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"SEHATI LESTARI": STRENGTHENING HEALTH CADRES TO REALIZE A TB-FREE AND HEALTHY COMMUNITY: "SEHATI LESTARI": PENGUATAN KADER KESEHATAN WUJUDKAN MASYARAKAT BEBAS TBC DAN HIDUP SEHAT Prodyanatasari, Arshy; Pratiwi, Wahyu Nur; Astutik, Wahyu Sri; Laksono, Adi; Werdiningsih, Wiwik; Anikasari, Erni; Fernanda, jerhi Wahyu
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 7 No. 2 (2025): DECEMBER 2025
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V7.I2.2025.125-132

Abstract

Background: The low level of public understanding about tuberculosis (21.9%) and the limited implementation of home ventilation as a preventive measure (31.3%) prompted the launch of the “SEHATI LESTARI” program, which focuses on strengthening health cadres to create a tuberculosis-free community. Objective: This activity aimed to increase community knowledge about TB prevention, promote the adoption of healthy behaviors, and empower health cadres as agents of change at the community level. Method: The program, conducted from 16 September to 15 October 2024 with 32 participants in Tunge Village, combined interactive lectures, simulations, and field audits to ensure a comprehensive understanding. Results: Post-activity evaluations demonstrated significant improvements: participants’ knowledge of TB increased from 21.9% to 71.9%, the adoption of home ventilation practices rose from 31.3% to 68.8%, and 32 trained health cadres were successfully established. Conclusion: This community-based empowerment program through health cadres proved effective in improving knowledge and behavior related to TB prevention. To ensure program sustainability, it is recommended to establish a monthly cadre forum facilitated by the community health center (Puskesmas), integrate the TB education module into routine Posyandu activities, and develop adaptable intervention designs for other agricultural areas with similar characteristics.
Foot Exercise Therapy to Alleviate Peripheral Neuropathy Severity in Elderly Patients with Diabetes Mellitus Pratiwi, Wahyu Nur; Firmanda, Giovanni Iga; Sunarno, Rita Dewi; Gayatri, Paramita Ratna; Prodyanatasari, Arshy
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.654

Abstract

Foot neuropathy is a common condition experienced by older adults with diabetes mellitus. This complication can be managed through physical activity, including foot exercises. This study aimed to evaluate the effect of foot exercises on the severity of foot neuropathy in older adults with diabetes mellitus at the Tarokan Community Health Center. This quasi-experimental study employed a non-equivalent control group design and involved 30 older adults with diabetes mellitus who exhibited neuropathic symptoms. Participants were divided into two groups: 15 individuals in the intervention group and 15 in the control group, selected through purposive sampling. The intervention group performed foot exercises three times per week for three weeks, with each session lasting 15–20 minutes. A 10 g monofilament and an observation sheet were used as instruments, and data were analyzed using the Wilcoxon and Mann–Whitney tests. The Wilcoxon test revealed a significant reduction in the degree of foot neuropathy in the intervention group (p = 0.001), whereas the control group showed no significant change (p = 0.527). The Mann–Whitney test indicated a significant difference between the two groups (p = 0.000). These findings demonstrate that foot exercises effectively reduce the severity of foot neuropathy in older adults with diabetes mellitus. Regular implementation of foot exercises is recommended as a non-pharmacological approach to decreasing the degree of foot neuropathy among older adults with diabetes mellitus.