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Penguatan Kemandirian Kesehatan Masyarakat Pedesaan melalui Metode KIE Berbasis Prioritas Kebutuhan” Sudirman, Sudirman; Susianawati, Desak Eka; Parmi, Parmi; Purnamasari, Niluh Desy; Saleh, Sitti Nurul Hikma
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.6661

Abstract

Minimnya pemahaman masyarakat pedesaan terhadap isu kesehatan dan rendahnya akses terhadap layanan dasar menjadi tantangan utama dalam peningkatan kualitas hidup. Kegiatan pengabdian ini bertujuan untuk meningkatkan kualitas hidup masyarakat di pedesaan melalui pemenuhan dasar-dasar kesehatan berdasarkan hasil kajian prioritas masalah di Desa Bunga dan Desa Ue Rani, Kecamatan Palolo, Kabupaten Sigi. Metode yang digunakan adalah pendekatan Komunikasi, Informasi, dan Edukasi (KIE) melalui survei, observasi, FGD, dan penyuluhan dengan sasaran lima fokus utama: pemanfaatan tempat sampah, pengenalan stunting, partisipasi posyandu, pemanfaatan TOGA, serta edukasi penyakit hipertensi dan asam urat. Hasil kegiatan menunjukkan bahwa tiga program mencapai target 100%, yaitu edukasi sampah, stunting, dan penyakit degeneratif, sementara dua lainnya, posyandu dan TOGA, mencapai 75% dan 80%. Kegiatan ini menunjukkan efektivitas pendekatan partisipatif dalam membangun kesadaran kesehatan komunitas. Kesimpulannya, kegiatan pengabdian ini memberikan dampak positif dalam peningkatan pengetahuan dan perilaku masyarakat, serta menjadi fondasi awal bagi upaya intervensi kesehatan berbasis masyarakat yang lebih berkelanjutan.
Challenges in Implementing POSBINDU PTM with Limited Resources: an Evaluative Study Armini, Ni Kadek; Sudirman, Sudirman; Parmi, Parmi; Eka Susianawati, Desak
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.414

Abstract

Introduction: The increase in the prevalence of non-communicable diseases (NCDs) in Indonesia, including in Sigi District, Central Sulawesi Province, has prompted the need to strengthen early detection services through the POSBINDU NCD Program. Objective: To identify obstacles to the implementation of POSBINDU in the working area of the Kaleke Community Health Center. Method: Using a qualitative descriptive approach based on the framework of input, process, and output aspects. Data collection was conducted through in-depth interviews with four key informants involved in POSBINDU PTM. Result and Discussion: The results of the study indicate that the constraints include limited funding that is entirely dependent on Health Operational Assistance (BOK), low quality of human resources due to a lack of ongoing training, and facilities without adequate maintenance support. In addition, the implementation of POSBINDU activities has not been consistent with standard operating procedures and the simultaneous use of manual and digital recording systems. Furthermore, low participation among the productive age group is attributed to rigid schedules and non-strategic activity locations, compounded by equipment limitations that affect the completeness of services. Conclusions: This study concludes that POSBINDU PTM has limitations in terms of structural readiness, human resource quality, and adequate logistical support.
Implementasi Program Pengendalian TB Paru: Studi Kualitatif di Puskesmas Parigi Sudirman, Sudirman; Kolupe, Veni Mornalita; Assa, Anggri Alfira Yunita; Purwiningsih, Sri; Susianawati, Desak Eka
Jurnal Promotif Preventif Vol 7 No 4 (2024): Agustus 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i4.1427

Abstract

Tuberkulosis (TB) adalah penyakit menular yang menyerang paru-paru, disebabkan oleh Mycobacterium tuberculosis. Kabupaten Parigi Moutong, mengalamai peningkatan kasus TB Paru, hal ini terlihat pada penemuan kasus TB Paru di wilayah kerja Puskesmas Parigi yang terus meningkat dari 21 kasus pada tahun 2021, menjadi 56 pada tahun 2022, 46 kasus pada tahun 2023. Penelitian ini bertujuan mengeksplorasi implementasi program TB Paru di Puskesmas Parigi. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi fenomenologi, melibatkan wawancara mendalam pada tenaga kesehatan di Puskesmas Parigi. Data dianalisis menggunakan analisis isi. Hasil menunjukkan kebijakan program TB Paru di Puskesmas Parigi mengacu pada standar nasional, namun keterbatasan SDM berdampak pada pengawasan pengobatan. Distribusi obat dilakukan pasien sendiri. Program ini menghadapi tantangan dalam mencapai target penurunan kasus TB Paru sebesar 85%, dengan pencapaian 29% pada 2022. Kesadaran dan edukasi pasien perlu ditingkatkan. Kesimpulannya, program pengendalian TB Paru di Puskesmas Parigi memiliki sarana dan prasarana memadai serta mengikuti kebijakan nasional. Namun, keterbatasan SDM, kurangnya edukasi pasien, dan sistem antrean yang belum optimal menjadi tantangan utama. Langkah strategis diperlukan untuk memperkuat edukasi pasien, meningkatkan keahlian tenaga kesehatan, dan mengoptimalkan sistem antrean. Upaya pencegahan lebih intensif diperlukan untuk menekan angka kejadian TB.
Upaya Peningkatan Pengetahuan Hidup Bersih Dan Sehat Pada Anak Sekolah Menengah Pertama Niluh Desy Purnamasari; Sudirman, Sudirman; Parmi, Parmi; Lexy Kareba; Desak Eka Susianawati; Hendrik, Hendrik
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 4 No. 4 (2023): Jurnal Pengabdian kepada Masyarakat Nusantara (JPkMN)
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Clean and Healthy Behavior (CHB) in school settings plays a pivotal role in preventing diseases, enhancing student health, and fostering a clean and healthy environment. However, CHB implementation in Indonesian schools remains limited, leading to adverse public health effects, including an upsurge in diarrheal cases. Thus, enhancing CHB knowledge and practices in schools is imperative, especially in Central Sulawesi Province, which grapples with a high prevalence of diarrheal cases. Method: This community service initiative took place at SMP Negeri 13 Sigi, Sigi Regency, involving 336 students across different grade levels. Spanning three days in June 2022, the program employed pretest and posttest assessments via questionnaires. Education delivery encompassed material presentations, discussions, and the utilization of electronic and visual aids. Results: Research findings indicate a significant enhancement in students' comprehension of Clean and Healthy Behavior (CHB) following the educational intervention. Previously limited in their understanding, students exhibited noticeable improvements in their knowledge of CHB after participating in the educational activities. These outcomes underscore the vital role of education and outreach in augmenting students' understanding and awareness of CHB. Conclusion: This initiative concludes that educational interventions and outreach efforts pertaining to PHBS in schools can positively impact students' awareness and knowledge of the significance of PHBS. It is anticipated that this heightened awareness will empower students to maintain school cleanliness and improve their health and hygiene practices.
PERAN PEMBERIAN ASI EKSKLUSIF DAN POLA ASUH DALAM MENGATASI STUNTING PADA BALITA DI PUSKESMAS BAHOMOTEFE: THE ROLE OF EXCLUSIVE BREASTFEEDING AND PARENTING PATTERNS IN ADDRESSING STUNTING IN TODDLERS AT BAHOMOTEFE HEALTH CENTER Kolupe, Veni Mornalita; Purnama Sari , Niluh Desy; Armini , Ni Kadek; Parmi; Susianawati , Desak Eka
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.464

Abstract

Stunting pada anak menjadi problem dalam kesehatan masyarakat dengan cukup serius yang berpengaruh terhadap tingkat kognitif anak. Indonesia masih menghadapi tantangan tinggi dalam menurunkan prevalensi stunting, termasuk pada area kerja Puskesmas Bahomotefe. Tujuan penelitian ini menganalisis pemberian ASI secara eksklusif dan pelaksanaan pola asuh terhadap prevalensi stunting. Deskriptif kuantitatif adalah metode yang digunakan, secara analitik, dengan rancang bangun cross-sectional. Data dikumpulkan melalui observasi dan wawancara terhadap 93 responden ibu balita yang dipilih menggunakan rumus Slovin. Variabel independent terdiri dari ASI eksklusif dan pola asuh, dan prevalensi stunting sebagai variabel dependent. Analisis menggunakan uji chi-square. Balita dengan ASI eksklusif yang tidak baik memiliki risiko stunting >6 kali besar (OR=5,633; p<0,05) daripada anak dengan ASI eksklusif yang baik. Pola asuh yang tidak baik meningkatkan kemungkinan terjadinya stunting hingga 3 kali lipat dibandingkan pola asuh yang baik (OR=3,033; p<0,05). Hasil ini menekankan pentingnya pemberian ASI eksklusif serta pola asuh yang baik untuk mencegah stunting. Pemberian ASI eksklusif dan pola asuh memiliki hubungan yang kuat dan risiko yang besar untuk meningkatkan prevalensi stunting. Intervensi yang berfokus pada peningkatan cakupan ASI eksklusif dan kualitas pola asuh dapat menjadi strategi efektif dalam upaya penurunan angka stunting. Kata kunci: ASI Eksklusif, MP- ASI, Nutrisi Balita, Pola Asuh, Stunting     Stunting in children is a serious public health problem that affects children's cognitive levels. Indonesia still faces high challenges in reducing the prevalence of stunting, including in the Bahomotefe Community Health Center work area. This research aims to analyze exclusive breastfeeding and the implementation of parenting patterns on the prevalence of stunting. Quantitative descriptive is a method used analytically with cross-sectional design. Data was collected through observation and interviews with 93 respondents from mothers of toddlers who were selected using the Slovin formula. The independent variables consist of exclusive breastfeeding and parenting patterns, and the prevalence of stunting as the dependent variable. The analysis uses the chi-square test. Toddlers with poor exclusive breastfeeding have a risk of stunting >6 times greater (OR=5.633; p<0.05) than children with good exclusive breastfeeding. Destructive parenting patterns increase the likelihood of stunting up to 3 times compared to good parenting patterns (OR=3.033; p<0.05). These results emphasize the importance of exclusive breastfeeding and good parenting patterns to prevent stunting. Exclusive breastfeeding and parenting patterns have a strong relationship and a significant risk of increasing the prevalence of stunting. Interventions that focus on expanding exclusive breastfeeding coverage and the quality of parenting can be an effective strategy in reducing stunting rates. Keywords: Exclusive Breastfeeding, MP-ASI, Parenting Patterns, Stunting, Toddler Nutrition
Utilization of Interactive Schistosomiasis Educational Media in Changing Clean and Healthy Living Behaviors to Prevent Stunting Ahmad Erlan; Paisal Paisal; Yona Patanduk; Muhammad Firdaus; Anggri Alfira Yunita Assa; I Kadek Wartana; Veni Mornalita Kolupe; Sitti Fajrah; Niluh Desy Purnamasari; Desak Eka Susianawati; Fitri Arni
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8098

