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All Journal Community Medicine and Education Journal Crown: Journal of Dentistry and Health Research Enigma in Education Enigma in Law Enigma in Cultural
Sarah Armalia
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Building Community Resilience to Climate Change in Jakarta: A Public Health Approach Integrating Policy, Practice, and Education Jonah Abraham; Andi Fatihah Syahrir; Neva Dian Permana; Matilda Munoz; Sarah Armalia
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.v6i1.700

Abstract

Climate change poses significant and escalating threats to public health in Jakarta, Indonesia, including increased risks of vector-borne diseases, heat-related illnesses, and mental health impacts exacerbated by flooding and displacement. This study examined the current state of community resilience to these climate-related health threats and evaluated the effectiveness of existing policies and educational interventions. A mixed-methods approach was employed, combining a cross-sectional survey of Jakarta residents (n= 850), semi-structured interviews with key stakeholders (n= 25) from government agencies, NGOs, and community organizations, and a policy review of relevant Indonesian and Jakarta-specific regulations and strategic plans. The survey assessed climate change awareness, perceived health risks, adaptive capacity, and access to resources. Interviews explored policy implementation challenges, inter-sectoral collaboration, and community engagement strategies. The policy review analyzed alignment with international best practices and identified gaps. The survey revealed moderate levels of climate change awareness but significant gaps in understanding of specific health risks (62% aware of general climate change, but only 38% aware of the link to dengue fever increase). Perceived adaptive capacity was low, particularly among vulnerable populations (low-income households, those living in flood-prone areas). 75% of respondents in flood-prone areas reported lacking adequate resources to cope with flooding events. Interviews highlighted challenges in inter-sectoral coordination, limited funding for community-based programs, and a lack of culturally appropriate health education materials. The policy review found that while national-level policies exist, Jakarta-specific implementation lags, particularly in integrating health considerations into urban planning and disaster preparedness. In conclusion, building community resilience to climate change in Jakarta requires a multi-pronged approach. This includes strengthening health system preparedness, developing targeted and culturally appropriate health education programs, improving inter-sectoral collaboration, enhancing community engagement, and integrating health considerations into all relevant policies. Specific recommendations include strengthening early warning systems for heat waves and floods, expanding access to clean water and sanitation, promoting climate-resilient housing, and investing in community-based adaptation projects.
Frugal Innovation in Education: Designing and Evaluating Low-Bandwidth, Asynchronous Learning Systems for Remote Indonesian Schools Hesti Putri; Maya Enderson; Jasmila Tanjung; Matilda Munoz; Sarah Armalia; Jovanka Andina; Kevin Setiawan; Sudarto Sudarto; Khalil Jibran; Jasmine Alieva
Enigma in Education Vol. 3 No. 1 (2025): Enigma in Education
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/edu.v3i1.95

Abstract

The promise of educational technology (EdTech) to democratize learning in Indonesia is consistently undermined by a profound digital divide, particularly in remote and archipelagic regions where internet connectivity is poor and infrastructure is limited. This study explores the application of frugal innovation principles as a direct and context-aware strategy to address this challenge. A multi-phase, mixed-methods Design-Based Research (DBR) methodology was employed over 18 months. The study involved the collaborative design, development, and implementation of "Lentera," a low-bandwidth, asynchronous, and offline-first learning system, in six remote primary schools in the Maluku Islands. A quasi-experimental design compared three intervention schools with three control schools over one academic year. Data collection was extensive, including pre- and post-intervention literacy and numeracy assessments, System Usability Scale (SUS) surveys, system usage logs, semi-structured interviews with 18 teachers, and over 80 hours of classroom observation. Data were analyzed using a two-level Hierarchical Linear Model (HLM) to account for the clustered nature of students within schools. The Lentera system demonstrated high feasibility and positive user adoption, with offline peer-to-peer sharing proving to be a critical feature for content distribution. Quantitative analysis revealed a statistically significant and substantial improvement in learning outcomes for the intervention group in both literacy (γ = 11.85, p < 0.001) and numeracy (γ = 12.91, p < 0.001) compared to the control group, after controlling for pre-test scores. The mean System Usability Scale (SUS) score was 78.5, indicating well-above-average usability. Qualitative findings, drawn from a wide range of teacher interviews and classroom observations, highlighted the system's effectiveness in supporting student-centered, differentiated instruction and fostering teacher collaboration, aligning with the core principles of Indonesia's Kurikulum Merdeka. The study provides compelling evidence that frugal innovation, embodied in a context-aware learning system, presents a viable, effective, and scalable pathway to enhancing educational quality and equity in resource-constrained environments.
Governing the Commons in the Anthropocene: A Quantitative and Qualitative Assessment of Sasi Customary Law's Efficacy in Marine Conservation and Climate Resilience in the Maluku Islands Grace Freya Purba; Farah Faiza; Evelyn Wang; Aaliyah El-Husaini; Benyamin Wongso; Sarah Armalia
Enigma in Law Vol. 3 No. 1 (2025): Enigma in Law
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/law.v3i1.97

Abstract

The escalating pressures of the Anthropocene, characterized by climate change and biodiversity loss, demand effective and equitable conservation paradigms. This study investigates Sasi, a form of customary marine tenure in the Maluku Islands, Indonesia, as a potential model for sustainable resource management and climate resilience. A mixed-methods, comparative longitudinal approach was employed across six coastal villages from 2015 to 2025. Three villages actively practicing Sasi were compared with three non-Sasi control villages. Quantitative data included underwater visual censuses for fish biomass, line-intercept transects for coral cover, and household surveys (n=300) to assess socio-economic conditions and climate resilience indicators. Qualitative data were gathered through semi-structured interviews with key stakeholders (n=60), focus group discussions (n=12), and participant observation to understand the governance mechanisms and community perceptions of Sasi. Sasi villages exhibited significantly higher mean fish biomass (4.5 ± 0.8 t/ha) compared to non-Sasi villages (1.9 ± 0.6 t/ha) (p<0.001). Live coral cover was more robust in Sasi sites, showing greater resistance to bleaching events. Socio-economically, Sasi communities reported higher, more stable fishing incomes and perceived greater food security. Qualitative analysis revealed that the efficacy of Sasi is driven by strong social cohesion, legitimate authority of the Kewang (customary guardians), and adaptive management informed by traditional ecological knowledge. In conclusion, the findings demonstrate that Sasi customary law is a highly effective institution for marine conservation, contributing significantly to ecological health and community climate resilience. The study underscores the critical importance of integrating customary governance systems into national and global conservation strategies to address the complex challenges of the Anthropocene.
Rhizomatic Resurgence: Multispecies Storytelling and Ecological Entanglement in Southeast Asian Bio-Art Jasmila Tanjung; Matilda Munoz; Sarah Armalia; Kevin Setiawan; Sudarto Sudarto
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.v3i1.102

