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Survei status gizi balita di Agats, Asmat, Papua: Analisis situasi pascakejadian luar biasa gizi buruk Maria Fransiska Pudjohartono; Hanggoro Tri Rinonce; Josephine Debora; Pritania Astari; Monica Gisela Winata; Fadli Kasim
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

A recent extraordinary event of malnutrition in children in Asmat, Papua, Indonesia has drawn enormous attention. To help in post-emergency rehabilitation, Gadjah Mada University sent a Kuliah Kerja Nyata – Peduli Bencana (KKN-PB) team to Agats, Asmat in March 17 – April 20, 2018. As part of situation analysis, the team surveyed the nutritional status of under five-years-old children in Agats, Asmat. The subjects were under five-year-old children coming to posyandus in five areas in Agats in March-April 2018. The data of sex, age, weight, and height were obtained, then the nutritional status in the form of Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ) was calculated using WHO Anthro version 3.2.2 software. Nutritional status was determined based on criteria from World Health Organization (WHO). Among the 372 children, 35 (9.4%) children were underweight and 7 (1.9%) were severely underweight. Twenty one (5.7%) children were stunted and 12 (3.2%) were severely stunted. As many as 23 (6.2%) children were found to be wasted and 6 (1.6%) were severely wasted. The percentages of children with malnutrition found in this survey were lower than the percentages for Indonesia and Papua overall, but percentages in two posyandus were higher than the national and Papua percentages. The relatively low total percentages may be accounted for by concentration of malnutrition cases in districts other than Agats and lack of coverage of children absent from posyandu. Prevalence of malnutrition varied in different age groups possibly due to inadequacy of complementary foods, changes in incidence of infections, and addition of siblings. Further surveys are needed using home visits that will also enable to analyze of socio-economic factors at the same time as nutritional status determinants in Agats and other districts in Asmat.

Anemia pada ibu hamil peserta Program 1000 Hari Pertama Kehidupan di Agats, Asmat, Papua: Prevalensi dan analisis faktor risiko Pritania Astari; Hanggoro Tri Rinonce; Maria Fransiska Pudjohartono; Josephine Debora; Monica Gisela Winata; Fadli Kasim
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

