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INDONESIA
Indonesia Berdaya
Published by Utan Kayu Institute
ISSN : 27163822     EISSN : 27210669     DOI : https://doi.org/10.47679/ib
The aim of this journal publication is to disseminate the conceptual thoughts or ideas and research results that have been achieved in the area of community services. Indonesia Berdaya particularly focuses on the main problems in the development of the sciences of community services areas as follows: - Community Services, People and Health; - Training, Marketing, Appropriate Technology, Design; - Community Empowerment, Social Access; - Student Community Services; - Border Region, Less Developed Region; - Education for Sustainable Development.
Articles 876 Documents
Hubungan Manajemen Nyeri Non-Farmakologis terhadap Kondisi Klinis pada Pasien Bedah Digestif di RSUD Sultan Suriansyah Banjarmasin [The Relationship Between Non-Pharmacological Pain Management and Clinical Conditions in Digestive Surgery Patients at RSUD Sultan Suriansyah Banjarmasin] Nasywa Liza Salsabila; Solikin Solikin; Sukarlan Sukarlan; Yurida Olviani
Indonesia Berdaya Vol. 7 No. 2 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261472

Abstract

Digestive surgery patients often experience postoperative pain that can affect their clinical condition, including hemodynamic stability, mobilization ability, and the recovery process. Pain that is not managed optimally may hinder the healing process. Non-pharmacological pain management is one of the safe and effective nursing interventions to help control pain and support the stability of patients’ clinical conditions; however, its implementation in clinical settings is still not optimal. This study aimed to determine the relationship between non-pharmacological pain management and the clinical condition of digestive surgery patients at Sultan Suriansyah Regional Hospital, Banjarmasin. This research employed a quantitative method with a cross-sectional design. The sample consisted of 31 digestive surgery patients who were hospitalized at Sultan Suriansyah Regional Hospital, Banjarmasin, selected using an accidental sampling technique. Data were collected through interviews using a non-pharmacological pain management questionnaire and observation of patients’ clinical conditions based on hemodynamic data obtained from medical records. Data analysis was conducted using the Spearman’s Rho test. The results showed that most respondents did not receive non-pharmacological pain management and were in an unstable clinical condition. Bivariate analysis indicated a significant relationship between non-pharmacological pain management and the clinical condition of digestive surgery patients (p = 0.003). In conclusion, non-pharmacological pain management is associated with the clinical condition of digestive surgery patients; therefore, its optimal implementation is expected to improve clinical stability and support the patient recovery process. Abstrak. Pasien bedah digestif sering mengalami nyeri pascaoperasi yang dapat memengaruhi kondisi klinis, seperti kestabilan hemodinamik, kemampuan mobilisasi, dan proses pemulihan. Nyeri yang tidak tertangani secara optimal dapat menghambat proses penyembuhan pasien. Manajemen nyeri non-farmakologis merupakan salah satu intervensi keperawatan yang aman dan efektif untuk membantu mengendalikan nyeri serta mendukung stabilitas kondisi klinis pasien, namun penerapannya di lingkungan klinis masih belum optimal. Penelitian ini bertujuan untuk mengetahui hubungan antara manajemen nyeri non-farmakologis dengan kondisi klinis pada pasien bedah digestif di RSUD Sultan Suriansyah Banjarmasin. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Sampel penelitian berjumlah 31 pasien bedah digestif yang menjalani perawatan inap di RSUD Sultan Suriansyah Banjarmasin yang dipilih menggunakan teknik accidental sampling. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner manajemen nyeri non-farmakologis serta observasi kondisi klinis pasien berdasarkan data hemodinamik dari rekam medis. Analisis data dilakukan menggunakan uji Spearman’s Rho. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak mendapatkan manajemen nyeri non-farmakologis dan berada dalam kondisi klinis tidak stabil. Analisis bivariat menunjukkan adanya hubungan yang signifikan antara manajemen nyeri non-farmakologis dengan kondisi klinis pasien bedah digestif (p = 0,003). Dengan demikian, dapat disimpulkan bahwa manajemen nyeri non-farmakologis memiliki hubungan dengan kondisi klinis pasien bedah digestif, sehingga penerapannya secara optimal diharapkan dapat membantu meningkatkan stabilitas kondisi klinis dan mendukung proses pemulihan pasien. 
Hubungan PHBS dengan Kejadian Diare pada Balita Usia 0–36 Bulan yang Tinggal di Pinggiran Sungai Wilayah Kerja Puskesmas Pekauman Banjarmasin [The Association between Clean and Healthy Living Behavior and the Incidence of Diarrhea among Infants Aged 0–36 Months Living in Riverside Areas within the Working Area of Pekauman Public Health Center Banjarmasin] Raudatul Munawarah; Lukman Harun; Alit Suwandewi; Rida' Millati
Indonesia Berdaya Vol. 7 No. 2 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261481

