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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 202 Documents
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WhatsApp-based complementary feeding education and counselling for adolescent mothers: A one-group pre-post study Tisa Salma Muthi'ah; Riris Andono Ahmad; Digna Niken Purwaningrum
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.67364

Abstract

More than two-thirds of deaths in children are related to improper feeding practices, especially in adolescent mothers, with very low levels of complementary feeding knowledge, less responsiveness, and few skills of proper feeding practices.  The area of Banguntapan III Public Health Center (PHC) has the highest prevalence of adolescent mothers in 2018-2019. The aim of this study was to evaluate the effect of WhatsApp-based complementary feeding education and counseling for adolescent mothers who have children aged 6-24 months at Banguntapan III PHC on complementary feeding knowledge and practice. A quasi-experimental with one group pre-post test was conducted (n=10 adolescent mothers) on February-May 2021 at the Banguntapan III PHC area. The education program was conducted by trained cadres for 8 days through the WhatsApp group, then followed by asynchronous counseling once through WhatsApp private chat. Change of outcome was tested using independent sample T-test and McNemar test. The range of adolescent mothers’ age in this study was 19-20 years, with education level of junior high school (50%), and do not work (80%). The results showed that WhatsApp-based education and counselling had a significant effect on increasing the adolescent mother's IYCF knowledge (Δ = 1.1 ± 2.28) with a p-value of 0.017 < a (0.05). Meanwhile, the effect of the intervention on the IYCF practice by adolescent mothers was not significant, with a p-value of 0.311 > a (0.05). In conclusion, WhatsApp-based education and counselling for adolescent mothers can increase their level of complementary feeding knowledge, but was not been able to improve their feeding practices for infants/children aged 6-24 months.
Feasibility of HPV vaccination program implementation: A qualitative study Wiwin Lismidiati; Vivian Nanny Lia Dewi; Widyawati Widyawati; Wenny Artanty Nisman; Anis Widyasari; Ika Parmawati; Ova Emilia
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.69099

Abstract

The implementation of the Human Papillomavirus (HPV) vaccination program is still experiencing obstacles in several developing countries. This setback is related to the lack of knowledge and the high cost of the vaccine so that it affects people's behavior about the HPV vaccine. HPV vaccination in adolescents itself as primary prevention has not been widely conducted by adolescents in Indonesia. The results of previous studies showed that not many teenagers had vaccinated against HPV by using self-financing guarantees such as health savings. The obstacles faced in implementing HPV vaccination are that the vaccine is still expensive and there is lack of knowledge of parents and adolescents about the importance of HPV immunization. This formative research using qualitative methods was conducted to analyze the implementation plan of the HPV vaccination program. Data were collected through focus group discussions (FGD) and in-depth interviews. At the end of each FGD activity or interview, transcription and thematic analysis based on content were done. The FGD participants were ten teachers, while the in-depth interview participants were one school committee. This study found two main themes, namely the scheme of implementing the HPV vaccination program and obstacles to the implementation of HPV vaccination. Schools generally supported the program implementation. However, parents still question the importance of the HPV vaccination for their daughters and consider the vaccine costs expensive. Implementation of the HPV vaccination program must consider the existing program schemes in schools and possible obstacles. The results suggested that for the next HPV vaccination program, the facilitators should provide intense and relevant education to parents about the importance and side effects of HPV immunization, and are expected to build a willingness of parents to vaccinate their daughters and seek vaccination costs, one of which can be through a savings program.
Public acceptance of banana leaf-filtered cloth masks as an alternative for medical masks Mohamad Saifudin Hakim; Fitra Duhita; Mumtihana Muchlis; Rita Dian Pratiwi
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.69730

Abstract

One of the most basic control measures to prevent transmission of Coronavirus Disease 2019 (COVID-19) is that everyone should wear face masks wherever there are potential exposures such as public spaces and when there are suspected symptoms of COVID-19 infection. In addition to adherence to public safety protocols, community compliance in wearing face masks is mainly influenced by the comfort when the masks are worn. Several mask developments have been made to improve the comfort and function of the masks, including a modified cloth mask with a banana leaf filter. This study aimed to assess the public acceptance of this modified mask that we previously developed. We conducted a survey using an adaptation of the instrument called, the Usefulness, Satisfaction and Ease of Use (USE) questionnaire. The respondents consisted of 99 people from the Family Welfare Program and Islamic study group members in Tlogoadi, Sleman. The data analysis was conducted descriptively. The majority of the respondents agreed that the banana leaf-filtered cloth masks were useful, easy to use, and satisfying to be worn. The highest indicators were ease of use (83%) and satisfaction (83%). However, only a small percentage (30%) of respondents were interested in making their own homemade masks.
Realizing healthy culinary tourism through education in the ‘Angkringan’ street vendor community of Yogyakarta city during the COVID-19 pandemic Rizka Ayu Setyani; Fika Lilik Indrawati; Tri Mei Khasana
Journal of Community Empowerment for Health Vol 5, No 2 (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.66362

