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INDONESIA
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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For the Love of Sisi: Peer Support and Friendship in Navigating Health Adversity Gasa, Velisiwe; Madikizela-Madiya, Nomanesi; Gumbo, Mishack Thiza; Magano, Meahabo Dinah; Pitsoane, Enid Manyaku; Mahlangu, Vimbi Petrus; Shava, Soul; Nkumane, Khabonina Grace; Machaisa, Pertunia Rebotile; Phala, Thembi; Luvalo, Loyiso; Motlhabane, Abraham; Ntshangase, Sibusiso D.
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831250

Abstract

Health adversity, whether due to chronic illness, disability, or severe medical conditions, often leads to emotional, social, and psychological challenges. While much research has focused on clinical care, growing attention is paid to peer support and friendship as crucial non-clinical resources. The experience of Sisi, a person living through health adversity, offers an illustrative case of how love and social connection can play a transformative role in coping and resilience, even if it is for a short while. This paper explores the importance of peer support and friendship in enhancing empowerment, maintaining personal identity, and encouraging meaning-making during health-related adversity. It seeks to contribute knowledge on how social relationships function as sources of emotional comfort and as mechanisms that enable individuals to reframe their experience and maintain a strong sense of self in times of illness. The narratives show that peer support and friendship are essential facilitators of psychological empowerment, assisting individuals in feeling more in control and competent even in the face of adversity. Relationships with peers protect identity by affirming personal narratives beyond the illness. Furthermore, they act as informal support systems that augment medical interventions, frequently improving quality of life and psychological resilience. Peer connection can assist individuals in viewing illness not merely as a medical experience but as a collective human experience characterized by connection and meaning. The insights underscore the necessity for more comprehensive, person-centered strategies in health care that acknowledge love, friendship, and social connection as vital elements of recovery and resilience.
Global Health Education for Youth: A Humanitarian Priority Macnab, Andrew John
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831259

Abstract

There may not seem to be an obvious link between the focus of the three events this issue is recognizing. However, in the context of global health and the journals’ mission statement of “shaping a more resilient, inclusive & youth-empowered future” there is a connection. World Breastfeeding Week aims to raise awareness and encourage more women to breastfeed, International Youth Day focuses on an age group which includes ‘the parents of tomorrow,’ and Humanitarian day pays tribute to humanitarian workers who have given their lives and suffered injuries in the course of their work, including those actively campaigning for the rights of women and girls in the face of gender inequity. In this context, enabling more mothers to breastfeed would bring considerable health and social benefits, youth are key ‘target audience’ to engage and educate on the positive impact breastfeeding can have on their future infants’ lives, and a global humanitarian aim is to balance traditional social norms that favor gender inequity, including those that negatively impact the ability of mothers to breastfeed. Published: 30 August 2025.
Toxic Inequities: The Global Health Burden of Pesticide Exports to Low- and Middle-Income Countries Shin, Steven; Jung, Haejin
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831263

Abstract

Background: The continued export of banned pesticides from high-income countries (HICs) to low- and middle-income countries (LMICs) remains a critical yet under-addressed global health issue. These hazardous chemicals are legally shipped to nations with weaker regulatory frameworks. As a result, workers and communities in LMICs face disproportionate exposure to toxic substances that contribute to acute poisoning, developmental disorders, and chronic disease. Aims: This paper examines the international trade of banned pesticides through view of global health equity and frames these practices as a form of structural violence that endangers LMIC populations and violates the right to health. Methods: This qualitative study uses document and policy analysis of international trade records, legal frameworks, and public health literature. It outlines the legal mechanisms and policy gaps, such as the weaknesses of the Rotterdam Convention and the permissiveness of export laws in the EU, U.S., and Switzerland that enable the ongoing flow of hazardous substances. Results: Pulling on case studies, epidemiological evidence, and international human rights frameworks, the paper investigates the health impacts of pesticide exposure and highlights the ethical failures related to current trade practices. Conclusion: Our synthesis foregrounds the research gap and advances a rights-based, structural-violence framing that clarifies the policy mandate. We suggest aligning export bans with domestic prohibitions, strengthening Rotterdam prior-informed-consent and enforcement, and financing transitions to IPM, biopesticides, and agroecology in LMIC supply chains.
Soul Stunting in Higher Education: Four Case Narratives from the Campus Counseling Room in Indonesia Yeyentimalla, Yeyentimalla
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831270