Abstract

Introduction: Schistosomiasis disease infecting humans in Indonesia is caused by the trematode worm Schistosoma japonicum type with the intermediate host being the snail Oncomelania hupensis lindoensis. Schistosomiasis can be chronic and worsen the incidence of malnutrition so that it can increase stunting in school-aged children. The aim of the research is to assess the increase in knowledge of students who have received local schistosomiasis so that they can practice clean and healthy living habits to prevent stunting in school children. Methods: The research was carried out using mixed methods, namely collecting qualitative and quantitative data. Data was obtained by in-depth interviews with key informants and focus group discussions. Results: Providing schistosomiasis subject matter to school children by measuring students' level of knowledge through pre and post-tests. Based on statistical analysis, a significant increase in students' knowledge about schistosomiasis was found with a p-value < 0.001. Conclusion: Empowering communities by integrating schistosomiasis education into the local school curriculum enhances students' understanding of the disease. It is important to continue incorporating local content about schistosomiasis so that school children remain consistent in preventing its transmission.
Implementation of Learning Organization in Public Health Center: A Systematic Literature Review on Enablers, Barriers, and Organizational Outcomes Sudirman Sudirman; Subardin AB; Sri Purwiningsih; Imelda Kantohe; Desak Eka Susanawati; Lexy Kareba
Pancasakti Journal Of Public Health Science And Research Vol 6 No 2 (2026): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v6i2.2356

Abstract

Public health services face various complex challenges such as limited human and financial resources, fragmentation of health information systems, and policy dynamics and accreditation requirements. These conditions require adaptive organizational capacity and a focus on continuous learning to maintain consistent service quality. This study aims to analyze (1) implementation characteristics, (2) enablers and barriers to implementation, and (3) the impact on organizational performance and service quality. This study is a descriptive literature review using data from Google Scholar with the keyword “learning organization.” The study includes open-access, full-text, English-language articles indexed in Scopus that were filtered using the Rapid Journal Quality Check tool and published between 2021 and 2025 in the field of health. A total of 26 articles meeting these criteria were analyzed using a thematic analysis approach with the SciSpace tool. LO implementation is characterized by continuous learning processes at the individual and team levels, data-based reflection, and knowledge-sharing systems between organizational units. LO implementation is influenced by supporting factors such as transformative leadership, interprofessional collaboration, mentoring systems, and policy support, while obstacles include hierarchical organizational culture, limited resources, and inadequate digital infrastructure. The implementation of LO has proven to strengthen adaptive capacity, improve organizational effectiveness, and support the sustainability of primary health care quality improvement
Evaluating the Quality of Health Services for BPJS Nasional Indonesia Beneficiaries Using the Servqual Model Sudirman; Yulia Safitri; Desak Eka Susianawati; Ake Royke Calvin Langingi; Jumain
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001798

Abstract

Evaluating the quality of health services for BPJS participants is essential to ensure the effectiveness and sustainability of the National Health Insurance program. Although patient visits at the Tinggede Community Health Center have continued to rise, this increase has not been matched by improvements in service quality, highlighting the need for a structured assessment of patient needs. This study aims to evaluate patient perceptions of service quality using the ServQual model, which consists of five key dimensions: Reliability, Responsiveness, Assurance, Empathy, and Tangible. A quantitative cross-sectional design was employed involving 96 BPJS beneficiary respondents. Data were collected through a Likert scale–based questionnaire and analyzed using the Friedman test to compare perceptions across dimensions. Results show that Assurance and Responsiveness received the highest ratings, while Tangible scored the lowest and differed significantly from the top two dimensions. These findings indicate that non-physical elements, particularly competence, trustworthiness, and timely responses from healthcare workers, play a greater role in shaping patient satisfaction than physical facilities. The study contributes empirical evidence on priority areas for improving service quality in primary health care settings. Practical implications include enhancing staff competencies, streamlining service flow to reduce waiting times, and strengthening empathetic communication. The study concludes that efforts to improve service quality should prioritize non-physical dimensions that have the strongest influence on patient experience. Recommendations include ongoing quality evaluations, broader adoption of digital services, and expanding future studies to different regions and populations to deepen understanding of service quality determinants.