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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 2 (2026)" : 10 Documents clear
Support group training for pregnant adolescents as an initiative to enhance maternal health among adolescents Maria Lupita Nena Meo; Sinta Elisa Jelita Kaunang; Heilbert Armando Mapaly
Journal of Community Empowerment for Health Vol 9, No 2 (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.103196

Abstract

Introduction: Minahasa Regency, North Sulawesi, faces a significant rate of teenage pregnancies, with serious health risks such as malnutrition, anemia, abortion complications, preterm births, and preeclampsia. In 2023, only 30% of the total pregnant adolescents registered at the Tateli Community Health Center received antenatal care services, highlighting the urgent need for intervention. This program aims to empower 40 health cadres from 12 villages through intensive training and mentoring conducted from September to October 2024.Methods: The training covered topics such as adolescent reproductive health, communication skills, counseling, and nutritional support. Each participant also received a structured training module for independent learning. Results: Post-training evaluations showed a substantial improvement in health cadres' knowledge, with the "good" category increasing from 25% to 82.5%, while the "moderate " and "low" categories decreased.Conclusion: These results highlight the effectiveness of community-based training in improving cadres' competencies in supporting pregnant adolescents. Empowering health cadres through training and mentoring enhances the quality of healthcare services for teenage mothers. The sustainability of the program can be strengthened through follow-up training, technology integration, and cross-sector collaboration to reduce adolescent pregnancy rates and improve maternal and child health outcomes. This program provides an effective approach to addressing the challenges of  adolescent pregnancy in the region.
Training of posyandu cadres and use of the PRIMAKU application to monitor child growth and development Lenny Gannika; Novie Homenta Rampengan; Asep Rahman
Journal of Community Empowerment for Health Vol 9, No 2 (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.113192

Abstract

Introduction: Monitoring the growth and development of children under five is essential for the early detection of stunting and developmental delays. However, the skills of Posyandu cadres in conducting comprehensive monitoring are still limited, especially in interpreting growth charts and assessing developmental milestones. The use of the PRIMAKU application as a digital tool has the potential to improve the accuracy and efficiency of growth and developmental monitoring.Methods: This community service program aimed to enhance the knowledge and skills of Posyandu cadres through training on Stimulation, Early Detection, and Early Intervention of Child Growth and Development (SDIDTK), combined with the introduction of the PRIMAKU application. A pre–post test design was used with 40 cadres participating. Knowledge was assessed using two questionnaires on growth and development (10 items each), while skills were evaluated using an observation checklist of 13 indicators. Data analysis included t-tests and Pearson’s correlation.Results: The training resulted in a significant improvement in cadres’ knowledge of child growth (from 70 + 5.99 to 91.50 + 3.616; p = <0.001) and development (from 66.50 + 6.988 to 89.00 + 5.905; p=<0.001). Skills in using the PRIMAKU application also increased substantially, with mean scores rising from 1.35 ± 1.31 to 11.45 ± 2.17 (cohen’s=5.63), indicating an extremely large effect size. These findings indicate that combining health education, demonstration, and hands-on practice effectively enhances cadres’ competence in growth and developmental monitoring.Conclusion: SDIDTK training combined with PRIMAKU application use significantly improved the knowledge and technical skills of Posyandu cadres in monitoring early childhood growth and development. The integration of digital tools supports more accurate documentation and strengthens cadres’ roles in early detection efforts. Continued training and long-term follow-up are recommended to maintain the sustainability of these improvements.
Capacity building of food handlers and health workers to strengthen food safety systems in Sleman district, Yogyakarta Special Region, Indonesia Risalia Reni Arisanti; Rizka Dinari; Farah Faza; Nanda Milenia; Wirdasari Hasibuan; Citra Indriani
Journal of Community Empowerment for Health Vol 9, No 2 (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.113540

