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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 222 Documents
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COVID-19 and health behaviors of the vulnerable group in the disaster-prone area:a case study of volcano-prone Merapi, Indonesia Romi Bhakti Hartarto
Journal of Community Empowerment for Health Vol 5, No 3 (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.74503

Abstract

As the world’s fourth most populous country, Indonesia is predicted to suffer greatly from the pandemic. One of the most vulnerable groups in Indonesia is those living in the disaster-prone areas where access to health services is limited. This study aims to identify whether households in the disaster-prone area were already aware of and have implemented protective health behaviors during the COVID-19 pandemic. The location of the study was at Dongkelsari settlement houses in the Disaster-Prone Area III of Mount Merapi, the most active volcano in Indonesia. Descriptive statistics were used to summarize the quantitative data collected from face-to-face interviews with 142 out of 161 households residing in that area. Our findings suggest that knowledge about disease and prevention is quite high in our sample. More than 90% of the sample were already aware of COVID-19 transmission and understood that washing hands and wearing facemasks can prevent the spread of COVID-19. This high level of awareness is inseparable from the active role of community leaders in Dongkelsari area. However, only less than half of the sample reported practicing safe physical distancing. In conclusion, our study relies on field observation, and this complements the existing evidence by capturing a clearer picture of the COVID-19 awareness among the underrepresented population living in the disaster-prone area of Merapi volcano. 
Empowering universities through health promoting university for tackling the non-communicable disease in the digital era Supriyati Supriyati; Riskiyana Sukandhi Putra; Yayi Suryo Prabandari
Journal of Community Empowerment for Health Vol 5, No 3 (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.78784

Abstract

Non-communicable diseases are responsible for 71% of the premature death in the worldwide. Unfortunately, 77% of those premature death was occurred in the developing countries include Indonesia. On the other hand, Universities are potentially to empower for tackling the non-communicable disease risk factors. This study was aimed to explain the process on how to empower university for tackling the non-communicable diseases risk factors through health promoting university (HPU). This study applied action research and had been done in 2019 - 2021. The population were Indonesian universities, and sample were 40 universities that develop HPU in this period. Data was collected through observation and unstructured interview. Observation had been performed in the 25 universities. Meanwhile unstructured interview carried out with 34 respondents. Data was analysed descriptively. The process of the HPU development and the focus program were varied. Many factors contributed to the process of the HPU development, such as the HPU development strategies, the university leader’s commitment, networking, social capital, and participant’s capacity on the health promotion. The HPU development strategy performed in 2022 was the most structured and comprehensive. Generally, the HPU development had been conducted by optimizing the information technology. In addition, mentoring system, leader commitment, and the networking were strongly contributed the succeed of the HPU development. This study emphasizes the important of the university leader’s awareness toward health and the potential resources of the university for tackling the non-communicable disease risk factors.
Improving Nursing Students’ Knowledge about Health Myths in Indonesia Anung Ahadi Pradana; Ismail Fahmi; Casman Casman; Nani Asna Dewi; Alfunnafi’ Fahrul Rizzal; Muhammad Chandra; Nur’aini Nur’aini
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.73455

Abstract

Health myths are one of the factors that can hinder the achievement of government programs in the health sector. The resistance that arises from the community can be even greater if the believed myths have taken root in social life and are  considered to have magical elements in their implementation. To change the errors in people’s health beliefs in society,  health workers are important in providing proper health education and health literacy to all levels of society. Based on the  problems found, the team’s goal was to improve nursing students’ knowledge about health myths in Indonesia. This activity was implemented for 199 nursing students from 7 provinces (DKI Jakarta, West Java, Banten, Jambi, East Java, Central Java, and Southeast Sulawesi) online through Zoom meetings. This activity was the final series of activities conducted by the Institute of Training, Education and Research, Nurse Share Idea (NSID) about health myths that exist in Indonesia, while the implementation of this series of activities was done from November 2020 to August 2021. The results of the Wilcoxon testing of the activities had the value of sig = 0.002 (<0.005), which means that the activities have had a significant and positive impact on improving nursing students’ knowledge about health myths in Indonesia. Four of the 14 topics of understanding  health myths were decreased. These four topics are related to myths in nursing care. The results indicated that activities could increase participants’ knowledge of health myths. However, nurses still experience confusion preventing myths in implementing nursing care for patients. Other activities can focus on increasing efforts to counteract myths in implementing nursing care. 
Customer satisfaction survey, menu development and HACCP training to improve the food service quality of canteens Dwi Budiningsari; Siti Helmiyati; Setyo Utami Wisnusanti; Lily Arsanti Lestari; Sridanti Annissa Putie
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.77001

Abstract

Canteens are an important aspect of the food environment in providing healthy food and supporting good nutrition. The food service quality of the canteens could be improved by customer satisfaction and the food traffic light system survey. This aimed to measure customer satisfaction and the food traffic light system implemented in the canteen via surveys and identify the impact of menu development training as well as Hazard Analysis Critical Control Point (HACCP) training for canteen staff. The customer satisfaction and the food traffic light system survey were collected using an online form involving 1,022 and 49 respondents, respectively. The training was attended by 31 canteen staff. In addition to menu development training, we also conducted HACCP training. Menu development training included menu variation, creating new recipes, and a food traffic light system. A descriptive post-evaluation was conducted to evaluate the impact of the training. A 6-question survey assessed how well the canteen staff retained knowledge from the provided food safety training. The customer satisfaction survey obtained the mean score for each indicator: 3.48 for canteen hospitality, 3.43 for canteen cleanliness, 3.32 for food taste, 3.22 for menu variation, and 3.14 for food prices. The training was useful to increase food service and board quality and the canteen staff ’s healthy food knowledge. More than half of the customers sometimes checked the food traffic light label. They mostly considered energy the main important nutrition to consider before buying food. The results of HACCP training showed that all participants correctly answered more than half of the questions. The responses of surveyed staff members suggest that the training was useful in increasing food service quality as well as food safety knowledge and practices of canteen staff. The sustainability of training impacts should be evaluated to gain comprehensive evaluation and identify further interventions to improve the food quality of canteens. As a health-promoting university, a food traffic light system should be implemented in canteens at other faculties at Universitas Gadjah Mada.
Combating Infectious Diseases Threat among Students in Islamic Boarding School (Pondok Pesantren): A Pilot Assessment Ichlasul Amalia; Fajrul Falah Farhany; Meyka Budi Rachmawati; Winda Ernia; Hanggoro Tri Rinonce; Happy Indah Kusumawati; Rahadyana Muslichah
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.77426

Abstract

Pondok Pesantren or Islamic Boarding Schools (IBS), as one of the major boarding-based education systems in Indonesia, face significant challenges in preventing and controlling infectious disease transmission. Huge numbers of students, crowded dormitories, shared lavatories, limited healthcare facilities, and intense social interactions increase the risk of transmitting infectious diseases within the facilities. This study aimed to provide an initial assessment of the history of infectious diseases and the spread of infectious diseases among students living in IBS before conducting training and intervention related to infectious diseases prevention and control programs. This quantitative study was conducted using a descriptive analysis approach in July-August 2022 at Assalafiyyah Mlangi II Terpadu IBS. A non-probability sampling with total sampling of 841 students was used. The data were collected using self-administered questionnaires developed on Google Form and imported to Microsoft Excel for further data analysis. The results indicate that the majority of the students have a history of infectious diseases (90.48%) during their time living in IBS. The most common infectious diseases found were influenza (55.38%), scabies (20.20%), conjunctivitis (8.13%), varicella (4.54%), herpes simplex (2.08%), tuberculosis (0.65%), and measles (0.13%). During the COVID-19 pandemic, a total of 21.16% of the students had been exposed to COVID-19. Considering these findings, it is essential for the staff and students living in IBS to understand the steps to prevent the occurrence of infectious diseases and be able to identify and provide initial treatment to stop the transmission of the disease. The development of digital health intervention using a website or application can be implemented to help the students report and consult case findings to medical experts.
Protecting the Community: Improving Knowledge, Attitude, and Behaviour towards Health Insurance Firdaus Hafidz; Bagas Suryo Bintoro; Putri Tiara Rosha; Erny Octaviany; Farah Rizqi; Annisa Ryan Susilaningrum
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.77439

Abstract

Indonesia has implemented the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program administered by the Health Care and Social Security Agency (BPJS Kesehatan) to improve the quality of community health and well-being. National Health Insurance implementation has had many challenges in eight years, such as complicated registration, premiums, unsatisfactory services, and lack of community participation. Policies regarding JKN should be better known and understood. This study aimed to know the knowledge, attitudes, and behavior towards health insurance that will be useful for stakeholders to develop public policies. This study was conducted in Umbulsari B sub-village in Sumberharjo, Prambanan, Yogyakarta, the lowest area of JKN participation based on Sleman HDSS data. We used a cross-sectional study design among 91 respondents who filled out a paper sheet questionnaire that consisted of five sections: demographic characteristics and insurance participation, knowledge, attitudes, actions, and satisfaction with the JKN program; the community service activities; coordination with local stakeholders; JKN participation identification using CHIKA; and educational media production and publication. Local stakeholders said that awareness about JKN is low. The Chat Assistant JKN (CHIKA) data identification from 529 IDs showed that 78.1% had become JKN participants, and 73.3% were “active”. The respondents correctly answered most of each knowledge point (score >90%). However, there were several aspects that respondents disagreed with: “every participant will get the same health services (19.78%) in attitude points, and health workers in health facilities do not discriminate (21.21%) in satisfaction points. Additionally, 21.21% of respondents rarely use health services routinely for medical check-ups. We developed educational media about the importance of JKN, as well as using CHIKA and Pandawa tutorials. Education about health insurance needs to be done continuously according to the local cultural context and innovations so that the community remains protected from the financial burden of accessing health services.
Strengthening Capacity of Posyandu Cadre to Educate The Mothers: A Program Evaluation of Emotional Demonstration for Cadres in Bantul Regency Annida Hanifah; Tis’a Salma Muthi’ah; Ani Sholikhah; Giva Tri Putri Guntari; Istia Husna Dzakiyyah; Siti Holivah; Ambar Swastiningrum
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.77443

Abstract

Risk factor for child stunting in Indonesia is lower maternal education and inadequate complementary food for children aged 6-23 months. Posyandu cadres play an important role in empowering mothers through education and counseling mothers about the good practice of feeding infants and children. However, a preliminary survey shows that most mothers do not receive education and counseling from cadres in posyandu. Several factors behind that are low self-efficacy among cadres to carry out education or counseling, cadres feeling confused with educational content, and cadres feeling that many mothers are busy workers. The evaluation aims to assess the effectiveness of Emotional Demonstration for cadres in Bantul Regency using Easy Evaluation. Data were collected from 126 cadres who participated in the Emotional Demonstration program. Data collection was carried out by participatory observation, interview, and feedback form. An Easy Evaluation assessment was determined for each criterion, among others 1) Practice the roleplay according to the order of the emotional demonstration programs is Very Good 2) Apply communication skills according to the PAMM technique (Pertanyaan Terbuka; Afirmasi dan Apresiasi; Mendengarkan dan Merefleksikan; dan Menyimpulkan) is Good 3) Deliver key message is Very Good 4) Applying effective time management is Good. An assessment determined Excellent for the generic rubric of the Emotional Demonstration Program. The Emotional Demonstration program is feasible to be continued and applied to all cadres in Bantul. However, the implementation of Emotional Demonstration needs to emphasize communication skills. The results of the program evaluation will help guide public health policies to support the effectiveness of the stunting prevention program in Bantul Regency.
The Effects of COVID-19 information sources and knowledge, attitude, and behaviour on vaccination acceptance Rivaldo Steven Heriyanto; Theo Audi Yanto; Gilbert Sterling Octavius; Haviza Nisa; Catherine Ienawi; H. Emildan Pasai
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.78698

Abstract

This study aimed to assess the impact of COVID-19 information-related sources and people’s knowledge, attitude, and behavior concerning vaccine acceptance, hesitancy, and refusal in a single vaccination site in Jambi, Indonesia. We conducted a cross-sectional study with total sampling in Puskesmas Putri Ayu, Jambi. The inclusion criteria were adults (>18 years) vaccinated with CoronaVac. Our exclusion criteria were refusal to participate in the study for any reason, contraindicated to COVID-19 vaccine administration, and receiving the second vaccine jab. We included 245 respondents with a slight female predominance (53.5%). The majority were in the age group of 26-35 years old (20.8%). In the multivariate analysis, having a family member with ≥2 comorbidities was almost 6 times more likely (OR 5.99, 95%CI: 1.84-19.54;p-value = 0.003) to put a respondent in the vaccine hesitance and refusal group. Respondents who trust in friends or family are 2.25 times more likely (95%CI: 1-5.04; p-value = 0.048) to be in the vaccine hesitance and refusal group. Respondents who trust the internet are 0.45 times more likely to be in the vaccine hesitance and refusal group (95%CI: 0.21-0.96; p-value = 0.04). Lastly, respondents with poor knowledge are 0.58 times more likely (95%CI 0.38-0.88; p-value = 0.011) to belong to the vaccine hesitance and refusal group. This finding will be relevant to increasing vaccination uptake by targeting family members with comorbidities and devising a strategy to make their peers trust the COVID-19 vaccine to increase the uptake.
Islamic Health Promoting University (I-HELP U): Case study of nutrition intervention program institutionalization at a university level Imas Arumsari; Elia Nur Ayunin; Ony Linda
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.79253

Abstract

The Islamic Health Promoting University (I-HELP U) is an initiative program by Universitas Muhammadiyah Prof. DR. HAMKA as a health promotion program integrating both health and Islamic values. The pilot programs were implemented between September – November 2021. This study aimed to evaluate I-HELP U’s pilot programs, which consist of need assessment, health literacy, advocacy, and healthy behavior practices. The needs assessment was conducted to assess the baseline data of nutritional status and unhealthy lifestyles. Health literacy was performed to improve nutrition knowledge among participants. Advocacy was implemented to assist the production of regulation documents to support the program. Healthy behavior practices were implemented to improve the health-promoting behavior among participants. The results show that there were improvements in targeted outcomes on the initiative (policy documents establishment), participation (1,904 respondents of needs assessment, 300 participants in webinars, and 1,700 YouTube views), and knowledge level (p<0.05). The university leaders show a strong commitment in the policy-making to support I-HELP U since UHAMKA holds a vision to be a prophetic teaching university. This basic value supports the effort of I-HELP U to institutionalize the programs since it integrates Islamic values in the content. Future dissemination of the programs and regulations should be provided massively to all university academic communities.
Analysis of blood donors’ characteristics during third-peak COVID-19 in Bojonegoro Regency, Indonesia siti - nurkasanah
Journal of Community Empowerment for Health Vol 6, No 1 (2023)
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.80232

Abstract

The third peak of the Coronavirus Disease 2019 (COVID-19) in Indonesia which was recorded on February-March 2022 had an impact on voluntary blood donations at the Indonesian Red Cross (IRCS) Bojonegoro. The objective of this research was to analyze the voluntary blood donors’ characteristics during the third COVID-19 peak in Bojonegoro Regency. This descriptive, analytical study was conducted using secondary blood donor data from February 22, 2022 to March 19, 2022 at IRCS Bojonegoro. The data were collected in the blood donor selection process in accordance with the Indonesian and World Health Organization (WHO) blood donor selection guidelines. The average number of voluntary blood donors per day was tested using the Mann-Whitney-U test with a significance ofp<0.05. The results showed 219 people (80.51%) between 22-28 February and 332 people (83.63%) between 1-19 March 2022 who were approved to donate at IRCS Bojonegoro. There was a significant decrease in the average of male voluntary blood donors per day (p=0.01),average age group: 17-24 years (p=0.013), 35-44 years (p=0.002), and 45-54 years (p=0.030), hemoglobin (Hbl) levels on 16.1-17.0 g/dL (p=0.000), systolic blood pressure (SBP) <120 (p=0.03) and 130-139 (p= 0.02) and diastolic blood pressure (DBP) <80 (p=0.001), pulse rate (PR) 65-74 beats/minute (p=0.016), and blood type O+ (p=0.008). The characteristics of voluntary blood donors during the third peak of COVID-19 in Bojonegoro Regency indicated there was a significantly decreased number of male voluntary blood donors per day around ages 17-24 and 35-54 years, with Hbl between 16.1-17.0 g/dL, SBP <120 and 130-139 mmHg, DBP <80 mmHg, PR 65-74 beats/minute, body weight 45-54 and 65-74 kg, and blood type O+.

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