KALEIDOSCOPH 24TH EDITION

kaleido scoph.

STANDING COMMITTEE ON PUBLIC HEALTH

NEWS Hari Anak Nasional World Mental Health Day HEALTH ISSUE PATRICIA ALINE Stripping the Stigma of Mental Health: Together for a Better Tomorrow LOCALS CIMSA USU CIMSA UI CIMSA UGM MMSA UMY CIMSA FK UNS PEOPLE DR. ERVANDY RANGGANATA Toxic Productivity

KaleidoSCOPH #24 OCTOBER MEETING 2021

SCOPH

STANDING COMMITTEE ON PUBLIC HEALTH

25 LOCALS 3 OBSERVERS

COVER PHOTO BY CIMSA FK UNPAD

KaleidoSCOPH OCTOBER MEETING 2021 - VOL. 24

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Editorial Page

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Meet the NPC

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Note from NPO Meet the LPO

Meet the NPC Team News 11 12

Hari Anak Nasional World Mental Health Day

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Health Issue

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Locals

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Stripping the Stigma of Mental Health: Together for a Better Tomorrow Patricia Aline - CIMSA UGM

CIGARS by CIMSA USU CAPTIVE by CIMSA UI KUMBANG x KENYANG

by CIMSA UGM SAVIOUR by MMSA UMY GLOVES by CIMSA FK UNS

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People

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Games

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Social Media

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Toxic Productivity dr. Ervandy Rangganata

Gallery

Editorial Page Greetings, SCOPHeroes!

Welcome to the twenty-fourth issue of KaleidoSCOPH. On behalf of the National Public Health Committee (NPC) and our workaholic editorial team, the Media and Communication Team, we would like to give our warm greetings to the reader of our magazine and wish all the readers a happy reading.

Even long before the COVID-19 pandemic, mental health was a big issue. Across the globe, the rate of mental health-related diagnosis has been rising in all age demographics for years.

Now, it is worsened due to the restriction in all aspects of life. We hope that we can spread the message of mental health awareness.

With this magazine, we hope we can spread and raise the existence of SCOPH itself to our beloved locals and SCOPHeroes. For the first period, we have organized two campaigns: Hari Anak Nasional or National Children's Day and World Mental Health Day. We also present current updates from our locals' activities which were conducted in the last few months. At last, we present you an article written by dr. Ervandy Rangganata, NPO CIMSA 2012-2013 and Patricia Aline, member of CIMSA UGM. We hope you enjoy reading this!

Warm hug, Faiz Dzulfikar Media and Communication Coordinator SCOPH CIMSA 2021-2022 Muhammad Abimanyu Patricia Aline Almira Azzahra Reyzki Firlianes Media and Communication Team SCOPH CIMSA 2021-2022

MUHAMMAD ABIMANYU

PATRICIA ALINE

CIMSA UI

CIMSA UGM

Faiz

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ALMIRA AZZAHRA

REYZKI FIRLIANES

MSCIA UB

CIMSA-BEM KM FK UNAND

Note from NPO It is my utmost pleasure to welcome all our beloved readers to the 24th edition of KaleidoSCOPH. This magazine was released four months after I served as the National Public Health Officer of CIMSA and the extraordinary experience I went through because I was able to work with NPC, NPC teams, LPOs, PHL, and all SCOPHeroes from all over Indonesia.

Mental health must be a concern for all of us because a person cannot be healthy without mental health. The COVID-19 pandemic also affects a person's mental state, such as anxiety, depression, PTSD, and others. I hope that all readers of KaleidoSCOPH can maintain their mental health by doing hobbies, physical activities, reducing screen time, and socializing with loved ones.

Even though we have never met in person, I hope that through KaleidoSCOPH, this can be a means of communication with all SCOPHeroes.

Lastly, I would like to thank the content creators, editors, and designers who have worked hard the past few months to create great articles, edit and design amazingly.

KaleidoSCOPH is a magazine published by SCOPH CIMSA every four months. By reading KaleidoSCOPH, you will know more about SCOPH CIMSA. The next page will uncover the great people behind SCOPH, SCOPH News, Health Issues, SCOPH People, and many other exciting contents. In the 24th edition of KaleidoSCOPH, the theme is mental health.

I would also like to thank the NPC and LPOs for their contributions over the period. I hope you all enjoy reading the 24th edition of KaleidoSCOPH!

Ratna Fitranti Lanasiwi National Public Health Officer CIMSA 2021-2022

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Meet the NPC

CIMSA 2021-2022

Ratna Fitranti Lanasiwi National Public Health Officer

Caesariska Deswima Vice NPO for Internal Affairs

Klarissa Salma Raesita Vice NPO for External Affairs

Viena Sabrina Secretary

Hanny Cynthia Elisa Siahaan Human Resource and Development Coordinator

Ige Estu Utami Treasurer

Faiz Dzulfikar Media and Communication Coordinator

Nyi Raden Nadya Elvina Project Coordinator

Muthik Hanim Mufallahah Fundraising and Merchandise Coordinator

Sekar Melati Timur Agtaputri Executive Observer and Supervisor

Muslimah Utami Raihani Siregar Executive Observer and Supervisor

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Meet the LPOs CIMSA 2021-2022

