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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
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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 1,005 Documents
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Hospital Information System Use and Outpatient Staff Work Effectiveness Syauqi Muhammad Fadhillah; Dina Sonia; Daniel Happy Putra; Deasy Rosmala Dewi
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.v8i6.2688

Abstract

Hospital information systems are expected to reduce fragmented documentation and support timely outpatient care, yet technical availability does not necessarily translate into effective work. To examine associations between five dimensions of Hospital Management Information System (SIMRS) use and five dimensions of outpatient staff work effectiveness. A quantitative cross-sectional survey was conducted at Rumah Sakit Islam Jakarta Sukapura, Indonesia, from December 2025 to June 2026. Proportionate stratified random sampling was planned for 160 eligible staff; 103 respondents completed a validated 18-item questionnaire. Item validity was assessed using item-total correlations, while internal consistency reliability was evaluated using Cronbach’s alpha before the questionnaire was used for analysis. Frequencies, percentages, and chi-square tests were used, with statistical significance set at p < 0.05. Overall SIMRS use was high among 59.2% of respondents, while 55.3% reported effective work performance. Five of 25 indicator-level tests were significant: software with work quantity (p = 0.016) and work quality (p = 0.039), procedures with work quality (p < 0.001), hardware with timeliness (p = 0.014), and internet connectivity with attendance (p = 0.005). SIMRS use was selectively associated with particular dimensions of work effectiveness. The findings favour targeted investment in reliable hardware, usable software, stable connectivity, and workable procedures rather than treating digitalisation as a uniform solution.
Validity and Reliability of the Indonesian Version of the Hypertension Self-Care Questionnaire (HSCQ) among Patients with Hypertension Andini Firanthy Lazuardi; Dimas Ria Angga Pribadi
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.v8i6.2697

Abstract

In order to effectively control hypertension over the long term, self-care is essential. Therefore, evaluating self-care practices among Indonesian individuals with hypertension requires a tool that is both culturally and linguistically acceptable. The aim of this study was to assess the validity and reliability of the Hypertension Self-Care Questionnaire (HSCQ) in Indonesian. The HSCQ was adapted through a systematic translation and cross-cultural adaptation process involving forward translation, synthesis, back translation, expert review, pretesting, and psychometric evaluation. A total of 160 adult patients with hypertension participated in the psychometric evaluation. Construct validity was assessed using confirmatory factor analysis (CFA) with AMOS, while internal consistency was examined using Cronbach’s alpha and corrected item-total correlation (CITC). The 16-item Indonesian HSCQ demonstrated good internal consistency, with a Cronbach’s alpha coefficient of 0.862. CITC values ranged from 0.321 to 0.657, with all items exceeding the predefined criterion of 0.30. Standardized factor loadings ranged from 0.625 to 0.823. The CFA demonstrated a good-fitting model (χ² = 116.083, df = 94, p = 0.061, CMIN/DF = 1.235, RMSEA = 0.038, GFI = 0.918, CFI = 0.979, and TLI = 0.973). No negative residual variances or standardized factor loadings exceeding 1.00 were identified in the model. The Indonesian version of the HSCQ demonstrated acceptable construct validity and internal consistency, supporting its potential use for assessing hypertension self-care among Indonesian adults with hypertension.
Evaluation of the Evacuation Route Map on the 1st Floor of the Regional General Hospital Integrated Service Building Against ISO 23601:2020 Kartika Wijayanti; Noorhadi Rahardjo; Bambang Hari Priyambodo; Diki Bima Prasetio
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.v8i6.2698

Abstract

Evacuation route maps are essential visual safety media during emergency situations. However, compliance evaluations against the ISO 23601:2020 standard in regional general hospitals remain lacking. To evaluate the compliance level of the evacuation route map on the 1st floor of The Hospital based on ISO 23601:2020, identify the impact of visual safety gaps, and redesign the map. This study used a descriptive quantitative design to evaluate 6 map units using a checklist of 12 ISO 23601:2020 indicators and Guttman Scale data analysis. The evaluation showed that only 5 out of 12 indicators (41.67%) met the criteria (poor category), while 7 out of 12 indicators (58.33%) failed to meet them. Major gaps included the absence of "you are here" information, incomplete safety symbols, non-standard color usage, missing legends and emergency instructions, and outdated maps. A redesign was developed incorporating initial position markers, complete safety symbols, ISO standard safety color schemes, legend information, emergency instructions, mapping of 2 outdoor assembly point locations, and strategic placement recommendations. This redesign is expected to enhance safety communication effectiveness and serve as a reference for improving emergency response preparedness in other regional general hospitals.  
Severe Diabetic Ketoacidosis as the Initial Presentation of A Child With Metabolic Syndrome: Diagnostic and Management Challenges Pamela Felycia Ardhinata; Samuel Raditya Wibawa
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.v8i6.2700

