Kulwap”: a trend of health promotion during the COVID-19 pandemic, Implementation of the STIKES Buleleng Community Partnership Project


Ni Kadek Diah Purnamayanti(1*), Kadek Yudi Aryawan(2), Made Sundayana(3)

(1) Department of Nursing, STIKES Buleleng, Bali, Indonesia
(2) Department of Nursing, STIKES Buleleng, Bali, Indonesia
(3) Department of Nursing, STIKES Buleleng, Bali, Indonesia
(*) Corresponding Author


The pandemic of COVID-19 has brought the global community into a new perspective of living. Due to the social distancing protocol, face to face meetings should be avoided. This could be a barrier in implementing the previous health promotion programs which were based on group gatherings. Hence, nowadays, the online approach has become a promising strategy. The intensive use of social media platforms in Indonesia serves as a great opportunity to penetrate the public awareness of society. The initiation of “Kulwap” (Kuliah WhatsApp or lecturing by WhatsApp), which is an approach to gather a group of people in a WhatsApp Group and deliver a lecture to this group through the application is also being implemented in STIKes Buleleng Bali. The aim of this study was to assess the effectiveness of WhatsApp as a media of health promotion. It is a part of the community partnership integrated into the educational process of nursing students. During the program, there were four major topics promoted: Non-Communicable Disease (NCD), Communicable Disease, and Wellness and Child Health Issues. This program succeeded in involving 357 participants who lived in Bali. Based on the participants’ feedback, the engagement was successful due to the use of WhatsApp as the preferred social media platform (84.3%), the beneficial contents being shared during the Kulwap (65.5%), the attractiveness of media being used in the lecture (82.8%) and the way of delivery was easy to be understood (70.3%). Almost all (98.6%) of the participants expressed their willingness to rejoin the program. Therefore, the study concluded that the use of Kulwap serves is an effective and acceptable strategy to establish a health promotion initiative during the current COVID-19 pandemic. 


empowerment; health promotion; online; whatsapp

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  1. WHO. COVID-19 Pandemic [Internet]. 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019?gclid=CjwKCAiAnIT9BRAmEiwANaoE1R8XtFmtoXKExzPqAvLoS2m1XrgV6mRCJrnglg01yv6MKBaADDkzUxoCULkQAvD_BwE
  2. BPJS Kesehatan. Optimalisasi FKTP di Masa Pandemi. 2021; Available from: https://bpjs-kesehatan.go.id/bpjs/dmdocuments/7931e2c3500bbbcc569b69b682374434.pdf
  3. Das K, Gryseels M, Sudhir P, Tan KT. Unlocking Indonesia’s Digital Opportunity. McKinsey Co [Internet]. 2016;(October):1–28. Available from: https://www.mckinsey.com/~/media/McKinsey/Locations/Asia/Indonesia/Our Insights/Unlocking Indonesias digital opportunity/Unlocking_Indonesias_digital_opportunity.ashx
  4. We Are Social & Hootsuite. Indonesia Digital report 2020. Glob Digit Insights. 2020:247. [Internet]. 2020. Available from: https://datareportal.com/reports/digital-2020-global-digital-overview.
  5. Sutikno T, Handayani L, Stiawan D, Riyadi MA, Subroto IMI. WhatsApp, viber and telegram: which is the best for instant messaging? Int J Electr Comput Eng. 2016;6(3):909–14.
  6. Dewi DTK, Kusumawati W, Ismarwati I. Effect of health promotion and WhatsApp reminder to self-efficacy of the consumption of Fe tablets adherence among pregnant women. J Heal Technol Assess Midwifery. 2019;2(1):23–32.
  7. Pereira AAC, Destro JR, Bernuci MP, Garcia LF, Lucena TFR. Effects of a whatsapp-delivered education intervention to enhance breast cancer knowledge in women: mixed-methods study. JMIR mHealth uHealth. 2020;8(7).
  8. Globalwebindex. WhatsApp ahead of Facebook for usage frequency. 2019.
  9. Rosenfeld A, Sina S, Sarne D, Avidov O, Kraus S. WhatsApp usage patterns and prediction of demographic characteristics without access to message content. Demogr Res. 2018;39(1):647–70.
  10. Youarti IE, Hidayah N. Perilaku Phubbing Sebagai Karakter Remaja Generasi Z. J Fokus Konseling. 2018;4(1):143.
  11. Tapscot D. Grown Up Digital, How The Net Generation Is Changing The World. Mc Graw Hill; 2009.
  12. Hadion Wijoyo, Indrawan I, Cahyono Y, Handoko AL, Santamoko R. Generasi Z & Revolusi Industri 4.0 Penulis [Internet]. 2020. 95 p. Available from: https://www.researchgate.net/publication/343416519_GENERASI_Z_REVOLUSI_INDUSTRI_40
  13. McClelland HM. Nursing Theory: Utilization & Application (2nd Edition). 2020.
  14. Kayser L, Nøhr C, Bertelsen P, Botin L, Villumsen S, Showell C, et al. Theory and practice in digital behaviour change: a matrix framework for the co-production of digital services that engage, empower and emancipate marginalised people living with complex and chronic conditions. Informatics. 2018;5(4).
  15. NICE. Evidence Standards Framework for Digital Health Technologies. 2019;
  16. Manji K, Hanefeld J, Vearey J, Walls H, De Gruchy T. Using WhatsApp messenger for health systems research: a scoping review of available literature. Health Policy Plan. 2021;36(5):774–89.
  17. Mazzuoccolo LD, Esposito MN, Luna PC, Seiref S, Dominguez M, Echeverria CM. WhatsApp: a real-time tool to reduce the knowledge gap and share the best clinical practices in psoriasis. Telemed e-Health. 2019;25(4):294–300.
  18. Al Omar M, Hasan S, Palaian S, Mahameed S. The impact of a self-management educational program coordinated through WhatsApp on diabetes control. Pharm Pract (Granada). 2020;18(2):1–9.
  19. Al-ak’hali MS, Halboub ES, Asiri YM, Asiri AY, Maqbul AA, Khawaji MA. WhatsApp-assisted oral health education and motivation: a preliminary randomized clinical trial. J Contemp Dent Pract. 2020;21(8):922–5.
  20. Salam MA us, Oyekwe GC, Ghani SA, Choudhury RI. How can WhatsApp® facilitate the future of medical education and clinical practice? BMC Med Educ. 2021;21(1):1–4.

DOI: https://doi.org/10.22146/jcoemph.62280

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