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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 3 (2023)" : 10 Documents clear
Relationship between National Health Insurance Ownership and Compliance with Access to Health Services for Patients with Severe Mental Disorders (PSMD) “Pasung” in Blitar Regency, Indonesia Dhimas Anggi Septiansyah; Emi Wuri Wuryaningsih; Fitrio Deviantony
Journal of Community Empowerment for Health Vol 6, No 3 (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.66649

Abstract

Patients with Severe Mental Disorders (PSMD) "Pasung" require long-term care, which causes a financial burden on the family. The Indonesian government has guaranteed funding for the treatment. However, there are still PSMDs who do not make regular visits to health services. This study aimed to describe the Relationship between National Health Insurance Ownership and Compliance with Access to Health Services for PSMDin Blitar Regency, Indonesia. This study used an analytic observational design with a retrospective cohort study approach. Total sampling techniques selected 50 PSMD "pasung" recorded health insurance and several visits to primary health services. The data was obtained from the primary health services reporting records from January to March 2020. This study used the biserial point correlation (CI: 99%) test for analyzing data. This study has ethical clearance approval. The results showed that there was a positive relationship between ownership of NHI and compliance with access to health services (t-obs (3,491) ≥ critical (2,678); p-value = 0,001; r-bis = 0,450; α = 0,01). Indonesia has guaranteed the cost of PSMD treatment with shackles, but patients and families who use these facilities are not optimal. In conclusion, national health insurance ownership is related to compliance with access to health services for PSMD "Pasung". Health agencies can pay attention to policy-making for enhancing access to health services of PSMD "Pasung".
Effort to Control Pulmonary Tuberculosis (TB) in the Community through Tuberculosis Alert Health Cadre Training Yogi Fitriadi
Journal of Community Empowerment for Health Vol 6, No 3 (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.77331

Abstract

Tuberculosis (TB) alert health cadre training is an important thing that can be done to help control TB in the community. TB control includes increasing early detection and adherence to treatment for TB patients. To solve TB problems in the community, a synergy of roles is needed between health workers and the community, one of which is through empowering health cadres by increasing their capacity. We conducted interactive TB control health education training program that aim to improve health cadre knowledge, attitudes, and practice in early detection of TB and assistance to Drug Swallowing Supervisors/”Pengawas Menelan Obat (PMO)”. The training was provided using lecture method, two-way discussion, and demonstration for one day by internal medicine specialists, assisted by multi-professional students from medical and nursing program. A total of 36 health cadres from Sumberharjo village participated in this training. Before and after the training, cadres took pre-test and post-test. The survey results were analyzed statistically using descriptive quantitative methods for the respondent’s characteristics, whereas the score of knowledge, attitude, and practice were analyzed using nonparametric test. The median and the minimum-maximum of the pre-test score before training for knowledge was 10.5(7-13), attitude score was 15(11-15), and practice score was 15(8-15). Meanwhile, the median and the minimum-maximum post-test score after training for knowledge was 11(8-14), attitude score was 15(10-15), and practice score was 15(10-15). The results of statistic test obtained were p=0.003 for knowledge, p=0.272 for attitude, and p=0.111 for practice. It showed that there was a significant difference in the cadre's knowledge scores before and after training, but there were no significant differences in their attitudes and practice scores before and after training. Training for health cadres is recommended to increase capacity of health cadre, especially the knowledge of health cadre controlling TB in the community.
Primagravida Application Usability And User Satisfaction As A Digital Health Initiative For Pregnancy Educational Media And Remote Rural Monitoring Wiwin Lismidiati; Dimas Sumunar; Happy Indah Kusumawati; Mia Purnama
Journal of Community Empowerment for Health Vol 6, No 3 (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.81646

