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Indonesian Journal of Global Health Research
Published by Global Health Science Group
ISSN : 27149749     EISSN : 27151972     DOI : https://doi.org/10.37287/ijghr
Core Subject :
Indonesian Journal of Global Health Research is a open access, peer reviewed and refereed international journal. Indonesian Journal of Global Health Research aim to publish original research paper devoted to various area of all health sciences. Indonesian Journal of Global Health Research provides a forum for sharing timely and up-to-date publication of scientific research, health care and promoting the development of nursing, public health, community, environmental and occupational health. The journal publishes original research papers of health sciences. High priority will be given to articles on public, nursing, adolescent, community, environmental and occupational health, pharmaceutical technology, social pharmacy, traditional medicine, pharmacology, and so on.
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Articles 684 Documents
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Legal Consequences for Foreign Medical Personnel Providing Health Services in Indonesia without A Practice License Haekal Fahmi; Anak Agung Gede Duwira Hadi Santosa; I Gde Sastra Winata
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.559

Abstract

The utilization of foreign health workers in Indonesia has become an increasingly common phenomenon in line with the development of globalization and cross-border mobility. The purpose of this study is to identify and analyze the legal consequences of foreign medical personnel providing health services in Indonesia without a practice license. This study uses a normative research design, and the method of collecting legal sources in this study is document study. Documentary study can be described as a method of collecting several documents related to the issue being studied, both from primary and secondary legal materials. Collection of Normative Legal Materials The main methods used to collect normative legal materials are Library Research and Documentary Research. The legal materials sought are classified into three types: Primary Legal Materials (in the form of legislation), secondary legal materials (law books/literature, legal research journals), and tertiary legal materials (law dictionaries, law encyclopedias). After all the data has been collected, it is then reviewed and interpreted in relation to legal principles and theories The results of this study are that foreign medical personnel must fulfill several requirements before practicing in Indonesia, such as licensing, certification and registration, competency tests, areas of foreign medical personnel and accompanying personnel, time restrictions, and compensation. Based on the Health Law as stipulated in Article 442, sanctions are imposed on any foreign medical personnel who intentionally practice in Indonesia without a SIP, which can result in the medical or health personnel being punished with a maximum imprisonment of 5 (five) years or a maximum fine of Rp. 500,000,000.00 Efforts to take action against foreign medical personnel by the Ministry of Health and Professional Organizations include guidance and mediation by professional organizations, internal guidance by health agencies, verbal and written warnings by health agencies, guidance, supervision, and control by health agency personnel, revocation of licenses, and revocation of practice.
Nursing Service Innovation Trough Total Quality Management in the Digital Age: A Scoping Review I Gede Widhi Arka; Ni Luh Putu Dina Susanti; Luh Gede Nita Sri Wahyuningsih; Ni Nyoman Nuartini
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.570

Abstract

Hospitals are expected to deliver high-quality services at reasonable and competitive prices. TQM (Total Quality Management) is believed to be able to provide innovation to improve the effectiveness and efficiency of nursing services in the digital age. TQM is a management philosophy that focuses on the quality provided. In today's global market, TQM is an initiative aimed at addressing quality challenges and meeting patient demand, ultimately enabling hospitals to improve, particularly in the field of nursing services. This literature review is a scoping review. Data sources for the literature searches included PubMed and the ScienceDirect database. Articles reviewed were those published in the last 5 years. This literature review employed the PICO model (P: Nurse innovation, I: Total quality management, C: -, O: Digital age innovation). The inclusion criteria used were: articles focused on TQM, English-language articles, articles publications from 2020 to 2025, original research, full-text articles, and open-access articles. Exclusion criteria used include: narrative review, integrative review, scoping review, systematic review, and meta-analysis. Keywords used to search for articles were: “Nurse” AND “Total quality management” AND “Innovation” AND “Digital”. The results of the initial search for articles until they were included were described in the PRISMA diagram. The results of searching articles from PubMed obtained 12 articles, and from Science Direct 343 articles. TQM creates a culture where nurses are encouraged to identify problems, find solutions, and generate innovative ideas for nursing services in the digital age.
The Relationship between Emotional Disorders and Emotional Eating in Final Year Students Dharina Baharuddin; Rahmi Ayu Fitri; Marthoenis Marthoenis; Meutia Zahara; Nurjannah Nurjannah
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.571

Abstract

Emotional disorders such as anxiety, stress, and depression are prevalent among university students, particularly in their final year due to academic pressures. These conditions can influence daily behavior, including eating patterns, and may trigger emotional eating, which threatens both physical and psychological health. Self-esteem is considered a protective factor that may buffer these effects. This study aimed to examine the relationship between emotional disorders and emotional eating among final-year female students and to analyze the moderating role of self-esteem. A cross-sectional design was conducted involving 222 stu   dents from Universitas Muhammadiyah Aceh. Data were collected using the DASS-21, Emotional Eating Scale (EES), and Rosenberg Self-Esteem Scale (RSES).  Logistic regression analysis showed that 38.74% of respondents experienced moderate depression, 27.48% moderate anxiety, 15.77% moderate stress, and 22.17% reported emotional eating. Significant associations were found between moderate anxiety (p=0.045) and severe stress (p=0.021) with emotional eating. Moreover, self-esteem moderated the relationship between stress and emotional eating, suggesting that higher self-esteem helps students control eating behavior under stress. These findings emphasize the importance of early detection and psychosocial interventions to promote students’ mental health and healthy eating patterns.
Development of Isocratic High Performance Liquid Chromatography Method for Simultaneous Analysis of the Flavonol Flavonoids Crescentiana Emy Dhurhania; Susilowati Susilowati
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.574

Abstract

Quercetin, rutin, and myricetin are flavonoids belonging to the flavonol subclass, commonly found in a variety of fruits, vegetables, and medicinal plants. However, a validated isocratic High Performance Liquid Chromatography (HPLC) method for the simultaneous analysis of these compounds has not yet been established. Therefore, the development of a robust isocratic HPLC method enabling the concurrent quantification of quercetin, rutin, and myricetin within a relatively short analysis time is warranted. The method development process necessitates an initial optimization phase to establish ideal analytical conditions. Therefore, the development of analytical methods in this research begins with the optimization stage aimed at producing ideal conditions during the analysis process. This study commenced with the determination of the optimal detection wavelength for the HPLC detector, followed by the optimization of mobile phase compositions and their respective ratios, as well as the evaluation of acceptance criteria based on column efficiency parameters. The mobile phase consisting of methanol:0.1% phosphoric acid (70:30), at a flow rate of 1 mL/min, produced chromatograms with satisfactory separation. This was evidenced by the resolution factor (R) and the number of theoretical plates (N), both of which met the established acceptance criteria, resolution factor exceeding 1.5 and theoretical plate number above 2000, along with relatively short retention times (Tr). Furthermore, the peak symmetry factors for myricetin and quercetin were within acceptable limits, approaching the ideal value of 1. However, the peak symmetry of rutin requires further refinement to attain an optimal symmetry factor. The mobile phase of methanol:0.1% phosphoric acid (70:30) with a rate of 1 ml/min is most suitable for the simultaneous analysis of quercetin, rutin, and myricetin in the isocratic HPLC method.
Relationship Between HbA1c Levels and Atherogenic Index of Plasma in Diabetic Nephropathy Patients Adithya Nurliza Sitepu; Zulfikar Lubis; Muhammad Aron Pase; Nindia Sugih Arto; Ricke Loesnihari; Almaycano Ginting
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.577

Abstract

Diabetic nephropathy is the leading cause of kidney failure worldwide. Its incidence is comparable to that of cardiovascular disease (CVD), with macrovascular complications remaining the main cause of death among diabetic patients. The Atherogenic Index of Plasma (AIP) is an independent marker and predictor of CVD. AIP indicates risk even when other atherogenic risk factors are normal, categorized as low risk (AIP < 0.11), intermediate risk (AIP 0.11–0.21), and high risk (AIP > 0.21). This study aims to explore the relationship between Glycated Hemoglobin (HbA1c) levels and AIP in patients with diabetic nephropathy to identify the risk of CVD complications. It used a prospective analytical design with a cross-sectional approach, conducted at Adam Malik Hospital, Medan, from February to May 2025. Forty-three outpatients with diabetic nephropathy who met the inclusion criteria were selected using a consecutive sampling technique. Patients were assessed for HbA1c, triglycerides, HDL, and urinary albumin-to-creatinine ratios. AIP was calculated by taking the logarithm of (triglycerides/HDL). Data analysis involved Pearson and Spearman correlation tests. A significant positive correlation was found between HbA1c and AIP (r = 0.670, p = 0.000), as well as between HbA1c and triglycerides (r = 0.398, p = 0.008). A significant negative correlation was observed between HbA1c and HDL (r = -0.648, p = 0.000). However, there was no significant correlation between HbA1c and ACR, nor between ACR and AIP (p > 0.05). In conclusion, higher HbA1c levels are associated with increased AIP levels, which elevate the risk of CVD, characterized by rising triglycerides and decreasing HDL.
Effectiveness of Peppermint and Cough Aromatherapy on Sputuum Expeltion in Patients with Pulmonary Tuberculosis Jojor Silaban; Zulfikri Zulfikri; Risdiana Melinda Naibaho; Verawaty Fitrinelda Silaban
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.578

