Syifa Nurul Asma
Universitas Gadjah Mada

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Daycare dilemmas in covid-19 pandemic, should it be opened or not? a case study of a daycare in Yogyakarta Syifa Nurul Asma; Bambang Edi Susyanto; Cici Permata Rusadi; Abdul Wahab
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Covid 19 pandemic cause changes in various aspects. To avoid the spread of the virus, physical distancing is enforced. Since March 2020 offices and schools have been closed, including the daycare in Yogyakarta. By June 2020 offices have started to enter and some parents will have to work. It becomes a dilemma for stakeholders when parents with children must back to the office to work while the government still restricts daycare opening. This study intends to illustrate the considerations of a daycare in Yogyakarta that was reopened despite being in the red zone of the pandemic and provide alternatives solutions based on a literature review. Method: A qualitative method with a descriptive observational case study approach was used in this study. The data was collected with an interview with one of the daycare owner, and a literature study. Results: The financial needs of managers and daycare employees and the request of the working parents to reopen the daycare became the argument that prompted the reopening of daycare. In general, during this pandemic, the parent's mental health, especially mothers when undergoing dual roles, as mothers and also workers, worsening child’s behaviors and the possibility of violence to children at home are consideration of the need for solutions to this dilemma. Conclusions: Keeping children from the risk of coronavirus transmission should be the priority. The possible alternative solution is the enactment of a home visit by employees of daycare under the supervision of child caregivers, children gathered with a limited number of only one region with attention to health protocols, as well as an invitation for the office to provide a flexible working arrangement for mothers with children.
New strategy of web-based mental health intervention for psychological distress among working housewives during Covid-19 pandemic in Indonesia: a review Cici Permata Rusadi; Abdul Wahab; Syifa Nurul Asma
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This paper aims to describe the use of web-based mental health services (telepsychology) that can reduce anxiety symptoms, improve positive emotions and sleep quality during the Covid-19 outbreak for working housewives.Content: In Indonesia, the dual role of mothers as workers and housewives during the Covid-19 pandemic increases stress so that it has an impact on the treatment of mothers towards their children and is associated with strict parenting in the form of punishment so that children are at risk of experiencing cognitive and motor development disorders and psychopathology in children. In terms of overcoming anxiety and psychological pressure experienced by housewives, targeted an early intervention strategy is needed to prevent the long-term impact of the COVID-19 pandemic on the mental health of mothers and families. Mental health interventions based on positive psychology principles that include elements of cognitive-behavioral therapy and behavioral activation therapy aim to reduce symptoms of anxiety and depression and improve positive emotions and sleep quality during the Covid-19 outbreak through the telepsychology system. Effectiveness of web-based interventions for cognitive behavioral therapy and therapy for therapist-guided and non-therapist-guided acceptance and commitment tested in case and control groups by comparing the results of the Patient Health Questionaire-9 (PHQ-9) measurement scale and the General Anxiety Disorder-7 scale (GAD-7) showed that GAD-7 scores in the intervention group had a significant reduction (β = -3.27; 95% CI: -5.71, -0.83) with R2 0.106. PHQ-9 score was significantly reduced in the intervention group (β = -4.311; 95% CI: -7.33, -1.29) with R2 0.173. There is a growing body of literature showing the effectiveness of online therapy on the psychological impact of COVID-19. In fact, having therapist support makes a substantial difference in the effectiveness of online interventions especially for working housewives.