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Dian Permatasari
Fakultas Ilmu Kesehatan, Universitas Wiraraja
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Journal : Help: Journal of Community Service

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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. 
Co-Authors Abd Wahid Abd. Wahid Abdul Baist Abung, Miranda Ade Irma Ahzan, Zulkaidah Nur Akhmad Feri Fatoni Almustaqim, Taqwim Apriliana , Mileni Arisda Candra Satriawati Astiti, Niken Yuni Betty Mufarrohatul Amanah Cory Nelia Damayanti Cory Nelia Damayanti Cory Nelia Damayanti Dian Ika Puspitasari Dian Ika Puspitasari Dian Ika Puspitasari Dian Pitaloka Priasmoro, Dian Pitaloka Eka Meiri Kurniyati Eka Meiri Kurniyati Eko Mulyadi Elah Nurlaelah Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Eva Nurhidayati Eva Nurhidayati Fawaiz, Kirana Rokhimatul Fitriya, Haya Okta Galih Tri Mardaningrum Gamar Dian Pratiwi, Iva Gamar, Iva Hadina Eka Camalia Hadina Eka Camalia Haninggar, Chrisana Harta, Idris Ibrahim Ibrahim Idris Harta Indah Septiana, Indah Indra Setiawan Indrayadi, Alviansyah Putra Iqbal Ramadani Irwan, A. Nurfajri Iva Gamar Dian Pratiwi Iva Gamar Dian Pratiwi Iva Gamar Dian Pratiwi Khalifah, Nurul Kurniati, Eka Meiri Kusmaedi, Nadia Prita Laksmiwati, Pasttita Ayu Latif, Burhannudin Lubis, Siti Masyitoh Azzahra M. Hasbi Maidina, Nindia Mia Maisaroh, Dewi Maqruf, Agus Maulana Arif Murtadho Mujib Hannan Murtadho, Maulana Arif Nailiy Huzaimah Nindy Profithasari Nubatonis, Ofirenty Elyada Patristiani, Linda Putra, Dheny Andika Putranto, Sumbaji Qurratul A'yun Rahmawati, Sylvina Rasyidah Rasyidah Rasyidah Rasyidah Ratna Indriyani Ratna Indriyani Ridwan, Ridwan Saadah, Ika Roudlotus Salsabila, Zahrina Saputra, Yulfa Haris Sarmento, Julio Scristia, Scristia SITI NURJANAH Soares , Domingos Sri Haryati Sri Ipnuwati Sri Yunita Suraida Salat Sri Yunita Suraida Salat Swasono Rahardjo Syaifurrahman Hidayat Syarifudin , Muhamad Tatang Herman, Tatang Trisna Roy Pradipta, Trisna Roy Ulwiyah, Sa'adatul Wangge, Magdalena Widodewi, Rini Wulandari, Nidya Ferry Wulandari, Renitha Yulia Wardita Yusiran Yusiran, Yusiran Zakiyah Yasin Zakiyah Yasin Zuhairi, Aminuddin