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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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Increasing the Health-Related Quality of Life in Children with Congenital Rubella Syndrome: A Mixed-methods Study Elisabeth Siti Herini; Agung Triono; Kristy Iskandar; Ashadi Prasetyo; Albaaza Nuady; Marissa Leviani Hadiyanto; Kania Diantika; Veronica Wulan Wijayanti; Avianti Pramastuti
Journal of Community Empowerment for Health Vol 6, No 2 (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.80029

Abstract

Introduction: Rubella infection during the first trimester of pregnancy is a significant cause of fetal malformation syndrome, or Congenital Rubella Syndrome (CRS), which affects the children’s quality of life (QoL). A Community Engagement Program was arranged collaboratively to increase the QoL of children with CRS and enhance parents’ skills and knowledge to better care for their children with CRS. Methods: A mixed-method descriptive study was conducted from April to October 2022 at Dr. Sardjito General Hospital. Sample recruitment used the purposive sampling method, which had been clinically and serologically diagnosed with CRS. Children’s QoL data were analyzed with a cross-sectional study design. The tools used were the Pediatric Quality of Life Inventory (PedsQL)TM 4.0 Generic Core Scales and SPSS version 26 to analyze paired T-tests. A focus group discussion (FGD) was used for qualitative thematic analysis. Results: We involved ten members willing to participate voluntarily in the PedsQL assessment and FGD. The result was an increase in patients’ QoL in the Physical Function domain that was statistically significant: pre-test and post-test physical health summary [490 (±261) vs. 510 (±251); p=0.022]. While social, emotional, and school functions increased were not statistically significant. From the FGD, the parents had diverse experiences and understanding of CRS-supporting examinations and treatments needed. Parents felt the children’s growth and development, as social and school functions were the common burdens. In order to help CRS prevention, the parents suggested a more comprehensive premarital program and antenatal care. Conclusions: The Community Engagement Program helps to increase the patient’s QoL in the Physical Function domain. Comprehensive multidiscipline management is needed to support children’s growth, social and educational functions. Periodic evaluations are required to monitor the QoL of children with CRS.
Immunization Program Intervention Training in Stunting Prevention Effort in Sampang Regency, Madura Island, East Java Kurnia Dwi Artanti; Arief Hargono; Laura Navika Yamani; Farah Fadhilah; Taufiq Hidayat Hasan
Journal of Community Empowerment for Health Vol 6, No 2 (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.80680

Abstract

Introduction: Stunting is still a major health problem in Indonesia. Sampang Regency was one of the districts that experienced an increase in the prevalence of stunting. According to the 2018 Riskesdas data, one in three babies under two years old (baduta) and babies under five years old (toddlers) in Indonesia are in the stunting category. The intervention was needed to increase the number of immunization to prevent stunting. This activity aimed to identify the barrier to increasing Universal Coverage Immunization (UCI) to solve the immunization problem using the Human Centered-Design (HCD) method. Methods: The method used is a qualitative method using HCD with in-depth interviews, which is a method used to explore problems from the community side. This activity was involved by the head of the epidemiology and immunization section, the program holders of the Sampang district health office, coordinating midwives and immunization coordinators at selected health centers regarding immunization program interventions, namely exploring immunization problems from the community. The number of informants were six people in every public health center. The HCD intervention method has several steps: Persona, Journey of Map, Quote, Findings and Suggestions. The data analysis technique used a description of every HCD step. Results: The results from the intervention were that every public health center is known to have a different picture related to portraits of community members who are influential in implementing the immunization program. Conclusions: This program showed that health was not only the responsibility of the government or the health program holders but everyone. The recommendations from the HCD training at the two public health centers agreed to re-advocate the immunization program to relevant stakeholders.
Relationship between National Health Insurance Ownership and Compliance with Access to Health Services for Patients with Severe Mental Disorders (PSMD) “Pasung” in Blitar Regency, Indonesia Dhimas Anggi Septiansyah; Emi Wuri Wuryaningsih; Fitrio Deviantony
Journal of Community Empowerment for Health Vol 6, No 3 (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.66649

Abstract

Patients with Severe Mental Disorders (PSMD) "Pasung" require long-term care, which causes a financial burden on the family. The Indonesian government has guaranteed funding for the treatment. However, there are still PSMDs who do not make regular visits to health services. This study aimed to describe the Relationship between National Health Insurance Ownership and Compliance with Access to Health Services for PSMDin Blitar Regency, Indonesia. This study used an analytic observational design with a retrospective cohort study approach. Total sampling techniques selected 50 PSMD "pasung" recorded health insurance and several visits to primary health services. The data was obtained from the primary health services reporting records from January to March 2020. This study used the biserial point correlation (CI: 99%) test for analyzing data. This study has ethical clearance approval. The results showed that there was a positive relationship between ownership of NHI and compliance with access to health services (t-obs (3,491) ≥ critical (2,678); p-value = 0,001; r-bis = 0,450; α = 0,01). Indonesia has guaranteed the cost of PSMD treatment with shackles, but patients and families who use these facilities are not optimal. In conclusion, national health insurance ownership is related to compliance with access to health services for PSMD "Pasung". Health agencies can pay attention to policy-making for enhancing access to health services of PSMD "Pasung".
Leprosy Health Promotion during COVID-19 Pandemic in Indonesia Tri Rahayu; Anindita Wicitra; Yeni Dwi Lestari; Yunia Irawati; Anna Puspitasari Bani; Gitalisa Andayani; Made Susiyanti; Hisar Daniel; Sitha Anisa Puspitasari
Journal of Community Empowerment for Health Vol 7, No 1 (2024)
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.71769

Abstract

Introduction: The COVID-19 pandemic has forced many conventional -face-to-face health promotion events to be conducted in an adaptive manner to keep healthcare in promotion, prevention, and even curative measures delivered to healthcare providers and patients. The same applies to leprosy, where Indonesia is still ranked as the third largest country with leprosy burden. This study aims to give rise to newer methods of health promotion on leprosy during this COVID-19 pandemic. Methods: Online training and case presentation workshop in the form of a KATAMATAKU webinar [MOU1] and live streaming via YouTube were held in August 2020. There were 120 general practitioners, 30 nurses, and 35 healthcare providers who registered and joined this event.[MOU2]  Pre- and post-test [MOU3] were conducted to evaluate the participants' knowledge about the topics lectured during this training[MOU4] . Pre- and post-test were conducted using an online form, and all participants needed to answer several questions from each session. Participants were evaluated before the webinar began and after all sessions. We assessed the different scores from the pre- and post-test. Results: In the general practitioner group, median scores were 68 (27 – 95) and 82 (50 – 100) for pre- and post-test scores, respectively, with a mean difference between post and pre-test of 14.23+9.72. In nurses and other health care providers, the median for the pre-test score was 56 (22-89), and the post-test was 72 (39 – 100), with a mean difference between the post and pre-test of 18.93+10.27. Conclusion: In the pandemic situation, online seminars can be chosen as an effective method for health promotion to increase health care provider's knowledge. Pre- and post-test can be performed to evaluate participant's knowledge after the training. Regular training using online methods can be held in order to maintain participants' knowledge. We hope it can impact all health providers to continue their participation in the management of leprosy.
Effort to Control Pulmonary Tuberculosis (TB) in the Community through Tuberculosis Alert Health Cadre Training Yogi Fitriadi
Journal of Community Empowerment for Health Vol 6, No 3 (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.77331

