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INDONESIA
Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 6 Documents
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Search results for , issue "vol. 7 no. 1 (2026)" : 6 Documents clear
From Business to Care: An Analysis of Pharmaceutical Service Compliance Across Indonesian Pharmacies Maulidwina Bethasari
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026275

Abstract

Pharmaceutical services in Indonesian community pharmacies play a critical role in ensuring safe and effective medication use. However, despite the establishment of the Ministry of Health Regulation No. 73 of 2016, significant disparities in compliance persist, which may compromise patient safety and the quality of pharmaceutical care. This study analyzes pharmacy compliance across various regions of Indonesia in implementing pharmaceutical service standards, focusing on three key domains: pharmaceutical supply management, clinical services, and human resources. A total of 43 eligible studies were systematically reviewed and categorized according to the regulatory indicators. The results showed that pharmaceutical supply management demonstrated the highest compliance levels (average 88–94%), as it directly supports pharmacy profitability. In contrast, clinical services such as counseling, Home Pharmacy Care (HPC), and Drug Therapy Monitoring (DTM) exhibited low implementation rates (23–40%), primarily due to limited remuneration and insufficient pharmacist engagement. Only 36.87% of pharmacies conducted self-evaluations, yet these showed significantly higher compliance compared to those that did not. Pharmacist attendance alone did not correlate with improved clinical service provision, indicating that competency and institutional support are more critical determinants of compliance. In conclusion, the findings highlight that Indonesian pharmacies remain largely business-oriented, with clinical services underperformed relative to managerial aspects. Strengthening policy enforcement and professional capacity-building is essential to enhance compliance and support a shift toward patient-centered pharmaceutical care.
Texture-Modified Diets and Practical Swallowing Interventions in Head and Neck Cancer Patients with Dysphagia: A Narrative Review Chyntia Glori Tania; Nasri Nasri
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026281

Abstract

Dysphagia is one of the most prevalent and persistent complications in patients with head and neck cancer (HNC), particularly nasopharyngeal carcinoma (NPC), with a reported prevalence of 45–83%. This narrative review aimed to synthesize recent evidence (2015–2025) on the effectiveness of texture-modified diets and swallowing therapies in improving nutritional intake, swallowing safety, and quality of life in HNC patients. Literature searches were performed systematically through PubMed, Scopus, Web of Science, Google Scholar, and Dimensions using predefined inclusion and exclusion criteria, resulting in 12 eligible articles for analysis. The findings showed that dysphagia significantly contributes to malnutrition, aspiration risk, prolonged hospitalization, reduced treatment adherence, and decreased survival. Interventions such as diets guided by the International Dysphagia Diet Standardisation Initiative (IDDSI), personalized nutritional strategies, and structured swallowing therapies demonstrated beneficial outcomes in reducing aspiration, maintaining oral intake, and improving clinical prognosis. In addition to synthesizing clinical outcomes, this review provides a theoretical contribution by framing dysphagia management as a multidisciplinary process that integrates nutritional science, swallowing physiology, and rehabilitative practice. Preventive swallowing exercises during radiotherapy and multidisciplinary management further enhanced long-term outcomes. The synthesis highlights the necessity of integrating nutrition and swallowing rehabilitation into routine oncology practice, with particular implications for healthcare facilities with limited resources where IDDSI adoption and preventive therapy remain underutilized. Future studies should prioritize high-quality randomized controlled trials, particularly in NPC populations, to validate intervention protocols and standardize best practices. This review contributes to bridging evidence with clinical application, providing a framework for safer and more effective patient-centered care.
Effectiveness Of Nursing Interventions in The Implementation of Primary Health Care Policies: A Systematic Review Suprapto Suprapto; Yuniharce Kadang
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026282

