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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; Gray, Darren

Description

‘Rama and the Worm’ is a shadow puppet production targeting neglected diseases in Central Java. It is an entertainment-based intervention study to promote health by reducing the impact of parasitic diseases such as soil-transmitted helminths (STH). The study uses traditional Javanese shadow puppetry (wayang kulit) as a vehicle in village communities to disseminate health messages and promote behaviour change to prevent diseases caused, primarily, by inadequate sanitation and poor hygiene. The...[Show more]

dc.contributor.authorKurscheid, Johanna
dc.contributor.authorBendrups, Dan
dc.contributor.authorSusilo, Joko
dc.contributor.authorWilliams, Courtney
dc.contributor.authorAmaral, Salvador
dc.contributor.authorLaksono, Budi
dc.contributor.authorStewart, Donald
dc.contributor.authorGray, Darren
dc.date.accessioned2019-11-25T04:27:40Z
dc.date.available2019-11-25T04:27:40Z
dc.identifier.issn1661-7827
dc.identifier.urihttp://hdl.handle.net/1885/186599
dc.description.abstract‘Rama and the Worm’ is a shadow puppet production targeting neglected diseases in Central Java. It is an entertainment-based intervention study to promote health by reducing the impact of parasitic diseases such as soil-transmitted helminths (STH). The study uses traditional Javanese shadow puppetry (wayang kulit) as a vehicle in village communities to disseminate health messages and promote behaviour change to prevent diseases caused, primarily, by inadequate sanitation and poor hygiene. The health education messages contained in the play, although using traditional characters and themes, required the creation of a completely new narrative script, using characters and plot lines familiar to the wayang kulit repertoire, but placing them in new situations that relate specifically to health promotion objectives. The intervention was piloted in a village in Central Java, Indonesia using a pre/post design with both qualitative and quantitative analysis. A total of 96 male and female villagers, aged between 7 and 87 years, provided both baseline and follow up data. Participant knowledge and behaviours related to gastrointestinal and helminth-related disease were assessed before and after the intervention through a questionnaire administered by interview. Results revealed statistically significant improvements in both knowledge (48.6% pre-intervention score vs. 62.8% post-intervention score, p < 0.001) and behaviour (77.4% vs. 80.6%, p = 0.004) related to gastrointestinal and helminth disease. Findings of the study indicate the wayang kulit performance is an effective health education tool. The results provide proof of concept with scaling up the next step forward. The wayang kulit production provides a significant additional component for an integrated, comprehensive approach to reduction and elimination of STH infection.
dc.description.sponsorshipThe Australian National Commission for UNESCO (2015-16) provided funding for the development of the shadow puppet production: application 2015-16023. The Department of Foreign Affairs and Trade through the Australia-Indonesia Institute (2016-17) provided funding for the evaluation of the impact of the shadow puppet production in Central Java: application AII201700012. D.G is an NHMRC Career Development Fellow.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherMDPI AG
dc.rights© 2018 by the authors
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceInternational Journal of Environmental Research and Public Health
dc.subjectsoil-transmitted helminths
dc.subjecthealth promotion
dc.subjectshadow puppetry
dc.subjectknowledge and behaviours
dc.subjectIndonesia
dc.titleShadow Puppets and Neglected Diseases: Evaluating a Health Promotion Performance in Rural Indonesia
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume15
dcterms.dateAccepted2018-09-06
dc.date.issued2018-09-19
local.identifier.absfor110309 - Infectious Diseases
local.identifier.absfor111708 - Health and Community Services
local.identifier.absfor111710 - Health Counselling
local.identifier.ariespublicationu4485658xPUB142
local.publisher.urlhttps://www.mdpi.com
local.type.statusPublished Version
local.contributor.affiliationKurscheid (previously Johnson), Johanna, College of Health and Medicine, ANU
local.contributor.affiliationBendrups, Dan, La Trobe University
local.contributor.affiliationSusilo, Joko, Otago University
local.contributor.affiliationWilliams, Courtney, Griffith University
local.contributor.affiliationAmaral, Salvador, College of Health and Medicine, ANU
local.contributor.affiliationLaksono, Budi, Yayasan Wahana Bakti Sejatera (YWBS) Foundation
local.contributor.affiliationStewart, Donald, Griffith University
local.contributor.affiliationGray, Darren, College of Health and Medicine, ANU
dc.relationhttp://purl.org/au-research/grants/nhmrc/GNT1090221
local.bibliographicCitation.issue9
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage12
local.identifier.doi10.3390/ijerph15092050
local.identifier.absseo920109 - Infectious Diseases
local.identifier.absseo920503 - Health Related to Specific Ethnic Groups
local.identifier.absseo920205 - Health Education and Promotion
dc.date.updated2019-05-19T08:21:51Z
local.identifier.scopusID2-s2.0-85053721751
dcterms.accessRightsOpen Access
dc.provenanceThis article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.licenseCreative Commons Attribution (CC BY) license
CollectionsANU Research Publications

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