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Journal of Current Health Sciences
Published by Utan Kayu Institute
ISSN : 28093275     EISSN : 28092236     DOI : https://doi.org/10.47679/jchs
Core Subject : Health, Science,
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary
Journal of Current Health Sciences is a journal developed to disseminate and discuss the scientific literature and other research on the development of health, especially in nursing and midwifery. This journal is intended as a medium for communication among stakeholders on health research such as researchers, educators, students, practitioners of the Health Office, Department of Health, Public Health Service centre, as well as the general public who have an interest in the matter. This journal contains a script on Health Sciences that includes: Nursing Midwifery Environmental Health Mental health Community nursing Labor Health Public health critical care nursing Medical nursing Paediatric nursing
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 6 Documents
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Search results for , issue "vol. 6 no. 2: 2026" : 6 Documents clear
How Family Assistance Teams Support Maternal-Child Nutrition Behavior Change for Stunting Prevention: A Qualitative Comparative Case Study in Kampar Regency, Indonesia Mitra Mitra; Novita Rany; Ervira Dwiaprini As Syifa; Oktavia Dewi
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026139

Abstract

Stunting is a chronic nutritional problem with long-term impacts on child development and future productivity. The Family Assistance Team (FAT) plays a crucial role in community-based interventions by providing education and mentoring to at-risk families. This study aims to explore the role of FAT in supporting behavioral changes to prevent stunting in maternal and child nutrition. A qualitative case study approach was used. The primary informants, including FAT members and supporting informants, were the Head of the Community Health Center, nutritionists, the Head of Population Control, field coordinators for the Family Planning Program, and mothers of children under five years old. Purposive sampling was employed to select informants. Data were gathered through in-depth interviews, Focus Group discussions, and document review. Data validity was ensured through source and method triangulation. Thematic analysis was used to identify key findings. Five major themes emerged: (1) FAT’s role in health education and growth monitoring; (2) collaboration across programs; (3) risk factors for stunting; (4) challenges in mentoring; and (5) behavioral changes in mothers and children. FAT reported changes in mothers' behavior, particularly in toddler feeding patterns, which were supported through regular monitoring using WhatsApp messaging. However, program implementation still faces various obstacles, requiring capacity building for cadres, policy support, and cross-sector collaboration to ensure the sustainability of the stunting reduction program. Abstrak. Stunting adalah masalah gizi kronis yang berdampak jangka panjang terhadap perkembangan anak dan produktivitas di masa depan. Tim Pendampingan Keluarga (TPK) memainkan peran penting dalam intervensi berbasis masyarakat melalui pendidikan dan pendampingan keluarga berisiko. Penelitian ini bertujuan untuk mengeksplorasi peran TPK dalam mendukung perubahan perilaku terkait gizi ibu dan anak untuk mencegah stunting. Pendekatan studi kasus kualitatif digunakan dalam penelitian ini. Informan utama yaitu TPK dan informan pendukung terdiri dari Kepala Puskesmas, ahli gizi, Kepala Pengendalian Penduduk, koordinator lapangan Program Keluarga Berencana, dan ibu balita. Teknik pengambilan sampel menggunakan purposive sampling. Data dikumpulkan melalui wawancara mendalam, Fokus Grup Diskusi, dan tinjauan dokumen. Validitas data melalui triangulasi sumber dan metode. Analisis tematik digunakan untuk mengidentifikasi temuan kunci. Lima tema utama yaitu: (1) peran TPK dalam pendidikan kesehatan dan pemantauan pertumbuhan; (2) kolaborasi lintas program; (3) faktor risiko stunting; (4) tantangan dalam pendampingan; dan (5) perubahan perilaku ibu dan anak.   TPK melaporkan adanya perubahan perilaku ibu, khususnya dalam pola makan balita, yang didukung melalui pemantauan rutin menggunakan media perpesanan WhatsApp. Namun demikian, implementasi program masih menghadapi berbagai hambatan, sehingga diperlukan penguatan kapasitas kader, dukungan kebijakan, serta kolaborasi lintas sektor guna menjamin keberlanjutan program penurunan stunting.
Who Decides and Who Acts? Gender Roles in School-Age Immunization Decisions in Sorong City, Southwest Papua Nadiyah Kamilia; Sri Riyanti Windesi
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026154