Abstract

Diabetic ketoacidosis (DKA) is a potentially life-threatening condition that can happen as a complication of diabetes mellitus (DM) or as one of the first manifestations of type 2 DM. DKA treatment involves the use of fluids to treat the patient's dehydration and the administration of intravenous insulin to stop the production of ketones in the body. The two-bag system allows for the adjustment of the rate of administration of glucose and insulin separately. To describe the management of severe diabetic ketoacidosis using high-dose insulin and a two-bag system in a child with suspected ketosis-prone type 2 diabetes mellitus. This case report describes a 12-year-old boy who presented to the Emergency Department of Panti Wilasa Dr. Cipto Hospital, Semarang, with severe diabetic ketoacidosis and suspected ketosis-prone type 2 diabetes mellitus. Clinical and laboratory data, treatment, and outcomes were retrospectively collected from medical records and descriptively reviewed. A 12-year-old boy presented with symptoms of vomiting, dehydration and Kussmaul breathing. Physical examination revealed obesity (BMI 34.16 kg/m²), abdominal obesity, hypertension and acanthosis nigricans. Blood tests revealed blood glucose levels of 459 mg/dL, HbA1c levels of 10.3%, ketonuria, a pH level of 6.87 and HCO₃⁻ levels of 1.1 mmol/L, showing a diagnosis of diabetic ketoacidosis with suspected ketosis-prone Type 2 diabetes mellitus. The patient was treated with fluid replacement, continuous intravenous insulin at doses up to 5 IU/hour, antibiotics and a two-bag system. The patient made a full recovery without any complications and was started on basal-bolus insulin therapy. In this case, a child who was severely obese and had marked insulin resistance required a relatively high dose of insulin to manage the severe DKA. However, by carefully monitoring the patient's blood glucose, electrolytes, fluid balance and neurological status, the high-dose insulin therapy along with a two-bag system was successfully implemented without any complications such as cerebral oedema.
Evaluating Health Operational Assistance Fund Utilization for Noncommunicable Diseases Sri Rijki Septiyeni; Risky Kusuma Hartono
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.v8i6.2707

Abstract

The Health Operational Assistance Fund (BOK) finances promotive and preventive activities at community health centres (Puskesmas), including noncommunicable disease (NCD) programmes. In Lebak District, BOK budget absorption for the NCD programme reached 100%, yet related Minimum Service Standard indicators remained uneven, indicating a spending-performance gap. Objective: This study evaluated BOK fund utilisation for the NCD programme at Puskesmas in Lebak District using the Context, Input, Process, and Product (CIPP) framework. A qualitative evaluative design was used. Twenty-six informants from the District Health Office and six Puskesmas were purposively sampled; data were collected through interviews, observation, and document review, analysed by CIPP component, with credibility strengthened through triangulation. Policies and planning were in place, though financing flexibility and data consistency were limited (context); staff held concurrent duties and equipment, logistics, and information systems were constrained (input); implementation integrated well with CKG and Posbindu despite fragmented monitoring (process); and BOK funds increased screening and early detection, though achievement remained uneven, with one Puskesmas reaching 100% budget realisation but only 63% screening, 94% hypertension-service, and 50% diabetes-service coverage (product). BOK funds sustained NCD activities and accountability, but optimising performance requires needs-based planning, equitable resources, integrated information, and stronger monitoring.
Comprehensive Severe Preeclampsia Management In Primary Healthcare: Optimizing Quality of Social Obstetric Care Rudi Asmajaya; Dini Hidayat; Ayu Angelina Ronosulistyo
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.v8i6.2708

