Background: Mass vaccination campaigns have significantly reduced the COVID-19 burden. However, vaccine hesitancy has posed significant global concerns. The purpose of this study was to determine the characteristics that influence perceptions of COVID-19 vaccine efficacy, acceptability, hesitancy and decision making to take vaccine among general adult populations in a variety of socioeconomic and cultural contexts. Methods: Using a snowball sampling approach, we conducted an online cross-sectional study in 20 countries across four continents from February to May 2021. Results: A total of 10,477 participants were included in the analyses with a mean age of 36±14.3 years. The findings revealed the prevalence of perceptions towards COVID-19 vaccine’s effectiveness (78.8%), acceptance (81.8%), hesitancy (47.2%), and drivers of vaccination decision-making (convenience [73.3%], health providers’ advice [81.8%], and costs [57.0%]). The county-wise distribution included effectiveness (67.8–95.9%; 67.8% in Egypt to 95.9% in Malaysia), acceptance (64.7–96.0%; 64.7% in Australia to 96.0% in Malaysia), hesitancy (31.5–86.0%; 31.5% in Egypt to 86.0% in Vietnam), convenience (49.7–95.7%; 49.7% in Austria to 95.7% in Malaysia), advice (66.1–97.3%; 66.1% in Austria to 97.3% in Malaysia), and costs (16.0–91.3%; 16.0% in Vietnam to 91.3% in Malaysia). In multivariable regression analysis, several socio-demographic characteristics were identified as associated factors of outcome variables including, i) vaccine effectiveness: younger age, male, urban residence, higher education, and higher income; ii) acceptance: younger age, male, urban residence, higher education, married, and higher income; and iii) hesitancy: male, higher education, employed, unmarried, and lower income. Likewise, the factors associated with vaccination decision-making including i) convenience: younger age, urban residence, higher education, married, and lower income; ii) advice: younger age, urban residence, higher education, unemployed/student, married, and medium income; and iii) costs: younger age, higher education, unemployed/student, and lower income. Conclusions: Most participants believed that vaccination would effectively control and prevent COVID-19, and they would take vaccinations upon availability. Determinant factors found in this study are critical and should be considered as essential elements in developing COVID-19 vaccination campaigns to boost vaccination uptake in the populations.

The COVID-19 pandemics caused an unprecedented mortality, distress, and globally poses a challenge to mental resilience. To our knowledge, this is the first study that aimed to investigate the psychological distress among the adult general population across 13 countries. This cross-sectional study was conducted through online survey by recruiting 7091 respondents. Psychological distress was evaluated with COVID-19 Peritraumatic Distress Index (CPDI). The crude prevalence of psychological distress due to COVID-19 is highest in Vietnam, followed by Egypt, and Bangladesh. Through Multivariate Logistic Regression Analysis, the respondents from Vietnam holds the highest level of distress, while the respondents from Sri Lanka holds the lowest level of distress with reference to Nepal.Female respondents had higher odds of having reported psychological distress, and those with tertiary education were less likely to report psychological distress compared to those with lower level of education. The findings indicate that psychological distress is varies across different countries. Therefore, different countries should continue the surveillance on psychological consequences through the COVID-19 pandemic to monitor the burden and to prepare for the targeted mental health support interventions according to the need. The coping strategies and social support should be provided especially to the lower educational attainment group.

Background: Stunting is a major public health issue in Indonesia. It affects children's physical and cognitive development, educational outcomes, and quality of life, increasing the risk of chronic diseases in adulthood. Addressing the determinants of stunting is vital for achieving the sustainable development goal of zero hunger. Objective: The study aims to identify maternal, child, and household risk factors for stunting in West Bandung Regency, Indonesia. Methods: This cross-sectional study was conducted on 122 children from 10 villages in the Padalarang area. Stunting status was measured by a doctor and verified by a pediatrician based on WHO growth standards. The demography, household, maternal, and child risk factors were collected using the standard Indonesia Basic Household Health Research (Riskesdas) questionnaire. Statistical analysis was used for the Chi-square and Fisher Exact test, while logistic regression was used to determine a model on the most important risk factors. Data analysis was done using the SPSS v.25 program. Results: Out of 119 evaluable datasets, 87 children were classified as stunted, with 44 stunted and 43 severely stunted. The majority of stunting was observed in boys aged 24‒59 months, mostly with low parental education levels and underweight status. Significant risk factors for stunting included a history of low birth weight, lack of maternal immunization against Tetanus Toxoid, and insufficient intake of animal-based proteins. The multivariate analysis identified age, protein deficiency, and diarrhea as critical predictors. Conclusion: Stunting is predominantly influenced by demographic factors, low parental educational level, nutritional insufficiency, and diarrhea. Targeted nutritional interventions and healthcare strategies focusing on protein intake and managing diarrhea among young children can effectively mitigate stunting rates in this region.

