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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 2,081 Documents
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Evaluation of the Rationality of Antibiotic Use in Child Diarrhea Patients in the Inpatient Care Installation Anggraini, Truly; Adiningsih, Retnowati; Logarithm, Khoirun Nisa
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6440

Abstract

According to WHO and UNICEF, diarrheal disease occurs around 2 million cases and 1.9 million children die each year with a prevalence of 78% in developing countries. The treatment used is antibiotics. Irrational use of antibiotics can cause less effective treatment, decreased drug safety levels, high treatment costs and increased resistance. The purpose of this study was to evaluate the rationality of antibiotic use in pediatric diarrhea patients at UNS Hospital using the Gyssens method for the period January - September 2023. This study was conducted as an observational study with a descriptive design with retrospective sampling, the sample of this study was 80 patients and included in the inclusion category of 33 samples, then a descriptive analysis was carried out using the Gyssens assessment. The reference used is the Indian guidelines Academy of Pediatrics (IAP) 2022, DIH, MIMS, and UNS Hospital Drug Formulary. Data collection began with observation of medical records of pediatric diarrhea patients at UNS Hospital. The research data was obtained from UNS Hospital medical records for the period January - September 2023, then analyzed using the Gyssens method which was categorized as 0 - 6 descriptively and presented in the form of a percentage.This study shows the results of the rationality of antibiotics for pediatric diarrhea patients in the inpatient department of UNS Hospital using the Gyssens method for the period January - September 2023 proving that 71.73% of patients received rational antibiotic therapy (category 0), as many as 28.27% of patients received irrational antibiotic therapy including 10.87% category IVC, namely there are cheaper alternatives, 6.53% category IIIB, namely the duration of antibiotic use is too short, 10.87% category IIB, namely the interval of antibiotic administration is not appropriate.
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.
Nutritional Status of Pregnant Women and History Parity for Stunting in Toddler Ages 24-59 Margareth, Lidyani; Lail, Nurul Husnul; Arlym, Lisa Trina
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6843

Abstract

Stunting is a condition where a child experiences growth disorders, which results in the child's height not being appropriate for his age as a result of chronic nutritional problems, namely a lack of adequate nutritional intake over a long period of time. Objective to analyze the relationship between maternal risk factors and the incidence of stunting among toddlers in the Karawaci Health Center working area. This research design uses an observational analytical quantitative research type with a case control design. The case samples in this study were toddlers aged 24-59 months who experienced stunting with a TB/U toddler Z score < -2 SD and the data was recorded at the Karawaci Health Center in 2023 as many as 123 toddlers, and a control sample of 123 toddlers. Data were analyzed using the chi square statistical test. Results of bivariate analysis Overall, of the 11 variables carried out in the research, 5 of them showed a relationship between these variables and the incidence of stunting in toddlers, including a relationship between parity, of stunting. in toddlers aged 24-59 months who are in the working area of the Karawaci Health Center.There is no relationship between the nutritional status of pregnant women, with the incidence of stunting in toddlers aged 24-59 months in the working area of the Karawaci Health Center. And the factor that poses the greatest risk for stunting is the age of the mother at risk during pregnancy, where stunting is 3.42 times more likely to occur than mothers of normal age during pregnancy. There is a relationship between the number of parities, maternal age at pregnancy, history of anemia during pregnancy, birth interval and maternal education level with the incidence of stunting.
Implementation of Coaching of Room Head on Work Motivation in Improving Caring Behavior of Implementing Nurses Tarigan, Juliani; Tarigan, Emiliana; Hastono, Sutanto Priyo
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6865

