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INDONESIA
Indonesian Journal of Global Health Research
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.
Arjuna Subject : -
Articles 697 Documents
Development of the Ni-Kshay Portal as An Integrated Digital System for Effective Tuberculosis (TB) Management in Indonesia Khusnul Khotimah Arum Nurcahyanti; Oksita Asri Widyayanti; Ilham Rahmansyah
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.v8i2.841

Abstract

Tuberculosis (TB) remains a major public health burden in Indonesia, with reported cases increasing from 724,309 in 2022 to approximately 889,000 by early 2025. The current Tuberculosis Information System (SITB) has not fully supported rapid and accurate reporting due to delays, duplicated records, limited interoperability with other health information systems, and insufficient data quality controls. In contrast, India has successfully improved TB management efficiency through the Ni-kshay Portal, an integrated digital platform that enhances case notification and service coordination. This study aimed to conduct a needs analysis as the foundational step in developing and adapting the Ni-kshay Portal for implementation in Indonesia to ensure that the system is relevant, efficient, and aligned with national TB elimination goals. A qualitative approach was applied using the Waterfall system development model and the PIECES framework. The study involved 24 participants, consisting of 20 users and persons in charge of the Tuberculosis Information System (SITB) from primary health centers and 4 respondents from referral hospitals who were directly engaged in the implementation and operational use of the system. Data were collected through in-depth interviews, field observations, document reviews, and stakeholder validation sessions. A total of 20 primary health centers, four referral hospitals, and the Banyumas District Health Office participated in identifying functional and non-functional system requirements. Results revealed significant challenges in the current reporting system, including 2–4-week delays, server overload, duplicate patient records, weak SITB–SIMRS–BPJS synchronization, and high manual data-entry workload. The PIECES analysis identified essential requirements for the upgraded system, including real-time reporting, automated national ID (NIK) validation, cross-system API integration, centralized dashboards, streamlined digital workflows, activity logs, automated reminders, and digital referral-back features. The study concludes that an integrated digital TB reporting platform is urgently needed to improve timeliness, data quality, and case monitoring. Subsequent research stages will focus on prototype development and field testing to assess technical feasibility and potential system impact.
The Role of Knowledge and Attitude as Determinants of Adolescent Girls’ Compliance with Iron Tablet Consumption Ahmad Dwiky Darmawan; Sulastri Sulastri
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.842

Abstract

Anemia remains one of the most significant global nutritional problems, particularly affecting adolescent girls. In Indonesia, the government has implemented a preventive strategy through the Weekly Iron and Folic Acid Supplementation (WIFAS) program, commonly known as tablet tambah darah (TTD). However, the success of this program relies heavily on adolescents’ adherence to regular consumption. Knowledge and attitude are recognized as key psychological determinants influencing compliance with iron supplementation. This study aimed to examine the correlation between knowledge and attitude with compliance in iron tablet consumption among adolescent girls at SMA Negeri 2 Sukoharjo. A descriptive correlational design with a quantitative approach was employed, involving 100 female students from grade XI selected using purposive sampling. Data were collected through a structured questionnaire measuring knowledge, attitude, and compliance variables. The instrument demonstrated good validity with Pearson Product Moment correlation coefficients ranging from 0.54 to 0.88 and acceptable reliability with a Cronbach’s Alpha value of 0.79. Statistical analysis was performed using the Chi-Square test at a significance level of p < 0.05. The majority of respondents had good knowledge (59%), positive attitudes (73%), and high compliance (44%) toward TTD consumption. The Chi-Square test showed a significant association between knowledge and compliance (p = 0.010), as well as between attitude and compliance (p = 0.010). The study concludes that knowledge acts as a primary cognitive factor influencing adolescents’ compliance with iron tablet intake, while attitude serves as a reinforcing element that strengthens behavioral intention and consistency.  
Definition of the Leadership Formation Process for Undergraduate Nursing Students Edison Kabak
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.v8i2.843

