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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 1,005 Documents
Factors Associated with Mental Health Status of Pregnant Women Eliyana Eliyana; Bambang Setiaji; Dian Utama Pratiwi Putri; Endang Budiati
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.v8i3.1592

Abstract

Mental health of pregnant women is an important aspect of efforts to improve the health status of mothers and children. South Lampung Regency still faces low achievement in mental health screening of pregnant women (22.27%). This study aims to determine the factors associated with the mental health status of pregnant women in South Lampung Regency in 2025. This study employed a quantitative approach with a cross-sectional analytical design. The study population consisted of all pregnant women attending nine selected community health centers in South Lampung Regency, with a total sample of 415 respondents selected using proportional random sampling. The dependent variable, namely the mental health status of pregnant women, was measured using the Edinburgh Postnatal Depression Scale (EPDS), which has been validated in the Indonesian population and demonstrated good reliability, with Cronbach’s alpha ranging from 0.78 to 0.85, indicating satisfactory internal consistency. A cut-off score of ≥10 was applied to classify pregnant women as being at risk of depression, as this threshold is considered sensitive for community-based screening in primary health care settings. The independent variables maternal age, gestational age, residence, spousal support, frequency of antenatal care (ANC) visits, and history of mental disorders were measured using a structured questionnaire. Data analysis was conducted using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. The results of the chi-square test showed a significant relationship between the age of the pregnant woman (p=0.000; OR=2.755), gestational age (p=0.014; OR=1.684), place of residence (p=0.004; OR=0.544), spousal support (p=0.000; OR=0.462), frequency of ANC visits (p=0.026; OR=0.625), and history of mental disorders (p=0.000; OR=3.595) with the mental health status of pregnant women. Multiple logistic regression analysis showed that the dominant factor associated with the mental health status of pregnant women was a history of mental disorders in the family (OR=4.453).  In conclusion, there is a relationship between the age of pregnant women, gestational age, place of residence, spousal support, frequency of ANC visits, and history of mental disorders with the mental health status of pregnant women. The dominant influencing variable is a family history of mental disorders.
Interventions for Person with Dementia: A Scooping Review Makdum Alaidin; Suyanto Suyanto
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.v8i1.1594

Abstract

Dementia is a progressive neurodegenerative condition that significantly affects a person's cognitive function, behavior, and quality of life. The increasing global prevalence of dementia poses significant challenges for healthcare systems, families, and communities. Pharmacological therapies have shown limited effectiveness and are often associated with side effects, so non-pharmacological and multidimensional interventions are gaining increasing attention as more comprehensive alternative approaches. The aim of this study is to identify and map the scientific evidence regarding various interventions applied to people with dementia and to provide a conceptual basis for the development of clinical practice and further research to improve the quality of care and quality of life of individuals with dementia. Literature search was conducted in electronic databases such as PubMed, and Spingerlink using keywords related to “dementia,” and “intervention” for the period 2015-2025. Studies meeting the inclusion criteria were analyzed descriptively and categorized by intervention type: pharmacological, non-pharmacological, psychosocial, and alternative therapies. The 14.403 articles found, 18 studies met the inclusion criteria. Non-pharmacological interventions, including interventions for person with dementia in the form of cognitive stimulation, music interventions, psychosocial interventions, reminiscence therapy, aromatherapy, physical activity and exercise, and animal therapy that have been proven to person with dementia and have also been shown to strengthen social interactions and reduce caregiver stress. Pharmacological interventions have shown more limited results and focus on symptom management rather than improving overall quality of life. Interventions for persons with dementia are diverse and predominantly non-pharmacological, with growing evidence supporting their potential benefits across cognitive, psychological, and quality-of-life outcomes.
Accuracy of INA-CBGs Claim Documentation and Its Association with Reimbursement Delays in Hospitals: A Systematic Review Sulaiman Rasid; Ekorini Listiowati
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.v8i3.1600

Abstract

Timely reimbursement of health insurance claims is essential for hospital financial sustainability and health system efficiency. However, reimbursement delays remain common, particularly in case-based payment systems, and are frequently linked to inaccuracies in claim documentation and supporting records. Despite increasing research on claim management, evidence remains fragmented and lacks a comprehensive synthesis of how documentation accuracy influences reimbursement timelines. This systematic review aims to synthesize empirical evidence on the accuracy of hospital insurance claim documentation and examine its association with reimbursement delays, focusing on key determinants and managerial implications. A systematic literature review was conducted following PRISMA 2020 guidelines. Peer-reviewed studies published between January 2019 and March 2025 were searched in Scopus, PubMed, Web of Science, and Google Scholar using predefined MeSH terms and Boolean operators. The initial search identified 1,245 records. After removing 314 duplicates, 931 articles underwent title and abstract screening, resulting in 253 full-text articles assessed for eligibility. Of these, 187 were excluded due to methodological or topical limitations. Ultimately, 10 studies met all inclusion criteria and were included in the qualitative synthesis. Five major determinants of documentation accuracy were identified: administrative completeness, clinical documentation and coding accuracy, information system integration, organizational governance, and human resource capacity. Inaccurate documentation was consistently associated with higher rates of pending claims, repeated verification cycles, and prolonged reimbursement timelines. Hospitals implementing standardized procedures, internal audits, and continuous training demonstrated improved claim timeliness. Documentation accuracy functions as a critical mediating factor influencing reimbursement performance. Strengthening governance, workforce competency, and system integration is essential to reduce claim delays in case-based payment environments.
Ankle Pump Exercise as Evidence-Based Nursing for Managing Hypervolemia in Chronic Kidney Disease Patients Zulfiana Nurlaili; Nur Asa Rhahmadani Susanti; Beti Kristinawati; Afif Riada Pratama
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1605

Abstract

Hypervolemia in patients with Chronic Kidney Disease (CKD) can cause lower extremity oedema. Non-pharmacological methods like ankle pump exercises and 30° leg elevation effectively reduce oedema and improve circulation by utilising muscle pump action and gravity to enhance venous return to the heart. The purpose of this case report evaluates the patient's response to the therapy provided. The method used is a descriptive design informed by evidence-based nursing (EBN). Data collection was conducted through interviews, observations, and the review of secondary data from medical records. The degree of oedema was measured using the Brodovicz pitting oedema scale. The study subject was Mrs S, a 60-year-old woman with stage V chronic kidney disease (CKD). She experienced fluid overload, shown by swelling, high neck vein pressure, weight gain, and low urine output. The intervention was carried out during four sessions, each lasting 40 minutes. The evaluation included the degree of oedema (Brodovicz pitting oedema), weight change, and foot circumference measurement. The results showed a decrease in the degree of oedema from 3 to 2, a decrease in weight from 48 kg to 46 kg, and an increase in urine output. Patients reported a reduction in heaviness and swelling in the lower extremities after the Ankle Pump Exercise and 30° leg elevation interventions, and no side effects were found during the implementation of these two interventions. Ankle pump exercise and 30° leg elevation proved to be effective, safe, and easy to apply as part of self-care. The results indicate that ankle pump exercise and 30° leg elevation can be used as non-pharmacological nursing interventions in the management of oedema in CKD patients with hypervolemia. Nurses play a crucial role in educating and guiding patients and their families to help them perform self-care interventions independently and continuously.
Analysis of the Effectiveness of Medical Waste Management Policies at Health Laboratory Andri Yanti; Subang Aini Nasution; Hartono Hartono; Rapael Ginting; Sondang Selviana Silitonga; Ismail Usman
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.v8i2.1606

