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INDONESIA
Journal of Community Empowerment for Health
Published by Universitas Gadjah Mada
ISSN : 26548283     EISSN : 26550164     DOI : 10.22416/jcoemph
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public 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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 10 Documents
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Search results for , issue "Vol 6, No 2 (2023)" : 10 Documents clear
Strengthening community empowerment for elderly health service in new normal by Pol-Sadar (Integrated Health Service Post for Elderly) Umi Hani; Fery Agusman Motuho Mendrofa
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.66506

Abstract

Introduction: Before the pandemic, older people actively participated in an integrated health service post named POSYANDU. This high participation is due to community health workers who understand their role in realizing basic health services. During the pandemic, POSYANDU must be held with attention to developments in the COVID-19 case. Methods: We implemented the online-based service of integrated health posts to provide online health services for older people. This paper explains the participation of elders, family, and community health workers in the revitalization strategies of integrated health service activities for older people during the pandemic. The activities included health assessments via telemedicine (video call), drive-thru services for vital signs assessment and simple lab checks, home visits, and education via WhatsApp as needed. The implementation began in June 2020 and in May 2021 with 184 older people in some places in Central Java, including Semarang City, District of Semarang, and District of Batang. We also worked with teaching volunteers consisting of five community health workers and 19 nursing students in the community. Results: The results of these activities were the findings of health problems experienced by the elderly during the pandemic (depression, hypertension, and joint stiffness), increased knowledge, and physical activity of the elderly group. The 100 older people participated in online exercise activities accompanied by their families. They felt a decrease in complaints of joint stiffness, and 84 older adults participated in health education and exercise activities in open areas by implementing strict health protocols. Most participants said they were satisfied with Pol-Sadar activities as a health service strategy for older people during the pandemic. Conclusion: In conclusion, the online program was effective as a strategy of health services for the elderly, especially during the new normal era, and increased the participation of family and community health workers, but it needs adequate devices to participate.
Increasing Knowledge In The Health Protocol Of Covid-19 Prevention With Health Education In Boarding Schools Ikbal Fradianto; Djoko Priyono; Nita Arisanti Yulanda; Arief Andriyanto
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.71980

Abstract

Introduction: The COVID-19 pandemic that has occurred in the world has also impacted the world of education. The school’s policy initially closed face-to-face activities, but over time allowed schools to return to holding face-to-face school activities on the condition that they have to implement health protocol. Implementing the health protocol is essential for all students to do in schools to prevent the transmission of COVID-19 in the school environment. The implementation of the health protocol starts from the knowledge that students must have; therefore, there needs to be additional efforts to improve students’ knowledge. Actions that can be made in students’ knowledge suitable are by providing health education. This study aims to provide education about implementing the COVID-19 prevention health protocol on changes in knowledge. Methods: The methodology used in this study was quasi-experimental without using a control group; the statistical test used was paired t-test. Results: The results of this study indicate a change in knowledge between before being given education and after that with a P-value <0.005. Conclusion: There is an effect of providing education to increase knowledge in the health protocol of COVID-19 prevention.
The Elderly Knowledge Improvement of Balanced Nutrition in Patangpuluhan, Yogyakarta Rachmawati Widyaningrum
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77246

Abstract

Introduction: Elderly is a vulnerable group to body function impairment and diseases. Although these conditions are considered normal aging results, the elderly’s health level should be maintained. The application of balanced diet principles is one of the ways to reduce the risk and improves the health quality of the elderly. In this regard, the education program about balanced diet principles to enhance the group’s knowledge is essential to support a healthier lifestyle for the elderly. Methods: We conducted an experimental quantitative study in an elderly group in Patangpuluhan, Yogyakarta. The inclusion criteria were: Elderly aged >50 years old and live in Patangpuluhan. The data was analyzed using the Wilcoxon test for paired groups. This education program aimed to improve the elderly group’s knowledge of balanced nutrition to maintain the elderly health state. There were 30 participants, most of whom were women (90%). Results:The pre and post-test analysis results showed a 17 points significant increment (p=0,001) in participants’ knowledge (21%) compared to the pre-test score. Question topics that got the two highest score improvements were the duration of psychical activity and the purine-contains food groups (21,7 points). Conclusion:  This education program could raise elderly knowledge of balanced nutrition. This program should be applied regularly based on the elderly need for health and nutrition-related information. The male elderly also has to be encouraged to actively participate in community-based education to improve their knowledge of elderly health.
Improving Knowledge of Healthy Lifestyle Using WhatsApp Application and Health Screening of Productive Age Population in Pajimatan Hamlet, Imogiri, Bantul Janatin Hastuti, S.Si, M.Kes, Ph.D; Neni Trilusiana Rahmawati
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77258

