selected using a matching process based on age, parity, and early initiation of breastfeeding. Subjects who met the inclusion criteria were offered whether they were willing to be given turmeric compresses after the delivery process. Subjects who were willing were included in the intervention group and those who were not willing were included in the control group. Age and parity in the intervention group were all taken, while the control group was selected to match the intervention group. The intervention group was given a treatment with a turmeric compress on the breasts for six hours. All participants were then observed for time of breast milk secretion initiation. In this experiment, we didn't perform blinding, but we managed it by having the midwife administer the turmeric compress just once during the delivery process before sending the client home. Following this, we recorded the results, specifically the initial breast milk release in both the intervention and the control group. Results: The average time periods it took to initiate breast milk secretion in the intervention and control groups were 509.96 minutes (8.5 hours) and 1573.76 minutes (26.2 hours), respectively. There was a significant difference (p = 0.023) in the time of breast milk secretion initiation of 1063.8 minutes or 17.73 hours between both groups. Conclusion: Applying a turmeric compress on the breasts of postpartum mothers may shorten the time it takes to initiate breast milk secretion.   Received: 05 August  2024, Reviewed: 23 August 2024, Revised: 21 September 2024, Accepted: 13 October 2024.                                          
Disability and Vulnerable Groups Inclusion in COVID-19 Policy and Planning in Sub-Sahara African Countries Zandam, Hussaini; Sulaiman, Surajo Kamilu; Mohammad, Ashiru Hamza; Sabo, Abdulwali
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-73999

Abstract

Background: The COVID-19 pandemic has caused an excess burden of disease in disabled and vulnerable populations. These populations may face an increased risk of contracting COVID-19, greater demand for services and social support, and reduced access to treatment. Despite various national and international efforts towards disability rights and inclusion, substantial gaps exist between disability rights legislation and its implementation. Aims: To assess the inclusion of people with disability and other vulnerable groups in policy and planning documents related to the COVID-19 pandemic response in sub-Sahara Africa. Methods: We conducted content analysis using the EquiFrame policy analysis tool and assessed commitment to 12 vulnerable groups and 21 core human rights in policy and planning documents related to the COVID-19 pandemic. We included documents on general pandemic response, stakeholder engagement, risk communication, and the COVID-19 vaccine from five sub-Saharan African countries, including Nigeria, South Africa, Ethiopia, Kenya, and Zambia. Results: The study highlights the varying degrees to which countries integrate disability, vulnerable groups, and other core human rights concepts into their COVID-19 health policies and planning documents. Only Kenya mentioned disability in their pandemic response plan. However, all countries have explicitly mentioned disability in their stakeholder engagement plans. Except for Kenya, all countries have included disability in their risk communication plans. Notably, South Africa and Zambia demonstrated extensive disability inclusion in their stakeholder engagement and vaccine plan. Thus, these countries have the potential for comprehensive and inclusive health policymaking. In contrast, Nigeria and Ethiopia lag, therefore highlighting areas of improvement across all policy domains. Conclusion: The findings emphasize the critical importance of not only mentioning disability and other vulnerable groups, but also ensuring the depth and quality of this inclusion. While there are positive strides in certain areas, there remains a consistent need for deeper and broader inclusion across all policy domains. Received: 10 September 2024  |  Reviewed: 16 October 2024  |  Revised: 03 November 2024  |  Accepted: 05 November 2024.
Students Perception on Soft Skills in Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia Sulistiyana, Catur Setiya; Fauzan, Zamzam Ahmad; Permatasari, Tissa Octavira; Khasanah, Uswatun
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-731000

Abstract

Background: Soft skills is important attributes of professionalism in the practice of medicine. Soft skills to be known as person's ability beyond knowledge, intelligence, or competence. Faculty of Medicine in Universitas Swadaya Gunung Jati, Cirebon, Indonesia, has used various learning methods to support students' skills, allowing students to have different perspectives in understanding soft skills. Aims: To identify the perception of medical students at Faculty of Medicine, Swadaya Gunung Jati University, in the pre-clinical stage towards soft skills. Methods: This was an observational descriptive study. Respondents were selected using Stratified Random Sampling techniques, sample size was 262 respondents were obtained from semester 2, 4, 6 and 8. This study used primary data with 42 statement items with univariate analysis. Results: From 262 respondents, of 93.1% students (244) have a good perception of the definition of soft skills. As many as 50.4% (123) of 262 respondents have a good perception of time management. As many as 81.3% (213) of 262 respondents have a good perception of critical thinking. 73.7% (193) of 262 respondents have a good perception of teamwork. As many as 87.4% (229) of 262 respondents have a good perception of public speaking. Conclusion: This study showed medical student perception of soft skills regarding definition, time management skills, critical thinking, teamwork, and public speaking had a good perception. In the future, Faculty needs to provide space for students to develop these soft skills through training or interprofessional education and other programs.   Received: 10 September 2024 | Reviewed: 16 October 2024 | Revised: 23 October 2024 | Accepted: 31 October 2024.
Effectiveness of Mango Gedong Gincu Peel Extract Gel (Mangifera indica L.) on Cut Wounds in Male Wistar White Rats (Rattus norvegicus) Fathunnisa, Firda; Marfuati, Sri; Fitriani, Hikmah
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-731060

