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Widyandana
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INDONESIA
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 8 Documents
 1 
Search results for , issue "Vol 3, No 1 (2020)" : 8 Documents clear
Developing a system to utilize a surveillance data for evidence-based public health interventions: Sleman HDSS’s experience Fatwa Sari Tetra Dewi; Septi Kurnia Lestari; Ibtidau Niamilah; Hanifah Wulandari
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.47144

Abstract

Health interventions aim to improve health status in a community. Factors that influence the effectiveness and success of intervention programs include the characteristics of problems and the target population. Sleman Health and Demographic Surveillance System (HDSS) collects data on demographics and public health status annually. By 2018, we have conducted four cycles of data collection from 5,147 households. Results from Sleman HDSS could provide important information regarding the characteristics of target populations and health-related problems they face. The present paper describes how we develop a system that uses the data from a surveillance system to inform the development of health intervention programs. Aside from collecting survey data, Sleman HDSS field staff also recorded statements from respondents and community leader regarding health issues which they thought needed to be addressed. We used both quantitative and qualitative information to identify problems and locations that should be the priority. This priority list then distributed to the academic communities in the Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, (FMPHN-UGM) Yogyakarta, Indonesia. By 2018, we have completed 20 health educations and 10 community empowerment activities in collaboration with academic communities of the FMPHN-UGM. We concluded that health surveillance activities could support the development of effective evidence-based health intervention programs.
The effect of midwife training in strengthening the mental health of postpartum mother Sumarni Sumarni; Shinta Prawitasari; ika putri
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.41269

Abstract

Most midwives in the Cangkringan Community Health Center and Pakem Health Center are not familiar with the symptoms of blues depression. Data shows that in Cangkringan Community Health Center, blues depression occurs 60%, 2 cases due to delayed treatment (the mother almost killed her baby). In the Pakem Health Center area, blues depression occurs at 48.1%, 2 cases experience postpartum depression due to late handling, 1 mother tries suicide. If blues depression is not handled properly and immediately, it would cause postpartum depression, which can cause the worst complications, namely postpartum psychosis. One effort to overcome this is by providing midwife training on early detection and handling of blues depression accompanied by social support. Social support and spiritual training held in six steps (once in a week a during 1,5 months. The tools in this research consist of early detection for blues depression module, social support and spiritual for blues depression prevention, Edinburgh Postnatal Depression Scale questionnaire, knowledge, and skill of blues depression early detection module and social support and spiritual questionnaire. The method in this research use presentation, discussion, role-play, practice, association, and implementation. Analyze data using the quantitative descriptive approach. Research subjects are consist of 47 midwives in the Cangkringan Community Health Center and Pakem Health Center Area and 67 postpartum women in the Cangkringan Community Health Center and Pakem Health Center Area. The results show the average value of blues depression prevention knowledge is 43.45 after training increases 85,20. The average value of blues depression early detection knowledge is 57.56; after training increase 91,27. The average value of Blues depression prevention skills is 36.45, after training increase 80,25, and the average value of blues depression early detection is 51.30, after training increase 90,20. Blues Depression in postpartum women in the Cangkringan and Pakem health centers is 57%. Changes in the average value of knowledge about blues depression control before training were 43.45% to 85.20% after training increased 41.75. Changes in the average value of skills regarding prevention and early detection of blues depression before training amounted to 36.45 to 80.85 after training increased by 44.40. The whole series of training midwives in the Cangkringan Community Health Center and Pakem Health Center Area can improve the knowledge and skills of midwives to overcome blues depression in postpartum women, reduce the incidence of blues depression in postpartum women, and reduce maternal and child mortality due to postpartum mental disorders.
Progression of myopia among medical students: A one-year cohort study Agung Nugroho; Mohammad Eko Prayogo; Widyandana Widyandana; Sagung Indrawati; Suhardjo Suhardjo
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.42887

Abstract

Myopia is a common refractive disorder in literate countries related to educationand higher occupational groups. External factors affecting myopia and its progression remainquestionable. Myopia onset and progression occur during childhood and teenager. This studyaimed to determine the progression of myopia and its associated factors in the medical studentof Faculty of Medicine UGM, Yogyakarta, Indonesia, through a one-year cohort study. An initialobservational and cross-sectional survey conducted as baseline data. Correlation calculatedusing Chi-square and the Spearman correlation coefficient analysis. A longitudinal cohortstudy conducted 12 months later to the initial survey. Myopia determined with an autorefractorwithout cycloplegia. BMI, intraocular pressure, and corneal curvature evaluated as factorsrelated to progression. Five hundred five students (98%; 505 of 515; 317 from the school ofmedicine (SoM), 188 from the school of nursing and nutrition (SoNN)) age 15-20 years wereexamined. Prevalence of myopia among SoM students was 69.4% (n=220 of 317) and 41.4%(n=78 of 188) in SoNN. Myopia (SER ≥-0.5 D) found in 298 students, 81 boys (27.2%) and 217girls (72.8%). Chi-square test revealed that myopia more common in Chinese than Javaneseand other (p=0.006) but a similar proportion in gender (p = 0.785) and age (p=0.369). Theaverage change of myopic progression was -0.401 D and -0.094 D per year in SoM and SoNN,respectively (p = 0.000). The average change of myopia of boys and girls was -0.138 D and-0.117 D, respectively (p = 0.871). There was no statistically significant correlation betweensubjective refraction change and factors related to progression. The progression of myopia inYogyakarta relatively similar to Western countries. Progression in the school of medicine washigher than the school of nursing and nutrition, but similar between boys and girls. No relatedfactor correlated with the progression of myopia expects further studies.
Increasing knowledge about nutrition and health in the elderly and cadres in Banguntapan Village, Bantul Mae Sri Hartati Wahyuningsih; Dwi Aris Agung Nugrahaningsih; Probosuseno Probosuseno
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.44880

