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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 868 Documents
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Toward Safe Childbirth: Education on Maternal Preparedness and Newborn Care Clarine Alodia; Sulastri Sulastri
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2587

Abstract

Preparation for childbirth and newborn care require adequate maternal understanding to support maternal and neonatal safety. This study aimed to determine the increase in pregnant women’s understanding of childbirth preparation and newborn care after receiving health education. This study employed a pre-experimental one-group pretest-posttest design. The study was conducted from May 19–26, 2026, in the service area of the Kartasura Community Health Center, Sukoharjo Regency, Central Java. A total of 73 pregnant women were selected using accidental sampling. Data were collected using a five-point Likert-scale questionnaire developed based on literature reviews and maternal and child health guidelines and analysed using univariate analysis and the Wilcoxon Signed-Rank Test. The average understanding score increased from 130.03 before health education to 138.37 after health education, representing an increase of 8.34 points. The proportion of respondents with good understanding increased from 69 respondents (94.5%) before health education to 73 respondents (100%) after health education. The Wilcoxon Signed-Rank Test showed a significant difference in understanding scores before and after health education (Z = −5.026, p = 0.001). Health education on childbirth preparation and newborn care can improve pregnant women’s understanding. Health education can be integrated into antenatal care services to strengthen maternal understanding of childbirth preparation and newborn care.
A Digital Companion for Expectant Mothers: Reproductive Education Via A Whatsapp Group to Prepare for Childbirth Mustafidatun Nisa'; Sulastri Sulastri
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2589

Abstract

Pregnant women’s readiness for childbirth needs to be strengthened through appropriate health education. Before receiving education, 39 respondents (70.9%) were categorized as unprepared, and 16 respondents (29.1%) were categorized as somewhat unprepared. This study aimed to determine the effect of reproductive health education via a WhatsApp Group on the readiness of pregnant women to face childbirth in the service area of the Gatak Community Health Center. The study used a pre-experimental design with a one-group pretest-posttest approach and was conducted from May 19 to June 8, 2026. The study sample consisted of 55 pregnant women selected using accidental sampling. Data were collected using a readiness questionnaire administered as a pretest before the intervention and a posttest after the intervention. Reproductive health education was provided via a WhatsApp Group over five days. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed that the average readiness score increased from 73.07 before the education to 99.27 after the education. After the education, 38 respondents (69.1%) were in the “ready” category, and 17 respondents (30.9%) were in the “less ready” category. The Wilcoxon test yielded a Z-value of -6.457 with p < 0.001. Reproductive health education via a WhatsApp Group had a significant effect on pregnant women’s readiness for childbirth.
Beyond Vap Prevention: The Effectiveness of Nursing Care Bundles in Mechanically Ventilated Patients: A Systematic Review Maya Ardilla Siregar; Raden Bagus Edy Santoso; Sirli Agustiani; Windu Unggun Cahya Jalu Putra; Mhd Adi Setiawan Aritonang
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2595

Abstract

Mechanical ventilation is an essential life-support intervention for critically ill patients but is associated with an increased risk of ventilator-associated pneumonia (VAP), prolonged mechanical ventilation, and other adverse outcomes. Nursing care bundles combine multiple evidence-based interventions to prevent complications and improve the quality of ventilator care. This systematic review aimed to synthesize current evidence regarding the components, effectiveness, and implementation of nursing care bundles among adult patients receiving invasive mechanical ventilation. A systematic literature review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. PubMed/MEDLINE, Scopus, ScienceDirect, and CINAHL were searched for studies published between January 2021 and July 2026, with Google Scholar used as a supplementary source. The review question was developed using the PICO framework. Eligible studies involved adults receiving invasive mechanical ventilation and evaluated nursing or ventilator care bundles in relation to VAP prevention, bundle compliance, duration of mechanical ventilation, ICU length of stay, mortality, or weaning outcomes. Methodological quality was assessed using appropriate Joanna Briggs Institute critical appraisal tools. Findings were synthesized narratively. A total of 600 records were identified, 55 duplicates were removed, and 545 records were screened. Following eligibility assessment, 45 studies were included in the final synthesis. The reviewed evidence showed that nursing care bundles incorporating oral care, head-of-bed elevation, secretion management, airway care, sedation optimization, spontaneous awakening and breathing trials, early mobilization, and ventilator-weaning assessment were generally associated with improved clinical outcomes. Higher bundle compliance was associated with lower VAP incidence, fewer mechanical ventilation days, and shorter ICU or hospital length of stay. Multifaceted implementation strategies involving education, checklists, audit, feedback, and organizational support were consistently identified as important determinants of sustained adherence.  Nursing care bundles represent an effective and comprehensive approach to improving the safety and quality of care for mechanically ventilated patients. Their effectiveness depends not only on the selection of evidence-based interventions but also on consistent nurse adherence, continuous education, monitoring, audit-feedback, adequate staffing, and organizational support.
The Effect of Positive Affirmations on Reducing Stress Levels in Families with Schizophrenia Patients at Home Noviana Ayu Ardika; Aisyiyah Mutia Dawis
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.v8i4.2596

Abstract

Families caring for schizophrenia patients at home often experience psychological distress manifesting as stress, anxiety, and emotional exhaustion—and even a decline in their quality of life. This is caused by fatigue, a lack of knowledge, and the burden of long-term treatment.(Mariani, 2024) . The research method used was a quasi-experimental design with a one-group pretest-posttest design. The study involved 25 respondents, and simple random sampling was the technique used. This design does not use a comparison group (control), but uses the first observation (pretest), which allows for testing changes that occur after treatment or posttest. The purpose of this study was to determine the effect of positive affirmations on reducing stress levels in families of patients with schizophrenia at home, specifically in Joyontakan Village. The results of this study showed a decrease in stress in families after positive affirmation training, which decreased from 16 people (64%) to 5 people (20%), while severe stress decreased from 7 people (28%) to 2 people (8%). Conversely, the normal category increased from 0 to 6 people (24%), and the mild stress category increased from 2 people (8%) to 12 people (48%). The results of the analysis showed a p-value < 0.001 (p <0.05). Thus, there was a significant difference between family stress levels before and after being given positive affirmations. These results indicate that positive affirmations have an impact on reducing stress levels in families caring for schizophrenic patients at home. Conclusion: Positive affirmations are effective in reducing stress levels in families with schizophrenic patients at home.
Complex Systemic and Pulmonary Venous Anomalies in a Child with Situs Ambiguus, Interrupted Inferior Vena Cava, and Atrioventricular Septal Defect with Prior Pulmonary Artery Banding: A Case Report Amr Adel Shaheen; Walid Abdullah Abdelrazak; Ashraf Abdelhamed El midany; Samia I. Sharaf
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.v8i4.2600

Abstract

Congenital heart disease associated with situs ambiguus is frequently characterized by complex and heterogeneous abnormalities of systemic and pulmonary venous return. These anomalies are associated with atrioventricular septal defects and interrupted inferior vena cava, particularly in the setting of heterotaxy syndromes. We report a 2-year-old male child (10.5 kg) with complex congenital heart disease and inconsistent findings across multiple echocardiographic studies. Initial assessments suggested atrioventricular septal defect with variable ventricular balance and systemic venous anomalies. Cardiac CT demonstrated situs ambiguus, levocardia, common atrioventricular canal features, anomalous hepatic venous drainage into the left atrium, and partial anomalous pulmonary venous drainage, and absent of left SVC. Intraoperatively, more complex anatomy was identified, including two large atrial septal defects or common atrium without ventricular septal defect, cleft mitral valve, left superior vena cava draining into the left atrium, interrupted inferior vena cava with hepatic venous drainage into the left atrium, and partial anomalous pulmonary venous return to the right atrium. Surgical repair included atrioventricular valve repair, baffling of left superior vena cava and hepatic venous drainage using bovine pericardium, closure of atrial septal defects. Tricuspid and mitral valve repair and finally removal of pulmonary artery band and augmentation of main pulmonary artery with bovine pericardium. The postoperative course was complicated by arrhythmias requiring temporary pacing, low cardiac output syndrome, and need for peritoneal dialysis, followed by full recovery and discharge after 10 days to home. This case highlights rare combination of systemic and pulmonary venous anomalies associated with atrioventricular septal defects and interrupted inferior vena cava which illustrate the limitations of echocardiography and CT in complex systemic and pulmonary venous anomalies with heterotaxy syndromes and underscores the importance of intraoperative assessment.
The Relationship Between the Duration of Cimino Arteriovenous Fistula Use and Quality of Life Among Hemodialysis Patients Sihar Ida Tampubolon; Sabina Gero; Amrih Widiati; Eko Winarto
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.v8i4.2603