Abstract

Nursing-led interventions play a critical role in strengthening primary health care (PHC) delivery; however, empirical evidence on their policy-level impact remains fragmented and under-theorized. This review synthesizes quantitative and qualitative findings to evaluate how nursing-driven strategies influence PHC policy implementation outcomes across diverse health system contexts. A systematic search across five major databases and grey literature sources identified eligible studies assessing the effectiveness, feasibility, and contextual determinants of nursing-led interventions using established methodological frameworks. Quantitative analyses demonstrated that these interventions were associated with enhanced measurable policy compliance, improved continuity of care indicators, and greater alignment with PHC implementation targets. Qualitative synthesis further highlighted perceived patient empowerment, the contextual barriers faced by nurses, and the organizational enablers that shape intervention effectiveness. This review provides an integrative synthesis linking nursing-led interventions to PHC policy adherence, offering a novel framework for evaluating community-based policy outcomes. Findings underscore the importance of context-sensitive implementation and highlight opportunities for strengthening PHC systems through nursing leadership.
Bioactive Potential of Dendrocalamus asper (Betung Bamboo Shoot) Against Colorectal Cancer: A Scoping Review of Preclinical Mechanisms and Research Gaps Arie Jefry Ka'arayeno; Errick Endra Cita
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026287

Abstract

Colorectal cancer is one of the leading causes of morbidity and mortality globally. Bamboo shoots (Dendrocalamus asper) are known to contain dietary fiber, polyphenols, flavonoids, phytosterols, and oligosaccharides that have the potential to provide biological effects on the prevention of colorectal cancer. This study aims to map the latest scientific evidence regarding the bioactive content of D. asper, the mechanism of action relevant to colorectal cancer, and its opportunities for use as a candidate for phytopharmaceuticals and complementary therapies. This study is a scoping review with a systematic search approach. Literature searches were conducted on PubMed, ScienceDirect, SpringerLink, Google Scholar, and Garuda with a publication period of January 2018-August 2025. The selection of articles follows the inclusion-exclusion criteria and PRISMA guidelines. A total of 9 articles met the criteria and were analyzed through thematic synthesis. The results of the study showed that D. asper has an important phytochemical profile, including phenolics, flavonoids, and phytosterols that play a role in antioxidant, antiproliferative, anti-inflammatory, and apoptotic induced activity. Bamboo fiber and oligosaccharides have also been shown to promote beneficial bacterial growth and the production of short-chain fatty acids (SCFAs), specifically butyrates, which protect the colon mucosa and lower the risk of preneoplastic lesion formation. In vitro and in vivo evidence consistently supports bamboo's potential as a colorectal cancer prevention agent, although human clinical trials are not yet available. The conclusion of this study is that bamboo shoots show strong prospects as well as a candidate for phytopharmaceuticals as well as complementary therapies in efforts to prevent colorectal cancer.
Dissatisfaction and Discontinuation of Contact Lens Use among University Students in Lahore Pakistan Hafiz Zaki Naeem; Muhammad Matee Ullah; Nubera Ahmed; Nauman Ismat Butt
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026299

Abstract

To assess the factors contributing to dissatisfaction and discontinuation of contact lens use among university students in Lahore Pakistan. This cross-sectional study was conducted at Superior University Lahore Pakistan. A total of 50 undergraduate students having a history of contact lens use followed by discontinuation, aged 18–25 years, studying in various disciplines, were enrolled using a non-probability consecutive sampling. Students who were actively using contact lenses were excluded. Informed consent was obtained prior to enrollment. Data were collected using a specially designed questionnaire consisting of three domains. The first domain included demographic information such as age and gender, along with details related to contact lens use. The second domain assessed factors related to dissatisfaction, while the third domain focused on contact lens discontinuation. Data were entered and analyzed using SPSS version 23. A total of 50 university students who had discontinued contact lens use were included (mean age 21.8 ± 1.7 years; 50% male). Soft extended-wear lenses were most commonly used (46%), and half of participants wore lenses on ≤2 days per month. Key complaints included discomfort (62%), handling difficulties (66%), dryness (66%), and ocular complications such as eye injuries (38%) and infections (32%). Most participants (72%) had discontinued lenses within the past few months, with 42% attributing their eye symptoms possibly to lens use. Despite discontinuation, over half (52%) indicated willingness to resume lens use in the future. In this dropout sample of university students, discomfort, handling difficulties, and ocular symptoms were frequently reported among previous contact lens users. These findings highlight factors associated with dissatisfaction and discontinuation. Future studies should employ multi-center designs, compare active users with dropouts, and use validated instruments to better understand patterns of contact lens use and discontinuation in Pakistan.
High Hypertension Prevalence and Associated Factors in Urban Coastal Communities: A Cross-Sectional Study in Manado, Indonesia Jeini Ester Nelwan; Oksfriani Jufri Sumampouw
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026301