Abstract

Introduction: In 2024, Yogyakarta Special Region ranked among the top three Indonesian provinces for foodborne outbreaks, with 65 reported cases concentrated mainly in Sleman District. These outbreaks highlight the importance of food safety practices, as poor hygiene, sanitation, and food processing skills contributed to them. Initial assessments revealed that health officers needed stronger investigative skills, and the training capacity for food handlers to produce safe food in accordance with Good Health Practice (GHP) and Good Manufacturing Practice (GMP) required enhancement.Methods: This secondary data analysis evaluated a community service program conducted in Sleman District (May-August 2025), comprising foodborne outbreak investigation training for surveillance and environmental health officers, and food safety training for food handlers. Knowledge was assessed via pre- and post-tests (0-100), and satisfaction via a Likert scale (1-5). Total sampling was applied, excluding participants with incomplete scores. Paired t-tests were performed using Stata 17.0 (p<0.05). Ethical approval was obtained from Universitas Gadjah Mada's MHREC (No. KE/FK/2027/EC/2025).Results: The food safety training included 21 participants from 14 small-scale catering businesses, focusing on hygiene, sanitation, and GHP/GMP. The epidemiological training involved 49 participants from 25 primary health centers and district officers, with an emphasis on outbreak investigation, case finding, and response measures. Both trainings showed improved knowledge as measured by pre- and post-tests, with mean score increases of 9.15 (95% CI 0.24-15.90, p<0.05) for food safety training and 11.1 (95% CI 7.70-14.54, p<0.01) for epidemiological training. The epidemiological training demonstrated a greater impact. All participants were satisfied or very satisfied with the program’s content, trainers, facilities, and applicability, although 4% suggested improvements in timing and duration.Conclusion: This program demonstrates that simultaneously enhancing the skills of food handlers and health officers can strengthen food safety systems, reduce outbreak risks, and support sustainable public health in Sleman and similar districts.
Mobile application-based tools in pediatric vision screening: A systematic review and meta-analysis of visual acuity assessment accuracy Florentina Priscilia; Yeni Dwi Lestari
Journal of Community Empowerment for Health Vol 9, No 2 (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.113607

Abstract

Introduction: Childhood vision impairment can have long-term adverse effects on health, education, and socioeconomic status. Early detection through school-based eye health programs is essential, but often limited by resource constraints. Mobile application-based visual acuity screening tools offer a potentially accessible solution for school-aged children. This systematic review and meta-analysis evaluated the diagnostic accuracy of such mobile applications for visual acuity screening in this population.Methods: The review followed PRISMA guidelines and was prospectively registered in the PROSPERO database. Methodological quality was assessed using the QUADAS-2 tool for cross-sectional studies and the Jadad scale for randomized controlled trials. Meta-analysis was performed using Meta-Disc and Review Manager software. Diagnostic performance was evaluated through sensitivity–specificity analysis and comparison of mean LogMAR values.Results: Six studies involving 2,891 participants were included. Both analytical approaches demonstrated favourable results for mobile application-based visual acuity screening compared with the reference standard. The S-ROC analysis yielded an AUC of 0.887, indicating strong diagnostic accuracy. The mean LogMAR difference was 0.02 (p = 1.0), showing no significant difference between mobile application-based and standard visual acuity assessments. Factors such as the use of trained examiners and adequate lighting were found to enhance screening accuracy.Conclusion: Mobile application-based visual acuity screening demonstrates reliable accuracy for assessing visual function in school-aged children. Its implementation in school-based screening programs may provide a practical and accessible solution, particularly in resource-limited settings, when supported by relevant sectors and stakeholders.
Enhancing gram staining capabilities for health analysts in Puskesmas (community health centers) at Jayapura City, Papua Eka Dian Ayu Agustina Fatem; Elisa Nugraha Haryadi Salakay; Grace Fitriana Primasari Hau Mahu; Samdei Carolina Rumbino; Dais Iswanto; Nuraliah Rusman; Purwanto Purwanto
Journal of Community Empowerment for Health Vol 9, No 2 (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.115472

Abstract

Introduction: The quality of health center services is influenced by various factors, including the proficiency of analysts in performing fundamental tests such as Gram staining. This skill is of critical importance for ensuring the accurate interpretation of results, ensuring that therapy and treatment is in accordance with standard practices. However, the competence of health analysts in the health center's working area varies considerably, which has the potential to affect the interpretation of test results. The objective of this activity was to enhance the knowledge and skills of health analysts at Puskesmas in Jayapura City in performing Gram staining.Methods: This study used a pre-experimental one-group pretest–posttest design (without a control group). The activity was carried out in Jayapura in June 2025, during a one-day training session. The research population consisted of all laboratory analysts who participated, with 11 participants who met the inclusion criteria included as samples using total sampling techniques. Knowledge assessment was conducted using a multiple-choice questionnaire. The data were analyzed descriptively to describe the characteristics of the respondents and the distribution of scores, as well as inferentially using a paired t-test to compare the mean pre-test and post-test scores, with a significance level of 0.05.Results: The implementation of gram staining training resulted in a significant enhancement in the average knowledge score, which increased from 4.45 to 6.73 (an increase of 2.27 points). A statistically significant difference was identified between the pre-test and post-test scores (t(10) = 2.46; p = 0.034), exhibiting a medium-to-large effect size (Cohen's dz = 0.74).Conclusion: The impact of gram staining training on learning outcomes was significant, with a moderate to large effect size (Cohen's dz = 0.74). However, it is important to note that the assessment of skills not included in this study is also necessary.
Enhancing Healthy Eating Knowledge Through Visual Narratives: A Comic-Based Intervention Through “Isi Piringku” Guidelines Among Elementary Students Zahra Anggita Pratiwi; Arindra Nirbaya; Noer Sholeh Krisna; Zahra Alifia Yuwaida
Journal of Community Empowerment for Health Vol 9, No 2 (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.108724

Abstract

Introduction: Establishing healthy eating habits during childhood is vital for supporting optimal growth, cognitive development, and long-term well-being. However, conventional teacher-centered nutrition education methods often fail to engage young learners effectively. This study explores the development and effectiveness of comic-based learning media to improve elementary students’ knowledge of healthy eating aligned with Indonesia’s “Isi Piringku” (My Plate) guidelines. Methods: A pre-experimental one-group pretest-posttest design was conducted involving 54 fourth-grade students at SDI Khoirru Ummah Malang. The comic media was co-developed through focus group discussions with teachers and parents, followed by expert validation assessing content, construction, and language using a structured rubric. Inter-rater reliability was evaluated using Cohen’s Kappa. The intervention included a 60-minute session with guided comic reading and interactive discussions. Knowledge improvement was measured using a 10-item multiple-choice questionnaire before and after the intervention. Data were analyzed using paired sample t-tests (p < 0.05). Results: Validation showed feasibility scores of 60% (Expert 1) and 90.67% (Expert 2), indicating “fairly feasible” to “highly feasible” ratings. The reliability test revealed slight agreement (K = 0.093), prompting revisions to enhance clarity and age-appropriateness. Post-intervention analysis showed a significant improvement in nutrition knowledge (mean pretest = 5.26; posttest = 7.04; p = 0.0001). The comics successfully engaged students, facilitated comprehension, and supported knowledge retention. Conclusion: Comic-based learning media is a valid and effective tool for delivering nutrition education to elementary school children. It enhances engagement, simplifies complex concepts, and aligns well with developmental learning theories. Future research should investigate its long-term behavioral impact and integration with digital or gamified learning platforms.
Empowering newly graduated doctors through website-based electrocardiogram (ecg) learning in remote areas Putrika Prastuti Ratna Gharini; Noviarina Kurniawati; Shofuro Hasana; Bidhari Hafizhah; Saski Yasmin Alfina; Hafidz Abdullah; Hana Maryam Solikhah; Vita Arfiana Nurul Fatimah; Orisativa Kokasih
Journal of Community Empowerment for Health Vol 9, No 2 (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.111474

Abstract

Introduction: Electrocardiogram (ECG) interpretation is an important skill for physicians to identify both cardiac and non-cardiac irregularities. As technology accelerates, ECG learning methods have expanded to online platforms. However, implementation still met challenges, particularly the newly graduated doctors working in remote, border, and island areas. Learning Management System (LMS) using a website offers a pivotal approach, enabling learning experiences without limitations of time or location, while simultaneously contributing to continuing medical education (CME). This study aims to develop a website-based LMS for emergency ECG training to enhance the diagnostic abilities and ECG interpretation skills of newly graduated doctors in rural areas. Methods: A quasi-experimental pretest-posttest study with consecutive sampling was conducted to recruit participants. They were given a 6-week timeframe, including completing all modules and live discussions. Pre-tests and post-tests were administered, and learning perspectives were assessed using a questionnaire. Results: A total of 48 newly graduated doctors participated in the study, but only 32 (66.7%) finished all the courses, including the post-test. The majority of participants were female, and all were under 30 years old. The average post-test score (66.00 ± SD 15.447) was significantly higher than the average pre-test score (56.67 ± SD 14.223), demonstrating a 10.67 point knowledge increment (p=0.009). Furthermore, the course yielded a significant increase in self-reported interpretation skills, confidence in managing cases, and perceived importance of ECG knowledge (p<0.001), although motivation to continue learning showed no significant change (p=0.82).Conclusion: Website-based ECG learning significantly improves knowledge, self-reported ECG interpretation skills, and clinical confidence among newly graduated doctors in remote settings, demonstrating a scalable and flexible educational model vital for bridging educational and diagnostic skill gaps in resource-limited areas.
Readiness and implementation gaps of Islamic boarding school health posts (poskestren) in Yogyakarta: Compliance with national guidelines Fajrul Falah Farhany; Ichwan Ichwan; Yacoeb Jaen Khatami; Hanggoro Tri Rinonce
Journal of Community Empowerment for Health Vol 9, No 2 (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.111973

Abstract

Introduction: Islamic boarding schools (IBS) in the Special Region of Yogyakarta continue to show gaps between daily practice and the national guidelines for Islamic Boarding School Health Posts (Pos Kesehatan Pesantren; Poskestren) and Clean and Healthy Living Behaviour (CHLB). This study assessed institutional compliance with the national guidelines and developed an advocacy agenda based on the observed implementation gaps.Methods: A cross-sectional study was conducted in eleven IBS across all five districts and the municipality of Yogyakarta. The assessment instrument was derived from Regulation of the Minister of Health No. 1 of 2013 on Poskestren implementation and development. It covered five domains: human resources, facilities and infrastructure, service processes, financing and health insurance, and partnerships. Each indicator was scored as fulfilled (1) or not fulfilled (0). Domain scores were calculated as the mean of the relevant indicators, and the Poskestren Index was calculated as the mean of the five domain scores for each IBS. Findings were summarized using unweighted proportions and student-weighted coverage.Results: The eleven participating IBS served 4,890 students. Facilities and infrastructure had the highest mean compliance score (81.8%), followed by human resources (69.7%) and financing and health insurance (68.2%). Service processes and partnerships each scored 63.6%. Nine IBS had an operational Poskestren, seven conducted periodic health checks, and five had active student health cadres. In the student-weighted analysis, periodic health checks reached 85.1% of students. Two IBS fulfilled all criteria, whereas three recorded the lowest Poskestren Index scores because they lacked student health cadres, had limited educational materials, and delivered services inconsistently.Conclusion: The availability of facilities did not consistently translate into well-functioning service processes. Strengthening student health cadres, establishing scheduled supervision by primary health centers (PHCs), and formalizing partnerships are necessary to embed CHLB as a sustained practice. More consistent service processes, stronger organizational arrangements, and sustained financing for promotive and preventive activities are required to close the implementation gap. The Poskestren Index provides a measurable baseline for advocacy and periodic monitoring of health services in IBS
Culturally adapted training and digital support to strengthen posyandu cadres in chronic disease management Suharno Usman; Maria Heny Pratiknjo; Muhamad Nurmansyah
Journal of Community Empowerment for Health Vol 9, No 2 (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.113276

Abstract

Introduction: The management of non-communicable diseases (NCDs) within communities is impeded by three key factors: low health literacy, a paucity of trained professionals, and cultural influences. Therefore, the present study evaluated the ETiHC-BLoC programme, a Minahasa culture-based training initiative designed to enhance the knowledge and skills of Posyandu cadres in NCD management.Methods: This study employed a community-based interventional design with a one-group pre–post evaluation, conducted from August to November 2025 in Bunaken District, the programme involved 40 cadres and comprised training, simulations, and implementation activities.Results: The results demonstrated significant enhancements in cultural health understanding (from 69.5% to 84.2%) and culture-based skills (from 70.1% to 85.6%). Furthermore, 80% of cadres actively used the Sehati application, with 75% satisfied with their training.Conclusion: The programme also yielded educational materials and a digital system for monitoring. The findings suggest that integrating culture-based training with digital resources can enhance community-level NCD management and recommend ongoing collaboration and capacity building for sustainability.
Interventions to counter health misinformation on social media during pandemics: A systematic review Bima Indra; Nurfadhilah Nurfadhilah; Dewi Purnamawati; Shintia Maharani
Journal of Community Empowerment for Health Vol 9, No 2 (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.116581

Abstract

Introduction: The rapid global spread of pandemics is often accompanied by a parallel "infodemic," an overwhelming surge of information on social media that includes harmful health misinformation and disinformation. This phenomenon poses a significant threat to public health by eroding trust, undermining official guidance, and promoting dangerous behaviors. This systematic review aims to synthesize evidence on the effectiveness and community reach of interventions designed to counter health misinformation on social media during pandemics.Methods: Following the PRISMA 2020 guidelines, a systematic search of the Scopus and Web of Science databases was conducted to identify experimental and quasi-experimental studies evaluating counter-misinformation interventions. Data were extracted and narratively synthesized.Results: The search identified nine eligible studies (total N = 8,667 participants) evaluating a range of interventions, including proactive strategies like psychological inoculation, gamification, and accuracy nudges; corrective measures such as debunking and fact-checking; and community-led approaches involving peer support. Proactive interventions, particularly those using gamification and inoculation, demonstrated effectiveness in improving misinformation recognition and building cognitive resistance. Corrective strategies like fact-checking and debunking were found to significantly reduce belief in false claims, with some evidence of durable effects. Community-led and peer-support models on platforms like Facebook and WhatsApp proved effective in reducing the prevalence of misinformation and fostering supportive online environments.Conclusion: A multi-layered approach combining scalable, platform-level nudges with targeted, community-contextualized educational and corrective strategies appears most promising. Future research should prioritize standardizing outcome measures and evaluating interventions in more diverse global populations and on emerging social media platforms.

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