Global Health Management Journal
ISSN : 25809296     EISSN : -
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
24
Articles
Selective Abortion After Preimplantation Sex Selection: An Ethical and Legal Issue in Indonesia

Pujiyono, Pujiyono, Budiyanti, Rani Tiyas

Global Health Management Journal Vol 2, No 2 (2018)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background: The emerging of sex selection technology in Indonesia is sperm sorting, meanwhile sex selection with Preimplantation Genetic Diagnosis (PGD) methods is not widely used. The use of sperm sorting has bigger chance to fail than PGD, thus potentially cause ethical and legal problems that is selective abortion during pregnancy. The potency for selective abortion is enlarged by Indonesian law that permitting sex selection without distinction of medical and non-medical reasons. There is no special policy to regulate the selective abortion because of sex selection failure.  Aims: This study aims to find out the legal concept of selective abortion after preimplantation sex selection that appropriate to be applied in Indonesia.Methods: This research is normative research that use analytics method with legal approach and conceptual approach. The research material consists of primary legal material (legislation about sex selection and abortion in Indonesia), secondary legal materials (legal journals, law books, and legal proceedings), and also non-legal materials (journals, books, and health proceedings about sex selection and abortion).Results: In Indonesia meanwhile in general, abortion is permitted for pregnancy with medical indication and rape victim. Through a statue approach in Indonesia, selective abortion after preimplantation sex selection can be implemented for strong medical reasons. While the failure for non-medical reasons can’t be aborted. This regulation contrary with ethics, morals and religion. Selective abortion should not be done because of preimplantation sex selection failure either medical or non-medical reasons. Conclusion: Selective abortion after preimplantation sex selection both medical and non medical reason contrary with moral, ethical, and religion. Indonesia needs to regulate further policy about selective abortion if there is a failure of preimplantation sex selection.

The diagnostic and prognostic value of right ventricle systolic and diastolic function in inferior myocardial infarction patients

Purwaningtyas, Niniek

Global Health Management Journal Vol 2, No 1 (2018)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background: Inferior myocardial infarction (MI) with right ventricular (RV) involvement will increase mortality and morbidity. Data of systolic and diastolic RV function in inferior ST-segment elevation MI (STEMI) are useful to predict the RV involvement.  Aims: To evaluate the prognostic and diagnostic significance of RV systolic and diastolic function compared to RVMI diagnostic criteria by electrocardiography in inferior MI patients.Methods: Consecutive patients with first, acute, inferior STEMI were prospectively assessed. The RVMI was defined as an ST-segment elevation ≥ 0.1 mV in lead V4R. Echocardiography was performed within 24 hours of the inferior STEMI symptoms. We assessed the RVMI diagnostic criteria in inferior MI patients using echocardiography.Results: Out of 31 patients (mean age 56.39 ± 9.02 years), RVMI by electrocardiography and echocardiography was found in 18 (37%). Moreover, multivariate analysis showed that two variables — RV systolic and diastolic function, were independent predictors of RVMI in inferior MI patients. Sensitivity and specificity of the RV systolic function were 94.4% and 69.2%, respectively, while RV diastolic functions were 44% and 76.9%, respectively.Conclusion: RV systolic function predict RVMI with relatively high sensitivity and specificity. RV diastolic function predicts RVMI with relatively low sensitivity but with high specificity.

Dengue hemorrhagic fever: Knowledge, attitude, and practice in Palmeriam, Jakarta, Indonesia

Martina, Siska Evi, Bratajaya, Cicilia Nony Ayu, Ernawati, Ernawati

Global Health Management Journal Vol 2, No 1 (2018)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background: Dengue hemorrhagic fever (DHF) is the most rapidly spreading mosquito-borne viral disease in the world. It is an emerging disease, episodic and occurring annually.  Aims: This study was to examine the knowledge, attitude, and practice of community in Palmeriam, Jakarta regarding dengue hemorrhagic fever.Methods: A community-based cross-sectional study was designed in this study between June to July 2016. Purposive sampling was done to collect data from 148 respondents.Results: This study found that average age was 47 years old, 75% were women, and 46.6% finished secondary high school. In another hand, 23.6% respondents had good knowledge, and 49.3% had a neutral attitude for preventing dengue hemorrhagic fever. The study found that 68.2% respondents had a mid-level of practice prevention dengue hemorrhagic fever and it can be improved. This study indicated that the community was quite familiar with Dengue hemorrhagic fever, but there was confusion about water storage and environment effect.Conclusion: Health promotion program and community participation should improve dengue awareness. Continuous campaign for enhancing the knowledge and attitude would result in better practice for DHF prevention.

