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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 202 Documents
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Genetic polymorphism of ALDH2 linkage to kidney function status of East Nusa Tenggara alcohol drinkers and cigarette smokers Busyra Busyra; Yudha Nurhantari; Suhartini Suhartini; Maria Agnes Etty Dedy; Tri Ratnaningsih
Journal of Community Empowerment for Health Vol 4, No 2 (2021)
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.61559

Abstract

Chronic kidney disease is a preventable high-burden disease. Several risk factors for impaired kidney function have been identified, including lifestyles, such as alcohol drinking and cigarette smoking. However, the evidence remains inconsistent. East Nusa Tenggara has the largest proportion of heavy alcohol drinking among all provinces in Indonesia. Genetic polymorphism of aldehyde dehydrogenase 2 (ALDH2) is related to alcohol drinking behavior through the inactivity of the ALDH2 enzyme, which leads to toxic acetaldehyde accumulation. This study aims to recognize the linkage of ALDH2 genotypes to kidney function among alcohol drinkers and cigarette smokers in East Nusa Tenggara. This study was a cross-sectional study of East Nusa Tenggara ethnicity, aged 18-60 years old. Demographic and lifestyle data were obtained via a questionnaire. DNA analysis was conducted with the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) technique. Creatinine and BUN levels were measured with a chemistry analyzer. Afterward, the estimated glomerular filtration rate (eGFR) was calculated from creatinine value using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. The association between kidney function status and alcohol drinking and cigarette smoking habits were analyzed using the chi-square test, then stratified based on genotype groups. Fifty-one subjects were included in this study, while the mean age was 26.33±1.33 years and the median age was 22 years. There were 37 (72.5%) alcohol drinkers and 14 (27.5%) non-drinkers; 28 (54,9%) cigarette smokers and 23 (45.1%) non-smokers. This study revealed no significant association between kidney function status and alcohol drinking habits. Cigarette smoking habits were inversely associated with eGFR decline and creatinine elevation in wild-type ALDH2 groups.
Community gout management program needed for adult people in the rural area Ema Madyaningrum; Fitrina M. Kusumaningrum; Ratri Kusuma Wardani; Annisa Ryan Susilaningrum; Anisah Ramadhani
Journal of Community Empowerment for Health Vol 4, No 2 (2021)
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.61591

Abstract

Gout is one of the non-communicable diseases that can affect the quality of life. The high prevalence of gout is apparent in Indonesian research and records in primary health services. However, adult people's needs regarding gout management programs were barely explored. The study aimed to identify the association between the character of demographics, food consumption, and prevalence of gout in the rural areas in The Sleman Regency. This study is a quantitative study using a cross-sectional approach. Samples consisting of 109 adult people were chosen by purposive sampling with inclusion criteria: 1) residents of The Jaranan sub-village, Cangkringan, Sleman, D.I. Yogyakarta Province and 2) age over 25 years old. Data was collected through a survey using questionnaires adapted from the Indonesian Basic Health Survey Questionnaire, Gout Knowledge Questionnaire (GKQ) and Gout Assessment Questionnaire (GAQ), and food frequency form. Association between gout, food consumption, and knowledge were analyzed using the chi-square test.As a result, the prevalence of gout in adult people in rural areas was 18.35%. They have limited knowledge regarding gout diagnosis, treatment, and prevention (66,97%). Half of the respondents reported consuming food with medium content of purine such as tempeh (56%) and tofu (52%), and were not well-hydrated (63.3%). There was a significant relationship between gout and hypertension and meat consumption. Respondents reported they worried about the progress of gout (>70%) they will experience. In conclusion, the prevalence of gout is high in adult people in rural areas. The adult people who did not have formal education, hypertension, and meat consumption have a significant association with gout diseases. There is a need for a gout prevention program to maintain a healthy lifestyle and healthy diet, improve gout-related knowledge and control the progress of gout disease.
Age and gender distribution of pterygium cases from the pterygium surgery social service program Supanji Supanji; Tania Purbonegoro; Anindita Dianratri; Krisna Dwi Purnomo Jati; Agung Saputro; Aloysius Angga Wibowo; Suhardjo Suhardjo
Journal of Community Empowerment for Health Vol 4, No 2 (2021)
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.62285

