Era Baru Kesehatan Mental Indonesia: Sebuah Kisah Dari Desa Siaga Sehat Jiwa (DSSJ)

Due to the large number of people with mental illness in Indonesia, traditional treatment to individuals with mental disorder becomes less effective. Community-based mental health treatment becomes a more effective and efficient choice in handling the disorder. Desa Siaga Sehat Jiwa (DSSJ, Mental Health Awareness Village) has comes as a form of community-based mental health treatment. One of villages in Yogyakarta where the program has been being implemented is in Selomartani village, Kalasan Sub-district, Sleman Regency. This study aimed to look at the process of formation, implementation and obstacles of the program in this village, and to provide advice or suggestions for its improvement. This study used a qualitative approach with narrative method. Data were retrieved through interviews and focus group discussions. Participants involved in the study were 19 cadres of the program. Results obtained from the study indicated that cadres have ability in understanding clearly the system and their roles in the program and they know the consequences of being a cadre of DSSJ. The new finding obtained during the research process was the emergence of "compassion fatigue” or “secondary traumatic stress", a traumatic disorder suffered by the cadre while handling patients. Keywords: community-based mental health, compassion fatigue, Mental Health Awareness Villag

Factors Affecting Use of Personal Protective Equipment and the Risk of Contact Dermatitis among Scavengers in Surakarta, Central Java: Application Of Health Belief Model

Background: Contact dermatitis is triggered by contact with an allergen or substance that causes skin inflammation. Personal protective equipment (PPE) is important to pro­­tect individual against health risks while working. The purpose of this study was to de­termine factors affecting use of PPE and the risk of contact dermatitis among scavengers using health belief model (HBM). Subjects and Method: A cross-sectional study was carried out at Putri Cempo land­fill, Mojosongo, Surakarta, Central Java, from March to April 2019. A sample of 203 sca­­­vengers was selected by total sampling. The dependent variable was contact der­ma­titis. The independent variables were age, education, perceived susceptibility, perceived be­nefit, and PPE use. The data were collected by questionnaire and analyzed by a mul­tiple logistic regression. Results: The risk of dermatitis in scavengers increased with age 15-35 years old (OR= 28.71: 95% CI= 2.75 to 302.54; p= 0.005), education <junior high school (OR= 32.72; 95% CI= 2.81 to 380.27; p= 0.005), incomplete PPE use (OR= 251.10; 95% CI= 10.79 to 5843.82; p= 0.001), low perceived susceptibility (OR= 7.64; 95% CI= 1.10 to 53.12; p= 0.040), and low perceived benefit (OR= 18.97; 95% CI= 2.08 to 172.81; p= 0.009). Conclusion: The risk of dermatitis increases with age 15-35 years old, education <junior high school, inclomplete PPE, low perceived susceptibility, and low perceived be­nefit. Keywords: contact dermatitis, personal protective equipment, scavenge