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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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Implementation of A Tuberculosis Drug-Resistant (TB RO) Case Finding Program Isnayati Isnayati; Kodrat Pramudho; Ratih Purnamasari
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.v7i6.222

Abstract

Gaps in the achievement of drug-resistant tuberculosis case detection in Cilegon City still occur. The target of 85% case detection for RO-TB has been achieved at only 31%, with an enrollment rate of 30%. Evaluation of program implementation is needed to identify obstacles and opportunities for improving outcomes. This study aimed to analyze and evaluate the implementation of the RO-TB case-finding program. This qualitative study, using a phenomenological approach, was conducted in nine community health centers (Puskesmas) in Cilegon City, Banten. Evaluation indicators include acceptability, appropriateness, fidelity, sustainability, and implementation cost. There were 25 informants in this study, including key informants, main informants and supporting informants.Data will be collected through in-depth interviews. A questionnaire will be used to gather qualitative information. The informants in this study included heads of community health centers, health department, community health workers, pulmonary specialists, business representatives, and the media. Data analysis used the Miles and Huberman principles and triangulation. The TB RO case detection program was well-received by all Community Health Centers (Puskesmas), but trained human resources were not evenly distributed, facilities and infrastructure were inadequate, targeting needed to be reviewed, and cross-sectoral collaboration was not well-established. The SWOT analysis identified strong potential support from academics to send expert teams, industry willing to channel CSR funds and develop policies supporting the program, and the mass media to promote the TB RO case detection program. To enhance the effectiveness of the Drug-Resistant Tuberculosis case finding program, providing training for health workers and regional analysis for determining relevant targets needs to be done regularly.  
Development of Game Application-Based Education Towards Adolescents' Knowledge Level: Mixed Methods Devangga Darma Karingga; Achmad Wahdi
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.v7i6.224

Abstract

Diabetes mellitus (DM) is a chronic disease whose prevalence continues to increase, including in adolescents. Knowledge about DM prevention in adolescents remains low, so innovative and engaging educational media are needed. This study aims to evaluate the effectiveness of educational games based on crossword puzzles and word searches in increasing the knowledge of adolescents at risk of DM. The study employed a Research and Development (R&D) design, comprising stages of application design, expert validation, and limited trials, conducted on 35 adolescents aged 12–18 years using purposive sampling. Community nurses and psychiatric nurses carried out validation. Knowledge was measured using the Diabetes Knowledge Questionnaire-24 (DKQ-24) through pre-test and post-test, and then analysed using the Wilcoxon Signed-Rank Test. The results showed a significant increase in knowledge scores from 11.0 ± 1.8 in the pre-test to 18.4 ± 1.7 in the post-test (p < 0.05). Expert validation confirmed that the application is suitable for use as an educational medium, with satisfaction scores > 4.0 in most aspects. Respondents found the game to be interactive, fun, and helpful in understanding important concepts related to diabetes, although some felt that the difficulty level needed adjustment. This educational game effectively increases the knowledge of adolescents at risk of diabetes and has the potential to be integrated into adolescent health promotion programs. Interactive technology-based media can serve as an engaging educational alternative, supporting community efforts to prevent diabetes.
Analysis of Congenital Hypothyroid Screening Program on Independent Midwifery Practices Desy Eka Soekmasari; Rini Kundaryanti; Andi Julia Rifiana
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.v7i6.227

Abstract

Congenital Hypothyroidism Skrining (CHS) is a national program aimed at the early detection of thyroid dysfunction in newborns to prevent growth and developmental delays. Permenkes (2014) In Tangerang City, the program coverage remains far below the national target, highlighting the need to examine the factors influencing its implementation (Kemenkes RI, 2023). This study aims to analyze the relationship between individual and systemic factors and the success of CHS, while also exploring the experiences of midwives in carrying out the program. This research employed a mixed methods design with an explanatory sequential approach. The qualitative phase was carried out through in-depth interviews with selected informants to gain a more comprehensive understanding of the dynamics of program implementation, inamely the Health Office, Community Health Centers, BPM, and mothers of infants who underwent SHK in Tangerang City. Analysts used the NVivo application.The quantitative phase was followed by distributing questionnaires. The sample was taken using a purposive sampling method (inclusion and exclusion), resulting in 144 PMBs. Data analysis used descriptive and inferential statistics (chi-square test or logistic regression) using SPSS. Quantitative findings indicated that factors such as education, training, knowledge, attitudes, referral compliance, availability of equipment, reporting practices, and family support were not statistically associated with program success. However, socialization efforts showed a tendency toward stronger influence, though not yet statistically significant. Meanwhile, the qualitative phase generated six main themes reflecting the participants’ perspectives and experiences, namely understanding of CHS, implementation processes, patient responses, strategies for socialization and education, challenges in implementation, and evaluation with expectations for improvement. The success of CHS is influenced by complex factors beyond individual midwife characteristics. Strengthening socialization strategies, enhancing cross-sector collaboration, and improving coordination among stakeholders are essential to expand coverage and improve program effectiveness.
Qualitative Analysis of Breastfeeding Practices among Lactating Mothers Rodiawati Rodiawati; Vivi Silawati; Rukmaini Rukmaini
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.v7i6.228