Abstract

Introduction: The prevalence of obesity continuously increases, as are associated comorbidities and healthcare expenses. Early detection, intervention, and effective treatment of obesity are important to improve the quality of life and reduce costs. This Community Practice Program aimed to evaluate health status and provide education about the healthy lifestyle of people at productive ages in Pajimatan Hamlet, Imogiri, Bantul, Yogyakarta. Methods: Participants were 66 adults (26 men, 40 women) aged 19-64 years living in Pajimatan Hamlet. The program was held on November 2021. Education on a healthy lifestyle was done using social media via WhatsApp groups. Pre- and post-test were given to the participant before and after the education. Health screening measured height, weight, waist circumference (WC), blood pressure BP), and fasting blood glucose level. Obesity was determined using body mass index (BMI) and WC. Results: There were significant increases in healthy lifestyle knowledge scores before and after education in men (p= 0.017) and women (p< 0.001). Health screening indicated that men were significantly taller (p< 0.001) and heavier (p= 0.009) than women; however, there was no difference in BMI, WC, BP, and fasting blood glucose level (p> 0.05). There were no differences in the distribution of BMI obesity between men and women; however, women with central obesity were higher than men (70% women, 30% women, p= 0.021). Men having prehypertension were higher than women (46.2 vs. 15%); on the other hand, women with hypertension I and II seemed to be higher than men (p= 0.043). Type-2 diabetes was slightly greater in women (12.5%) than 7.7% in men. Conclusion: In conclusion, the Community Service Program found a high prevalence of obesity and hypertension in the population. Education on healthy lifestyle programs can help improve the target population’s knowledge.
An Overview of Clean and Healthy Living Behavior Practices in the Islamic Boarding-Based Education (Pondok Pesantren) Environment Fajrul Falah Farhany; Ichlasul Amalia; Meyka Budi Rachmawati; Winda Ernia; Hanggoro Tri Rinonce; Happy Indah Kusumawati; Rahadyana Muslichah
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77396

Abstract

Introduction: Perilaku hidup bersih dan sehat (PHBS) or also called clean and healthy living behavior (CHLB) in English practices in a congregate setting such as Islamic boarding schools (IBS) or pondok pesantren plays a vital role in maintaining the health of each individual living in the area. This study aimed to provide an overview of students (santri)’ CHLB practices at the Assalafiyyah Mlangi II Terpadu IBS. Methods: This quantitative non-experimental study was conducted using a survey method in July-September 2022. A non-probability sampling with a total sampling of 841 students was used. The data were collected using self-administered questionnaires developed on Google Forms and imported to Microsoft Excel for further data analysis. Additional observations of the environment and student activities were also used. Several indicators were assessed, including personal health maintenance, CHLB implementation, and environmental cleanliness. Results: The results showed that the students consume fruit less than 2 times per day (more than 80%), vegetables less than 3 times per day (male student 42.33% and female student 50.7%), drinking 6-9 glasses of water (18%), none of the female students (0.00%) have routine exercise schedule with the duration 90-120 minutes per week, and only female students (56.90%) have regular sleep patterns of 6-8 hours per day. The CHLB practices implementation and environmental cleanliness used the indicators of good handwashing practices, regular bathroom and dormitories cleaning, and the overall cleanliness of the Islamic boarding school achieved good performance, which scored more than 40%. Meanwhile, 44.04-67.85% of the students reported average scores for the available cleaning and healthcare facilities. Conclusion: In general, according to students’ perceptions, implementing CHLB at the Assalafiyyah Mlangi II Terpadu IBS is good enough, but the medical equipment is insufficient. Additionally, the condition of the school health unit or UKS is inadequate, so it is necessary to improve infrastructure and medicines. Furthermore, healthy santri cadres are needed as role models for other students in implementing CHLB and improving health status through promotive and preventive efforts.
Pregnancy-related Complications in Relation with Delivery Complication in Urban Public Health Center in 2019-2020: an Analytic Comparative Study Abiyyu Didar Haq; Cut Warnaini; Muhammad Rizkinov Jumsa; Deasy Irawati
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77441

Abstract

Introduction: With a huge gap of knowledge and understanding created by the current pandemic, especially regarding maternal health, this research aimed to compare and analyze the correlation between pregnancy-related complications and delivery complications in an urban public health center before and during the pandemic. Methods:This is an analytic comparative study utilizing a retrospective cohort approach. Medical records of pregnant women during 2019-2020 were obtained from Pagesangan public health center with approved ethics from Mataram University and related government agencies. Collected data were then analyzed for each year and then compared between 2019 and 2020 to see if there were any significant differences between maternal health before and during the COVID-19 pandemic. Results: Medical records of 653 pregnant women were collected in this study. Twenty-two of 311 and 27 of 342 pregnancyrelated complications were recorded in 2019 and 2020, respectively. In contrast, 68 of 311 and 70 of 342 delivery complications were recorded in 2019 and 2020, respectively. Analysis was done to obtain each year’s relative risk (RR), and then we compared the obtained RR of both years. In 2019, the RR of pregnancy-related complications to delivery complications was 0,398 (95% CI 0,104-1,518); in 2020, the obtained RR was 0,522 (95% CI 0,176-1,550). Conclusion: Pregnancy-related complications were not the risk factor for delivery complications in both years. However, a significant correlation was found between maternal age and pregnancy-related complications in 2020, while in 2019, gravidity was also significantly related to delivery complications.
Validation of Indonesian Version of Telehealth Usability Questionnaire (TUQ) Gilbert Sterling Octavius; Theo Audi Yanto
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77796

Abstract

Introduction: Indonesia is the 4th most populous country globally, with 250 million people across 17.508 islands. Despite its strong economic growth, the disparity in poverty increases as medical care costs shoot up. With inadequate medical care worker-to-patient ratio, telehealth is an alternative to providing healthcare in rural areas with similar or even better satisfaction rates. The lack of a standardized questionnaire in the Indonesian language encouraged the authors to validate Telehealth Usability Questionnaire (TUQ) in the Indonesian language. Methods: A cross-sectional study via the e-survey method was done from 17th to 31st of July 2020, while telehealth usability questionnaires were translated and adapted according to WHO protocol. The inclusion criteria were telemedicine users above 18 years old who had at least used telemedicine once in the past six months. Exclusion criteria included minors who completed the questionnaire. Results: A total of 102 data were obtained, comprising 73.5% female. The overall alpha coefficient was 0.958. The Kaiser– Meyer–Olkin (KMO) sampling test was satisfactory (KMO = 0.926), and the Bartlett test of sphericity was significant (Chisquare = 1835.043; df = 210; p < 0.001). Ease of use and learnability had the highest Cronbach’s alpha coefficient (0.907), while reliability had the lowest Cronbach’s alpha coefficient (0.794). Conclusion: In conclusion, this paper presents TUQ in the Indonesian language, which had not been done before. This set of questions will help assess the usability of the expanding number of telehealth programs available in Indonesia and allow comparisons to determine which features make them more acceptable to users. 
Optimization of Counseling Services at the Desks to the Four Posyandu Novi Indrayani
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.79667

Abstract

Introduction: Health counseling activities at the fourth table in posyandu services are still a serious problem. Counseling can detect early problems in babies and toddlers. Counseling services have not been carried out regularly at this posyandu. The purpose of this community service is the empowerment of cadres to improve posyandu services at the fourth table (counseling services) using posyandu counseling back sheet tools. Methods: The method used by providing education on counseling back sheets to posyandu cadres. The data collection technique is the observation of cadre counseling using counseling back sheets and pre-tests and postests to measure maternal satisfaction. The instruments used are in the form of checklists and questionnaires. The population at this service is 6 cadres and 31 mothers of babies and toddlers. The sampling technique uses total samples. The data analysis used is the percentage and mean formulas. The Location of Service at Posyandu Lestari I and Posyandu Ringin I in the Prambanan Puskesmas Work Area will be carried out in October 2022 with 3 hours of activity. Results: The results obtained were the average score of the implementation of cadre counseling using the counseling feedback sheet. The results of the posyandu service survey before and after the mother received counseling services from posyandu cadres, namely 54.8% in the dissatisfied category. After receiving counseling, the posttest score was mostly 83.9% in the satisfied category. Conclusion: These results show that posyandu counseling education with back sheet tools can improve posyandu services, especially in the 4th table. The devotee hopes there will be further empowerment activities to optimize services at the posyandu, one of which is technical training in counseling.
Increasing the Health-Related Quality of Life in Children with Congenital Rubella Syndrome: A Mixed-methods Study Elisabeth Siti Herini; Agung Triono; Kristy Iskandar; Ashadi Prasetyo; Albaaza Nuady; Marissa Leviani Hadiyanto; Kania Diantika; Veronica Wulan Wijayanti; Avianti Pramastuti
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.80029

Abstract

Introduction: Rubella infection during the first trimester of pregnancy is a significant cause of fetal malformation syndrome, or Congenital Rubella Syndrome (CRS), which affects the children’s quality of life (QoL). A Community Engagement Program was arranged collaboratively to increase the QoL of children with CRS and enhance parents’ skills and knowledge to better care for their children with CRS. Methods: A mixed-method descriptive study was conducted from April to October 2022 at Dr. Sardjito General Hospital. Sample recruitment used the purposive sampling method, which had been clinically and serologically diagnosed with CRS. Children’s QoL data were analyzed with a cross-sectional study design. The tools used were the Pediatric Quality of Life Inventory (PedsQL)TM 4.0 Generic Core Scales and SPSS version 26 to analyze paired T-tests. A focus group discussion (FGD) was used for qualitative thematic analysis. Results: We involved ten members willing to participate voluntarily in the PedsQL assessment and FGD. The result was an increase in patients’ QoL in the Physical Function domain that was statistically significant: pre-test and post-test physical health summary [490 (±261) vs. 510 (±251); p=0.022]. While social, emotional, and school functions increased were not statistically significant. From the FGD, the parents had diverse experiences and understanding of CRS-supporting examinations and treatments needed. Parents felt the children’s growth and development, as social and school functions were the common burdens. In order to help CRS prevention, the parents suggested a more comprehensive premarital program and antenatal care. Conclusions: The Community Engagement Program helps to increase the patient’s QoL in the Physical Function domain. Comprehensive multidiscipline management is needed to support children’s growth, social and educational functions. Periodic evaluations are required to monitor the QoL of children with CRS.
Immunization Program Intervention Training in Stunting Prevention Effort in Sampang Regency, Madura Island, East Java Kurnia Dwi Artanti; Arief Hargono; Laura Navika Yamani; Farah Fadhilah; Taufiq Hidayat Hasan
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.80680

Abstract

Introduction: Stunting is still a major health problem in Indonesia. Sampang Regency was one of the districts that experienced an increase in the prevalence of stunting. According to the 2018 Riskesdas data, one in three babies under two years old (baduta) and babies under five years old (toddlers) in Indonesia are in the stunting category. The intervention was needed to increase the number of immunization to prevent stunting. This activity aimed to identify the barrier to increasing Universal Coverage Immunization (UCI) to solve the immunization problem using the Human Centered-Design (HCD) method. Methods: The method used is a qualitative method using HCD with in-depth interviews, which is a method used to explore problems from the community side. This activity was involved by the head of the epidemiology and immunization section, the program holders of the Sampang district health office, coordinating midwives and immunization coordinators at selected health centers regarding immunization program interventions, namely exploring immunization problems from the community. The number of informants were six people in every public health center. The HCD intervention method has several steps: Persona, Journey of Map, Quote, Findings and Suggestions. The data analysis technique used a description of every HCD step. Results: The results from the intervention were that every public health center is known to have a different picture related to portraits of community members who are influential in implementing the immunization program. Conclusions: This program showed that health was not only the responsibility of the government or the health program holders but everyone. The recommendations from the HCD training at the two public health centers agreed to re-advocate the immunization program to relevant stakeholders.

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