Journal of Community Empowerment for 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.
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<![CDATA[Development of the elderly health monitoring system through families and community health workers during the COVID-19 pandemic ]]>
<![CDATA[Anggi Lukman Wicaksana]]>;
<![CDATA[Firdaus Hafidz]]>;
<![CDATA[Putri T Rosha]]>;
<![CDATA[Annisa Ryan Susilaningrum]]>;
<![CDATA[Anisah Ramadhani]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.61899
<![CDATA[Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.]]>
<![CDATA[Kulwap”: a trend of health promotion during the COVID-19 pandemic, Implementation of the STIKES Buleleng Community Partnership Project ]]>
<![CDATA[Ni Kadek Diah Purnamayanti]]>;
<![CDATA[Kadek Yudi Aryawan]]>;
<![CDATA[Made Sundayana]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.62280
<![CDATA[The pandemic of COVID-19 has brought the global community into a new perspective of living. Due to the social distancing protocol, face to face meetings should be avoided. This could be a barrier in implementing the previous health promotion programs which were based on group gatherings. Hence, nowadays, the online approach has become a promising strategy. The intensive use of social media platforms in Indonesia serves as a great opportunity to penetrate the public awareness of society. The initiation of “Kulwap” (Kuliah WhatsApp or lecturing by WhatsApp), which is an approach to gather a group of people in a WhatsApp Group and deliver a lecture to this group through the application is also being implemented in STIKes Buleleng Bali. The aim of this study was to assess the effectiveness of WhatsApp as a media of health promotion. It is a part of the community partnership integrated into the educational process of nursing students. During the program, there were four major topics promoted: Non-Communicable Disease (NCD), Communicable Disease, and Wellness and Child Health Issues. This program succeeded in involving 357 participants who lived in Bali. Based on the participants’ feedback, the engagement was successful due to the use of WhatsApp as the preferred social media platform (84.3%), the beneficial contents being shared during the Kulwap (65.5%), the attractiveness of media being used in the lecture (82.8%) and the way of delivery was easy to be understood (70.3%). Almost all (98.6%) of the participants expressed their willingness to rejoin the program. Therefore, the study concluded that the use of Kulwap serves is an effective and acceptable strategy to establish a health promotion initiative during the current COVID-19 pandemic. ]]>
<![CDATA[The role of social media in optimizing the healthy lifestyle movement “GERMAS” during the COVID-19 pandemic ]]>
<![CDATA[Fahmi Baiquni]]>;
<![CDATA[Tri Siswati]]>;
<![CDATA[Riadini Rachmawati]]>;
<![CDATA[Herni Endah Widyawati]]>;
<![CDATA[Ratri Kusuma Wardhani]]>;
<![CDATA[Supriyati Supriyati]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.66421
<![CDATA[The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the pandemic. The social movement such as the healthy lifestyle movement (GERMAS) plays an important role to break the chain of COVID-19 transmission. Meanwhile, the infodemic of false news has caused misinformation and disinformation. Raising the community’s health literacy will lead people to participate in the GERMAS social movement. This study aimed to explore the use of social media to improve health literacy concerning the healthy lifestyle social movement called “GERMAS”. This research was conducted in Yogyakarta by reviewing related documents and literature, and collecting primary data. Primary data collection was done through online surveys, focus group discussions, and an in-depth interview. There were 461 respondents, with 449 respondents who filled out online surveys, 11 people who participated in the focus group discussions, and 1 person who was interviewed. The study showed that WhatsApp was the most widely accessed source of information about COVID-19 (83%) and health protocols (82%) after television. In addition, WhatsApp has become the main source of information about GERMAS (73%). The credible source of information was very important to help the community during the COVID-19 pandemic and the ‘false news’ infodemic. Various stakeholders provided information related to the COVID-10 and how to prevent the spread of the virus. In addition, Yogyakarta health officers developed a communication network through WhatsApp groups from the provincial to sub-district/village levels (community leaders) that were used to share information on a regular basis to the public. Additionally, community leaders were able to ask health officers questions related to COVID-19 issues and prevention. Unfortunately, the lack of “think tanks”, and bureaucratic ties made this network unable to function optimally. In conclusion, social media has an important role in optimizing the GERMAS program during the COVID-19 pandemic. Social media management and good cooperation between the government and private agencies are important keys for optimizing GERMAS during the COVD-19 pandemic era.]]>