The relationship between levels of knowledge and interest in using the partial dentures: A case at Yogyakarta’s private dental clinic, Indonesia

Haryani, Wiworo, Indahsari, Rachma, Sutrisno, Sutrisno

Global Health Management Journal Vol 2, No 1 (2018)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

Background: Missing or lost teeth after tooth extraction may lead to tooth decay and infection. Many cases of tooth loss will not be followed with prosthodontics or rehabilitative treatments. Patients might be aware of partial denture, however no concern to replace the missing teeth.Aims: This study was to determine the relationship between the levels of knowledge and interest in using the partial dentures.Methods: This study was an observational analytic survey with cross sectional design, conducted in October - November 2017. The work involved 60 patients who had pulled teeth at Kanina Dental Clinic, Yogyakarta, Indonesia, who had been selected using purposive sampling technique. Levels of knowledge and interest among the participants were assessed by a set of questionnaire. The data obtained was then analysed using Kendalls Tau test.Results: From the study, we found that 35 respondents had good knowledge and high interest to use partial dentures (58.3%), while the other 22 patients (40%) had been noted with less knowledge and poor maintenance. From Kendalls Tau test, we found a significant relationship between the patients knowledge and partial removal denture maintenance of p value = 0.003. This study also highlights the role of patients’ peer to their decision to use the removable partial dentures.Conclusion: Respondents may consider loosing teeth affected to their physical aesthetics, masticatory system, and speaking comfort. Data shows the higher knowledge to the benefits of partial dentures the higher their interest in using removable partial dentures after tooth extraction. 

Vaccination: Considerations to acceptance and refusal

Sinaga, Doni Marisi

Global Health Management Journal Vol 2, No 1 (2018)
Publisher : YAYASAN ALIANSI CENDEKIAWAN INDONESIA THAILAND (Indonesian Scholars Alliance)

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Abstract

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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. 

The benefits of automated dispensing machine for hospital pharmacy in Indonesia: situation, implementation, and feasibility

Suryadinata, Haryman Utama

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

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Abstract

Background: Pharmacy as the main core of hospital is responsible for the quality and safety of medicines.Yet the numbers of medication errors are still high. Automated Dispensing Machine (ADM) is one of the solutions to reduce the dispensing errors in pharmacy. Many countries had studied and proved that the use of ADM gives more benefit than liability. However, ADM is considered as something new, a “nice to have” product.Aims: This study will explain the benefits of ADM especially in Indonesian hospital pharmacy.Methods: Systemic Review with PRISMA method uses 5 databases as Scopus, Springerlink, Google Scholar, Science Direct and ProQuest, with keywords Automated Dispensing Machine, Automated Dispensing Device, Automated Dispensing System, Automated Drug Dispensing System, or Robotic Dispensing System. The inclusion criteria are all the studies that showed any impact in minimum of one aspect ofADM in hospital.Results: There are 13 studies that explained ADM benefits such as increase staff satisfaction for the nurse and pharmacist, reduce dispensing errors about 35% or up to reducing all dispensing errors, time saving until 50% in peak hours and cost analysis and effectiveness. The cost anaylsis such as inventory stock reduction, increases the cost saving.Conclusion:In Indonesia, it needs many considerations to implement ADM but it had already installed in 1 Indonesia Hospital. This hospital had proved that ADM can reduce dispensing errors and can solve some pharmacy problem such as the human resources problems and the long waiting time.With the proven benefits of ADM, it is justified for Indonesian hospital to implement ADM and information system in their pharmacy. The effectiveness will perceive the pharmacy andpositively affect to all related departments in hospital. Keywords: Automated dispensing machine, automated dispensing system, automated dispensing device, robotic dispensing system, automated drug dispensing system