Abstract

Introduction: Nutritional status during pregnancy is one of the critical factors in determining maternal and fetal development, affecting birth weight, perinatal mortality, and infant growth. Regular monitoring of pregnant women’s health is crucial as preventive measures and promotive approaches for both mother and fetus. Primagravida, a web-based system, was developed to assist pregnant women in rural areas in monitoring their health, especially during the COVID-19 pandemic. This study aimed to evaluate usability and user satisfaction in using Primagravida. Method: Quantitative descriptive research with a cross-sectional design was employed. The study was conducted in the Kalibawang Primary Health Center (PHC) service area between June - October 2021. Seventy-nine pregnant women participated in this study. Pregnant women were registered and observed for their pregnancy profile through a web-based service integrated with PHC maternal and child health care. In evaluating the system usability, the current study utilized System Usability Scale (SUS), while a modified users’ satisfaction questionnaire was employed to capture participants’ perceptions. Results: Results indicated that most participants were satisfied with the benefits, information relevance, content adequacy and clarity, platform availability, and up-to-the-minute curated knowledge provided by the system. Utilization of this system reduced the number of visits to PHC since health monitoring could be performed virtually. Regarding system usability, respondents reported a score of 70, and the average score of respondents was 66. Conclusion: Pregnant women have adopted the Primagravida application to monitor their health and fetal status in Kalibawang District, Kulon Progo. Feature development is required to accommodate the upcoming demands of holistic maternal and perinatal care.
Nutrition and Mental Health Empowerment Project for Counseling Teachers and Students of Senior High Schools in Yogyakarta Risky Oktriani; Dianandha Septiana Rubi; Yogik Onky Silvana Wijaya; Bira Arumndari Nurrahma; Mohamad Fay Faizal; Sarair Maulidya; Brilliant Alendra Adianfra; Irwan Supriyanto; Edilburga Wulan Saptandari; Arta Farmawati; Sunarti Sunarti
Journal of Community Empowerment for Health Vol 6, No 3 (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.81891

Abstract

Background: Mental disorders can affect people of any age, including teenagers of school age, which can disrupt their productivity and quality of life if not managed properly. There is growing evidence that nutrition is vital in mental health, which helps manage mental disorders. Simple interventions for mental disorders among teenagers through health promotion, education, and nutritional interventions are needed to prevent mental disorders or provide early treatment for those in need.Objective: Our project aimed to train counseling teachers and students of senior high schools in Yogyakarta to have the capability of performing simple management of mental disorders and promoting a healthy nutritional status.Methods: Our project consisted of three phases; phase I (webinar and workshop), phase II (practice and implementation at schools), and phase III (monitoring and evaluation). We used pre- and post-tests to assess respondents’ knowledge and questionnaires to assess their perceptions of the project.Results: Twenty counseling teachers and forty students from 20 senior high schools in Yogyakarta participated in this project. Our project slightly improved students' knowledge of the importance of nutrition and mental health but not the teachers’ knowledge. All participants welcomed our project positively. Most participants agreed they learned new and important information and stated that the project helped combat nutritional problems and mental disorders.Conclusion: Our project was perceived positively and improved participants’ skills and knowledge of nutrition and mental health issues. This suggests that the project has empowered them to perform basic management of nutritional problems and mental disorders among teenagers at their schools. Additionally, more projects are still needed to widen and maximize the coverage of these important topics.
The Effectiveness of Prenatal Yoga on Back Pain Intensity of Third Trimester Pregnant Women in Surakarta Nindi Oktavia; Ardhia Putri Pramesti; Rizka Ayu Setyani
Journal of Community Empowerment for Health Vol 6, No 3 (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.83276

Abstract

The third trimester is the period of pregnancy in the last three months of pregnancy. The adaptation process that occurs during pregnancy often causes discomfort for pregnant women, so it is necessary to do several things from prevention to treatment. The most common discomfort for pregnant women is back pain. Pregnant women can experience back pain due to increased weight and spine. overcome back pain by massaging the back but it is not effective and prenatal yoga has never been done to treat back pain in the interviewed third-trimester pregnant women. The purpose of this study was to assess the effectiveness of prenatal yoga on back pain in third-trimester pregnant women. This study was a quasi-experimental design with a pre-post test control group design. The sampling technique in this study was purposive. In the implementation of this research respondents obtained as many as 30 respondents. after prenatal yoga in the third-trimester pregnant women is 2.07 with a standard deviation of 0.799. The results showed that there was an effect of prenatal yoga on the level of back pain in the intervention group before and after prenatal yoga was performed in the third trimester of pregnant women in Surakarta City in 2022 with a p-value of 0.001 (p > 0.05). The reduction in back pain was highest in the intervention group because the intervention group was given prenatal yoga. Prenatal yoga affected decreasing the level of back pain in third-trimester pregnant women. Researchers recommend prenatal yoga as physical exercise for pregnant women
Pneumonia Related Deaths in Sleman Based on Verbal Autopsy: an Observational Study Stephanie Audrey Handrianto; Beta Ahlam Gizela; Djayanti Sari; Lukman Ade Chandra
Journal of Community Empowerment for Health Vol 6, No 3 (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.83510