ABSTRAK Pada tahun 2013, terdapat 37% kasus anemia pada ibu hamil di Indonesia. Kejadiannya di Agats, Asmat, Papua masih merupakan fenomena gunung es yang belum banyak mendapat sorotan. Pusat Kesehatan Masyarakat (Puskesmas) Agats menjalankan Program 1000 Hari Pertama Kehidupan (HPK) sejak tahun 2016 untuk meningkatkan kualitas kehamilan dan kelahiran. Penelitian ini bertujuan untuk mengetahui prevalensi anemia pada ibu hamil peserta Program 1000 HPK serta menganalisis faktor-faktor yang berpengaruh terhadap anemia pada ibu hamil di Agats, Asmat, Papua. Penelitian ini merupakan penelitian deskriptif observasional, menggunakan data sekunder dari laporan evaluasi Program 1000 HPK Puskesmas Agats Oktober 2017, yang diambil pada periode pelaksanaan Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), 17 Maret sampai 30 April 2018. Sebanyak 97 ibu hamil dari 230 peserta Program 1000 HPK dilibatkan dalam penelitian ini. Data yang diambil meliputi umur kehamilan, kadar hemoglobin (Hb), lingkar lengan atas (LLA), berat badan, dan pemberian suplemen zat besi. Kadar Hb < 11 g/dL pada trimester I atau < 10.5 g/dL pada trimester II dan III digolongkan sebagai anemia. Dilakukan pula analisis kemungkinan faktor risiko anemia berdasarkan hasil observasi di Agats dengan tinjauan pustaka. Dari total 97 ibu hamil peserta Program 1000 HPK, sebanyak 45.4% orang menderita anemia, meskipun 43.4% di antaranya telah mendapatkan suplementasi zat besi. Sebanyak 24.7% ibu hamil memiliki LLA < 23 cm. Beberapa kemungkinan faktor risiko anemia pada ibu hamil di Agats meliputi letak geografis Asmat, rendahnya tingkat pendidikan masyarakat, minimnya tenaga kesehatan serta fasilitas pelayanan kesehatan, kurangnya perhatian masyarakat terhadap kesehatan, keadaan sosioekonomi rendah, dan status gizi ibu hamil. Prevalensi anemia pada ibu hamil peserta Program 1000 HPK di Agats, Asmat, Papua pada Oktober 2017 lebih tinggi dari prevalensi nasional. Penelitian lebih lanjut dibutuhkan untuk mengetahui kaitan pasti antara kejadian anemia pada ibu hamil di Agats dengan faktor-faktor risiko tersebut.KATA KUNCI anemia; kehamilan; 1000 hari pertama kehidupan; Asmat; Papua ABSTRACT In 2013, it was found that 37% pregnant women in Indonesia suffered from anemia. However, in Agats, Asmat, Papua, this phenomenon has not gained enough attention. In order to improve the quality of birth and pregnancy, Pusat Kesehatan Masyarakat (Puskesmas) Agats is currently implementing the First 1000 Days of Life (1000 HPK) Program since 2016. This study aimed to discover the prevalence of anemia in pregnancy of the 1000 HPK participants in Agats and to understand the possible contributing risk factors. This study was descriptive observational study using secondary data from the evaluation report of 1000 HPK Program in Puskesmas Agats during October 2017. From 230 participants of 1000 HPK Program, 97 of them who were pregnant, were taken as the sample. The data (gestational age, hemoglobin level, upper arm circumference, body weight, and history of iron supplementation) were obtained during the implementation of Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), from March 17th to April 30th, 2018. Hemoglobin level in the first trimester < 11 g/dL or in the second and third trimester < 10.5 g/dL were classified as anemia. The observed risk factors were then analyzed using literature review. From 97 participants of 1000 HPK Program, 45.4% suffered from anemia, even though 43.4% of them had received iron supplementation. Moreover, 24.7% of the pregnant women had mid-upper arm circumference < 23 cm. Several observed influencing risk factors included the geographic profile of Asmat, low educational status, lacking of health personnels, facilities and the general awareness of the citizens regarding maternal health, low socio-economical status, and low maternal nutritional status. The prevalence of anemia in the pregnant participants of 1000 HPK Program in Agats, Asmat, Papua, during October 2017 was higher than the national prevalence. Further study needs to be conducted in order to find the correlation between the prevalence of anemia in the pregnant participants of 1000 HPK Program in Agats and the suspected risk factors.KEYWORDS anemia; pregnancy; first 1000 days of life; Asmat; Papua

Status mineral dan hormon tiroid pada penderita hipotiroidisme Pramudji Hastuti; Untung Supriadi Widodo; Rony Oktarizal; Andika Laksamana Kurniadi; Khoirul Anwar; Auladi Ahmad Ridho Siregar
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

