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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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Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis Rizkiyani Istifada; Etty Rekawati; Widyatuti Widyatuti
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.64312

Abstract

One of the characteristics of physical changes in the elderly involves a decrease in the musculoskeletal system, such as the depletion of the synovial joint fluid which has an impact on the pain felt in joints. This condition can cause a disruption of the quality of life for the elderly and results in increases in the family burden. The purpose of cognitive-behavioral therapy in nurse care planning is to provide an overview of the implementation of family care nursing, community care health nursing, and management of health services by community health nurses to the elderly with osteoarthritis. The innovation and development of this senior citizen community program, initially named Lansia SMART (SMART Elderly), consists of six sessions, including psychoeducation sessions, cognitive restructuring sessions, pain management sessions with progressive muscle relaxation, activity scheduling sessions, problem-solving sessions, and tutorial sessions for the Lansia SMART (SMART Elderly) group with the Android application. The final maintaining challenging stage of these services involved 59 elderly participants. Data analysis used paired T-tests. The results of this innovation showed significant differences in the behavior of the elderly participants after the implementation of the SMART Elderly program (p < 0.05). The SMART Elderly program was effective to improve the elderly participants’ behavior. Nurses can use cognitive behavioral therapy to improve the process of self-management of osteoarthritis among their clients.
Family social capital on public respond to COVID-19 in Indonesia Supriyati Supriyati; kun Habibah; Ade Wahyuni; Rafif Adianto Abdul Wahab; Kenji Sebastian Halim; Erdananda Aditya Nugroho; Mohamad Sofyan Soddiq
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.64567

Abstract

Background: The Coronavirus Disease 2019 (COVID-19) gave impact on the various sectors, not limited to the health sector. In the other hand, social capital was help Indonesian community from the 1998 crisis. This study was aimed to describe the family social capital on COVID-19 prevention and examine factors contribute to family social capital among Indonesia citizen.Method: Cross-sectional data was derived from community survey conducted in Indonesia (February, 2021). A number of 581 Indonesian citizen aged 18 – 59 years old had participated in this study. Data was collected by using online questionnaire that distributed through social media. Furthermore, univariate, bivariate, and multivariate analysis were carried out in this study.Result: Most of respondent (55%) had high family social capital. The family social capital include (1) education function, (2) protective function, and (3) reinforcement function. They were discussed with their family member about the hazard of COVID-19, health protocol as strategy for COVID-19 prevention, and tried to remind each other to apply health protocol in the daily activities. Furthermore, their family were provide face mask and hand sanitizer for family member as a tool of COVID-19 prevention. Family was the second highest information source (65%) regarding Covid-19 and prevention among family member. In addition, there was a significant association between perception toward health protocol (p = 0.000), vulnerable status (p = 0.044), and economic status (p = 0.000), and family social capital. Community empowerment in the COVID-19 prevention through family social capital was challenging.   Conclusion: This study demonstrated that Indonesian community had high family social capital. Moreover, public health expert need to empower family social capital in the COVID-19 prevention.
Is the forum of disaster risk reduction ready?: Disaster preparedness in a community setting Happy Indah Kusumawati; Sutono Sutono; Sri Setyarini; Bayu Fandhi Achmad; Angela Dwi Hesti Ariningtyas; Istighfarlin Widyanita; Syahirul Alim
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.65495

Abstract

A community-based forum, Forum Pengurangan Resiko Bencana (FPRB), or Forum of Disaster Risk Reduction was established to accommodate and collaborate with stakeholders to optimize disaster management according to local capacity. However, evaluation of disaster preparedness among FPRB members is rarely done. Therefore, this study aimed to determine the disaster preparedness and level of Basic Life Support (BLS) knowledge among FPRB members in Bantul. A descriptive study was conducted with a cross-sectional design. Participants (n=77) were members of FPRB in Poncosari sub-district, Srandakan district, and Girirejo sub-district, Imogiri district, Bantul Regency. The survey was undertaken using the modified Disaster Preparedness Indonesian Institute of Science (LIPI)-UNESCO 2006 questionnaire and modified BLS American Heart Association (AHA) 2015 questionnaire. Univariate analysis was utilized to analyze data. Overall, the majority (52%) of disaster preparedness levels among FPRB members was categorized as strong level (median = 29). Related to the disaster preparedness aspect, 89% had good disaster knowledge, followed by resource mobilization (75%), urgent plan (60%), and early warning (53%). The median score of BLS knowledge was 5.38 (min-max = 2-9). Most of the participants (56%) had a good level of BLS knowledge. This study highlights that the disaster knowledge aspect is indicated as a highly familiar aspect while the early warning aspect is identified as a low familiar one. This study assists policymakers to develop a strategic plan to promulgate further disaster and first aid training in the community setting.
Development of the elderly health monitoring system through families and community health workers during the COVID-19 pandemic Anggi Lukman Wicaksana; Firdaus Hafidz; Putri T Rosha; Annisa Ryan Susilaningrum; Anisah Ramadhani
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.61899

