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Empowering community health volunteer on community-based tuberculosis case management programs in lower-income countries: A systematic review Muhamad Jauhar; I Gusti Ayu Putu Desy Rohana; Utami Rachmawati; Lita Heni Kusumawardani; Rasdiyanah Rasdiyanah
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Globally, almost 40% of tuberculosis clients are undiagnosed and delayed treatment. This condition leads to disease transmission and increasing new cases. Healthcare workers and community health volunteers as an active case finding frontliner and case manager in the community. The elevated numbers of new case findings and comprehensive management of diseases are the successful indicators of the tuberculosis prevention program. This study identified research articles related to community health volunteer empowerment in tuberculosis case management. Literature study of 20 articles from journal database, such as: Science Direct, Proquest, Scopus, and EBSCO for the last 5 years. It used keywords tuberculosis, community volunteer or empowerment, community-based early case finding. Data were analyzed in tables consist of title, author, year, methodology, result, and recommendation. The empowerment of the community health volunteers was effective in increasing tuberculosis case finding, especially in the border areas, remote areas and rural area. The existence of the community health volunteers brought tuberculosis services closer to the community and able to minimize barriers of health access and costs. Increasing the capacity of the community health volunteers is needed to support their role. Community health volunteers with a history of tuberculosis or from a family with tuberculosis are more acceptable in the community so the success of case finding and treatment is achieved. Community health volunteers worked through home visits were able to change community’s perspectives, promote the formation of health seeking behavior and minimize public-stigma. The empowerment of the community health volunteers is essentially needed as the alternative strategies to find new cases in the community and strengthen its management. There need to provide a wholesome moral and material support from the government for the community health volunteers. This can be integrated into the management of tuberculosis programs in primary health care facilities.

Implementation of interprofessional education in community setting Fatikhu Yatuni Asmara; Saekhol Bakri; Dian Puspita Dewi; Diana Nur Afifah; Tri Nur Kristina
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Community health problem(s) needs to be solved collaboratively among the health care team. Interprofessional Education (IPE) is implemented to facilitate health students to collaborate before they join in the working world. The purpose of this study was to identify the experience of students, lecturers, and family members in the implementation of IPE in a community setting. All (465) sixth semester medical, nursing, and nutrition students in the Faculty of Medicine Universitas Diponegoro participated in the IPE program. Each small group contains 4-5 students who worked together in the community setting to identify family health problems, implement interventions, and evaluate the results. Focus Group Discussion (FGD) was conducted to evaluate the implementation. Twenty-four medical, nursing, and nutrition students, eight lecturers, and five family members were involved in this study. FGD was conducted separately among groups. The implementation is divided into four phases, namely, preparation, process, evaluation, and benefit. Unclear competencies and roles-responsibilities of each student in the program was the most problem faced during preparation, while obstacles during the process were difficult to set a schedule among team members. Conducting an objective assessment of both methods and tools needs to be concerned in the evaluation phase. However, students, lecturers, and family members appreciated the program and preferred to sustain the program. IPE can be implemented in a community setting to solve health problems and it can facilitate students to collaborate in a team, but it needs to be settled including preparation, process, and evaluation.

The economic impacts of wheelchair use: Evidence from Central Java, Indonesia Agnes Bhakti Pratiwi; Hermawati Setiyaningsih; Rizki Mahardya; Firdaus Hafidz; Diah Ayu Puspandari
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

An estimated 10% of the global population has disabilities, and 1 out of 10 require wheelchairs. Although imperative, the provision of wheelchair services remains challenging, especially in low resource settings. Interacting barriers in availability of wheelchair services and healthcare access can negatively affect households of people with disabilities in productivity and obtaining income. The availability of wheelchair services can potentially lessen the related economic burden. However, to date there is limited evidence concerning the economic gain of the wheelchair users in Indonesia. This study aims to analyze the economic impact of using wheelchairs on households in rural Central Java Province, Indonesia. Economic gains of wheelchair users were measured using a cross-sectional survey in Central Java, Indonesia during 2017. The questionnaires consisted of three main sections, namely general information, socio-economic information before and after using adaptive wheelchair, and income and spending related information. A total of 60 adaptive wheelchair users and parent proxy completed the questionnaires. More than half (55%) of the respondents were male, became impaired in 1998, and used an adaptive wheelchair starting in 2009. Medical conditions of the respondents related to need for a wheelchair are cerebral palsy (29%), paraplegia (29%), and polio (15.5%). Three-fourths of the respondents were working in the informal sector. On average, there is a significant increase of Rp. 217,662 in monthly household income between before and after using a wheelchair. However, there was no significant difference in spending before and after using a wheelchair. Respondents feel that using a wheelchair is beneficial particularly in mobility and helping in their activities. Wheelchair use can increase the income of households with disability. Clients responded that there have been several aspects which need further support, including skills improvement, employment generation for people with disabilities, and adequate public transportation facilities.

