Journal of Community Empowerment for Health
Journal of Community Empowerment for Health (ISSN 2655-0164 (online); ISSN 2654-8283 (print)) is a national, open access, multidisciplinary, and peer-reviewed journal. We aim to publish research articles and reviews on educative, promotive, preventive and community empowerment activities in the health sector, especially rural area.
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Karakteristik performance individu muda di Desa Ngablak dan hubungannya dengan penyalahgunaan NAPZA
Suhartini Suhartini;
Neni Trilusiana Rahmawati;
Yudha Nurhantari;
Hendro Widagdo;
Idha Arfianti Wira Agni;
Martiana Suciningtyas;
Wikan Basworo
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.38574
Alcohol, narcotics, psychotropic substances and other addictive substances are substances that are often misused. The majority of drug users are adolescents with age ranging from 13 - 17 years old at which abuse can affect body composition. Considering the role of the younger generation as the nation’s successors, it sparks the urgency to alleviate this negative behavior. One of the measures that can be done is by shifting the negative activities to positive ones such as sports. In order to do this, it is necessary to identify the performance characteristics of the youths to maximize their potential. This study aimed to find out the performance characteristics of the younger generation in Ngablak Village and their association with drug abuse. A total of 50 youth members in Ngablak Village, Ngablak Subdistrict, Magelang Regency were examined for anthropometry, physical (pulse, respiration rate, blood pressure, temperature), and somatotype associated with performance. Identification of subjects involved in alcohol and drug abuse was carried out using a questionnaire. The results were displayed descriptively. Statistical analyses (t-test or Mann Whitney U test) were used to compare performance characteristics between groups. Age of subjects ranged from 9 - 19 years and 50% were male. A total of 13 boys and 2 girls consumed alcohol. The results of physical examination showed the normal range in all subjetcs. The average age, height, and weight of male subjects who comsumed alcohol were higher than those who did not (p < 0,05). There was no difference in somatotype between adolescents who consumed alcohol and those who did not. The body type of male subjects based on measurements was the ideal type, whereas the female subjects had endomesomorphic body type. The tendency of consuming alcohol does not cause differences in body type in adolescents, both in male and female.
Survei status gizi balita di Agats, Asmat, Papua: Analisis situasi pascakejadian luar biasa gizi buruk
Maria Fransiska Pudjohartono;
Hanggoro Tri Rinonce;
Josephine Debora;
Pritania Astari;
Monica Gisela Winata;
Fadli Kasim
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.39235
A recent extraordinary event of malnutrition in children in Asmat, Papua, Indonesia has drawn enormous attention. To help in post-emergency rehabilitation, Gadjah Mada University sent a Kuliah Kerja Nyata – Peduli Bencana (KKN-PB) team to Agats, Asmat in March 17 – April 20, 2018. As part of situation analysis, the team surveyed the nutritional status of under five-years-old children in Agats, Asmat. The subjects were under five-year-old children coming to posyandus in five areas in Agats in March-April 2018. The data of sex, age, weight, and height were obtained, then the nutritional status in the form of Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ) was calculated using WHO Anthro version 3.2.2 software. Nutritional status was determined based on criteria from World Health Organization (WHO). Among the 372 children, 35 (9.4%) children were underweight and 7 (1.9%) were severely underweight. Twenty one (5.7%) children were stunted and 12 (3.2%) were severely stunted. As many as 23 (6.2%) children were found to be wasted and 6 (1.6%) were severely wasted. The percentages of children with malnutrition found in this survey were lower than the percentages for Indonesia and Papua overall, but percentages in two posyandus were higher than the national and Papua percentages. The relatively low total percentages may be accounted for by concentration of malnutrition cases in districts other than Agats and lack of coverage of children absent from posyandu. Prevalence of malnutrition varied in different age groups possibly due to inadequacy of complementary foods, changes in incidence of infections, and addition of siblings. Further surveys are needed using home visits that will also enable to analyze of socio-economic factors at the same time as nutritional status determinants in Agats and other districts in Asmat.