Abstract

Background: Soul stunting is a term used by the researcher to describe the arrested growth of a student’s inner life, characterized by difficulties in managing emotions, building healthy relationships, and responding wisely to life’s challenges. As both researcher and counselor, the author engaged directly with the participants in a real counseling setting, allowing for an authentic observation and intervention in their soul development. This condition often originates in family upbringing patterns and can persist into university years, affecting academic engagement, social relationships, and career readiness. While conceptual discussions on emotional intelligence and student development are abundant, most remain theoretical or survey-based, with limited impact on real behavioral change. The present study addresses that gap through an action-oriented, practice-based approach. The aim of the present study is to explore the phenomenon of soul stunting among university students through four real case narratives from the campus counseling room, focusing on five dimensions of soul development: emotional maturity, empathy, the ability to build healthy relationships, reflective rather than reactive thinking, and effective problem-solving. It also demonstrates how emotionally intelligent communication can serve as an effective strategy for restoring and strengthening these aspects of students’ soul development. Methods: This qualitative case study was conducted through real counseling experiences in diverse natural settings, including campus counseling rooms, cafés, practice fields, public spaces, social media, and WhatsApp conversations. The counselor, bringing more than two decades of cultivating emotionally intelligent communication skills, particularly through emotional discernment, served as the primary instrument for data collection and interpretation. Data were gathered through participant observation, in-depth interviews, and reflective field notes. Ethical considerations included concealing participant identities and omitting formal informed consent to preserve the natural flow of interactions and avoid behavioral manipulation. Results: Analysis of four authentic counseling narratives revealed that emotional discernment, as a form of tacit knowledge, plays a pivotal role in identifying, addressing, and transforming soul stunting. Conclusion: Findings offer practical implications for campus counseling services, policy-making, and family-based interventions.
Reviewer Acknowledgements and Editorial Highlights: Bridging Clinical Insights and Public Health Solutions - GHMJ (Global Health Management Journal), Volume 8, Number 2s, 2025 GHMJ (Global Health Management Journal)
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-82s1278

Abstract

This Special Edition of the GHMJ (Global Health Management Journal) presents six diverse studies that reflect the breadth of health challenges across Indonesia, addressed at the 1st Cirebon International Health Symposium (Vol.8, No.2s, 2025). From the clinical field, a study on head injury patients highlights the link between CT-scan midline shift and Glasgow Coma Scale outcomes, offering valuable insight for emergency care (Permana, Royyani, & Ladala, 2025). Complementing this, genetic research identifies ACE2 G8790A polymorphism as a potential risk factor for essential hypertension, emphasizing the importance of biomedical perspectives in understanding chronic disease (Husna, Nauphar, & Pratamawati, 2025). At the community level, investigations reveal key determinants of leprosy treatment success (Sari, Risman, & Affandi, 2025), highlight pediatric tuberculosis risk factors (Pratama, Nisaa, & Ruhyana, 2025), and expose contamination in refilled drinking water (Shonia, Fitriani, & Indrakusuma, 2025), each pointing to urgent public health and environmental concerns. Meanwhile, attention to medical education is seen in a study exploring how motivation shapes professional identity among medical students, reminding us that building strong health systems begins with cultivating future professionals (Mustopa, Permatasari, & Sulistiyana, 2025). Together, these contributions showcase the Journal’s commitment to advancing integrated knowledge in clinical practice, public health, and education. Link to download: https://publications.inschool.id/index.php/ghmj/issue/view/CIHES02s We extend our heartfelt appreciation to the reviewers who have played a crucial role in refining and enhancing these works. 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, Ph.D. Reviewers Witri Pratiwi, M.Kes. (Universitas Swadaya Gunung Jati, Indonesia) Putu Erma Pradnyani, S.KM., M.Kes. (Universitas Pembangunan Nasional Veteran, Indonesia) Piti Anontapant, Ph.D (Cand.) (Ramkhamhaeng University, Thailand) drg. Theresia Puspitawati, M Kes. (Universitas Respati Yogyakarta, Indonesia) Vivi Meidianawaty, M.MedEd (Universitas Swadaya Gunung Jati, Indonesia) Supim Wongtongtair, Ph.D. (Srinakharinwirot University, Thailand) 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   : 33 % Days to First Editorial Decision  : 18 days Days to accept  : 55 days   Published: 21 August 2025
Making School-Based Children’s Mental Health Screening A National Priority in Post-War Liberia Dossen, Peter C.
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831221