Abstract

Public demand for health services to provide quality services. Good quality is usually supported by high work motivation. Good work motivation provides humane care for patients. Humanist behavior treats patients as human beings who must be cared for and served with a sincere heart which is called Caring behavior. Caring behavior is an attitude of Caring and concern for patients. One of the efforts to improve the Caring behavior of nurses is through the implementation of coaching training provided by the head of the room and the head of the room provides coaching conversation sessions to implementing nurses. The purpose of the study was to find out the implementation of ward head coaching on work motivation and characteristics of implementing nurses in increasing Caring behavior at M. Tangerang Hospital. This research method uses a quantitative method with a quasi-experimental design with a pretest-post-test control group design, namely a two-group design that was selected by consecutive sampling. The samples of this study by consecutive sampling, were 40 nurses 30 nurses in the intervention group and 10 nurses in the control group. The head coaching technique training with pre and post test scores got an increase of 24%. Univariate results showed an increase in Caring behavior in the intervention group by 10% after the implementation of coaching. The results of the independent sample t-test obtained a significance value (Sig.) of 0.029, smaller than 0.05, indicating that there was a difference in Caring behavior between the nurses in the intervention group and the nurses in the control group after the implementation of coaching by the head of the room. Suggestions for further research are to conduct research using qualitative methods.
Overview of Risk Factors for the Incidence of Pediculosis Capitis in Children Nurprilinda, Marliana; Sitanggang, Eva Silvia F; Djojosaputro, Mulyadi; Cahyawari, Dartri
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6907

Abstract

Pediculosis capitis (head lice) is a global health issue, particularly among school-aged children, caused by Pediculus humanus capitis. This condition can be transmitted both directly or indirectly via fomites. Symptoms commonly associated with Pediculosis capitis include itching of the scalp, sleep disturbances, and discomfort. Several factors generally influence the prevalence, including age, gender, frequency of hair washing, hair type, level of knowledge, personal hygiene, living conditions, and shared use of bedding or pillows. Research purposes to identify the risk factors associated with Pediculosis capitis among students at SDN Cawang 04 and SDN Cawang 12 in East Jakarta. This research is an analytical study with a cross-sectional approach. The research method employed is quantitative, utilizing questionnaires as research instruments and visual inspection to diagnose infestation, which is confirmed if eggs, nymphs, or adult lice are found in the hair. The sample was selected through random sampling from students in grades 3,4, and 5, with a total of 180 respondents determined using the Slovin formula. Data collection in this study used primary data collected through head lice or nit examinations and questionnaires. The research instruments used were a questionnaire regarding sociodemographic characteristics and questions to determine the number and risk factors for head lice. Data were analyzed using univariate analysis in SPSS. The results show that out of 180 respondents, 100 people (55.6%) were positive for Pediculosis capitis, with a higher infestation rate among female students (76, 42.2%) compared to male students (24, 13.3%). Based on respondent characteristics, the most common age was 9 years old, namely 39 people (21.6%), and grade IV, 37 people (20.5%). Dominant risk factors include age, gender, having long hair, a family size of more than four members, and parents' highest education level being high school. This study indicates that the incidence of Pediculosis capitis remains relatively high.
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.
Digital Education as an Innovative Strategy for Stunting Prevention: A Literature Review Khoeriyah, Salis Miftahul; Monika, Rika; Kora, Firmina Theresia; Lestari, Ega; Tahanora, Risti Tamara
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.7035

Abstract

Stunting is a public health problem that is still high in Indonesia and other developing countries. Prevention efforts require an innovative approach, one of which is through digital education that is able to reach targets quickly and effectively. This article aims to examine the various digital education interventions used in stunting prevention and analyze their effectiveness based on evidence from original research. This study is a review of the narrative literature on 11 original research articles published between 2020–2025. A total of 372 articles were initially identified through database searches (PubMed, ScienceDirect, Google Scholar, Garuda, and ResearchGate). After applying the inclusion and exclusion criteria and removing duplicates, 11 articles met the eligibility criteria and were included in the analysis. Article selection follows the PICOS criteria and the PRISMA process. Digital education in the form of mobile applications, voice and text messages, and online media has been proven to improve nutrition knowledge, change feeding behavior, and improve children's nutritional status. The effectiveness of interventions is greatly influenced by consistent message exposure, support of health cadres, and readiness of digital infrastructure. Digital education is a relevant and adaptive strategy in stunting prevention. Integration with community and cross-sector approaches is critical to ensuring the success and sustainability of the program.

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