Penyuluhan tentang perilaku hidup bersih dan sehat bagi siswa-siswi di SMA Negeri 1 Sapuran, Wonosobo, Jawa Tengah
Florentina Kusyanti
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.40538
There were some students that spit their saliva out of the windows and spit their saliva outwhen they were in the classroom. There were also some teachers who were smoking in inappropriate place and some students who were throwing rubbish, such as candies wrap, anywhere. Teachers and students were still having low concern in maintaining the toilet and shower, hence the toilet and shower were still smelly and dirty. This activity was intended to implement “tri dharma perguruan tinggi” and to share the knowledge to other people, especially for students of SMA Negeri 1 Sapuran, Wonosobo. Hopefully, at the end of this activity, the students would realize the importance of implementing program called Perilaku Hidup Bersih dan Sehat (PHBS) or Healthy and Clean Behavior in the School. This community empowerment was carried out in one day in July 2016, in SMA Negeri 1 Sapuran, Wonosobo, Central Java. In this community empowerment, there is no pre-test, but two months of observation have been carried out after the activity. The method that used for health education is counseling. Students are collected in the hall then given material through Microsoft PowerPoint software with lectures, questions, and answers thenfollowed by a post-test to find out whether the material provided is useful in increasing the knowledge and application of Healthy and Clean Behavior for students. From the results of observations on 159 students, it is known that their knowledge is good. The post-test results showed that 81.8% of students had good knowledge. The application of Healthy and Clean Behavior during the observation period in two months after counseling was good, not much rubbish was scattered in the yard.
Penanggulangan depresi lansia pascaerupsi Gunung Merapi melalui permainan humor berbasis kearifan budaya lokal pada kader yandu lansia
Sumarni Sumarni;
Triwirasto Triwirasto;
Andrian Fajar Kusumadewi;
Santi Yuliani;
Dwi Dwi;
Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.41290
Mental health of elderly is a main priority which should be concerned of, in order to provide strength to obtain welfare in old age. Merapi eruption was a natural disaster that provided long-term psychological effects on elderly survivors. It is necessary to be handled with continuous support related to depression and life quality of elderly after Merapi eruption by providing training on humor games based on local cultural wisdom and management of depression in elderly in the manner of social spiritual to the cadres of integrated services for elderly in Hunian Tetap (Huntap) Kuwang, Cangkringa, Sleman, Daerah Istimewa Yogyakarta (DIY). Data used in this research was secondary data taken from community service that conducted in May - September 2014. The community service involved 30 cadres of integrated services for elderly and 45 elderly in Huntap Kuwang. Tools used in this research were module of local wisdom games completed with its equipment and module of early detection and coping with depression. The data were presented in descriptive quantitative and qualitative. After being given training on humor games based on local wisdom, there were increased average score on cadres’ knowledge of humor games based on local wisdom (from 66.4 to 93.2.) and skill (from 64.1 to 87.6,) as well as knowledge of early detection of depression (from 47.6 to 84.4) and skill of social support providing (from 35.3 to 80.8). There were declining trend of depression in elderly from 36 people before training to 17 people after the training of humor games based on local wisdom and spiritual social support. Training on humor games based on local wisdom and early detection of depressive tendencies along with the coping to the cadres of integrated services can reduce depressive tendencies and improve life quality of elderly in Huntap Kuwang, Cangkringan, Sleman, DIY.
Kader hidup sehat dalam upaya promotif penyakit denegeratif
Emy Huriyati;
Prima Dhewi Ratrikaningtyas;
Siti Rahmah Projosasmito;
Arta Farmawati
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.41292
Degenerative diseases occur because of interactions between genetics and lifestyle. The prevalence of non-communicable diseases in Sleman Regency is higher than the provincial average and occupies the second position in Daerah Istimewa Yogyakarta (DIY) or Special Region of Yogyakarta. The prevalence of diabetes mellitus 3.1% and central obesity is 29.8%. Health cadres have routinely carried out posyandu activities but have a role in preventing the risk of degenerative diseases which have not gone well. Research methods conducted with quasi-experimental one group pre-test and post-test designs on health cadres who were given counseling, tutorial, and discussions. The post test material was the cadre's knowledge before counseling and discussion were held. The measurement results are analyzed using quantitatif and pair t test analysis. The results of material delivery did not have a significant effect on the increase in knowledge of degenerative diseases p = 0.225 known from the pre-test (4.3 ± 1.6) and post-test (4.8 ± 1.4) with an increase in the mean of 0.4. Although statistically does not show significance, there is an increase in the value between pre and post test. There is an increase in the average knowledge before and after counseling.
