cover
Contact Name
Hamid Mukhlis
Contact Email
me@hamidmukhlis.id
Phone
+6281325790254
Journal Mail Official
makein@ukinstitute.org
Editorial Address
Lucky Arya Residence No 18 RT/RW 003/001 Fajar Agung Barat Kecamatan Pringsewu
Location
Unknown,
Unknown
INDONESIA
Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, 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.
Articles 102 Documents
Family History and Smoking as Key Predictors of Obesity among Young Adults in Latin America: A Secondary Data Analysis Utami, Nurul Putrie; Pranolo, Andri
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025276

Abstract

The prevalence of obesity continues to increase in various countries. Obesity is a multifactorial condition influenced by lifestyle, diet, and genetic factors. This study aims to identify risk factors associated with obesity using secondary data analysis conducted using the Obesity Dataset, which consists of 485 individuals aged 14–61 years from Mexico, Peru, and Colombia. The research data were tested using the chi-square test to assess the relationship between obesity risk factors, followed by a multivariate test using logistic regression. The results indicated that a significant relationship with obesity was only found in the factors of a family history of obesity, smoking status, and age group. Individuals with a family history of overweight were almost five times more likely to be obese (OR = 4.98; 95% CI: 2.25–11.04; p < 0.001). Smokers had nearly three times higher odds of obesity compared to non-smokers (OR = 2.91; 95% CI: 1.17–7.24; p = 0.022). In addition, older age was associated with an increased likelihood of obesity (OR = 4.84; 95% CI: 1.51–15.49; p = 0.008). These findings conclude that genetic factors and smoking habits have a stronger association with obesity than dietary factors and physical activity. This study suggests that public health interventions should encompass not only diet and physical activity but also incorporate smoking prevention and cessation programs as essential components of obesity control strategies. Futhermore, population with family history of overweight and older age need to optimize prevention and nutritional intervention efforts to prevent and overcome obesity.
Synergistic Antioxidant Activity of Roselle (Hibiscus sabdariffa L.) and Basil (Ocimum sanctum L.) Extract Syrup in Rats Exposed to Oxidative Stress from Used Cooking Oil Iqbal, Muhammad; Mustaina, Mustaina; Yusuf, Nur Fajrin Maulana
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025286

Abstract

This study aimed to evaluate the antioxidant effect of a syrup combining Hibiscus sabdariffa L. (roselle) and Ocimum sanctum L. (basil) extracts in male rats exposed to oxidative stress induced by used cooking oil (UCO). A randomized controlled design was applied using six treatment groups, including single and combined extract syrups. Plasma malondialdehyde (MDA) levels, an indicator of lipid peroxidation, were measured before induction, after UCO exposure, and following treatment. Results showed a significant rise in MDA levels after UCO induction, confirming oxidative stress. Administration of roselle–basil syrup markedly reduced plasma MDA compared with the induced control (p < 0.05). The optimal formulation achieved up to a 96–97% reduction in MDA levels, indicating strong antioxidant efficacy. This effect is attributed to the synergistic action of anthocyanins from roselle and eugenol and rosmarinic acid from basil, which act as radical scavengers and metal chelators. These findings validate the synergistic potential of the roselle–basil combination in mitigating oxidative stress and lipid peroxidation. The study highlights its promise as a natural, safe, and locally sourced antioxidant formulation, offering a foundation for developing functional beverages or nutraceutical products aimed at preventing oxidative damage from dietary lipid oxidation.
TelenursaMoms: A Digital Mental Health Service Innovation for Postpartum Mothers with Neglectful Family Challenges Ekasari, Rizqiana Dita; Satiti, Ika Arum Dewi; Wahyuningrum, Ari Damayanti
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025278

Abstract

Postpartum anxiety and depression are common mental health problems in postpartum mothers, especially when there is a challenge of low family support (neglectful family). Postpartum mothers who are neglected by their families are 20% more at risk of experiencing anxiety and 13% more at risk of experiencing postpartum depression compared to mothers who receive family care. Suboptimal family support can exacerbate psychological symptoms and hinder mother-infant bonding. The purpose of this study was to develop the TelenursaMoms application, a digital platform that is easily accessible at any time to assess family function and maternal psychological health, as well as provide initial management for postpartum mothers with neglectful challenges. The study used a quasi-experimental pre-post test with a control group design with 80 postpartum mothers who met the inclusion criteria. The instruments used were the Family Functioning and Cohesion Scale (FFCS) and the Postpartum Mother Assessment Tool (ASIPP). Data analysis used ANCOVA. After adjusting for pre-test scores, ANCOVA showed that the TelenursaMoms intervention group had significantly higher post-test scores than the control group in all outcomes: emotional regulation (F(1,79) = 16.0, p < 0.001, partial η² = 0.17), maternal self-confidence (F(1,79) = 19.5, p < 0.001, partial η² = 0.20), marital satisfaction (F(1,79) = 25.0, p < 0.001, partial η² = 0.24), and family cohesion (F(1,79) = 42.3, p < 0.001, partial η² = 0.35). TelenursaMoms proved significantly effective, especially in strengthening family cohesion and marital satisfaction, two relational aspects that are frequently neglected in existing digital interventions for maternal well-being.
Painless Labor in Pakistan: Gaps, Barriers, and Missed Opportunities for Maternal Health Abbas, Sana
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025283