Abstract

Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.
Kulwap”: a trend of health promotion during the COVID-19 pandemic, Implementation of the STIKES Buleleng Community Partnership Project Ni Kadek Diah Purnamayanti; Kadek Yudi Aryawan; Made Sundayana
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.62280

Abstract

The pandemic of COVID-19 has brought the global community into a new perspective of living. Due to the social distancing protocol, face to face meetings should be avoided. This could be a barrier in implementing the previous health promotion programs which were based on group gatherings. Hence, nowadays, the online approach has become a promising strategy. The intensive use of social media platforms in Indonesia serves as a great opportunity to penetrate the public awareness of society. The initiation of “Kulwap” (Kuliah WhatsApp or lecturing by WhatsApp), which is an approach to gather a group of people in a WhatsApp Group and deliver a lecture to this group through the application is also being implemented in STIKes Buleleng Bali. The aim of this study was to assess the effectiveness of WhatsApp as a media of health promotion. It is a part of the community partnership integrated into the educational process of nursing students. During the program, there were four major topics promoted: Non-Communicable Disease (NCD), Communicable Disease, and Wellness and Child Health Issues. This program succeeded in involving 357 participants who lived in Bali. Based on the participants’ feedback, the engagement was successful due to the use of WhatsApp as the preferred social media platform (84.3%), the beneficial contents being shared during the Kulwap (65.5%), the attractiveness of media being used in the lecture (82.8%) and the way of delivery was easy to be understood (70.3%). Almost all (98.6%) of the participants expressed their willingness to rejoin the program. Therefore, the study concluded that the use of Kulwap serves is an effective and acceptable strategy to establish a health promotion initiative during the current COVID-19 pandemic. 
The role of social media in optimizing the healthy lifestyle movement “GERMAS” during the COVID-19 pandemic Fahmi Baiquni; Tri Siswati; Riadini Rachmawati; Herni Endah Widyawati; Ratri Kusuma Wardhani; Supriyati Supriyati
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.66421

Abstract

The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the pandemic. The social movement such as the healthy lifestyle movement (GERMAS) plays an important role to break the chain of COVID-19 transmission. Meanwhile, the infodemic of false news has caused misinformation and disinformation. Raising the community’s health literacy will lead people to participate in the GERMAS social movement. This study aimed to explore the use of social media to improve health literacy concerning the healthy lifestyle social movement called “GERMAS”. This research was conducted in Yogyakarta by reviewing related documents and literature, and collecting primary data. Primary data collection was done through online surveys, focus group discussions, and an in-depth interview. There were 461 respondents, with 449 respondents who filled out online surveys, 11 people who participated in the focus group discussions, and 1 person who was interviewed. The study showed that WhatsApp was the most widely accessed source of information about COVID-19 (83%) and health protocols (82%) after television. In addition, WhatsApp has become the main source of information about GERMAS (73%). The credible source of information was very important to help the community during the COVID-19 pandemic and the ‘false news’ infodemic. Various stakeholders provided information related to the COVID-10 and how to prevent the spread of the virus. In addition, Yogyakarta health officers developed a communication network through WhatsApp groups from the provincial to sub-district/village levels (community leaders) that were used to share information on a regular basis to the public. Additionally, community leaders were able to ask health officers questions related to COVID-19 issues and prevention.  Unfortunately, the lack of “think tanks”, and bureaucratic ties made this network unable to function optimally. In conclusion, social media has an important role in optimizing the GERMAS program during the COVID-19 pandemic. Social media management and good cooperation between the government and private agencies are important keys for optimizing GERMAS during the COVD-19 pandemic era.
Fourteen days struggling to deal with COVID-19 using Su Jok Therapy: A case report Intansari Nurjannah
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.66453

Abstract

The resources to deal with COVID-19 are lessening, while health professionals are increasingly vulnerable in helping people with COVID-19. The close contact between health professionals and patients with COVID-19 increases the already high risk for transmission. It is time to find another form of therapy to help people with COVID-19 which is effective, inexpensive, easy and safe that can be done both for the well-being of patients and health professionals. In 2020, a male patient who was in his middle age, was seeking treatment from health professionals by sending messages through WhatsApp since he tested positive for COVID-19 the day before. We assessed him and found that he had complaints of fever, shivering and difficulty in breathing. We immediately replied with Su Jok protocol therapy and asked him to do the treatment by himself. After 27 minutes, there was no difficulty in breathing anymore. Since then, we kept monitoring his condition closely and provided instructions every day to treat each symptom. The most prominent symptoms associated with COVID-19 were shivering, difficulty in breathing, fever, excess mucus and pain in the lungs. Psychological symptoms also appeared and Su Jok was applied to treat his emotional problems. Symptoms attacked him less frequently and with less severity day by day. His swab test showed negative result after two weeks. In this case study, Su Jok therapy helped a patient in quarantine to deal with the physiological and psychological symptoms of COVID-19. Su Jok therapy can also help to prevent transmission of COVID-19 to health professionals, since they still can help patients from a distance with telehealth.
Improved completing-treatment support among tuberculosis support group members through the CERMAT (Smart Against TB Transmission) program Atuti Yuni Nursasi; I Gusti Ayu Putu Desy Rohana; Utami Rachmawati; Rezky Mulyana
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.66457