Abstract

The implementation of medical waste management policies at the laboratory level still faces challenges in the form of non-compliance with operational standards, limited resources, and weak evaluative monitoring. This study aims to analyze the effectiveness of medical waste management policies at the UPTD Puskesmas in Jambi City. This study uses a case study method, with a qualitative approach, where the sampling technique used is purposive sampling. Total number of informants in this study is 20 people. Data obtained from interviews, observations, and document analysis will be analyzed thematically to identify emerging patterns, themes, and issues related to medical waste management policies. As a result of data management, there are several regulations for medical waste management at the UPTD Puskesmas in Jambi City, starting from the Law on Environmental Protection and Management, Presidential Regulations, Ministerial Regulations, and SOPs for the Puskesmas themselves. Medical waste management is carried out through several stages, starting from sorting, internal transportation, temporary storage, to external transportation and processing involving third parties. There are challenges faced in medical waste management, including untrained human resources, budget constraints, and inconsistent external transportation schedules. Based on the results of the analysis and discussion regarding the effectiveness of medical waste management policies at the UPTD Labkesda Jambi City, it can be concluded that the Regulatory and Implementation Aspects of the UPTD Labkesda Jambi City already have a strong regulatory basis, both externally and internally and Cooperation Agreements with third parties. However, there is still a gap between written policies and implementation in the field, so that the effectiveness of the policy has not reached its optimal point. The Human Resources Aspect shows that the quality and quantity of human resources are the main determinants in waste management. The Infrastructure Aspect shows that the facilities are quite adequate, but more modern and sustainable waste management is needed.
Analysis of Factors Related to Nutritional Status of Toddlers Aged 12-59 Months Rizkiyah Novianti; Rinang Mariko; Yantri Maputra
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.v8i3.1630

Abstract

The nutritional status of toddlers is influenced by factors such as immunization history, exclusive breastfeeding history, maternal knowledge, socioeconomic status, and parenting patterns. This study aims to identify risk factors associated with the nutritional status of toddlers aged 12-59 months in the working area of the Padang Pasir Community Health Center. This is an observational analytical study with a cross-sectional design. This study aims to determine the relationship between the history of exclusive breastfeeding, maternal knowledge, socioeconomic status, and parenting patterns with nutritional status in toddlers in the Padang Pasir Community Health Center work area.  The sample consisted of 351 mothers with toddlers aged 12-59 months, selected using proportional sampling. Data collection used a questionnaire. Data were analyzed using chi-square analysis, logistic regression multinomial. The results of the quantitative research using chi-square test showed a relationship between exclusive breastfeeding (p=0.032), maternal knowledge (p=0.010), parental income (p=0.003), feeding parenting patterns (p=0.008) with the nutritional status of toddlers aged 12-59 months. The most dominant factor was feeding parenting patterns (OR=1.302). The study concluded that parenting and feeding patterns were the most closely related factor to the nutritional status of toddlers aged 12-59 months. Community health centers are expected to improve parenting through routine counseling, information media, and direct information on the importance and negative impacts of inadequate parenting and feeding patterns on children's nutritional status.
Traditional Healing Practices by Health Workers and Traditional Healers from a Legal Perspective: A Normative Legal Study I Wayan Erik Permana Jaya; I Wayan Gede Artawan Eka Putra
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.v8i2.1647

Abstract

Traditional medicine is an integral part of the health system that is still widely used by the Indonesian people, both as an alternative and as a complement to modern medical treatment. The high prevalence of the use of traditional medicine, including the involvement of health workers and traditional healers, gives rise to complex legal implications, particularly regarding the legality of the practice, the limits of authority, and patient protection. Differences in regulatory regimes between health workers and traditional healers have the potential to create legal uncertainty if not regulated clearly and harmoniously. This study aims to analyze the legal regulations for the practice of traditional medicine by health workers and traditional healers from the perspective of Indonesian health law and examine the implications of legal accountability. The research method used is normative legal research with a statutory, conceptual, case-based, and limited comparative approach. The legal materials analyzed include health legislation, court decisions related to traditional medicine practices, legal doctrine, and World Health Organization policies and recommendations. The analysis was conducted qualitatively through normative interpretation to assess the consistency and adequacy of legal regulations. The study shows that traditional medicine has received legal recognition as part of the national healthcare system. However, regulatory fragmentation and disharmony persist, particularly regarding the boundaries of practice authority and legal accountability mechanisms. Health workers have a relatively clearer framework of responsibility than traditional healers, while legal protection for patients is suboptimal. This study concludes that regulatory harmonization and strengthening are needed to improve legal certainty, patient protection, and accountability for traditional medicine practices in Indonesia.
Telemedicine Practices on Doctors' Responsibilities in Health Service Facilities (Fasyankes) from Civil Law: A Normative Juridical Study Komang Arya Adiputra; I Wayan Gede Artawan Eka Putra
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.v8i2.1648