ABSTRAK Rendahnya kadar hormon tiroid dalam sirkulasi mengakibatkan hipotiroidisme klinis dan menyebabkan berbagai proses metabolik turun. Untuk mempertahankan sintesis hormon tiroid dan pelepasannya memerlukan suplai beberapa mineral yang adekuat. Penelitian ini, menentukan kadar mineral Zn, Cu, Fe dan Se dalam serum anak yang menderita hipotiroidisme dibandingkan kontrol. Penelitian ini melibatkan sebanyak 23 anak yang terdiri dari 11 subjek yang mengalami hipotiroidisme dan 12 pasien normotiroid sebagai kontrol. Kadar Zn, Cu, Fe dan Se serum ditentukan dengan spektrofotometer absorpsi atom. Uji statistik yang digunakan adalah uji t (nilai p < 0,05 dianggap bermakna), kemudian odds ratio ditentukan untuk mengetahui hubungan antarvariabel. Kadar mineral yang diperiksa tidak berbeda bermakna (p > 0,05) antara penderita hipotiroidisme dengan kontrol. Rendahnya kadar Zn dan Se merupakan faktor risiko tingginya kadar thyroid stimulating hormone (TSH) sebagai penanda terjadinya hipotiroidisme. Dapat disimpulkan bahwa rendahnya kadar beberapa mineral terutama Zn dan Se merupakan faktor risiko terjadinya hipotiroidisme. Karena kadar TSH dalam serum tidak hanya dipengaruhi oleh kadar mineral dalam tubuh, perlu dilakukan studi lebih lanjut dalam skala yang lebih besar dengan pengukuran faktor perancu lain.KATA KUNCI status mineral; hormon tiroid; hipotiroidisme ABSTRACT Low level of circulating thyroid hormone results in clinical hypothyroidism and causes many metabolic processes to slow down. To maintain thyroid hormone synthesis and release, an adequate supply of trace elements is required. In this study, serum content of the trace elements, namely Zn, Cu, Fe, and Se in hypothyroidism patients was determined and compared to that in control subjects. Twenty three subjects consist of 11 hypothyroid patients and 12 normotiroid children as controls participated in this study. Serum Zn, Cu, Fe and Se level were determined using atomic absorption spectrophotometer. T test was used for analysis and p value < 0.05 considered significant. Odds ratio was determined to study the relationship between variables. Serum mineral level in hypothyroid patients were not significantly different(p > 0.05) from the level in control subjects. Low level of Zn and Se were risk factor for high level of TSH as marker of hypothyroidism. It can be concluded that the low level of trace elements especially Zn and Se were risk factor of the hypothyroidism. Because TSH serum level is not only influenced by the level of trace elements, further study is needed to analyze other influencing factors in larger population.KEYWORDS mineral status; thyroid hormone; hypothyroidism

Kadar glukosa darah dan tekanan darah pada penduduk pedesaan dan perkotaan di Daerah Istimewa Yogyakarta Tasmini Tasmini; Arta Farmawati; Sunarti Sunarti; Pramudji Hastuti; Ahmad Hamim Sadewa; Prasetyastuti Prasetyastuti; Ngadikun Ngadikun
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

ABSTRAK Sebagian besar penduduk di daerah pedesaan bertaraf ekonomi menengah ke bawah, memiliki keterbatasan akses informasi, dan memiliki mata pencaharian berbeda dibanding penduduk kota. Bantar Kulon merupakan daerah pedesaan dan Kronggahan adalah daerah perkotaan di Yogyakarta. Mengingat terjadinya pergeseran pola penyakit dari penyakit menular ke penyakit tidak menular serta adanya pengaruh lingkungan dan gaya hidup terhadap terjadinya penyakit degeneratif, dilakukan pengkajian mengenai faktor risiko sindroma metabolik di dua daerah tersebut. Penelitian ini dilakukan untuk mengetahui apakah ada perbedaan kadar glukosa darah puasa (GDP) dan tekanan darah (TD), serta keluhan/ penyakit utama pada penduduk di daerah pedesaan dan perkotaan. Sebanyak 71 orang dari Bantar Kulon dan 91 orang dari Kronggahan diperiksa kadar GDP-nya menggunakan GCU Multi-Function Monitoring System (EasyTouch®). Tekanan darah diperiksa dengan sphygmomanometer raksa dan otomatis. Kadar GDP dan TD pada subjek dari kedua lokasi ditampilkan dalam bentuk deskriptif berdasarkan cut-off (GDP: ≥ 100 mg/dL; TD: ≥140/90 mmHg). Uji t atau Mann Whitney U dilakukan untuk mengetahui perbedaaan nilai variabel antara kedua lokasi. Hasil dinyatakan berbeda bermakna jika p < 0,05. Data keluhan penyakit utama ditampilkan secara deskriptif. Tidak ada perbedaan kadar GDP antara desa dan kota (p = 0,385). Persentase subjek yang memiliki GDP ≥ 100 mg/dL lebih banyak di desa dibanding di kota (42,3% vs 26,4%). Persentase hipertensi lebih tinggi di kota dibanding di desa (50,5% vs 33,8%). Berdasarkan wawancara, keluhan/ penyakit utama terbanyak pada kedua wilayah adalah hipertensi sebanyak 23 orang (32,4%) di desa dan 30 orang (33,0%) di kota. Kadar GDP di atas normal lebih banyak ditemukan di desa sedangkan hipertensi lebih banyak ditemukan di kota. Keluhan/ penyakit utama di kedua wilayah adalah hipertensi. KATA KUNCI kadar glukosa darah; penyakit metabolik; hipertensi; pedesaan; perkotaanABSTRACT Most people living in rural areas are from lower to middle income class, have limited access to information, and have different occupations compared to those in urban areas. In Yogyakarta, Bantar Kulon is a rural area, while Kronggahan is an urban area. Currently, the pattern of disease is shifting from infectious diseases to non-communicable diseases with environment and lifestyle factors as determinants. Thus, it is necessary to study the trends of risk factors for metabolic syndrome in both areas. This study aimed to seek the difference of fasting blood glucose (FBG), blood pressure (BP), and major complaints/illness between rural and urban areas. Seventy one people from Bantar Kulon and 91 people from Kronggahan were examined for FBG levels using GCU Multi-Function Monitoring System (EasyTouch®). Blood pressures were checked using sphygmomanometer. Levels of FBG and BP were presented as frequencies based on cut-offs (FBG: ≥ 100mg/dL; BP: ≥ 140/90 mmHg). T-test or Mann-Whitney U test were used to analyze the difference of variables between both areas. Results were significantly different if p < 0.05. Chief complaint ilness data were displayed descriptively. There was no difference in FBG level between rural and urban areas (p = 0.385). The percentage of subjects with FBG ≥ 100 mg / dL was higher in Bantar Kulon than inKronggahan (42.3% vs 26.4%). Percentage of hypertension was higher in urban than rural areas (50.5% vs. 33.8%). Based on interviews, the chief complaint/ illness in both areas was hypertension. The number of subjects who were diagnosed with hypertension were 23 (32.4%) and 30 (33.0%) from Bantar Kulon and Kronggahan respectively. Impaired fasting glucose was more common in rural area while hypertension is more common in urban area. The chief complaint /illness in both regions is hypertension.KEYWORDS blood glucose; metabolic syndrome; hypertension; rural area; urban area

Penanggulangan depresi anak pascaerupsi Gunung Merapi melalui pelatihan permainan berbasis kearifan budaya lokal pada guru dan orang tua murid taman kanak-kanak Sumarni Sumarni; Cecep Sugeng Kristanto; Andrian Fajar Kusumadewi; Santi Yuliani; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Child mental health is a top priority for the 2015 Indonesian National Child Program with the vision of enabling Indonesian children to grow and develop in good health, to be protected and to actively participate. The Mount Merapi eruption had a major impact on the lives of the people living nearby. Many livelihoods came to a halt, forcing some people to work as sand miners until late at night. As a result, children receive less time and attention from their mothers. The combination of traumatic events and unsuitable parenting increase the tendency for depression, a grave health problem in children. Lack of awareness among parents and teachers can cause a delay in the detection and treatment of depression in children, which will negatively affect the children’s school performance and future. This community service and research project held a training on childhood depression. Twelve teachers, 55 parents, and 55 students from Kuncup Mekar Kindergarten and Aisyiyah Bustanul Athfal (ABA) Kindergarten, Cangkringan, Sleman participated in the training. The training included early detection of childhood depression, game modules based on traditional games, game equipment, and the Child Depression Inventory (CDI). The output of the training was evaluated by comparing pre-test and post-test results, as well as interviews. The tendency of depression in the participating children before and after training was assessed using CDI. After the training, the average level of knowledge on early detection and prevention of depression in children increased from 33.7 to 68.0, while the average skill level in playing traditional games increased from 43.9 to 85.2. The number of students with depression tendencies declined from 37 children (67%) to 16 (39%). Traditional game training can increase the knowledge and skills of teachers and parents of kindergarten students in tackling depression in children after the eruption of Mount Merapi.

