Tri Krianto

Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among Preschoolers

Diarrhea is still the second highest cause of the death in children under five in the world. Innovation programs continue to be sought to reduce the number of child death due to diarrhea and help diarrhea prevention in Indonesia. This study aimed to examine the effectiveness of educational games called as Arbi Care on diarrhea prevention towards the knowledge of healthy behavior among preschoolers. This study used pre-post test control ngroup design involving 120 participants whom fit the inclusion criteria. Participants were andomly divided into a control group of 60 participants and the intervention group consists of 60 participants. Data were analyzed using one-way MANOVA test. The results showed there were significant mean differences in knowledge of healthy behavior to prevent diarrhea between control group and intervention group. There was also a different increased inclination of mean score which is intervention group score higher than control group. Arbi Care is neffective in improving the knowledge of healthy behavior to prevent diarrhea among preschoolers. Thus, Arbi Care is recommended to be the model to help prevent diarrhea in children using educational game.

Perceptions about pasung (physical restraint and confinement) of schizophrenia patients: a qualitative study among family members and other key stakeholders in Bogor Regency, West Java Province, Indonesia 2017

BackgroundThe UN resolution recommends treating all mentally ill patients with humanity and respect. However, social stigma continues to prevail for patients with schizophrenia. Physical restraint and confinement of the mentally ill is a well-known phenomenon in Indonesia and is termed as pasung.ObjectiveTo explore the perceptions of family members of patients of schizophrenia and other key stakeholders concerning pasung in Bogor Regency, West Java Province 2017.MethodsThis qualitative exploratory study was conducted in Bogor Regency, West Java Province from May to June 2017. This study involved 12 key stakeholders including family members, neighbors, community leaders, and mental health officers. In-depth interviews were conducted with family members (nu2009=u20093) who practiced pasung for patients with schizophrenia and key informant interviews of neighbors, community leaders (two household heads and one from a health cadre) (nu2009=u20093) and mental health officers of puskesmas (three midwives). Data triangulation was performed by interviewing residents and mental health workers. Content analysis was conducted and themes were identified based on valid inference and interpretation.ResultsFamily members and society in general perceived that pasung is necessary for security reasons due to the patient’s aggressive behavior such as physical violence to neighbors, stealing food etc. According to community leaders, families often do not respond to patient’s request to be released from pasung. Family members had financial constraints to seek mental healthcare and were also dissatisfied with available services. Healthcare providers highlighted the poor knowledge and prevailing misconceptions about schizophrenia in the community.ConclusionConcurrent efforts to strengthen basic mental health services and health education regarding schizophrenia, prevalent misconceptions, and importance of timely and appropriate treatment are needed, especially in rural settings.