Abstract

Diarrhea in toddlers is one of the main causes of illness and death that still frequently occurs in residential areas with poor sanitation, including areas along rivers. This study aims to determine the relationship between Clean and Healthy Living Behaviors (PHBS) and the incidence of diarrhea in toddlers aged 0–36 months in the working area of the Pekauman Banjarmasin Community Health Center. This study used a quantitative method with a cross-sectional design. The sample consisted of 98 respondents selected through purposive sampling. Data collection was conducted using a CHB questionnaire and a diarrhea incidence observation sheet. Data analysis was performed using the Chi-Square test. The results showed that there was a significant relationship between PHBS and the incidence of diarrhea in toddlers (p = 0.002). Toddlers with poor PHBS had a higher proportion of diarrhea cases (75.9%) compared to toddlers in families with good PHBS (45.5%). These findings indicate that poor PHBS practices, such as not washing hands with soap, using unclean water, inadequate sanitation, low rotavirus immunization coverage, and using unsanitary toilets, contribute to the high incidence of diarrhea. This study is expected to serve as a basis for health workers in improving PHBS education programs, especially through a family approach in riverside settlements. The research outputs, in the form of leaflets and PHBS education applications, can also be used as a medium for promotive-preventive interventions in efforts to reduce the incidence of diarrhea in toddlers. Abstrak. Diare pada balita merupakan salah satu penyebab utama kesakitan dan kematian yang masih sering terjadi di daerah permukiman dengan sanitasi buruk, termasuk wilayah bantaran sungai. Penelitian ini bertujuan untuk mengetahui hubungan antara Perilaku Hidup Bersih dan Sehat (PHBS) dengan kejadian diare pada balita usia 0–36 bulan di wilayah kerja Puskesmas Pekauman Banjarmasin. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Sampel terdiri dari 98 responden yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner PHBS dan lembar observasi kejadian diare. Analisis data dilakukan dengan uji Chi-Square. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara PHBS dengan kejadian diare pada balita (p = 0,002). Balita dengan PHBS yang kurang baik memiliki proporsi kejadian diare yang lebih tinggi (75,9%) dibandingkan dengan balita pada keluarga dengan PHBS yang baik (45,5%). Temuan ini menunjukkan bahwa praktik PHBS yang buruk, seperti tidak mencuci tangan dengan sabun, penggunaan air yang tidak bersih, sanitasi yang tidak memadai, rendahnya cakupan imunisasi rotavirus, serta penggunaan jamban yang tidak layak, berkontribusi terhadap tingginya kejadian diare. Penelitian ini diharapkan dapat menjadi dasar bagi tenaga kesehatan dalam seperti tidak mencuci tangan dengan sabun, penggunaan air yang tidak bersih, sanitasi yang tidak memadai, rendahnya cakupan imunisasi rotavirus, serta penggunaan jamban yang tidak layak, berkontribusi terhadap tingginya kejadian diare. Penelitian ini diharapkan dapat menjadi dasar bagi tenaga kesehatan dalam  meningkatkan program edukasi PHBS, khususnya melalui pendekatan keluarga di permukiman bantaran sungai. Luaran penelitian berupa leaflet dan aplikasi edukasi PHBS juga dapat dimanfaatkan sebagai media intervensi promotif-preventif dalam upaya menurunkan kejadian diare pada balita.
Training on Environmentally Friendly Technology for Processing Tofu Waste for MSMEs in Yogyakarta Liya Yusrina Sabila; Shinta Amelia; Rachma Tia Evitasari; Irvanda Cheza Noor Fadhilla; Fakhra Kurnia Yasa; Ninda Nurul Fatikha
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261490

Abstract

Micro, Small, and Medium Enterprises (MSMEs) producing tofu play an important role in the national economy, but most of them have not properly managed their production waste, which has the potential to cause environmental pollution. This community service activity aims to implement a simple, effective, and sustainable tofu liquid waste treatment technology, as well as to enhance the human resource capacity of MSME partners in Yogyakarta to manage waste independently. The methods used include observation, in-depth interviews, questionnaires, and the implementation of four outreach sub-activities: (1) the hazards of tofu waste content, (2) wastewater quality standards, (3) wastewater treatment methods, and (4) Internet of Things (IoT)-based waste treatment technology. The results of the activity show that more than 80% of the partners have been educated about the dangers of waste, understand the correct treatment methods, and are able to use IoT technology to monitor waste parameters in real-time via smartphones. The impact of this community service is an increase in partners' awareness of environmental responsibility and their readiness to implement sustainable waste treatment technology.
Edukasi dan Pelatihan Tanaman Herbal, Teh Rosella Untuk Mengatasi Hipertensi (Darah Tinggi) di Masyarakat [Education and Training on Herbal Plants, Rosella Tea, to Treat Hypertension (High Blood Pressure) in the Community] Darini Kurniawati; Irma Irpiana; Mariyatul Kiptiyah; Firda Alfisah; Muhammad Alfian Daud
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261492

Abstract

Hypertension or high blood pressure is one of the non-communicable diseases that is the leading cause of premature death in the world, which if left untreated can trigger serious complications such as heart disease and stroke. One alternative non-pharmacological treatment that is starting to be widely developed in the community is the use of the herbal plant Rosella (Hibiscus sabdariffa). The objectives and focus of this activity are: Increase public knowledge about the dangers of hypertension, Provide education about the content of anthocyanin compounds in Rosella flowers that function as natural ACE-inhibitors and diuretics, Provide training on how to process dried Rosella flower petals into a safe brewed tea, and introduce the correct dosage to avoid side effects for the stomach. There was an 83,75% increase in public knowledge about complementary therapies after the counseling. The community is now able to independently process Rosella tea as a family health drink that is economical and effective in helping to maintain stable systolic and diastolic blood pressure. Abstrak. Hipertensi atau tekanan darah tinggi merupakan salah satu penyakit tidak menular yang menjadi penyebab utama kematian dini di dunia, yang jika tidak ditangani dapat memicu komplikasi serius seperti penyakit jantung dan stroke. Salah satu alternatif pengobatan non-farmakologis yang mulai banyak dikembangkan di masyarakat adalah pemanfaatan tanaman herbal Rosella (Hibiscus sabdariffa). Tujuan dan fokus kegiatan ini adalah untuk: Meningkatkan pengetahuan masyarakat mengenai bahaya hipertensi, Memberikan edukasi mengenai kandungan senyawa antosianin dalam bunga Rosella yang berfungsi sebagai ACE-inhibitor alami dan diuretik, Memberikan pelatihan cara pengolahan kelopak bunga Rosella kering menjadi teh seduhan yang aman dikonsumsi, serta mengenalkan dosis penggunaan yang tepat agar tidak menimbulkan efek samping bagi lambung. Terdapat peningkatan pengetahuan masyarakat mengenai terapi komplementer sebesar 83,75% setelah dilakukan penyuluhan. Masyarakat kini mampu secara mandiri mengolah teh Rosella sebagai minuman kesehatan keluarga yang ekonomis dan efektif dalam membantu menjaga kestabilan tekanan darah sistolik dan diastolik.
Enhancing Elderly Health Cadre Capacity Through Church-Based Community Training for Early Detection of Non-Communicable Diseases in Southwest Papua Alva Cherry Mustamu; Elisabeth Samaran; Rizqi Alvian Fabanyo
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261495

Abstract

Non-communicable diseases remain a leading cause of morbidity among the elderly, particularly in underserved regions with limited access to preventive health services. This study aimed to evaluate the effectiveness of a church-based community training program in improving the capacity of elderly health cadres for early detection of non-communicable diseases in Southwest Papua. A participatory action research design with a one-group pre-test–post-test approach was applied to 17 cadres from seven congregations. The intervention consisted of interactive lectures, hands-on practice, and simulation using a structured training manual. The results showed a significant increase in knowledge scores from 54.1±12.3 to 86.5±8.7 (p
Sosialisasi Profesi Bidang Sistem dan Teknologi Informasi kepada Siswa SMK AL ISLAH Surabaya Fajar Annas Susanto; Endang Sulistiyani; Tri Deviasari Wulan; Ainin Sofia; Yuliana Yuliana; Galeh Aria Irwana
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261498

Abstract

Pengenalan terhadap profesi di bidang Sistem dan Teknologi Informasi masih kurang dipahami oleh siswa Sekolah Menengah Kejuruan (SMK) Al Islah Surabaya, terutama dalam hal pemahaman mengenai jenis-jenis profesi yang ada, keterampilan yang dibutuhkan, dan peluang karir yang tersedia. Hal ini mengakibatkan terbatasnya wawasan siswa terkait prospek kerja di bidang Teknologi Informasi. Tujuan dari kegiatan sosialisasi ini adalah untuk mengenalkan berbagai jenis profesi di bidang Sistem dan Teknologi Informasi kepada siswa kelas 12 SMK AL ISLAH Surabaya, serta mempromosikan Program Studi S1 Sistem Informasi Universitas Nahdlatul Ulama Surabaya (UNUSA) sebagai pilihan studi lanjutan. Metode yang digunakan dalam kegiatan ini terdiri dari beberapa tahapan, yaitu persiapan, pelaksanaan, dan evaluasi. Hasil dari kegiatan ini menunjukkan adanya peningkatan pemahaman siswa mengenai profesi di bidang Sistem dan Teknologi Informasi, serta ketertarikan yang lebih besar terhadap studi lanjut di bidang ini. Siswa juga memberikan respons positif terhadap materi yang disampaikan dan fitur demo website https://sarjanasiunusa.id/. Kesimpulannya, sosialisasi ini berhasil memberikan wawasan yang lebih baik mengenai profesi di bidang Teknologi Informasi kepada siswa SMK, serta berpotensi meningkatkan minat mereka untuk melanjutkan pendidikan di Program Studi Sistem Informasi UNUSA.
Strengthening The Capacity of Tunggularum Hamlet Community, In Optimizing the Lemongrass Plants into Essential Oil Products Aprilia Fitriani; Nurul Hidayah; Liya Yusrina Sabila; Haris Imam Karim Fathurrahman
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261501

Abstract

Tunggularum Hamlet, Wonokerto Village, Sleman Regency, has considerable potential in lemongrass cultivation, but its utilization remains limited to traditional uses such as seasoning and herbal drinks. This community service program aimed to strengthen community capacity in optimizing lemongrass into value-added essential oil products through socialization, training, and the provision of distillation equipment. The activities included discussions with partners, socialization on lemongrass essential oil processing and packaging, practical distillation training, and evaluation through questionnaires. The program involved lecturers, students, and approximately 20–25 community participants, predominantly women farmers and housewives. The results showed that the program positively improved participants’ knowledge, management skills, economic independence, and mindset regarding the business potential of lemongrass essential oil. Most participants reported sufficient knowledge improvement, slight increases in management capability and economic independence, as well as positive changes in their entrepreneurial mindset. In addition, participants highly appreciated the support provided by the community service team during the program. Overall, the program successfully enhanced community awareness and initial capacity in developing lemongrass essential oil businesses, although further mentoring and practical assistance are still needed to achieve sustainable economic impacts and stronger entrepreneurial readiness.
Pencegahan Adiksi Pornografi Secara Online Pada Remaja Melalui Program Sex Education [Prevention of Online Pornography Addiction in Adolescents Through the Sex Education Program] Jane Mariem Monepa; Muthia Aryuni; I Putu Fery Immanuel White
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261506

Abstract

This community service project is motivated by the urgent need to address the rising levels of online pornography addiction among adolescents. Technological advancements have led to an unstoppable flow of information, allowing teenagers easy access to pornographic content, which ultimately results in addiction. Furthermore, pornography addiction has serious repercussions on school performance, including lack of concentration, declining academic grades, increased violent behavior among youth, and various mental health issues. Therefore, this community service aims to provide understanding and raise student awareness regarding the prevention and impact of online pornography addiction. The target participants were students of SMP Negeri 4 Palu. The method used was a Sex Education program utilizing lecture and Q&A techniques. To measure the program's success, a pretest was conducted before the session, followed by a posttest afterward. The N-Gain score results indicate an increase in knowledge after the implementation of the Sex Education program. Abstrak. Pengabdian kepada masyarakat ini dilatarbelakangi oleh adanya urgensi dalam penanganan adiksi pornografi secara online yang terus meningkat di kalangan remaja. Adanya kemajuan teknologi, mendorong arus informasi menjadi tidak dapat terbendung dan akibatnya banyak remaja dengan mudah mengakses konten-konten pornografi yang pada akhirnya mengakibatkan adiksi pornografi dikalangan remaja. Bukan hanya itu saja, adiksi pornografi yang terjadi mengakibatkan dampak yang serius bagi pelaksanaan Pendidikan di Sekolah diantaranya siswa menjadi kurang konsentrasi, penurunan nilai akademis, meningkatnya perilaku kekerasan di kalangan remaja dan terjadinya permasalahan yang berhubungan dengan Kesehatan mental remaja. Oleh karena itu, pengabdian kepada masyarakat ini bertujuan untuk memberikan pemahaman serta meningkatkan kesadaran siswa terkait dengan pencegahan dan dampak yang diakibatkan oleh adiksi pornografi secara online. Target peserta dalam pengabdian ini adalah siswa SMP Negeri 4 Kota Palu dan Metode yang digunakan yaitu dengan melaksanakan program Sex Education dengan tehnik ceramah dan tanya jawab dimana sebagai tolak ukur untuk melihat keberhasilan program ini yaitu dengan melakukan pretest sebelum dilaksanakannya program Sex Education dan posttest yang dilakukan setelah dilaksanankannya Program Sex Education. Hasil N-Gain score menunjukkan adanya peningkatan pengetahuan sebelum dan sesudah dilaksanakan program Sex Education.
Kewenangan Penegakan Hukum Pidana Perikanan di Indonesia [Authority of Fisheries Criminal Law Enforcement in Indonesia] Zahratul'ain Taufik; Atika Zahra Nirmala
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261512

Abstract

Fisheries criminal law enforcement is a vital instrument in maintaining the sustainability of national marine and fisheries resources, particularly in combating IUU Fishing. However, the construction of fisheries criminal law enforcement authority in Indonesia still faces overlapping authority among law enforcement agencies, which impacts coordination effectiveness and legal certainty in the investigation process of fisheries crimes. This study aims to analyze the construction of fisheries criminal law enforcement authority in Indonesia and examine the ideal arrangement of authority within the fisheries law enforcement system. This study is a normative legal research employing statutory and conceptual approaches. The results indicate that the construction of fisheries criminal law enforcement authority is formed by granting authority to multiple law enforcement institutions, namely Fisheries Civil Servant Investigators (PPNS Perikanan), the Indonesian National Police, and the Indonesian Navy. Nonetheless, this multi-institutional authority structure still leads to a disharmony of authority, weak inter-agency coordination, and unclear division of operational competence in law enforcement practices. Therefore, a restructuring of the authority framework is required through regulatory harmonization, clearer division of authority, and the strengthening of coordination mechanisms among law enforcement agencies to create an effective, integrated fisheries law enforcement system that provides legal certainty in combating IUU Fishing. Abstrak. Penegakan hukum pidana perikanan merupakan instrumen penting dalam menjaga keberlanjutan sumber daya kelautan dan perikanan nasional, khususnya dalam pemberantasan IUU Fishing. Namun demikian, konstruksi kewenangan penegakan hukum pidana perikanan di Indonesia masih menghadapi persoalan overlapping authority antarlembaga penegak hukum yang berdampak pada efektivitas koordinasi dan kepastian hukum dalam proses penyidikan tindak pidana perikanan. Penelitian ini bertujuan untuk menganalisis konstruksi kewenangan penegakan hukum pidana perikanan di Indonesia serta mengkaji bentuk penataan kewenangan yang ideal dalam sistem penegakan hukum perikanan. Penelitian ini merupakan penelitian hukum normatif dengan pendekatan perundang-undangan dan pendekatan konseptual. Hasil penelitian menunjukkan bahwa konstruksi kewenangan penegakan hukum pidana perikanan dibentuk melalui pemberian kewenangan kepada beberapa institusi penegak hukum, yaitu PPNS Perikanan, Kepolisian Negara Republik Indonesia, dan TNI Angkatan Laut. Namun demikian, pengaturan kewenangan yang bersifat multi-institusional tersebut masih menimbulkan disharmonisasi kewenangan, lemahnya koordinasi antarlembaga, dan belum jelasnya pembagian kompetensi operasional dalam praktik penegakan hukum. Oleh karena itu, diperlukan penataan ulang konstruksi kewenangan melalui harmonisasi regulasi, penegasan pembagian kewenangan, dan penguatan mekanisme koordinasi antarlembaga penegak hukum guna menciptakan sistem penegakan hukum perikanan yang efektif, terpadu, dan memberikan kepastian hukum dalam pemberantasan IUU Fishing.
Empowering the 'Sanggah Jiwa' Community: Optimizing Nature-Based Mental Health Support and Earthing to Reduce Youth Depression Elsy Junilia; Akhmad Kheru Dharmawan; Adhitya Anata Bakti
Indonesia Berdaya Vol. 7 No. 3 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261519

Abstract

Depression among adolescents and young adults is a critical mental health issue, yet it is often hindered by stigma and limited access to formal services. The village of Lempasing possesses significant natural resources that have not yet been fully utilized to support the psychological well-being of its community. Objective: This community service (PkM) activity aims to empower local cadres through the formation of the “Sanggah Jiwa Community” and to implement nature-based interventions to reduce depression rates among young people. Methods: The program was implemented using a community empowerment approach that included mental health literacy training, the development of mentoring modules, and four weeks of field practice involving Nature Exposure and Earthing (direct contact with the earth) interventions. A total of 15 community leaders were trained, and 30 adolescents with depressive symptoms participated. The effectiveness of the intervention was measured using the Patient Health Questionnaire-9 (PHQ-9) through pre-test and post-test assessments. Results: The findings demonstrated an increase in the community leaders’ capacity to conduct peer-to-peer support independently. Quantitative data analysis showed a significant decrease in PHQ-9 scores among adolescent participants post-intervention (p < 0.05). Conclusion: Empowering local communities through nature-based interventions has proven effective as a low-cost, sustainable, and complementary solution to address depression issues at the