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Eko Risdianto
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INDONESIA
Indonesian Journal of Health Research and Development
Published by CV Media Inti Teknologi
ISSN : -     EISSN : 29879671     DOI : https://doi.org/10.58723/ijhrd.v1i2.99
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Indonesian Journal of Health Research and Development with E-ISSN: 2987-9671 is a journal managed by CV Media Inti Teknologi. Publish articles on Research activities in the fields of : 1. Nursing 2. Medicine 3. Pharmacy 4. Health Innovation 5. Kebidanan (Bostetrics) 6. Healthy Education 7. Nutrition and Food 8. Health Administration 9. health promotion 10. Physiotherapy 11. Radiology 12. Stunting 13. Health Technology. 14. Sanitation.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 57 Documents
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Addressing Counterfeit Medicines and Community Risk: Insights from South African Spaza Shops Michael Mncedisi Willie; Athandile Hadebe
Indonesian Journal of Health Research and Development Vol. 4 No. 1 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i1.593

Abstract

Background: Governance and regulatory enforcement in South Africa reveal complex interactions among formal legal frameworks, operational capacity, and informal market practices. While deliberative processes, such as public consultations on the draft Traditional Courts Regulations, demonstrate transparency and inclusivity, interventions in the healthcare sector are often reactive, triggered by crises such as food contamination fatalities and the sale of illegal medicines. This contrast underscores disparities in institutional capacity and sectoral prioritisation.Objectives: This paper investigated regulatory gaps and enforcement challenges in informal medicine markets, with a focus on spaza shops. The focus was on structural, operational, and social factors influencing the circulation of counterfeit, expired, and improperly stored medicines, and explores how governance, public service delivery, and community dynamics interact to affect public health outcomes.Methods: A qualitative case-study approach guided this research, focusing on the analysis of secondary data sources and qualitative literature. Purposive selection of documents and reports included government communications, regulatory guidelines, parliamentary hearing transcripts, media coverage, and peer-reviewed studies, ensuring that the sources provided rich insights into governance, regulatory enforcement, and informal pharmaceutical practices.Findings: Systemic gaps exist between regulatory intent and operational reality. Although legal frameworks restrict the dispensing of scheduled medicines to licensed pharmacies and authorised health professionals, widespread non-compliance persists in township spaza shops.Conclusion: Effective mitigation of counterfeit and illegally sold medicines requires an integrated, multi-dimensional approach that strengthens regulatory oversight, secures supply chains, mobilises community engagement, and leverages technological monitoring. The proposed Integrated Regulatory-Community Framework for Counterfeit Medicines in Spaza Shops (IRCF-CMSS) aligns formal legislation with practical enforcement and social realities, promoting sustained compliance, enhanced public safety, and institutional trust.
A Coverage of Maternal Health Checks Before Discharge in Cambodia: A Population-Based Analysis of the 2021-22 Demographic and Health Survey: Evidence from the 2021–22 Cambodia Demographic and Health Survey Sokha YEM
Indonesian Journal of Health Research and Development Vol. 4 No. 1 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i1.599

Abstract

Abstract Background: The immediate postpartum period represents a critical window for preventing maternal morbidity and mortality. In Cambodia, facility delivery rates reached 93.9% by 2021-22, yet whether essential quality-of-care processes such as maternal health assessment before discharge are consistently implemented remains uncertain. This study aimed to estimate national coverage of maternal health checks before discharge and quantify missed opportunities among facility deliveries. Methods: We conducted a cross-sectional secondary analysis of the 2021-22 Cambodia Demographic and Health Survey (CDHS), including women aged 15-49 with a most recent live birth in the preceding 24 months (n=3,348 unweighted). The primary outcome was whether maternal health was checked before discharge. Weighted prevalence estimates with 95% confidence intervals (CI) were calculated overall and stratified by sociodemographic and delivery characteristics. Multivariable logistic regression identified factors associated with missed checks among facility deliveries. Results: Nationally, 91.0% of women (95% CI: 89.6-92.2) reported a maternal health check before discharge. Among the 93.9% who delivered in facilities, 91.0% received a check, leaving 9.0% as missed opportunities. Substantial geographic disparities were observed, with coverage ranging from 82.4% in some regions to 96.8% in others. Women with no education (adjusted OR=2.89, 95% CI: 1.45-5.76), rural residence (aOR=1.67, 95% CI: 1.12-2.49), and those in the poorest wealth quintile (aOR=2.34, 95% CI: 1.34-4.09) had significantly higher odds of missed checks. Primiparous women and those with delivery complications also experienced lower coverage. Conclusions: Despite near-universal facility delivery, nearly one in eleven women were discharged without documented maternal health assessment, with pronounced inequities by socioeconomic status, education, and geography. These findings reveal critical gaps in postpartum quality of care that disproportionately affect vulnerable populations. Strengthening standardized discharge protocols, enhancing staff accountability through integrated checklists and supervision, and prioritizing equity in service delivery are essential to ensure consistent, high-quality postpartum care for all women. Keywords: Cambodia; Demographic and Health Survey; postpartum care; quality of care; health equity; maternal health; discharge assessment
Utilization of Nipa Palm (Nypa fruticans) Leaf Extract as a Natural Preservative for Salted Three Spot Gourami (Trichopodus trichopterus) Agustin Maharani Khairunisa; Riya Liuhartana Nasyiruddin Fuhrmann; Rih Laksmi Utpalasari; Zhulian Hikmah Hasibuan; RR. Dyah Paramitha Mentari; Steven Suryoprabowo; Muhammad Shoaib
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.519

Abstract

Background: Salted three-spot gourami (Trichopodus trichopterus) is a traditional fish product that is susceptible to microbial spoilage and quality deterioration during storage. The use of plant-based bio-preservatives has been explored as an alternative to synthetic additives to improve product safety and shelf life.  Aims: This study aimed to assess the effectiveness of nipa palm (Nypa fruticans) leaf extract at different concentrations as a natural preservative for salted three-spot gourami.Methods: The experiment was arranged in a Completely Randomized Design (CRD) with four treatments (0%, 10%, 15%, and 20%) and three replications. Parameters observed included moisture content, Total Plate Count (TPC), and organoleptic attributes (appearance, aroma, and texture).Results: The application of nipa palm leaf extract significantly (P < 0.05) affected moisture content, microbial growth, and sensory quality during storage. The 15% treatment (P2) produced the lowest moisture content throughout storage, reaching 19.83% on day 30. Microbial counts in all extract-treated samples remained within the maximum permissible limit of the Indonesian National Standard (≤1 × 10⁵ CFU/g), with the 20% treatment (P3) showing the lowest microbial load (1.0 × 10⁵ CFU/g) on day 30. Sensory evaluation indicated that extract-treated samples maintained acceptable appearance, aroma, and texture throughout storage, with better sensory stability than the untreated control.Conclusion: Nipa palm leaf extract effectively improved the storage quality of salted three-spot gourami. Although the 15% concentration (P2) achieved the greatest moisture reduction, the 20% concentration (P3) is recommended for practical application because it provided the strongest microbial inhibition while maintaining acceptable sensory quality during 30 days of storage.
From Clinic to Policy: Advancing Sustainable Dentistry through Public Health Systems: Sustainable Dentistry and Public Health Sanjida Haque
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.611

Abstract

Background: Dentistry generates significant biomedical waste, utilizes energy-intensive resources, and employs materials harmful to the environment, such as dental amalgam. The concept of dental sustainability is in line with international targets like the UN Sustainable Development Goals (SDGs) and the Minamata Convention on Mercury.Aims: This narrative policy review analyzes how dental associations and public health systems may lead policy, educate, advocate, and reform dentistry to make it more sustainable.Methods: The study was performed based on peer-reviewed sources, as well as international policy and professional guidelines. PubMed, Scopus, Google Scholar, WHO, FDI, ADA, NHS, and national regulatory bodies were target sources of evidence. A synthesis of literature on the effects of the environment, sustainability programs, waste management, amalgam phase-down, digital dentistry, and governance of health systems was performedResult: Worldwide efforts, including the FDI Sustainability in Dentistry Policy Statement (2021) and national strategies, including the NHS Net Zero Plan, show evidence of an ever-growing trend in favor of sustainability in the dental care sector. Nevertheless, lack of financial resources, poor awareness, poor management systems, and inconsistent implementation of policies hinder achievements. Clinical standards can be influenced by dental associations, and the wider change is enabled by the involvement of the regulation, reform of procurement, and development of the infrastructure by the public health systems.Conclusion: The integration of sustainability in dentistry requires a collaborative effort from both professional associations and public health systems. Improving policy, education, innovation, and regulation can ensure that dentistry contributes positively to both oral health and environmental protection.
Advancements and Emerging Strategies in Mechanical Ventilation: A Systematic Review of Innovative Modalities, Monitoring Technologies, and Prevention of Ventilator-Induced Injuries Ravi Yadav
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.670