This study aimed to explore healthcare team members’ perspectives towards the factors that can contribute to the quality improvement of comprehensive emergency obstetric and neonatal care (CEmONC) services at a tertiary hospital. This qualitative descriptive study used convenience sampling to collect the sample. The inclusion criteria were the health workers who have worked for at least one year, in which a total of 119 participants took part in this study. The data were obtained from an online questionnaire, and the collected data were then analyzed with qualitative thematic analysis. This study revealed that three key aspects affecting the success of CEmONC services: i) health human resources (high-quality healthcare workers, in adequate proportion, with excellent teamwork, and commitment to being on time); ii) facilities and infrastructure (the availability of the intensive care unit and 24-hour laboratory, and the access to the obstetric/neonatal ward), and iii) the hospital service system (well-integrated external referral system and internal consultation). As the highest referral healthcare center, hospital managers should monitor and evaluate these three factors periodically to ensure that high-risk mothers and babies can acquire appropriate subspecialty care in the hospital and further can reduce maternal and neonatal mortality rates.

The Coronavirus disease (COVID-19) has become a public health emergency. The speed at which COVID-19 become pandemic and spread all over the world is alarming. A critical aspect of this type of pandemic is on the mental health of the community. This survey aimed to describe psychological distress in Indonesia's general population during the COVID-19 pandemic. Data collection began on 1st April 2020 to 30th April 2020. An online survey using Google Form with snowball sampling method used in this study. A modified version of the COVID-19 peri-traumatic distress index (CPDI) with 24 items used. The survey questionnaire included socio-economic and demographic variables. The study's total responses were 1,287, with 33 excluded from the analysis because of incomplete responses or not meeting inclusion criteria. Results showed that 63.5% of respondents reported having normal or no distress, 34% were having mild to moderate levels of distress, and 2.8% having severe distress. Age is the only variable that correlates with the level of distress. Healthcare workers and the general population showed no significant differences in the level of distress. During the early break of the COVID-19 pandemic, around 40% of respondents rated their psychological state having moderate to severe distress. These findings can be used to develop better psychological intervention measures and prevention of mental health during the pandemic.

The COVID-19 pandemic has caused a shift in learning methods to online. The obstacles felt by college students can have an impact on mental health. However, data on student mental health in Indonesia during the pandemic is still limited. This study describes the depression, anxiety, and stress of college students in Indonesia during the COVID-19 pandemic. This research method is descriptive, conducted on college students in Indonesia from July to August 2021. Sampling is done by voluntary sampling collection, with 258 respondents. The research instrument is a questionnaire of characteristics and depression, anxiety, stress scale (DASS) 42 in the form of Google Form. Data analysis using Microsoft Excel. The results of the research on the characteristics of the most respondents, namely, age in the range of 20–24 years (85.3%), female (64.7%), from Java (60.8), third grade (66.7%), living with parents (74.8%), and from the faculty of medicine (23.3%). More college students are not depressed (55.0%) or not stressed (57.4%) than those who are depressed or stressed. However, more college students experience anxiety than those who are not anxious, 60.1%. Based on the level, most college students experienced moderate depression (12.8%), very severe anxiety (20.9%), and severe stress (13.6%). This study concludes that most college students experience moderate depression, very severe anxiety, and severe stress. The success of online education depends on several factors, such as basic technical skills and the ability to access hardware and software, good self-motivation, and the availability of a conducive learning environment. This problem can have an impact on the mental health of college students. TINGKAT DEPRESI, KECEMASAN, DAN STRES PADA MAHASISWA DI INDONESIA SELAMA MASA PANDEMI COVID-19Pandemi COVID-19 menyebabkan peralihan metode pembelajaran menjadi daring. Terdapat manfaat dan kendala pada pembelajaran daring. Kendala yang dirasakan mahasiswa dapat berdampak pada kesehatan mental. Data kesehatan mental mahasiswa di Indonesia selama pandemik masih terbatas. Penelitian ini bertujuan menggambarkan depresi, kecemasan, dan stres pada mahasiswa di Indonesia selama masa pandemi COVID-19. Metode penelitian adalah deskriptif yang dilakukan pada mahasiswa di Indonesia pada Juli hingga Agustus 2021. Pengambilan sampel dengan cara sampling sukarela dengan jumlah responden 258 orang. Instrumen penelitian berupa kuesioner karakteristik dan depression, anxiety, stress scale (DASS) 42 dalam bentuk Google Form. Analisis data menggunakan Microsoft Excel. Hasil penelitian karakteristik responden yang terbanyak, yaitu usia pada rentang 20–24 tahun (85,3%), perempuan (64,7%), berasal dari Pulau Jawa (60,8), tingkat tiga (66,7%), tinggal bersama orangtua (74,8%), dan dari fakultas kedokteran (23,3%). Lebih banyak mahasiswa yang tidak depresi (55,0%) atau tidak stres (57,4%) daripada yang depresi atau stres. Namun, lebih banyak mahasiswa yang mengalami kecemasan daripada yang tidak cemas, yaitu 60,1%. Berdasar atas tingkatannya, mahasiswa paling banyak mengalami depresi sedang (12,8%), kecemasan sangat berat (20,9%), dan stres berat (13,6%). Simpulan penelitian ini adalah sebagian besar mahasiswa mengalami depresi sedang, kecemasan sangat berat, dan stres berat. Keberhasilan pendidikan daring bergantung pada beberapa faktor seperti keterampilan teknis dasar dan kemampuan mengakses perangkat keras dan lunak, motivasi diri yang baik, serta ketersediaan lingkungan belajar yang kondusif. Terkendalanya hal ini dapat berdampak pada kesehatan mental mahasiswa.