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Rachmat Hidayat
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Community Medicine and Education Journal
Published by HM Publisher
ISSN : -     EISSN : 27742962     DOI : https://doi.org/10.37275/cmej
Core Subject : Humanities, Health, Education,
Humanities Education Health Professions Languange, Linguistic, Communication & Media Public Health
CMEJ covers all subjects regarding community medicine and education. The covered research areas as follows community medicine, public health, epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, quality of life, health literacy and communication and their role in developing new healthcare programs, Arts of teaching, Case studies from schools around the world, Change management and education quality, Citizenship education, Classroom management, Computers in educational administration, Differing cultural perceptions of management in education, Distance education and multimedia environments, Early Childhood Education, Economics of education, Educational administration, Education environments (political, social, legal, cultural), Educational leadership, Educational policy and management, Educational systems planning/strategic planning, E-education / E-learning, Entrepreneurial development, Equity and education, Finance and accountability in education, Globalization and education, Human resources management, Individual professional learning portfolio, Information Communication Technologies (ICT) in Education, Special Education and Theories of educational management.
Arjuna Subject : Ilmu Sosial - Pendidikan
Articles 122 Documents
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Telemedicine and Artificial Intelligence for Retinopathy of Prematurity Screening in Low-Resource Settings: A Systematic Review and Meta-Analysis of Diagnostic Accuracy with Cost-Effectiveness Perspectives I Wayan Eka Sutyawan; Ni Made Ayu Surasmiati; Ivana Beatrice Alberta; Calvin Prasetio
Community Medicine and Education Journal Vol. 7 No. 2 (2026): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v7i2.953

Abstract

Background: Screening for retinopathy of prematurity (ROP) in low- and middle-income countries (LMICs) is limited by the shortage of trained examiners. Objective: We assessed the diagnostic accuracy of telemedicine and artificial intelligence (AI) for ROP screening in LMICs and summarised economic evaluations of screening. Methods: PubMed, Europe PMC, OpenAlex and Scopus were searched for accuracy studies from LMICs comparing remote grading of retinal images (telemedicine) or AI with ophthalmoscopy or expert grading, and for economic evaluations. Sensitivity and specificity were pooled with bivariate random-effects models; risk of bias was assessed with QUADAS-2 and certainty with GRADE. Results: Twenty-four accuracy studies from nine countries and 13 economic evaluations were included. For clinically significant ROP, telemedicine (6 datasets; 927 units) had a sensitivity of 92.8% (95% CI 82.6–97.3) and a specificity of 95.8 (87.6–98.7)%; AI (6 datasets; 7,346 units) had a sensitivity of 93.0 (81.5–97.6)% and a specificity of 77.3 (55.6–90.3)%. Specificity was higher in upper-middle-income settings. For any-stage ROP and plus disease, pooled sensitivities were 92.2% and 81.4%, and specificities 97.6% and 99.1%. Fifteen studies were at high risk of bias, and certainty was low to very low. Telemedicine was cost-effective in all five cost-utility analyses; no economic evaluation of AI from LMICs was found. Conclusion: Telemedicine detected clinically significant ROP with high sensitivity and specificity and was cost-effective in LMICs, although the certainty of evidence was low. AI achieved similar sensitivity with more false-positive referrals; its use as a triage step within telemedicine programmes requires prospective evaluation.
Community Diagnosis of Hypertension and Knowledge After Single-Session Health Education in a Peri-Urban Indonesian Primary Care Catchment: A Mixed-Methods Study Nabella Zahra; Deitra Rifqah Oktaviani; Alif; Tom Surjadi
Community Medicine and Education Journal Vol. 7 No. 2 (2026): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v7i2.989

Abstract

Background: Hypertension is the leading diagnosis at many Indonesian primary health centers (Puskesmas), yet community diagnoses that guide local action rarely standardize site selection or state what their evaluations can establish. Objective: To report a community diagnosis of hypertension in the Puskesmas Teluknaga catchment (Tangerang Regency, Banten) and the knowledge outcome of the education session that followed. Methods: Routine Puskesmas records were combined with village population estimates to compute standardized visit ratios. A mini-survey of 30 Puskesmas visitors identified determinants, which were prioritized by non-scoring Delphi and traced by fishbone analysis. Thirty-two adult residents received one lecture with a leaflet and then a knowledge post-test. Pre-test scores were unavailable, so all paired pre/post tables consistent with the post-test were enumerated (exact McNemar tests). Results: Desa Teluknaga contributed 124 of 491 hypertension visits (25.3%) from 14.6% of the catchment population (rate ratio versus the other six villages 1.98; 95% CI 1.60 to 2.44; p<0.001). Low community knowledge was designated the root cause. Afterwards, 26 of 32 participants scored ≥90 (81.3%; 95% CI 64.7 to 91.1). Improvement was significant under every admissible pairing only if 15 or fewer participants had scored ≥90 beforehand, and under none if 21 or more had, so knowledge change could not be identified. Conclusion: Population standardization supported the choice of intervention village. Knowledge after the session was high, but demonstrating an educational effect, and converting knowledge into blood-pressure control, requires retained paired scores, follow-up and repeated interventions supported by community health volunteers (kader).

Page 13 of 13 | Total Record : 122

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