Abstract

Pulmonary tuberculosis (TB) is a serious infectious disease with the main symptoms being a cough with phlegm and shortness of breath due to the accumulation of sputum in the respiratory tract. Indonesia is the country with the second highest number of cases in the world after India. Non-pharmacological therapies such as peppermint aromatherapy inhalation and effective coughing techniques are believed to help expel sputum, thereby improving the patient's respiratory function. Inhaling peppermint aromatherapy vapor and effective coughing can relieve breathing in pulmonary TB patients with a normal respiratory rate and facilitate sputum expulsion. This study aimed to determine the effectiveness of peppermint aromatherapy inhalation and effective coughing techniques on sputum expectoration in patients with pulmonary tuberculosis at the Batang Beruh Community Health Center in Dairi Regency in 2025. The study used a quasi-experimental design with a pretest-posttest control group design. It was conducted from April to November 2025. The sample consisted of 48 patients with pulmonary tuberculosis, divided into an experimental group (24 people) who received peppermint aromatherapy inhalation and effective coughing techniques, and a control group (24 people) who did not receive these interventions. Data were collected through observations of sputum expectoration before and after the intervention on an interval scale, analyzed using the Mann-Whitney test.The experimental group showed a significant decrease in sputum output scores from an average of 5.50 to 4.29 in the first intervention and from 4.83 to 3.46 in the second intervention. The control group did not show any significant changes. The results of the Mann Whitney statistical test showed a significant difference between the two groups (p = 0.000), proving that the peppermint aromatherapy inhalation and effective coughing interventions were proven to be effective in increasing sputum output in pulmonary tuberculosis patients.
Implementation of Digital Flipchart (LEBAD) in Reproductive Health Education for Adolescents with Disabilities Rahma Trisnaningsih; Ismi Nur Khasanah; Lutfi Annarahayu; Saumi Fijriyah; Mizan Prihastuti; Siti Mahmudah
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.580

Abstract

Adolescents with disabilities face limited access to reproductive health education due to communication barriers, insufficient inclusive learning materials, and a lack of confidence among educators and health workers in addressing sensitive topics. The Digital Flipchart (LEBAD) was developed as an innovative educational medium to support inclusive reproductive health education through accessible digital content tailored for diverse disability groups. This study aimed to describe the implementation and perceptions of teachers and health workers toward the Digital Flipchart (LEBAD) as a medium for reproductive health education among adolescents with disabilities in Bantul District, Yogyakarta. A descriptive qualitative design was employed. The study was conducted from January to August 2025 across 20 special schools (SLB) and several community health centers. Forty participants—comprising SLB teachers and community health workers—were recruited using purposive sampling with maximum variation technique, ensuring representation from different types of disabilities, educational levels, and institutional backgrounds. Data were collected through in-depth interviews, participatory observation, and written feedback. Thematic analysis followed Miles and Huberman’s framework, with validation conducted through triangulation, member checking, and peer debriefing. The findings revealed several main themes: (1) LEBAD as a relevant and beneficial innovation—teachers and health workers found it attractive, easy to use, and contextually appropriate; (2) Improved educator capacity and confidence—participants reported greater ease and readiness in teaching reproductive health; (3) Technical and logistical aspects—some noted environmental and scheduling constraints; (4) Need for content and accessibility development—participants recommended adding more interactive and disability-specific features; and (5) Sustainability and collaboration—both groups emphasised the importance of continuing the program through cross-sector partnerships between schools and health facilities. LEBAD was reported to increase students’ understanding of puberty, personal hygiene, and self-protection, while empowering teachers and health workers to deliver inclusive and engaging reproductive health education. The Digital Flipchart (LEBAD) is an effective, educational, and inclusive innovation that strengthens reproductive health literacy among adolescents with disabilities and enhances the competence of educators and health workers. Sustainable implementation requires continued training, content adaptation for various disabilities, and institutional collaboration between the education and health sectors.
Analyzing the Impact of Electronic Medical Record Implementation on Net-Benefit Using HOT-FIT Rizqi Satria Andhika Gusni; Alih Germas Kodyat; Laila Ulfa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.581