Promoting non-communicable disease risks in rural area: a Community and Family Health Care - inter professional education (CFHC-IPE) activity Diannisa Ikarumi Enisar Sangun; Dea Aryas Nugrahani; Khansa Anindya; Niken Kuntolowati
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
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.47707

Health is an aspect that could be viewed from various age groups and factors. Risk factors found during Community and Family Health Care-Inter Professional Education visits in Pondok 2, Widodomartani, Ngemplak are the habits of people who still lacking in controlling excessive consumption of sugar, salt, and oily foods. These may lead to many problems such as hypertension, diabetes mellitus and hypercholesterolemia. Based on the problem, our group held the community service activities focusing on health screening, particularly on the measurement of blood pressure, random blood glucose, and total cholesterol level. This activity aims to screen the community health condition and to raise health awareness and understanding. Therefore, people may start to take action improving their lifestyle in order to maintain their long term health status. This research is a retrospective study using secondary data obtained from health examination records at the time of community service. The health check-up was conducted on May 4, 2019. We utilize mannual mercury sphygmomanometer for blood pressure measurement and automatic skin prick test device for random blood glucose and total cholesterol level. During the health examination, we also counsel the subjects about healthy lifestyle. Sixteen people from the targeted community attended the activity. Half of the people had normal blood pressure; 1 person pre-hypertension; 4 persons stage I hypertension, and 3 persons stage II hypertension. For random blood glucose measurement, only 1 resulted in high random blood glucose whilst others were within normal limit. Total cholesterol level was examined to 9 people with history of hypercholesterolemia with the following results; 2 people had high level, 2 people had borderline-high level ,and the rest had normal level. Most of the people within the community had good health status. This kind of activity can be routinely conducted not only to screen community health status but also to promote health awareness.

Association of religious coping use with psychological well-being of mother of mentally retarded children Sak Liung; Carla Raymondalexas Marchira; Irwan Supriyanto; Mahar Agusno; Soewadi Soewadi; Sumarni Sumarni
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Low psychological well-being in mothers of children with mental retardation can affect maternal mental health and quality of life. Psychological well-being of mothers depend on maternal coping strategies to overcome the burden of childcare. The religious background of Indonesian society makes mothers tend to use religious coping in handling the burden of nurturing their children. Aim of this study to determine the association between religious coping use and psychological well-being of mothers of children with mental retardation. This is an analytic descriptive study with cross-sectional design. Subjects were mothers of children with mild to moderate level of mental retardation, students of SLB Negeri 1 Bantul. The psychological well-being and religious coping of mother is assessed by Indonesian version of the Psychological Well-being Scale and Religious Coping Scale. The significance level of the statistical test is expressed at p < 0.05. Results of this study showed there is a significant association between religious coping and psychological well-being of mothers of children with mental retardation (X2: 17.897; C: 0.377; p: 0.000; RP: 5.65; 95% CI: 2.46-12.92). All dimensions of religious coping have a significant association with the psychological well-being of the mother (p: 0.000). The dimensions of achieving comfort and closeness to God have the highest closeness association with the psychological well-being among other dimensions of religious coping (X2: 39.041; C: 0.515). The confounding variables in this study are mother’s age, mother’s education, family income, marital status, mother’s employment status, family income, children’s gender, children's level of mental retardation and children’s class grade. Mother’s education has also a significant association with the psychological well-being of the mother (p: 0.021). Religious coping and mother’s education contribute 26.7% to the psychological well-being of mothers. This finding reveals that religious coping is important to improve the psychological well-being of mothers of children with mental retardation.

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

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

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

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

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

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.

Home Page

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Contact Name
Widyandana

Contact Email
jcoemph.fk@ugm.ac.id

Phone
(+62274)-547490

Journal Mail Official
jcoemph.fk@ugm.ac.id

Editorial Address
Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Widyandana

Contact Email jcoemph.fk@ugm.ac.id

Phone (+62274)-547490

Journal Mail Official jcoemph.fk@ugm.ac.id

Editorial Address Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

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Abstract

Contact Name
Widyandana

Contact Email
jcoemph.fk@ugm.ac.id

Phone
(+62274)-547490

Journal Mail Official
jcoemph.fk@ugm.ac.id

Editorial Address
Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA