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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 136 Documents
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Search results for , issue "Vol 7 No 5 (2025): Indonesian Journal of Global Health Research" : 136 Documents clear
Implementation of the BPJS Health Referral Program in Indonesia: Literature Review Ardhan, Jery; Syakurah, Rizma Adlia; Idris, Haerawati; Windusari, Yuanita
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6980

Abstract

BPJS Health's Reverse Referral Program (PRB) is an initiative designed to ensure continuity of care for patients with chronic diseases by coordinating between primary healthcare facilities (FKTP) and partner pharmacies. This article aims to review the available literature on the effectiveness of PRB drugs, the flow of referral services, drug availability, and the role of partner pharmacies in supporting program implementation. The method used was a Systematic Literature Review using the Preferred Reporting Items for Systematic Reviews (PRISMA) flow by collecting articles from the Science Direct, Pubmed and Google Scholar databases published between 2019 and 2024 with the keywords "BPJS Referral Program", "Referral Drug Effectiveness", "PRB Drug Availability", and "BPJS Partner Pharmacies". From the initial search results, 39 articles were found (3 articles from ScienceDirect, 11 articles from PubMed, and 25 articles from Google Scholar). Based on the analysis conducted, 6 articles were double-published, 5 articles were incomplete, and 8 articles were not relevant to the topic. Then, after selection, 20 articles were identified as meeting the inclusion criteria. The results of the analysis showed that PRB helps improve patient compliance in chronic disease management and reduces the burden on referral hospitals. However, challenges faced include limited drug distribution, logistical constraints, and suboptimal coordination. This review concludes that technology-based solutions and increased regulatory capacity are needed to ensure the overall effectiveness of this program.
Corelation Between Uric Acid and Neutrophil Lymphocyte Ratio (NLR) in Controlled and Uncontrolled Type 2 Diabetes Mellitus Situmorang, Immanuel; Siregar, Jelita; Syafril, Santi
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6986

Abstract

Type 2 diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia, often linked to metabolic complications and inflammatory conditions. Uric acid and Neutrophil-Lymphocyte Ratio (NLR) are biomarkers of inflammation and oxidative stress in this condition. This study aims to examine the relationship between uric acid and NLR in controlled and uncontrolled type 2 DM patients. Using an analytical observational design with a cross-sectional approach and consecutive sampling, 112 subjects were divided into controlled (HbA1c < 7%) and uncontrolled (HbA1c ≥ 7%) groups. Data were collected from RSUP H. Adam Malik Medan through laboratory tests for whole blood, uric acid, and HbA1c levels. Pearson or Spearman correlation tests were used to assess relationships between variables with a significance level of p < 0.05. Significant demographic differences were found between groups, with higher uric acid and HbA1c levels in the uncontrolled DM group. Positive correlations were observed between uric acid and NLR, as well as uric acid and HbA1c, in both groups. Additionally, a strong positive association between HbA1c and NLR was found in both groups. Uric acid, NLR, and HbA1c are correlated in both controlled and uncontrolled type 2 diabetes mellitus.
Combination of Subcision, Microneedling, and Platelet-Rich Plasma Therapy in Patient with Grade Four Atrophic Acne Scars Dhillon, Jesryn; Nasution, Khairina; Jusuf, Nelva Karmila
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6682

Abstract

Atrophic acne scars affect up to 75% of patients with a history of acne and are often associated with significant psychosocial distress. These scars are classified into three main types: ice pick, rolling, and boxcar. A multimodal therapeutic approach is often required for effective management, particularly in severe cases. This report presents a case of a 40-year-old married woman with a 10-year history of inflammatory acne lesions that progressed into grade 4 atrophic scars. The acne was suspected to be triggered by injectable contraceptive use, which contains progestins with androgenic activity. The patient frequently picked at her acne, leading to deep scarring predominantly on both cheeks. Based on clinical evaluation, dermoscopy, and skin analyzer assessment, the patient underwent a series of treatments combining subcision, microneedling, and platelet-rich plasma (PRP) therapy. Following treatment, the Self-Assessment of Clinical Acne-Related Scars (SCARS) score improved from 22 to 14, while the Facial Acne Scar Quality of Life (FASQoL) score improved from 32 to 16. This case highlights the effectiveness of a combination approach in remodeling scar tissue and improving quality of life in patients with severe atrophic acne scars. A tailored, comprehensive treatment plan is essential for optimal outcomes.
Nutritional Status Profile of Women of Reproductive Age Based on Anthropometric Indicators Karuhgair, Juan Christianto; Tampubolon, Rifatolistia; Mangalik, Gelora
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6817