Amalia Nanda Mutia CIMSA FK USK

Haur Syakira Radra CIMSA UNIMAL

Rava Olga Sari CIMSA UISU

Kyrie Hanna CIMSA USU

Ahza Chairum Mulia CIMSA UNRI

Syifa Salsabila CIMSA-BEM KM FK UNAND

Trisha Rahmi Dian Reswara CIMSA UI

Athaya Talissa Soemadji CIMSA FK UIN SH

Kimberley Colfoort CIMSA UPH

Nabila Ghufraeni Rona CIMSA FK YARSI

Andrea Ivana Allicia Hutabarat CIMSA FK UNPAD

Muhammad Ramanda Pasha CIMSA FK UNISBA

Raissa Almira Rahmadea CIMSA UGM

Dian Meilisa Tampubolon CIMSA UKDW

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Meet the LPOs CIMSA 2021-2022

Ulung Kurnia MMSA UMY

Prasasti Probowirasmi CIMSA FK UNS

Khairunnisa JC Wijaya CIMSA UMS

Luhung Sekar CIMSA UNSOED

Muhammad Ersya CIMSA UMP

Ifician Sabeta CIMSA Lokal UNISSULA

Firstly Najmi Ulya Maritza CIMSA UMM

Ni Putu Ayu Tarissa Aprilia CIMSA UWKS

Cynthia Mahira Fachri MSCIA UB

Muhammad Hasan Al Banna CIMSA UNAIR

Maulida Putri Syarifani CIMSA UNEJ

Daniela Subanias Duha Observer CIMSA UNJA

Putu Risya Sadhu Putra Observer SCOPH CIMSA PSSKPD FK UNUD

Machmud Aminudin Observer CIMSA FK UNILA

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Meet the NPC Team CIMSA 2021-2022

TIMOTHY SAHALA

DEVI ANGGRAENI

NADHIFA AQILA

MSCIA UB

CIMSA UNAIR

CIMSA FK UIN SH

P TEAM

VALENSIA MUTIARA

DWIARSI SAJARIANA

NAMIRA AZZAHRA

MSCIA UB

CIMSA UGM

CIMSA FK UNPAD

SABRINA HERFIKA

ADISTYA HASNA

MIKHAEL AKBAR

CIMSA-BEM KM FK UNAND

CIMSA UNSOED

CIMSA UNAIR

HRD TEAM

ANDITHA JASMINE

GRANIA NIPHA

ARIQ FADHIL

CIMSA UNEJ

CIMSA FK UIN SH

MSCIA UB

ARIELLA RAMADHINI

PUTU ANISSA

BEAUTY DEANNISA

MSCIA UB

MSCIA UB

CIMSA-BEM KM FK UNAND

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FNM TEAM

KaleidoSCOPH OCTOBER MEETING 2021 - VOL. 24

SCOPH NEWS

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The COVID-19 pandemic is increasingly entering a new phase. Not only in Indonesia that are still many positive cases, but in all parts of the world. Various efforts have been deployed by all lines in order to eradicate this pandemic. One of them is to mobilize all levels of society to vaccinate. Initially, it was very difficult to equalize the public's perception of a good outcome when a person was vaccinated.

However, this did not dampen the enthusiasm of various parties to always educate their surroundings to vaccinate.

As of October 27, 2021, as many as 115 million Indonesians have received the first dose of COVID-19 vaccination. This is certainly good news among the hundreds of dark nights that have been experienced by all of us in the past year. However, in the past, vaccination coverage was only limited to adults and did not include children. This is what makes parents worry even more. Finally, last July, COVID-19 vaccination for children aged 12 to 17 years has recently been recommended by the Indonesian Pediatrician Association (IDAI). This momentum coincides with National Children's Day which is celebrated annually on July 23.

Commemoration of National Children's Day aims to show the attitude of concern for all components of the Indonesian nation towards child protection in

Through this campaign, SCOPH CIMSA seeks to realize its commitment to reduce the number of pediatric patients who are confirmed positive for COVID-19. As a form of commemoration of National Children's Day 2021, SCOPH CIMSA held a talk show session with dr. K.S. Denta, M.Sc., Sp.A through Instagram Live on 23 July hosted by Valentinus Dave Sugiharto, who is an Expert Public Health Leader.

This talk show was attended by more than 40 participants and lasted for 1 hour. In this Instagram Live, several topics related to COVID-19 vaccination in children have been discussed, including the effectiveness and safety of COVID-19 vaccination for children aged 12-17 years and recommendations for COVID-19 vaccination for children aged 12-17 years.

The purpose of holding this Instagram Live is to facilitate society in obtaining information about the various efforts made by the government in eradicating COVID-19 cases, especially in children.

Thus, all levels of society can get the same protection against COVID-19 so that a new ray of hope will be seen closer to ending this pandemic.

Because children are the nation's future, do anything you can for them!

Hari Anak Nasional 2021 Indonesia. This caring attitude becomes a foundation that is expected to be able to make Indonesian children grow and develop optimally. However, there are numerous concerns about the effectiveness and safety of COVID-19 vaccination in children.

Article by Klarissa Salma Raesita VNE SCOPH CIMSA 2021-2022

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World Mental Health Day 2021

Forms of emotional crisis that can occur in individuals over the age of 20 years, such as feeling helpless, isolated, and doubting their abilities, and fear of failure, can be referred to as a quarter-life crisis. At the age of over 20 years, some individuals feel that these times are fun because they can try all the possibilities to get meaning in their lives. Still, some other individuals may experience a quarter-life period with feelings of anxiety, full of pressure, and even feeling meaningless. The obstacles and difficulties experienced by individuals experiencing this quarter-life crisis cannot be separated from the pandemic, which is also unknown when it will end.

