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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)
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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 282 Documents
The Effects of Self-Efficacy-Based Fall Prevention Program among Elderly in Phibunmangsahan Town Municipality, Ubon Ratchathani Province, Thailand Sukaree, Warunee; Sukhumal, Phandita; Limpiteeprakan, Pawena
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821215

Abstract

Background: Falls among the elderly remain a significant public health concern, particularly in rural areas where access to healthcare and fall prevention programs are limited. Aims: This study aims to evaluate the effectiveness of a self-efficacy-based fall prevention program in improving knowledge, muscle strength, mobility, and balance among elderly individuals at risk of falling in Phibunmangsahan Town Municipality. Methods: This quasi-experimental study included 60 elderly participants (aged 60-79) who were identified as being at risk of falling using the Thai Falls Risk Assessment Test (Thai-FRAT). Participants were randomly assigned to either an experimental group (n=30) or a control group (n=30). The experimental group received an 8-week fall prevention program based on self-efficacy theory, which included educational sessions, exercise interventions, and confidence-building strategies. Data collection was conducted using pre- and post-intervention questionnaires, physical assessments of muscle strength, mobility, and postural control, and statistical analysis was performed using paired t-tests and independent t-tests to evaluate the effectiveness of the intervention. Results: The results revealed that participants in the experimental group showed significant improvements in their knowledge of fall prevention (Meanbefore=11.33 (SD.=3.88), Meanafter= 11.90 (SD.=1.88), mobility (Meanbefore=12.63 (SD.=3.88), Meanafter= 10.27 (SD.=3.12), balance (Meanbefore=9.23 (SD.=2.67), Meanafter= 11.43 (SD.=3.19), and muscle strength (Meanbefore=8.97 (SD.=2.94), Meanafter= 11.43 (SD.=3.49), compared to their pre-intervention levels and the control group (p<0.05). The control group showed no significant changes in these variables. Additionally, there were no significant negative results observed during the study. Conclusion: The self-efficacy-based fall prevention program significant enhanced the knowledge, physical capabilities, and self-confidence of elderly participants, highlighting its potential as an effective intervention for fall prevention in community settings. This study recommends the implementation of similar programs in other rural areas to reduce fall-related injuries among the elderly, emphasizing the importance of integrating self-efficacy theory into fall prevention strategies.
Predictors of Intensive Care Unit Admission in Red Code Patients in the Emergency Department: A Single-Center Retrospective Observational Study Boğa, Erkan
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821218

Abstract

Background: Red code patients in the emergency department require urgent medicalcare because they present with life-threatening medical conditions. Optimal resource distribution together with better patient results depends on finding ICU admission predictors for critical patients who need immediate medica treatment. Aims: This research evaluated both clinical and biochemical factors along with demographic characteristics which determine ICU admission for red code patients at the Esenyurt Necmi Kadıoğlu State Hospital Emergency Medicine Department from 2023 to 2024. Methods: The research conducted a single-center retrospective observational study that used 5,000 red code patient data documented by the hospital information management system during January 2023 to December 2024. The research team evaluated patient demographics and vital signs and laboratory parameters and clinical outcomes from 5,000 patients who had an average age of 64.2 ± 18.5 years and consisted of 52% male patients. The study used univariate analysis together with multivariate logistic regression analysis to identify ICU admission predictors. The ROC curve analysis evaluated model predictive power by presenting AUC with confidence interval values. Results: The analysis included 4,880 patients who fulfilled the study criteria from the total 5,000 screened patients. ICU admission occurred in 30.1% of the total patients. The univariate analysis showed that CRP and WBC and lactate measurements and low blood pressure (systolic BP <90 mmHg) were factors associated with ICU admission. The multivariate analysis confirmed CRP (OR: 1.0007 per mg/L increase, 95% CI: 1.00001–1.0014, p = 0.043), WBC (OR: 1.017 per unit increase, 95% CI: 1.003–1.032, p = 0.014) and hypotension (OR: 2.48, 95% CI: 1.96–3.13, p < 0.001) as independent risk factors. The model demonstrated an AUC of 0.74 (95% CI: 0.71–0.77) which indicates moderate predictive accuracy.Research findings showed that both CRP and lactate demonstrated increased strength in predicting ICU admission when testing patients with septic conditions. Conclusion: The combination of elevated CRP levels with WBC count and high lactate values and hypotension functions as predictive indicators for ICU admission in patients who receive a red code. The available parameters serve as useful risk assessment tools during the first stages of patient care. The implementation of these parameters through triage protocols will improve both emergency clinical decisions and ICU resource management.
A Decade of Growth: From Social Media to Academic Friendship Yeyentimalla, Yeyentimalla; Christyanni, Yuyun; Suryawati, Sri
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821256

