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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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Short Film of Adolescent Reproductive Health Based on Friendly of Local Wisdom for Junior High School in Bondowoso Tantut Susanto; Kholid Rosyidi Muhammad Nur; Soekma Yeni Astuti
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
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.48978

Abstract

Background: The lack of information and low knowledge for adolescent reproductive health (ARH) have an impact on junior high school (JHS) students during puberty to develop unhealthy reproductive behaviors, such as dating and consumption of pornography through online media. Meanwhile, there are lack of facilities and infrastructure to accommodate the interests and talents of students that are friendly with local wisdom. Therefore, there is needed a partneships program between  schools and university to improve student creativity for coaching ARH through empowerment of school environment. Furhermore, the aim of community egagement is to make a short film “healthy ARH” that is friendly to local wisdom to improve life skills of ARH.Method:The crativity of short movie program “healthy ARH” for local wisdom-friendly  was conducted for 6 months at JHS 2 and JHS 3 Tamanan, Bondowoso. Among 36 students, 34 parents, and 6 teachers were participated in this program. Student creativity for making a short film was facilitated for promoting and education of ARH. This activities is an independent program from, by, and for students and teachers which are friendly with local wisdom. The series of activities consisted of community school consultations, training for made a short film, education and training for ARH, and monitoring and evaluation of program. Program measurements for students were performed through quantitatively measured for analyzed the differences of knowledge, attitudes, and behavior of ARH, as well as knowledge of HIV at the beginning of month 1, month 3, and month 6 using Chi square test. Whereas the qualitative evaluation was perforemed through focus group discussions (FGD) regarding the perceptions of students and teachers used a short film as ARH  promotion media at the end of the program.Hasil:Among 36 students who took part in this program, there were significant differences for ARH of students before and after participating in the “healthy ARH” through short film based on local wisdom-friendly, both in terms of knowledge(X2= 33.6; p<0.001), attitudes(X2= 16.2; p=0.001), behavior(X2= 24.3; p<0.001), andknowledge ofHIV (X2= 11.9;p=0.008). Based on the FGD, the teachers were feel confident for conducting peer counselors using short film education media. These film was easier to educate the student regarding the values and norms of school environment. Meanwhile, students feel comfortable learning ARH from a short film and their interests and talent are facilitated by short film creativity.Kesimpulan:Ashort film “healthy ARH” based local wisdom-friendly program is able to improve the knowledge, attitudes and behavior of ARH, as well as the students' HIV knowledge. This program could be used as a medium for ARH education in schools by integrating with the school health program to improve life skills of ARH.
Development of school canteen and school gardens guidelines as prevention against cardiovascular disease Bernadette Josephine Istiti Kandarina; Yayuk Hartriyanti; Theodola Baning Rahayujati; Arif Rahmat Kurnia
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
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.52618

Abstract

Cardiovascular diseases are considered as the deadliest diseases in the world. According to WHO data, deaths caused by coronary heart disease in Indonesia reached 138,380 or 9.89% of the total deaths. The age adjusted mortality rate is 82.30 per 100,000 population with Indonesia ranked #97 in the world. Kulon Progo Regency is located in the western part of the Special Region of Yogyakarta.  The average monthly food expenditure in Kulon Progo is Rp365,012 ($27.49). While a healthy diet is known and promoted to benefit health, only a small portion is used to buy fruits and vegetables (2.24% and 1.76%). Cardiovascular disease is the main cause of morbidity in Kulon Progo. This study aimed to examine the process of developing guidelines for healthy school canteens and school gardens and promote fruit and vegetable consumption. This study used a qualitative research design. The data were collected through in-depth interviews and focus group discussions. A preliminary survey was conducted in 10 private and public schools in Kulon Progo district, Yogyakarta Province, Indonesia.  Guidelines related to healthy lifestyles through Canteen- and school garden were successfully arranged for in-school programs. Interviews and focus group discussions explored possibilities of permanently establishing the programs with local and national funding. Some disagreement was voiced concerning the loss of revenue incurred by local food vendors. Stakeholder involvement is crucially important for the preparation and development of the school canteen - and school gardens guidelines. Follow-up is recommended to carry out the dissemination of the guidebook.
Ocular involvment of coronavirus disease (COVID-19): A systematic review of conjunctival swab results Indra Tri Mahayana; Natalia Christina Angsana; Muhammad Zhafran Ayyasy; Anastasya Sondang Hutajulu; Suhardjo Suhardjo
Journal of Community Empowerment for Health Vol 3, No 2 (2020): Special Issue of COVID-19
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.55543

Abstract

Coronavirus disease (COVID-19) is a pandemic disease which is caused by the latest discovered coronavirus. Conjunctivitis is allegedly the first presentation of COVID-19 since it can spread by aerosol contact with the conjunctiva. The present study aimed to systematically review the employment of conjunctival swab with Real-time Polymerase Chain Reaction in detecting SARS-Cov-2. The research is a systematic review of the published scientific literature on findings of conjunctival swab of COVID-19 from PUBMED database and other additional sources (i.e: Google Scholar). The search method was done using “COVID-19 OR coronavirus OR SARS-COV2, AND conjunctivitis, AND ocular manifestations, AND conjunctival swab” as keywords. Inclusion criteria were any papers that related to the entered keywords and have conjunctival swab as a reported outcome. Letters, reviews, and editorials describing other studies reporting COVID-19 and conjunctival swab were excluded. Only four research papers were found and included in the literature review. From the four current research papers, positive SARS-CoV-2 results were yielded from 0-5.26% of conjunctival swab specimens. In conclusion, although the presence of the SARS-CoV-2 virus on the ocular surface remains unclear, the prevention of infection transmission through an ocular surface is mandatory by wearing goggles (or shield), mask (N-95 recommended) and gown.
Improving early detection of reproductive health through empowering cadres in Kepuharjo village, Cangkringan, Sleman Sumarni Sumarni; Shinta Prawitasari; Adi Heru Sutomo; ika putri; Santi Yuliani
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.41274

Abstract

After the catastrophic eruption of Merapi, which was very traumatic, some people had to move to a new neighbourhood which also was a stressor and further might cause mental disorders, especially women's psychiatric disorders. Prolonged stress will suppress the immune system which affects reproductive health, such as menstrual disorders, vaginal discharge, and urinary tract infections. One of the efforts to deal with this problem is to provide assistance related to early detection and overcoming reproductive health disorders for PKK cadres. The purpose of this study was to evaluate the PKK cadre’s skills in early detection and control of reproductive health disorders and to evaluate the decrease of women’s reproductive health disorders in Kepuharjo Village. The target of this study consisted of 40 PKK cadres and 60 women in Kepuharjo Village, Sleman. The early detection module, reproductive health disorder prevention module and early detection skills, reproductive health disorder prevention module, and urine and pap smear laboratory tests were used in the research. The data was presented in quantitative descriptive, using secondary data from community service in June-October 2017. The results of this study were (1) Increasing the average value of early detection skills for reproductive health disorders: stress increased from 39.83 to 57.5; menstrual disorders increased from 29.65 to 57.5; UTI disorders increased from 29.52 to 53.75; vaginal discharge disorders increased from 26.25 to 56.25; breast cancer increased from 16.25 to 51.25. (2) Increasing the average value of reproductive health disorders prevention skills: humour games increased from 41.25 to 82.5 and social support increased from 27.25 to 62.5. (3) Decreased tendency of women’s reproductive health disorders: stress decreased from 39 people (65%) to 21 people (35%); menstrual disorders fell from 51 people (85%) to 31 people (17.67%); UTI disorders decreased from 25 people (41.67%) to 16 people (26.67%); and vaginal discharge decreased from 34 people (56.67%) to 19 people (31.67%). It can be concluded that empowering cadres can improve PKK cadre’s skills in early detection of reproductive health disorders and overcoming reproductive health disorders.
The capability of early detection of eye diseases in the community by primary health facility worker Doni Widyandana; Muhammad Eko Prayogo; Suhardjo Suhardjo
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.43418

Abstract

Cataract is one of the biggest causes of blindness in the world. As many as 2.4 million people suffered from cataracts in Indonesia in 2013. Therefore, early detection needs to be done to prevent further complications. However, health workers' limited ability in primary health care facilities has resulted in high cataract diagnosis rates. The purpose of this study was to determine the ability of early detection of eye diseases, especially cataracts by primary health care workers. This study was conducted using a quantitative descriptive method analyzing 158 medical records as a result of early detection of primary health care facilities in Sleman Regency, which were sent to the ophthalmologist team of the Department of Eye Health FKKMK UGM to be re-examined. The re-examination results by a team of ophthalmologists received 141 medical records that fulfilled the inclusion criteria, consisting of 61 patients confirmed by cataract diagnosis (43.3%) and 80 patients with a diagnosis of not cataract (56.7%). According to the study, primary health care workers' ability towards early detection of cataracts in Sleman Regency needed to be enhanced (4.3%).
Combining SRQ20 and PHQ9 for tackling mental problem in community Hikmawati Nurokhmanti; Fitriana Fitriana; Irwan Supriyanto
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.43942

Abstract

Mental health influences people’s productivity from individual-level to enterprise level. This important factor should be assessed and tackled by the primary care unit since healthy community is their ultimate goal. Sixty of two screening tools (self-rating questionnaire [SRQ20] and patient health questionnaire [PHQ9]) were randomly distributed by primary care unit through cadres at Kricak, Tegalrejo District to community which is attending the cadre launching. SRQ had an 83,33% response rate, whereas PHQ9 has only 41,7% response rate. By comparative distributive analysis, it was found that one person who fallen into moderately severe symptoms of depression in PHQ9 was had not fallen into the person who has mental problem based on SRQ20, and two persons who fall into the moderate symptom of depression in PHQ9 were had not fallen into person who has mental problem based on SRQ20. There was 20% inconsistency between the two tools of mental health assessment. Using two tools assessing mental health problem is fruitful since it will cover each other. This study proved that there could be divergent result from both questionnaires. A decision before continuity management care of depression should be taken carefully. There should be another step taken by primary care unit before they undergo management care for depression. 
Correlation between social support and the achievement of the development of self-concept to deaf children 7 – 12 years Siti Nurmalasari; Tantut Susanto; Kholid Rosyidi Muhammad Nur
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.45343

Abstract

Children with deaf have a disability in language and communication because they cannot hear and understand their environment, so that is not uncommon for people around them to assume that children with deaf cannot live in the social environment. This matter shows the community to deaf children where it can affect children's self-concept with the deaf. This research aims to analyze the correlations between social support and self-concept in children with the deaf. A cross-sectional study was used to examine 51 children with deaf 7 – 12 years selected with a convenience sampling method. The questionnaire consisted of identity data used to measure participant characteristics. Social Support Questionnaire for children (SSQC) was used to measure social support and the Self-Description Questionnaire to measure self-concept. The Chi-Square test is used to answer the objectives of this study. From 51 respondents, 44 (86.3%) deaf children received good social support, with the most social support obtained from 36 friends (70.6%) and siblings 36 (70.6%). Of the five components of social support, only social support from friends and siblings most resulted in low-deaf children's self-concept. There was a relationship between social support and the self-concept of deaf children (Z = 1.833; p-value = 0.034). Support from various sources is needed for deaf children to develop self-concept in their social life. Therefore, the child's social environment needs to provide adequate social support for developing an excellent deaf child's self-concept.
Strengthening community health volunteers as a community empowerment in the reduction of HIV/AIDS stigma Rizka Ayu Setyani; Fika Lilik Indrawati
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.47212

Abstract

Negative stigma of society is one of the inhibitory factors of HIV/AIDS promotion and prevention programs. The Community Health Volunteer HIV (CHV HIV) program represents a community attempt to reduce the negative stigma of society concerning HIV/AIDS. The purpose of this activity is the formation of CHV HIV activities which are expected to educate the Primary Health Care (PHC) patients who are childbearing age women and expectant mothers in HIV/AIDS prevention; to support the success of the Prevention of Mother to Child Transmission (PMTCT) program; to increase the participation of childbearing age women and expectant mothers in Voluntary Counselling and Testing (VCT), and to reduce the incidence rate of HIV. Community empowerment activities were conducted in 2018, from July until November in Sleman, District Istimewa Yogyakarta (DIY). These activities involved the socialization of HIV/AIDS programs and education about VCT for CHVs in cooperation with PHC and non-government organizations (NGOs). The CHVs provided counselling for childbearing age women and expectant mothers related to prevention of HIV/AIDS transmission. The results of these activities were the increasing of CHV knowledge about HIV/AIDS and the formation of twelve CHV HIV in Sleman, DIY. In conclusion, this activity effectively increases the participation of childbearing age women and expectant mothers in voluntary HIV tests, so that the formation of CHV HIV could not only involve adult age volunteers but also adolescents.
Knowledge and behavior of elementary school children concerning soil transmitted helminth infections Annisa Aarts; Ari Budi Himawan; Marloes A van Bokhoven; Job FM Metsemakers; Tri Nur Kristina
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
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.54417

Abstract

Soil transmitted helminth infections (STHI) are prevalent among elementary school children in Indonesia. The nutritional impairments that an infection can cause have their consequences for the children’s development and health. This study aimed to determine children’s knowledge and behaviour in relation to the prevalence of STHI among elementary school children in Jepara, a rural regency in Indonesia. The study intended to evaluate the effectiveness of the current elimination program for STHI in this area. A cross-sectional study was conducted among 132 children from eight elementary schools in Mlonggo, Jepara. The research population consisted of children aged eight to ten years old. During September and October 2018, the research population was obtained by consecutive sampling. Information about the children’s knowledge and behaviour regarding STHI was collected using a questionnaire. Stool samples were collected to determine STHI prevalence. Analysis was done using chi-squared and Spearman’s rho tests. Out of 132 children examined, no children had STHI. Scores on STHI knowledge were most often low (51.5%), while scores on behaviour were mostly average (67.4%). Statistical analysis showed that residence was significantly associated with the level of knowledge about STHI (P = 0.007). Additionally, gender (P = 0.002) and a previous STHI (P = 0.041) were significantly associated with the children’s behaviour concerning STHI. This study revealed inadequate knowledge and behaviour concerning STHI in elementary school children in Mlonggo, Jepara. Even though the prevalence of STHI was 0% in the study population, a proper health education program to teach children about STHI is still necessary.
Prevention of weight gain during self-isolation in COVID-19 pandemic era: a narrative review Harry Freitag Luglio Muhammad
Journal of Community Empowerment for Health Vol 3, No 2 (2020): Special Issue of COVID-19
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.55976

Abstract

COVID-19 is a disease that has affected millions of people worldwide and made a significant impact on health, social life, and economy. One of the strategies to prevent the spread of this virus is through self-isolation. Although this strategy is efficient to prevent a drastic spread of the disease, there are some consequences related to this measure, including social, psychological, and economic impacts. In this review, the author proposes the possibility that this measure could increase the global prevalence of obesity. This might be due to a reduction in total physical activity because of limitations in outdoor activities, increased binge eating because of psychological stress or boredom, and tendency to eat ultra-processed foods and beverages because of limitations in shopping ability. Obesity itself is reported to be one of the risk factors for the severity of COVID-19 infection. Reports from United Kingdom and the United States of America revealed that those with higher body mass index had a higher risk to be treated at an intensive care unit. Therefore, prevention of a significant weight gain might be important to reduce the risk of fatality due to COVID-19. While the global prevalence of obesity is increasing worldwide, it might be important to address this issue at this point in time. Lastly, this review also provides some suggestions to ameliorate the weight gaining effect of self-isolation during the COVID-19 pandemic.

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