Abstract

Pterygium is an eye condition that causes abnormal growth of fibrous tissue on the sclera. Pterygium could cause vision impairment when it reaches the area that blocks the pupil. Though the cause is still inconclusive, pterygium is associated with older age and male gender. The incidence of pterygium in Yogyakarta remains relatively unreported due to little documentation. This study aimed to report findings from the Pterygium Surgery Social Service Program, focusing on the age and sex distribution from several communities in Gunung Kidul, Yogyakarta. This study was a descriptive cross-sectional study. Study subjects were pterygium patients from the social service program organized by the Department of Ophthalmology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, in October 2018 – March 2020. There were 227 patients consisted of 151 female patients (66.5%) and 76 male patients (33.5%). There were 22 patients (9.7%) who had grade I pterygium, 137 patients (60.4%) had grade II pterygium, 45 patients (19.8%) diagnosed as having third-grade pterygium, and 23 patients (10.1%) had grade IV pterygium. On average, female patients made a higher proportion of those having pterygium in all grades. The majority of patients in all age groups fell into second-grade pterygium, except for those aged >70 years old who had a higher number of those in the grade III category. In conclusion, female subjects made a higher proportion than males in all pterygium grades, and those aged 70 years and older had a more severe stage.
Alcohol dehydrogenase 1C (ADH1C) polymorphism is significantly associated with kidney function status in Nusa Tenggara Timur ethnicity: A cross-sectional study Budiatri Retno Noormaningrum; Yudha Nurhantari; Suhartini Suhartini; Tri Ratnaningsih; Maria Agnes Etty Dedy
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.61561

Abstract

Excessive alcohol consumption is harmful to many human organs, but the association with kidney function is still controversial. The disagreement in findings might be caused by ADH1C polymorphism's influence on alcohol metabolism rate. This study aims to determine the correlation between ADH1C polymorphism and kidney function status in Nusa Tenggara Timur (NTT) ethnicity, a population with highly prevalent alcohol consumption in Indonesia. We conducted a cross-sectional study of 76 subjects, who are natives of NTT, Indonesia. The genotyping of extracted DNA for ADH1C was done by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) using restriction endonuclease SspI. Kidney function status was defined by serum urea level and estimated glomerular filtration rate (eGFR) that had been categorized according to percentiles. The correlation with the ADH1C allele was analyzed using chi-square tests. The genotype of ADH1C in NTT ethnicity was ADH1C*1/*2 (51.3%), ADH1C*2/*2 (47.4%), and ADH1C*1/*1 (1.3%). The results showed that the population had the ADH1C*2 (73.03%) and the ADH1C*1 (26.97%) allele. There was a significant association between ADH1C polymorphism and eGFR among NTT ethnicity (p=0.005) when eGFR was analyzed at the 25th percentile (74.75 mL/minute/1.73m2). However, we found no associations when eGFR was analyzed at 50th (p=0.571) and 75th (p=0.335) percentiles. The odds ratio shows that having the ADH1C*1/*2 genotype escalates the probability of declining eGFR 6.620 times compared to ADH1C*2/*2 (95% CI: 1.539-28.478), after adjusted for smoking behavior. We found no association between ADH1C polymorphism and serum urea level (p=0.123, 0.421, and 0.335). The majority of NTT ethnicity have the ADH1C*1/*2 genotype. Populations with ADH1C*1/*2 have higher odds ratio for eGFR below 74.75 mL/minute/1.73m2 than those with ADH1C*2/*2 genotype. There was no association between ADH1C polymorphism and serum urea levels.
The screening of heart disease by cardiac auscultation and electrocardiography examination in pregnant women in Puskesmas Tegalrejo, Yogyakarta, Indonesia Lucia Kris Dinarti; Detty Siti Nurdiati; Anggoro Budi Hartopo; Fika Humaeda Assilmi; Alifia Salsabila; Vera Dewanto; Armalya Pritazahra; Muhammad Reyhan Hadwiono; Muhammad Gahan Satwiko; Erna Ashlihah Rochmat; Nu Pravitasari; Dyah Wulan Anggrahini
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.64970