The support given to each other can reduce the crisis that occurs within themselves. Each individual can learn from each other's experiences and gain new insights about the quarter-life crisis and how to rise from the situation. SCOPH CIMSA held a World Mental Health Day campaign with the theme Quarter Life Crisis during COVID-19 Pandemic from September to October 2021. In collaboration with various parties, UNICEF Indonesia, HIMPSI, Self-Love Warrior, and Pijar Psikologi.

The campaign consisted of promotion and education about the quarter-life crisis through infographics, articles, comics, and videos on Instagram. We also held a webinar with HIMPSI psychologist, mental health survivor, and Mitra Muda UNICEF. The webinar discussed the quarter-life crisis 101 and what youth can do to deal with it. To help youths who need psychological help, SCOPH CIMSA and HIMPSI collaborated to provide online consultations. In addition, SCOPH CIMSA also conducts peer counselor training, which later peer counselors can help at the university level.

We hope that, through this campaign, youth will be more aware of the importance of mental health and better understand how to deal with the quarter-life crisis.

Take your time, mend your mind, and speak your silence.

Article by Ratna Fitranti Lanasiwi NPO CIMSA 2021-2022

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KaleidoSCOPH OCTOBER MEETING 2021 - VOL. 24

HEALTH ISSUES 13

Stripping the Stigma of Mental Health: ARTICLE BY PATRICIA ALINE CIMSA UGM Don’t worry, I bet you will feel better soon after you rest.

Oh, don’t take it to your heart.

No offense, everybody has a bad day, yours are only half of theirs.

Feel familiar with those sentences? Both are responses when someone says “I’m not feeling very well these past few days.” The difference is, the first one is the common response if its

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its related to physical health and the second one is when it's related to mental health. Looking at these “common responses”, it can be seen that our society still thinks little of mental health.

With a lot of stereotypes about mental health, along with the rising number of people with anxiety, depression, etc., we really need to take this issue seriously through mental health promotion and prevention. Mental health conditions, like

counselors. This way, young people won’t hesitate to go to counseling in order to prevent their condition from worsening.

Additionally, they will feel more relatable if the counselor is around their age. (Salsabila, et.

Al,, 2020) These peer counselors can also promote mental health through their social media. So at the same time, we can expand people’s knowledge and awareness about the issue.

physical health, also affect our daily life. If we are feeling low and depressed, we won’t be motivated to do our work. (WHO, 2021) Hence, it needs to be underlined that there is no health without mental health.

As mentioned on the first paragraph, the walls of stigma around mental health are still very high. Based on my experience, here in Indonesia, people still think that going to a psychologist is something out of the ordinary, though it is actually normal. When things are rough, people might find it hard to deal with it themselves, so they reach for others. People might go to psychologists for help, rightfully so. We need to ensure that people are not afraid to go to psychologists and that there are psychological services available for them. A thing that we can do to ease this is by forming peer

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Another thing we could do is implement an environment that is mental health friendly in work, family, and personal life. (www1.health.gov.au, 2021) A supportive environment will increase emotional resilience while reducing vulnerability to mental health illnesses because they know that there are people who support them and can help them cope with stress. (Jahoda, 1958) We can contribute in

making a mental health friendly environment starting with how each of us interact with one another. What we say and do leaves a much bigger impression on them more than we can expect.

REFERENCES Jahoda, M. (1958). Current Concepts of Positive Mental Health. New York: Joint Commission on Mental Illness and Health. [e-book] Salsabila, S., Wiryantara, J., Salsabila, N., and Alhad, M. A. (2020). The Role of Peer Counseling on Mental Health. Bali: Universitas Pendidikan Ganesha in Cooperation with Indonesian Counselor Association. [online] Available at: <https://ejournal.undiksha.ac.id/index.p hp/bisma/article/view/29867> [Accessed 11 September 2021].

To recapitulate, there are many methods of promotion and prevention for mental health issues, such as forming a team of peer counselors as mental health promoters and making the environment mental health friendly. Much effort in mental health promotion and prevention should occur alongside the health care system because mental health affects us all in our daily life. By working together, this will increase the emotional resilience and overall safety of our nation.

Who.int. 2021. [online] Available at: <https://www.who.int/mental_health/ev idence/en/promoting_mhh.pdf> [Accessed 10 September 2021]. www1.health.gov.au. 2021. Department of Health | 2.2 Mental health promotion. [online] Available at: <https://www1.health.gov.au/internet/p ublications/publishing.nsf/Content/ment al-pubs-n-pol08-toc~mental-pubs-n-pol 08-2~mental-pubs-n-pol08-2-2> [Accessed 10 September 2021].

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KaleidoSCOPH OCTOBER MEETING 2021 - VOL. 24

SCOPH LOCALS

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COVID-19 pandemic is a disrupting condition for us, especially to achieve the third goal of the Sustainable Development Goals, which is to ensure a healthy life and to promote well-being for all ages.

Therefore, SCOPH CIMSA USU decided to held CIGARS, a project in commemoration of World No Tobacco Day and World Tuberculosis Day (WNTD-WTBD) 2021 because there is no reason to stop educating the public about those two health problems which have a high prevalence in Indonesia.

health problems. It's time for us to take action and it could be done by organizing several activities in CIGARS SCOPH CIMSA USU. According to the WHO Global Tuberculosis Data related to the Sustainable Development Goals, there are five risk factors associated with the incidence of TB, such as alcohol consumption, HIV, diabetes, smoking, and undernutrition. Smoking is one of the most important things that we must control, not only because of its statistic but also because it becomes the highest risk factor associated with the incidence of tuberculosis, specifically pulmonary TB. That is the main reason behind choosing CIGARS as a commemoration of this year's WNTD-WTBD celebration.

As we know, these two health problems became epidemic diseases in the world, especially Indonesia, and both issues are included as two of the goals set in the 2030 SDGs to eradicate. According to WHO data in 2020, Indonesia was the second country with the highest prevalence of tuberculosis, while according to the World Population Review in 2021, Indonesia was the seventh country with the highest smokers rate in the world. Of course, these statistics could increase as time goes by. Moreover, during this COVID-19 pandemic situation, which made the access to healthcare facility limited and difficult to approach in some ways, cases could get worse.

Nevertheless, we must stand in solidarity, work together against these health

CIGARS

CIGARS was carried out in 4 activities.

There were air campaigns, talkshow, a Tiktok competition, and a podcast release on Spotify. Before the first series of CIGARS, the organizing committee had been equipped with pre-activity training on How to Prevent Tuberculosis and Cease Tobacco Use. On May 29th , the Organizing Committees of CIGARS and volunteers began the first air campaign on Instagram by posting twibbon and infographics then followed by posting

S C OP H C IMSA USU

CEASE SMOKING TO AVOID TUBERCULOSIS

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myths or facts quiz on Instagram stories.

This air campaign was conducted by 67 Instagram accounts and the myths or facts quiz was answered correctly by around 150 accounts per quiz.

contained nicotine. Moreover, WHO said that children and adolescents who use ENDS can have a higher risk, even double instead of smoking cigarettes. This talk show was pretty satisfying because it was attended by more than the targeted number of participants with a post-test score of 95.68%. In addition, during the talk show, the enthusiasm of the participants was shown by the number of active participants and questions asked.

There was a lot of participants whose questions had not been answered during the talk show then contacted CIGARS’ organizing committee to passed their questions to the doctors and delivered the answers back to them. This talkshow got a lot of positive feedback both from the participants and supervisors.

Thereafter, on June 5th, we held the main event of CIGARS, which was Talkshow.

This talkshow is divided into two sessions.

For the first session, we discussed a topic about "The Love Triangle between Tobacco, COVID-19, and Tuberculosis".

Although the title of the discussion topic seems romantic, in reality, we talked much about two interrelated health problems that could worsen with COVID-19 infection. This topic was discussed with dr.

Andika Pradana, M.Ked (P), Sp. P as a speaker from the Department of Pulmonary, Faculty of Medicine, University of Sumatera Utara. The relationship between smoking, tuberculosis, respiratory disease, immune resistance, and the possible risks that can worsen COVID-19 infection outcome made this topic very important to discuss.

In the third series of CIGARS, we held an Educational TikTok Video Competition with Smoking Cessation as the theme. This competition was opened for high school to university students and was held for 15 days starting from the registration of the participants to the winner's announcement. From this competition, we chose the best and most favorite videos as the winners. We hope through this competition, all the social media users (especially Instagram and Tiktok users), smokers or non-smokers, who had the intention to cease smoking, could find out more about it and raise society’s awareness about smoking.

Meanwhile, in the second session, we had another discussion about “Vaping vs Smoking: Which is Better?” with dr.

Sumarjati Arjoso, S.KM from the N a t i o n a l Government Organization, Tobacco Control Support Center IAKMI. We chose this topic because as we know lately, the use of Electronic Nicotine Delivery Systems (ENDS) or as known as electronic cigarettes, e-cigarettes, vaping devices, or vape pens was more popular than smoking cigarettes, which many believed to have less impact on health. But based on facts, tobacco smoking and electronic cigarettes have the same impact because they both

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Lastly, for the closing series of CIGARS, we released a podcast on Spotify. We had Mr. Edi as the speaker from the NGO PETA (Pejuang Tangguh Tuberculosis). He is currently an MDR-TB patient and the head of PETA in his area. We had a sharing session about his journey becoming a TB patient, starting from the beginning of being exposed to TB disease, being cured, and then being infected again until becoming an MDR-TB patient. He also gave several messages and kind words for TB patients then stated that the support from our beloved family is one of the most important things because that’s what we needed the most during our recovery.

We hope through this activity we could educate people widely especially social media users. We also hope that CIGARS will motivate others to hold the same activity and can be a reference for upcoming similar events. COVID-19 has taken so much from us.

But nothing can take away our shared vision to end TB and cease smoking. Save lungs, save life.

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CAPTIVE

CIMSA UI’S TB PREVENTION INITIATIVE SCOPH CIMSA UI

Tuberculosis (TB) is one of the most serious communicable diseases in the world.

Globally, Indonesia ranked 3rd for TB’s incidence just behind China and India. Not only that, Indonesia was also one of the countries with a high burden of TBC, TBC/HIV, and MDR-TB. Based on the secondary data and the primary assessment we sent to 139 people, it can be concluded that TB remained a huge national problem with a concerning public knowledge level. In regards to this and the celebration of World Tuberculosis Day, SCOPH CIMSA UI held CAPTIVE: CIMSA UI’s TB Prevention Initiative.

CAPTIVE consisted of several sub-activities that were aimed not only for the general public and the TB patients but also the PMO/Kader TB. The activity started with a pre-event period consisted of an air campaign, PMO challenge, and educational video competitions. These three sub-activities were done to educate people about TB stigma, TB prevention, and also TB medication management.

For the PMO challenge, CAPTIVE collaborated with several TB-focused NGOs such as PETA and TERJANG. The PMO/Kader TB from each NGO participated in the challenge consisted of medication-observation challenge and lifestyle challenge. The members of SCOPH actively did follow-ups to the PMO/Kader to see how they did their job. After the challenge, we gave the best participants prizes and all participants free e-books which we made in collaboration with the NGOs. CAPTIVE also held an educational video competitions aimed to engage the general public to actively educate people on the stigma of TB and the importance of immunity to prevent TB. We believe that by engaging multiple demographics, it’d give a more holistic help to the national TB condition.

