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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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Innovations in Lifestyle Intervention Programs for People with Diabetes Mellitus: A Multidisciplinary Approach Maria Karolina Selano; Kristiana Prasetia Handayani; Ariani Damayanti; Oke Dwi Astuti; Nike Dewi Mardhiyaningsih
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.v7i6.321

Abstract

Diabetes mellitus is one of the significant global health problems, including in Indonesia, which is estimated to have a prevalence of up to 12% of the adult population by 2025. The disease causes serious complications, lowers the patient's quality of life, and increases the economic burden. An innovative, integrated multidisciplinary approach to lifestyle interventions is necessary for effective diabetes management. This study aims to develop and evaluate the effectiveness of multidisciplinary lifestyle intervention programs that include nutrition, physical activity, psychological support, and health education in the treatment of Diabetes Mellitus in patients at the Kgok Health Center, Semarang. This study uses a quasi-experimental design with a design of two pre-test and post-test groups. The sample in this study was selected using a purposive sampling technique consisting of 60 people with diabetes mellitus who were divided into two groups: the intervention group (n=30), who underwent an integrated lifestyle program, and the control group (n=30), who received standard care. Evaluation was carried out before and after the intervention for 1 month. The effects of the program were measured through a self-efficacy questionnaire, while health parameters included fasting blood sugar levels, blood pressure, and body mass index (BMI). Data normality tests were used using Shapiro-Wilk, and pre-post differences between groups were analyzed with Mann-Whitney tests due to abnormal data distribution (p< 0.05). The results showed that there was a significant influence on self-efficacy scores and decreased blood sugar and blood pressure levels in the intervention group compared to controls with a p< value of 0.05. Multidisciplinary lifestyle intervention programs are effective in improving the management of Diabetes Mellitus as well as the quality of life of patients. The output of this research became the basis for the development of educational modules for health workers and made an important contribution to the implementation of sustainable interventions in Indonesia.
Psychosocial Determinants Contributing to the Exacerbation of Symptoms in Heart Failure Patients Eslyano Herdan Pratama; Beti Kristinawati
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.v8i1.322

Abstract

Heart failure is a chronic disease characterized by a decline in heart function, causing physical symptoms such as shortness of breath, edema, and fatigue, as well as psychological symptoms such as anxiety and depression. It is more common in low-income countries and is closely related to psychosocial factors such as anxiety, depression, social support, and economic status, which affect the severity of symptoms and treatment adherence. Although mental health and social support can improve patients' quality of life, previous studies have not provided significant evidence regarding psychosocial determinants that exacerbate heart failure symptoms. Therefore, this study aims to identify psychosocial factors contributing to worsening symptoms in heart failure patients. This study used a descriptive quantitative design with purposive sampling of 317 respondents from a total population of 1,528 heart failure patients at the Sebelas Maret University Hospital Heart Clinic from February to April 2025, using the HADS (α=0,85 for anxiety; α=0,80 for depression), MS-PSS (α=0,85), and ESAS (α=0,78) instruments with logistic regression analysis. The results showed that the majority of respondents were aged 40–59 years, male, and had hypertension as a comorbidity, with 51.4% experiencing worsening symptoms, and anxiety was found to be the most significant determinant (p = 0.0001; OR = 3.043). These findings confirm that psychosocial factors play an essential role in the worsening of heart failure symptoms, with anxiety being the main factor that significantly increases risk compared to depression or low social support.
Implementation of Oral Hygiene with Propolis to Prevent Ventilator-Associated Pneumonia in Mechanically Ventilated ICU Patients Nadira Jihan Fitria; Enita Dewi; Fila Diana Nurhayati
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.v7i6.331