Abstract

Preeclampsia is a major contributor to maternal morbidity and mortality and remains a challenge in primary healthcare, particularly in resource-limited settings. Its management requires not only clinical care but also integration of social, educational, and family-support approaches. This study aimed to describe comprehensive management of preeclampsia through a social obstetric approach in primary healthcare facilities. This study aimed to analyze the implementation of comprehensive preeclampsia management through an integrated clinical and social obstetric approach in primary healthcare facilities in Jambi City. A qualitative descriptive study with a case study design was conducted at six district-level primary healthcare facilities in Jambi City from August to October 2025. Participants included doctors, midwives, and pregnant women. Data were collected through in-depth semi-structured interviews and observations and analyzed descriptively. Comprehensive management of preeclampsia included routine antenatal care, blood pressure monitoring, maternal and fetal assessment, and initial stabilization before referral to higher-level facilities. The social obstetric approach involved health education, counseling, pregnancy classes, family support, and empowerment of pregnant women to maintain health and adhere to regular antenatal visits. Quality of care was further supported by accessible services and a coordinated referral system, facilitating early detection and timely management of complications. Comprehensive preeclampsia management integrated with a social obstetric approach can strengthen the quality of maternal healthcare in primary healthcare facilities.
Chlorpyrifos Residues and Water Quality Impairment in Tropical Rice Paddy Ecosystems of South Sumatra, Indonesia Wiwiet Wulandari; Nurhayati Damiri; Zulkarnain Zulkarnain; Rostika Flora; Salni Salni; Elvi Sunarsih
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.v8i6.2711

Abstract

Organophosphate pesticide use in rice cultivation may leave residues in soil and water and interact with runoff, erosion, water management, and organic-matter decomposition. This descriptive observational study examined chlorpyrifos residues in water and soil and evaluated paddy-water quality in Lalan District, Musi Banyuasin Regency, South Sumatra. Rice-growing sites in Sari Agung, Mulya Jaya, and Sukajadi villages were selected purposively. Six composite soil samples and three water samples were analysed for chlorpyrifos using liquid chromatography-mass spectrometry according to an internal laboratory method, while nine water samples coded 1A-3C were analysed for total suspended solids (TSS), pH, five-day biochemical oxygen demand (BOD₅), and chemical oxygen demand (COD). Data were summarised descriptively and compared with the Class I river-water criteria applied by the laboratory. Chlorpyrifos was detected in all water samples at 0.0023-0.0560 mg/L and in all soil samples at 5.4175-73.7173 mg/kg. TSS ranged from 20 to 410 mg/L, pH from 3.26 to 5.83, BOD₅ from 0.73 to 19.8 mg/L, and COD from 2 to 60 mg/L. Four of nine samples exceeded the TSS criterion, all samples were below the pH range of 6-9, seven exceeded the BOD₅ criterion, and six exceeded the COD criterion. The findings indicate chlorpyrifos contamination and substantial water-quality pressure. TSS was the most relevant parameter for explaining the potential particle-associated transport of chlorpyrifos, whereas pH, BOD₅, and COD characterised general water conditions and were not compound-specific indicators of organophosphate contamination. Because the residue and water-quality datasets were not paired spatially and temporally, causal relationships and quantitative correlations could not be established.
Digital Health and Patient Satisfaction in Indonesian Hospitals: A Systematic Literature Review Devina Johanna Hartanto; Vip Paramarta
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.v8i6.2713

Abstract

Indonesian hospitals have rapidly adopted hospital information systems, electronic medical records, telemedicine, online registration, Mobile JKN, and artificial intelligence. Yet adoption alone does not guarantee a better patient experience. This review synthesized Indonesian evidence on how hospital digital transformation affects patient satisfaction and identified the mechanisms, implementation conditions, and evidence gaps. A systematic literature review following PRISMA 2020 searched Scopus, Google Scholar, SINTA, DOAJ, ScienceDirect, SpringerLink, and Wiley Online Library for publications from 2021 to 2026. Forty records were identified; after deduplication, screening, and full-text assessment, 15 from 40 studies were included in a qualitative thematic synthesis. Eight studies were quantitative, six were literature reviews, and one was qualitative. Mobile JKN and online registration were the most frequently examined interventions. Across the corpus, perceived gains in access, shorter administrative pathways, information quality, and operational efficiency were associated with greater satisfaction. However, benefits depended on usability, system integration, staff capability, organizational readiness, and the continued availability of humane offline support. The evidence base was geographically fragmented, dominated by cross-sectional designs, and potentially vulnerable to double-counting because primary studies and reviews were synthesized together. Digital transformation improves patient satisfaction when it removes friction from care rather than merely digitising it.
Effectiveness of Right Lateral Position on Oxygen Saturation and Respiratory Rate in Children with Pneumonia Lindesi Yanti; Nyimas Heny Purwati; Syarifah Aini Tanjung
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.v8i5.2715

