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Jurnal Kesehatan
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 20867751     EISSN : 25485695     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Kesehatan published by Politeknik Kesehatan Tanjungkarang with professional organizations (PTGI, PATELKI, PERSAGI, PPNI, IBI, HAKLI, PAFI, PPGI). It contains writings drawn from research and non-research, critical analytical studies in health areas. This journal was first published in April 2010 in print. Since 2015, Jurnal Kesehatan has been published in print and online.
Arjuna Subject : -
Articles 793 Documents
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Policy Challenges and Structural Barriers to Digital Transformation in Tuberculosis Control in Low- and Middle-Income Countries: A Systematic Review Destri Yanti; Fitri Indrawati; Chatila Maharani
Jurnal Kesehatan Vol 17 No 2 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i2.5837

Abstract

Digital transformation can strengthen tuberculosis control through adherence monitoring, patient–health worker communication, recordkeeping, and service follow-up. However, its implementation in low- and middle-income countries (LMICs) continues to face policy challenges and structural barriers. This systematic review aimed to identify policy challenges, structural barriers, and strategies supporting digital transformation in tuberculosis control in LMICs. The review followed PRISMA 2020 and was registered with the International Prospective Register of Systematic Reviews (PROSPERO; CRD420261377489). We searched PubMed, Scopus, ScienceDirect, and Springer Nature Link for peer-reviewed articles published between 2015 and 2025. The database searches initially displayed 859 records, of which 809 were successfully exported and imported into Mendeley. After removing 19 initial duplicates, we screened 790 records using the SPIDER framework. We assessed methodological quality using the JBI Critical Appraisal Checklist for Qualitative Research. Nineteen studies met the inclusion criteria and were thematically analyzed. Policy challenges involved regulation and data governance, policy communication, coordination across sectors and levels of care, and digital program integration. Structural barriers included limitations in the health workforce, technological infrastructure, financing, digital access and equity, health information systems, and service delivery. Recommended strategies comprised stronger regulation, system integration, sustainable financing, workforce development, patient-centered approaches, and monitoring and evaluation. Digital transformation in tuberculosis control requires an integrated, secure, sustainable, equitable, and context-responsive health system. Stakeholders should prioritize data protection, interoperability, sustainable financing, continuous training, and non-digital service options to prevent technology from widening inequalities in access.
Analysis of Factors Associated with the Incidence of Diarrhea among Children Under Five Listika Jayanti; Dainty Maternity; Khoidar Amirus; Devita Febriani Putri; Ismen Muchtar
Jurnal Kesehatan Vol 17 No 2 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i2.5853

Abstract

Diarrhea remains one of the major public health problems among children under five years of age. In the service area of UPTD Puskesmas Rawat Inap Bumidaya, 304 under-five children were identified with diarrhea in 2025, resulting in a prevalence of 13.86%. This study aimed to analyze factors associated with diarrhea among children under five in the service area of Puskesmas Rawat Inap Bumidaya. This study employed a sample of 184 children under five selected using proportional random sampling. The variables examined included the child's age, nutritional status, immunization status, water quality, latrine ownership, and waste management. Data were analyzed with the Chi-square test and multiple logistic regression. The results showed that the child's age (p = 0.005), nutritional status (p = 0.001), immunization status (p = 0.002), water quality (p = 0.001), latrine ownership (p = 0.008), and waste management (p = 0.000) were significantly associated with the occurrence of diarrhea among children under five. Waste management was the strongest predictor. Both host-related and environmental factors are associated with diarrhea among children under five, with waste management being the most influential factor. Therefore, improving waste management and strengthening promotive and preventive efforts through community education on proper household waste management that meets health standards are necessary, emphasizing the importance of separating organic and inorganic waste, using covered waste bins, and disposing of waste in designated disposal sites to reduce the incidence of diarrhea.
Potency of a Specific Probiotic in Promoting Health Quality: A Study of Microbiota Gut Brain Axis Khairun Nisa Berawi; Sutopo Hadi; Maria Erna Kustyawati; Aprina Aprina; Michele Adiva; Rizki Arisandi; Norbertus Marcell Prayogi
Jurnal Kesehatan Vol 17 No 2 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i2.5644

Abstract

Probiotic supplementation has gained increasing attention as a strategy to improve gut health by modulating the intestinal microbiota, strengthening the gut barrier, and regulating immune responses. However, probiotic efficacy is strain-specific, and evidence comparing the benefits of different probiotic species remains limited. This comprehensive review aimed to evaluate the effectiveness of specific probiotic strains in improving gut health and managing gastrointestinal disorders. A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science using the keywords probiotics, gut health, microbiome, intestinal barrier, and gastrointestinal disorders. Following predefined eligibility criteria, clinical and experimental studies investigating strain-specific probiotic effects were screened. After full-text review, we included 12 relevant articles for qualitative synthesis. Data were evaluated according to probiotic strain, intervention characteristics, gut health outcomes, and proposed mechanisms. The findings indicate that probiotic efficacy depends on the strain. Lactobacillus species consistently improved intestinal barrier function and reduced diarrhea, whereas Bifidobacterium species enhanced microbial diversity and immune regulation. Saccharomyces boulardii demonstrated the strongest evidence for preventing antibiotic-associated diarrhea and recurrent gastrointestinal infections. Multi-strain formulations generally produced broader benefits than single-strain probiotics through complementary mechanisms. Both dairy- and plant-based probiotic formulations were effective delivery systems, although plant-based products are better suited to lactose-intolerant and vegan populations. In conclusion, probiotics provide measurable benefits for gastrointestinal health, but clinical outcomes depend largely on selecting appropriate strains. Current evidence supports Lactobacillus, Bifidobacterium, and Saccharomyces boulardii as the probiotic strains with the most consistent benefits for gut health. Further well-designed randomized controlled trials are needed to establish strain-specific clinical recommendations.

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