Abstract

Traditional postpartum care is still practiced in Cimanggu District. Based on 2024 data, 27 mothers experienced problems during the postpartum period caused by the use of bengkung, consumption of sambel peupeuh, application of campuh, and practicing the traditions of nyanda and sangsurkeun. Several factors influencing the practice of traditional care according to theories and previous studies include knowledge, attitude, culture, family support, and health worker support. Objective to analyze the factors influencing exclusive breastfeeding practices among mothers in Pancoran Mas District, Depok City, in 2025.  This research employed a qualitative approach to explore mothers’ experiences and perceptions of exclusive breastfeeding in Pancoran Mas District, Depok City. A total of 24 informants participated, consisting of 20 main informants (mothers with infants aged 6–12 months and family members) and 4 key informants (midwives and community health cadres). Participants were selected using purposive sampling. Data were collected through in-depth interviews guided by semi-structured interview protocols. All interviews were recorded, transcribed verbatim, and analyzed thematically using NVivo software to identify emerging themes related to perceptions, experiences, barriers, support systems, and workplace policies influencing exclusive breastfeeding. Trustworthiness of the findings was ensured through triangulation of sources, member checking, and peer debriefing. Most mothers perceived exclusive breastfeeding positively for maternal and infant health, yet concerns about physical changes, maternal fatigue, stress, cultural influences, and lack of workplace support emerged as barriers, while emotional, professional, and family support facilitated its practice. Exclusive breastfeeding is shaped by maternal perceptions, with support from family, health workers, and workplace policies playing a key role in sustaining the practice.
The Effect of Glucocorticoids on Bone Profile in Pediatric Acute Lymphoblastic Leukemia Pramulya Prajogo; Bidasari Lubis; Siska Mayasari Lubis; Isti Ilmiati Fujiati; Tiangsa Sembiring; Hafaz Zakky Abdillah
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.v8i1.229

Abstract

Glucocorticoids are essential in treating acute lymphoblastic leukemia (ALL) but may disrupt bone metabolism, affecting calcium, magnesium, phosphate, and alkaline phosphatase levels. This cross-sectional study enrolled 30 children ≤18 years with ALL at Adam Malik Hospital, Medan, during April–May 2025 using consecutive sampling. All had received at least one week of glucocorticoid therapy and had complete bone profile data. Data were obtained from medical records and laboratory tests. Associations were analyzed using Spearman’s correlation, Mann-Whitney test, and multiple linear regression. Most patients were male (53.3%) and classified as high-risk (60%), with 60% receiving dexamethasone for a median of 7 weeks. Calcium, phosphate, and alkaline phosphatase levels were generally within the normal range, but 50% of patients developed hypermagnesemia. Magnesium levels were significantly associated with the type of glucocorticoid (p=0.010), treatment duration (p=0.014), and age at diagnosis (p=0.006). No significant associations were found between glucocorticoid duration and calcium, phosphate, or alkaline phosphatase levels. Magnesium levels are influenced by glucocorticoid type, treatment duration, and age at diagnosis. Further studies with larger samples and additional biomarkers are needed to comprehensively understand the effects of glucocorticoids on the bone profile of children.
Analysis of Nutritional Status among Adolescent Girls Surani Surani; Vivi Silawati; Rukmaini Rukmaini
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.v7i6.233

