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All Journal Scientia Psychiatrica Indonesian Community Empowerment Journal Community Medicine and Education Journal Crown: Journal of Dentistry and Health Research Enigma in Cultural
Ni Made Nova Indriyani
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Religion Arts Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Developing Culturally Sensitive Suicide Prevention Programs for Medical Professionals in Indonesia Ni Made Nova Indriyani; Mischa Chantal Adella; Patricia Wulandari; Despian Januandri
Scientia Psychiatrica Vol. 5 No. 4 (2024): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v5i4.176

Abstract

Introduction: Medical professionals in Indonesia experience high levels of stress, increasing their risk for mental health problems and suicidal behavior. Culturally appropriate suicide prevention programs are critical to address this issue. This study aimed to develop and evaluate the feasibility and acceptability of a culturally adapted suicide prevention program for Indonesian medical professionals. Methods: This mixed-methods study had two phases. Phase 1 involved program development, adapting an existing evidence-based suicide prevention program using a Delphi method with Indonesian mental health experts (n=10) and cultural consultants (n=5). Phase 2 comprised a pilot implementation of the program with 30 medical professionals. Quantitative data on program feasibility (attendance, completion rates) and acceptability (satisfaction surveys, qualitative feedback) were collected and analyzed. Results: The Delphi method resulted in a culturally adapted program incorporating Indonesian values related to collectivism, family support, religious beliefs, and stigma associated with mental health. Pilot implementation showed high attendance (87%) and program completion rates (93%). Participants expressed high satisfaction with the program's content, cultural relevance, and delivery format. Qualitative feedback emphasized the importance of peer support, spiritual integration, and addressing workplace stressors. Conclusion: This study provides preliminary evidence for the feasibility and acceptability of a culturally sensitive suicide prevention program for Indonesian medical professionals. Further research is needed to evaluate the program's effectiveness in reducing suicidal ideation and behavior.
Beyond the Binary: Exploring the Lived Experiences of Gender Dysphoric Adolescents in Indonesia Andi Fatihah Syahrir; Ni Made Nova Indriyani; Rheina Weisch Fedre; Shina Abdulkadir
Scientia Psychiatrica Vol. 5 No. 4 (2024): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v5i4.178

Abstract

Introduction: Gender dysphoria among adolescents is increasingly recognized globally, yet research on the lived experiences of transgender youth in Indonesia remains limited. This study aimed to explore the unique challenges, coping mechanisms, and support needs of Indonesian adolescents navigating gender dysphoria within a sociocultural context characterized by traditional gender norms and limited access to specialized healthcare. Methods: In-depth, semi-structured interviews were conducted with 15 adolescents (aged 13-19) who identified as experiencing gender dysphoria. Participants were recruited through LGBTQ+ youth organizations and community centers in Jakarta and Surabaya. Data were analyzed using thematic analysis to identify key themes and patterns within their narratives. Results: Four major themes emerged: (1) Early Recognition and Internal Conflict: Participants described an early awareness of their gender identity incongruence, often accompanied by feelings of confusion, shame, and fear due to societal expectations and potential rejection. (2) Navigating Disclosure and Social Support: Coming out to family and peers was a significant challenge, with varied responses ranging from acceptance to rejection. Support networks, primarily found within online communities and LGBTQ+ organizations, played a crucial role in fostering resilience. (3) Barriers to Accessing Healthcare: Participants reported significant obstacles in accessing gender-affirming care, including limited availability of specialized healthcare providers, financial constraints, and lack of family support. (4) Resilience and Hope for the Future: Despite the challenges, participants expressed resilience, hope, and a strong desire to live authentically. They emphasized the importance of self-acceptance, peer support, and advocacy for greater understanding and acceptance of gender diversity in Indonesia. Conclusion: This study provides valuable insights into the experiences of gender dysphoric adolescents in Indonesia. Findings highlight the urgent need for increased awareness, improved access to gender-affirming care, and supportive interventions to promote the well-being of this vulnerable population.
The Impact of Dental Anxiety on Oral Health-Related Quality of Life in Children: A Longitudinal Study in Jakarta, Indonesia Ni Made Nova Indriyani; Dea Albertina; Desiree Montesinos; Rheina Weisch Fedre; Winata Putri
Crown: Journal of Dentistry and Health Research Vol. 1 No. 2 (2023): Crown: Journal of Dentistry and Health Research
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/crown.v1i2.88

Abstract

Introduction: Dental anxiety is a common problem among children, and it can have a significant impact on their oral health-related quality of life (OHRQoL). This longitudinal study aimed to investigate the impact of dental anxiety on OHRQoL in children in Jakarta, Indonesia. Methods: A cohort of 200 children aged 6-12 years was recruited from six elementary schools in Jakarta. Dental anxiety was assessed using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) at baseline, 6 months, and 12 months. OHRQoL was measured using the Child Perceptions Questionnaire (CPQ11-14) at the same time points. Sociodemographic data and oral health status were also collected. Linear mixed models were used to assess the association between dental anxiety and OHRQoL over time, adjusting for potential confounders. Results: Dental anxiety was significantly associated with lower OHRQoL scores at all time points. Children with higher dental anxiety scores reported more problems with oral symptoms, functional limitations, emotional well-being, and social well-being. This association persisted even after adjusting for age, gender, socioeconomic status, and oral health status. Conclusion: Dental anxiety has a significant negative impact on OHRQoL in children. Early identification and management of dental anxiety are crucial to improve children's oral health and overall well-being.
Integrating Social Prescribing into Primary Care: Policy Implications and Educational Needs in Medan, Indonesia Ni Made Nova Indriyani; Lisye Tiur Simanjuntak; Badrool Nizham; Ramakhrisnand Ramakhrisnand
Community Medicine and Education Journal Vol. 6 No. 1 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i1.699

