Shadow Puppets and Neglected Diseases: Evaluating a Health Promotion Performance in Rural Indonesia

Kurscheid, Johanna; Bendrups, Dan; Susilo, Joko; Williams, Courtney; Amaral, Salvador; Laksono, Budi; Stewart, Donald Edwin; Gray, Darren J.

doi:10.3390/ijerph15092050

Cited by 19 publications

(15 citation statements)

References 20 publications

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“…This study is part of a larger investigation into improving health and sanitation practices in Central Java [11]. A companion article that focuses on the quantitative analysis of a larger sample of village participants has been published by this journal [12], investigating environmental conditions, as well as knowledge, attitudes, and behaviors regarding parasites and STH in particular. Using a pre/post design, statistically significant improvements were found at follow-up in both knowledge and behavior.…”

Section: Methodsmentioning

confidence: 99%

Shadow Puppets and Neglected Diseases (2): A Qualitative Evaluation of a Health Promotion Performance in Rural Indonesia

Williams

Stewart

Bendrups

et al. 2018

IJERPH

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Performing arts used as a method of spreading health information dates back to the origins of storytelling. However, interventions in developing, non-Western countries typically utilize Western entertainment forms. This qualitative investigation assesses responses to an intervention designed around traditional Javanese shadow puppetry (wayang kulit). Semi-structured interviews provided in-depth responses from a sample (N = 12) of villagers. Responses analyzed both cross-case and within-case, focused on perceptions of the music and storyline, responses to the intervention, and the perceived appropriateness of wayang kulit for disseminating a health message. Wayang kulit was considered to be interesting and easy to remember, but concerns remained regarding the reliability of information provided through the drama. The fusion of traditional and modern music and story elements were perceived positively. Some participants were inspired to improve their hygiene practices, although the lack of motivation, or belief that they were unable to change was noted. The performance was generally received positively in terms of the nature of the intervention, the fusion of traditional and Western music and story elements, as well as the use of wayang kulit to spread health information. The study provides guidance for modifications to the production, prior to scaling up.

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Section: Methodsmentioning

confidence: 99%

Shadow Puppets and Neglected Diseases (2): A Qualitative Evaluation of a Health Promotion Performance in Rural Indonesia

Williams

Stewart

Bendrups

et al. 2018

IJERPH

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“…Such approaches have been trialled in several places. In rural Indonesia, to support MDA programs treating STHs, educational entertainment using traditional puppetry productions improved knowledge and behaviour (albeit to a smaller extent than knowledge) (Kurscheid et al, 2018). In an aboriginal community in Australia, a 'Trachoma story kit' was integrated into the school curriculum and various advertisements, resulting in improvements in knowledge in clinical and school settings, and also in particular for community work staff in the community setting (Lange et al, 2017).…”

Section: Lack Of Healthcare Knowledge Within Communitiesmentioning

confidence: 99%

Protecting the neglected from disease: the role of gender, health equity and human rights in the fight against neglected tropical diseases

Rijk¹,

Klemperer²,

Depierreux³

et al. 2021

Preprint

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Poverty and inequality are both the starting point, and the ultimate outcome, for most neglected tropical diseases (NTDs). As a group of 20 diseases, NTDs are typified by their prevalence among the poor, excluded, and marginalised within society. In the absence of quality healthcare provision, many NTDs lead to long term disability, disfigurement, and stigma, which in turn act to reinforce the exclusion and poverty experienced by the afflicted. The path leading to illness is often determined by a widespread lack of access to formal education, timely healthcare, adequate living conditions, employment and nutrition. The reasons for such deprivation are complicated, but ultimately reduce to a persistence of inequalities in affected regions. These inequalities can manifest differently depending on the demographic being studied: gender, ethnicity, geographic location, level of formal education, can all determine the ease with which NTDs are transmitted, diagnosed or treated. Yet, regardless of contextual differences, NTDs continue to persist because individuals within endemic regions experience a healthcare system that is, either directly or indirectly, inequitable. The healthcare system referred to in this context is not confined to simply formal healthcare settings. Rather, it encompasses local healers, community healthcare professionals or volunteers, drug administration programmes, community mental health provision, the formal education system, and, in extension, even the infrastructure that exists to physically connect individuals to their healthcare provider. Failing to ensure parity across each of these components for every citizen equates to a discriminatory healthcare system which fails to recognise the individual’s basic human right to “a standard of living adequate for the health and well-being of themselves and of their family, including food, clothing, housing and medical care and necessary social services” (Article 25- Universal Declaration of Human Rights). To ensure NTDs are managed in a way that is sustainable in the long term, the underlying societal inequalities which allow them to persist must be first understood.

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“…Andrade 2011 Ademais, o repasse de conhecimento em saúde como medida preventiva de comorbidades, através de métodos de 'educação e entretenimento', ou seja, por intermédio de meios mais cativantes e interativos com o público, tem importância considerável na assimilação desse conhecimento e, consequentemente, eficácia para tal finalidade (Kurscheid et al, 2018). A exemplo disso, Kurscheid et al (2008) fez uso de bonecos-sombra com o fito de conscientizar moradores em uma vila de Java Central, Indonésia, sobre medidas de prevenção e explicação da fisiopatologia de doenças tropicais negligenciadas, com ênfase nas do grupo nematóide de parasitas intestinais (relacionadas a helmintos), obtendo bons resultados não somente no questionário pós-intervenção, se comparado com o pré-intervenção, como também mudanças nos hábitos de boa parte do público-alvo.…”

Section: Conclusiónunclassified

Teatro De Fantoches Como Ferramenta Educativa Para Promoção E Recuperação Da Saúde De Crianças

Filho¹,

Carneiro²,

Aguiar³

et al. 2020

Medicina: Impactos Científicos E Sociais E Orientação a Problemas Nas Diversas Áreas De Saúde 2

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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Shadow Puppets and Neglected Diseases: Evaluating a Health Promotion Performance in Rural Indonesia

Cited by 19 publications

References 20 publications

Shadow Puppets and Neglected Diseases (2): A Qualitative Evaluation of a Health Promotion Performance in Rural Indonesia

Shadow Puppets and Neglected Diseases (2): A Qualitative Evaluation of a Health Promotion Performance in Rural Indonesia

Protecting the neglected from disease: the role of gender, health equity and human rights in the fight against neglected tropical diseases

Teatro De Fantoches Como Ferramenta Educativa Para Promoção E Recuperação Da Saúde De Crianças

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