Abstract

Tuberculosis (TB) alert health cadre training is an important thing that can be done to help control TB in the community. TB control includes increasing early detection and adherence to treatment for TB patients. To solve TB problems in the community, a synergy of roles is needed between health workers and the community, one of which is through empowering health cadres by increasing their capacity. We conducted interactive TB control health education training program that aim to improve health cadre knowledge, attitudes, and practice in early detection of TB and assistance to Drug Swallowing Supervisors/”Pengawas Menelan Obat (PMO)”. The training was provided using lecture method, two-way discussion, and demonstration for one day by internal medicine specialists, assisted by multi-professional students from medical and nursing program. A total of 36 health cadres from Sumberharjo village participated in this training. Before and after the training, cadres took pre-test and post-test. The survey results were analyzed statistically using descriptive quantitative methods for the respondent’s characteristics, whereas the score of knowledge, attitude, and practice were analyzed using nonparametric test. The median and the minimum-maximum of the pre-test score before training for knowledge was 10.5(7-13), attitude score was 15(11-15), and practice score was 15(8-15). Meanwhile, the median and the minimum-maximum post-test score after training for knowledge was 11(8-14), attitude score was 15(10-15), and practice score was 15(10-15). The results of statistic test obtained were p=0.003 for knowledge, p=0.272 for attitude, and p=0.111 for practice. It showed that there was a significant difference in the cadre's knowledge scores before and after training, but there were no significant differences in their attitudes and practice scores before and after training. Training for health cadres is recommended to increase capacity of health cadre, especially the knowledge of health cadre controlling TB in the community.
Relationships between self-efficacy, health belief, and self-care among type 2 diabetes mellitus Isnaini Putri Cahyani; Fatma Siti Fatimah; Ratna Wirawati Rosyida
Journal of Community Empowerment for Health Vol 7, No 1 (2024)
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.78298

Abstract

Introduction: Diabetes mellitus (DM) patients need to be empowered to manage their conditions. Some factors that affected the empowerment of diabetes mellitus patients were self-efficacy, health beliefs, and self-care. Self-efficacy positively correlates with health belief and self-care among patients with type 2 DM. However, such evidence is still limited in the Health Care Centers, especially in Yogyakarta. This research aimed to identify self-efficacy and the relationship between health belief and self-care among Type 2 DM patients. Methods: This is a correlative analytical of quantitative research using the cross-sectional approach. Purposive sampling was used to collect the samples, which were 83 patients who belonged to the inclusion criteria. This research was conducted in the Primary Health Center in Bantul Yogyakarta between April and May. The statistical tests used the Spearman rank correlation test due to the abnormal distribution. Results: The mean of self-efficacy, health belief, and self-care were 84.9±9.3; 105,1±7,2; 67,8±7,7, respectively. There was a significant relationship between self-efficacy and health belief at the value of p<0.000, and there was a relationship between self-efficacy and self-care at the value of p<0.000. Conclusion: Positive correlations were achieved between self-efficacy and health belief and between self-efficacy and self-care in diabetes mellitus patients.
Primagravida Application Usability And User Satisfaction As A Digital Health Initiative For Pregnancy Educational Media And Remote Rural Monitoring Wiwin Lismidiati; Dimas Sumunar; Happy Indah Kusumawati; Mia Purnama
Journal of Community Empowerment for Health Vol 6, No 3 (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.81646

Abstract

Introduction: Nutritional status during pregnancy is one of the critical factors in determining maternal and fetal development, affecting birth weight, perinatal mortality, and infant growth. Regular monitoring of pregnant women’s health is crucial as preventive measures and promotive approaches for both mother and fetus. Primagravida, a web-based system, was developed to assist pregnant women in rural areas in monitoring their health, especially during the COVID-19 pandemic. This study aimed to evaluate usability and user satisfaction in using Primagravida. Method: Quantitative descriptive research with a cross-sectional design was employed. The study was conducted in the Kalibawang Primary Health Center (PHC) service area between June - October 2021. Seventy-nine pregnant women participated in this study. Pregnant women were registered and observed for their pregnancy profile through a web-based service integrated with PHC maternal and child health care. In evaluating the system usability, the current study utilized System Usability Scale (SUS), while a modified users’ satisfaction questionnaire was employed to capture participants’ perceptions. Results: Results indicated that most participants were satisfied with the benefits, information relevance, content adequacy and clarity, platform availability, and up-to-the-minute curated knowledge provided by the system. Utilization of this system reduced the number of visits to PHC since health monitoring could be performed virtually. Regarding system usability, respondents reported a score of 70, and the average score of respondents was 66. Conclusion: Pregnant women have adopted the Primagravida application to monitor their health and fetal status in Kalibawang District, Kulon Progo. Feature development is required to accommodate the upcoming demands of holistic maternal and perinatal care.
Nutrition and Mental Health Empowerment Project for Counseling Teachers and Students of Senior High Schools in Yogyakarta Risky Oktriani; Dianandha Septiana Rubi; Yogik Onky Silvana Wijaya; Bira Arumndari Nurrahma; Mohamad Fay Faizal; Sarair Maulidya; Brilliant Alendra Adianfra; Irwan Supriyanto; Edilburga Wulan Saptandari; Arta Farmawati; Sunarti Sunarti
Journal of Community Empowerment for Health Vol 6, No 3 (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.81891

Abstract

Background: Mental disorders can affect people of any age, including teenagers of school age, which can disrupt their productivity and quality of life if not managed properly. There is growing evidence that nutrition is vital in mental health, which helps manage mental disorders. Simple interventions for mental disorders among teenagers through health promotion, education, and nutritional interventions are needed to prevent mental disorders or provide early treatment for those in need.Objective: Our project aimed to train counseling teachers and students of senior high schools in Yogyakarta to have the capability of performing simple management of mental disorders and promoting a healthy nutritional status.Methods: Our project consisted of three phases; phase I (webinar and workshop), phase II (practice and implementation at schools), and phase III (monitoring and evaluation). We used pre- and post-tests to assess respondents’ knowledge and questionnaires to assess their perceptions of the project.Results: Twenty counseling teachers and forty students from 20 senior high schools in Yogyakarta participated in this project. Our project slightly improved students' knowledge of the importance of nutrition and mental health but not the teachers’ knowledge. All participants welcomed our project positively. Most participants agreed they learned new and important information and stated that the project helped combat nutritional problems and mental disorders.Conclusion: Our project was perceived positively and improved participants’ skills and knowledge of nutrition and mental health issues. This suggests that the project has empowered them to perform basic management of nutritional problems and mental disorders among teenagers at their schools. Additionally, more projects are still needed to widen and maximize the coverage of these important topics.
The drive-through COVID-19 vaccination in Yogyakarta Lukman Ade Chandra; Hera Nirwati; Ika Puspitasari; Ajib Dibtyanusa; Sutono Sutono; Bayu Fandi Achmad; Intan Fatah Kumara; Rukmono Siswishanto
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
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.82335

Abstract

Introduction: COVID-19 vaccination is the government's priority to control viral transmission. Drive-through system provides quick means of product or service delivery; however, it has not been extensively adopted as a vaccination method. This study aims to describe the implementation of the drive-through COVID-19 vaccination conducted by the Faculty of Medicine, Public Health, and Nursing at Universitas Gadjah Mada in collaboration with several national and regional, governmental and non-governmental institutions. Methods: The drive-through vaccination involved online registration, data collecting, reporting, on-site dose preparation, injection, and post-vaccination monitoring while participants remained in their vehicles. The events were scheduled between July and September 2021 in either FK-KMK UGM Campus or Grha Sabha Pramana, UGM. These venues are on the inner property side of UGM, therefore is no disruption of public traffic. Participants who are eligible and receive an invitation may attend the immunization venue according to the schedule. Results: In ten vaccination events, 20,870 doses of the COVID-19 vaccine were administered. Most participants were young people, with slightly more women than men. The drive-through vaccination went relatively well and offered many benefits such as improving vaccine coverage, time efficiency, social distancing, and herd immunity. Yet, issues like mild Adverse events following immunization and an accumulation of vehicles occurred. Therefore, careful planning and risk anticipation are necessary. Conclusion: The drive-through vaccination generally provides rapid and safe vaccine delivery to large communities. This method could be an alternative to delivering mass vaccinations requiring rapid and extensive coverage.
Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): a community resilience program for COVID-19 at Griya Lare Utami Bantul Yayu Nidaul Fithriyyah; I Made Moh. Yanuar Saifudin; Hersinta Retno Martani; Fajar Arumningtyas; Gaviota Khalish; Aviria Ermamilia; Ipang Fitria Wanti; Khudazi Aulawi; Haryani Haryani; Anita Kustanti
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
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.82755

Abstract

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.

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