Abstract

Nutritional status reflects the balance between nutritional needs and intake, which is crucial for the health of women of reproductive age, as it directly affects reproductive function, pregnancy, and overall family well-being. This study aimed to accurately assess their nutritional status using anthropometric indicators as an initial step to prevent metabolic disease risks in women of reproductive age. This was a descriptive study with a cross-sectional design conducted from November 2024 to January 2025. The population consisted of all women of reproductive age (WRA) with total of 45 respondents were selected using purposive sampling. Data were collected through direct observation using a checklist that included demographic characteristics and anthropometric measurements. The data were analyzed univariately and classified based on WHO standards to determine categories of undernutrition, normal, overweight, and central obesity. Results were presented in tables, charts, and descriptive narratives. Most women of reproductive age (WRA) were in the productive age range of 21–35 years, with the majority having a senior high school education and working as employees or laborers. Nutritional status, based on BMI and MUAC, was predominantly in the normal category; however, waist circumference and waist-to-hip ratio (WHR) measurements indicated a high prevalence of central obesity among the WRA. All respondents had a WHR ≥ 0.85, indicating a high risk of non-communicable diseases such as hypertension and type 2 diabetes. This study assessed the nutritional status of women of reproductive age using anthropometric indicators such as BMI, MUAC, waist circumference, and WHR. While most had normal nutritional status, there was a high prevalence of central obesity, which poses a risk for non-communicable diseases like hypertension and diabetes.
The Calm Before the Storm: Wellens Syndrome Revisited Rantung, Nolly O. H; Azria, Nurul; Suling, Jeremy P. D.; Silaban, Hertina
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6908

Abstract

Wellens syndrome is a characteristic electrocardiographic pattern indicating a critical stenosis of the left anterior descending (LAD) coronary artery and is a warning sign for an impending anterior myocardial infarction. Early recognition is crucial, as this pattern typically appears when the patient is pain-free and cardiac biomarkers are standard, which can potentially mislead clinicians. This case report aims to highlight the importance of recognizing the pattern of Wellens Syndrome through the clinical description of patient Mr. A, a 61-year-old male with hypertension and chronic kidney disease who presented with chest pain that has subsided. We present a 61-year-old Melanesian man with a history of hypertension and stage 3 chronic kidney disease, who had recent anginal chest pain that resolved upon evaluation. On examination, blood pressure was 154/80 mmHg, heart rate 78/min, respiratory rate 20/min, temperature 36.7°C, oxygen saturation 99% on room air, and minimal pitting oedema in both legs. The ECG obtained showed biphasic T waves in leads V2–V4 with the patient feels no chest pain at all, consistent with a type A Wellens pattern. Troponin T was negative (< 40 ng/L), and no ST elevation or pathologic Q waves were observed. Chest X-ray showed cardiomegaly. Coronary angiography revealed a critical stenosis in the proximal LAD. The patient underwent percutaneous coronary intervention with stent placement to the proximal LAD. Wellens syndrome represents a “pre-infarction” state that should be identified to prompt urgent revascularization before extensive myocardial infarction occurs. This case underscores the importance of recognizing Wellens syndrome as “the calm before the storm” and avoiding conservative management that could lead to adverse outcomes.
Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Makin, Mochamad; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; Yadi, Yadi; Lestari, Ida Ayu Indira Dwika
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Neutrophil-To-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as Predictors of Mortality in Chronic Kidney Disease Patients Undergoing Hemodialysis Silaban, Roy Efendi; Arto, Nindia Sugih; Lubis, Mohammad Riza
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6998

Abstract

Chronic Kidney Disease (CKD) is associated with high mortality, especially among patients undergoing hemodialysis (HD). Inflammation markers such as the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) have been linked to mortality prediction. This study aims to evaluate the role of NLR and PLR as mortality predictors in CKD patients undergoing HD at H. Adam Malik Hospital, Medan. This retrospective study analyzed CKD patients receiving HD from January to December 2023, aged 18-60 years, and undergoing routine HD for at least 3 months. Excluded were those with comorbidities, immunosuppressant use, or incomplete records. Data on demographics, laboratory values (including NLR and PLR), and mortality outcomes were collected. ROC curve and logistic regression analysis were used. Out of 108 patients, 35 (32.4%) died. The median NLR was significantly higher in the mortality group (7.89 vs. 3.41, p < 0.001), while PLR showed no significant difference. ROC analysis revealed NLR's moderate accuracy (AUC = 73.3%, cut-off = 5). Multivariate analysis identified coronary artery disease history, age, and creatinine levels as significant mortality factors. NLR is a moderate predictor of mortality in CKD patients undergoing HD, while PLR is not.
The Effect of Progressive Muscle Relaxation on Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Sani, Fakhrudin Nasrul; Rayasari, Fitrian; Anggraini, Dewi; Agung, Rizki Nugraha; Wahyuningsih, Retno Dyah
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6969