Abstract

Women adapt to pregnancy through multi-organ system physiologic changes, including cardiovascular adaptations. These changes affect those with pre-existing cardiovascular problems differently, and subsequently lead to higher probability of death caused by cardiovascular diseases during pregnancy. Therefore, detection of cardiovascular disease early in pregnancy is important to lower maternal morbidity and mortality by providing prompt and adequate management. This study aimed to evaluate and test the feasibility of integrating 12-lead electrocardiogram (ECG) examination and antenatal care (ANC) screening as a simple and effective method for early detection of heart abnormality in pregnant woman. Pregnant women were recruited in this study in any trimester who attended ANC for a routine pregnancy examination in Puskesmas Tegalrejo Yogyakarta. The subjects underwent primary screening which focused on cardiac auscultation and 12-lead ECG examinations, and those who had abnormal findings were further followed-up in secondary screening by using trans-thoracic echocardiography to confirm heart abnormality. A total of 523 pregnant women from Puskesmas Tegalrejo were included in this study. 15 (2.8%) pregnant woman were suspected to have heart abnormalities; from those, 3 (0.5%) were found with heart murmurs with abnormal ECG readings, 1 (0.19%) had heart murmurs with normal ECG results, and 11 (2.1%) had abnormal ECG readings only. The secondary screening of those patients resulted in 1 (0.19%) pregnant woman who was diagnosed with Atrial Septal Defect. Our study found that among 15 patients identified with suspected ECG abnormalities, one mother who underwent ANC was newly diagnosed with a pre-existing cardiac abnormality. Our study concluded this screening method is a simple and feasible integrated heart screening program that can be implemented widely. We hope this integrated heart screening program may benefit pregnant women who may have cardiac abnormalities to be detected as early as possible, thus reducing maternal morbidity and mortality.
Cross-sectoral collaboration in mental health services: Identifying the role of mental health care teams in the community Osi Kusuma Sari; Subandi Subandi; Carla Raymondalexas Marchira
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.61574

Abstract

Strengthening integrated and community-based mental health services is essentially needed to address the treatment gap and provide effective services that can be accessed by all groups. To realize this goal, the cross-sectoral involvement that is part of the Tim Pembina, Pengarah, dan Pelaksana Kesehatan Jiwa Masyarakat (TPKJM) is at the forefront because it has direct access to mental disorders cases in their region. This article aims to identify the role of each member of TPKJM in pursuing mental health services. Participants involved in each stage of data collection were members of TPKJM at the sub-district and village levels. The data were collected using three methods: surveys, focus group discussions, and interviews. The collected data were analyzed using an inductive thematic analysis approach to obtain a description of the role of each member of TPKJM within the case handling flow model. Five role themes were identified, including: (a) setting regulations and planning; (b) community clinical services; (c) psychoeducation; (d) safeguarding emergency cases; and (e) administrative advocacy. Regulations regarding the clarity of roles and handling flow are recommended.
Impact of index card match method on the knowledge and attitudes about leucorrhoea among adolescent girls Yuanita Syaiful; Lilis Fatmawati; Siti Nur Qomariah; Mafrukahtul Firdani
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.61908

Abstract

Leucorrhoea is a reproductive health problem that often appears in adolescents. Girls between the ages of 12-16 are at high risk of leucorrhoea. The Index Card Match (ICM) method is recognized as an effective preventive effort of the adolescent health education. This research aimed to discover the impact of the ICM method on the knowledge and attitudes about leucorrhoea among adolescent girls and prove the ICM method’s effectivity between the treatment and control groups. This study used a quasi-experimental design with a pre–post-test and control group. The population of this research was 40 adolescent girls. The sample included as many as 32 respondents using purposive sampling who were then divided into 2 groups: treatment and control, with each group consisting of 16 respondents. The independent variable was health education using the ICM method. The dependent variables were knowledge and attitude. The instruments used a questionnaire of knowledge and attitude, index card match, leaflet, and event activity unit. Data analysis used a paired T-test and the independent T-test with the significance set as p<0.05. The results of the paired sample T-test in the treatment group obtained the value of p = 0.000 (p <0.05), which means that after the ICM method there was significant improvement in the knowledge about leucorrhoea among the adolescent girls. The independent T test obtained p value = 0.000 (p <0.05), which indicated there was significant difference in knowledge between the treatment and control groups. The paired T test in the treatment group obtained the value of p = 0.000 (p <0.05), which means that after the ICM method there was significant change in the attitudes about leucorrhoea among the adolescent girls. The independent T test obtained the value of p = 0.000 (p <0.05), which indicated there was a significant difference in post-test attitudes between the treatment and control groups. Health education with the index card match method was one of the effective learning methods that could be accepted well by the respondents. As a result, the respondents could improve their learning about leucorrhoea.
Effect of disaster preparedness training towards knowledge of COVID-19 among rural society in Banjararum Village, Kulon Progo Regency, Yogyakarta Sutono Sutono; Bayu Fandhi Achmad
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.63528