Abstract

Ventilator-associated pneumonia (VAP) merupakan komplikasi serius yang dapat terjadi pada pasien yang menggunakan ventilator mekanik di unit perawatan intensif (ICU). Oral hygiene is a vital nursing intervention that reduces oropharyngeal colonization and the risk of VAP. Propolis, a natural substance having antibacterial and anti-inflammatory qualities, has been suggested as a substitute for chlorhexidine, which has been linked to side effects. This paper describes the implementation of evidence-based oral hygiene using a propolis solution as part of nursing care for mechanically ventilated patients, with the aim of supporting infection prevention and maintaining clinical stability. Four ICU patients who had been on mechanical ventilation for over 48 hours received oral care using pure propolis diluted in sterile distilled water, administered twice daily for three days. The patients’ conditions were monitored through the Beck Oral Assessment Scale (BOAS), the Modified Clinical Pulmonary Infection Score (MCPIS), and the Acute Physiology and Chronic Health Evaluation II (APACHE II). BOAS scores demonstrated improved oral hygiene, while MCPIS values declined, indicating reduced VAP risk. APACHE II assessments suggested stabilization of disease severity. No adverse effects were observed, confirming the safety and feasibility of the intervention in critical care practice. The implementation of oral hygiene with propolis solution, grounded in evidence-based nursing practice, proved to be a safe and practical intervention. Beyond improving oral conditions, it may contribute to VAP prevention and highlights the role of nurses in integrating natural-based, patient-centered strategies into ICU care.
Determinants of Community Health Center Performance: The Mediating Role of Employee Performance Ainul Fadilah; Sulis Diana; Yusuf Alamudi
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.v7i6.332

Abstract

Community Health Centers are the cornerstone of primary healthcare and play a vital role in meeting regional Minimum Service Standards. A decline in SPM achievement at the Mojokerto District Health Office in 2024—specifically in regional technical implementation unit (RTIU) Community Health Centers Sooko and Jetis—indicates challenges in maintaining service quality, strongly related to employee performance. This study Aim is to analyzes the influence of individual factors (ability and motivation) and organizational factors (workload and compensation) on Puskesmas performance, with employee performance as an intervening variable. A cross-sectional quantitative approach was used, involving 96 civil servants from both Community Health Centers units through total sampling. Data collection in this study is primary data and secondary data, secondary data in this study include: health center performance, employee performance, ability, motivation, workload and compensation by using a Likert scale. Structural Equation Modeling (SEM) with Partial Least Squares (PLS) was applied for analysis. The results of the study show that significant positive effects of: Ability (Sooko: β = 0.218, p = 0.020; Jetis: β = 0.234, p = 0.013), Motivation (Sooko: β = 0.311, p = 0.006; Jetis: β = 0.198, p = 0.025), Workload (Sooko: β = 0.216, p = 0.004; Jetis: β = 0.164, p = 0.007), Compensation (Sooko: β = 0.246, p = 0.004; Jetis: β = 0.249, p = 0.007) on employee performance. Employee performance also significantly affected institutional performance (Sooko: β = 0.312, p = 0.000; Jetis: β = 0.275, p = 0.000). Although indirect effects were not statistically significant, they still contributed positively. The findings underscore the need to strengthen human resource management—through capability development, motivation enhancement, workload balance, and fair compensation—to improve public health service outcomes.
Development of Guidelines and Continuing Professional Development (CPD) Program for Nursing Mahmul Rivai Siregar; Tuti Afriani; La Ode Abd Rahman; Krisna Yetti; Dyah Fitri Wulandari
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.v8i1.335

Abstract

Professional development of nurses plays a crucial role in improving the quality of nursing services. The implementation of continuing competency development programs has not been optimal due to the absence of structured guidelines and programs at Hospital This lack of structure results in low consistency and uniformity in program implementation across nursing units. This study aims to develop a structured and sustainable professional development guideline and program for nurses that can serve as a reference for systematic and targeted implementation within the hospital environment. The study was conducted through a nursing management residency program held from May 27 to June 30, 2025. Data were collected through interviews, observations, and questionnaires distributed to nursing staff and nursing leadership. The questionnaire used the Q-PDN to measure various aspects of Continuing Professional Development (CPD) among nurses, with a Cronbach’s alpha reliability value of 0.89. Data analysis involved the Ishikawa diagram approach, SWOT analysis, and problem prioritization using the USG method. The analysis identified the absence of CPD guidelines and programs as the main problem, with the highest priority score. A draft guideline and CPD program were developed, covering staffing standards, facilities, implementation procedures, quality control, reporting, and follow-up mechanisms. Initial evaluation showed that 91% of stakeholders had a strong understanding of the document and provided positive feedback on its usefulness. The development of CPD guidelines and programs is a strategic step to strengthen the implementation of continuous professional development for nurses.
The Effect of Multimedia-Based Education on Treatment Adherence, Self-Efficacy, and Readmission Rates in Post-Percutaneous Coronary Patients Anita Setyawati; Ninik Yunitri; Yani Sofiani; Yuni Shahro; Rohman Azzam
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.v8i1.336

Abstract

Patients with coronary heart disease (CHD) who undergo Percutaneous Coronary Intervention (PCI) experience faster recovery and a short hospital stay of up to three days. A short hospitalization process requires nursing interventions that are easily understood by patients and families, namely multimedia education, which aims to provide motivation so that patients become stronger when continuing their normal lives and returning to productivity. If patients do not carry out this behavior, the risk of myocardial infarction, stroke, and even death increases. to evaluate the effectiveness of multimedia-based education on medication adherence, self-efficacy and readmission rates of post PCI patients. Using quantitative research parallel Randomized controlled trial with a sample size of 100 people, by comparing the intervention group who received multimedia-based educational treatment and the control group who received standard therapy / leaflet at Gatot Soebroto Army Hospital. This study employed block randomization with a four-combination design in a 1:1 ratio. When all combinations were exhausted, the sequence returned to the initial combination. The randomization, therapists, data collectors, and data analysts were blinded to the study hypothesis. Data allocation was performed using random numbers, with odd and even numbers serving as the basis for assignment. Independent sample t-test in the intervention group on treatment compliance obtained a p-value of 0.441 with an effect size of 0.0168 (1.68%). While the measurement of self-efficacy is p-value 0.060 with an effect size of 0.1608 (16.08%). The Fisher Exact test showed that there was a significant difference between the two groups and the measurement of readmission rates decreased by 87.6% after being given multimedia education and a post-test of treatment adherence and self-efficacy. This study shows that the intervention of the effect of multimedia education on treatment compliance, self-efficacy and readmission rates in post PCI patients has a significant effect p-value> 0.05, there is an increase in treatment compliance, self-efficacy and a decrease in readmission rates in patients who have undergone PCI at RSPAD Gatot Soebroto.
Association of Level Serum Ferritin and Lung Function in Pediatric with Transfusion – Dependent Thalassemia Putri Nahrisa Nasution; Bidasari Lubis; Ririe Fachrina Malisie; Juliandi Harahap; Wisman Dalimunthe; Hendri Wijaya
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.v8i1.342

Abstract

Pulmonary dysfunction in children with thalassemia can be restrictive, obstructive, or diffusion impairment. Elevated serum ferritin levels are a cause of pulmonary dysfunction in transfusion-dependent thalassemia patients. The aim of this study was to assess  relationship between serum ferritin levels and pulmonary dysfunction in transfusion-dependent thalassemia patients.  This cross-sectional study was conducted on 44 transfusion-dependent thalassemia children between May and June 2025 at the Thalassemia Clinic of Adam Malik Hospital, Medan. Demographic characteristics were obtained from interviews and medical records. Lung function was assessed using a spirometer. Associations were analyzed using Shapiro Wilk, Kruskal-Wallis test, and multinomial logistic regression test. A total of 17 children (38.6%) had normal lung function, while 27 children (61.3%) had impaired lung function. Restrictive impairment was present in 24 children (54.5%), and obstructive impairment in 3 children (6.8%). Analysis showed significant differences in serum ferritin levels and splenomegaly in relation to impaired lung function, with p-values of <0.001 and 0.013, respectively. Each 1 ng/mL increase in ferritin levels increased the likelihood of developing restrictive and obstructive pulmonary dysfunction by 0.2% (OR = 1.002; 95% CI: 1.001–1.003). However, gender, hepatomegaly, and duration of transfusion did not show significant differences.
Analyzing Barriers and Strategies to Improve Health Screening Implementation for Adults and Elderly Pebriant Damayanti; Kodrat Pramudho; Ratih Purnamasari
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.v8i1.344

