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Upaya Pencegahan dan Pengendalian Leptospirosis Melalui Pendekatan Diagnosis Komunitas di Desa M, Kabupaten Tangerang, Banten, Indonesia Amalia Riana; Dewi Novianti; Arie Akbar
KOLONI Vol. 5 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i2.1028

Abstract

Leptospirosis is a zoonotic infection transmitted from infected animals through their urine, either directly or through contaminated soil or water. In 2025, the working area of Community Health Center K showed an increase in the number of leptospirosis cases accompanied by death, one of which was in Village M. The Community Diagnosis Program was carried out in an effort to identify problems and improve interventions. In the initial stage, problem priority was determined using the USG scoring method, followed by identification of the cause of the problem using the BLUM Paradigm. The Delphi non-scoring technique, Fishbone Diagram and the Five Whys methods were used to determine the root cause of the problem. Planning to evaluation of interventions were carried out by involving various related parties and outlined in the Log Frame Goal, POA, timeline, PDCA cycle and System Approach. Low community knowledge, an environment that is at risk of leptospirosis, and lack of support from the village are the main concerns as the cause of the high number of Leptospirosis cases in this village. The intervention in the form of outreach succeeded in increasing community knowledge by 66,25 points, the community actively participated in the mutual cooperation activities to clean the environment and established communication between the community health center doctors, village midwives, health cadres and village officials. The activities are expected to resolve the problems in Village M and support the long-term goal of preventing and controlling leptospirosis in the working area of Community Health Center K.
Penyuluhan, Pencatatan Status Imunisasi Balita dan Peningkatan Komunikasi-Koordinasi dengan Pihak Desa Dalam Upaya Menurunkan Kasus Campak di Desa G, Wilayah Kerja Puskesmas P, Kabupaten Tangerang, Provinsi Banten Nasyidatul Ulya; Dewi Novianti; Aliawati Albek
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1061

Abstract

Measles remains a significant public health problem in Indonesia, with an observed increase in cases following the COVID-19 pandemic, partly attributed to a decline in immunization coverage. This Community Diagnosis Study was conducted in Village G, within the working area of Primary Health Center P, Tangerang District, from December 12, 2025, to January 8, 2026. A total of 38 suspected measles cases were recorded between June and November 2025, showing an increasing monthly trend, with the highest number of cases reported in Village G. In the initial stage, priority setting was conducted using the USG (Urgency, Seriousness, Growth) scoring method, followed by problem analysis using the BLUM Paradigm. Prioritization of contributing factors was further determined using a non-scoring Delbecq technique, which identified the lifestyle factor as the priority domain for further analysis using Fishbone Diagram and the 5 Whys method. The root causes identified included: (1) suboptimal measles health education activities; (2) incomplete documentation of measles immunization status among children under five; and (3) limited communication and coordination between Primary Health Center P and Village G authorities.Three interventions were implemented: measles health education sessions, improvement of immunization status recording for under-five children, and strengthening communication and coordination with Village G stakeholders. The evaluation showed that 90.9% of participants met the passing criteria (post-test score ≥70 and an improvement in knowledge of at least 10 points). Additionally, 83.3% of participants were found to be unvaccinated for measles, and communication and coordination between the health center and village cadres were successfully strengthened. This program demonstrated improvements in participants’ knowledge regarding measles, enhanced identification of immunization status, and improved communication and coordination between the health center and village authorities. Continuous health education, catch-up immunization programs, and advocacy to Village G officials are recommended as follow-up strategies. Through these efforts, it is expected that measles immunization coverage will increase, ultimately contributing to a reduction in measles morbidity and mortality in the working area of Primary Health Center P, including Village G, in the medium and long term.