Abstract

Children’s mental health remains one of Liberia’s most urgent and under-addressed public health challenges. Post-war trauma, extreme poverty, and inadequate infrastructure have exposed millions of children to emotional and behavioral risks, yet Liberia lacks a national policy framework for early identification and intervention. Despite the national mental health policy commitments, the implementation of school-based mental health services has been limited and fragmented. The purpose of this opinion-based policy perspective is to emphasize the magnitude of children’s mental health problems in Liberia, explain the importance of school-based universal mental health screening as a potential early identification and intervention approach, and provide possible recommendations to implement universal screening approach as a national priority to promote children’s mental health for optimum lifelong functioning. To conclude, a series of short-, medium-, and long-term policy recommendations, centered on intersectoral coordination, culturally adapted screening tools, teacher training, and national monitoring systems, are proposed based on international evidence and grounded in local realities. The recommendations highlight sustainable actions to integrate mental health screening into routine school operations, strengthen early identification, and improve the long-term cognitive, emotional, and physical well-being of the next generation.
Evaluation of The Implementation of Sharia-Based Pharmaceutical Service Standards (A Qualitative Case Study) Latifah, Elmiawati; Pribadi, Prasojo; Lutfiyati, Heni; Bunga, Cut Dewi
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831265

Abstract

Background: National health laws and best practices from other countries have helped Indonesia set standards for pharmaceutical services. However, there is still limited research on the application of Sharia principles in pharmacy services, particularly within community pharmacies. These standards are based on ideas from the Quran, Hadith, and fatwas from well-known Islamic scholars. They put these ideas into action by making sure that medicines don't contain any illegal substances, being sensitive to gender issues, and providing services that respect patients' dignity, as Islamic teachings say they should. Aims: This study aims to evaluate the implementation of Sharia-based pharmaceutical service standards through a qualitative case study at the Muhammadiyah Charity Education Pharmacy. This pharmacy's unique role as an integrated platform for pharmacy education, community service, and the application of Islamic values makes it an appropriate context for examining the implementation of Sharia-compliant pharmaceutical services. Methods: A qualitative case study design was used, involving observations and semi-structured interviews. NVivo 12 software was employed for thematic and cluster analysis. Data were coded inductively by independent researchers and validated through consensus. Pearson correlation coefficients were used to identify the strongest relationships between service quality items. The informants involved were 1 pharmacist and 3 pharmaceuticals technical staff. Results: Reliability, responsiveness, empathy, tangibles, and assurance are the themes that emerged from this study. The studies found that in the reliability dimension, fulfilling order service and distributor reliability showed the highest correlation (r=0.98), emphasizing the importance of commitment and trust in sharia-based service. In the responsiveness dimension, the most significant relationship (r=1.00) emerged between complaint resolution and clear division of duties, reflecting the role of communication and accountability. For assurance, the highest correlation (r=0.96) indicated the critical role of clear, understandable information in building trust. The empathy dimension revealed that prioritizing humanity and non-discriminatory service (r=0.52) aligned closely with the values of justice and compassion. Lastly, in the tangibles (physical) dimension, the presence of a patient prayer space showed a strong link to perceptions of cleanliness and professionalism (r=0.67), although implementation was still limited. Conclusion: By combining Islamic ethical principles with service quality metrics, the application of sharia-based service standards in pharmaceutical care improves patient satisfaction. However, some aspects still need improvement, especially the physical facilities and assurance under heavy workload. These findings provide insightful guidance on how to develop appropriate interventions, such as training programs, SOPs, and infrastructure modifications, to ensure pharmaceutical services comply with Sharia law while improving overall service quality for lawmakers, educational institutions, and businesses providing Islamic-based pharmaceutical services.
Effect of Ethyl Acetate Fraction of Avocado Peel (Persea americana Mill.) on Total Cholesterol Levels in Hypercholesterolemic Wistar Rats Putra, Ferdian Adhy Pratama; Wisandoko, Ignatius Hapsoro; Brajawikalpa, Rama Samara
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831158

Abstract

Background: Hypercholesterolemia is a condition that can increase the risk of coronary heart disease, stroke, high blood pressure, obesity and other health problems. The ethyl acetate fraction of avocado peel offers a novel approach by isolating key bioactive compounds while separating them from other components, focusing on the desired properties of compounds such as flavonoids, saponins, and phenolics, which are well-known for their antihyperlipidemic effects. Aims: To analyze the effect of ethyl acetate fraction of avocado peel (Persea americana Mill.) on total cholesterol levels of Wistar white rats with hypercholesterolemia. Methods: This study was experimental with a pre and post test with control group design using 20 male white rats (Rattus norvegicus) of the Wistar strain that had been fed high-fat feed for 14 days and divided into 5 groups for 7 days of treatment, namely the negative control group that was given only high-fat feed, the positive control group that was given the drug simvastatin 0.18 mg/200gBW, and 3 treatment groups that were given the ethyl acetate fraction of avocado peel with a tiered dose of 100 mg/KgBW,  75 mg/KgBW, and 50 mg/kgBW. The data were analyzed using a one-way ANOVA test with a post hoc test Results: The ethyl acetate fraction of avocado fruit peel positively contains alkaloids, flavonoids, phenolics, saponins, tannins, and triterpenoids or steroids. The average reduction in total cholesterol levels is 19.5 mg/dL (p < 0.05) at a dose of 100 mg/kgBW, 17.5 mg/dL (p < 0.05) at a dose of 75 mg/kgBW, and 13 mg/dL (p < 0.05) at a dose of 50 mg/kgBW. Conclusion: The ethyl acetate fraction of avocado peel is effective in reducing total cholesterol levels with an effective dose of 100 mg/kgBW. With an effective dose of 100 mg/kg body weight that has been established, subsequent research can focus on the development of more stable and efficient formulations for clinical applications. The effect of lowering cholesterol levels is associated with the content of secondary metabolite compounds contained in the ethyl acetate fraction of avocado peels, namely flavonoids, phenolics, saponins, tannins, triterpenoids and steroids.
The Relationship between Characteristics with Medication Adherence and Quality of Life among the Pulmonary Tuberculosis Patients at the Cirebon City Community Lung Health Center, Indonesia Dewi, Asri Permata; Zaidah, Niklah; Marfuati, Sri
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831245

