Promosi kesehatan menggunakan gambar dan teks dalam aplikasi WhatsApp pada kader posbindu

PurposeThis study aimed to determine the effectiveness of educational programs through WhatsApp media on the level of knowledge and satisfaction of learning of Posbindu health workers.Methods This study was an experimental research on 1 group that consisted of 33 respondents. Two stages of intervention were done with sending an educational text message about diabetes in the first week and picture messages in the second week. The instruments of this study consisted of a knowledge questionnaire and a learning satisfaction questionnaire. The study was conducted on Posbindu health workers with message delivery interventions through WhatsApp.ResultsThere was a significant change between the mean pre-test and post intervention of text messaging and educational images on knowledge of type 2 diabetes variables, while the delivery of picture messages had the highest mean value of learning satisfaction.Conclusions Promotion and health education programs through message delivery on WhatsApp effectively can improve the knowledge and satisfaction of learning about type 2 diabetes mellitus.Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas program edukasi tentang diabetes tipe 2 melalui media WhatsApp pada tingkat pengetahuan dan kepuasan belajar kader Posbindu.Metode: Penelitian eksperimental ini dilakukan pada 1 grup dengan 33 responden. Intervensi terdiri dari 2 tahap, yakni: pengiriman pesan teks edukasi tentang diabetes pada minggu pertama dan pesan bergambar pada minggu kedua. Instrumen penelitian ini terdiri dari kuesioner pengetahuan dan kuesioner kepuasan belajar. Penelitian dilakukan pada kader Posbindu dengan intervensi pengiriman pesan melalui WhatsApp.Hasil: Terdapat perubahan signifikan antara rerata nilai pre test , post intervensi pengriman pesan teks dan post intervensi pengiriman gambar edukasi pada variabel tentang pengetahuan diabetes tipe 2. Sedangkan pengiriman pesan bergambar memiliki rerata nilai kepuasan belajar paling tinggi.Implikasi Praktis: Penelitian ini menyarankan program promosi dan edukasi kesehatan melalui pengiriman pesan bergambar pada aplikasi WhatsApp efektif meningkatkan pengetahuan dan kepuasan belajar.Keaslian: Penelitian ini menyatakan bahwa WhatsApp adalah media pendidikan potensial karena merupakan media interaktif antara pengirim dan penerima pesan

Multimorbidity Patterns of Chronic Diseases among Indonesians: Insights from Indonesian National Health Insurance (INHI) Sample Data

Given the increasing burden of chronic diseases in Indonesia, characteristics of chronic multimorbidities have not been comprehensively explored. Therefore, this research evaluated chronic multimorbidity patterns among Indonesians using Indonesian National Health Insurance (INHI) sample data. We included 46 chronic diseases and analyzed their distributions using population-weighted variables provided in the datasets. Results showed that chronic disease patients accounted for 39.7% of total patients who attended secondary health care in 2015-2016. In addition, 43.1% of those were identified as having chronic multimorbidities. Findings also showed that multimorbidities were strongly correlated with an advanced age, with large numbers of patients and visits in all provinces, beyond those on Java island. Furthermore, hypertension was the leading disease, and the most common comorbidities were diabetes mellitus, cerebral ischemia/chronic stroke, and chronic ischemic heart disease. In addition, disease proportions for certain disease dyads differed according to age group and gender. Compared to survey methods, claims data are more economically efficient and are not influenced by recall bias. Claims data can be a promising data source in the next few years as increasing percentages of Indonesians utilize health insurance coverage. Nevertheless, some adjustments in the data structure are accordingly needed to utilize claims data for disease control and surveillance purposes

The Association between Religious Activities Participation and Physical Function in Indonesian Elderly

Physical function difficulty is a big concern in the elderly globally. Previous studies highlighted the inconclusive findings regarding the elderly's religious involvement and physical function disability. Furthermore, spiritual study is still scarce in Asian settings. The study examined the association between religious involvement (majelis taklim) and physical disability. This cross-sectional observational study harnessed the fifth wave of the Indonesian Family Life Survey (IFLS). Katz Index was used to measure the occurrence of physical disability. Participants aged ≥ 60 years were involved (n = 1799), and 18% reported having a physical function disability. Binomial logistic regression showed that in the unadjusted model, participation in majelis taklim (OR = 0.86, p 0.01) and involvement in the religious program (OR = 0.72, p0.05) were significantly associated with having no physical disability. Meanwhile, the lower frequency of participation in majelis taklim was significant with physical disability in the adjusted model (OR = 0.89; 95%, p0.05).  Participation in religious activities was associated with a lower probability of having a physical function disability in the elderly. The result of the study can be a potential consideration for caregivers, health workers, and policymakers to maximize the religiosity involvement program for reducing the risk of physical disability among the elderly