Abstract

This narrative review examines the “silent suffering” of women in Pakistan who experience unmanaged labour pain despite major advances in obstetric analgesia globally. Drawing on approximately 25 empirical, policy and survey sources, the review synthesises evidence on the availability, distribution and use of painless labour services—including epidural analgesia and nitrous oxide (Entonox)—through the lens of the WHO Health Systems Framework and, where relevant, the “three delays” model. Findings reveal a highly inequitable landscape in which painless labour is concentrated in a few urban tertiary and private facilities, constrained by infrastructural gaps, high out-of-pocket costs, persistent shortages and maldistribution of anaesthesiologists, and underutilisation of midwives. Demand-side barriers include low awareness, widespread misconceptions about risks, and socio-cultural and religious narratives that normalise labour pain and limit women’s autonomy. These structural and cultural constraints collectively undermine Pakistan’s commitments to respectful maternity care and universal health coverage. The review concludes with policy and practice recommendations, including investments in public-sector capacity, integration of labour analgesia into benefit packages, task-shifting selected modalities to midwives, and community engagement to address myths and affirm women’s right to pain relief.
The Urgency of Screening for Thalassemia Carriers in Indonesia: Policy Analysis Setiyowati, Erni; Rustina, Yeni; Allenidekania, Allenidekania
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025285

Abstract

Thalassemia is a hereditary blood disorder that, while incurable, is entirely preventable through early detection. In Indonesia, an estimated 6–10% of the population carries the thalassemia gene but screening is not a nationwide mandatory. Existing initiatives remain fragmented across regions and target only specific groups, such as prospective brides and grooms in Jakarta or pilot programs in Bekasi Regency. Lack of early screening leads to the birth of thousands of children with thalassemia major, requiring lifelong transfusions and iron chelation therapy that costs the government IDR 800 billion per year. To achieve long-term sustainability, Indonesia must shift from curative to preventive strategies by integrating genetic screening into the national health insurance and reproductive health systems. Policy Ask: Develop a joint regulation between the Minister of Health and the Minister of Religious Affairs, or Minister of Health Regulation (Permenkes), mandating premarital and school-based thalassemia screening as part of national health and marriage registration programs.
RULA-Based Ergonomic Assessment of Sitting Posture as a Risk Factor for Neck Pain in Students Septadina, Indri Seta; Wardiansah; Suciati, Tri; Adnindya, Msy Rulan; Putri, Sima Asmara Dewa Marya Mahardika; Legiran; Malahayati, Putri; Odiesta, Muhammad Ramadhan; Hasbi, Alfian
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025294

Abstract

Research on ergonomic risk factors for neck pain among Islamic boarding school students remains scarce, despite their prolonged study and Qur’an memorization activities in static sitting postures. Non-neutral body posture during learning may increase the risk of musculoskeletal disorders (MSDs), particularly neck pain, which can impair concentration and quality of life. This analytic cross-sectional study aimed to assess students’ body posture during study and memorization activities and to examine its association with neck pain. A total of 72 boarding and non-boarding students participated. Data were collected using questionnaires and the Rapid Upper Limb Assessment (RULA), and analyzed with chi-square tests and logistic regression to obtain prevalence ratios (PR) and p-values. Neck pain was reported by 63.9% of respondents; 72.2% exhibited poor sitting posture, and 80.6% reported moderate-to-severe stress. Bivariate analysis showed a significant association between stress level and neck pain (p = 0.033; PR = 2.19; 95% CI: 1.25–3.83). In multivariate logistic regression, no variable reached conventional statistical significance; however, students with moderate-to-severe stress had a 3.81-fold higher risk of neck pain (p = 0.057). These findings underscore the need for integrated ergonomic and psychosocial interventions in Islamic boarding school settings to reduce neck pain risk among students.
From Business to Care: An Analysis of Pharmaceutical Service Compliance Across Indonesian Pharmacies Bethasari, Maulidwina
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 Tania, Chyntia Glori; 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; Kadang, Yuniharce
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 Ka'arayeno, Arie Jefry; Cita, Errick Endra
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.

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