Abstract

Leadership is an essential capability that nurses must develop to provide safe, collaborative, and ethically grounded care. Nonetheless, undergraduate nursing students often differ in how they perceive the developmental process of leadership, which may influence their preparedness to navigate future professional challenges. This study seeks to uncover how nursing students interpret their journey in developing leadership within the academic and clinical learning environment. Using an 8-participant phenomenological design, researchers conducted in-depth interviews with ten students actively engaged in both academic and organizational roles. Data were examined using Colaizzi’s analytical steps to identify core themes that reflect participants’ lived experiences in cultivating leadership. The analysis revealed four central themes: (1) leadership as a continuous learning experience, (2) the role of self-reflection and professional accountability, (3) social interaction and organizational participation as avenues for leadership growth, and (4) moral and ethical foundations as pillars of leadership integrity in nursing. The findings indicate that leadership development among nursing students is an evolving and multifaceted process shaped by hands-on experience, reflective thinking, and internalized ethical values. Students view leadership not merely as directing others but as an ongoing self-development process characterized by professionalism, empathy, and social responsibility. Leadership growth is layered, progressive, and intertwined with educational experiences, reflective practices, and engagement in ethically oriented organizations, forming future nurses with strong, reflective, and humanistic leadership qualities.
The Effect of Mindfulness Based Stress Reduction (MBSR) on Psychological Distress in Coronary Artery DISEASE (CAD) Patients after Coronary Artery Bypass Grafting (CABG) Desy Setiawati; Wati Jumaiyah; Dhea Natashia; Yani Sofiani
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.v8i2.844

Abstract

Coronary artery disease (CAD) patients undergoing preventive coronary artery bypass graft (CABG) surgery commonly experience psychological distress in the form of anxiety, stress, and depression, which can hinder the recovery process. Mindfulness-Based Stress Reduction (MBSR) programs are known to be effective in reducing psychological burden in various chronic disease conditions, but research in the CHD population after preventive CABG is limited. Objective to determine the effect of a mindfulness-based stress reduction (MBSR) intervention on psychological distress in CHD patients undergoing preventive CABG. The study used a true-experimental design. The sample consisted of CHD patients who met the inclusion criteria, divided into intervention and control groups. The intervention group participated in the MBSR program for 21 days, while the control group received standard care. A total of 12 respondents participated. Stress, anxiety, and depression levels were measured using standardized instruments such as the Hospital Anxiety and Depression Scale (HADS) instrument, the level of stress using the Perceived Stress Scale (PSS) instrument. Data analysis was performed using bivariate paired t-tests and multivariate. The MBSR program demonstrated a significant reduction in stress, anxiety, and depression levels in the intervention group compared to the control group (p < 0.05). The difference in mean psychological scores before and after the intervention indicated a greater improvement in mental well-being in MBSR participants. The MBSR intervention was effective in reducing psychological distress in coronary artery disease patients after CABG prevention.
The Analysis of the Relationship Between Prolanis Activities and Referral Diagnoses of Diabetes and Hypertension Priscillia Josina Yacomina Antou; Margaretha Solang; Sunarto Kadir
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.v8i2.849

Abstract

Hypertension and Diabetes Mellitus (DM) are leading causes of global mortality with continually rising incidences, impacting individuals' quality of life and imposing a significant burden on the healthcare system due to the high frequency of referrals to Advanced Level Health Facilities. The Chronic Disease Management Program (Prolanis) was initiated to address this issue by increasing awareness, adherence, and preventive activities through education and routine monitoring, which is expected to reduce referrals. This cross-sectional study aimed to analyze the relationship between participation in Prolanis activities and the referral of DM and Hypertension patients to Toto Kabila Regional General Hospital. The study sample involved 99 respondents who were DM and Hypertension patients registered as Prolanis participants and had been referred to the hospital, selected using an accidental sampling technique. Data were collected through a Prolanis participation questionnaire and secondary data from medical records for referrals. All instruments demonstrated acceptable psychometric properties, with significance values below 0.05 and Cronbach’s alpha coefficients exceeding 0.70. The analysis utilized the Chi-Square test and logistic regression. The statistical results indicate a highly significant relationship between patient referrals and participation in various Prolanis activities, including medical consultation (p = 0.002), reminders (p = 0.000), health status monitoring (p = 0.004), patient visits (p = 0.012), and Prolanis exercise (p = 0.000). The variable of Prolanis exercise had the greatest influence in reducing referrals, with an Odds Ratio of 5.37. Conclusion: Active participation in Prolanis activities, particularly physical activity, is strongly associated with a reduction in DM and Hypertension patient referrals. Health facilities are advised to prioritize and strengthen routine physical activities such as Prolanis exercise as the core of the program, while also improving the intensity and quality of reminder and monitoring activities to maximize patient adherence and the effectiveness of referral prevention.
Comparison of Primary and Modular Nursing Methods on Nurse Work Engagement, Nurse Job Satisfaction, Patient Trust, and Patient Satisfaction in A General Hospital Ni Putu Emy Darma Yanti; I Ketut Dian Lanang Triana; Rai Sekar Widhi
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.v7i6.851