Abstract

Nutrition is a crucial component and plays a central role in achieving 13 of the 17 Sustainable Development Goals (SDGs). Through improving nutrition, many other goals can be achieved, leading to the betterment of a nation. The general objective of this study is to determine the influence of nutritional status and its impact on the health of adolescent girls in the Tapos District, Depok City. The type of research used is quantitative, where the results of calculations or measurements are in numerical form. This study employed a cross-sectional approach. The population in this study were all female adolescents in grades X, XI, XII at SMK Mutiara and SMKN 1 Tapos Depok, which were 254 people. The sampling technique used in this research is total sampling. The sample used in this study was the total population, namely female adolescents in grades X, XI, XII of SMK Mutiara and SMKN 1 Tapos Depok. The research data collection procedure begins with the researcher taking several steps, namely taking care of the research permit letter at the National University, collecting data, both primary data and secondary data in the Tapos Depok District Area, requesting research permission from the Principal of the Tapos Depok District Area, explaining to potential respondents about the research and signing informed consent if they are willing to be respondents, explaining how to fill out the questionnaire to respondents, respondents fill out all the questions in the questionnaire that have been given by the researcher, and if they have finished the questionnaire is submitted to the researcher. After the data is collected, data collection is carried out, then data processing and data analysis are carried out, and the research results report is prepared. Univariate analysis is the analysis of each variable from the research results to create a frequency distribution and percentage of each variable. Bivariate analysis is an analysis carried out on two variables that are suspected to be related or correlated, namely using chi square. The multivariate data analysis technique used in this study is multiple logistic regression analysis.. Body image on nutritional status in female adolescents obtained a p value of 0.001. Eating patterns on nutritional status in female adolescents obtained a p value of 0.001. Nutrition knowledge on nutritional status in female adolescents obtained a p value of 0.001. Snacking behavior on nutritional status in female adolescents obtained a p value of 0.001. Parental income on nutritional status in female adolescents obtained a p value of 0.001. Health worker support on nutritional status in female adolescents obtained a p value of 0.001. Parental support on nutritional status in female adolescents obtained a p value of 0.001. Nutritional status on physical health in female adolescents obtained a p value of 0.001. Nutritional status on mental health in female adolescents obtained a p value of 0.001. Based on the 10 variables, the most significantly correlated variable is body weight, based on the chi-square statistical test, which showed a p-value of 0.001.
Correlation between Procalcitonin Values and Pneumonia Severity in Pediatric Patients Yogi Zulkifli; Rini Savitri Daulay; Fera Wahyuni; Ranti Permatasari; Hendri Wijaya; Fathia Meirina
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.v8i1.237

Abstract

Pneumonia remains one of the leading causes of morbidity and mortality among children, particularly in developing countries. Rapid assessment of disease severity is essential for appropriate clinical management. Procalcitonin (PCT) is recognized as a biomarker of systemic bacterial infection; however, its role in determining the severity of pediatric pneumonia is still debated. This study aimed to analyze the correlation between procalcitonin levels and pneumonia severity in pediatric patient. This was an observational analytic study with a retrospective cross-sectional design using consecutive sampling. Data were collected from medical records of 102 pediatric patients aged 1 month to 18 years who were diagnosed with pneumonia throughout 2024. PCT levels were compared between children with severe pneumonia and those with severe pneumonia accompanied by danger signs. Statistical analysis included the Mann-Whitney test to assess differences in PCT values and ROC curve analysis to determine the optimal cut-off, sensitivity, specificity, and accuracy. The majority of patients (71.6%) presented with severe pneumonia with danger signs. PCT levels differed significantly between groups (p < 0.001). ROC analysis identified an optimal cut-off value of ≥1.06 µg/L, yielding a sensitivity of 82.2%, specificity of 79.3%, positive predictive value of 90.9%, negative predictive value of 63.9%, and overall accuracy of 81.37% (AUC = 0.874). There is a significant association between procalcitonin levels and the severity of pneumonia in children. Procalcitonin may serve as a valuable early biomarker for assessing disease severity and guiding clinical decision-making in pediatric pneumonia, particularly in healthcare settings in North Sumatra.
Prognostic Significance of Increasing pSOFA Scores in Paediatric Sepsis Nadia Setianingsih; Yunnie Trisnawati; Arlinda Sari Wahyuni; Bugis Mardina Lubis; Hendri Wijaya; Rosmayanti Syafriani Siregar
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.v8i1.238

