Global Health Management Journal
GLOBAL HEALTH MANAGEMENT JOURNAL (GHMJ) focuses on health field with strong preference (but not limited) on public health in general, maternal and child health, nursing, midwifery, sexual and reproductive health, public health nutrition, environmental health, occupational health and safety, health promotion, health economics in South East Asia and other regions. Applied science in health also becomes one of our priority, especially in the field of health information and technology, innovation in health, and development of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives.
Articles by issue : Vol 1, No 2 (2017)
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Articles
The evaluation of early initiation breastfeeding implementation in dr. Mohammad Hoesin Hospital of Palembang, Indonesia: Complaints and barriers

Bernolian, Nuswil

Global Health Management Journal Vol 1, No 2 (2017)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Abstract Background: Early Initiation of Breastfeeding (EIB) is a worldwide health demand of both mother and child. EIB programme implementation is the duty and responsibility of all health care practitioners, ranging from executive staff and manager, which haven’t runs well in Dr. Moh. Hoesin hospital. Objective: To identify opportunities and challenges in running the EIB programme in Obstetric Department of Dr. Moh. Hoesin hospital.  Method: In this cross sectional study, all of birth mothers and health professionals were included. Samples were selected by purposive sampling. Secondary data were obtained from the questionnaire respondents which have been tested for validity and reliability. Results: During November to December 2016 period, there were 19 (51.3%) patients did EIB while 18 (48.6%) others did not. Most patients in no EIB group had abdominal delivery (p = 0,003) and complained that no EIB policy in operating room. Most of EIB implementers (29 doctors and 14 midwives) stated that EIB were already done well but complained of low level of maternal EIB knowledge and lack of EIB practice support from hospital manager. While managerial staff (n = 12) blaming the EIB implementers worked attitude for this issue. Our study found disintegration EIB implementation between the managerial and implementer staff.  Conclusion: Our hospital EIB implementation faces challenges, such no EIB policy in operating room, majority of patients are obstetric referral case with complication and unfit for EIB, managerial staff knowledge of EIB differ greatly, low socialization of EIB regulations and other elements of implementation, patient’s level of knowledge, disintegration between the manager and executive staff causing ambiguity in the implementation of the EIB, and the lack of supervision of EIB implementation in the field. Key words: early initiation of breastfeeding, challenge.

Engaging schools in diagnosis and treatment of malaria: Evidence of sustained impact on morbidity and behavior

Macnab, Andrew John, Mukisa, Ronald, Mutabazi, Sharif, Steed, Rachel

Global Health Management Journal Vol 1, No 2 (2017)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background:  In low and middle income countries (LMICs) teachers send home children found sick in class devolving subsequent care to parents; where malaria is endemic, morbidity is high as the most parents fail to access WHO-endorsed rapid diagnostic testing (RDT and prompt treatment with artemisinin combination therapy (ACT). Consequently malaria is the principal reason a child misses school; so, we trained teachers to use RDT to evaluate all sick pupils and give ACT promptly to those positive.Aims: Pre, intra and post intervention evaluation of impact of using the WHO Health Promoting School (HPS) model to empower teachers to provide RDT and ACT and engage and inform pupils about malaria in 4 schools in rural Uganda.Methods: Documenting duration of absence from school as a surrogate measure for morbidity and change in children’s knowledge and reported behaviors regarding malaria. Pre-intervention (year 1) baseline evaluation of days of absence and children’s malaria knowledge/behavior; Intervention (year 2) trained teachers administered RDT in all sick children and treated those positive with ADT; Post-intervention (end of year 3) after schools independently continued RDT/ACT and education on malaria.Results: Pre-intervention <1:5 pupils had basic knowledge about malaria (caused by mosquitos; can be prevented; requires rapid diagnosis and prompt medication). In year 1: 953 of 1764 pupils were sent home due to illness. Mean duration of absence was 6.5 (SD 3.17) school days. In year 2: 1066 of 1774 pupils were sick, all had RDT, 765/1066 (68%) tested positive and received ACT; their duration of absence fell to 0.59 (SD 0.64) school days (p<0.001). By year 2 all children knew the signs and symptoms of malaria and had essential epidemiological knowledge. Twelve months post intervention the universality of this knowledge had been sustained and the whole-school focus on malaria continued. Children reported better health, more consistent attendance and improved academic achievement, and had become proactive in prevention strategies; 6% fewer tested positive for malaria; and key health knowledge was being passed to new pupils.Conclusion: Teacher administered RDT/ACT reduced child morbidity from malaria significantly; essential knowledge was generated and new health practices acquired that changed behaviors. Our WHO HPS model is applicable to other LMICs where malaria is endemic and morbidity high. 