Abstract

Nursing care delivery models influence the continuity, quality, and outcomes of nursing care. Primary nursing and modular nursing present different approaches to responsibility distribution, care coordination, and nurse–patient interaction. However, evidence comparing their impact on nurse-related and patient-related outcomes remains limited in low- and middle-income countries. Aim to compare the effects of primary versus modular nursing methods on nurse work engagement, nurse job satisfaction, patient trust, and patient satisfaction in an inpatient setting. A cross-sectional comparative study was conducted among 60 nurses and 30 adult inpatients in a regional public hospital in Bali, Indonesia. Purposive sampling was used. Validated instruments were administered. Utrecht Work Engagement Scale (UWES) (Cronbach’s α = 0.80–0.90), Mueller & McCloskey Satisfaction Scale (MMSS) (reliability ranges from α = 0.78–0.89), Patient Trust Scale (PTS) (reliability α > 0.85), and Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) (reliability α > 0.90). Data were analyzed using Chi-square tests with α=0.05. The primary nursing group demonstrated significantly higher levels of patient trust (p=0.038), patient satisfaction (p=0.041), nurse work engagement (p=0.027), and nurse job satisfaction (p=0.016) compared with the modular nursing group. Primary nursing consistently showed higher proportions in the “high” category across all measured outcomes. Primary nursing appears more effective than modular nursing in enhancing nurse work engagement and job satisfaction, while simultaneously improving patient trust and satisfaction. Wider adoption of primary nursing may support improvements in nursing care quality within hospital settings.
Parenting Patterns Related to the Incidence of Stunting in Early Childhood Rahayu Ningsih; Heru Subaris Kasjono; Siswanto Pabidang
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.v8i2.852

Abstract

Stunting is a serious problem faced by many developing countries, including Indonesia. This condition occurs when a child experiences stunted growth due to chronic malnutrition, characterized by a child's height being shorter than children of the same age. Stunting is influenced by various factors, namely lack of access to nutritious food, lack of knowledge about nutrition and health, poor sanitation, and poverty. The purpose of the study was to determine the relationship between Parenting Patterns with the Incidence of Stunting in Early Childhood. The type of research used is a study. observational analytic with cross sectional approach . Subjects in this study included toddlers aged 06-59 months in Teluk Rumbia Village. The sampling technique in this study used purposive sampling using the Slovin formula. The research instrument used a questionnaire. All questionnaires tested showed a calculated r value (see the corrected item-total correlation column) of 0.444, indicating that all questionnaires were valid. The reliability value for the 10 questions on parenting patterns was 0.850 0.60. EPPGBM Application and Checklist Sheet. Data Analysis using Chi Square. Characteristics with Poor Parenting Patterns were 19 people (33.9%) and Good Parenting Patterns were 37 people (66.1%). Respondents had characteristics of Not Stunting as many as 29 people (51.8%) and those who were not stunted as many as 27 people (48.2%). The parenting factor obtained a p-value of 0.006 < 0.05, which means there is a meaningful relationship. The strength of the relationship shown from the OR result is Parenting Patterns (OR: 0.384), Mother's parenting patterns are related to the incidence of stunting in Teluk Rumbia Village. This study is expected to provide practical guidance for parents in Teluk Rumbia Village in improving childcare patterns to prevent stunting.
Effectiveness of the PRI (Psycho Religious Intervention) Model to Improve the Physical Well-Being of Cancer Patients Priyanto Priyanto; Sukarno Sukarno; Gipta Galih Widodo; Salma Widya Oktaviani; Almera Sinta Ramadhani
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.v8i2.854