Pemanfaatan sekolah sebagai sarana pencegahan obesitas sejak dini pada remaja Harry Freitag Luglio Muhammad
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Obesity among adolescents is a new nutritional problem in Indonesia. This is not only associated with increased risk for obesity in later life but also increased the risk for cardiovascular diseases, type 2 diabetes mellitus, hypertension, and other non-communicable diseases. Therefore an effective and integrated obesity prevention program is highly warranted. There are several community-based programs for obesity prevention that have been developed in the past few decades and school-based activity is one of the potential programs that could be implemented in the Indonesian setting. School is a strategic location for obesity prevention programs in the adolescents because school is the place where most of the adolescents spending their time outside their home. In addition, a school also a centralized community where health and nutrition promotion programs can be done at the same time. In 2012, the Indonesian Ministry of Health published a guidebook on the prevention and treatment of adolescents with obesity at school. However, this guideline only focusing on the role of health workers at puskesmas level and not detailing the role of the school in managing obesity prevention program. Thus, this review was made to provide an alternative solution for obesity prevention in adolescent via programs that can be done at school. Author aimed this review for school managers, puskesmas health workers, the local department of health, researcher and non-government organization that has the concern regarding adolescents health especially in relation to nutrition. This review can be a foundation for the development and implementation of school-based obesity prevention programs as well as a reference for the development of school policy.

Penyuluhan tentang perilaku hidup bersih dan sehat bagi siswa-siswi di SMA Negeri 1 Sapuran, Wonosobo, Jawa Tengah Florentina Kusyanti
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

There were some students that spit their saliva out of the windows and spit their saliva outwhen they were in the classroom. There were also some teachers who were smoking in inappropriate place and some students who were throwing rubbish, such as candies wrap, anywhere. Teachers and students were still having low concern in maintaining the toilet and shower, hence the toilet and shower were still smelly and dirty. This activity was intended to implement “tri dharma perguruan tinggi” and to share the knowledge to other people, especially for students of SMA Negeri 1 Sapuran, Wonosobo. Hopefully, at the end of this activity, the students would realize the importance of implementing program called Perilaku Hidup Bersih dan Sehat (PHBS) or Healthy and Clean Behavior in the School. This community empowerment was carried out in one day in July 2016, in SMA Negeri 1 Sapuran, Wonosobo, Central Java. In this community empowerment, there is no pre-test, but two months of observation have been carried out after the activity. The method that used for health education is counseling. Students are collected in the hall then given material through Microsoft PowerPoint software with lectures, questions, and answers thenfollowed by a post-test to find out whether the material provided is useful in increasing the knowledge and application of Healthy and Clean Behavior for students. From the results of observations on 159 students, it is known that their knowledge is good. The post-test results showed that 81.8% of students had good knowledge. The application of Healthy and Clean Behavior during the observation period in two months after counseling was good, not much rubbish was scattered in the yard.

Pengaruh pelatihan kader yandu lansia dalam menciptakan desa ramah dan sehat bagi lansia di Desa Purwobinangun, Sleman Sumarni Sumarni; Adi Heru Sutomo; Cempaka Tursina; Purwanta Purwanta; Ade Indah Wahdini; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
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.41273

Merapi eruption can cause a psychological traumatic for elderly such as depression, increasedisability, and decrease quality of life. We need to train the cadres to make an elderly care village. The aim of this study is to know the influence of cadre training in knowledge and skill for elderly healthiness. This study uses secondary data from community research on May until September 2018 in Desa Purwobinangun, Sleman. The target is cadres and 80 elderlies in Desa Purwobinangun, Sleman. The instruments in this study such as Module Ramah dan Sehat Lansia, Geriatric Depression Scale (GDS), Mini Mental State Examination(MMSE), questionnaire about knowledge and skills of a traditional games, and questionnaire about early detection and treatment in old age health. The data will be shown in quantitative data. After trained, the average value of the knowledge of coping with local cultural wisdom games, social and religious support, brain gymnastics, and friendly elderly increased by 30 points, 50 points, 40 points, and 50 points respectively.Changes in the average value of the skills of elderly yandu cadres in tackling local cultural wisdom games, social and religious support, brain gymnastics, and friendly elderly have increased by 17.12 points, 19.18 points, 28.68 points, and 27.58 points. For changes in the trend of health problems, the elderly who are not hypertensive increased by 7 people, for the elderly who have diabetes mellitus there was no change in the number before and after training, while the elderly who experienced depression fell by 18 people. For the elderly who experience cognitive impairment decreased by 18 people and elderly who have high quality of life increased by 22 elderly. Yandu training for the elderly can improve the knowledge and skills of the elderly yandu cadre in the management of health problems in the elderly. Cadres empowerment can increase knowledge and skill of cadre to treat health problem in elderly