Associated factors to attitudes and perceptions toward HIV/AIDS: a study of ethnic minorities in Buon Ma Thuot City, Dak Lak Province, Vietnam

Hoang, Thang Nghia, Pham, Duoc Tho

Global Health Management Journal Vol 1, No 2 (2017)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background: In Central Highland of Vietnam, number of HIV infected people in the Highlands region was 2,869, with 654 cases of AIDS. There are very few researches on HIV/AIDS, especially, research in community [14]. The ethnic minority populations are the source of differences from other regions of in the country. Negative attitude and misperception toward HIV/AIDS are remaining among this group. To improve the perception and attitude towards HIV/AIDS among Ethnic minorities. This study aims to illustrate attitude and perception towards HIV/AIDS among ethnic minority in Buon Ma Thuot City and determine factors related to attitude and perception towards HIV/AIDS in this population.Methods: We performed a cross-sectional survey of collected from 810 ethnic minority aged 15-49 in Buon Ma Thuot city, Vietnam in 2012.  Face-to-face interviews were conducted to collect information regarding HIV knowledge, HIV perception and attitude towards people living with HIV/AIDS (PLWHA).  The mean score was calculated. Multivariate analysis performed to analyze the influence of socio-demographic, HIV information sources and HIV knowledge on attitudes and perception towards HIV/AIDS.Results: We identified the mass media channel is common HIV information resource (92.8%), but the respondents received HIV information through mass media channels had lower perception and attitude towards HIV/AIDS. The multivariate analysis showed that the socioeconomic-demographic characteristic, HIV information, and HIV knowledge significantly associated with perception and attitude towards HIV/AIDS. But the HIV information provided by health officers, who are ethnic minorities had more effectiveness of improving attitude towards PLWHA in community (p<0.05).Conclusion: Based on these data, we recommend improving quality of HIV massage through mass media channel with adequate HIV information combine with social messages. Besides, the role of multichannel mass media and the role of health officers is need to combine together. 

Development of size-tunable polymeric nanoparticles for drug delivery applications

Sawasdee, Komkrich, Choksawad, Ployphailin, Pimcharoen, Sopida, Prapainop, Kanlaya

Global Health Management Journal Vol 1, No 2 (2017)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background:  Poly(lactide-co-glycolide) (PLGA) nanoparticles (NPs) have been widely used in drug delivery applications because of its excellent properties such as biocompatibility, biodegradability along with its abilities to deliver hydrophobic drugs, increase drug bioavailability, and improve drug absorption to targeted cells in both oral and parenteral administrations. The PLGA NPs can be synthesized using emulsion solvent evaporation method. Each parameter during synthesis play a role in formation of nanoparticles and could affect to form different NP sizes which is an important factor for successful development of drug delivery system.  Aims: The aim of this study is to prepare different sizes of PLGA NPs by investigation of four factors (molecular weight (MW) of PLGA, emulsifier concentrations, organic solvent type and power of ultrasonication) that involve in PLGA nanoparticle synthesis.Methods: PLGA nanoparticles were prepared by emulsion solvent evaporation method. Size and size distribution were analyzed by dynamic light scattering and polydispersity index (PdI).Results: The effect of four parameters: PLGA MW, emulsifier concentrations, solvent types, and amplitude of ultrasonication on PLGA NPs preparation were evaluated. Changing one parameter results in different sizes of PLGA NPs varied from 150-300 nm. PdI which is an indicator for determination of size distribution of NPs are also varied with overall value less than 0.2.Conclusion: MW of PLGA polymer, emulsifier concentration, type of organic solvent and power of ultrasonication affect the size and size distribution of PLGA NPs.