Abstract

School-based immunization in Indonesia (Bulan Imunisasi Anak Sekolah; BIAS) has declined in Sorong City, Southwest Papua, and household pathways behind low uptake remain unclear. This dyadic study compared fathers and mothers of the same child to examine whether gendered roles are reflected in immunization knowledge and decision-making/action. We conducted a cross-sectional survey in two elementary schools and enrolled 151 father–mother pairs through school–primary care coordination. Parents completed a knowledge scale and a 10-item decision-making/action scale covering consent, scheduling, accompaniment, information seeking, and responses to adverse events following immunization. Within-couple differences were tested using paired-samples t tests. Knowledge did not differ between fathers and mothers (mean difference = −1.58, SD = 27.57; t(150) = −0.70, p = .483; Cohen’s dz ≈ −0.06). Decision-making/action differed markedly, with fathers scoring lower than mothers (mean difference = −38.46, SD = 18.07; t(150) = −26.16, p < .001; Cohen’s dz ≈ −2.13). Mothers scored higher on 9 of 10 items, while fathers more often endorsed refusal when side effects occur. Barriers therefore cluster in decision authority and task execution rather than information deficits. BIAS should strengthen couple-oriented consent and deliver father-targeted risk communication on expected reactions and care-seeking, and align school messages for both parents. Abstrak. Imunisasi berbasis sekolah di Indonesia (Bulan Imunisasi Anak Sekolah; BIAS) mengalami penurunan di Kota Sorong, Papua Barat Daya, dan jalur rumah tangga yang mendasari rendahnya cakupan masih belum jelas. Studi dyadik ini membandingkan ayah dan ibu dari anak yang sama untuk menilai apakah peran berbasis gender tercermin pada pengetahuan imunisasi serta pengambilan keputusan/tindakan. Survei potong lintang dilakukan di dua sekolah dasar dan melibatkan 151 pasangan ayah–ibu melalui koordinasi sekolah dengan layanan kesehatan primer. Orang tua mengisi skala pengetahuan dan skala pengambilan keputusan/tindakan berisi 10 butir yang mencakup persetujuan, penjadwalan, pendampingan, pencarian informasi, serta respons terhadap kejadian ikutan pascaimunisasi. Perbedaan dalam pasangan diuji menggunakan uji t berpasangan. Pengetahuan tidak berbeda antara ayah dan ibu (selisih rerata = −1,58, SD = 27,57; t(150) = −0,70, p = 0,483; Cohen’s dz ≈ −0,06). Sebaliknya, pengambilan keputusan/tindakan berbeda secara bermakna, dengan skor ayah lebih rendah dibanding ibu (selisih rerata = −38,46, SD = 18,07; t(150) = −26,16, p < 0,001; Cohen’s dz ≈ −2,13). Ibu memiliki skor lebih tinggi pada 9 dari 10 butir, sedangkan ayah lebih sering menyatakan kecenderungan menolak bila ada efek samping. Dengan demikian, hambatan lebih terkonsentrasi pada otoritas keputusan dan pelaksanaan tugas daripada defisit informasi. Program BIAS perlu memperkuat persetujuan yang mendorong diskusi pasangan, komunikasi risiko yang menarget ayah tentang reaksi yang diharapkan dan langkah mencari layanan, serta penyelarasan pesan sekolah kepada kedua orang tua.
Unpacking Caregiver Experiences in Positive Deviance Hearth Programs: Facilitators and Barriers to Sustainable Child Nutrition Interventions in Kenya Gladys Chemutai Koskei; Simon Karanja; Zipporah W. Ndungu; Calvince Otieno Anino
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026153

Abstract

Child undernutrition remains a major and persistent public health problem in Kenya, especially among children under five years of age, despite the implementation of evidence-based community nutrition interventions. The positive deviance hearth programs have demonstrated effectiveness in rehabilitating and improving short-term nutritional outcomes through leveraging locally available foods and positive dietary or caregiving behaviors. However, caregivers' lived experiences and perspectives and factors influencing the sustainability of gains achieved after completion of PDH programs have remained underexplored, with no published evidence yet. The study aimed to fill this research gap by exploring caregivers’ experiences and perspectives regarding perceived barriers and facilitators of sustaining improved child nutrition practices following a six-month positive deviance hearth intervention conducted in Konoin Sub-County, Bomet county, Kenya, from July to August 2025. A qualitative exploratory study was conducted after completion of the PDH intervention in Bomet County among caregivers of children under five years involved in the program. Focused group discussions and in-depth interviews were conducted until thematic saturation was achieved. Discussions and interviews were audio-recorded, transcribed verbatim, coded, and inductive reflexive thematic analysis. NVivo version 14 software used in data analysis. A total of fourteen FDGs and IDIs were conducted. The discussions and interviews revealed two main major themes and several linked sub-themes: (i) facilitating factors (including improved nutrition knowledge and caregiving practices, observable child well-being improvement, and peer learning and community motivation) and (ii) barriers (such as food insecurity and economic limitations, caregiver workload and competing domestic roles, and cultural beliefs and intra-household resistance). The findings highlight that PDH programs are perceived as supportive in promoting nutrition knowledge, positive caregiving behaviors, and motivation to sustain improved practices. However, persistent food insecurity, economic constraints, competing household responsibilities, and cultural resistance were experienced as key barriers to adoption and sustainability of PDH-recommended practices. Therefore, integrating economic, social, and community-based support mechanisms and sustained community engagement is critical for sustaining post-PDH child nutrition practices.
Type 2 Diabetes Mellitus and Pulmonary Tuberculosis in Indonesia: Risk, Prognosis, and Implications for Integrated Care Jeane Andini; Rizma Adlia Syakurah; Misnaniarti Misnaniarti
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026158

Abstract

Pulmonary tuberculosis (PTB) and type 2 diabetes mellitus (T2DM) are major and increasingly overlapping public health problems in Indonesia. Evidence suggests that T2DM is associated with a higher risk of active PTB and less favorable treatment-related outcomes, yet Indonesian findings remain fragmented. This structured narrative review synthesized Indonesian studies published between 2020 and 2025 retrieved from Google Scholar and Garuda. Eligible studies examined the association of T2DM with PTB incidence or risk, glycemic control, bacteriological response, treatment duration, mortality, and related modifying factors. Of 442 records identified, 17 studies were included. Most of the included studies were observational and single-center, which limits causal inference and national representativeness. Across the reviewed evidence, T2DM was consistently associated with greater PTB occurrence, with several studies reporting an approximately two- to three-fold higher risk among people with diabetes. PTB incidence within a T2DM cohort was reported as 3.88%. Poor glycemic control, particularly elevated HbA1c, was associated with delayed sputum smear conversion, longer treatment duration, greater clinical severity, and higher mortality risk. Additional modifiers included smoking, poor nutritional status, low education, low income, and close contact with TB cases. In conclusion, in Indonesia, T2DM is strongly associated with increased PTB occurrence and poorer PTB prognosis. Integrated TB–DM screening, closer glycemic monitoring, and stronger continuity of care are needed to improve patient outcomes.   ABSTRAK Tuberkulosis paru (TB paru) dan diabetes melitus tipe 2 (DMT2) merupakan dua masalah kesehatan masyarakat utama di Indonesia yang semakin banyak muncul secara bersamaan. Bukti yang ada menunjukkan bahwa DMT2 berasosiasi dengan risiko TB paru aktif yang lebih tinggi serta luaran pengobatan yang kurang menguntungkan, namun temuan di Indonesia masih terfragmentasi. Tinjauan naratif terstruktur ini mensintesis studi-studi di Indonesia yang dipublikasikan antara tahun 2020 hingga 2025 dan ditelusuri melalui Google Scholar serta Garuda. Studi yang memenuhi syarat menelaah hubungan DMT2 dengan insidensi atau risiko TB paru, kontrol glikemik, respons bakteriologis, durasi pengobatan, mortalitas, dan faktor-faktor pemodifikasi terkait. Dari 442 rekaman yang diidentifikasi, sebanyak 17 studi dimasukkan. Sebagian besar studi yang diikutkan bersifat observasional dan berasal dari satu pusat layanan, sehingga membatasi inferensi kausal dan keterwakilan nasional. Secara keseluruhan, bukti yang ditinjau menunjukkan bahwa DMT2 secara konsisten berasosiasi dengan kejadian TB paru yang lebih tinggi, dengan beberapa studi melaporkan risiko sekitar dua hingga tiga kali lipat lebih besar pada penderita diabetes. Insidensi TB paru dalam satu kohort DMT2 dilaporkan sebesar 3,88%. Kontrol glikemik yang buruk, terutama kadar HbA1c yang tinggi, berasosiasi dengan keterlambatan konversi sputum BTA, durasi pengobatan yang lebih panjang, keparahan klinis yang lebih tinggi, dan risiko kematian yang lebih besar. Faktor pemodifikasi lain meliputi merokok, status gizi yang buruk, pendidikan rendah, pendapatan rendah, dan riwayat kontak erat dengan pasien TB. Sebagai kesimpulan, di Indonesia, DMT2 berasosiasi kuat dengan meningkatnya kejadian TB paru dan prognosis TB paru yang lebih buruk. Skrining terpadu TB–DM, pemantauan glikemik yang lebih ketat, dan kesinambungan layanan yang lebih baik diperlukan untuk meningkatkan luaran pasien.
Hydration, Hygiene, and Health: Understanding Urinary Tract Infections Awareness in Female University Students Md Faiazul Haque Lamem; Muaj Ibne Sahid; S Sadia; Tabassum Islam
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026155