Abstract

Background: A wound is an injury to a part of the body where the skin and the underlying tissue lose continuity. The wound healing is a complex process consisting inflammatory phase, proliferation phase, and maturation phase. Open wounds often occur in everyday life and if left behind and untreated can potentially lead to bacterial infection. Mango gedong gincu peel extract (Mangifera indica L.) contains flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins which have roles in wound healing. Aims: To analyses the effectiveness of mango gedong gincu peel extract gel (Mangifera indica L.) against the healing of cut wounds in male wistar white rats (Rattus norvegicus). Methods: The study was an experimental study with a post-test only control group design using 25 male wistar white rat as the subject and was carried out in the FK UGJ Research Laboratory. The study used five groups : negative control group, positive control group, and treatment group using mango gedong gincu peel extract gel (Mangifera indica L.) with concentrations of 5%, 10%, and 15%. Results: The results of the study revealed that mango (Mangifera indica L.) gedong gincu peel is a source of various phytochemical such as flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins. This study showed that the 5% and 10% concentration treatment groups had the same average length measurement wound of 0.86 cm. The fastest observation of erythema was the 5% concentration group with a healing rate of 8 days, in the observation of edema the 10% concentration group was the fastest of 6 days, and the observation long of healing time was 5% and 10% concentration had the same rate of 11 days. Conclusion: Mango gedong gincu peel extract gel (Mangifera indica L.) was effective against wound healing with optimum concentrations of 5% and 10% which gives the best healing effect against wounds in male wistar white rats (Rattus norvegicus). Received: 25 September 2024  |  Reviewed: 22 October 2024  | Revised: 05 November 2024  |  Accepted: 09 November 2024.
“We can make it better you and I” : How Ugandan girls raised awareness of sexual and gender related violence Macnab, Andrew John; Besigye, Innocent; Tusubira, Brenda
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-731143

Abstract

Sexual and gender related violence (SGRV) against girls is a dark stain on the fabric of life and the most pervasive breach of human rights worldwide. In spite of laws to combat violence, weak enforcement and discriminatory social norms remain significant problems globally, and urgent action employing ‘novel and innovative’ solutions is called for by the World Health organization and United Nations International Children’s Fund. Using knowledge of African society gleaned from work in school-based health promotion programs in Uganda we engaged girls, gave them a voice, and raised national awareness about the impact of SGRV through a celebrity recorded music video that highlighted the SGRV priorities the girls identified. While the unique power of the combination of images, illustrative scenarios, lyrics and music in the video engaged and informed, still photographs were also integral to the success of this call from girls ‘to make things better”. Our photographic record of this project captured many ethnographic elements of this initiative during its creation; selected images were central to the success of the promotional campaign to disseminate the messaging of the video nationwide; sharing photographs helped to maintain the engagement of team members, especially those unable to be in Uganda; and, our image archive provides a uniquely valuable element for knowledge transfer of ‘what worked and why’ in this initiative. Received: 16 October 2024  |  Revised: 09 November 2024  |  Accepted: 15 November 2024.
Effectiveness of Virtual Reality on Fatigue and Life Quality in Geriatric Patients at Kasih Nursing Home Cirebon, Indonesia Gani, Hadrian; Gunawan, Hendry; Gunawan, Irene
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741009

Abstract

Background: Fatigue is a significant challenge for geriatric patients, often leading to vulnerability and a poor quality of life. Virtual reality can potentially serve as a therapeutic intervention for fatigue and quality of life by positively influencing geriatric patients' motor and cognitive functions. Aims: To analyze the effectiveness of virtual reality training on fatigue and quality of life in geriatric patients at Kasih Nursing Home Cirebon, Indonesia. Methods: The research type was a quasi-experimental design with a pre-test, post-test, and nonequivalent group design. Sampling utilized non-probability sampling techniques, specifically total sampling divided into two groups. The intervention group received five treatment sessions over five weeks, each session lasting 15 minutes and conducted on the same days apart. Data was collected using the Fatigue Severity Scale and the World Health Organization Quality of Life-BREF. Data analysis employed paired t-tests, independent t-tests, and N-Gain scores. Results: The results of the paired t-test for the control group showed a non-significant difference in fatigue (p = 0.363 > 0.05). In contrast, the intervention group showed significant improvements in fatigue (p < 0.001) and quality of life (p = 0.049). The independent t-test revealed no significant differences between groups in pre-test scores. However, post-test scores showed significant differences between groups for fatigue (p = 0.048) and quality of life (p = 0.004). The N-Gain Score test indicated that the virtual reality motor cognitive intervention was effective in reducing fatigue (83.96%) but had a limited impact on quality of life (28.32%). Conclusion: Virtual reality training is effective against fatigue, however, while there was a significant increase in quality of life after the virtual reality intervention; virtual reality was not significantly effective in improving the overall quality of life of geriatric patients. Received: 24 September 2024  |  Reviewed: 16 October 2024  |  Revised: 30 November 2024  |  Accepted: 11 December 2024.

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