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All Journal J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) KOLONI
Onetusfifsi Putra
Universitas Teuku Umar
Civil Engineering, Building, Construction & Architecture Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Overview of the Implementation of the Early Warning Alert Response System (EWARS) at the Suak Ribee Public Health Center, West Aceh District Mardi Fadillah; Onetusfifsi Putra; Perry Boy Chandra Siahaan
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 2 (2025): October 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i2.14870

Abstract

The Early Warning Alert and Response System (EWARS) is an important system for early detection and response to extraordinary events (KLB) in health facilities. The Suak Ribee Public Health Center has implemented EWARS, but evaluation of its implementation and operational challenges is still needed. This study aims to analyze the accuracy and completeness of EWARS reporting at the Suak Ribee Public Health Center and to identify challenges and strategies for improving the quality of the system. A descriptive study was conducted through observation and interviews with surveillance officers at the Suak Ribee Public Health Center. EWARS report data for the 2022–2024 period were analyzed quantitatively for accuracy and completeness, and qualitatively to identify obstacles and recommendations for improvement. The accuracy and completeness of reporting reached 100% every year, demonstrating the consistency and effectiveness of the reporting system. The main challenges encountered are limited internet connectivity and funding support, which could potentially affect the sustainability of the system. Improvement strategies include implementing a hybrid offline-online reporting system, increasing human resource capacity through training and clear SOPs, and collaborating with the Health Office, NGOs, and the private sector for operational and funding support. Although reporting is already optimal, improvements in infrastructure, funding, and human resource capacity are still needed to maintain the sustainability of EWARS. The implementation of these strategies can strengthen the surveillance system, support early detection, and improve the response to outbreaks in the working area of the Suak Ribee Public Health Center.
Analisis Implementasi Program Pencegahan Stunting dari Perspektif Manajemen Pelayanan Kesehatan Di Wilayah Kerja Puskesmas Manggeng Kabupaten Aceh Barat Daya Hirdia Hirdia; Yarmaliza Yarmaliza; Onetusfifsi Putra; Sufyan Anwar; Lili Eky Nursia N
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.v5i3.1099

Abstract

Stunting remains a significant challenge in efforts to improve the nutritional status of the Indonesian population. Southwest Aceh Regency has identified the Manggeng Community Health Center as the health facility with the highest stunting prevalence in 2025, reaching 9.2% (Aceh Barat Daya District Health Office, 2025). This study aims to examine the implementation of stunting intervention programs through the lens of health service management, encompassing planning, organizing, implementation, and supervision, commonly known as POAC. A descriptive qualitative approach was employed in this study, using purposive sampling to select informants. The research subjects included the head of the health center, the nutrition program manager, coordinating midwives, health promotion officers, village heads, posyandu cadres, and mothers of toddlers. Data were collected through in-depth interviews, observation, and documentation. Data credibility was ensured through source triangulation and method triangulation applied during the analysis stage. The implementation of the planning function was realized through cross-sector coordination and periodic program development, as revealed by the research findings. Clear task distribution supported the organizing function, although obstacles persisted due to uneven cadre training and frequently delayed incentive payments. The program's implementation covered toddler growth monitoring, nutritional education, counseling, home visits, and nutritional interventions through Supplementary Feeding Programs and the Free Nutritious Meal Program. Community participation and consistency in carrying out nutritional interventions still require more optimal strengthening. Reporting delays in several villages persisted despite supervision being conducted through posyandu activities, home visits, and the Electronic Community-Based Nutrition Recording and Reporting application. The effectiveness of stunting prevention programs can be enhanced through strengthened cross-sector collaboration, improved cadre capacity, optimized nutritional interventions, and increased community participation
Co-Authors Anwar, Sufyan Hirdia Hirdia Mardi Fadillah Nursia, Nursia Perry Boy Chandra Siahaan Yarmaliza