Penanggulangan depresi lansia pascaerupsi Gunung Merapi melalui permainan humor berbasis kearifan budaya lokal pada kader yandu lansia Sumarni Sumarni; Triwirasto Triwirasto; Andrian Fajar Kusumadewi; Santi Yuliani; Dwi Dwi; Nanda Kusumaningrum
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Mental health of elderly is a main priority which should be concerned of, in order to provide strength to obtain welfare in old age. Merapi eruption was a natural disaster that provided long-term psychological effects on elderly survivors. It is necessary to be handled with continuous support related to depression and life quality of elderly after Merapi eruption by providing training on humor games based on local cultural wisdom and management of depression in elderly in the manner of social spiritual to the cadres of integrated services for elderly in Hunian Tetap (Huntap) Kuwang, Cangkringa, Sleman, Daerah Istimewa Yogyakarta (DIY). Data used in this research was secondary data taken from community service that conducted in May - September 2014. The community service involved 30 cadres of integrated services for elderly and 45 elderly in Huntap Kuwang. Tools used in this research were module of local wisdom games completed with its equipment and module of early detection and coping with depression. The data were presented in descriptive quantitative and qualitative. After being given training on humor games based on local wisdom, there were increased average score on cadres’ knowledge of humor games based on local wisdom (from 66.4 to 93.2.) and skill (from 64.1 to 87.6,) as well as knowledge of early detection of depression (from 47.6 to 84.4) and skill of social support providing (from 35.3 to 80.8). There were declining trend of depression in elderly from 36 people before training to 17 people after the training of humor games based on local wisdom and spiritual social support. Training on humor games based on local wisdom and early detection of depressive tendencies along with the coping to the cadres of integrated services can reduce depressive tendencies and improve life quality of elderly in Huntap Kuwang, Cangkringan, Sleman, DIY.

Kader hidup sehat dalam upaya promotif penyakit denegeratif Emy Huriyati; Prima Dhewi Ratrikaningtyas; Siti Rahmah Projosasmito; Arta Farmawati
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Degenerative diseases occur because of interactions between genetics and lifestyle. The prevalence of non-communicable diseases in Sleman Regency is higher than the provincial average and occupies the second position in Daerah Istimewa Yogyakarta (DIY) or Special Region of Yogyakarta. The prevalence of diabetes mellitus 3.1% and central obesity is 29.8%. Health cadres have routinely carried out posyandu activities but have a role in preventing the risk of degenerative diseases which have not gone well. Research methods conducted with quasi-experimental one group pre-test and post-test designs on health cadres who were given counseling, tutorial, and discussions. The post test material was the cadre's knowledge before counseling and discussion were held. The measurement results are analyzed using quantitatif and pair t test analysis. The results of material delivery did not have a significant effect on the increase in knowledge of degenerative diseases p = 0.225 known from the pre-test (4.3 ± 1.6) and post-test (4.8 ± 1.4) with an increase in the mean of 0.4. Although statistically does not show significance, there is an increase in the value between pre and post test. There is an increase in the average knowledge before and after counseling.

Home Page

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Contact Name
Widyandana

Contact Email
jcoemph.fk@ugm.ac.id

Phone
(+62274)-547490

Journal Mail Official
jcoemph.fk@ugm.ac.id

Editorial Address
Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Widyandana

Contact Email jcoemph.fk@ugm.ac.id

Phone (+62274)-547490

Journal Mail Official jcoemph.fk@ugm.ac.id

Editorial Address Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

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Abstract

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Abstract

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Abstract

Contact Name
Widyandana

Contact Email
jcoemph.fk@ugm.ac.id

Phone
(+62274)-547490

Journal Mail Official
jcoemph.fk@ugm.ac.id

Editorial Address
Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA