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Journal of Community Empowerment for Health
Published by Universitas Gadjah Mada
ISSN : 26548283     EISSN : 26550164     DOI : 10.22416/jcoemph
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Community Empowerment for Health (ISSN 2655-0164 (online); ISSN 2654-8283 (print)) is a national, open access, multidisciplinary, and peer-reviewed journal. We aim to publish research articles and reviews on educative, promotive, preventive and community empowerment activities in the health sector, especially rural area.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 202 Documents
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The critical role of informed consent for doctors and patients in the community Yuliana Yuliana
Journal of Community Empowerment for Health Vol 7, No 3 (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.95638

Abstract

Introduction: Malpractice and medical case disputes are commonly found in the community. It was caused by misperception between patients and doctors in a medical case. Therefore, the informed consent role is essential for patients and doctors. This paper aims to describe the role of informed consent for patients and doctors. Methods: This is a narrative literature review. Literature was taken from PubMed, Google Scholar, and ScienceDirect. The selected journals were published within 10 years. Results: Informed consent is a sign of approval for any medical procedure that might cause disputes. On the doctors’ side, informed consent is a legal protection. On the other side, informed consent is an explanation for the patient in helping decide on approval or rejection of any medical procedure. An informed consent paper has legal protection for the attending physician. Doctors must give accurate and complete information about the procedure before it is done. Patients have the right to have an explanation, give consent, or rejection regarding any procedure. When a doctor does a medical procedure before giving informed consent, it is considered malpractice. Informed consent is related to human rights fulfillment. Patients have the right to accept or reject any medical procedure after the doctors explain thoroughly about the procedure. Conclusion: In conclusion, the role of informed consent for doctors is legal protection and obligation. Meanwhile, the role of informed consent for the patients is to fulfill human rights.
A systematic literature review of consuming-stage interventions in addressing food waste reduction in lower- and upper-middle-income countries Akifa Laila Rusyda
Journal of Community Empowerment for Health Vol 7, No 3 (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.96618

Abstract

Introduction: Over a billion tons of food are wasted annually. There was much evidence in higher-income countries towards food waste reduction in consumption level. Conversely, some food waste volume is rising worldwide, particularly in lower- and middle-income countries. In order to improve understanding of how to minimize food waste during the consumption stage, the present literature review aimed to synthesize food-waste reduction interventions at the consumption level in lower- to upper-middle-income countries. Methods: The study used the Google Scholar database and followed PRISMA guidelines. Results: Three hundred sixty-five articles were retrieved from the database searched. The final round summarized 13 implemented food waste reduction interventions at the consumer stage. The finding shows also there were several main intervention types applied, including campaign (n=6), technology (n=4), policy (n=2), and others conducted in households (n= 9; 70 percent), restaurants (n= 2; 15 percent), and university/ college (n= 2; 15 percent). Conclusion: Policy is still a fundamental determining intervention of the effectiveness of food waste reduction at the consumption level. Furthermore, a framework suggests that community-based education may be applied as a consumption-level intervention to minimize food waste, which is appropriate for the community empowerment approach in lower- and upper-middle-income countries. Furthermore, intervention using composting eco-friendly technology also required innovation and community support.
The impact of health education videos on the level of knowledge and attitudes of pregnant women about danger signs in pregnancy Nisman, Wenny Artanty; Khoironi, Nur Cahya; Haryani, Oktavia Dwi
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.82985

Abstract

Introduction: Complications of pregnancy can cause morbidity and mortality. Pregnant women should know about these complications so that they can immediately get intervention. Some of these complications are referred to as danger signs of pregnancy. The aim of the paper to know the effect of health education videos on the level of knowledge and attitudes about danger signs in pregnancy.Methods: This quasi-experimental study used a nonequivalent pretest-posttest with control group design. This research was conducted at Jetis Public Health Center (PHC) (intervention group) and Pajangan PHC (control group). The number of respondents was 64 pregnant women. The control group received education with the Maternal and Child Health (MCH) handbook while the intervention group also received education using MCH handbook and education using videos about the danger signs of pregnancy. An educational video with a duration of 10 minutes 19 seconds contains about danger signs of pregnancy and actions that must be taken to overcome these problems. Educational videos were given to respondents via Android phones that can be watched repeatedly. data analysis has been carried out with the t test.Results: Based on the homogeneity test on the characteristic data between the intervention and control group were homogeneous. Comparison between the difference the knowledge of the pre-posttest in the intervention group compared to the difference the pre-posttest knowledge of the control group (8.59 vs. 0.31) with p value = 0.311, meaning that there is no effect of providing education with video on knowledge. Comparison between the difference in pre-posttest attitudes of the intervention group compared with the difference in pre-posttest attitudes of the control group (1.71 vs -1.21) p value = 0.001, meaning that there is an effect of providing education with video on attitudes.Conclusion: Health education videos can improve the attitude about the danger signs of pregnancy.
Kelas MASK: Posbindu (integrated health post) revitalization as preventive action towards non-communicable disease during COVID-19 pandemic Huriyati, Emy; Wahab, Abdul; Farmawati, Arta; Nisa, Ainun; Nurahma, Bira Arumndari
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.86336

Abstract

Introduction: Non-communicable diseases (NCDs) are not only caused by genetic factors, but it can also be due to behavioral factors, such as low physical activity, unhealthy diet, and lack of knowledge on nutrition and healthy lifestyle. An integrated health post (“pos pembinaan terpadu” abbreviated as posbindu) is a community-based program in Indonesia which aims to reduce the incidence of NCDs by promoting a healthy lifestyle and conducting monthly health screening. However, since the recruitment of the post’s cadres is voluntary, most of them do not have formal education on health and may not be familiar with health screening tools. Thus, improving their knowledge and skills on this subject is critical.Methods: The Kelas MASK project aimed to increase the knowledge and skills of posbindu cadres, especially on the risk, prevention, and basic screening tools for NCDs. The projects consisted of lecture, demonstrations, dan practices. The knowledge and skills on anthropometric measurements, blood pressure and simple biochemical analysis were evaluated based on the score obtained from the pre- and post- tests. Results: The Kelas MASK project increased the cadres’ knowledge, shown by the increase of the average post-test score compared to the pre-test score (increased by 4.03, p-value = 0.0000).Conclusion: All in all, the Kelas MASK project significantly increased the knowledge and skills of posbindu cadres on the prevention of NCDs.
Needs assessment: occupational health effort post in the informal sector in Pakpak Bharat District, Indonesia Utami, Tri Niswati; Manik, Hubban Fathani; Acob, Joel Rey U; Aulia, Destanul; Sillehu, Sahrir
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.86388

Abstract

Introduction: The majority of workers in the informal sector have not received occupational health services. This study aims to explore health issues and assess the community's need for Occupational Health Services within the group of farmers.Methods: The activities are categorized into three parts: 1) Self-Assessment Survey (ASA). Data collection for the Self-Assessment Survey (SAS) activity is conducted using a questionnaire instrument, with a total of 10 farmer respondents collected to answer the questionnaire consisting of 5 assessments: work environment, personal protective equipment and safety, work performance, farmer’s health, and workplace hazards. 2) Village Community Assembly. Data collection for the Village Community Assembly activity is done through a Focus Group Discussion (FGD) with 35 study participants determined using a purposive sampling technique. 3) Establishment of occupational health effort posts. The implementation of the establishment of occupational health effort posts is done through a joint assembly with the village community and a facilitator team. Data analysis is conducted descriptively based on a Needs assessment. Musculoskeletal complaints, inadequate pesticide use for health requirements, and insufficient use of personal protective equipment were found.Results: The components of a needs analysis are based on considerations such as problem gaps, resource availability, support, and funding. The establishment of occupational health effort posts provides an appropriate platform for farmers to become acquainted with, prevent, early detect, and improve workers' health.Conclusion: Healthcare personnel needs to continuously provide support and health services through enhancement, guidance, and training to the farming community so that they can prevent and improve their health.
The core readiness of Sleman Region community on mobile health implementation: a qualitative study Septianingtyas, Adinda; Pertiwi, Ariani Arista Putri; Yuliandari, Kurnia Putri
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.87806

