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Indonesian Journal of Global Health research
Published by Global Health Science Group
ISSN : 27149749     EISSN : 27151972     DOI : https://doi.org/10.37287/ijghr.v2i2
Core Subject : Health, Education,
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health
Indonesian Journal of Global Health Research (IJGHR) menyediakan forum untuk berbagi publikasi penelitian ilmiah, perawatan kesehatan yang tepat waktu dan terkini serta mempromosikan pengembangan keperawatan, kesehatan masyarakat, masyarakat, lingkungan, dan kesehatan kerja. Jurnal ini menerbitkan makalah penelitian asli ilmu kesehatan. Prioritas tinggi akan diberikan pada artikel tentang kesehatan masyarakat, keperawatan, remaja, masyarakat, kesehatan lingkungan dan pekerjaan, dan sebagainya. Kategori berikut diterimapenelitian asli. Topik-topik yang berkaitan dengan jurnal ini termasuk tetapi tidak terbatas pada: kesehatan masyarakat, promosi kesehatan, kesehatan lingkungan, kesehatan kerja, aspek klinis yang berkaitan dengan kesehatan, layanan kesehatan, kebijakan dan manajemen kesehatan, kesehatan sekolah, kesehatan makanan, kesehatan jarak jauh, kesehatan pedesaan , kesehatan masyarakat, kesehatan mental, kesehatan remaja, kesehatan industri, kesehatan sirkumpolar, pemerataan dalam kesehatan, perawatan kesehatan reproduksi, kesehatan perkotaan, geografi kesehatan, kesehatan wanita, pediatri dan kesehatan anak.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 135 Documents
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Search results for , issue "Vol 7 No 3 (2025): Indonesian Journal of Global Health Research" : 135 Documents clear
Hospital Wastewater Pharmaceutical Residues and Their Impact on Community Microbial Resistance: An Epidemiological and Pharmaceutical Systematic Review Giyantolin, Giyantolin; Subiakto, Yuli; Simorangkir, Timbul Partogi Haposan; Widyati, Widyati
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.7148

Abstract

Releases from healthcare facilities account for a large portion of environmental pollution, with wastewater carrying a cocktail of pharmaceutical contaminants, especially antibiotics. These compounds accelerate the accumulation of antimicrobial resistance. Objective: The study synthesizes the scientific record on the concentration, fate, and effects of pharmaceutical compounds within hospital wastewater; it foregrounds the links to growing microbial resistance and delineates the threat to public health. The review adhered to the 2020 PRISMA framework. The search strategy applied a combination of keywords ("pharmaceutical residues" OR "antibiotic residues") AND ("hospital wastewater") AND ("antimicrobial resistance") AND ("environmental impact" OR "community"). The search was restricted to titles and abstracts of studies published 2015-2025. The article selection process consisted of title and abstract screening, full-text evaluation, and consensus-based discussion. Of the 405 articles initially identified, 21 met the eligibility criteria and were narratively synthesized. Hospital wastewater was found to contain a variety of antibiotics, particularly β-lactams, fluoroquinolones, tetracyclines, macrolides, and sulfonamides, at concentrations higher than those observed in domestic wastewater. Several ARGs including blaNDM, blaKPC, blaOXA, sul1, sul2, qnr, tet, and mcr were frequently detected, alongside resistant pathogenic isolates such as Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. Conventional wastewater treatment processes were shown to be only partially effective, achieving removal efficiencies of 16-50% for pharmaceutical residues and ARGs. Consequently, resistant bacteria and ARGs were still detected in receiving water bodies several kilometers downstream from discharge points. Hospital wastewater serves as a major source of pharmaceutical contamination and plays a critical role in the amplification of microbial resistance in the environment. These findings highlight the urgent need for advanced wastewater treatment technologies, strengthened antibiotic stewardship programs, and the integration of environmental and epidemiological surveillance within the One Health framework to curb the spread of antimicrobial resistance.
The Physical Environmental Condition of the Household and Its Relationship with Pulmonary Tuberculosis (TB) Cases Jusmini, Jusmini; Razak, Rahmatillah; Purba, Imelda; Putri, Dini Arista
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5624