<![CDATA[Fourteen days struggling to deal with COVID-19 using Su Jok Therapy: A case report ]]>
<![CDATA[Intansari Nurjannah]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.66453
<![CDATA[The resources to deal with COVID-19 are lessening, while health professionals are increasingly vulnerable in helping people with COVID-19. The close contact between health professionals and patients with COVID-19 increases the already high risk for transmission. It is time to find another form of therapy to help people with COVID-19 which is effective, inexpensive, easy and safe that can be done both for the well-being of patients and health professionals. In 2020, a male patient who was in his middle age, was seeking treatment from health professionals by sending messages through WhatsApp since he tested positive for COVID-19 the day before. We assessed him and found that he had complaints of fever, shivering and difficulty in breathing. We immediately replied with Su Jok protocol therapy and asked him to do the treatment by himself. After 27 minutes, there was no difficulty in breathing anymore. Since then, we kept monitoring his condition closely and provided instructions every day to treat each symptom. The most prominent symptoms associated with COVID-19 were shivering, difficulty in breathing, fever, excess mucus and pain in the lungs. Psychological symptoms also appeared and Su Jok was applied to treat his emotional problems. Symptoms attacked him less frequently and with less severity day by day. His swab test showed negative result after two weeks. In this case study, Su Jok therapy helped a patient in quarantine to deal with the physiological and psychological symptoms of COVID-19. Su Jok therapy can also help to prevent transmission of COVID-19 to health professionals, since they still can help patients from a distance with telehealth.]]>
<![CDATA[Improved completing-treatment support among tuberculosis support group members through the CERMAT (Smart Against TB Transmission) program ]]>
<![CDATA[Atuti Yuni Nursasi]]>;
<![CDATA[I Gusti Ayu Putu Desy Rohana]]>;
<![CDATA[Utami Rachmawati]]>;
<![CDATA[Rezky Mulyana]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.66457
<![CDATA[Tuberculosis (TB) was declared a global emergency for humanity by the World Health Organization in 2015. According to Global Report TB data in 2016, Indonesia is one of the 30 countries in the world that has the highest TB caseload, especially Human Immunodeficiency Virus (HIV)-TB and (Multi Drug Resistant Tuberculosis (MDR) TB) cases during the 2016-2020 period (Global Tuberculosis Report, 2016). The high rise of MDR TB cases has great potential for transmission and an increase in the number of new TB cases. Efforts to optimize the handling of care and treatment, as well as to accelerate the determination of the diagnosis need to be conducted vigilantly on all lines, especially efforts to increase the ability to prevent transmission, provide quality follow-up care, and community-based treatment. Forming support groups is one of community health nursing strategies for TB prevention. A support group provides assistance to increase TB medication adherence and reduce TB transmission. TB control strategies are conducted by implementing CERMAT (Smart Against TB Transmission) to TB support groups that combine education intervention and skills to prevent TB transmission in the community setting. Community health nursing though the nursing process has established a system with recognition of the variables that affect health status and individual behaviors against TB disease. The nursing strategy intervention in the community is done at all levels, such as health education, group process, partnership, and community empowerment. The CERMAT package implemented in the TB support group is an evidence-based nursing practice. It was applied to 70 samples of adult TB clients at Curug, Cimanggis, Depok. The sampling was selected with a non-probability quota sampling technique. This study used an experimental design with paired t-test data analysis to determine the improvement in the skills of the TB support group after the support group intervention was done. It showed there was influence of the CERMAT method on the level of good support for completing TB treatment in Curug Village, with increased the mean of completed treatment by 2.42 with a p value 0.00 (p <0.05). The CERMAT method can be applied as one of the nursing interventions to increase TB clients’ adherence. This intervention can be done by the person who is responsible for the TB program at the Community Health Center. The CERMAT method needs to be continued and evaluated regularly by involving health care volunteers.]]>