Abstract

Background: Mechanical ventilation remains essential for patients with respiratory failure and during anesthesia for surgery. Despite technological progress, challenges persist regarding optimal ventilatory settings, transition strategies between non-invasive and invasive ventilation, and prevention of ventilator-induced lung injury and ventilator-induced diaphragm dysfunction.Aims: To comprehensively review recent advances in mechanical ventilation, focusing on innovative ventilation modes, monitoring technologies, and strategies to prevent ventilator-induced complications.Methods: A systematic review was conducted following PRISMA guidelines. Literature searches were performed in PubMed, EMBASE, and the Cochrane Library for studies published between January 2020 and October 2025. Clinical efficacy, safety, and patient outcomes across ventilation modalities were assessed. Thirty-five randomized controlled trials and high-quality observational studies were included for primary analysis, with fifteen additional studies supporting discussion findings.Results: Significant progress was identified in several areas of mechanical ventilation. Neurally Adjusted Ventilatory Assist (NAVA) improved patient-ventilator synchrony and increased ventilator-free days compared with conventional modes (22 vs. 18 days, p = 0.016). Adaptive Support Ventilation demonstrated comparable efficacy to standard ventilation while reducing clinician workload. Proportional Assist Ventilation showed no significant advantage over pressure support ventilation in liberation time (7.3 vs. 6.8 days, p = 0.58). Artificial intelligence-based monitoring systems achieved >95% sensitivity in detecting patient-ventilator asynchronies. Lung-protective ventilation with low tidal volumes and plateau pressures <30 cmH₂O remained the cornerstone of ARDS management.Conclusion: Novel ventilation modes may enhance synchrony and reduce workload, although major clinical benefits remain limited. Artificial intelligence shows promise for personalized ventilation strategies, while lung-protective ventilation remains critical for preventing VILI.
Use of Dental Services and Oral Health-Related Quality of Life in Preschool Children: Dental services and quality of life in preeschool children Keila Lais Carrera da Hora; Tatiana Frederico Almeida; Maria Cristina Teixeira Cangussu
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.751

Abstract

Background: Oral health issues, particularly cavities, significantly impact children's eating, sleeping, speech, and overall well-being. The COVID-19 pandemic has worsened these problems by increasing disparities in access to dental care.Aims: To analyse the use of dental services and their impact on oral health-related quality of life (OHRQoL) in preschool children in Salvador, identifying associated factors.Methods: A cross-sectional study was conducted among 523 children aged 26 to 80 months enrolled in municipal public daycare centres in Salvador, BA. Oral health assessments and a caregiver questionnaire were used to collect sociodemographic data, dietary and oral health habits, and dental service use. OHRQoL was assessed using the B-ECOHIS. Descriptive and multivariate analyses were performed using linear regression at the 95% significance level.Results: The prevalence of caries was 41.87%, and the use of dental services during the pandemic was low (13.58%). Age, family income, dental caries, and fear/anxiety were significantly associated with the B-ECOHIS, highlighting inequalities in access to services and in children's oral health-related quality of life (OHRQoL). There was no association between dental service use and OHRQoL.Conclusion: The COVID-19 pandemic reduced preschoolers’ use of dental services, worsening OHRQoL and highlighting social inequalities and the need for equitable preventive oral health care.
A Low Prevalence and Complementary Nature of Traditional Medicine Use in Maternal Healthcare: Evidence from Cambodia Demographic and Health Survey 2021-22: Traditional Medicine Use in Cambodia Sokha Yem; Kem Sokunthea; Tun Sreypeov
Indonesian Journal of Health Research and Development Vol. 4 No. 2 (2026): Indonesian Journal of Health Research and Development
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/ijhrd.v4i2.607

Abstract

Background: Cambodia has achieved substantial gains in modern maternal healthcare coverage, yet nationally representative evidence on residual traditional birth attendant (TBA) use and home delivery, and whether these persist alongside or instead of modern care, remains limited. This study estimated the prevalence and correlates of TBA use and home delivery in Cambodia.Aims: This study estimated the prevalence, patterns, and correlates of TBA use and home delivery in maternal healthcare in Cambodia.Methods: We analyzed data on 6,968 women with a birth in the five years preceding the Cambodia Demographic and Health Survey (CDHS) 2021–22. TBA/home-delivery (TBA/HD) care was defined as antenatal care from a TBA, delivery assisted by a TBA, or home (non-facility) delivery. Weighted prevalence and survey-adjusted multivariable logistic regression identified correlates.Results: Overall prevalence of TBA/HD care was 1.25% (95% CI: 0.92–1.69%; 154/6,968 unweighted) and was markedly higher among rural than urban women, among women with no education than higher education, among the poorest than the richest wealth quintile, and among women with four or more children than one child (all p<0.001). In the fully adjusted model, the poorest quintile had over six times the odds of TBA/HD care versus the richest (aOR=6.82, 95% CI: 2.10–22.13), p=0.001), and women with one child had 69% lower odds versus those with four or more (aOR=0.31, 95% CI: 0.16–0.61). p=0.001). Residence and education were not independently significant after adjustment.Conclusion: TBA use and home delivery are uncommon in Cambodia and concentrated among the poorest and highest-parity women; wealth and parity, more than education or residence, distinguish residual TBA/HD care after adjustment. Findings support targeting the poorest women rather than population-wide campaigns.

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