Abstract

Angkringan is included in the culinary options of Java, although it involves a simple food stall on the roadside using a wheelbarrow and covered with a plastic tarpaulin as the roof.However, food safety is one of the main factors that influence tourists in choosing Angkringan culinary spots. Therefore, it is necessary to monitor the quality of food management by paying attention to health requirements including hygiene and sanitation procedures. This study aimed to analyze the differences in the food safety scores of Angkringan street vendors in Yogyakarta City before and after an intervention. We conducted a quantitative study with an experimental design from March to May 2021. We intervened with health education through pocketbooks in 49 communities of Angkringan street vendors in Yogyakarta tourism locations with a duration of one month. Data collection was conducted through the Food Safety Score Questionnaire while data analysis used Wilcoxon signed-rank tests. The majority of Angkringan street vendors had a category of Food Safety Score that was vulnerable but safe to consume before and after the pocketbook intervention. However, the influence of the intervention showed significant differences in research results (p-value < 0.05). This study concluded that health education interventions with pocketbooks among the Angkringan street vendors could positively affect food safety scores. We recommend that the government foster food hygiene education and monitoring of Angkringan street vendors, especially during the COVID-19 pandemic.
Applications of smartphone-based in improving self-management of non-communicable disease: Literature review Rizkiyani Istifada; Muhammad Asnoer Laagu
Journal of Community Empowerment for Health Vol 5, No 2 (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.66481

Abstract

Non-communicable diseases (NCDs) are one of the leading health problems that occur in the adult people. One strategy to improve self-management of NCDs during the COVID-19 pandemic is to use a smartphone-based application. This literature review is structured to describe applications smartphone-based to improve self-management of NCDs. The databases in e-resources included Wiley Online, ScienceDirect, and Cambridge Core from 2010-2021. A literature search resulted in 15 articles that focused on using applications as a medium for improving self-management of NCDs. Various studies have shown the benefits of the use of smartphone-based applications to improve self-management strategies, including (1) the application to count the physical activity score; (2) the self-management application to manage nutritional diets; (3) the application of pain evaluation; (4) the application of weight management, and (5) the application of self-disease management record. The existence of a smartphone-based application can reduce the limitations in the process of implementing and evaluating self-management of non-communicable diseases.
Decreasing degrees of dyspnea in chronic obstructive pulmonary disease patients through combination of breathing exercises and relaxation Juliana G.E.P Massie; Muhamad Adam; Tuti Herawati; I Made Kariasa
Journal of Community Empowerment for Health Vol 5, No 2 (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.66492

Abstract

Shortness of breath (dyspnea) is a common symptom that accompanies patients with Chronic Obstructive Pulmonary Disease (COPD). Management of dyspnea in patients with COPD is not only using pharmacological therapy but also non-pharmacological therapy. Non-pharmacological therapy for patients with COPD covers three main aspects: breath, mind, and functional processing. Along with the development of complementary therapy in nursing science, nursing interventions that can be done at home begin to be in great demand because of their low cost and time effectiveness. One of the interventions is providing breathing exercises and relaxation for patients with COPD to reduce the dyspnea complaints, increase the strength of breathing muscles and prevent the hospital re-admission due to acute exacerbation. This study aimed to see the effectiveness of the combination of Pursed Lip Breathing (PLB) and Progressive Muscle Relaxation (PMR) on the degree of dyspnea. This quasi-experimental study was conducted with a pre and post-test design approach with 20 respondents in each group. The results showed significant differences in the degree of dyspnea after the combination of PLB and PMR (p < 0.05). The results from this study recommend improving the development of complementary therapy programs in nursing education and services by modifying nursing care standards with the combinations of PLB and PMR for patients with COPD.
Kakak tumbuh kembang (KUMBANG): Engaging medical students for screening and detecting growth and developmental delays in children Zulfikar Ihyauddin; Reza Pandu Aji; Dwi Astuti Dharma Putri; Jeslyn Tengkawan; Ayu Anandhika Septisari
Journal of Community Empowerment for Health Vol 5, No 2 (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.66684

Abstract

ABSTRACT The current COVID-19 situation has disrupted routine growth and developmental screening programs for children delivered by the Community Health Centers (Puskesmas). The KUMBANG project aims to provide a ‘new normal’ alternative in screening for children's growth and development by involving medical students and using online platforms. This study aimed to assess the project’s reach in screening growth and developmental delays while also exploring the project’s effectiveness through parents' perspectives.Collaborating with the Center for Indonesian Medical Students’ Activities (CIMSA) Universitas Gadjah Mada, we recruited and trained 33 volunteers. Volunteers screen for children’s development through an online platform, while the community volunteer cadres measure children’s growth through COVID-safe offline appointments. We analyzed children's growth using the WHO Anthro Survey Analyzer and children's development according to the Kuesioner Pra Skrining Perkembangan guidelines. Parents' perspective on this project was assessed through a survey.A total of 92 under-five years old children from four Posyandu in Puskesmas Gondokusuman participated in the project. Around 29% (27/92) of the children had nutritional problems, either underweight, stunted, wasted, or a combination. Meanwhile, 34% (29/84) of children were at risk of developmental delays, of which five were suspected to have developmental delays, while 24 had dubious results. Parents reported that this method is sufficiently effective in screening for children's development and were comfortable with the online screening, since it is more COVID-safe. Parents also felt comfortable communicating with volunteers and believed that the medical students could provide valid and reliable information.KUMBANG project offers a good alternative for screening children's growth and development during the current disrupted routine screening. Involving medical students could help in service delivery, since health professionals are relatively occupied with COVID-19 management. The online method used in this project should be considered as a prospective option for routine screening.
Implementation of household-scale clean water treatment technology for the mountain farming community, Jajar village, Gandusari district, Trenggalek Wahyu Dwi Lestari; Luluk Edahwati; Wiliandi Saputro
Journal of Community Empowerment for Health Vol 5, No 2 (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.67490

Abstract

Currently, the need for clean water which is a vital source for people's lives has not been fully met for all Indonesians, including the mountain farming community, Jajar Village, Gandusari District, Trenggalek Regency. So far, the mountain farming community members of Jajar Village have used mountain water for household needs where cloudy and unstable water conditions are a problem that must be faced. If this problem continues, it will lead to serious health problems and social conflicts in the community. Therefore, through community service activities, we made a practical clean water treatment tool, with easily obtained materials, that can be implemented in hilly areas such as in Jajar Village, Gandusari District, Trenggalek Regency. The filtration system used is an upflow and downflow system where the water undergoes a filtration process twice in the material that has been selected and arranged in a systematic way. The materials used are available and easy to obtain in Jajar Village, so that people can discover easily about the benefits of these materials. After making a water filtration system with the community, then physical testing is conducted on the quality of the water produced. From the test results of the effectiveness of the implementation of clean water treatment technology applied to mountain farmers in Jajar Village, it shows that in general the filtered water has met the physical requirements for the level of turbidity, taste, and smell, as well as the quantity and continuity of water are always available when needed.
Development and expert-evaluation of FORENSICA-android application for estimating post-mortem interval Beta Ahlam Gizela; Idha Arfianti Wiraagni; Firdaus Firdaus; Budiatri Retno Noormaningrum; Busyra Busyra; Wendi Wiradinata; Ahnav Bil Auvaq; Nurholis Majid
Journal of Community Empowerment for Health Vol 5, No 2 (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.69097

Abstract

Death registration is very important and has civil and legal impact on the deceased person and their family. Validity of a death certificate is influenced by the time accuracy of death estimation. Calculation of the post-mortem interval has a central role in the estimation of the time of death, especially for death cases in the community, without prior medical observation. This study aimed to develop a smartphone application for counting the estimated time of death based on android features, to help doctors establish a more accurate time of death and provide a learning facility for doctors and medical student. This action research consisted of 4 cycles: 1) Planning, 2) Action, 3) Observation, and 4) Reflection. The final result of this study is an android application named Forensica 3rd version. This application was developed in Bahasa Indonesia. This application has a menu for recording the patient identity, instructions for post-mortem changes examination, record examination results, time of death calculation and its interpretation. This 3rd version of the application is the latest version after undergoing two revisions. The Forensica application provides an easy way for doctors and medical students to establish the time of death estimation and it is user-friendly.
“EmosiAn”: An android-based application for handling students with mild depression in MAN 1 Yogyakarta Janneta Filza Auladwasasyah; Ika Rahmanita; Hersa Ajeng Priska; Nasution Nasution; Alwan Nur Fakhry; Nur Aisyah Jamil
Journal of Community Empowerment for Health Vol 5, No 2 (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.69469

Abstract

Stressors from school and inappropriate friendships could lead to depression among teenagers, and possibly to attempts at suicide if not treated properly. To meet this need, there is a peer counsellor service, which is an extracurricular activity at school, called the Centre for Youth Information and Counseling / Pusat Informasi dan Konseling Remaja (PIK-R) Exalta. However, only a few students have used this service. This was due to a situational barrier that happened in direct counselling. This study aimed to detect mild depression and evaluate the implementation of the EmosiAn application (app) in handling mild depression among students. This study used secondary data from Program Kreativitas Mahasiswa Pengabdian Masyarakat (PKM-M)/ Student Creativity Program-Community Services conducted from Augustus to October 2020 at MAN 1 Yogyakarta. A total of 126 students voluntarily filled out the Patient Health Questionnaire-9 (PHQ-9), and 47 (37.3%) showed mild depression. Among 27 students and 5 peer counsellors then agreed to participate. The EmosiAn app was designed based on their problems, and had two interfaces for the administrator (peer counsellor) and the user (student). The app contained a diagnosis of depression using PHQ-9, daily journal, chat and reading the relevant articles. Before using the app, both peer counsellors and students attended zoom-online training. There was an increase in peer counsellors' knowledge (p=0.000) and students (p= 0.002) before and after the webinar. All participants could use the EmosiAn app and felt its benefits after two weeks of implementation. There were 40% of students who experienced a reduction of their depression level. Problems encountered during its usage could be resolved by fixing and refining the app. EmosiAn is a user-friendly application used by PIK-R Exalta to detect and care for students with mild depression. Further development is needed for wider used in the future.

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