Abstract

Sepsis is a major cause of morbidity and mortality among children worldwide, particularly in low- and middle-income countries. Early identification and continuous monitoring of organ dysfunction are critical components in paediatric sepsis management. The Paediatric Sequential Organ Failure Assessment (pSOFA) score is used to evaluate organ dysfunction and predict the risk of mortality. The aim of the study was to investigate the association between an increase in pSOFA score (∆pSOFA) and mortality among paediatric sepsis patients. This retrospective cohort study included paediatric patients aged 1 month to 18 years diagnosed with sepsis and treated in the PICU from January to December 2023. Receiver Operating Characteristic (ROC) curve analysis was performed to evaluate the predictive value of the pSOFA score for mortality. A total of 87 patients were included in the analysis, with 36 deaths recorded within the first 7 days. Patients with ∆pSOFA ≥1 had a six-fold higher risk of mortality (p<0.001; 95% CI: 3.26–11.02). The day-1 pSOFA score showed poor predictive ability (AUC=0.50), whereas the day-3 score demonstrated good predictive performance (AUC=0.85). An increase in the pSOFA score is significantly associated with a higher risk of mortality in paediatric sepsis patients.
Counseling Development (Aliza) in Pregnant Women Yayu Humaeroh; Vivi Silawati; Triana Indrayani
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.v7i6.241

Abstract

Anxiety in third-trimester pregnant women is a common psychological challenge faced before childbirth and has the potential to interfere with the delivery process. The general objective of this study was to identify and develop the ALIZA counseling model for third-trimester pregnant women. This study employed a mixed-method design with an exploratory sequential approach divided into three stages. Stage I was an exploratory qualitative study conducted through in-depth interviews with 10 third-trimester pregnant women, 5 midwives, 5 psychologists, and 5 counselors, selected purposively. Stage II involved the development of the counseling and the preparation of the ALIZA counseling guide. Stage III was a quantitative study to test the model's effectiveness using a pretest–posttest design with control and intervention groups, each consisting of 20 participants (total n=40). The instruments used were the DASS-21 anxiety scale questionnaire, and the analysis employed descriptive tests, normality tests, and the Wilcoxon test. Qualitative findings indicated that third-trimester pregnant women experienced anxiety due to lack of information, negative experiences, environmental pressure, and limited support from their partners. The counseling components formulated of Assessment, Listening, Information, Zone of Comfort, and Action Plan. Empathic and educational counseling, using psychological approaches such as affirmations and relaxation techniques, was shown to increase self-confidence and preparedness for childbirth. Quantitative results showed a decrease in mean anxiety scores from 19.22 to 16.45 in the intervention group, and the Wilcoxon test yielded a Z value of -5.560 with p = 0.000, indicating a statistically significant reduction in anxiety. Multivariate linear regression analysis showed that all ALIZA components had a significant effect on anxiety, with R² = 0.695, meaning that 69.5% of the variance in anxiety could be explained simultaneously by these five components.
Factors Related to Health Worker Compliance in Implementing Infection Prevention and Control in Hospitals Amiruddin Amiruddin; Sumijatun Sumijatun; Ali Germas Kodyat
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

Abstract

Based on a 2019 report, Bhayangkara Hospital Level III Banda Aceh had an HAI or nosocomial infection incidence rate of 1.97%. There were no other cases of infection. In 2020, out of 91 healthcare workers, only 5 (5.49%) had received training on how to prevent and control infections. The purpose of this study was to determine factors related to healthcare worker compliance in implementing infection prevention and control at Bhayangkara Hospital Level III Banda Aceh. Quantitative research was used with a cross-sectional study design. A sample of 91 healthcare workers was selected using a total sampling method. Data collection used an instrument created by the researcher from available literature. Data were analyzed descriptively and inferentially. The results showed a partial significant relationship between knowledge (p = 0.004), attitude (p = 0.016), and experience (p = 0.0001) with compliance in infection prevention and control at Bhayangkara Hospital Level III Banda Aceh. Logistic regression analysis showed that knowledge (P = 0.002) and experience (P = 0.0001) were significant predictors related to compliance with infection prevention and control at Bhayangkara Hospital Level III Banda Aceh. The conclusion of the study was that experience was the most significant predictor related to compliance with infection prevention and control at Bhayangkara Hospital Level III Banda Aceh (OR: 14.327).

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