Abstract

Pneumonia is a leading cause of morbidity and mortality in children, often accompanied by impaired gas exchange, decreased oxygen saturation, and increased respiratory rate. Non-pharmacological interventions such as body positioning have the potential to improve pulmonary ventilation-perfusion and enhance a child's respiratory status. This study analyzed the effectiveness of the right lateral position compared to the semi-Fowler position on oxygen saturation and respiratory rate in children with pneumonia. This research method used a quasi-experimental pretest-posttest design with a control group design. The sample consisted of 30 children aged 1 month to 5 years with pneumonia selected using purposive sampling, consisting of 15 respondents in the intervention group who received the right lateral position and 15 respondents in the control group who received the semi-Fowler position. Oxygen saturation and respiratory rate were measured before and after the intervention using a standardized observation sheet. Data were analyzed using a paired t-test and an independent t-test with a significance level of 95% (α = 0.05). The baseline characteristics of respondents in both groups were homogeneous (p>0.05). In the right lateral group, oxygen saturation increased from 91.2±4.9% to 95.8±3.5% (Δ=4.6; p=0.001), while the respiratory rate decreased from 43.3±4.7 to 36.2±3.0 beats/minute (Δ=7.1; p=0.001). In the semi-Fowler group, oxygen saturation increased from 90.6±6.7% to 94.4±4.6% (Δ=3.8; p=0.001), and the respiratory rate decreased from 43.1±6.5 to 37.1±4.5 beats/minute (Δ=5.9; p=0.001). Changes in oxygen saturation (p=0.032) and respiratory rate (p=0.018) were significantly different between groups. The effect size showed a superior right lateral position on oxygen saturation (d=0.32) and respiratory rate (d=0.38). Conclusion: The right lateral position is more effective than the semi-Fowler's position in increasing oxygen saturation and decreasing respiratory rate in children with pneumonia.
A Case Report on the Application of Hypnobreastfeeding to Promote and Increase Breast Milk Production in Postpartum Mothers Ade Humairoh Maulida; Juni Widiyanti; Yuliya Kartika Marpaung; Idriani Idriani
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.v8i6.2716

Abstract

Ineffective breastfeeding is a common problem among postpartum mothers, particularly primiparous mothers, and may be caused by physiological and psychological factors, such as suboptimal breast milk production and maternal anxiety. This condition may result in inadequate breast milk intake for the infant. Therefore, nursing interventions should address not only physical but also psychological aspects, one of which is hypnobreastfeeding. To describe the application of hypnobreastfeeding to promote and increase breast milk production in postpartum mothers. This case report involved two primiparous postpartum mothers (Mrs. N and Mrs. Y) with ineffective breastfeeding. The hypnobreastfeeding intervention was provided twice daily for three consecutive days. Data were collected through interviews, observation, physical examination, and documentation review. Nursing outcomes were assessed using the Indonesian Nursing Outcome Standards (SLKI), particularly the Breastfeeding Status outcome, and analyzed descriptively by comparing conditions before and after the intervention.. The findings showed an increase in breast milk production in both patients, from approximately 5 cc on the first day to approximately 15 cc on the third day. In addition, the infants demonstrated signs of adequate breast milk intake, as indicated by breastfeeding frequency of 8–12 times within 24 hours, appearing calm and satisfied after breastfeeding, remaining active, and sleeping comfortably without signs of dehydration. Mrs. Y demonstrated a faster improvement than Mrs. N, suggesting that psychological factors may influence the effectiveness of the intervention. Hypnobreastfeeding may be an effective complementary intervention for addressing ineffective breastfeeding by increasing breast milk production, improving the milk ejection reflex, and supporting adequate nutritional intake for infants.

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