Abstract

Introduction: The innovation of healthcare technology has developed rapidly, including mobile health (mHealth). The success of mHealth implementation in community settings obtain influenced by core readiness factors, distinctly community needs towards mHealth. This study aims to explore the core readiness of the Sleman Region community on the use of mHealth, specifically the features needed and the determining aspects of acceptance.Methods: This study used a qualitative design and conducted in-depth interviews with 13 community members. Participants were chosen purposively by Public Health Centre with various characteristics from January-March 2020. The verbatim transcripts were analysed using the direct content analysis technique with peer debriefing.Results: There are five themes of core readiness that are identification of needs obtained feature needed, satisfaction and dissatisfaction when using existing applications, knowledge of mHealth potency including advantages and disadvantages, acceptance of aspects that determine the use of mHealth, and enthusiasm for future mHealth that including reasons whether using the application or not. Specifically, the following features needed in the community are health information, self-medication, online consultation, mapping of healthcare services, peer support group, health promotion, personal training, emergency, personal health record, and feature for specific groups. The eight determining aspects of mHealth influencing community acceptance are interface design, easiness, content delivery, cost, promotion, performance, safety, privacy, and sustainability.Conclusions: The findings indicate that the Sleman Region community stands ready to accept the implementation of mHealth based on core readiness exploration. These findings can become a consideration in the development of future mHealth applications.
Empowerment of youth peer groups in improving breast cancer awareness in high school in Samarinda Rahayu, Eka Putri; Chifdillah, Nino Adib; Tonapa, Emelia
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.90184

Abstract

Introduction: Breast cancer is the type of cancer that has the highest contribution to the prevalence of cancer of women in Indonesia. This type of cancer has a high mortality rate due to late early detection. Breast cancer is the most common cancer in women. Early detection of breast cancer plays significant role in reducing mortality and improving patient prognosis. Based on initial data taken, the knowledge results of 10th grade were obtained SMA Negeri 1 Samarinda reached 52,5% which is classified as knowledge level (less <56%). Apart from that, the percentage of 10th grade high school students who have a family history of breast cancer is 15%. the percentage of of early menstruation in 10th grade high school students is 28%.  Therefore, it is necessary to continue to be reminded of health information about breast cancer. The aim is to provide students with an understanding of breast cancer, its impact, and risks, and to create facilities to increase this knowledge.Methods: The purpose of this community service was to community empowerment through youth peer groups regarding breast cancer awareness. The community service methods were health education about breast cancer awareness and Breast Self Examination (BSE) demonstrations. The population in this study were female students in 10th grade. The sample was 94 respondents. Primary data of this study were collected using a pre and post-test questionnaire. The data analysis used was the percentage and frequency.Results: The results obtained an increase in knowledge of students after being given breast cancer awareness education whereas 78,7% in the good category increased to 88,3%.Conclusion: With increasing levels of knowledge, hopefully, it will be possible for adolescent’s attitudes towards Breast Self Examination (BSE).
Program for Infection and Cancer Prevention Activities (PROACTIVE) towards knowledge and attitudes of self-hygiene and breast self-examination for adolescents Fithriyyah, Yayu Nidaul; Rachmawati, Meyka Budi; Farhany, Fajrul Falah; Nugroho, Nur Huda Adi
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.96631

Abstract

Introduction: Pesantren are Islamic educational institutions that implement a boarding system. Insufficient sanitation increases the risk of contagious disease transmission. Besides infectious diseases. Moreover, there is a rising trend of cancer incidence in adolescents.Objective: To evaluate the effectiveness of the Program for Infection and Cancer Prevention Activities (PROACTIVE) on knowledge and attitudes regarding personal hygiene, infectious diseases, and cancer among students in the Pesantren.Methods: This study used a quasi-experimental design with a single-group pre-test and post-test approach. It was conducted at MA Nur Iman Sleman, located within a Pesantren environment, 47 students completed both the pre- and post-test questionnaire. Data were analyzed using descriptive and inferential statistics.Results: The study at MA Nur Iman revealed a significant increase in knowledge about Acute Respiratory Infections (ARIs) post-intervention, especially in Class 1 (from 2.91 to 3.07, P=0.0001). Scores related to personal hygiene, handwashing, residential cleanliness, and women's reproductive health showed good scores. However, the overall practice of Breast Self-Examination (BSE) did not show significant changes, However, two statements related to laziness and embarrassment during BSE showed significant improvements (P=0.000).Conclusions: The intervention was effective in enhancing awareness and attitudes regarding Acute Respiratory Infections (ARIs). However, there is a need for an engaging and continuous educational approach to form a lasting awareness and attitude among adolescents, particularly concerning cancer.
Risk factors of non-communicable diseases among productive age in Universitas Pasundan: a cross-sectional study Rakhmania, Sitti Khadijah; Astuti Setiawan, Shellita Melanie; Inzaghi, Dimaz Rafly
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.96963

Abstract

Introduction: Non-communicable diseases (NCDs) remain the leading cause of death in Indonesia, including in Bandung City, where hypertension, heart disease, and stroke are the highest causes of mortality. Recently, the prevalence of NCDs has increased, frequently ranking among the top ten diseases reported in primary healthcare centres in Bandung. Furthermore, the epidemiological trend for NCDs has shifted from predominantly affecting older adults to increasingly affecting the productive age group. However, Indonesia still lacks research on NCD risk factors specifically within the productive age group, including in higher education populations where many individuals in this age group are present.Methods: This study aims to describe NCD risk factors in the productive age group (15-59 years), based on NCD risk factor screening data from the total sampling of 333 students and staff at Universitas Pasundan.Results: According to the data, 42.6% of respondents were in the pre-hypertension category and 5.4% already had hypertension, 36.6% had excessive body mass index (BMI), and 26.1% had central obesity. High blood pressure and central obesity were more prevalent in males, while excessive BMI was more prevalent in females. It was also found that 54.4% of respondents were exposed to cigarette smoke, 52.9% had insufficient physical activity, 49.8% consumed excessive sugar, 58.6% consumed excessive salt, 50.5% consumed excessive fat, and 57.4% had insufficient vegetable and fruit intake. Excessive consumption of sugar, salt, and fat was more prevalent in females.Conclusion: The study found that productive age population has a high risk of developing NCDs. Immidiate interventions are needed especially for at-risk populations, together with bolstering preventive and promotional efforts for those not yet at risk. The university should schedule regular annual screenings targeting a broader and more representative sample.
Optimizing posyandu balita with cross-sector support in Salakan Potorono Bantul hamlet building Jannah, Putri Isriyatil; Trisasri, Ruri; Eliana, Desy; Yanuari, Nabela Putri; Awaludin, Awaludin
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
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.98255

Abstract

Introduction: Posyandu Balita is one of the Indonesian government's strategic efforts to improve the health and welfare of toddlers through community-based health services. Posyandu Balita has provided services such as monitoring child growth and development, immunization, administering vitamin A, and health education for mothers and families. The involvement of all components of society in the implementation of Posyandu Balita Widuri is very much needed, such as policymakers, community leaders, health workers, health cadres, academics, and the community to create synergy in posyandu services that can be felt by the entire community. This research aims to find out and identify the optimality of Posyandu Balita for cross-sector support in Salakan Potorono Hamlet.Methods: The method used is qualitative by conducting interviews with resource persons consisting of Community Health Center Health Workers, Head of Salakan Hamlet, Health Cadres, and the Community who regularly carry out Posyandu Balita.Results: The results obtained from the interview were that the service at the Posyandu Balita was excellent because it was by the posyandu service flow determined by the Ministry of Health. Apart from that, support from health workers such as providing health education training and posyandu services to health cadres, carrying out monthly monitoring and evaluation of posyandu services, and advocating to local governments to create excellent posyandu services for toddlers. Support from the Hamlet Head has also been implemented optimally, such as the use of village funds for posyandu activities and the welfare of Health cadres. Health cadres involved in posyandu activities have maximally carried out their obligations. Health cadres always increase capacity in knowledge and implementation in posyandu services. So that the community can feel the benefits of the posyandu activities that are carried out every month.Conclusion: The conclusion in this research is that Posyandu Balita Widuri is located in Salakan Potorono Hamlet, Banguntapan, Bantul has been optimal in terms of health services because of the support from across sectors that have played a role so far.

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