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The main event were aimed for both the general public and the TB patients/PMO/Kaders. The event consisted of two innovative semi-webinar talk shows, an interactive mini-games session, and a free consultation session. We divided the semi-webinar talk shows into a general one and a patient/PMO-specific one. In these talk shows, we had a representative from WHO, Ministry of Health, and a TB patient as the guest speakers so the topic could be approached from multiple perspectives. The mini-game sessions were participated by the general public participants. The games consisted of educational games about TB and a stigma clarification session with a TB-MDR survivor. On the other hand, the TB patient were given an opportunity to do a reflection session and participated in a free health consultation with expert physicians from RSCM. Based on the national data and primary assessment, CAPTIVE also found that TB patients were financially impacted greatly by the pandemic. Therefore, CAPTIVE opened a fundraising throughout the activity to help the patients. At the end of the event, the accumulated fund were used to buy health equipment for the patients.

In the end, CAPTIVE successfully fulfilled 100% of the success indicator with 230 general public participants, 49 patients participants, and 19 video competition participants. We also succeeded in getting external collaborations with 16 parties including WHO, Ministry of Health, Ciptomangunkusumo Hospital, PETA, STOP TB Indonesia, and many more. The variative activities also received positive feedbacks from the participants and showed positive impact on the knowledge and awareness of the

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KUMBANG X KENYANG

KAKAK TUMBUH KEMBANG UNTUK KESEIMBANGAN GIZI ANAK TERSAYANG SCOPH CIMSA UGM KUMBANG X KENYANG: Growth, Development, and Nutritional Balance of Dear Children is a collaborative activity between the Student Engagement Grant, The University of Melbourne, Capella Foundation, and the Center for Indonesian Medical Students’ Activities, Gadjah Mada University (CIMSA-UGM) which aims to improve public awareness, both health cadres and parents, on issues of growth and development, through a screening program that will be implemented at the community level (posyandu). We also aim to increase the knowledge of volunteers, which are medical students, regarding the growth and development of children.

According to the data available from National Health Research (Riskesdas) 2018, the number of Indonesian children suffering from malnutrition is as follows: 10.2% are wasted, 30.8% are stunted, and 10.2% are underweight. Gondokusuman area ranked second with the most malnourished children in the province of Yogyakarta (Yogyakarta Health Profile, 2019). Based on the survey that we conducted in four primary health centres in Gondokusuman, most parents with children under five years old have not regularly monitored their children’s growth and development.

In the last period, disruption of growth and development has received more attention in Indonesia to increase human resource capacity in the future. However, along with the increasing attention to stunting prevention programs as a growth disorder, developmental problems are still often neglected by both parents and health cadres in the community. This unawareness can result in delays in detecting children who tend to experience developmental disorders and delays in providing the intervention and stimulation needed by these children. This can be caused by the parameters of developmental aspects that are less real than those of growth.

The first series of events that we held was a webinar themed Growth, Development, and Nutritional Balance of Dear Children.

This event is held on December 12th – 13th, 2020, via Zoom Meeting.

On the first day, introductory material will be presented on child growth and development. The presentation is carried out in two sessions which is presented by Prof. Susan Sawyer and dr. Mei Neni Sitaresmi, Ph.D., Sp.A (K). Prof. Susan Sawyer from the University of Melbourne delivered the material on Investing in a Healthy Start to Life. This material discusses how health is essential to start life, especially for human development to reach adulthood. The second session is guided by dr. Mei Neni Sitaresmi, Ph.D., Sp.A (K), who delivers material on Knowing Child Growth and Development.

This material focuses on how development occurs in children.

Seeing this issue, SCOPH CIMSA UGM, with college students of the University of Melbourne and Capella Project, musters up action ideas to solve this matter through "Kakak Tumbuh Kembang untuk Keseimbangan Gizi Anak Tersayang" or in short "KUMBANG X KENYANG".

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The second day will be followed by more specific material regarding child development. The delivery of the material will also be carried out in two sessions.

The first session was delivered by Braghmandita Widya Indraswari, M.Sc., Sp.A regarding the Practice of Detection, Interpretation, and Stimulation of Child Growth and Development. The second session will be guided by dr. Meta Herdiana H. Sp.A (K), who delivers material on Knowing Optimal Nutrition and Nutrition for Children.

The pre-project training, which will be referred to as "Skills Lab", aims to train volunteers to monitor children’s growth and development. Monitoring children’s growth and development can be done by plotting and interpreting growth charts.

Through this activity, we hope that volunteers will be able to directly retrieve data independently on interventions that will be implemented afterwards.

When the intervention is carried out, children who are at risk for developing and developmental disorders will then be matched with volunteers from medical students to assist parents in providing accurate information for their child’s management. Due to the prolonged pandemic, this training is held online through synchronous sessions via Zoom with dr. Fitria Mahrunnisa, M.Sc., Sp.A and dr. Joko Kurniawan, M.Sc., Sp.A as trainers and volunteers. The session started with material on monitoring children’s growth and development with a brief explanation from the doctor, followed by answering several cases related to the material so that information can be implemented afterwards.

KUMBANG X KENYANG is a social project that focuses on the growth and development of children, especially among children under five years of age.

The growth and development of children can be provided through nutrition.

Nutrition can provide children with a direct impact on children’s health, growth, development, and mindset. However, in practice, several instruments have been provided to measure aspects of child development. Given the importance of understanding this topic, we took the initiative to conduct pre-project training before going directly into the intervention.

The first intervention was carried out in February-March 2021. At this stage, Puskesmas cadres took anthropometric measurement data for children under five years old from 4 posyandu. After that, the volunteers analyzed the anthropometric results, conducted early detection of development through KPSP, and gave education about child nutrition. This process is carried out via WhatsApp Call by volunteers, parents, and related children. We then recapitulate the results of data collection to observe whether there are respondents who need special attention.

Prior to the second intervention, regular follow-up will be held every 2-3 months. A follow-up team of KUMBANG x KENYANG will be formed, consisting of SCOPH CIMSA UGM and Community Development Society CIMSA UGM

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members. The follow-up team will request information about anthropometric measurements from community members through cadres. Follow-up forms can be submitted in the form of manual measurements or screenshots of the PrimaKu application, an application designed to monitor a child's growth and development. The follow-up data will be updated regularly, which will later be plotted for the growth curve. Each follow-up will also include education to community cadres and mothers. The follow-up results will later become a reference in determining which children need more attention regarding their growth and development.

If the activity is held in an online form, a chef will distribute an ebook of healthy food recipes collection. The follow-up and intervention data results will then be processed by organizing committees and colleagues from the University of Melbourne, which will later be advocated to the Gondokusuman I Health Center and Posyandu.

This event is just one of the many efforts to overcome the problems of child growth and development and nutrition. SCOPH CIMSA UGM will try its best to overcome this problem, especially for the related community.

This battle is far from over. Therefore, we hope that this activity can provide sustainable benefits to all parties involved in it.

Approaching the second intervention, there will be open recruitment of organizing committees from SCOPH CIMSA UGM and volunteers from medical students of UGM and members of the Capella Project. Members and volunteers will conduct pre-project training on the skills needed when later intervening with community members.

Educational materials for the intervention will also be developed with colleagues from the University of Melbourne and the Capella Project.

If the intervention takes place offline, it will be divided into small groups so that parents can tell each other and share their experiences, which is also an effort to increase the sense of belonging within the community. A healthy food tent will be held in collaboration with the Health Nutrition Student Association (HIMAGIKA) UGM.

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According to the results of Inter-Censal Population Survey (SUPAS) in 2015, the Maternal Mortality Ratio (MMR) was 305 per 100,000 live births, which is still very high compared to the 2015 MDGs target of 102 deaths per 100,000 live births.

who have the responsibility for the pregnant women. The pregnant women had to fill a checklist related to nutritional fulfillment, consumption of iron tablets, and routine check-ups. The role of cadres in this primary assessment is to assess the pregnant women about their knowledge related to iron deficiency anemia and nutrition.

The World Bank states that since 2000, MMR in Indonesia has shown a downward trend, with an estimated MMR of 177 per 100,000 live births in 2017. In the Sustainable Development Goals (SDGs), the MMR target is 70 per 100,000 live births in 2030. In Yogyakarta, the MMR in 2018 (111.5) had not reached the target yet (102), instead of going down, it’s going up from 2017 (110).

In the second intervention, we held an education class for cadres. We brought the material regarding anemia on pregnant women and nutrition planning by doctors who specialized in obstetrics and gynecology. Besides, we also taught the cadres about how to educate the target (pregnant women) properly. After doing some education classes, the cadres provide assistance to pregnant women to fill out a pregnancy diary. The cadres were also given a task to follow up the targets (pregnant women).

Nationally, according to Detty S. Nurdiati, an expert in Obstetrics and Gynecology, the highest cause of MMR is bleeding.

One of the causes of bleeding that still has a high incidence is anemia. The incidence of anemia in pregnant women from 2014 to 2018 fluctuated. There was a significant increase in 2018 in Bandung. This is in line with the unattainable target of giving blood tablets to pregnant women, so efforts need to be made to optimize the distribution of blood-added tablets, nutritional counseling, and compliance with pregnant women in consuming blood-added tablets during pregnancy.

SAVIOUR

SAVE OUR MOTHER TO SAVE OUR GENERATION SCOPH MMSA UMY

Based on these data, the Public Health Committee (PHCO) and Reproductive Health and Rights Including HIV & AIDS Committee (RACO) of Muhammadiyah Medical Students' Activities (MMSA) initiated to increase the awareness of women particularly housewives in reproductive age to pay attention to nutrition as an effort to prevent iron deficiency anemia in pregnant women.

In SAVIOUR or Save Our Mother to Save Our Generation, we held education and follow-up for pregnant women on several interventions. In the first intervention, primary assessment was conducted. This assessment was carried out by the cadre's mother and the organizing committee

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SAVIOUR's main activities were first intervention and second intervention. The first intervention was held on the 14th of February 2021. In this intervention, the cadres and the pregnant women were given an education class regarding nutrition optimization, iron deficiency anemia prevention for pregnant women, and stunting in children with the speakers were dr. Alfun Dhiya An, Sp.OG, M.Kes., dr. Bambang Edi, Sp.A, M.Kes., and Mr. Suseno, S.Gz, MPH from Yogyakarta Public Health Officer. After the class, follow-up by cadres to pregnant women was conducted to assess their progress.

On the second intervention, that was held on the 4th of April 2021, Fourth year evaluation was conducted regarding pre-eclampsia and anemia. Other than that, we also check the pregnant's nutrition which includes Body Mass Index Check, arm circumference, blood pressure, glucose check, and antenatal care. At the end of the intervention, a follow-up assessment by cadres to pregnant women was conducted to check the progress.

After those 2 interventions were done, the responsible organizing committee had to follow up to the cadres online. The aim of this follow-up is to empower the cadres so they could follow up the pregnancy independently.

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GLOVES

Indonesia has a lot of children with disabilities. According to Badan Pusat Statistik Nasional in 2007, there were 8,3 million children with disabilities out of 82 million children in total. Meanwhile, according to Program Perlindungan Sosial (PPLS) in 2011, there were 130.572 disable children coming from low-income families with 3.861 children are deaf and 16.335 children are mute. From this data we know that Indonesia still has a lot of children with disabilities and we need to improve their quality of life along with their quality of health.

GIVING HEALTH EDUCATION OVER EXTRAORDINARY SCHOOL SCOPH CIMSA FK UNS

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On the other hand, according to a research in 2016, clean and healthy lifestyle behaviors come as one of the least knowledge among the students.

RIKESDAS in 2007 stated that in Indonesia, as many as 7.5% of cases of accidents and events reach our daily activities. In fact, we still have to overcome some problems due to the lack of clean and healthy lifestyle behaviors among the students such as dental and oral health, and a problem about hand hygiene as well, especially during this pandemic of COVID-19.

They speak with their hands and their heart.

We believe that as a future doctor, it is important to have good communication skills.

The practice of good communication skills in the medical profession is integral for the development of a meaningful and trustworthy relationship between the doctors and patients and, thus, is beneficial to both of them. Proper information about the nature, course, and prognosis of the disease is also important to deliver to and be understood by the patients. Briefly, good communication skills in a doctor could improve a patient's compliance and overall satisfaction.

Then, the question is, how can we build good communication with patients with disabilities? We can’t deny the fact that they have the right to get equal treatment of health, just like other people. We, SCOPH and SCOME CIMSA FK UNS consider that it would be nice if as future doctors, we could understand and are able to speak sign language as a key to break the silence and barrier between a doctor and patients with disabilities. From this, we think of an activity that is able to bridge the existing problems, and GLOVES is the answer.

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GLOVES (Giving Health Education Over Extraordinary School) is a Transco project from SCOME and SCOPH CIMSA FK UNS to make that dream come true. Not only improving the member’s ability to speak sign language, but the main aim of this activity is also to provide understanding to students at SLB-B Pawestri in terms of PHBS (Perilaku Hidup Bersih dan Sehat) and first aid with the little doctor and student health care unit as the expected result.

the students could always apply for PHBS every day. The students were so enthusiastic, seen when they sent a video of them doing the tasks.

The third intervention is a member training with PMPA VAGUS about emergency first aid followed by the fourth intervention on November 16th, 2020. In this intervention, we provide educational materials about PPGD (Emergency First Aid). The material is delivered through a video shared via WhatsApp group with a topic of what to do when there is a common injury, burns, choking, bleeding, and fainting. 3 months after, the 5th intervention was held by zoom on February, 13th 2021. The agenda was about the sign language training for all OC members, delivered by SCOME CIMSA FK UNS. On March, 6th 2021, the last intervention was given by the trainer to all GLOVES official committees about the integration of Clean and Healthy Lifestyle Behavior (PHBS) and Emergency First Aid (PPGD).

Before interventions, we trained our members to do the sign language training with PUSBISINDO so that we could communicate with the students and emergency first aid training by PMPA Vagus FK UNS. Members are trained about environmental injury, basic life support, traumatology, shock, and hemorrhagic.

After the training, we are ready to share it with our friends at SLB-B Pawestri. Before giving intervention, we also held a free medical check-up for the teachers and staff of the school as a bonding method.

The medical check-up includes GCU and blood pressure. After building a nice and warm atmosphere through bonding, we start our intervention to the students about PHBS and first aid. The intervention is delivered by a sharing session and interactive lectures with the students.

This experience has given us so many valuable lessons as medical students, especially in terms of communication skills. It reminds us that patients' listening, empathy, and paying attention to the para verbal and nonverbal components of the communication are the important ones and all patients have the same right equally. GLOVES left so many warm and unforgettable memories and we hope students from SLB-B Pawestri also feel the same.

In the pandemic era, we bond with an introduction video of the GLOVES OC by sending a video that we had made with all OC GLOVES followed by introductions from the students. Due to the limitations, we did the second intervention on September 20th, 2020 via WhatsApp with students and their parents. We frequently hold a chat meeting via group and share information through it and throw some quizzes & challenges such as the washing hands video challenges and many more to interact with the students. On September 10th, 2020, we sent a video about PHBS Education during the pandemic. We also distributed follow-up cards so that

Although we didn't really see each other directly through all the processes, we hope that what we delivered from each intervention can be useful, gain students' understanding, and be implemented in their daily life either for themselves and others. We also hope that they'll be able to have their own Student Healthcare unit and little doctor in the future as part of the expected result.

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PEOPLE

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Toxic Productivity

dr. Ervandy Rangganata

NPO CIMSA 2012-2013 UROLOGY RESIDENT FKUI-RSCM

have also been highlighted, particularly in relation to wellbeing, and it can cause stress, discomfort, and anxiety due to the constant use of the Internet, email, instant messaging, and smartphones.

Indeed, work from home had so many benefits to offer, but it is also caused trouble for workaholic workers, namely “persons whose need for work has become so excessive that it creates noticeable disturbance or interference with (their) bodily health, personal happiness, and interpersonal relations, and with (their) smooth social functioning”.

These time on pandemics, people are being encouraged to do “something” of their life, to do something change, to gain some achievements during pandemics, and compete each other for the label of “The most productive person”. This never-ending competition, leading us as a people to do our best, even more than our best to do more jobs, so it’ll made us look like a person who use our time efficient and well.