Abstract

Urinary tract infections (UTIs) are common among women and pose significant public health challenges, yet data on knowledge, behaviors, and risk factors among female university students in Bangladesh remain limited. This study assessed UTI prevalence, awareness, and related practices among 112 female pharmacy students at R. P. Shaha University. Participants were primarily aged 21–23 years (56.7%), unmarried (91.1%), and urban residents (88.4%). About 32.1% reported a prior UTI, and nearly half (46.4%) consumed 2–3 liters of water daily. While 69.6% correctly identified bacteria as the leading cause, only 37.5% recognized that UTIs can affect multiple urinary tract sites, and 58.3% correctly noted that skin rash is not a typical symptom. Risk behaviors were prevalent, with 81.3% carrying water bottles, 40.2% wearing tight clothing 3–5 hours weekly, 45.5% occasionally delaying urination, and 39.3% consistently consuming fluids before bedtime. Comfort in discussing UTIs with healthcare providers varied, with 32.1% least comfortable and 25.9% most comfortable. These findings reveal substantial knowledge–practice gaps and underscore the need for targeted educational interventions and health promotion strategies to improve UTI prevention and awareness among future healthcare professionals.
Modeling the economic equity of precision oncology Ioanna Tsatsou; Stavros Fragkopoulos
Journal of Current Health Sciences Vol. 6 No. 2: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026168

Abstract

Precision oncology promises improved outcomes by tailoring treatments to individual tumor profiles. Yet access to genomic testing and targeted therapies remains uneven across socioeconomic groups, raising concerns about equity. This conceptual paper presents an economic framework, utilizing a stylized model and hypothetical illustrations, to demonstrate how unequal access impacts both cost-effectiveness and distributional outcomes in precision oncology. Rather than an empirical study, this work serves as an analytical foundation and review of evidence that show that even when precision oncology is cost-effective overall, disparities in uptake can exacerbate health inequities. Policy interventions that improve equitable access may thus increase both efficiency and fairness in cancer care. Theoretical models, empirical illustration, and policy implications are presented to provide a comprehensive perspective on how health economics can incorporate distributional concerns in the era of precision medicine.

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