Abstract

This study aims to analyze the impact of Electronic Medical Records (EMR) implementation on the hospital’s Net Benefit using the HOT-Fit model approach, which includes the Human, Organization, and Technology components. The research was focused on the Outpatient Unit of RSB TK. III Ambon, involving 232 employees directly or indirectly involved in the EMR system implementation. A non-experimental quantitative approach with a cross-sectional correlational design was applied. Data were collected using questionnaires and analyzed through bivariate analysis using the Chi-Square test and multivariate analysis using logistic regression with the backward conditional method. The results indicate that all three HOT components Human, Organization, and Technology have a significant relationship with Net Benefit (p-value < 0.05). The calculated Prevalence Odds Ratio (POR) shows that the Human factor has a POR of 49.54, the Organization factor has 84.46, and the Technology factor has 60.00. The coefficient of determination (R²) is 0.744, meaning 74.4% of the variation in Net Benefit can be explained by the HOT variables, while the remaining 25.6% is explained by other factors outside the model. Multivariate analysis revealed that the Organization factor is the most dominant variable, with the highest odds ratio of 22.813 at a 95% confidence level and a significant p-value < 0.05. Furthermore, the Human factor was identified as a confounding variable in the relationship. It is recommended that the hospital enhance user training on system features, optimize EMR technical performance, and strengthen education and monitoring of data completeness and accuracy. Additionally, periodic and practical training tailored to each unit’s needs should be implemented, along with continuous post-training technical support. From the technological aspect, improvements in network infrastructure, provision of backup systems, and partnerships with IT service providers are necessary for regular maintenance and user support.
effectiveness Effectiveness of Health Education in Improving Adolescents' Knowledge and Attitudes Towards the Risk of Diabetes Mellitus Diah Ayu Putri Tunggal Dewi; Dimas Ria Angga Pribadi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.583

Abstract

Diabetes mellitus is one of the global health problems with an increasing prevalence, including among young age groups. Frequent consumption of sugary drinks can increase the risk of type 2 diabetes, so adolescents need health education to improve their knowledge and attitudes about the dangers of excessive sugar intake. This research aims to determine the effectiveness of health education in increasing adolescents' awareness about the dangers of consuming jumbo iced tea on the risk of diabetes mellitus. This study used a quantitative quasi-experimental design with 92 respondents selected through convenience sampling. The intervention consisted of health education through presentations, leaflets, and online mentoring for one week. Data were collected using a knowledge and attitude questionnaire and analyzed using the Paired and Independent Sample T-Test with a significance of α = 0.05. The research results show that health education significantly increased adolescents' knowledge and attitudes toward the dangers of consuming jumbo iced tea and the risk of diabetes (p-value = 0.001 for knowledge; p = 0.001 for attitudes). This research demonstrates that health education delivered through classroom presentations, educational leaflets, and monitoring via groups for one week is effective in improving adolescents' knowledge and attitudes. Therefore, this method can be adopted as an effective health promotion strategy in the future.
Clinical and Neurophysiological Features of Vincristine-Induced Peripheral Neuropathy in Indonesian Children with Acute Lymphoblastic Leukemia Raden Muhammad Indra; Irsan Saleh; Irawan Mangunatmadja; Yulia Iriani; Zen Hafy; Dian Puspitasari
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.584

Abstract

Vincristine-induced peripheral neuropathy (VIPN) is a common complication clinical pattern vary across populations, and data from Indonesian children remain limited. Objectives to describe the clinical and nerve conduction study (NCS) features of VIPN in children with ALL treated at a tertiary hospital in Indonesia. We conducted a cross-sectional study of children with ALL receiving chemotherapy recruited consecutively at Mohammad Hoesin Hospital, Palembang, from November 2023 to August 2025. Data were collected from detailed neurological and NCS examinations. Diagnosis of VIPN was made using NCS. Severity was graded using the Common Terminology Criteria for Adverse Events (CTCAE v5.0). Clinical features and NCS findings were evaluated. Comparisons were made between induction and maintenance phases, including the proportions of severity groups, clinical symptoms, individual nerve involvements, number of symptoms and nerves, as well as the type of lesions. A total of 118 children were enrolled; 65 (55.1%) had VIPN by NCS criteria. Neuropathy incidence was similar in induction (56.9%) and maintenance (52.8%) phases (p=0.66). Most cases were CTCAE grade 2–3. Weakness was the most frequent symptom (56.9%), while paresthesia was significantly more common in the induction phase (p=0.008). Peroneal motor nerve involvement was the most frequent NCS abnormality (91.1%), followed by median motor (50.0%) and ulnar nerves (33.7%). The induction phase was characterized by additional upper extremity nerve involvement compared to the maintenance phase, including the median (p=0.004) and ulnar (p=0.025) nerves. Sural sensory nerve abnormalities were significantly more prevalent during the maintenance phases (p=0.002). All cases demonstrated axonal, motor-predominant neuropathy, with no isolated sensory cases. VIPN is highly prevalent among Indonesian children with ALL, with motor-predominant, axonal involvement. The induction phase has more widespread nerve involvement that includes upper extremities, while the maintenance phase has more sensory sural nerve involvement, albeit more likely asymptomatic or milder. Phase-specific patterns suggest distinct pathophysiological mechanisms.

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