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All Journal Jurnal Keperawatan Padjadjaran Jurnal Layanan Masyarakat (Journal of Public Service)
Mhd Zamal Nasution
Postgraduate School Universitas Airlangga
Humanities Decision Sciences, Operations Research & Management Environmental Science Health Professions Neuroscience Nursing Public Health Social Sciences Other

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Mental health and decision-making participation of adolescent orphans: A pilot study Annette d'Arqom; Farhan Nurdiansyah; Danti Nur Indiastuti; Mhd Zamal Nasution; Nurmawati Fatimah; Sri Purwaningsih; Yuani Setiawati; Kusuma Eko Purwantari
Jurnal Keperawatan Padjadjaran Vol. 11 No. 3 (2023): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v11i3.2358

Abstract

Background: Mental health has been brought to attention lately, with the increase of mental health problems during adolescence. In Indonesia, it is reported that one-third of adolescents develop mental health disorders. Childhood grief, separation from the family, child labor, or abuse affect the orphans’ mental health, including their decision-making participation. Purpose: As a pilot study, this study would like to investigate the mental health conditions and decision-making participation among orphans in one orphanage in Mojokerto district, East Java, Indonesia.Methods: This cross-sectional study utilizes the Depression Anxiety Scale Youth version (DASS-Y) and Child and Adolescent Participation in Decision Making Questionnaire (CAP-DMQ). Thirty-five adolescent orphans of one orphanage in Mojokerto were recruited using convenience sampling. The frequency of respondents’ mental health and decision-making participation were measured, and the mean differences between each group of sociodemographic factors were measured using the Mann-Whitney U test or the Kruskal Wallis test. Association between mental health and decision-making participation was calculated using Chi-square test.Results: The results show that 40% of respondents were categorized as having mild mental health problems, including depression, anxiety, and stress. Mental health problems are mostly found in males (22.90%) and elementary school (20%). The participation of the orphans in decision-making is considered good, with a median of 25.5. The bivariate analysis concludes the association between anxiety, age, grade, and decision-making participation (p= 0.024, p= 0.029, p=0.029, respectively).Conclusion: Taken together, attention to orphans, especially adolescents, and their problems are necessary to reduce the health discrepancies within these vulnerable groups. Broader respondents are needed to understand the complete picture of mental health conditions among Indonesian adolescent orphans, including late adolescents.
THALASSEMIA LITERACY: INCREASING KNOWLEDGE OF ORPHAN ADOLESCENTS ON THALASSEMIA Danti Nur Indiastuti; Zahras Azimuth Doman; Nurmawati Fatimah; Mhd Zamal Nasution; Annette d'Arqom
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 8 No. 1 (2024): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v8i1.2024.086-095

Abstract

Thalassemia is the most common monogenic disease in Asia, including Indonesia that causes burdens for the government, patients, and families. As the sixth most non-communicable disease, thalassemia utilized IDR 600 billion in 2022 for more than 300 thousand cases. With, 3.8% of Indonesians carrying a mutation of thalassemia on their globin gene, this economic burden is projected will increase if no actions are taken. On the other hand, child marriage is reported to increase every year, including among orphans. Without proper knowledge and genetic testing on thalassemia, child marriage might contribute to the increasing of thalassemia patients. Thus, increasing knowledge on thalassemia among orphan adolescents is important. This community development uses several methods, including seminar, discussion, book, and poster, targeting the orphan adolescents (n= 40) in Mojokerta, East Java. A questionnaire on thalassemia was used to measure the knowledge, before and after the activity. The results show that the respondents have a moderate knowledge about thalassemia (median= 4 (0-9)), and increase to median=9 (3-10)) after the activities (p< 0.001). Even though overall knowledge is increased, several information including thalassemia is a genetic disease, not similar to blood cancer, not the only type of anemia (Q6), and how to diagnose thalassemia (Q9) still need to be emphasized. Taken together, direct and indirect approaches, such as seminar, discussion, book, and poster are effective in increasing thalassemia knowledge among orphan adolescents. These activities are more effective in targeting late adolescents, compared to early and middle adolescents. However, more effective methods are necessary to target Generation Z who are more familiar with the internet.
IMPROVING KNOWLEDGE ON CHILD MARRIAGE THROUGH SYNCHRONOUS LEARNING IN TANJUNGAN VILLAGE, MOJOKERTO, INDONESIA Doman, Zahras Azimuth; d'Arqom, Annette; Nasution, Mhd Zamal
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 2 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i2.2025.271-280

Abstract

Child marriage remains a prevalent issue in many regions, including Indonesia. This practice is associated with significant adverse outcomes, such as interrupted education, elevated maternal morbidity and mortality rates, and prolonged the cycle of poverty. Synchronous learning can foster critical thinking, enabling audience to challenge harmful social norms and traditions that perpetuate child marriage. Thus, to this study aims to improve knowledge about child marriage among residents of Tanjungan Village, Mojokerto, through synchronous learning interventions. By employing a mixed-methods research design, a survey and interview following a synchronous learning from six experts on child marriage, the study explores the current understanding of respondents' knowledge of the minimum marriage age, the effects of child marriage, and evaluates the effectiveness of synchronous learning programs in enhancing knowledge towards delaying marriage. Sixty-five adolescents and adults from Tanjungan Village, Mojokerto District, East Java, participated in synchronous learning on regulation of child marriage and its consequences. A questionnaire is distributed to assess their knowledge of government regulations on the minimum age of marriage, minimum and maximum age of marriage, and age disparity during marriage before and after the activity followed by interviews with five participants, whom willing to be interviewed, to further explore their understanding of child marriage. The results show an increase in knowledge of the legal age for marriage (from 89.23% to 100%), with females demonstrating a higher level of understanding of this regulation. Interestingly, after the intervention, respondents' understanding of the maximum age limit for marriage varied more, with the majority suggesting ages between 21 and 26. These findings suggest that direct learning interventions can be effective in increasing awareness about child marriage, particularly regarding legal age limits. However, further research is needed to explore the long-term impact of these interventions and to develop strategies to address the underlying social and cultural factors that contribute to child marriage.
Co-Authors Annette d’Arqom, Annette d'Arqom, Annette Doman, Zahras Azimuth Farhan Nurdiansyah Fatimah, Nurmawati Indiastuti, Danti Nur Kusuma Eko Purwantari Sri Purwaningsih Yuani Setiawati Zahras Azimuth Doman