COVID-19 had changed how the world works. It is described on how people are doing their activities during pandemics. As the pandemic hit on March 2020 and its cases are rising quickly, all nations are being collapsed, and to stop its spread and transmissions, WHO recommends to not do public gathering, and other activities outside including works, and even school, it is now being called social limitation/social distancing. Thus, during pandemics its suggested to do work from home (WFH).

Work from home and social distancing during pandemic can have some positive outcomes, such as improved performance, cutting the costs of “home-work-home” traveling, saving time, and organizational resources, and increasing employee satisfaction.

However, some negative consequences

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Let’s learn to differentiate, what is productivity and toxic productivity. It’s a good thing to get things done, we got feeling of satisfaction, safety, and peace, that’s what we called Productivity, to get some things done. But the goodness will turn into a disease when we are asked ourselves to do more, and more, and never want to stop. Toxic productivity is essentially an unhealthy desire to be always productive, at all costs. Toxic productivity can make us feel like a failure

Let’s thank to ourselves for all the wins, pivots, and growth we got before. Because your mental health matters. if we’re not constantly ‘doing something or get something to done’. When toxic productivity is leading your life, you judge yourself every day for what you haven’t done, rather than looking at what you have accomplished.

Many of us have fallen into patterns of toxic productivity during the pandemic, that’s primarily because all our regular routines were put on pause. All of a sudden, we had unprecedented amounts of free time. We didn’t stop once the workday ended, either. We told ourselves we’d learn a new language, become an expert baker, or master some other skill we’d put off learning in the Before Times.

Slowly, the toxic positivity will tell you that you’ll never be enough, that you always lack of everything, and you should’ve done better. This logic will lead you to long-term insecurities, acute depression, and anxiety.

Signs that you are in a toxic productivity are by knowing the red flags. We should ask ourselves:

Do you have a lot of work-related guilt?

Do you often feel like you should be doing more, and that if you’re not doing something, you’re wasting your time?

If you’re constantly trying to force things into existence or feeling guilty, that’s a toxic productivity. Other simple evaluation is by looking at how much energy we have in the morning. Are we wake up in the morning by clicking the snooze button on our alarm, or we wake up naturally? How’s our body feeling? Have we decided that this feeling is normal, or ‘just the way it is’? Feeling exhausted doesn’t have to be our normal, and can be a sign that we are trapped in the cycle of toxic productivity.

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The toxic productivity culture has to be cancelled...

...by knowing our own boundaries and respecting our life that we are also need time to rest, and time to relax. Make an extra effort for self-care. Maybe it looks like a morning run or an afternoon tea break. Maybe it’s tearing into a bag of snacks and watching TV. Prioritize it just as you would an important work project.

Thus, the second steps to get away from this culture is to replace toxic productivity with “professional detachment”.

Professional detachment looks like staying committed to your job and doing quality work while understanding that “the role isn’t your sole identity.” When we’re professionally detached, we treat everyone like clients: our boss, our peers and colleagues. We’re still making the choice to be at our company. Show up to work, be professional, work hard, demonstrate our competence, but also have some emotional detachment from our own job.

It is good to be someone who are responsible of our job but let’s not to hustle ourselves into an early grave. Let’s work hard, and rest at balance. Take time to laugh with friends and family, express gratitude for the things we have in this moment while having work life balance to achieve more. Let’s thank to ourselves for all the wins, pivots, and growth we got before.

Because your mental health matters.

References Yanti B, Wahyudi E, Wahiduddin W, Novika RGH, Arina YMD, Martani NS, et al. Community Knowledge, Attitudes, and Behavior Towards Social Distancing Policy As Prevention Transmission of Covid-19 in Indonesia. J Adm Kesehat Indones. 2020;8(2):4.

Kim MC, Kweon OJ, Lim YK, Choi SH, Chung JW, Lee MK. Impact of social distancing on the spread of common respiratory viruses during the coronavirus disease outbreak.

PLoS One [Internet].

2021;16(6 June):1–11.

Available from: http://dx.doi.org/10.1371/journal.pone.0252963 Welsh BC. Hustle Culture and the Implications for Our Workforce. AcademicworksCunyEdu [Internet]. 2019; Available from: http://academicworks.cuny.edu/cgi/viewcontent.cgi?article=1055%5C&context=si_pubs te Vrugt M, Bickmann J, Wittkowski R. Effects of social distancing and isolation on epidemic spreading modeled via dynamical density functional theory. Nat Commun [Internet]. 2020;11(1). Available from: http://dx.doi.org/10.1038/s41467-020-19024-0 Spagnoli P, Molino M, Molinaro D, Giancaspro ML, Manuti A, Ghislieri C. Workaholism and Technostress During the COVID-19 Emergency: The Crucial Role of the Leaders on Remote Working. Front Psychol. 2020;11(December):1–9.

Minor D, Housman MG. Toxic Workers. Acad Manag Proc. 2015;2015(1):13189.

WHO. Clinical management Clinical management Living guidance COVID-19. 2021B. 2021;(January):16–44.

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Penyakit Tidak Menular (abbreviated in English) International Federation of Medical Students' Associations One of PHLT cores World Tuberculosis Day Social and Environmental Determinants of Health In Indonesia, SCOPH was first established in this city.

Standing Committee on Public Health Local Public Health Officer SCOPH's biennial national meeting

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Center for Indonesian Medical Students' Activities Magazine Sustainable Project One of CIMSA's national meeting Community Development

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