Ni Made Nova Indriyani
Department of Psychiatry, CMHC Research Center, Palembang, Indonesia

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Bridging the Digital Divide: A Mixed-Methods Evaluation of the Efficacy, Accessibility, and Impact of Web-Based Mental Health First Aid Training for Community Health Volunteers (Kader) in Rural Indonesia Zahra Amir; Ni Made Nova Indriyani; Iis Sugandhi; Husin Sastranagara; Muhammad Rusli; Wisnu Wardhana Putra
Indonesian Community Empowerment Journal Vol. 5 No. 2 (2025): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v5i2.46

Abstract

Significant disparities in mental health service access persist in rural Indonesia, where community health volunteers (known as Kader) represent a vital but undertrained resource. Digital training platforms offer a scalable solution to build mental health literacy, yet their efficacy and accessibility in low-resource, digitally diverse settings remain under-evaluated. This study aimed to evaluate the efficacy, accessibility, and user experience of a novel, web-based Mental Health First Aid (MHFA) training program for Kader in rural Indonesia. We employed a convergent parallel mixed-methods design with a single-group, pre-test/post-test framework. A total of 165 Kader from 15 rural districts across North Sumatra, West Sumatra, and South Sumatra provinces were recruited. Participants completed a 4-week, self-paced, web-based MHFA course. Quantitative data were collected using the Mental Health Knowledge Questionnaire (MHKQ), the Community Attitudes toward the Mentally Ill (CAMI) scale, and the System Usability Scale (SUS) at baseline and post-intervention. Qualitative data were gathered through semi-structured focus group discussions (FGDs) with a purposive subsample of 32 participants to explore user experience and perceived impact. The intervention yielded a highly significant improvement in mental health knowledge, with mean MHKQ scores increasing from 48.5 (SD=10.2) at pre-test to 89.7 (SD=8.8) at post-test (t(164) = -35.1, p < 0.001). Stigmatizing attitudes significantly decreased, as reflected by an increase in mean CAMI scores from 55.3 (SD=12.5) to 81.4 (SD=11.9) (t(164) = -18.9, p < 0.001). The platform's usability was rated favorably, with a mean SUS score of 81.2 (SD=13.4), indicating excellent user-friendliness. Qualitative analysis revealed three primary themes: (1) Digital Empowerment and Overcoming Barriers; (2) Cultural Resonance and Practical Skill Acquisition; and (3) The Emergence of a Supported Community of Practice. In conclusion, web-based MHFA training is an effective, accessible, and well-accepted modality for empowering Kader in rural Indonesia. This digital approach successfully bridges geographical and educational divides, significantly enhancing mental health literacy and reducing stigma. Scaling this model holds immense potential for strengthening community-based mental health services and narrowing the treatment gap in Indonesia and similar low- and middle-income countries.
Beyond the Green Revolution: A 10-Year Longitudinal Mixed-Methods Analysis of Balinese Subak Socio-Ecological Governance and its Alignment with SDG 2 and SDG 6 Fitriyanti Fitriyanti; Anita Havyasari; Ni Made Nova Indriyani; Jasmila Tanjung; Matilda Munoz; Maya Enderson; Sudarto Sudarto
Indonesian Community Empowerment Journal Vol. 5 No. 1 (2025): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v5i1.50

Abstract

The global challenges of food insecurity (SDG 2) and water scarcity (SDG 6) require proven, sustainable governance models. Socio-ecological systems (SES) rooted in local wisdom (kearifan lokal) offer resilient alternatives. The Balinese Subak, a UNESCO World Heritage site guided by the Tri Hita Karana philosophy, is a pre-eminent example. This research employed a 10-year (2015-2025) longitudinal, mixed-methods, comparative case study of two Subak systems in Bali. We collected a comprehensive dataset including 1,200 systematic water sampling events (yielding 7,200 analytical data points for pH, TSS, BOD, COD, NO3-N, PO4-P) and a 10-year rolling panel survey (n=2,000 completed survey-years) to assess agricultural and governance metrics. Qualitative data (n=60 interviews, n=24 meeting observations) were thematically analyzed. Generalized Linear Mixed-Effects Models (GLMMs) revealed a statistically significant time-dependent reduction in pollution, including Nitrate (β = -0.21 mg/L/year, p < .001) and BOD (β = -0.15 mg/L/year, p < .001), across both sites. This trend was strongly associated with a validated Social Governance Index (SGI). Critically, rice yields remained stable at a high-productivity average (6.2 t/ha), while chemical pesticide use declined by 48% (p < .001). Qualitative analysis identified the core mechanisms: (1) Tri Hita Karana as an internalized moral framework, (2) ritual calendars as coordination mechanisms, and (3) awig-awig as an adaptive governance system. In conclusion, the Subak system demonstrates a proven, sophisticated, and data-driven framework that operationalizes kearifan lokal to achieve the non-trade-off, simultaneous goals of sustainable agriculture (SDG 2) and clean water (SDG 6). These findings provide robust evidence that such systems are not relics but essential, adaptive governance models for global sustainability.