Abstract

Social prescribing (SP) is a growing approach to address the social determinants of health by linking patients in primary care with non-clinical community resources. Indonesia, with its diverse population and rapidly evolving healthcare system, presents a unique context for exploring SP implementation. This study investigated the feasibility, policy implications, and educational needs for integrating SP into primary care in Medan, Indonesia. A mixed-methods approach was employed. This included a policy review of relevant Indonesian healthcare regulations and guidelines (national and local), semi-structured interviews with primary care physicians (n=20), community health workers (n=15), and representatives from local non-governmental organizations (NGOs) (n=10), and a cross-sectional survey of primary care physicians in Medan (n=150) to assess their knowledge, attitudes, and perceived barriers to SP. Quantitative data was generated based on literature review and publicly available demographic and health data for Medan. Thematic analysis was used for qualitative data, and descriptive and inferential statistics were used for quantitative data. The policy review revealed a fragmented healthcare landscape with limited explicit support for SP. Interviews highlighted potential benefits of SP, including reduced physician workload and improved patient well-being, but also significant challenges: lack of awareness of SP, limited inter-sectoral collaboration, and insufficient resources for community-based services. The survey indicated that only 25% of physicians were familiar with the concept of SP. Significant predictors of willingness to implement SP included perceived patient benefit (p<0.001) and availability of referral pathways (p<0.01). Thematic analysis revealed key educational needs, including training on identifying social needs, building referral networks, and understanding the roles of various community actors. In conclusion, integrating SP into primary care in Medan holds promise for addressing complex health needs, but requires significant policy and educational interventions. Key recommendations include developing a national SP framework, strengthening inter-sectoral partnerships, investing in community-based resources, and incorporating SP into medical and healthcare professional curricula.
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.
Ephemeral Inscriptions: Graffiti, Gentrification, and the Struggle for Public Space in the Indonesian Metropolis Bimala Putri; Omar Alieva; Henny Kesuma; Ifah Shandy; Ni Made Nova Indriyani
Enigma in Cultural Vol. 3 No. 1 (2025): Enigma in Cultural
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/cultural.v3i1.105

Abstract

The visual landscape of the contemporary city is a contested terrain where cultural expression and economic forces collide. This study investigates the complex relationship between graffiti practices and gentrification in Indonesia, moving beyond a simple resistance-versus-commodity binary to analyze graffiti as a dialectical force in urban transformation. It examines how graffiti functions as a mode of spatial inscription, a carrier of urban affect, and a critical barometer of the struggle for the right to the city in the Global South. This research employed a longitudinal, mixed-methods, comparative case study design, focusing on the Glok district in Jakarta and the Braga district in Bandung (2019-2025). The methodology integrated quantitative spatio-temporal GIS analysis of 1,250 graffiti pieces correlated with economic data, and a systematic content analysis of their form and themes. This was triangulated with deep qualitative data from 24 months of ethnographic fieldwork and 45 semi-structured interviews with artists, residents, and officials. A critical positionality statement reflects on the ethical praxis of the research. The findings reveal a clear trajectory where illicit, text-based graffiti, initially prevalent in peripheral spaces, created a subcultural "symbolic economy." This was followed by a spatial and formal shift towards large-scale, sanctioned murals in prime commercial zones. Quantitative analysis established a strong correlation (r = 0.78) between mural density and rising commercial rents, but this is interpreted cautiously to avoid assumptions of direct causality. Ethnographic vignettes and interview data reveal the affective dimensions of this transformation, highlighting how the changing streetscape is experienced as a loss of place by long-term residents and consumed as an aesthetic "vibe" by newcomers, while artists navigate complex issues of agency and co-optation. In conclusion, the evolution of graffiti from illicit inscription to curated aesthetic mirrors the process of gentrification. The study concludes that while the co-optation of street art is a powerful force in neoliberal place-branding, the practice remains a site of contested agency and meaning-making. The concept of "ephemeral inscriptions" is proposed to better capture the performative, transient, and deeply political nature of these markings as they chronicle the ongoing struggle for spatial justice.
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.
Co-Authors Andi Fatihah Syahrir Anita Havyasari Badrool Nizham Bimala Putri Dea Albertina Desiree Montesinos Despian Januandri fitriyanti fitriyanti Henny Kesuma Husin Sastranagara Ifah Shandy Iis Sugandhi Jasmila Tanjung Lisye Tiur Simanjuntak Matilda Munoz Maya Enderson Mischa Chantal Adella Muhammad Rusli Omar Alieva Patricia Wulandari Ramakhrisnand Ramakhrisnand Rheina Weisch Fedre Shina Abdulkadir Sudarto Sudarto Winata Putri Wisnu Wardhana Putra Zahra Amir