Abstract

The development of information technology has driven the transformation of healthcare services through telemedicine, offering ease of access, time efficiency, and expanded reach of medical services. However, the implementation of telemedicine also raises various legal issues, particularly regarding the civil liability of physicians and legal protection for patients. The differences in the characteristics of conventional medical services and digital-based healthcare services require clear legal regulations to create legal certainty and justice for all parties. This study aims to analyze the form of legal relations between doctors and patients in telemedicine services and examine the basis for civil liability of physicians for losses experienced by patients. The research method used is normative legal research with a statutory, conceptual, and comparative approach. The legal materials analyzed include laws and regulations in the fields of health and telemedicine, civil law doctrine, and the latest scientific articles indexed by Scopus and Web of Science. The results of the study indicate that the legal relationship in telemedicine remains based on a therapeutic agreement that gives rise to the rights and obligations of the parties. Physicians can be held civilly liable for both breach of contract and unlawful acts if they are proven to have violated professional standards, the principle of prudence, or the rights of patients. However, this study also found regulatory gaps and disharmony, which have weakened legal certainty and legal protection mechanisms for patients.  This study's conclusions emphasize the need to strengthen and harmonize telemedicine regulations to ensure legal protection for patients and provide legal certainty for doctors in conducting digital-based medical practices.
Effect of Garcinia mangostana Linn. Pericarp Extract Supplementation on Lipid Profile and Glycemic Parameters in Elderly Patients with Type 2 Diabetes Mellitus: A Double-Blind Randomized Controlled Trial Yosef Purwoko; Heri Nugroho; Siti Setiati; Banundari Rachmawati
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1661

Abstract

Type 2 Diabetes Mellitus (T2DM) in the elderly is frequently accompanied by dyslipidemia, increasing cardiovascular risk. Mangosteen pericarp, derived from Garcinia mangostana Linn., contains xanthones with antioxidant and anti-inflammatory properties that may improve metabolic parameters. The aim of this study is evaluate the effect of mangosteen pericarp extract supplementation on lipid profile, glycemic parameters, and insulin resistance in elderly patients with T2DM. This double-blind randomized controlled trial included 72 elderly T2DM patients allocated into a supplementation group (n=36) and a placebo-controlled group (n=36). Consecutive sampling was used for this study. Baseline and post-intervention assessments included fasting blood glucose, HbA1c, serum insulin, HOMA-IR, total cholesterol, LDL, HDL, and triglycerides. Within-group and between-group analyses were performed using parametric or non-parametric tests as appropriate, with p <0.05 considered statistically significant. Significant differences in baseline HbA1c and LDL levels were observed between groups (p<0.05). After intervention, a significant between-group difference was found only in HDL levels (p<0.05). Delta analysis demonstrated significant improvements in LDL and HDL in the supplementation group compared with controls (p<0.05). No significant differences were observed in fasting glucose, HbA1c, insulin levels, or HOMA-IR. Mangosteen pericarp extract supplementation significantly improved LDL and HDL levels but did not significantly affect glycemic control or insulin resistance.
The Influence of Health Education on the Knowledge of Hypertension in Riverbank Communities Lola Illona Elfani Kausar; Gt. Khairunnisa; Muhammad Lukman; Retny Zulhijati Mala; Muhammad Harrisfadillah
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.v8i2.1663

Abstract

Hypertension is often called a silent killer because it usually does not show early signs, but can cause serious complications and even death. In Indonesia, the prevalence of hypertension reaches 34.1%, and South Kalimantan is recorded as the province with the highest figure at 44.1% with the working area of the West Martapura Community Health Center being one of the areas with the most cases where the majority of the population lives on the riverbanks. The habit of consuming salted fish with high sodium content and the low public understanding of hypertension are factors that worsen public health conditions. How the influence of health education can increase the knowledge of people living on riverbanks regarding hypertension. This was a quasi-experimental study using a one-group pretest–posttest model. Thirty respondents were selected using purposive sampling. The research instrument was a hypertension knowledge questionnaire in accordance with the theory. Univariate and bivariate analyses were performed using the Wilcoxon test. The majority of respondents were female (77%), had an elementary school education (46%), and worked as housewives (50%). The average knowledge score increased from 79.33 to 86.33 after the intervention. The Wilcoxon test showed a significant increase in knowledge (p = 0.010). Health education is effective in increasing the knowledge of hypertension in riverside communities. Regular health education is recommended as a promotional and preventive measure for at-risk groups.

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