Sekolah Kader Protector Jaten: Upaya peningkatan pengetahuan dan keterampilan kader remaja posbindu PTM di Dusun Jaten, Yogyakarta
Ifa Najiyati;
Beauty Octavia Mahardany;
Yana Yulyana;
Supriyati Supriyati;
Anggi Lukman Wicaksana
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.41293
Data from the Community and Family Health Care (CFHC) Faculty of Medicine, Public Health,and Nursing Universitas Gadjah Mada (UGM) in 2018 indicated that 32.6% of families in Jaten had hypertension. The results of community analysis indicated that non-communicable diseases (NCDs) were a major problem in Jaten. One of the measures to control NCDs is through integrated development and coaching post (called by posbindu PTM). The target age of posbindu PTM started from adolescence which is 15 years old. Adolescents are vulnerable group. Biological and psychological changes in adolescence have consequences that can affect their health for a lifetime. Posbindu PTM in Jaten was established in March 2018. However, the participation of adolescents was low. Early Detection and Disease Prevention by Jaten’s Adolescent Program (Protector Jaten) is designed to provide access and health services for adolescents. This program began with recruiting adolescents to be cadres and continued with cadre school. Adolescent cadres were equipped with knowledge and skills to do their duties in posbindu PTM. This study aimed to assess and explore School for Adolescent Cadres Protector Jaten to increase knowledge and skills of adolescent cadres about implementation of posbindu PTM. The design of this study was a pre-experimentalwith one group pre-test post-test design and mixed methods using the Kirkpatrick model level 1 and 2. The quantitative method was carried out using a questionnaire to 11 adolescent cadres. The qualitative method used observation to measure skills and semi-structural interviews on 5 adolescent cadres about the effect of School for Adolescent Cadres Protector Jaten. Total of 63,6% adolescent cadres were females with range of ages between 22 and 24 years old. The mean score of adolescent cadres’ knowledge was 6,5 and 8,6 for pre and post School for Adolescent Cadres Protector Jaten. There was a significant effectof School for Adolescent Cadres Protector Jaten on adolescent cadres’s knowledge (p = 0,003). There was increasing skills of adolescent cadres about the implementation of posbindu PTM. The result of interview showed that School for Adolescent Cadres Protector Jaten improved the knowledge, skill, and awareness in preventing NCDs. School for Adolescent Cadres Protector Jaten increased knowledge and skills about the implementation of posbindu PTM. Adolescent cadres still require assistance in implementing posbindu PTM as well as a refreshing program to maintain the implementation of posbindu PTM.
Deteksi filariasis dan vektornya di wilayah kerja Dinas Kesehatan Kabupaten Bantul, Daerah Istimewa Yogyakarta
Budi Mulyaningsih;
Sitti Rahmah Umniyati;
Ernaningsih Ernaningsih;
Tri Baskoro Tunggul Satoto;
Tridjoko Hadianto;
Siti Isti’anah
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.41524
In Bantul, Yogyakarta Special Region there have been reported 6 elephantiasis cases and ware suspected as filariasis. Elephantiasis is classified into two, namely filarial elephantiasis and nonfilarial elephantiasis. Filarial elephantiasis caused by lymphatic filarial worms infection and nonfilarial elephantiasis can be caused by podoconiosis, leprosy, tuberculosis, or chlamydia infection. The aim of the study was to ascertain whether elephantiasis cases are caused by filariasis. Activities carried out in the work area of the Bantul District Health Office in July 2016 i.e.: (1) patient location survey, (2) interviews with patients, their families, and surrounding communities, (3) examination of patients, and (4) observe the environment around the patient's residence to ensure existence of vector mosquito breeding places. This study found two people with elephantiasis, patients from Depok, Gilangharjo, Pandak, Bantul was suspected elephantiasis due to Brugia malayi infection. Patient from Cawan, Argodadi, Sedayu, Bantul was suspected elephantiasis due to podoconiosis. In Cawan found many breeding sites for the Anopheles vagus mosquito.
Intervensi melalui social media campaign dan panduan kantin sehat untuk meningkatkan perilaku makan sehat pada mahasiswa Departemen Teknik Mesin, Universitas Gadjah Mada
Meia Audinah;
Ribia Tutstsintaiyn;
Atiq Harkati;
Zainab Zainab;
Fahmi Baiquni;
Yayi Suryo Prabandari
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.41720
Social media campaign intervention program and healthy canteen kit is a strategy to increasing knowledge, attitudes, and modify the environment in order to achieve improved healthy eating behavior of students of the Universitas Gadjah Mada (UGM) Mechanical Engineering Department. This study measured preeliminary outcomes from social media campaign interventions and the healthy canteen kit conducted in form of knowledge, attitudes, acceptance, and adoption of the program. This study used quasi experiment with quantitative and qualitative approach. First, quantitative research used pre-post test questionnaire (n = 52) to find out the changes in knowledge and attitudes of the social media campaign program. Second, qualitative research used semi-structured interview methods (n = 9) to determine the response and adoption of social media campaign programs and healthy canteen guidelines. The social media intervention campaign was conducted in May - August 2018 through official account Line and Instagram of KM DTM. Making process of a healthy canteen guide was a collaboration prepared together with the stakeholder in April - August 2018. The results on social media campaign programs presented a differences in mean of knowledge score of healthy eating before and after intervention with a significance level of 0.03 (p < 0.05) and there were significant differences in healthy eating attitudes before and after intervention ( p < 0.05) with an average difference of 1.0. Qualitatively, the dietary social media campaign showed good acceptance. Acceptance of healthy canteen guidelines was considered good and can be applied in the UGM Mechanical Engineering Department. Measuring the results of a healthy diet quantitatively and qualitatively showed positive results. The acceptance and adoption of healthy canteen guidelines is considered good and can be applied.
Perbandingan komplikasi antara fakoemulsifikasi dan manual Small-Incision Cataract Surgery (mSICS) pada operasi katarak massal: Sebuah penelitian kohort retrospektif
Tri Winarti;
Indra Tri Mahayana;
Reny Setyowati;
Suhardjo Pawiroranu
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.42182
Cataract is the most common cause of reversible blindness, and its prevalence have been increasing in the community depend on the age. Phacoemulsification and manual Small-Incision Cataract Surgery (mSICS) were the techniques of cataract surgery that was frequently used in high-volume cataract surgery setting. This study aimed to compare the complications between phacoemulsification and mSICS in high-volume cataract surgery. This research was a retrospective cohort study with the data taken from the medical record of high-volume cataract surgery organized by Community Ophthalmology Division, Department of Ophthalmology Universitas Gadjah Mada (UGM) from January 2018 to November 2018. Cataract surgery was performed by consultant ophthalmologists, general ophthalmologist, and senior ophthalmology resident for phacoemulsification and by senior ophthalmology resident and junior ophthalmology resident for mSICS. Intraoperative and postoperative complications (i.e. posterior capsule rupture, vitreous prolapse, aphakia, iridodialysis, endophthalmitis) until four weeks of follow up were compared in both techniques. There were 483 patients who had been operated, 188 (38.9%) patients underwent phacoemulsification and 295 (61.1%) patients underwent mSICS. Intraoperative and postoperative complications in phacoemulsification and mSICS performed by senior ophthalmology resident were no statistically significant different (p > 0.05). Nevertheles, there was statistically significant different in the complication of posterior capsule rupture and aphakia in phacoemulsification based on the level of surgeon’s skill (p < 0.05). Most of them performed by senior ophthalmology resident in 11 (35.5%) cases and 5 (16.1%) cases respectively. However, complications in mSICS were no significantly different based on the level of surgeon’s skill performed by senior ophthalmology resident and junior ophthalmology resident (p > 0.05). Complications in phacoemulsification and mSICS performed by senior ophthalmology resident with relatively similar in the level of surgeon’s skill were not significantly different. However, the complication of posterior capsule rupture and aphakia in phacoemulsification was significantly different based on the level of surgeon’s skill.
Pelatihan mikroskopis dan entomologi pada tenaga laboratorium dan entomologis lokal di Kecamatan Kokap untuk mendukung eliminasi malaria di Kabupaten Kulon Progo, DIY
Elsa Herdiana Murhandarwati;
Rizqiani Amalia Kusumasari;
Purwono Purwono;
Kuswati Kuswati;
Sulistyawati Sulistyawati;
Sitti Rahmah Umniyati;
Mahardika Agus Wijayanti;
Tri Baskoro Tunggul Satoto
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
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DOI: 10.22146/jcoemph.42298
Malaria is a serious public health problem in Indonesia. This disease is one of several indicators that have been targeted by the Millennium Development Goals (MDGs) 2015 to become Sustainable Development Goals (SDGs). In malaria-endemic areas such as in Kokap, Kulon Progo, Yogyakarta, reported malaria cases declined in 2000 with no case, but increased in 2011 following by some outbreaks in 2012. Future outbreaks could be avoided when health personnel including Primary Health Care (PHC) microscopists and entomologist surveyors were equipped with adequate trainings related to malaria. This training also be used for refreshment for existing personnel to support elimination at the Kokap I, Kokap II, and several nearby PHCs. In October 2013, the Department of Parasitology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada carried out microscopic training and basic entomology related to malaria in the working area of PHC in Kokap. Training methods were giving material and direct activities in the field. The training provided basic entomology training, malaria microscopic training and malaria vector mapping using a Global Positioning System (GPS). The training facilitated PHC personnel to do correct identification of Plasmodium species, identification of old and new vector breeding sites, and found out how to map vector distribution and malaria cases in their area. The results showed that there was an increase in knowledge from PHC personnel who participated in the pre-test and post-test. From field activity, three adult mosquitoes species were found i.e. Anopheles vagus, An. annularis and An. maculatus. Nulliparous and parous mosquitoes from adult mosquito based on the examination of their tracheole skeins of ovarium were found from the collected mosquitoes although oocyst in midgut and sporozoite in salivary gland were not found during adult mosquito surgical. Similar trainings were expected to be applied in other similar areas in the future.