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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

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.

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

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

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.

Community Dynamics and Policy Resistance as Determinants of Green Transition Adoption: A Cross-Sectional Study in Indonesian Cities Dwi Valinia Ivanka; Rheina Weisch Fedre; Sarah Armalia
Open Access Indonesia Journal of Social Sciences Vol. 9 No. 1 (2026): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v9i1.318

Rapid urbanization in Southeast Asian cities has intensified environmental pressures, yet the adoption of green transition practices remains uneven across communities. While individual-level determinants have been extensively studied, the contributions of community-level social factors remain poorly understood in developing urban contexts. This cross-sectional study examined determinants of green transition adoption (GTA) among 398 residents of four Indonesian cities—Surabaya, Semarang, Bandung, and Yogyakarta—between March and August 2024. Binary logistic regression with nine predictors revealed that Community Dynamics was the strongest predictor (AOR=2.87, 95% CI: 1.79–4.60, p<0.001), followed by Policy Resistance (AOR=2.18, 95% CI: 1.39–3.42, p<0.001) and Social Equity Perception (AOR=1.92, 95% CI: 1.23–3.00, p=0.004). Environmental Knowledge Score and Health Risk Perception were not significant in the multivariate model. The model demonstrated adequate discrimination (AUC=0.79) and calibration (Hosmer-Lemeshow p=0.548), explaining 32.6% of outcome variance. Mediation analysis revealed that 35% of the CD–GTA relationship operated through social equity perception (Sobel z=3.21, p=0.001). Community-level social cohesion and institutional legitimacy are more powerful drivers of green transition adoption than individual knowledge or risk perception.

Community Dynamics and Policy Resistance as Determinants of Green Transition Adoption: A Cross-Sectional Study in Indonesian Cities Dwi Valinia Ivanka; Rheina Weisch Fedre; Sarah Armalia
Open Access Indonesia Journal of Social Sciences Vol. 9 No. 1 (2026): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v9i1.318

Rapid urbanization in Southeast Asian cities has intensified environmental pressures, yet the adoption of green transition practices remains uneven across communities. While individual-level determinants have been extensively studied, the contributions of community-level social factors remain poorly understood in developing urban contexts. This cross-sectional study examined determinants of green transition adoption (GTA) among 398 residents of four Indonesian cities—Surabaya, Semarang, Bandung, and Yogyakarta—between March and August 2024. Binary logistic regression with nine predictors revealed that Community Dynamics was the strongest predictor (AOR=2.87, 95% CI: 1.79–4.60, p<0.001), followed by Policy Resistance (AOR=2.18, 95% CI: 1.39–3.42, p<0.001) and Social Equity Perception (AOR=1.92, 95% CI: 1.23–3.00, p=0.004). Environmental Knowledge Score and Health Risk Perception were not significant in the multivariate model. The model demonstrated adequate discrimination (AUC=0.79) and calibration (Hosmer-Lemeshow p=0.548), explaining 32.6% of outcome variance. Mediation analysis revealed that 35% of the CD–GTA relationship operated through social equity perception (Sobel z=3.21, p=0.001). Community-level social cohesion and institutional legitimacy are more powerful drivers of green transition adoption than individual knowledge or risk perception.

From Eco-Anxiety to Climate Activism: The Moderating Role of Collective Efficacy Among Generation Z in Indonesia Jasmila Tanjung; Sarah Armalia; Zahra Amir
Open Access Indonesia Journal of Social Sciences Vol. 9 No. 3 (2026): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v9i3.329

Background: Escalating environmental hazards across Indonesia have transformed the climate crisis into a collective mental-health and sociological concern, yet whether ecological anxiety paralyses or mobilises young people remains contested, and Global South evidence is scarce. Objective: Drawing on the Social Identity Model of Collective Action integrated with collective-efficacy theory, this study examined whether collective efficacy moderates the eco-anxiety to climate activism relationship and whether catalytic eco-anger mediates it. Methods: A cross-sectional survey was administered to 1,500 Generation Z respondents aged 16 to 24 years recruited through public organizations in Palembang, South Sumatera, Indonesia, using validated multi-item five-point Likert scales. Analyses comprised reliability and confirmatory measurement modelling, a correlation matrix, hierarchical moderated regression with simple-slope decomposition, bootstrapped mediation, and diagnostics for common-method bias, multicollinearity, and clustering. Results: All constructs were reliable (Cronbach's alpha 0.84-0.88; McDonald's omega 0.84-0.87; composite reliability 0.84-0.87; average variance extracted 0.63-0.65) and discriminant validity was supported (heterotrait-monotrait ratios <=0.62). Common-method bias was not a threat (Harman first factor 36.96%). Collective efficacy positively predicted activism (beta = 0.39, 95% CI [0.35, 0.43], p < 0.001) and significantly moderated the eco-anxiety to activism path (interaction beta = 0.57, 95% CI [0.53, 0.60], p < 0.001; Delta-R2 = 0.32; f2 = 0.55). Simple slopes showed a crossover: eco-anxiety was associated with lower activism at low efficacy (-0.56) but higher activism at high efficacy (0.57). Catalytic eco-anger competitively mediated the association (indirect = 0.33, 95% CI [0.29, 0.38]) against a negative direct effect (-0.24). Conclusion: Collective efficacy conditions whether climate distress becomes organised activism, extending collective-action theory to the Global South and informing Indonesian youth and climate policy.

From Eco-Anxiety to Climate Activism: The Moderating Role of Collective Efficacy Among Generation Z in Indonesia Jasmila Tanjung; Sarah Armalia; Zahra Amir
Open Access Indonesia Journal of Social Sciences Vol. 9 No. 3 (2026): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v9i3.329

Background: Escalating environmental hazards across Indonesia have transformed the climate crisis into a collective mental-health and sociological concern, yet whether ecological anxiety paralyses or mobilises young people remains contested, and Global South evidence is scarce. Objective: Drawing on the Social Identity Model of Collective Action integrated with collective-efficacy theory, this study examined whether collective efficacy moderates the eco-anxiety to climate activism relationship and whether catalytic eco-anger mediates it. Methods: A cross-sectional survey was administered to 1,500 Generation Z respondents aged 16 to 24 years recruited through public organizations in Palembang, South Sumatera, Indonesia, using validated multi-item five-point Likert scales. Analyses comprised reliability and confirmatory measurement modelling, a correlation matrix, hierarchical moderated regression with simple-slope decomposition, bootstrapped mediation, and diagnostics for common-method bias, multicollinearity, and clustering. Results: All constructs were reliable (Cronbach's alpha 0.84-0.88; McDonald's omega 0.84-0.87; composite reliability 0.84-0.87; average variance extracted 0.63-0.65) and discriminant validity was supported (heterotrait-monotrait ratios <=0.62). Common-method bias was not a threat (Harman first factor 36.96%). Collective efficacy positively predicted activism (beta = 0.39, 95% CI [0.35, 0.43], p < 0.001) and significantly moderated the eco-anxiety to activism path (interaction beta = 0.57, 95% CI [0.53, 0.60], p < 0.001; Delta-R2 = 0.32; f2 = 0.55). Simple slopes showed a crossover: eco-anxiety was associated with lower activism at low efficacy (-0.56) but higher activism at high efficacy (0.57). Catalytic eco-anger competitively mediated the association (indirect = 0.33, 95% CI [0.29, 0.38]) against a negative direct effect (-0.24). Conclusion: Collective efficacy conditions whether climate distress becomes organised activism, extending collective-action theory to the Global South and informing Indonesian youth and climate policy.

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