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Strengthening Posyandu Cadres’ Capacity in Close Contact Tracing for Pulmonary Tuberculosis at Pamolokan Health Center Hannan, Mujib; Permatasari, Dian; Suprayitno, Emdat
Help: Journal of Community Service Vol. 2 No. 3 (2025): December 2025
Publisher : PT Agung Media Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62569/hjcs.v2i3.231

Abstract

Pulmonary Tuberculosis (TB) remains the infectious disease with the highest mortality rate in Sumenep Regency, while the discovery of new cases at Pamolokan Health Center in 2025 reached only 52.6% of the national target of 90%. One key factor is the limited capacity of Posyandu cadres, who serve as the frontline in community-based health services, particularly in conducting close contact tracing. Strengthening their competence is essential to improve early TB case detection and reduce household transmission. This community service program applied a Participatory Action Research (PAR) approach consisting of preparation, training, field mentoring, and evaluation. Twenty-five Posyandu cadres participated in interactive lectures, group discussions, case-based simulations, and on-the-job mentoring. Knowledge improvement was measured using pre-tests and post-tests, while skills were assessed through direct observation checklists during simulated and real field visits. The program significantly increased cadres’ knowledge, with average scores rising from 55.6% (pre-test) to 86.4% (post-test). The greatest improvement occurred in understanding close contact criteria (45%) and reporting procedures (40%). Skills also improved, with 92% of cadres demonstrating confident and structured communication during field visits and 88% successfully completing contact tracing forms accurately. Over three weeks of mentoring, cadres identified 42 close contacts from 15 TB patient households, with 38 (90.5%) agreeing to undergo examination at the health center. The combination of interactive training and on-the-job mentoring proved effective in strengthening cadres’ knowledge and practical abilities. Their social proximity to families helped reduce stigma-related barriers and improved cooperation during home visits. This approach also promoted sustainability, as cadres gained confidence to continue tracing activities with minimal supervision. 
The Effect of Social Support on Self-Care Behavior of People with Leprosy in Madura Indonesia Hannan, Mujib; Hidayat, Syaifurrahman; Suprayitno, Emdat; Indriyani, Ratna; da Costa Fernandes, Angelina
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i2.924

Abstract

Background: Leprosy has a long-standing history and continues to cause not only health-related complications but also major social difficulties. Individuals affected by this disease require interpersonal support to perform proper self-care and to minimize the risk of further transmission. This research sought to examine the effect of social group support on self-care practices among people with leprosy in Sumenep Regency, Madura, Indonesia. Method: A cross-sectional study was carried out between August and November 2021 in Sumenep Regency. The target population comprised 232 leprosy patients registered at 28 health centers, from which 145 participants were chosen using proportional random sampling. The research instrument was questionnaire covers two main domains: Social Group Support and Self-Care Behavior. Data were analyzed using Structural Equation Modeling (SEM) with SmartPLS.  Results: The findings revealed that social group support had a significant impact on self-care behaviors, with a T-value of 6.368 (>1.96). In addition, personal factors also influenced self-care, as indicated by a T-value of 4.110 (>1.96). Conclusion: Both social and personal support significantly enhance self-care behavior in leprosy patients. Strengthening group-based and individual support is therefore essential to improve self-care practices and decrease the likelihood of disease transmission.
Effectiveness of an IMB-Based Stunting Prevention Model Among Adolescents: A Quasi-Experimental Study Permatasari, Dian; Indriyani, Ratna; Hannan, Mujib; Suprayitno, Emdat; Puspitasari, Dian Ika
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.18

Abstract

Background: Stunting remains a significant public health issue in Indonesia. Conventional interventions often focus on pregnancy and early childhood, showing limited sustainability. Adolescents, as prospective parents, represent a strategic target for sustainable prevention, yet evidence on effective behavior change models for this group remains limited. Methods: This quasi-experimental study adhered to the TREND guideline. Female adolescents (N=120) aged 15-20 years from schools and Islamic boarding schools in Sumenep were randomly assigned to an intervention group (n=60) that received a structured IMB-based program or a control group (n=60) that received standard education. The intervention comprised sessions on information, motivation, and behavioral skills. Dependent variables were knowledge, motivation, and behavior, measured via validated questionnaires. Data were analyzed using Mann-Whitney U tests with significance at p < 0.05 Result: The intervention group showed significant improvements in knowledge (85% good post-test vs. 13.3% pre-test, p < 0.001), motivation (75% high post-test vs. 11.7% pre-test, p < 0.001), and behavior (90% good post-test vs. 11.6% pre-test, p < 0.001). The control group showed no significant changes. Conclusion: The IMB model effectively enhances stunting prevention knowledge, motivation, and behavior among adolescents. It is recommended for integration into adolescent health programs in similar LMIC settings.
Co-Authors Abd Wahid Abd Wahid Abd Wahid Abdul Muhith Abdul Muhith Abdul Muhith Muhith Akhmad Feri Fatoni Akhmad Feri Fatoni Alfi Laila Alvin Julian Andre Young Angeline Rivia Simanjuntak Apriyani Puji Hastuti Ari Christy Mulyono Chindy, Leviana Dea Chindy, Leviana Dea Citra Astri Aqnata Cory Nelia Damayanti Cory Nelia Damayanti Cory Nelia Damayanti da Costa Fernandes, Angelina Dewa Ayu Liona Dewi Dian Ika Puspitasari Dian Permatasari Dian Permatasari Dwi Helynarti S Ebit Abidillah Eka Meiri Kurniyati Eka Puspitasari, Dian Eko Mulyadi Elyk Dwi Mumpuningtias Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Erly Wahyuni Erlyn Wahyuni Eva Nurhidayati FX Himawan Jong Henry Ricardo Handoyo Hesti Yuliyana Irene Lingkan Parengkuan Ismawati S S Iva Gamar Dian Pratiwi Jeni Moudy Pujianti Lantin Sulistiyorini, Lantin Laura Wihanto Lutfi K M Himawan S Manuel da Silva, Adão Maria Fernandes Amaral, Manuela Marion Florentia Mayank Nirmala Sandi Mayank Nirmala Sandi Muhammad Rochman Muhammad Rochman, Muhammad Nailiy Huzaimah Nailiy Huzaimah Nailiy Huzaimah Nelia, Cory Nelyta Oktavianisya Nelyta Oktavianisya Niluh Suwasanti Nita Kurniawati Nur Aini Fahmiah Nurul Mawaddah Prameswari, Hellen Nindya Prestasianita Putri Rabbaniyah Hariyati Hidayah Ratna Indriyani Rochim, Nur Laily Rohmaningsih, Ida Sandu Siyoto Sianty Dewi Silvia Ratna Sari Dewi Sincihu, Yudhiakuari Soares, Domingos Sri Sumarni Steven Su&#039;udiyah Su&#039;udiyah Su'udiyah Su'udiyah Sugesti Aliftitah Suraying, Suraying Suudiyah, Suudiyah Syaifurrahman Hidayat Tatik Sutarti Tatik Sutarti tiyah, khomariyatul kip Ummi Afifah Wijayanti, Agnes Erida Yulia Wardita Yulia Wardita Zakiyah Yasin