International Journal of Health Concord
Aim The International Journal of Health Concord aims to promote collaborative and interdisciplinary health research that addresses the pressing health challenges in low- and middle-income countries (LMICs), fostering knowledge exchange, innovation, and evidence-based practices to improve population health outcomes. Scope The journal publishes a wide range of article types, including original research, reviews, case studies, perspective articles, theoretical/conceptual studies, policy analyses, short communications, and research protocols, covering all areas of health and healthcare relevant to LMICs. The journal welcomes studies in topics including, but not limited to: public health, clinical research, nursing, midwifery, medical sciences, rehabilitation, psychology, pharmacy, health policy and management, global health, nutrition, infectious diseases, mental health, community health, and digital health/telemedicine. Studies employing qualitative, quantitative, or mixed-methods designs are encouraged. Focus The journal focuses on generating evidence and insights that can guide healthcare practices, policy-making, and community interventions in resource-limited settings, with a strong emphasis on interdisciplinary and collaborative approaches. Specific Focus Collaborative and interdisciplinary health research in LMICs Innovative interventions, including digital health and technology-driven approaches, to improve health outcomes in resource-limited settings Health policy, health systems strengthening, and implementation research Nursing, medical, and allied health research tailored to LMIC contexts Community-based, preventive, and population health programs
Articles
15 Documents
<![CDATA[Integrated Stunting Reduction Model through Supplementary Feeding and Deworming: A Cross-Sectional SEM-PLS Study among Toddlers ]]>
<![CDATA[Wardita, Yulia]]>;
<![CDATA[Kurniyati, Eka Meiri]]>;
<![CDATA[Permatasari, Dian]]>
<![CDATA[ International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord ]]>
Publisher : <![CDATA[Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] ]]>
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DOI: 10.55018/ihc.v12.22
<![CDATA[Background: Stunting remains a major public health problem in coastal areas of Sumenep Regency, Indonesia, with a prevalence of 21.6%, exceeding the provincial average. Government programs such as supplementary feeding (PMT) and deworming have been widely implemented; however, evidence regarding how these interventions interact with maternal characteristics to influence stunting outcomes in coastal populations remains limited. Therefore, an integrated analytical model is needed to clarify the direct and indirect pathways influencing stunting among toddlers in coastal settings Methods: This analytical observational study employed a cross-sectional design and followed the STROBE guideline for cross-sectional studies. The study was conducted from March to September 2025 in two coastal sub-districts of Sumenep Regency (Batang-batang and Dungkek). A total of 352 mothers with toddlers were selected using stratified random sampling. Inclusion criteria were mothers with children under five years of age who were not suffering from severe illness and consented to participate, while exclusion criteria included absenteeism during data collection. Independent variables included maternal education, maternal knowledge, child sex, child age, supplementary feeding, deworming, and exclusive breastfeeding, while the dependent variable was stunting incidence. Data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS version 4, applying a significance level of 5%. Result: SEM-PLS analysis showed that supplementary feeding had the strongest direct effect on stunting incidence (β = 0.438; t = 11.173; p < 0.001). Deworming (β = 0.111; t = 2.925; p = 0.004) and maternal education (β = 0.457; t = 11.480; p < 0.001) also had significant direct effects. Maternal education indirectly influenced stunting through supplementary feeding and deworming pathways, while maternal knowledge influenced exclusive breastfeeding but did not show an indirect association with stunting. A total of nine significant structural paths were retained in the final model. Conclusion: Supplementary feeding is the most influential intervention in reducing stunting among toddlers in coastal areas, supported by deworming and maternal education. An integrated stunting reduction strategy combining regular supplementary feeding, routine deworming, and maternal education strengthening is recommended, particularly for vulnerable coastal populations. These findings provide a clear evidence-based framework to optimize program convergence for stunting prevention.]]>
<![CDATA[Burnout Differences Between Critical Care and Inpatient Nurses: A Cross-sectional Study ]]>
<![CDATA[Suwardianto, Heru]]>;
<![CDATA[Doku, John Foster Atta]]>;
<![CDATA[Ferede , Abebaw Jember]]>
<![CDATA[ International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord ]]>
Publisher : <![CDATA[Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] ]]>
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DOI: 10.55018/ihc.v12.23
<![CDATA[Background: Burnout is a common occupational risk among nurses, affecting well-being and patient care. However, limited evidence from low- and middle-income settings compares burnout across different clinical units. The extent of variation between Critical Care and Adult Inpatient Units remains unclear. This study therefore aimed to measure and compare burnout levels between nurses in these two settings and examine their implications for staff well-being and care quality. Methods: A cross-sectional study was conducted and reported in accordance with the STROBE guidelines. A purposive sampling technique was used to recruit 97 nurses (21 from Critical Care Units and 76 from Adult Inpatient Units). Inclusion criteria were registered nurses with ≥6 months of experience in their assigned unit, while nurses on extended leave or undergoing training were excluded. The independent variable was the clinical unit type, and the dependent variable was burnout. Burnout was assessed using the validated Maslach Burnout Inventory (MBI), which measures emotional exhaustion, depersonalization, and reduced personal accomplishment. Data were collected through self-administered questionnaires under researcher supervision, and analyzed using descriptive statistics and the Mann–Whitney U test, with statistical significance set at p < 0.05. Result: Nurses in Adult Inpatient Units experienced higher levels of burnout, with 42.1% reporting moderate burnout and 5.3% high burnout, whereas nurses in Critical Care Units reported primarily low burnout (85.7%) and no high burnout. Emotional exhaustion was the most prominent dimension, followed by depersonalization and reduced personal accomplishment. The difference in burnout levels between units was statistically significant (U = 528.000, Z = -2.751, p = 0.006). Conclusion: Burnout is more pronounced among nurses in Adult Inpatient Units, which may compromise patient care quality, safety, and communication. Targeted interventions—including workload management, psychosocial support, and resilience training—are essential to mitigate burnout, enhance staff well-being, and improve patient outcomes.]]>
<![CDATA[Baby Food Labelling Compliance with FDA Standards in Ghana: A Cross-sectional Assessment of 104 Products ]]>
<![CDATA[Dapaah, Vicentia]]>;
<![CDATA[Opoku, Oscar Agyemang]]>;
<![CDATA[Mensah, Samuel Sebe]]>;
<![CDATA[Afful, George]]>;
<![CDATA[Kelvin, Duah Prempeh]]>
<![CDATA[ International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord ]]>
Publisher : <![CDATA[Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] ]]>
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DOI: 10.55018/ihc.v12.24
<![CDATA[Background: Despite extensive research on consumer knowledge and attitudes toward food labelling, empirical evidence on actual manufacturer compliance with FDA labelling requirements for infant food in Ghana remains limited. Previous studies have largely focused on consumer behavior, leaving a knowledge gap regarding whether producers adhere to the 1992 Food and Drug Law and Ghana FDA standards. This study, therefore, aimed to assess the degree of compliance of infant food manufacturers in Ghana with FDA labelling requirements Methods: A cross-sectional study was conducted using purposive sampling to select 104 pre-packaged infant food products from various retail channels, including stalls, supermarkets, and malls in Kumasi, Ghana. Only commercially available pre-packaged baby foods were included; homemade or unpackaged foods were excluded. The independent variables were product origin (foreign vs. local), and the dependent variables were compliance with 15 FDA-required labelling elements. Data were collected using a structured FDA-based checklist, and data collection was supervised by the research team over a 3-week period. Reporting followed the STROBE guidelines for cross-sectional studies. Data were analyzed using Microsoft Excel 2020 for descriptive statistics (frequencies and percentages) and the chi-square test to examine associations between manufacturer origin and compliance level. Statistical significance was set at p < 0.05 Result: Overall, most products demonstrated moderate to high compliance with FDA labelling standards. Foreign manufacturers showed a higher proportion of high compliance compared to local producers. The most frequently missing labelling elements included nutrient content details and manufacturing dates. Chi-square analysis revealed a significant association between manufacturer origin and compliance level (p < 0.001), indicating that foreign companies were more likely to fully comply with FDA labelling requirements Conclusion: Infant food manufacturers in Ghana generally comply with FDA labelling standards, with foreign producers showing higher adherence than local producers. These findings highlight the need for enhanced monitoring and educational initiatives targeting local manufacturers to improve consumer safety and ensure regulatory compliance.]]>
<![CDATA[The Relationship Between Nurse Burnout and the Implementation of Patient Safety Goals: A Cross-Sectional Study ]]>
<![CDATA[Panjaitan, Jismer]]>;
<![CDATA[Linawati Togatorop]]>;
<![CDATA[Anastasia, Cahaya Artha]]>
<![CDATA[ International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord ]]>
Publisher : <![CDATA[Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] ]]>
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DOI: 10.55018/ihc.v12.26
<![CDATA[Background: Nurse burnout is a persistent challenge in hospital settings and has been associated with compromised patient safety performance. Although previous studies have examined burnout and general safety outcomes, empirical evidence directly linking nurse burnout to the implementation of standardized Patient Safety Goals remains limited, particularly in low- and middle-income country contexts. Therefore, this study aimed to examine the relationship between nurse burnout levels and the implementation of patient safety goals among hospital nurses in Indonesia. Methods: A quantitative cross-sectional correlational study was conducted in October 2025. The study involved 97 registered nurses providing direct patient care, selected using purposive sampling. Inclusion criteria were nurses with a minimum of six months of work experience, while nurses in managerial positions or on leave were excluded. Nurse burnout (independent variable) was measured using the Maslach Burnout Inventory, and patient safety goal implementation (dependent variable) was assessed using a structured observation checklist based on World Health Organization and Indonesian Ministry of Health indicators. Data were collected anonymously following ethical approval and informed consent. Statistical analysis was performed using Spearman’s rank correlation test. This study followed the STROBE guidelines for reporting cross-sectional studies. Result: Most participants were female (86.6%) and aged 25–35 years (75.3%). Moderate burnout levels were reported by 58.8% of nurses, while 61.9% demonstrated good implementation of patient safety goals. A statistically significant correlation was identified between nurse burnout and patient safety goal implementation (r = 0.456; p < 0.001), indicating that higher burnout levels were associated with lower adherence to patient safety practices. Conclusion: Nurse burnout is significantly associated with the implementation of patient safety goals, indicating that nurses’ psychological well-being plays a critical role in ensuring safe care delivery. These findings highlight the need for organizational and psychosocial interventions targeting burnout reduction as an integral component of patient safety improvement strategies.]]>
<![CDATA[Phenomenological Experiences of Grief Among Elderly Following Family Loss in Indonesia: A Roy’s Adaptation Model–Based Inquiry ]]>
<![CDATA[Maulidina, Nur Hasanah]]>;
<![CDATA[Hidayat, Syaifurrahman]]>;
<![CDATA[Huzaimah, Nailiy]]>;
<![CDATA[Salat, Sri Yunita Suraida]]>;
<![CDATA[Andrian, Maulana Widi]]>
<![CDATA[ International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord ]]>
Publisher : <![CDATA[Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] ]]>
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DOI: 10.55018/ihc.v12.27
<![CDATA[Background: The loss of a family member presents a deeply emotional challenge for older adults, often disrupting their physical, psychological, and social equilibrium. Elderly individuals experiencing grief commonly face intense sorrow, isolation, and alterations in their daily routines. Without effective coping mechanisms, these emotional responses may negatively impact their bodily functions and social relationships. This study aimed to explore the grief experiences of elderly individuals in coping with family loss using the Roy Adaptation Model as a guiding framework. Methods: A qualitative phenomenological design was employed, underpinned by the Roy Adaptation Model. Participants were selected through purposive sampling, with inclusion criteria consisting of elderly individuals aged 60 or above who had lost a nuclear family member within the past 6 to 12 months. Exclusion criteria included the presence of cognitive, sensory, or severe physical impairments. The study involved seven elderly participants, two family members, and one healthcare provider from Kalianget District in 2025. Data were collected via in-depth interviews and analyzed thematically through open, axial, and selective coding. Data saturation was confirmed after the seventh participant. The research adhered to COREQ reporting standards and received ethical clearance from the Health Research Ethics Committee of Wiraraja University (No: 1234/EC/2025) Result: Participants experienced grief through crying, withdrawal, and denial. Coping strategies included engaging in religious practices, sharing stories, and staying occupied. Four central themes emerged: grief experience, coping mechanisms, physiological changes, and interdependence Conclusion: Grief significantly affects the emotional, physical, and social well-being of the elderly. Support from families, healthcare professionals, and communities is vital to promote adaptive coping.]]>