<![CDATA[Relationship between family connectedness and nutritional status among under-five children in Jember Regency of Indonesia ]]>
<![CDATA[Rofiatul Nur Jannah]]>;
<![CDATA[Tantut Susanto]]>;
<![CDATA[Latifa Aini Susumaningrum]]>;
<![CDATA[Mokhlas Kholidi]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.66461
<![CDATA[The family has an important role to fulfill the nutritional requirements for their children. As changes in the family life cycle develop, every step involved in the tasks of family development is influenced by family interconnectedness. The objective of this study was to identify the correlation between family connectedness and nutritional status among under-five children in Public Health Center of Panti, Jember Regency of Indonesia. A cross-sectional sectional study was conducted among 307 families who have children aged 2-5 years using consecutive sampling. A self-administered questionnaire was used to measure sociodemographics of the parents and their under-five children, while the Parent-Child Relationship Questionnaire was use to assess the quality of family connectedness. Standing scales were used to measure the body weight of the under-five children. A chi-square test was used to analyze the data. The results showed that among 307 parents, the family connectedness of parents and nutritional status of under five children were in the moderate (63.8%) category and good nutrition (58.6%) status, respectively. There was a significant relationship between family connectedness and nutritional status among <five aged children (X2=8,679; p-value = 0.013). These results demonstrate there is a relationship between family connectedness with the nutritional status of children 2-5 years old. Further research is recommended to analyze other variables that can affect the nutritional status of under–five children.]]>
<![CDATA[Relationship of vegetable and fruit consumption with farmers' blood sugar levels in Pakusari Health Center, Jember ]]>
<![CDATA[Ayu Pricilia Fatimah]]>;
<![CDATA[Tantut Susanto]]>;
<![CDATA[Latifa Aini Susumaningrum]]>;
<![CDATA[Mokhlas Kholidi]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.66469
<![CDATA[Low consumption of vegetables and fruits are one of the causes of digestive problems, coronary heart disease, and diabetes. Farmers are a vulnerable group for consuming vegetables and fruit less than the recommended 5 portions (250 grams) a day. The aim of this study was to analyze the relationship between vegetable and fruit consumption and the level of blood sugar among farmers with non-communicable diseases in the integrated health post (Posbindu) of Pakusari Health Center, Jember Regency. A retrospective cohort study design was used to analyze secondary data of Posbindu registered patients from January to March 2020 among 140 farmers. The characteristics of participants, vegetable and fruit consumption, and blood sugar were measured through the monitoring card of Posbindu. The data were analyzed using Chi-square tests (p-value <0.05). Among 140 farmers as many as 71.4% were identified who consumed vegetables and fruit less than 5 portions a day and 35.7% who have hyperglycemia. There was a relationship between vegetable and fruit consumption and the farmer's blood sugar level (p-value: <0.001; χ2: 13.144). Farmers who consumed vegetables and fruits less than 5 portions a day were 5 times more likely to experience hyperglycemia (RR:5.727; 95% CI=2.072–15.827). Therefore, community health nurses and health care providers should provide counseling to improve the consumption of vegetables and fruits to prevent the incidence of hyperglycemia among farmers.]]>
<![CDATA[WhatsApp-based complementary feeding education and counselling for adolescent mothers: A one-group pre-post study ]]>
<![CDATA[Tisa Salma Muthi'ah]]>;
<![CDATA[Riris Andono Ahmad]]>;
<![CDATA[Digna Niken Purwaningrum]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.67364
<![CDATA[More than two-thirds of deaths in children are related to improper feeding practices, especially in adolescent mothers, with very low levels of complementary feeding knowledge, less responsiveness, and few skills of proper feeding practices. The area of Banguntapan III Public Health Center (PHC) has the highest prevalence of adolescent mothers in 2018-2019. The aim of this study was to evaluate the effect of WhatsApp-based complementary feeding education and counseling for adolescent mothers who have children aged 6-24 months at Banguntapan III PHC on complementary feeding knowledge and practice. A quasi-experimental with one group pre-post test was conducted (n=10 adolescent mothers) on February-May 2021 at the Banguntapan III PHC area. The education program was conducted by trained cadres for 8 days through the WhatsApp group, then followed by asynchronous counseling once through WhatsApp private chat. Change of outcome was tested using independent sample T-test and McNemar test. The range of adolescent mothers’ age in this study was 19-20 years, with education level of junior high school (50%), and do not work (80%). The results showed that WhatsApp-based education and counselling had a significant effect on increasing the adolescent mother's IYCF knowledge (Δ = 1.1 ± 2.28) with a p-value of 0.017 < a (0.05). Meanwhile, the effect of the intervention on the IYCF practice by adolescent mothers was not significant, with a p-value of 0.311 > a (0.05). In conclusion, WhatsApp-based education and counselling for adolescent mothers can increase their level of complementary feeding knowledge, but was not been able to improve their feeding practices for infants/children aged 6-24 months.]]>
<![CDATA[Feasibility of HPV vaccination program implementation: A qualitative study ]]>
<![CDATA[Wiwin Lismidiati]]>;
<![CDATA[Vivian Nanny Lia Dewi]]>;
<![CDATA[Widyawati Widyawati]]>;
<![CDATA[Wenny Artanty Nisman]]>;
<![CDATA[Anis Widyasari]]>;
<![CDATA[Ika Parmawati]]>;
<![CDATA[Ova Emilia]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.69099
<![CDATA[The implementation of the Human Papillomavirus (HPV) vaccination program is still experiencing obstacles in several developing countries. This setback is related to the lack of knowledge and the high cost of the vaccine so that it affects people's behavior about the HPV vaccine. HPV vaccination in adolescents itself as primary prevention has not been widely conducted by adolescents in Indonesia. The results of previous studies showed that not many teenagers had vaccinated against HPV by using self-financing guarantees such as health savings. The obstacles faced in implementing HPV vaccination are that the vaccine is still expensive and there is lack of knowledge of parents and adolescents about the importance of HPV immunization. This formative research using qualitative methods was conducted to analyze the implementation plan of the HPV vaccination program. Data were collected through focus group discussions (FGD) and in-depth interviews. At the end of each FGD activity or interview, transcription and thematic analysis based on content were done. The FGD participants were ten teachers, while the in-depth interview participants were one school committee. This study found two main themes, namely the scheme of implementing the HPV vaccination program and obstacles to the implementation of HPV vaccination. Schools generally supported the program implementation. However, parents still question the importance of the HPV vaccination for their daughters and consider the vaccine costs expensive. Implementation of the HPV vaccination program must consider the existing program schemes in schools and possible obstacles. The results suggested that for the next HPV vaccination program, the facilitators should provide intense and relevant education to parents about the importance and side effects of HPV immunization, and are expected to build a willingness of parents to vaccinate their daughters and seek vaccination costs, one of which can be through a savings program.]]>
<![CDATA[Public acceptance of banana leaf-filtered cloth masks as an alternative for medical masks ]]>
<![CDATA[Mohamad Saifudin Hakim]]>;
<![CDATA[Fitra Duhita]]>;
<![CDATA[Mumtihana Muchlis]]>;
<![CDATA[Rita Dian Pratiwi]]>
<![CDATA[ Journal of Community Empowerment for Health Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada ]]>
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DOI: 10.22146/jcoemph.69730
<![CDATA[One of the most basic control measures to prevent transmission of Coronavirus Disease 2019 (COVID-19) is that everyone should wear face masks wherever there are potential exposures such as public spaces and when there are suspected symptoms of COVID-19 infection. In addition to adherence to public safety protocols, community compliance in wearing face masks is mainly influenced by the comfort when the masks are worn. Several mask developments have been made to improve the comfort and function of the masks, including a modified cloth mask with a banana leaf filter. This study aimed to assess the public acceptance of this modified mask that we previously developed. We conducted a survey using an adaptation of the instrument called, the Usefulness, Satisfaction and Ease of Use (USE) questionnaire. The respondents consisted of 99 people from the Family Welfare Program and Islamic study group members in Tlogoadi, Sleman. The data analysis was conducted descriptively. The majority of the respondents agreed that the banana leaf-filtered cloth masks were useful, easy to use, and satisfying to be worn. The highest indicators were ease of use (83%) and satisfaction (83%). However, only a small percentage (30%) of respondents were interested in making their own homemade masks.]]>