Abstract

One of the most complex chronic diseases is diabetes, which requires ongoing medical care aimed at reducing multifactorial risks beyond glycaemic control. Diabetes and stress are interrelated, where stress results in increased cortisol production, cortisol itself inhibits the work of insulin, this triggers an increase in blood sugar levels. One of the ways to control blood sugar levels by providing non-pharmacological therapy is to provide music therapy, relaxation and guided imagery. Progressive Muscle Relaxation (PMR) is one of the relaxations that can be applied to patients with diabetes mellitus. This relaxation technique can speed up the body's metabolism by physiologically increasing blood flow. This study aims to determine the effect of progressive muscle relaxation on blood sugar levels in patients with type 2 diabetes mellitus. This research is a quasi-experimental. The research design used is nonrandomised pretest - posttest with control group design. The research sample was divided into two groups, the intervention group and the control group. Blood sugar level measurements were carried out in the intervention group twice, namely before (pretest) and after (posttest) being given progressive relaxation therapy, while the control group did not receive any actions. The population in this study were patients with type 2 diabetes mellitus at Dr Moewardi Surakarta Hospital. Data analysis using the parametric paired t-test because the data is normally distributed. The blood sugar level in the control group before the relaxation intervention was an average of 237.90 mg/dl and after the relaxation intervention was an average of 218.57 mg/dl. The average blood sugar level in the control group before relaxation was 238.10 mg/dl and after relaxation was 231.43 mg/dl. The p-value for the intervention group based on the paired sample t-test statistic is 0.000 (p < 0.05) with an average decrease in blood sugar level of 19.33 mg/dl. These results indicate that progressive muscle relaxation exercises have an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus. Based on the above description, it can be concluded that progressive muscle relaxation has an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus.
Scooping Review: The Effectiveness of Physical Training Based on Child Health Models for Obese Adolescents Rismanudin, Rismanudin; Fony, Fony; Wahyuni, Wahyuni; Syamsuddin, Umriani
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.7012

Abstract

Adolescent obesity is a global public health concern that affects both physical health and psychosocial well-being. Integrative interventions that combine physical training with psychosocial support, such as the Child Healthcare Model, are increasingly being used to address this issue holistically. This study aims to explore the effectiveness of physical training based on the Child Healthcare Model on weight loss and body image among obese adolescents through a scoping review guided by the PRISMA framework. This study aims to assess the effectiveness of physical exercise based on the Child Healthcare Model in reducing weight and improving body image in obese adolescents. It is hoped that the results of this study will provide a deeper nunderstanding of the role of structured physical exercise in supporting obese adolescents to achiev their ideal weight and form a more positive body image. A comprehensive literature search was conducted using PubMed, Scopus, ScienceDirect, and Google Scholar databases for relevant studies published between 2019 and 2024. The search focused on studies involving adolescents aged 12–18 years with obesity who underwent physical training programs integrated with the Child Healthcare Model. Study selection followed the PRISMA-ScR flow diagram, and data were extracted and synthesized narratively. Out of 187 initial articles, 23 met the inclusion criteria. Most studies reported that physical training combined with the Child Healthcare Model—through nutritional education, psychological support, and family involvement—resulted in average weight loss of 3–5% over 12 weeks and significantly improved body image as measured by validated scales. Family and professional involvement were key factors in enhancing participant motivation and outcomes. Physical training based on the Child Healthcare Model is effective in reducing body weight and improving body image among adolescents with obesity. These findings support the implementation of holistic, family-centered interventions in adolescent obesity programs.
The Effect of Animated Videos on Teeth Brushing on School Children's Knowledge of Maintaining Dental and Oral Health” Jannah, St. Nurfatul; Rismanudin, Rismanudin; Ongirwalu, Yosephina Yunita
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.7036

Abstract

Dental caries remains a common health problem among children in many countries, including Indonesia, with a fairly high incidence rate. According to data from Riskesdas (2018), 81.5% of children aged 3-4 years in Indonesia suffer from dental caries. Lack of knowledge and poor oral hygiene practices can increase the risk of dental health problems. Educational media in the form of animated videos are considered effective because they stimulate visual and auditory senses, thereby aiding children's understanding. This study aims to evaluate the effect of an animated video on proper toothbrushing techniques on students' knowledge levels at SDN Bontoramba 1 Makassar. It is hoped that the implementation of such media can enhance children's awareness and knowledge about oral and dental care, thereby positively impacting their quality of life. This study aims to determine children's level of knowledge about dental and oral health care before receiving education through animated videos, then analyze changes in knowledge after the education, and assess the effect of animated videos on children's motivation to maintain dental and oral health. The research used a quasi-experimental design with a pre-post test approach, This study involved 36 elementary school students, consisting of 16 girls and 20 boys. The respondents were assessed before watching the educational animation video and then reassessed after the educational intervention through the video. Based on the McNemar test analysis, 29 students who initially had poor knowledge improved to good after watching the animated educational videos, and no students showed a decline from good to poor. The statistical test results showed a significance value of p < 0.001, which is less than the criterion limit of 0.05 There was a significant difference between the results before and after the intervention. These findings indicate that the use of animated educational videos has a significant effect on improving students' knowledge of how to brush their teeth to maintain dental and oral health.

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