Abstract

Non-communicable diseases (NCDs) such as hypertension, diabetes, and cardiovascular disease are major health problems in Indonesia, particularly among adults and the elderly. Health screening is essential for early detection, yet its implementation in primary health centers faces various challenges. This study aims to analyze barriers, supporting factors, and strategies to optimize health screening. This qualitative case study was conducted in five Puskesmas in Cilegon City, selected through purposive sampling. A total of 42 informants were involved, including Puskesmas heads, program managers, health workers, cadres, community members, and health office representatives. Data were collected using in-depth interviews, focus group discussions (FGDs), participatory observations, and document reviews. Data were analyzed thematically using Braun and Clarke’s framework, guided by the theories of Policy Implementation and the Theory of Planned Behavior (TPB). The main barriers included limited human resources, inadequate facilities, fragmented reporting systems, and low community awareness. Supporting factors were leadership commitment, active cadres, outreach innovations, integration with other services, and cross-sectoral collaboration. Optimizing health screening requires strengthening reporting systems, improving human resource capacity, cross-sectoral advocacy, and community-based approaches. Policy support, application integration, training, and local-level.
Association Between Breast Arterial Calcifications Found on Mammography and Increased Risk of Coronary Artery Calcifications in Asian Populations: A Literature Review Aulia Wiratama Putra; Tasya Khalis Ilmiani; Dinda Ariesta; Evan Nugroho; Bagas Wahyu Utama; Ayers Gilberth Ivano Kalaij
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.v8i1.352

Abstract

Mammography examination of the breast has been widely used throughout the world, but many findings found through this modality have been overlooked, one of which is breast arterial calcification (BAC). Breast cancer is often experienced by millions of women in the world, signs are usually screened for breast cancer using mammography. This literature review aims to assess the association between BAC found on mammography and increased risk of coronary artery calcifications in Asian populations. An initial search was carried out using reference sources from the electronic databases PubMed, Scopus, Cochrane, Wiley, ScienceDirect, EBSCOhost, and Google Scholar, using keywords "mammography", "breast arterial calcification", and "coronary artery disease" with their synonyms. Titles and abstracts were reviewed for relevance, followed by full-text screening, without any time limitation (until September 21th, 2023). The inclusion criteria was study published in English that assess BAC on mammography with the risk of coronary arterial calcifications in Asian. This review included a total of eight studies, which included a total of 2735 patients. Research was conducted in several countries in Asia, including Saudi Arabia, Nepal, Iran, China, South Korea, and Turkey, using cohort and cross-sectional research methods. BAC+ women were significantly older than BAC− women (P=0.001), and there was a strong association between BAC and CACS (P = 0.0001). The sign of BAC on mammography may contribute as a non-invasive marker of cardiovascular risk, especially in Asian populations. However, lack of a standardized BAC scoring system might limit its application. Breast artery calcification significantly increases the incidence of cardiac artery disease in Asian populations, which can be assessed by mammography and requires further attention from physicians.
Hypertension Treatment Seeking Patterns and Healthcare Facility Accessibility Ena Eppirta; Maidar Maidar; Asnawi Abdullah; Hermansyah Hermansyah; Fahmi Ichwansyah
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.v7i6.353

Abstract

The World Health Organization (WHO) estimates that by 2025, approximately 29% of the global population will experience hypertension. The prevalence of hypertension in Aceh Province has increased by 21.5%. The Aceh Jaya District Health Office reported significant fluctuations in hypertension incidence at Krueng Sabee Community Health Center (Puskesmas), an area characterized by limited accessibility to health facilities due to varied topography, including highland, midland, and lowland regions. This study aimed to analyze the treatment-seeking patterns for hypertension and healthcare accessibility in the area, based on a population of 2,759 hypertensive patients registered at Krueng Sabee Puskesmas. Using a cross-sectional observational design, 335 respondents were selected through proportional random sampling. Data analysis was conducted using chi-square tests and spatial analysis. The results demonstrated significant associations between treatment-seeking patterns and factors such as age, hypertension status, education, occupation, income, and ease of transportation and information, while gender and distance showed no significant relationship. Among these factors, ease of transportation (OR = 12.591) was the most influential determinant of treatment-seeking behavior. Spatial analysis indicated that the distribution of health facilities was random (T = 1.212, p = 0.089). This study concludes that demographic and socioeconomic factors, along with transportation accessibility, significantly affect hypertension treatment-seeking patterns, whereas gender and distance do not. The random spatial distribution of health facilities suggests potential barriers to healthcare access in this region.

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