Abstract

Background: Friendship is a safe relationship in which individuals can express various facets of themselves. A true friend allows another to be fully themselves in their presence, resulting in personal growth and progress -- not only for individuals, but also for institutions, society, and the nation. A friendship that began as a student-teacher relationship and has lasted a decade (2015-2025) was lived, observed, and reflected upon. Aims: This photo essay aims to explore how an intially asymmetric relationship between student and teacher gradually grew into an academic friendship. It is intended to inspire readers to nurture safe and trusting connections within their own circles. Methods: This case study investigates a student-teacher friendship relationship, highlighting learning points worth sharing publicly. The relationship consciously incorporated emotional communication -- emotional intelligent interaction that engages feeling-based expression and empathetic simulation. Results: A bond that began between two strangers on Facebook evolved into an academic friendship, then into a student-examiner relationship during doctoral study. After the doctoral journey ended, the connection reverted to a stronger friendship. This relationship yielded collaborative works and programs that have benefited both Indonesian and global communities. Conclusion: This case study offers several takeaways on building meaningful friendship that foster personal growth and benefit the wider environment.
Reviewer Acknowledgements: Bridging Science, Care, and Community – GHMJ (Global Health Management Journal), Volume 8, Number 2, 2025 GHMJ (Global Health Management Journal)
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821269

Abstract

As the GHMJ (Global Health Management Journal) continues to advance integrated solutions for global health challenges, this edition highlights cutting-edge research and innovations spanning from molecular science to health systems strengthening. This issue of the Global Health Management Journal (Vol. 8, No. 2, 2025) presents an interconnected range of studies that reflect the dynamic challenges and innovations in global health. Beginning with clinical and pharmacological research, the issue highlights a study on radiographic patterns in tuberculosis patients with and without diabetes (Fatihah et al., 2025)—a dual burden increasingly relevant in both endemic and developing contexts. This clinical insight is followed by two experimental studies on plant-based therapies: one evaluating the hypoglycemic effect of bay leaf and celery extract in diabetic rats (Laorenz et al., 2025), and another investigating the antiviral potential of cassava leaf-derived nicotiflorin against dengue virus serotype 1 (Yulianti et al., 2025), reflecting a growing interest in local bioresources as alternatives to conventional treatment. The issue then transitions into broader public health and educational themes. A study from Ghana examines the risks of adolescent pregnancy complicated by diabetes (Ameyaw et al., 2025), while orthopedic data from Indonesia compares healing outcomes in different types of tibial fractures post-ORIF (Sakinah et al., 2025), offering evidence to improve trauma recovery. A thoughtful paper from South Africa challenges the way we conduct educational research with students with disabilities (Muzite & Gasa, 2025), advocating for more inclusive and participatory approaches. From Thailand, we see how self-efficacy–based programs can significantly reduce fall risk among older adults (Sukaree et al., 2025), offering a preventive approach to managing geriatric health. Meanwhile, a retrospective study from Türkiye (Boğa, 2025) shifts the focus to acute care, identifying critical predictors of ICU admission among emergency patients—highlighting the importance of timely response systems within hospital settings. These health system perspectives are further reinforced by a report from Zimbabwe that emphasizes the foundational role of laboratory capacity in supporting diagnosis, surveillance, and treatment for HIV/AIDS and other diseases (Mayavo, 2025). The issue concludes with a photo essay that captures the human side of scholarship—tracing how digital connections sparked a decade-long journey of academic friendship and collaboration (Yeyentimalla et al., 2025). Link to download: https://publications.inschool.id/index.php/ghmj/issue/view/GHMJ.08.02 Editor-in-chief Prof. Andrew John Macnab Managing Editors Doni Marisi Sinaga, M.Sc. Kukuh Madyaningrana, M.Biotech. Ph.D. Journal Managers Suyitno, M.PHM Maretalinia, M.A  External Reviewers Witri Pratiwi, M.Kes. (Universitas Swadaya Gunung Jati, Indonesia) Tiar Masykuroh Pratamawati, M.M., M.Biomed. (Universitas Swadaya Gunung Jati, Indonesia) Tiisetso Chuene, M.PH (University of Limpopo, South Africa) Crossman Mayavo, Ph.D (Midlands State University, Zimbabwe) Prof. Dr. Atthawit Singsalasang  (Nakhon Ratchasima Rajabhat University, Thailand) Prof. Dr. Benchaporn Sukprasert  (Suranaree University of Technology, Thailand) Elmiawati Latifah (Universitas Muhammadiyah Magelang, Indonesia) Türker Karaboğa (Esenyurt Necmi Kadıoğlu State Hospital, Türkiye) Lasata Shrestha, M.PH. (University of Washington, United States) Emmanuel Ameyaw (Kwame Nkrumah University of Science and Technology, Ghana) We express our sincere gratitude to the reviewers who have generously contributed their time and expertise to this edition of the Global Health Management Journal. Their commitment to scholarly excellence and constructive peer feedback has helped ensure the integrity and impact of every article published. Eligible reviewers may be considered for future roles on our Editorial Board, and receive Exclusive Publishing Opportunity and the chance to publish Guest Editorial Papers at no cost. Simply register on our website and select the "Reviewer" option during sign-up.  Acceptance Rate   : 17 % Days to First Editorial Decision  : 18 days Days to accept  : 75 days   Published: 28 July 2025.
Examination of Coliform and Escherichia coli Contamination in Refilled Drinking Water in Cirebon Regency, Indonesia Shonia, Ana Naela; Fitriani, Hikmah; Indrakusuma, Mohammad Erwin
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1224

Abstract

Background: Refillable drinking water is a commonly used source of water for the public. Contamination of this water can lead to various diseases, including waterborne diarrhea. Coliform bacteria and Escherichia coli are indicators of faecal contamination and can cause waterborne diseases. This study aims to determine whether Coliform and Escherichia coli are present in refillable drinking water in Cirebon Regency. Aims: To identify the presence of Coliform and Escherichia coli bacteria in refillable drinking water in Cirebon Regency. Methods: This descriptive study employed purposive sampling to collect six samples of refillable drinking water from six different depots located in Cirebon Regency. Each sample was tested four times using various laboratory tests, including Nutrient Agar, Mac Conkey Agar, Gram Staining, IMVIC, and TSIA. Results: All samples showed the presence of Coliform (100%), as shown by the Mac Conkey Agar test indicating lactose fermentation and Gramme Staining revealing rod-shaped bacteria. However, Escherichia coli was not found (0%) in any of the samples. The results of the Mac Conkey Agar test as a lactose fermenter, Gram Staining showing rod-shaped bacteria, and IMVIC tests showed the following profile: Indole +, MR +, VP -, Citrate -, and TSIA: A/A, H₂S -, Gas +. While Escherichia coli was absent, the detection of other Coliforms suggests persistent hygiene issues; Citrobacter freundii and Klebsiella were found to be Coliform bacteria. Conclusion: No Escherichia coli were detected in any of the samples, but Coliform bacteria were found in 6 out of 6 samples (100%). The maintenance of refillable drinking water depots is crucial for public health. Owners must frequently clean and disinfect the reservoirs to prevent contamination. Additionally, authorities are responsible for regularly monitoring the hygiene and sanitation of these depots.
Relationship Analysis of Risk Factors Concerning the Incidence of Pulmonary Tuberculosis in Children at Panti Abdi Dharma Hospital, Cirebon, Indonesia Pratama, Annisa Shintya; Nisaa, Defa Rahmatun; Ruhyana, Nanang
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1228

Abstract

Background: Tuberculosis (TB) is an infectious disease caused by the Mycobacterium tuberculosis germ. The germs are spread from people with TB through the air. Nearly a quarter of the world’s population is infected with Mycobacterium tuberculosis germs and 11% are children. Aims: To analyze the association of risk factors that most influence the incidence of pulmonary tuberculosis in children at Panti Abdi Dharma Hospital, Cirebon City in 2024. Methods: Using a cross sectional analytical observational approach, systematic sampling technique on 138 respondents using bivariate analysis (chi-square) and multivariate analysis (logistic regression). Results: The results showed that risk factors associated with the incidence of tuberculosis in children were age (P-value 0.002), gender (P-value 0.027), father's education (P-value 0.032) and parents' socioeconomic status (P-value 0.001). The risk factor that most influenced the incidence of tuberculosis was parents' socioeconomic status (Exp(B) value 3.798). Conclusion: In the 10 risk factors studied, 4 risk factors were found to have an association with the incidence of tuberculosis in children, namely child age, child gender, father's education, and parents' socioeconomic status. The most influential risk factor in this study was parents' socioeconomic status.
Angiotensin Converting Enzyme 2 (ACE2) G8790A Gene Polymorphism as a Risk Factor for Essential Hypertension Husna, Nazaul; Nauphar, Donny; Pratamawati, Tiar Masykuroh
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1231

Abstract

Background: Globally, the number of people with hypertension has doubled, from 650 million to 1.3 billion. The World Health Organization reported that hypertension is responsible for more than 10 million deaths every year. Essential hypertension is a multifactorial condition with genetics as one of the factors. Genome-Wide Association Study has identified several genes associated with hypertension, one of which is the Angiotensin Converting Enzyme 2 (ACE2) gene. Essential hypertension may be predisposed to by the G8790A polymorphism of the ACE2 gene, which is hypothesized to interfere with the normal function of the Renin Angiotensin System (RAS). Aims: The purpose of this study is to determine whether the ACE2 G8790A gene polymorphism in Cirebon, West Java, Indonesia, is associated with an increased risk of essential hypertension. Methods: This is a case-control study conducted at the Talun Health Center, Cirebon Regency, April-August 2024, involving 30 essential hypertensive patients and 30 healthy controls. The study population comprised adults aged 30 to 72 years. Data was obtained through the examination of blood pressure, DNA extraction, PCR-RFLP with ALUI restriction enzyme, and then visualization of the results with Gel Electrophoresis. The Chi-Square Test technique and the Odds Ratio (OR) computation were used to analyze the data. Results: The G allele was higher in the case group 33 (55%), while the A allele was higher in the control group 34 (56.7%). The statistical analysis showed that there was no significant link between the ACE2 G8790A gene variation and essential hypertension, with a p-value of 0.592 (p > 0.05) (OR = 0.750; CI = 0.262–2.151). Conclusion: The ACE2 gene G8790A polymorphism and the rate of hypertension in Cirebon, West Java, were not significantly correlated. Further research is required on a larger scale to investigate the effects of gene combinations or interactions with other locus genes on essential hypertension.
Correlation between Motivation and Professional Identity of Medical Students of Universitas Swadaya Gunung Jati, Cirebon, Indonesia Mustopa, Mega Silvia Maulidia; Permatasari, Tissa Octavira; Sulistiyana, Catur Setya
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1237

Abstract

Background: Professional identity plays an important role for doctors in their practice. The important role of professional identity in medical education, namely learning the professionalism of doctors and being responsible for the duties of being a student and the rules that make it more responsible to patients. Professional identity is influenced by external and internal factors, one of which is motivation which plays an important role in medical education can foster creativity which makes the learning process a transformational experience that is important for the development of a strong professional identity. Objective: To determine the relationship between motivation and professional identity of students of the Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. Aims: To determine the relationship between motivation and professional identity of students of the Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. Methods: This research is an analytic observational study with a cross-sectional approach. Respondents were selected through Stratified Random Sampling technique, resulting in 295 respondents consisting of undergraduate and professional students. The study used primary data using the Academic Motivation Scale (AMS) questionnaire and Professional Identity with Spearman analysis. Results: This study involved 295 medical students (64.4% female and 35.6% male) from various academic stages, including undergraduate semesters 2, 4, 6, 8, and professional (clinical) phases from 2018 to 2019. Across all groups, most students had a good level of motivation (52.4-67.9%) and a high or very high professional identity. Spearman correlation analysis showed a significant positive relationship between motivation and professional identity (p= 0.000, r= 0.333). Conclusion: There is a significant positive relationship between motivation and professional identity.
The Influence of Internal Factors on the Success of Leprosy Treatment at Cibuaya Health Center, Indonesia Sari, Anggi Novita; Risman, Muhammad; Affandi, Thysa Thysmelia
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1238

Abstract

Background: Indonesia still has a significant number of leprosy cases; there was an increase in cases to 12,441 compared to the previous year, which was 10,976 (WHO, 2023). At the national level, the target percentage of leprosy treatment has not been reached; 87% achievement was obtained, while the national indicator target is 90%. Age, gender, marital status, education level, occupation, and leprosy type are among the internal characteristics that contribute to the effectiveness of leprosy therapy. The most leprosy cases in Karawang Regency are found in Cibuaya Health Center, Indonesia. Aims: This study aims to determine the influence of internal factors (age, gender, marital status, education, occupation, and leprosy type) on the success of leprosy treatment at the Cibuaya Health Center. Methods: Observational analysis with cross-sectional design was used in this study with a sample size of 110 respondents at the Cibuaya Health Center. Medical records from patients receiving leprosy treatment at the Cibuaya Health Center served as the sample. Total sampling, a non-probability sampling technique, has been used. The study was conducted in June 2024. Results: Leprosy treatment success was found to be influenced by age (p=0.09), gender (p=0.001), marital status (p=0.012), education level (p=0.001), and leprosy type (p=0.001) in the bivariate analysis using the Chi-square test. However, the occupation factor did not show a significant effect on treatment success (p=0.275). Based on multivariate logistic regression analysis, Leprosy type was the most dominant factor influencing treatment success (Exp(B) = 38.863). The limitation of this study is that it did not investigate internal factors in the success of leprosy treatment by using laboratory results (such as BTA testing) after treatment. Conclusion: The success of leprosy treatment at the Cibuaya Health Center is influenced by age, gender, marital status, education level, and leprosy type. The most influential factor on the success of leprosy treatment is the type of leprosy. However, the occupation factor did not show a significant effect on treatment success. These findings can inform targeted strategies to improve treatment outcomes, especially among high-risk groups such as Multibacillary (MB) patients and the elderly.
Correlation between Head Midline Shift CT-Scan with Glasgow Coma Scale in Head Injury Patient at Waled General Hospital, Cirebon, Indonesia Permana, Aditia; Royyani, Nunik; Ladala, Evan Wahyudy
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1241

Abstract

Background: Findings on a head CT scan could use the midline shift (MLS) parameter to assess the severity of head injury. Midline shift was also known to serve as an indicator that was frequently associated with the Glasgow Coma Scale (GCS) in head injury patients. A greater degree of midline shift (> 5 mm) indicated a severe head injury that was significantly associated with a lower Glasgow Coma Scale score. The measurement could be performed quickly, although most of the findings that appeared when patients first arrived at the emergency department were generally mild. Aims: This study aims to determine the correlation between midline shift on CT-Scan head and Glasgow coma scale in head injury patients at Waled General Hospital. Methods: This research is analytical observational with a cross-sectional design. The total sampling technique took samples from the medical records of 38 patients out of 81 samples that had been excluded. The study was conducted at Waled General Hospital in June-July 2024 and analyzed using the Spearman correlation test. Results: The results showed that most samples did not show a midline shift with 30 patients (78.9%) and had a GCS score of 13-15 with 22 patients (57.9%). A significant relationship exists between the midline shift on head CT-Scan with the GCS (p = 0.001, r = -0.770) in head injury patients at Waled General Hospital. Conclusion: Most samples did not show a midline shift picture and had a GCS score of 13-15. There was a significant relationship between the midline shift on head CT scans and the GCS in head injury patients at Waled General Hospital. These findings had important implications in clinical practice, particularly in determining triage priorities, predicting the need for surgical intervention, and monitoring patients intensively.