Abstract

Increase the number of elderly is one of the social problems that require the attention of all involved parties. Health care efforts are now aimed at keeping the elderly healthy, active, independent, and productive socially and economically for themselves, their families and the community. Elderly is an age group where a person has experienced various decreases in body functions that can affect appetite, which ultimately leads to malnutrition. We designed community service-based study to increase the elderly health in the Banguntapan Village through increasing the awareness of the elderly about managing their health, the knowledge and skill to take care elderly of the families who have elderly on their care in Banguntapan Village. The method applied in this activity is counseling with pre-test and the first post-test and distribution pocket of about nutrition and elderly health. To be able to measure the retained knowledge after the activities, we also carried out the second post-test four weeks after the first meeting. The data were analyzed by descriptive analysis, and a paired t-test was performed to test the pre-test and post-test data. The total participants who participated in this activity were 144 people consisting of all cadres in Banguntapan Village, plus the elderly and families who have elderly in Karangbendo Hamlet. This research showed that there was an increase in knowledge about health and nutrition between the 1st pretest-posttest; between the 1st post-test and 2nd post-test; and between the second pretest and posttest (11.14; 14.86; 28.03)%. The counseling, discussion, and distribution of pocketbooks can increase the knowledge of the elderly, family and volunteer in Banguntapan and Karang Bendo Village.
Knowledge enhancement about pregnancy complications: Optimizing the role of high risk pregnancy prepared cadres Ika Parmawati; Ayyu Sandhi; Wenny Artanty Nisman; Wiwin Lismidiati; Anik Rustiyaningsih; Itsna Luthfi Kholisa
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.47317

Abstract

Maternal death rate is one of the important health development indicators. Indonesian maternal mortality is still high due to both direct and indirect causes that occur during pregnancy and childbirth. High-risk pregnancy can present complications for both the mother and fetus, and demands early detection. Early detection requires involvement of the community, health cadre, medical officers, and government. There is a need to increase the community health cadre competency in the detection of pregnancy complications, especially high-risk pregnancy knowledge. This study used a quasi-experimental design without control group to determine the effect of training regarding pregnancy complications on community health worker’s knowledge in Wijimulyo, Nanggulan, Kulon Progo, Yogyakarta in October 2018. The research subjects were community health cadre workers chosen by purposive random sampling. There were 43 research subjects who were given pretests, training about complications of pregnancy, and posttests. The instrument used was a knowledge questionnaire about complications during pregnancy that consisted of 23 items with reliability of 0.865. There was significant difference between community health cadre’s knowledge about complications of pregnancy at pretest and posttest. These results indicate that training about pregnancy complications increases the knowledge of community health cadre workers concerning complications of pregnancy. Further research is needed to assess community health cadre’s skills in making early detection of pregnancy complications.
The association of six-minutes walking test (6MWT) with cardiovascular disease risk among older women with type 2 diabetes mellitus in a rural primary health care: a pilot observational study Rakhmat Ari Wibowo; Arum Tri Wahyuningsih; Rio Jati Kusuma; Wahyu Pamungkasih; Denny Agustiningsih
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.47599

Abstract

The recent systematic review found that cardiovascular events contributed to approximately half of all deaths among patients with type 2 diabetes mellitus (T2DM). Several studies suggested that the six-minutes walking test (6MWT) could be a valuable prognostic tool for predicting cardiovascular disease (CVD) events in particular diseases. However, less is known concerning the role of 6MWT in predicting CVD events among patients with T2DM. Thus, this pilot observational study aimed to test the feasibility of conducting the 6MWT and to examine the association of measures collected during 6MWT with ASCVD risk estimator parameters for predicting CVD events among T2DM patients. Fourteen older women with T2DM in a rural primary health care were enrolled in this cross-sectional study. Blood pressure measurement, heart rate measurement, and blood sampling for HDL, LDL, and total cholesterol measurements were carried out during rest. Both heart rate and distance were measured at the end of the following 6MWT. Feasibility data were collected. Recruitment rate and measurement completion rate were 85.7% and 40% respectively. No adverse events during the 6MWT were reported. Patient’s heart rate at the end of 6MWT was correlated with diastolic blood pressure (r=0.5 p=0.48). Multivariate analyses suggested that every one-meter increase in distance of 6MWT, there is a decrease in diastolic blood pressure of -0.9 mmHg (p=0.01; 95% CI= -1.6 to -0.2). In conclusion, 6MWT is a feasible simple test which could provide a valuable prediction of ASCVD risk among older women with T2DM. Thus, this test should be considered to be conducted as a part of routine examination. Cohort study with a larger sample could be suggested to establish the usefulness of the 6MWT in predicting CVD risk.
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.

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