Abstract

Hypertension is a major public health challenge in Indonesia, and urban coastal communities may experience compounded risk. This community-based cross-sectional study estimated hypertension prevalence and assessed factors associated with hypertension among adults in Manado City, North Sulawesi. Data were collected in September 2024 at three coastal primary healthcare centers (Puskesmas Bahu, Tuminting, and Bailang). Convenience sampling enrolled 150 adults, most of whom were aged ≥50 years (63.3%) and female (70.0%). Blood pressure was measured twice in a seated position after rest; the average was used to classify hypertension (systolic ≥140 mmHg and/or diastolic ≥90 mmHg). Exposures included age, sex, family history, marital status, education, occupation, physical activity, and smoking. Associations were analyzed using modified Poisson regression with robust variance to estimate prevalence ratios (PR). Hypertension prevalence was 70.0% (105/150). In multivariable analyses, hypertension was associated with family history (PR=4.746; p=.035), marital status (PR=4.723; p=.046), education (PR=3.831; p=.034), physical activity (PR=5.523; p=.025), and smoking (PR=4.821; p=.047). Age, sex, and occupation were not statistically significant. These findings indicate a very high hypertension burden in urban coastal Manado and highlight priority targets for prevention and primary-care action, including risk-based screening, smoking cessation support, physical-activity promotion, and tailored health education. Abstrak: Hipertensi merupakan tantangan kesehatan masyarakat utama di Indonesia, dan komunitas pesisir perkotaan dapat mengalami risiko yang berlapis. Studi potong lintang berbasis komunitas ini bertujuan mengestimasi prevalensi hipertensi dan menilai faktor-faktor yang berasosiasi dengan hipertensi pada orang dewasa di Kota Manado, Sulawesi Utara. Pengumpulan data dilakukan pada September 2024 di tiga puskesmas wilayah pesisir (Puskesmas Bahu, Tuminting, dan Bailang). Dengan accidental (convenience) sampling, diperoleh 150 responden; sebagian besar berusia ≥50 tahun (63,3%) dan perempuan (70,0%). Tekanan darah diukur dua kali dalam posisi duduk setelah istirahat; nilai rerata digunakan untuk mengklasifikasikan hipertensi (sistolik ≥140 mmHg dan/atau diastolik ≥90 mmHg). Variabel paparan meliputi usia, jenis kelamin, riwayat keluarga, status perkawinan, pendidikan, pekerjaan, aktivitas fisik, dan merokok. Analisis asosiasi menggunakan regresi Poisson termodifikasi dengan varians robust untuk mengestimasi prevalence ratio (PR). Prevalensi hipertensi sebesar 70,0% (105/150). Dalam analisis multivariat, hipertensi berasosiasi dengan riwayat keluarga (PR=4,746; p=0,035), status perkawinan (PR=4,723; p=0,046), pendidikan (PR=3,831; p=0,034), aktivitas fisik (PR=5,523; p=0,025), dan merokok (PR=4,821; p=0,047). Usia, jenis kelamin, dan pekerjaan tidak signifikan. Temuan ini menunjukkan beban hipertensi yang sangat tinggi di Manado pesisir perkotaan dan menegaskan perlunya skrining berbasis risiko, dukungan berhenti merokok, promosi aktivitas fisik, serta edukasi kesehatan yang terarah di layanan primer.

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