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Empowering Health Cadres to Improve Primary Healthcare Access and Quality: A Case Study In Jekek Village, Nganjuk, Indonesia Susanti, Titin; Laili Wulandari; Rifka Sari Pratiwi; Endah Wulan Safitri
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.739

Primary health care services serve as the frontline of public health development. Health cadres play a strategic role as intermediaries between communities and health facilities, yet their capacity remains limited. This community service project aimed to analyze the impact of strengthening cadres’ roles through structured training on knowledge, skills, attitudes, and self-efficacy in improving access to and quality of primary health care services in Jekek Village, Nganjuk Regency. The study applied a Participatory Action Research (PAR) approach involving 25 posyandu cadres. The evaluation showed a 25% increase in cadres’ knowledge based on pre- and post-test results. Community participation in posyandu increased by 20%, and cadres demonstrated improved skills in health data recording and communication with residents. Furthermore, the establishment of a communication forum between cadres, the puskesmas, and the village government contributed to the sustainability of the program. The findings highlight that effective empowerment strategies include continuous training, area-based mentoring, and non-financial incentives such as social recognition and competency certification. Empowerment through a participatory approach was proven to enhance access and quality of primary health care services and strengthen community-based health systems, although limited training opportunities and logistical constraints remain challenges. Sustainable policy support is therefore needed to further strengthen cadres’ capacity in primary health care delivery.

THE INFLUENCE OF FAMILY KNOWLEDGE AND PATIENT PERCEPTION OF BPJS INPATIENT HEALTH POLICY ON THE DECISION TO UPGRADE AT HOSPITAL IN KEDIRI CITY Dwi Kumala Sari; Laili Wulandari; Endra Widiyanto
Journal of Hospital Management and Services Vol. 7 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhms.v7i2.117

This study aims to measure the influence of family knowledge and patient perception on the decision to upgrade the inpatient class of BPJS participants at Gambiran Hospital, Kediri City. A quantitative research design with a cross sectional approach was used on 164 respondents selected through purposive sampling. Data were collected using questionnaires and analyzed by multiple linear regression. The results showed that family knowledge and patient perception had a significant effect on the decision to upgrade, with p-values of 0.002 and 0.004, respectively. Patient perception had a greater influence (B = 0.099) than family knowledge (B = 0.018). It is recommended that hospitals hold socialization to improve family understanding and patient perception of the BPJS upgrade policy.

Peningkatan Pengetahuan Masyarakat Tentang Covid-19 Omicron Melalui Penguatan Protokol Kesehatan dan Pelatihan Pembuatan Strap Masker Tristanti, Lia Budi; Umam, Mohammad Roisul; Alfian, Dimas Dwi Andi; Ramadhani, Dendys Cahya; Jainuri, Alviki Yustria; Anggreini, Rika Dwi; Anggraini, Putri Nur; Salsabila, Zahra; Herawati, Desta Fitri; Wulandari, Laili; Rosidi, Amalia Ilmi; Pristyaningsih, Dita; Damayanti, Sindy; Hidayati, Ainun; Fuady, Ahmad; Handono, Tri
Community Education Engagement Journal Vol. 3 No. 2 (2022): April
Publisher : UIR Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/ceej.v3i02.9028

Upaya patuh pada protokol kesehatan sebenarnya sudah dilakukan pemerintah melalui perangkat desa yaitu Kepala desa Rejoslamet Kecamatan Mojowarno Kabupaten Jombang beserta jajarannya. Salah satu upaya yang dilakukan adalah memasang poster himbauan menggunakan masker. Namun kesadaran masyarakat untuk mematuhi protokol kesehatan masih tergolong kurang. Hal tersebut dimungkinkan karena minimnya pegetahuan dan pemahaman masyarakat akan bahaya Covid-19 varian omicron. Oleh karena itu, dilaksanakan kegiatan pengabdian kepada masyarakat yang berfokus pada peningkatan pengetahuan masyarakat tentang covid-19 omicron melalui penguatan patuh protokol kesehatan dan pelatihan pembuatan strap masker di desa Rejoslamet Mojowarno. Tujuan dari pengabdian ini adalah peningkatan pengetahuan masyarakat tentang covid-19 varian omicron, masyarakat lebih patuh pada protokol kesehatan dengan perilaku hidup sehat dan menggunakan masker serta masyarakat dapat membuat strap masker dengan bahan yang mudah didapat, ekonomis, ramah lingkungan dan mudah cara pembuatannya secara mandiri. Metode yang digunakan yaitu program edukasi dan pelatihan. Mitra dampingan adalah ibu-ibu PKK. Evaluasi dilakukan sebelum dan sesudah program edukasi dan pelatihan (pre dan post test). Data pre dan post test digunakan untuk mendeskripsikan tingkat pengetahuan mitra. Hasil pelaksanaan pengabdian pada masyarakat adalah terdapat peningkatan pengetahuan ibu-ibu PKK Desa Rejoslamet tentang covid-19 omicron, dengan peningkatan sebesar 84%.

Empowering Health Cadres to Improve Primary Healthcare Access and Quality: A Case Study In Jekek Village, Nganjuk, Indonesia Titin Susanti; Laili Wulandari; Rifka Sari Pratiwi; Endah Wulan Safitri
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.739

Primary health care services serve as the frontline of public health development. Health cadres play a strategic role as intermediaries between communities and health facilities, yet their capacity remains limited. This community service project aimed to analyze the impact of strengthening cadres’ roles through structured training on knowledge, skills, attitudes, and self-efficacy in improving access to and quality of primary health care services in Jekek Village, Nganjuk Regency. The study applied a Participatory Action Research (PAR) approach involving 25 posyandu cadres. The evaluation showed a 25% increase in cadres’ knowledge based on pre- and post-test results. Community participation in posyandu increased by 20%, and cadres demonstrated improved skills in health data recording and communication with residents. Furthermore, the establishment of a communication forum between cadres, the puskesmas, and the village government contributed to the sustainability of the program. The findings highlight that effective empowerment strategies include continuous training, area-based mentoring, and non-financial incentives such as social recognition and competency certification. Empowerment through a participatory approach was proven to enhance access and quality of primary health care services and strengthen community-based health systems, although limited training opportunities and logistical constraints remain challenges. Sustainable policy support is therefore needed to further strengthen cadres’ capacity in primary health care delivery.

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