Abstract

The Anthropocene epoch has catalyzed a profound shift in contemporary art, with Bio-Art emerging as a critical field for interrogating the complex relationships between humanity, technology, and the non-human world. While significant scholarship has explored Bio-Art in Western contexts, its unique manifestations within Southeast Asia remain underexamined. This study investigated the rise of a specific mode of Bio-Art in this region, characterized by rhizomatic structures, multispecies storytelling, and deep ecological entanglement, offering a vital counter-narrative to anthropocentric perspectives. This research employed a qualitative, multi-sited case study methodology. Four exemplary Bio-Art projects from Indonesia, Thailand, Philippines, and Singapore, created between 2020 and 2024, were purposively selected. A multi-modal analytical approach was utilized, combining formal visual analysis of the artworks, critical discourse analysis of artist statements and curatorial texts, and thematic analysis of semi-structured interviews with the artists and curators. The analysis was theoretically grounded in the concepts of the rhizome (and multispecies ethnography. The analysis revealed four dominant themes. First, artists consistently employed the rhizome as both method and metaphor, creating non-linear, decentralized works that mirrored ecological networks. Second, a significant pattern of weaving technoscience with traditional ecological knowledge (TEK) was identified, where advanced biotechnologies were syncretized with local cosmologies and indigenous practices. Third, the artworks actively engaged in more-than-human narration, displacing the human as the central protagonist and instead foregrounding the agency of fungi, plants, microbes, and other organisms. Finally, these projects cultivated affective ecologies, generating powerful emotional responses in viewers to foster critical engagement with pressing regional issues. In conclusion, Southeast Asian Bio-Art, as examined in this study, represents a significant "rhizomatic resurgence" that challenges and expands the global discourse on ecological art. By entangling advanced science with local heritage and centering non-human agencies, these practices foster a profound sense of ecological interdependence. This research concludes that the region's artists are pioneering unique aesthetic and ethical frameworks for navigating our shared planetary crisis, contributing vital perspectives rooted in the unique biocultural complexities of Southeast Asia.
Three-Year Clinical Performance of Silver Diamine Fluoride (SDF) versus Glass Ionomer Cement in Arresting Carious Lesions in Primary Molars: A Community-Based Cohort Study Winata Putri; Sophia Lucille Rodriguez; Sarah Armalia; Alexander Mulya
Crown: Journal of Dentistry and Health Research Vol. 3 No. 1 (2025): 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.v3i1.238

Abstract

Introduction: Early Childhood Caries (ECC) is a significant global health problem. Minimally invasive treatments like Silver Diamine Fluoride (SDF) and Glass Ionomer Cement (GIC) are crucial, but long-term comparative effectiveness data from real-world community settings are scarce. This study aimed to compare the three-year clinical performance of 38% SDF versus high-viscosity GIC in arresting active carious lesions in the primary molars of preschool children. Methods: This study was designed as a three-year, prospective, non-randomized, community-based cohort study in an underserved urban population in South Sumatra, Indonesia. A total of 450 children aged 3-5 years with at least one active cavitated carious lesion (ICDAS 5/6) in a primary molar were enrolled. Following parental consent and choice, lesions were treated with either a single application of 38% SDF or a high-viscosity GIC restoration using the Atraumatic Restorative Treatment (ART) technique. Calibrated examiners assessed the lesions for caries arrest at 6, 12, 24, and 36 months using standardized visual-tactile criteria. The primary outcome was the proportion of arrested lesions. Survival analysis was performed using Kaplan-Meier curves and a Cox proportional hazards model. Results: A total of 620 lesions (309 SDF, 311 GIC) were treated and followed. At the 36-month follow-up, the caries arrest rate in the SDF group was 81.2%, which was significantly higher than the 64.8% arrest rate observed in the GIC group (χ² = 24.5, p < 0.001). The Kaplan-Meier survival analysis demonstrated a significantly higher probability of lesions remaining in an arrested state in the SDF group over the three-year period (log-rank test, p < 0.001). The Cox regression model identified the treatment modality as the primary predictor of failure, with GIC having a hazard ratio of 2.15 (95% CI: 1.55-2.98) compared to SDF. Conclusion: Within the parameters of this community-based cohort study, a single application of 38% SDF was significantly more effective in arresting active carious lesions in primary molars over a three-year period than high-viscosity GIC applied via the ART technique. These findings support the prioritization of SDF in public health programs for managing ECC.
Co-Authors Aaliyah El-Husaini Alexander Mulya Andi Fatihah Syahrir Benyamin Wongso Evelyn Wang Farah Faiza Grace Freya Purba Hesti Putri Jasmila Tanjung Jasmine Alieva Jonah Abraham Jovanka Andina Kevin Setiawan Khalil Jibran Matilda Munoz Maya Enderson Neva Dian Permana Sophia Lucille Rodriguez Sudarto Sudarto Winata Putri