Abstract

The number of COVID-19 daily cases in Indonesia reached a record high in 2021, and the prevalence of active cases increased beyond hospital capacity. Disaster preparedness training involving the key role of society is substantial to stop the spread of COVID-19. This study aimed to determine the effect of disaster preparedness training towards the knowledge of COVID-19 pandemic among rural society. The intervention involved 29 participants, who were located in a rural area of the Special Region of Yogyakarta Province. Participants were required to complete the pre-test and post-test to determine the effect of disaster preparedness training on participant knowledge. There was a significant effect of disaster preparedness training on public knowledge about COVID-19 (P <0.005). There was an increase in the mean score between pre-test (9.93) and post-test (11.68). By increasing society’s knowledge, the society can play a maximum role in COVID-19 prevention and control measures.
Community based intervention: Local village preparedness in prevention and control of COVID-19 Muhamad Jauhar; Rasdiyanah Rasdiyanah; Lita Heni Kusumawardani; Utami Rachmawati; I Gusti Ayu Putu Desy Rohana
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.63934

Abstract

The COVID-19 pandemic has become a global concern since it has severely affected various aspects of life such as health, economy, society, culture, and religion. Community empowerment in breaking the chain of region-based COVID-19 spread is an effective approach that can be taken. This intervention is an important alternative measure to slow the morbidity and mortality of COVID-19 that continue to occur in Indonesia. This article aimed to describe the implementation of a community-based COVID-19 prevention program that was conducted among 280 families in six sub-districts in Brebes Regency from May to June 2020. The assessment used a questionnaire of COVID-19 transmission risk, with a total of 29 indicators developed based on references from the Indonesian Ministry of Health. The preliminary assessment of our program found several aspects that were related to the risk of COVID-19 transmission in the village and observed that there was insufficient public knowledge about COVID-19 including poor practice of health protocols and the negative stigma of society towards patients with COVID-19. The community-based program involved several activities, which namely consisted of program introduction, coordination with stakeholders, community assessments, group discussions, village community deliberations, health education about COVID-19 and 6 step hand washing, distribution of cloth masks, socialization of mask usage and care, socialization of pregnancy checks during the pandemic, provision of hand washing facilities in front of the house, activities evaluation, follow-up plans, and closings.  Furthermore, the aforementioned activities also used videos, posters, leaflets, WhatsApp, as well as Zoom Cloud Meetings as the media. The evaluation phase of the program showed a better understanding related to COVID-19 and health protocol practice in each region. Community empowerment and collaboration with health care facilities can be pursued as a frontline solution to tackle the transmission of COVID-19. Good support and active community participation can contribute to improve the public health status.
Potential advantages and disadvantages of telemedicine: A literature review from the perspectives of patients, medical personnel, and hospitals Lie Rebecca Yen Hwei; Gilbert Sterling Octavius
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
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.64247

Abstract

With the increase in the aging population around the world, the medical field is also changing in response. The number one cause of mortality in the aging population is non-communicable diseases such as diabetes mellitus, heart disease or kidney failure. Advancements in technology make it possible for diagnoses and treatments to be no longer confined physically but they can be done virtually. However, there are several drawbacks in fully utilizing telemedicine such as hesitancy from the medical personnel and unclear law requirements. In this review, we discuss the advantages and disadvantages of telemedicine from three perspectives of the patients, medical personnel, and hospitals.

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