Abstract

Chronic Kidney Disease (CKD) is a global health problem with increasing prevalence. Hemodialysis uses Cimino AV shunt as the patient’s lifeline, but complications and duration of use are suspected to affect quality of life. This quantitative cross sectional study aimed to determine the relationship between duration of Cimino AV use and quality of life in hemodialysis patients at EMC Cikarang Hospital, West Java. A population of 120 CKD hemodialysis patients with a sample of 55 respondents was selected by purposive sampling using Slovin formula. The independent variable, duration of Cimino AV use, was obtained from medical records, while the dependent variable, quality of life, was measured using SF-36 questionnaire. The validity and reliability of the questionnaire had been tested, confirming that the instrument was valid and reliable for use in this study.Data were analyzed using Fisher’s Exact Test and Multiple Logistic Regression with p-value <0.05. Results showed that most respondents were >50 years old 56.4%, male 63.6%, and had high school education 65.4%. Good quality of life was found in 65.4% respondents. Duration of Cimino AV use of 24-60 months was dominant 56.5%. There was a significant relationship between duration of Cimino AV use and quality of life p=0.001. Duration of Cimino AV use was the dominant factor OR = 8.54 after controlling for age, education, occupation, marital status, and gender. Longer duration of Cimino AV use is significantly associated with better quality of life in hemodialysis patients.
The Edu-Family HIV Model: Impact on Stigma and ARV Adherence at HIV PDP Community Health Centers Sylvianovelista R. Losoiyo; Bazrul Makatita; Melawati Wakano
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2604

Abstract

Stigma against People Living with HIV (PLHIV) and low adherence to antiretroviral (ARV) therapy remain obstacles to the successful control of HIV/AIDS. Educational approaches focused solely on the individual have not been optimal in engaging families as sources of therapeutic support. This study aimed to analyze the effectiveness of the HIV Edu-Family Model in reducing stigma and improving ARV therapy adherence among PLHIV at HIV Care, Support, and Treatment (CST) centers in Ambon City Community Health Centers. A quasi-experimental study using a non-equivalent control group design was conducted with 60 PLHIV and their family caregivers, selected via purposive sampling. Respondents were divided into treatment and control groups (n=30 each). The treatment group received education, family discussions, mentoring, and monitoring over four weeks, while the control group received standard care. Data were collected using stigma and ARV adherence questionnaires before and after the intervention. The research instruments consisted of an HIV stigma questionnaire and an ARV therapy adherence questionnaire. Both instruments underwent validity and reliability testing, achieving Cronbach's Alpha values of ≥0.70, thereby demonstrating adequate internal consistency. Analysis was performed using Paired Samples t-tests and Independent Samples t-tests (α=0.05). Stigma scores in the treatment group decreased from 30.67±4.14 to 24.97±4.05 (p<0.001), while ARV adherence increased from 28.30±5.57 to 32.07±5.12 (p<0.001). The changes in stigma and adherence differed significantly from the control group (p<0.001), with effect sizes of 2.042 and 1.054, respectively. The HIV Edu-Family Model is effective in reducing stigma and improving ARV therapy adherence.
Community-Based Integrated Support Model for People Living with HIV/AIDS (PLWHA) among Key Populations Helmi Annuchasari; Muzayyaroh Muzayyaroh; Anna Qomariana
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2610

Abstract

Indonesia continues to face a high HIV burden, with an estimated 564,000 people living with HIV/AIDS (PLWHA) by 2025. Jombang Regency has recorded 2,013 HIV/AIDS cases as of 2024; however, support services remain fragmented and lack systematic integration across health, psychosocial, and social sectors. Objective: To formulate a community-based integrated support model for key populations living with HIV/AIDS in Jombang Regency. A descriptive qualitative study with a model-development orientation was conducted in Jombang Regency from Mei to Juli 2026. Participants were purposively selected, comprising 20 PLWHA from key populations, 7 community support workers from the Jombang Care Center (JCC), and 3 health workers. Data were collected through in-depth interviews, Focus Group Discussions (FGDs), and field observations, then analyzed thematically using source and method triangulation. Three support needs were identified: (1) medical (24-hour ARV access, treatment adherence, and management of treatment interruption), (2) psychosocial (status acceptance, safe spaces, and self-empowerment), and (3) social (social support, children's education, and stigma reduction). The support mechanism follows this flow: case finding, JCC referral, outreach, assessment, collaborative solution-finding, and monitoring. Program sustainability depends on program commitment, safe spaces, confidentiality, multisectoral partnerships, human resources, and technical guidelines. The formulated integrated model comprises input, process, output, and outcome components aimed at achieving the "3 Zeros" target by 2030. Technical guidelines, safe spaces, and human resources require strengthening.
Clinical Outcomes, Rejection Patterns, and Immunosuppressive Strategies in Vascularized Composite Allotransplantation: A PRISMA-Based Systematic Review I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid; Gede Wara Samsarga; Shita Diwyani Sudarsa; Astrinita Lestari Suyata; Chandra Wijaya Setiawan
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.v8i4.2612

Abstract

Vascularized composite allotransplantation (VCA) is an innovative reconstructive option for patients with complex tissue loss involving the face, upper extremities, and other anatomical structures. This systematic review aimed to synthesize evidence on clinical outcomes, rejection patterns, and immunosuppressive strategies in VCA. A systematic review was conducted following the PRISMA framework. Studies published between 2021 and 2026 evaluating VCA, particularly hand and face transplantation, were identified using relevant keywords and MeSH-related terms, including VCA, hand transplantation, face transplantation, immunosuppression, rejection, and graft survival. VCA provides significant functional, sensory, aesthetic, and psychosocial benefits, contributing to improved daily activities and quality of life. Acute cellular rejection was the most frequently reported immunological complication, particularly during the early post-transplant period. Antibody-mediated and chronic rejection were less common but could contribute to progressive graft dysfunction and loss. VCA offers promising functional and psychosocial outcomes with generally favorable short- to medium-term graft survival. However, rejection and the long-term morbidity associated with lifelong immunosuppression remain major clinical challenges.
The Effectiveness of Digital-Based Education in Optimizing Discharge Planning Regarding the Knowledge and Attitudes of Minor Surgery Patients: A Literature Review Ida Ayu Ketut Adi Setiawati; Ni Luh Putu Dina Susanti; Luh Gde Nita Sri Wahyuningsih; Putu Noviana Sagitarini
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2613

Abstract

Discharge planning is a systematic process to prepare patients for safe and effective care after hospital discharge. However, conventional approaches, such as verbal explanations and printed materials, may limit patients’ access to information. Digital technology, including mobile applications, educational videos, and QR codes, offers opportunities to improve health education, although its implementation remains inconsistent, particularly in Indonesia. To identify scientific evidence regarding the effectiveness of digital education-based discharge planning in improving patient knowledge and attitudes. This literature review followed the PRISMA 2020 guidelines. Articles published between 2021 and 2025 were searched through PubMed, ScienceDirect, and Google Scholar using keywords related to discharge planning, digital health education, patient knowledge, and attitudes. Fifteen eligible articles were included and analyzed narratively. A total of 15 articles met the eligibility criteria and were included in the final synthesis. Digital-based discharge planning positively affected patient knowledge, attitudes, discharge readiness, medication adherence, quality of life, and satisfaction. Most studies used quasi-experimental designs involving mobile applications, educational videos, audiovisual media, and QR codes. However, evidence regarding QR code-based education among minor surgery patients remains limited. Digital health education is a promising strategy to optimize discharge planning and improve patients’ knowledge and attitudes toward self-care after discharge.

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