Abstract

Background: Tuberculosis (TB) is one of the top ten causes of death worldwide, caused by the Mycobacterium tuberculosis germ. Adherence to medication is a key factor in successful treatment and efforts to improve the quality of life of TB patients. Aims: Analyzing the relationship between characteristics with medication adherence and quality of life of pulmonary TB patients at the Cirebon City Community Lung Health Center. Methods: This study used an analytic observation method with a Cross Sectional design. The measuring instruments used were medical records and questionnaires that had been tested for validity and reliability, with a total of 131 respondents of pulmonary TB patients at the Cirebon City Community Lung Health Center (BKPM). Results : The most common characteristics were adult age 90.8%, female gender 56.5%, secondary education 50.4%, student 28.2%, length of treatment at the advanced stage 59.5%, adherent to taking medication 87.0%, good quality of life 54.2%. Based on the Chi-Square test, the relationship between characteristics and drug compliance from age p-value=0.189, gender p-value=0.320, education p-value=0.447, occupation p-value=0.594, length of treatment p-value=0.014. The relationship between characteristics and quality of life from age p-value=0.688, gender p-value=0.550, education p-value=0.838, occupation p-value=0.519, length of treatment p-value=0.604. Based on the logistic regression test, the relationship between characteristics and drug compliance from age p-value=0.058, length of treatment p-value=0.006. Conclusion: There is no relationship between age, gender, education, and occupation with medication adherence (p>0.05). Whereas in the length of treatment there is a relationship with adherence to taking medication. There is no relationship between characteristics and quality of life of pulmonary TB patients (p>0.05). The characteristic most associated with adherence to taking medication is length of treatment (p=0.006). Future researchers are advised to explore other factors that may be related to medication adherence and quality of life in patients with pulmonary TB.
Public Knowledge about Wolbachia-Aedes Technology: A Survey among Cirebon City Residents, Indonesia Herawati, Herawati; Pratiwi, Witri; Gasem, Muhammad Hussein
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831220

Abstract

Background: Wolbachia-Aedes technology is one of the innovations in reducing dengue fever incidence in Indonesia. Its implementation may be limited by insufficient public knowledge, as low awareness can reduce community acceptance and participation in Wolbachia-Aedes technology, both of which are essential for the technology’s effectiveness. Aims: To determine the public knowledge about Wolbachia-Aedes technology and the associated factors in Cirebon City residents, Indonesia. Methods: This is an observational study with a cross-sectional approach that was conducted in Cirebon City Health Centers (Puskesmas) between June and July 2024, using a cluster random sampling technique. Cirebon City residents who visited Puskesmas and met the inclusion and exclusion criteria were recruited as samples. Data were collected through self-administered validated questionnaires. Results: There were 600 respondents, consisting of female (68%) who participated in the study. Most of the sample were senior high school graduates (68.2%). The results showed that 39.5% of respondents had poor knowledge, while 51.5% had moderate knowledge and 9% had good knowledge. Age [adjusted OR 1.86 (95%CI 1.32-2.63)] and education level [adjusted OR 2.12 (95%CI 1.38-3.27)] were the factors that related to public knowledge about Wolbachia-Aedes technology in Cirebon City, Indonesia. Conclusion: Most Cirebon City residents had moderate knowledge, with a substantial proportion still having poor knowledge regarding Wolbachia-Aedes technology. Older age and lower education levels were associated with poorer knowledge. The government needs to improve public knowledge about Wolbachia-Aedes technology before implementation through targeted health promotion, particularly for older populations and those with lower education levels.

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