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A Mental Warriors: Health and Socioeconomic Independence Development Program for People with Mental Disorders in Gresik Regency hafid algristian; Khamida Khamida; Fifi Khoirul Fitriyah; Khadijah Khairul Bariyah
Community Development Journal Vol 7 No 3 (2023): Community Development Journal
Publisher : UNUSA Press

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Abstract

Background: The number of people with mental disorders (ODGJ) in Gresik Regency in 2020 reached 2,250 people with mental health service coverage reaching 64%. These mental health services are limited to examination and treatment only. In the last three years (2020-2022) the Proposing Team initiated a mental and psychosocial recovery program for ODGJ in Tlogopojok Village, Gresik District, and succeeded in achieving a recovery rate from zero to 60%. This activity will continue this year as an ongoing program with a variety of programs and wider sub-district coverage in Gresik District. This community center will be a forum for training, mentoring and coaching activities for ODGJ from both health and socio-economic aspects. Objective: This community service activity aims to develop the health and socioeconomic independence of ODGJ, by establishing a community center for ODGJ. Method: The implementation method used in this Mental Warriors community service activity uses a participatory rural appraisal (PRA) model, namely non-productive communities are invited proactively to build health and socioeconomic independence. The implementation stages start from counseling, training and mentoring. Results: Selecting stable ODGJ can use the PULIH questionnaire, Sensory-Cognitive activities provide provision to ODGJ to understand orders and maintain cleanliness before implementing the culinary program, and culinary training activities for making salted egg dishes can provide provision to ODGJ and their families in the context of independent socio-economic empowerment . Conclusion: 1) Selecting stable ODGJ can still use the PULIH questionnaire, but on the other hand it still requires clinical re-assessment by a mental expert (psychiatrist or psychologist) 2) Sensory-Cognitive activities can provide provisions for ODGJ to understand commands and maintain cleanliness before implementing culinary programs. 3) Culinary training activities for making salted egg dishes and talam cakes can provide provisions for ODGJ and their families in the context of independent socioeconomic empowerment.
Environmental factors determine the occurrence of pulmonary tuberculosis Eppy Setiyowati; Khamida Khamida; Nurul Kamariyah; Budhi Setianto; Netty Mawardah Hatmanti; Difran Nobel Bistara; Erika Martining Wardani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 1 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(1).11-18

Abstract

Background: Environment consisting of  residential density, house ventilation, room humidity, and lighting, is regarded as one of the factors causing the transmission of pulmonary tuberculosis (TB). The current research aimed to figure out the environmental factors determining the occurrence of pulmonary TB in Surabaya City. Objectives: the purpose of the current study was to figure out the environmental factor determining the incidents of pulmonary tuberculosis (TB) in Surabaya CityMethods : This was observational research carried out by a cross-sectional approach. People with pulmonary TB registered for treatment at the Perak Timur Community Health Center and Jagir Community Health Center in Surabaya City were recruited as the research population. Meanwhile, the research samples were patients with pulmonary TB in both Community Health Centers. Simple random sampling was utilized to collect 130 patients as respondents. The data obtained were then analyzed using univariate and bivariate logistic regression.Results: The bivariate statistical test on the four research variables showed that residential density had OR=0.671, house ventilation had OR=2.874, room humidity had OR=1.231, and house lighting had OR=1.170. Fourth, environmental factors are not the cause of TB disease, because the results of statistical tests show that the OR value is above 0.5Conclusions: It can be concluded that residential density, lighting, and house ventilation did not influence the occurrence of pulmonary tuberculosis. It was more likely that it was caused by factors which do not come from the living environment. Suggestions for future research need to be an air swab examination around the residence of TB patients