Abstract

A house that does not meet health requirements is one of the risk factors for pulmonary tuberculosis (TB). This study aimed to determine the relationship between the physical environmental condition of the household and pulmonary TB cases in Rantau Alai District, Ogan Ilir Regency, in 2023. This was a quantitative analytic study involving a case-control approach, conducted over one month in Rantau Alai sub-district. A total of 108 participants were enrolled consisiting of 36 cases and 72 control, and data were collected through interviews, observations, and direct measurements of various aspects of the physical environmental condition of the household using a roll meter, lux meter, and thermo-hygrometer. The data was analyzed with chi-square test and multiple logistic regression. The primary outcome with bivariate analyzed of the study is the relationship between ventilation (p-value = 0.025), lighting (p-value = 0.005), humidity (p-value = 0.008), temperature (p-value = 0.048), wall type (p-value = 0.048), floor type (p-value = 0.048), and residential density (p-value = 0.012) with pulmonary TB cases in Rantau Alai District. Multivariate analyzed show the most dominant factor affecting TB cases was residential density (OR 3.10 CI 1.07-8.97). It is important for adequate physical environmental condition, especially if there are active TB cases in the home environment with unqualified residential density to prevent the spread of TB cases among household contacts.
Determinants of Multidisciplinary Team Knowledge about Case Managers: A Quantitative Study Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.7309

Abstract

The implementation of the case manager (CM) has not been optimal according to what was expected. Even though there is a positive perception about the role of CM held by nurses and NA as part of the Professional Care Providers (PPA) is very necessary. The knowledge factor is the factor that has the most influence on positive perceptions about the role of CM. There are many things that can influence nurses' and NAs' knowledge about CM. This study aims to determine the factors related to nurses' and NAs' knowledge about CM. This quantitative correlational research used a cross-sectional approach involving 384 nurses and 129 NAs. The sampling technique used is multistage random sampling and simple random sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test, and binary logistic regression. This study used a questionnaire on knowledge about CM with a Cronbach Alpha value of 0.634. This research found that the majority of nurses and NAs had insufficient knowledge about CM, 248 people (65%) and 80 people (62%). The factors age, education and length of service were associated with nurses' knowledge about CM (p=0.001; p<0.001; and p<0.001). The factors age and years of service were associated with NA's knowledge about CM (p=0.017; and p=0.024). This study also found that knowledge was a determining factor in nurses' knowledge about CM (OR=2.53; 95%CI 1.60-4.01; p<0.001). These findings support the theory that age, education and years of service are related to knowledge about CM. Socialization about case managers and increasing the role of case managers in services needs to be carried out by hospital management.
The Relationship Between Sitting Position and Hypotension During Spinal Anesthesia Induction in Cesarean Section Patients with Cardiovascular Problems Dewi, Ni Nyoman Ari Kundari
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.7310

Abstract

Hypotension in patients undergoing cesarean section is a dangerous medical condition during surgery. Appropriate treatment must be provided starting from pre-anesthesia planning. The patient's position during spinal anesthesia induction is the first step to successful anesthesia, so it is important to monitor it closely during the pre-, intra-, and post-anesthesia phases. The purpose of this study was to determine the relationship between sitting position and the incidence of hypotension during spinal anesthesia induction in cesarean section patients at Kasih Ibu Hospital in Denpasar. This study used a correlational analytical approach with a cross-sectional design. The sample in this study consisted of 80 respondents selected using non-probability sampling with consecutive sampling. Data were collected using observation sheets and analyzed using the Chi-Square test. This study found that there was a relationship between sitting position and changes in blood pressure during spinal anesthesia induction, with a p-value of < 0.001.
Factors Influencing Anesthesiologists in Conducting Pre-Anesthesia Assessments on Surgical Patients with Cardiovascular Disorders Parwati, Putu Atika; Devi, Ni Luh Putu Lusiana
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.7312

Abstract

Pre-anesthesia assessment is very important in ensuring the success of surgical procedures, especially in cases involving comorbidities, such as cardiovascular disorders. Pre-anesthesia assessment is often only performed by 19.5% of anesthesiologists, and the results are not recorded immediately after the procedure in the patient's medical records due to time constraints. This study aims to determine the factors that influence anesthesiologists in conducting pre-anesthesia assessments on surgical patients with cardiovascular disorders. The research design used was a correlational analytical study with a cross-sectional approach. The population was anesthetists in Indonesia, and the sample was selected using purposive sampling. Univariate analysis was performed by determining the frequency distribution and percentage of general characteristics of respondents, while bivariate analysis with chi-square was performed to determine the relationship between factors affecting anesthetists in conducting pre-anesthesia assessment on surgical patients with cardiovascular disorders. The sample size in this study was 245 respondents. The results of the study showed that factors associated with the implementation of pre-anesthesia assessment in surgical patients with cardiovascular disorders were length of service (p 0.020), workload (p 0.018), and number of anesthesiologists (p 0.009).

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