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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 9, No 1 (2026)" : 10 Documents clear
Nutrition education to increase awareness about stunting among soon-to-be married couples in selected religion affair offices, Bekasi, West Java Sartika, Arindah Nur; Fadhilah, Tri Marta; Sari, Afrinia Eka; Prasetya, Guntari; Noerfitri, Noerfitri
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.86475

Abstract

Introduction: Nutrition education related to stunting is one of the strategies to tackle stunting incidence. A soon-to-be married couple is the right target to receive information about stunting, since they will be parents, especially a mother in the future. As it is known, the Religious Affairs Office has a pre-marriage training program, but not include nutritional sciences.Methods: A nutrition intervention consisting of nutrition education for men and women before marriage, to attend a mini lecture. The nutrition education program, including subjects related to marriage, is a pre-marriage education program from the selected religious affairs office in Bekasi. It aimed to increase nutrition knowledge, focusing on stunting prevention through family action. Participants were asked to fulfill nutrient adequacy for mothers as early as possible, before pregnancy, during pregnancy, and the lactating phase, as well as nutrient adequacy for infants during the first thousand days of life. They were also asked to ensure their health by joining the government’s program to visit the primary health service for antenatal care during pregnancy, and the integrated health center for growth monitoring after the baby is born. About 71 participants were recruited to do the pre-test, join the nutrition class, and finish the post-test.Results: Showed a double frequency of participants answering one hundred percent correctly during post-test, also most of the participants had an increased score in the post-test, p=0.000 (Wilcoxon signed-rank test). It showed that this program significantly increased participants’ knowledge about stunting.Conclusion: Nutrition education through simple lectures effectively improved knowledge about stunting. It is recommended to incorporate stunting topics into the pre-marriage education program as a preventive measure to reduce stunting. 
Tobacco control attitudes and perception of smoke-free area (KTR) implementation on health and non-health students in Universitas Mulawarman Permana, Lies; Nurrachmawati, Annisa; Rohmah, Nur; Agustini, Rina Tri; Masithah, Masithah; Zahro, Khumairotul
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.100966

Abstract

Introduction: In accordance with Samarinda Mayor Regulation No. 51 of 2012, the Faculty of Public Health at Universitas Mulawarman (Unmul) has enforced a Smoke-Free Area (KTR) policy since 2016. However, this implementation remains largely restricted to health-related faculties, leaving other areas of the university without consistent tobacco control measures. The lack of continuous health promotion initiatives has contributed to persistent smoking habits among students across the wider campus. This study aims to compare the perceptions of students from health and non-health faculties regarding tobacco control and evaluate their views on the current implementation of the KTR policy.Methods: This research employed a quantitative, cross-sectional survey design. Data was collected online between March and April 2024 using the Global Health Professional Student Survey (GHPSS). Utilizing purposive sampling, the study gathered 215 respondents, consisting of 123 health students and 92 non-health students. Data were analyzed using the Mann-Whitney test.Results: The results reveal a statistically significant difference in perceptions regarding tobacco regulation (P-value = 0.0001). Students in non-health fields tended to have a negative attitude toward tobacco control (65.7%), whereas health students demonstrated a positive perspective (67.6%). Furthermore, there was a significant difference in perceived KTR implementation (P-value = 0.000); only 22% of health students reported observing smoking on campus, compared to 83.7% of non-health students. Notably, among non-health students, those with positive attitudes toward tobacco control showed strong support for the KTR policy (87.3%), with 15.2% favoring strict sanctions for policy violations.Conclusion: The findings underscore the urgent need to expand the KTR policy to all faculties at Universitas Mulawarman. It is critical to develop targeted advocacy and educational programs that address the specific needs of the entire academic community to ensure effective and comprehensive smoke-free campus implementation.
Effect of clean and healthy living behavior (chlb) training on students’ knowledge in marqiz daarul quran wassunnah islamic boarding school, Riau: a quasi-experimental study Winarto, Winarto; Firdaus, Firdaus; Darmawi, Darmawi; Nurkasanah, Siti
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.101890

Abstract

Introduction: Islamic boarding schools (pesantren) face sanitation and behavioral challenges that increase the risk of preventable infectious diseases. Clean and Healthy Living Behavior (CHLB) programs have been promoted nationally; however, limited evidence evaluates the effectiveness of CHLB training on student knowledge in Marqiz Daarul Quran Wassunnah Islamic Boarding School in Kampar, Riau. Therefore, this study aims to evaluate the effect of CHLB training on students’ knowledge at Marqiz Daarul Quran Wassunnah Islamic Boarding School using a one-group pretest–posttest quasi-experimental approach.Methods: This quasi-experimental study involved 62 male students aged 6.5–50 years from Marqiz Daarul Quran Wassunnah Islamic Boarding School in Kampar, Riau. Knowledge was assessed using a validated 15-item questionnaire before and after a 120-minute structured training session. A paired t-test with 95% confidence level was used to compare mean pre- and post-test scores (α = 0.05).Results: Knowledge improved following training, as indicated by a decrease in the mean number of incorrect responses from 3.46 (pre-test) to 1.77 (post-test), with a statistically significant difference (p = 0.0429). However, increased post-test score variability suggested differing levels of understanding among participants.Conclusion: CHLB training significantly improved students' knowledge, though unequal learning gains suggest that a single training session may be insufficient for comprehensive understanding. Integrating recurring training, structured reinforcement, and Poskestren involvement may support long-term behavior change and sustain hygiene practices.
Community empowerment for health service integration in disaster-prone rural Indonesia: a multidisciplinary literature review Yanni, Daffa Arkananta Putra
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.106755

Abstract

Introduction: Indonesia, one of the most disaster-prone countries globally, faces persistent challenges in delivering equitable and resilient health services, particularly in rural regions vulnerable to natural hazards. Community empowerment has emerged as a promising approach to strengthening health systems by fostering local capacity, promoting inclusive participation, and ensuring culturally appropriate interventions. However, the integration of community empowerment into health service frameworks in disaster-prone rural areas remains fragmented and inconsistent. This literature review aims to explore how community empowerment contributes to the integration of health services in disaster-prone rural areas of Indonesia.Methods: This study employed a narrative synthesis approach to analyze peer-reviewed articles published between 2020 and 2025. Articles were selected from electronic databases including PubMed, ScienceDirect, and Google Scholar using specific keywords related to community empowerment, health services, disaster contexts, and rural Indonesia. From an initial pool of 230 studies, fifteen articles were included for in-depth thematic analysis.Results: The findings reveal that community empowerment facilitates improved health service delivery, enhanced disaster preparedness, and greater resilience through strategies such as participatory planning, utilization of local knowledge, social capital mobilization, and grassroots leadership. However, these initiatives often face significant challenges, including short-term funding, exclusion of marginalized groups, and limited institutional support.Conclusion: The review concludes that community empowerment has shown effectiveness in integrating health services in disaster-prone rural Indonesia; its sustainability and scalability require stronger policy support, long-term funding mechanisms, and inclusive program design. Future efforts must prioritize co-created approaches that align with the socio-cultural and structural realities of rural communities to achieve meaningful and lasting health outcomes.
Transformation of HIV/AIDS education through technology: assessing the success of GEBRAK SETIA among teenagers in Surakarta City Oktavia, Nindi; Pramesti, Ardhia Putri; Fitriani, Neng Resi; Setyani, Rizka Ayu
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.107152

Abstract

Introduction: The increasing prevalence of HIV/AIDS among Indonesian adolescents highlights the urgency of implementing innovative approaches in health education. This study explores the introduction of the digital-based GEBRAK SETIA (Gerakan Bersama Kader Satgas Remaja Tanggap HIV/AIDS) program through the EKSTRIM website platform as a youth-centered educational solution in Surakarta City. The program focuses on improving adolescent literacy about HIV/AIDS, reducing social stigma, and encouraging proactive prevention behavior through the involvement of peer educators using digital media.Methods: This study employed a qualitative descriptive design. Data were collected through testimonial video interviews, participatory observation, and documentation of role play and group discussions. A total of 40 adolescents aged 10-17 years, selected using purposive sampling from the Satgas Remaja in Semanggi, Surakarta, participated in a single-session activity held on November 5, 2023. The session, lasting 90-120 minutes, included peer-led education, website navigation, Q&A, and interactive role play. Content analysis was conducted to identify recurring themes, ensuring credibility through data triangulation and peer debriefing.Result: The EKSTRIM platform’s anonymous self-screening tool enabled participants to confidentially and independently evaluate their HIV risk. Screening outcomes indicated that 12 of 40 adolescents (30%) were classified as high risk, while 28 (70%) were in the low or no risk category. Educational sessions, delivered by peer educators in collaboration with the AIDS Prevention Commission (KPA) Surakarta, were associated with improved understanding of the distinction between HIV and AIDS, transmission routes, prevention strategies, and access to digital consultation services. Participation in QnA activities and role-play exercises was linked to increased confidence in conveying prevention messages and a clearer grasp of relevant strategies. Interview data further suggested a reduction in stigmatizing attitudes toward people living with HIV/AIDS (ODHA) and a stronger inclination to undergo or recommend HIV testing, reflecting greater motivation for early detection. Minor scheduling constraints were effectively addressed through coordinated planning, ensuring smooth program delivery.Conclusions: The GEBRAK SETIA program proved effective in educating adolescents, promoting behavioral change, and reducing HIV/AIDS related stigma. It is recommended that this program be expanded to other high-prevalence areas, supported by the development of more interactive digital features and integration of HIV/AIDS education into school curricula to ensure a broader and more sustainable impact
Pre-ramadan education and blood glucose monitoring as a safe ramadan fasting strategy for people with type 2 diabetes mellitus Larasati, Meirina Dwi; Muninggar, Dian Luthfita Prasetya; Jaelani, Mohammad
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.108406

Abstract

Introduction: People with type 2 diabetes mellitus (T2DM) who choose to fast during Ramadan are at increased risk of metabolic complications, particularly hypoglycemia and hyperglycemia. Ensuring comfort and a sense of safety is essential to minimize these risks. Pre-Ramadan education focusing on dietary management and regular health monitoring may support safer fasting practices. This activity aimed to assess the impact of pre-Ramadan education on glycemic control and fasting safety among individuals with T2DM.Methods: This community service activity was conducted among individuals with T2DM participating in the Prolanis program at Tlogosari Wetan Primary Health Center, Semarang City. Educational sessions on dietary management during Ramadan fasting were delivered using PowerPoint presentations, and booklets were distributed to 46 participants. Health monitoring was subsequently conducted through home visits during Ramadan to assess complaints and the risk of glycemic disturbances, including blood glucose measurements, in 27 participants.Results: Pre-Ramadan education was implemented during Prolanis activities in February and March 2024, followed by health monitoring throughout Ramadan. Reported symptoms suggestive of hypoglycemia included sweating, chills, tremors, headaches, and hunger, while symptoms related to hyperglycemia included polyuria, dehydration, nausea, vomiting, and fatigue. Blood glucose monitoring performed two hours before breaking the fast showed values ranging from 73 mg/dL to 235 mg/dL. Approximately 25% of participants achieved controlled blood glucose levels during Ramadan fasting. Comparison of pre- and post-Ramadan fasting blood glucose measurements indicated a tendency toward improved glycemic control during Ramadan.Conclusion: Pre-Ramadan education programs can help glycaemic control and monitor the risk of complications in people with T2DM who fast during Ramadan.
Adopting stunting prevention behaviors: The role of smart posters and family assistance teams (TPK) in Bogor Regency Satiti, Inten Laras; Wastutiningsih, Sri Peni; Guntoro, Budi
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.109814

Abstract

Introduction: Stunting remains a major public health concern in Indonesia, with prevalence among children under five exceeding 20% in the past decade. To address this, the government established Family Assistance Teams (TPK) and introduced smart posters as educational tools for stunting prevention. This study aims to explore how the role of TPK, together with mothers’ attitudes toward smart posters, shapes their perceived stunting prevention behaviors in Bogor Regency, Indonesia. Methods: A cross-sectional survey was conducted in 2024 among 120 mothers of children under two from nine sub-districts in West, Central, and East Bogor who had received smart posters during pregnancy between 22 November 2022 and 16 April 2023. Participants were selected using convenience sampling. Data were collected using a self-administrated questionnaire and analyzed with Partial Least Squares–Structural Equation Modeling (PLS-SEM) to test eight hypotheses. Results: PLS-SEM revealed that the role of Family Assistance Teams (TPK) was positively associated with mothers’ attitudes toward smart posters (β=0.42) and directly improved stunting prevention behaviors (β=0.51). Attitudes toward smart posters significantly influenced both stunting knowledge (β=0.51) and behaviors (β=0.21), whereas knowledge itself showed no significant association with behaviors (β= – 0.13). Attitudes fully mediated the effect of TPK on knowledge (β=0.21) and partially mediated its effect on behaviors (β=0.09). The model showed moderate predictive power (R²=0.31; Q²=0.20). The most effective pathway to strengthen stunting prevention behaviors was the direct influence of TPK (β=0.51), further enhanced by positive attitudes toward smart posters as behavioral boosters (β=0.09). Conclusion: The study shows that Family Assistance Teams (TPK) directly improve mothers’ stunting prevention behaviors and foster positive attitudes toward smart posters. These attitudes enhance both knowledge and behaviors, fully \mediating the effect of TPK on knowledge and partially mediating its effect on behaviors. The most effective pathway is the direct role of TPK, strengthened by positive attitudes toward smart posters.
Empowering community cadres through digital developmental screening using the e-KPSP application at Posyandu Panca Marga 8 Rodliya, Adzka Fahma; Tahir, Erni Susanty; Utami, Anisa Putri; Kaeksi, Ika Restu; Mandariska, Resa Paksi
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.112073

Abstract

Introduction: Early detection of developmental problems in early childhood is essential. However, community health services often prioritize growth monitoring over developmental surveillance. Community health cadres, who are central to Posyandu activities, require strengthened capacity and confidence to implement systematic screening. This study aimed to improve community empowerment through the implementation of digital developmental screening using the e-KPSP application at Posyandu Panca Marga 8, Kartasura District, Indonesia, with a particular focus on analyzing cadre acceptability.Methods: The intervention was conducted over six months from February to August 2025, involving 15 trained cadres and 55 children aged 3–59 months. Program stages included socialization with mothers and cadres, cadre training, digital screening implementation, and structured monitoring and reporting. Acceptability was measured using a validated questionnaire before and after the intervention.Results: Results revealed statistically significant improvements across all acceptability dimensions. Perceived Benefits increased from a mean of 38.07 to 53.00 (p < 0.001), Satisfaction from 13.47 to 18.00 (p < 0.001), Care Personnel Concern decreased from 10.53 to 4.93 (p = 0.005), Privacy and Discomfort decreased from 7.73 to 6.07 (p < 0.001), and Kit as Substitution decreased from 9.60 to 4.80 (p = 0.006). The overall acceptability score showed a significant improvement (Wilcoxon Signed-Rank Test, p = 0.005).Conclusion: These findings demonstrate that digital developmental screening using the e-KPSP application is well-accepted by cadres and effectively supports the integration of developmental surveillance into routine community health services.
Effectiveness of GenRe kit health promotion media on reproductive health knowledge among adolescents Husna, Ahsanu Bil; Arfah, Muh; Nur, Zilvi Fuadiyah; Noviyanti, Tausyiah Rohmah
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.112088

Abstract

Introduction: Ensuring healthy lives and promoting well-being, including maintaining reproductive health, is one of the key targets of the SDGs, which is especially crucial during adolescence when sexual maturity begins, and inadequate knowledge can increase the risk of reproductive-health problems. The use of appropriate and engaging methods and media will be more effective in increasing knowledge. Learning through play using the GenRe Kit can be an alternative to enhance students’ knowledge, particularly about reproductive health. This study aimed to determine the effect of using the GenRe Kit (Snakes and Ladders and Reproductive Organ Apron) as a health promotion medium on the level of adolescents’ knowledge of reproductive health at SMP Dharma Kirti, Karangasem Regency, Bali.Methods: This research was a quantitative study that used a quasi-experimental design with a one-group pretest and posttest approach. It was conducted at SMP Dharma Kirti, Karangasem Regency, Bali, in August 2024, with 30 ninth-grade students as participants.Results: The results of this study showed that before the intervention using the GenRe Kit, the participants (n = 30) were given a pretest, with a minimum score of 45 and a maximum score of 95. The average pretest score was 74.33 with a standard deviation of 13.8. After the intervention, the participants were given a posttest, and the results indicated that the average posttest score was 82.17 with a standard deviation of 10.05. The minimum score obtained in the posttest was 60, while the maximum score was 95.Conclusions: The GenRe Kit intervention produced a significant improvement in adolescents’ reproductive-health knowledge (Δ = 7.84, p = 0.001) and demonstrates its practical value as an interactive learning tool that can support school-based reproductive-health education and strengthen efforts to achieve relevant SDG targets.
Association of the VEGF +405C/G gene polymorphism with diabetic retinopathy in an Indonesian (Yogyakarta) population Supanji, Supanji; Romdhoniyyah, Dewi Fathin; Maharani, Dinda Mutiara; Putri, Aurelia Priscilla Regita; Felisha, Hifdza Faza; Indrawati, Vera Nurohmah; Hasanah, Ummi Noor; Widya, Shanti; Imawati, Nurul; Aribowo, Eko; Adisetiadi, Agit Seno; Revana, Eva; Winarti, Tri; Ikhsan, Muhammad Robikhul; Susanti, Vina Yanti; Prayogo, Mohammad Eko; Wardhana, Firman Setya; Sasongko, Muhammad Bayu
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
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.113213

Abstract

Introduction: Diabetic retinopathy (DR) remains a major cause of vision loss, and while chronic hyperglycemia drives its pathogenesis, inconsistent findings on the VEGF +405G/C polymorphism and the absence of Indonesian data highlight the need to clarify potential genetic susceptibility. The purpose is to determine the association between the VEGF +405C/G rs2010963 gene polymorphism and the risk of diabetic retinopathy (DR) in an Indonesian population.Methods: Our observational case-control study enrolled 100 type-2 diabetes mellitus patients (50 DR patients vs. 50 non-DR)  who underwent comprehensive clinical and ophthalmic examinations. Genomic DNA was extracted from peripheral blood samples, and the VEGF +405C/G rs2010963 polymorphism was genotyped using RFLP-PCR, with results confirmed by sequencing.Results: Our study included a total of 100 participants with no significant differences in baseline characteristics other than poorer visual acuity and significantly higher LDL and lower HDL levels in the DR case group. Allelic and genotypic distributions of the VEGF +405 rs2010963 polymorphism were similar between both groups, with HWE equilibrium analysis showing no significant deviation. Neither crude (GG; crude OR 0.32 [0.87 - 1.21]), age and sex-adjusted analysis (0.41 [0.11 - 1.60]), nor blood pressure, HbA1c level, BMI, and smoking status-adjusted OR of 0.38 (0.70 - 2.06), demonstrated a significant association between VEGF +405 rs2010963 polymorphisms and DR risk in our cohorts.Conclusion: Our study suggests that VEGF +405C/G polymorphisms may not serve as an independent risk factor for DR in the Indonesian population.

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