Abstract

Tuberculosis (TB) was declared a global emergency for humanity by the World Health Organization in 2015. According to Global Report TB data in 2016, Indonesia is one of the 30 countries in the world that has the highest TB caseload, especially Human Immunodeficiency Virus (HIV)-TB and (Multi Drug Resistant Tuberculosis (MDR) TB) cases during the 2016-2020 period (Global Tuberculosis Report, 2016). The high rise of MDR TB cases has great potential for transmission and an increase in the number of new TB cases. Efforts to optimize the handling of care and treatment, as well as to accelerate the determination of the diagnosis need to be conducted vigilantly on all lines, especially efforts to increase the ability to prevent transmission, provide quality follow-up care, and community-based treatment. Forming support groups is one of community health nursing strategies for TB prevention. A support group provides assistance to increase TB medication adherence and reduce TB transmission. TB control strategies are conducted by implementing CERMAT (Smart Against TB Transmission) to TB support groups that combine education intervention and skills to prevent TB transmission in the community setting. Community health nursing though the nursing process has established a system with recognition of the variables that affect health status and individual behaviors against TB disease. The nursing strategy intervention in the community is done at all levels, such as health education, group process, partnership, and community empowerment. The CERMAT package implemented in the TB support group is an evidence-based nursing practice. It was applied to 70 samples of adult TB clients at Curug, Cimanggis, Depok. The sampling was selected with a non-probability quota sampling technique. This study used an experimental design with paired t-test data analysis to determine the improvement in the skills of the TB support group after the support group intervention was done. It showed there was influence of the CERMAT method on the level of good support for completing TB treatment in Curug Village, with increased the mean of completed treatment by 2.42 with a p value 0.00 (p <0.05). The CERMAT method can be applied as one of the nursing interventions to increase TB clients’ adherence. This intervention can be done by the person who is responsible for the TB program at the Community Health Center. The CERMAT method needs to be continued and evaluated regularly by involving health care volunteers.
Relationship between family connectedness and nutritional status among under-five children in Jember Regency of Indonesia Rofiatul Nur Jannah; Tantut Susanto; Latifa Aini Susumaningrum; Mokhlas Kholidi
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.66461

Abstract

The family has an important role to fulfill the nutritional requirements for their children. As changes in the family life cycle develop, every step involved in the tasks of family development is influenced by family interconnectedness. The objective of this study was to identify the correlation between family connectedness and nutritional status among under-five children in Public Health Center of Panti, Jember Regency of Indonesia. A cross-sectional sectional study was conducted among 307 families who have children aged 2-5 years using consecutive sampling. A self-administered questionnaire was used to measure sociodemographics of the parents and their under-five children, while the Parent-Child Relationship Questionnaire was use to assess the quality of family connectedness. Standing scales were used to measure the body weight of the under-five children. A chi-square test was used to analyze the data. The results showed that among 307 parents, the family connectedness of parents and nutritional status of under five children were in the moderate (63.8%) category and good nutrition (58.6%) status, respectively. There was a significant relationship between family connectedness and nutritional status among <five aged children (X2=8,679;  p-value = 0.013). These results demonstrate there is a relationship between family connectedness with the nutritional status of children 2-5 years old. Further research is recommended to analyze other variables that can affect the nutritional status of under–five children.
Relationship of vegetable and fruit consumption with farmers' blood sugar levels in Pakusari Health Center, Jember Ayu Pricilia Fatimah; Tantut Susanto; Latifa Aini Susumaningrum; Mokhlas Kholidi
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
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.66469

Abstract

Low consumption of vegetables and fruits are one of the causes of digestive problems, coronary heart disease, and diabetes. Farmers are a vulnerable group for consuming vegetables and fruit less than the recommended 5 portions (250 grams) a day. The aim of this study was to analyze the relationship between vegetable and fruit consumption and the level of blood sugar among farmers with non-communicable diseases in the integrated health post (Posbindu) of Pakusari Health Center, Jember Regency. A retrospective cohort study design was used to analyze secondary data of Posbindu registered patients from January to March 2020 among 140 farmers. The characteristics of participants, vegetable and fruit consumption, and blood sugar were measured through the monitoring card of Posbindu. The data were analyzed using Chi-square tests (p-value <0.05). Among 140 farmers as many as 71.4% were identified who consumed vegetables and fruit less than 5 portions a day and 35.7% who have hyperglycemia. There was a relationship between vegetable and fruit consumption and the farmer's blood sugar level (p-value: <0.001; χ2: 13.144). Farmers who consumed vegetables and fruits less than 5 portions a day were 5 times more likely to experience hyperglycemia (RR:5.727; 95% CI=2.072–15.827). Therefore, community health nurses and health care providers should provide counseling to improve the consumption of vegetables and fruits to prevent the incidence of hyperglycemia among farmers.

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