Abstract

Cancer imposes a significant health burden, encompassing not only physical symptoms like pain and fatigue but also substantial psychological and spiritual distress, which collectively diminish patients' overall well-being. Given the high cost of care in Indonesia, comprehensive supportive interventions are urgently needed. This study aimed to test the effectiveness of the Psycho Religious Intervention (PRI) model an innovative nursing therapy integrating psychoeducation and contemplative (tafakur) prayer on improving cancer patients' physical well-being. A randomized controlled trial (RCT) design with a pre-post test method was employed. Sixty cancer patients at Dr. Adhyatma Hospital were recruited and equally randomized into intervention and control groups. The intervention group received the PRI model for 30 minutes per session, twice daily, for four consecutive days. Effectiveness analysis using independent-samples t-tests revealed that the PRI model significantly improved physical well-being. The intervention group demonstrated a qualitative improvement from moderate (mean 159.07) to high well-being (mean 181.33), surpassing the control group (mean 161.20). Specifically, the model significantly reduced pain (p=0.010), physical fatigue (p=0.036), and sleep disturbance (p=0.016), although nausea reduction was marginally significant (p=0.058). The PRI Model is established as an effective, evidence-based self-care modality, proving highly relevant for holistic palliative care.
The Effect of Stroke Exercise on Blood Pressure in Elderly Patients with Hypertension: A Quasi-Experimental Study Sri Hartutik; Notasya Devika Arynanda; Sinta Purnama Sari
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.v7i6.855

Abstract

Hypertension, or high blood pressure, is the leading cause of death worldwide, with essential hypertension accounting for 90-95% of cases. Older people with hypertension are at greater risk of serious complications such as stroke, coronary heart disease, and kidney failure. One form of non-pharmacological intervention that is gaining more attention is anti-stroke exercise. This study aims to determine the effect of stroke sports on blood pressure in the elderly with hypertension. This study used a quasi-experimental design with a pretest and posttest control group design. Two groups were selected: the intervention group, which participated in anti-stroke exercises, and the control group, which did not receive the intervention. The study population was elderly with hypertension who were registered in a health facility or elderly community. The sampling technique used purposive sampling from 30 respondents (15 in the intervention group and 15 in the control group). Data analysis used the Wilcoxon test to determine differences in blood pressure before and after stroke exercises. The Wilcoxon test for the effect of stroke exercises on blood pressure yielded a p-value (0.003 <0.05), indicating differences in blood pressure before and after stroke exercises. The results of the study show that stroke sports are effective in lowering blood pressure in the elderly.
Analysis of Determinants of Type 2 Diabetes Mellitus: A Literature Review Adzkiya Safitri; Yuanita Windusari; Iche Andriyani Liberty
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.v8i2.857

Abstract

Type 2 Diabetes Mellitus (T2DM) is a global health issue, with 537 million cases reported in 2021 and projected to increase to 783 million by 2045. Indonesia ranks fifth globally, with T2DM prevalence rising to 8.5% in 2018. The high number of cases and the risk of severe complications, such as heart disease, stroke, and kidney failure, underline the need for an in-depth study of risk factors to mitigate the disease's impact. Objective to further examine the determinants of Type 2 Diabetes Mellitus. This study employed a literature review approach using search engines such as Google Scholar, PubMed, ScienceDirect, and BMC with the keywords "Risk Factor" AND "T2DM." The reviewed articles are reputable and accredited, published within the last five years. From a total of 20 reviewed articles, the findings indicate that Type 2 Diabetes Mellitus is significantly associated with factors such as age, gender, hypertension, physical activity, family history of diabetes, obesity, smoking, cholesterol levels, fruit and vegetable consumption, and sweet food consumption. The determinants of Type 2 Diabetes Mellitus include physical activity, dietary patterns, family history of diabetes, BMI, smoking, age, gender, hypertension, and cholesterol levels.