Abstract

Pneumonia has long been and remains one of the leading causes of death, especially among children and the elderly. Until this study was released, only the Jakarta province fulfilled the national target of pneumonia case findings. Thus, it is important to determine the characteristics and prevalence of pneumonia-related deaths in Sleman District based on verbal autopsy. This cross-sectional study used secondary data from Sleman HDSS cycles 1 to 7. The subject of this study was a person aged over 28 days who passed away due to pneumonia between 2015 and 2022 and met the criteria for sample inclusion. Fisher’s exact and Pearson’s chi-square tests were used to analyze the data. The number of subjects who died due to pneumonia was 65 subjects (33,3%), and the number of subjects who died due to other causes was 130 (66,7%). The prevalence of those who died due to pneumonia was lower than non-pneumonia death for all of the predetermined risk factors, including elderly age, male sex, low education level, high occupational risk, smoking history, alcohol consumption, asthma history, COPD history, stroke history, tuberculosis history, hospitalization history, and very thin or malnourished body with sex, occupational status & type, and nutritional status being statistically significant. The prevalence of pneumonia-related deaths in the Sleman HDSS VA population is 33,3%, with some risk factors that may affect it.
Disaster Health Literacy, Risk Perception, and Preparedness towards Resilience in a Volcano-Prone Community: A Cross-sectional Study in Yogyakarta, Indonesia I Made Moh. Yanuar Saifudin
Journal of Community Empowerment for Health Vol 6, No 3 (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.86343

Abstract

Communities residing in proximity to volcanoes face inherent risks from lahars. The eruption of Indonesia's Merapi volcano in 2010 had far-reaching consequences, impacting multiple districts and leading to 386 fatalities, as well as substantial financial losses amounting to approximately US$403 million. In order to bolster disaster response and mitigation efforts, resilience plays a crucial role by considering hazards, risks, vulnerability, and capacity. This research aimed to examine the relationship between disaster health literacy, risk perception, and preparedness, with the ultimate goal of enhancing resilience within a community susceptible to volcanic activities. The study utilized a cross-sectional design, involving 258 participants residing in hazard zone III areas near Yogyakarta's Merapi mountain, selected through proportional clustered sampling. Between January and February 2023, the researchers employed several assessment tools, including the Indonesian versions of the communities advancing resilience toolkit (CART-AS), disaster health literacy mitigation and preparedness questionnaire (DHLQ), disaster risk perception questionnaire (DRPQ), and disaster preparedness questionnaire (DPQ). The collected data underwent analysis utilizing descriptive statistics and the Pearson correlation test. The results unveiled disaster health literacy (β=0.22, p<0.001), risk perception (β=0.26, p<0.001), and preparedness (β=0.38, p<0.001) were all significant predictors of disaster resilience in a volcano-prone community. In conclusion, this study underscores the significant interplay between disaster health literacy, risk perception, and preparedness in relation to disaster resilience. It emphasizes the significance of fortifying disaster health literacy, fostering accurate risk perception, and promoting preparedness measures to enhance overall resilience in the face of disasters. These findings highlight the necessity for targeted interventions and educational programs aimed at augmenting disaster health literacy, improving risk perception, and enhancing preparedness levels within communities, thereby bolstering their resilience and response capabilities effectively.
Development of SatuJantung 2.0 Revised Version Android Application for Cardiac Arrest Pre-Hospital Management Beta Ahlam Gizela
Journal of Community Empowerment for Health Vol 6, No 3 (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.86361

Abstract

Cardiac arrest is one of the leading causes of death in Indonesia. Deaths can be prevented if symptoms are recognized early, and immediate assistance can be provided. An Android application called SatuJantung 2.0 was developed in 2018 and has been in use. However, during evaluation in implementation, it was found that the application is not compatible with the latest version of Android. An application revision is needed with newer features.The objective of this study is to develop a revised version of SatuJantung 2.0 with more advanced specifications. Methods used is action research, consist of 4 cycles: 1) Planning, 2) Action, 3) Observation, 4) Reflection.Final result of this study is an android application named SatuJantung 2.0 revised version. This application is developed in Bahasa Indonesia. This application has menu for login, registration, user profile, user status (based on analysis of user profile by risk calculator), user information, summary, emergency button, guidance for the first responders, sending WhatsApp message for the family/contact registered with the geotag location, and emergency call to ambulance.SatuJantung 2.0 revised version, named SatuJantung 2.5, provides an easy way for patients calculate the risk factors, get information about the disease and management, ask help in emergency situation, and guide first responders to do prehospital management in cardiac arrest case.
The Analysis Relationship of Exclusive Breastfeeding with Psychosocial Problems in Children Aged 4-6 Years Teuku Andi Syahputra; Asnawi Abdullah; Maidar Maidar; Fahmi Ichwansyah; Marthoenis Marthoenis
Journal of Community Empowerment for Health Vol 6, No 3 (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.87623

Abstract

Psychosocial health is one of the most important factors in achieving optimal growth and development in children. The increase in psychosocial problems among children has been accompanied by a decrease in the rate of exclusive breastfeeding over the past two years. Another important aspect is the history of natural disasters such as tsunamis, military operations, and the implementation of Islamic law in Aceh. This research aims to explore the relationship between exclusive breastfeeding and psychosocial problems in children in the city of Banda Aceh.The research method employed in this study is an analytical observational design with a cross-sectional approach. The population of this research comprises all children aged 4-6 years old. Samples were obtained using a cluster sampling technique, involving 296 children from 5 villages around one of the public health centers in Banda Aceh. Data analysis in this study is conducted using a logistic regression test.The results of the study indicate that the percentage of children aged 4-6 years in Banda Aceh who have received exclusive breastfeeding is 261 children (88.18%), while the number of children with psychosocial problems based on the Pediatric Symptom Checklist 17 is 27 children (9.12%). There is a significant relationship between exclusive breastfeeding and psychosocial problems in children aged 4-6 years in the working area of the Baiturrahman Public Health Center in Banda Aceh. Children who did not receive exclusive breastfeeding have a 5 times higher risk of experiencing psychosocial disorders compared to children who received exclusive breastfeeding during the first 6 months of life
Development of Anato-Smart Media as an Interactive Learning Media for Elementary School Students Regarding Limb Anatomy Atik Maftuhah
Journal of Community Empowerment for Health Vol 6, No 3 (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.88937

Abstract

The subject matter of science, especially related to human anatomy, is one of the most challenging to understand. To help understand science materials, especially human body anatomy, we conducted community service by developing the Anato-Smart book as a learning media for students and teachers of 5th grade of Muhammadiyah 1 Elementary School Surakarta in 2021. The method of implementation in this service includes several stages, including determining the topic of the body system for the learning media that would be developed through the Focus Group Discussion for teachers at Muhammadiyah 1 Elementary School Surakarta, followed by the development of interactive and educational story media Anato-Smart with the title “The Adventures of Andi and Si Balung”, then media trials to 5th graders at Muhammadiyah 1 Elementary School Surakarta, as well as interviews and outspread questionnaires for the evaluation of Anato-Smart media. This service activity resulted in an Anato-Smart teaching media developed to hone the students' analytical skills on limb and skeletal topics. Teachers can use this book to augment interactive lessons and as one of the educational resources for students to learn about potential risks and disorders to the limbs and skeleton in daily life. From the evaluation, the story and education concepts in this Anato-Smart media book are intriguing and facilitate comprehension, however, it is better to lessen the words and increase the number of images to make it more interesting for children. We will use this feedback to improve the final results of this media so that it can be used by other schools, not only by Muhammadiyah 1 Elementary School Surakarta. Collaboration with other parties to develop teaching media in the future is needed to produce educational and interactive teaching media.

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