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Kleden, Simon Sani
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Associations Between Community Health Worker Capacity and Stunting Reduction Efforts in South Central Timor, Indonesia Pujiyanti, Riny; Irfan, Irfan; Handayani, Fitri; Kleden, Simon Sani; Kambuno, Norma Tiku; Hilaria, Maria; Eziefule, Oluebube Magnificient
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8635

Abstract

Introduction: Malnutrition, particularly childhood stunting, remains a critical issue in Indonesia, including the South-Central Timor (SCT) District, East Nusa Tenggara Province. Stunting affects 149.2 million children under five years globally. In the SCT District (2025), stunting prevalence reached 41%. Climatic conditions, food insecurity, and cultural factors contribute to this problem. Prevention efforts involve national strategies, including behavioral change communication campaigns, with Community Health Workers (CHWs) playing crucial roles due to their community credibility and responsiveness. CHW participation is voluntary without continuous commitment obligations. CHW activity and roles in stunting reduction acceleration are paramount, necessitating the investigation of influencing factors. This study aims to identify the factors associated with the roles of Community Health Workers (CHWs) in accelerating stunting reduction in the SCT District in 2025. Methods: This quantitative cross-sectional study included 124 CHWs from 10 community health centers in the SCT District. The study was conducted from January to May 2025. Separate questionnaires measured each variable (CHW role, knowledge, and skills). Ethical approval was obtained from the Kupang Health Polytechnic Research Ethics Committee. Results: Bivariate analysis revealed that knowledge level, education, training history, work duration (all p<0.001), and CHW skills (p=0.002) were significantly associated with CHW roles. The final model showed training history increased CHW role effectiveness by 45.3 times (OR=45.354; 95% CI=1.634-1258.56), CHW skills by 44.3 times (OR=44.393; 95% CI=2.721-724.36), and work duration by 16.9 times (OR=16.934; 95% CI=1.280-224.02). Conclusion: Training, skill level, and work duration were associated with higher CHW role performance, supporting improved stunting prevention efforts. This study provides a new understanding of the importance of enhancing CHW knowledge and skills through structured/routine training programs. Further research comparing CHW capacity in low versus high stunting areas is important for understanding CHW capacity management program improvements.
The Tuberculosis Program: A Managerial Epidemiology Perspective Litelnoni, Aletha; Kleden, Simon Sani; Wahyuni, Maria M. D.; Kambuno, Norma Tiku; Batubara, Sakti Oktaria
Jurnal Pangan Gizi dan Kesehatan Vol. 15 No. 1 (2026): Jurnal Pangan Gizi dan Kesehatan
Publisher : Pergizi Pangan DPD NTT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51556/ejpazih.v15i1.539

Abstract

Background: Tuberculosis (TB) remains a global health problem, including in Indonesia. The East Nusa Tenggara Province Health Center (SITB) reported 10,110 TB cases (56%) in 2024. Tuberculosis (TB) remains a significant public health problem in Indonesia, including in Kupang Regency, East Nusa Tenggara Province. The gap between the estimated number of TB cases and the cases that were successfully detected and reported indicates that there are still various challenges in implementing TB control programs at the regional level. These challenges relate to managerial aspects, resource availability, health care systems, and community involvement. Objective: This study aims to describe the implementation of the tuberculosis program from a managerial epidemiology perspective in Kupang Regency in 2025. Methods: This study used a descriptive research design. Data were obtained through in-depth interviews with TB program managers at primary and referral health care facilities. Results: The results of the study indicate that the implementation of the TB program in Kupang District has not been optimal in almost all managerial and service components.
PEMANFAATAN TEKNOLOGI RADIOGRAFI PORTABEL UNTUK MENINGKATKAN AKSES SKRINING TUBERKULOSIS DI DAERAH KEPULAUAN : EVALUASI IMPLEMENTASI DARI TERNATE Kleden, Simon Sani; nugroho, febtian cendradevi; Rindu, Yustinus; Gonsalvez, Dominggos; Kedang, Sabinus Bunga Ama; Lebdawicaksaputri, Kinanthi; Making, Maria Agustina; Hamu, Antonia Helena; Roku, Roswita Victoria Rambu
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 12 (2026): Mei 2026
Publisher : Bajang Institute

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Abstract

In archipelagic regions such as Ternate, where access to healthcare services and diagnostic facilities is limited, tuberculosis (TB) remains a public health problem with high incidence and mortality rates. The risk of TB transmission increases due to geographical conditions, shortages of healthcare personnel, and limited early detection efforts. This community service program aimed to improve early detection of tuberculosis and enhance public understanding of TB prevention and management through community-based systematic screening. The methods used included socialization, health education, screening using portable X-ray, initial examinations, assistance, and referral services for high-risk communities. The activity was conducted in Ternate from May 16 to 17, 2025, involving 112 participants. The results showed that 87 individuals had suspicious lung lesions based on portable X-ray examinations, and 56 individuals were confirmed positive for TB after further examinations. In addition, public awareness regarding TB prevention, symptoms, and transmission increased from 55% before the activity to 93% after the activity. The findings indicate that TB screening using portable X-ray technology is effective in improving early TB detection and increasing community knowledge regarding TB prevention and control.
Co-Authors Abdullah, Mahaldi Wahyu Christina Grasia Kellen Domianus Namuwali Eziefule, Oluebube Magnificient Fitri Handayani FRANSISKUS SALESIUS ONGGANG GONSALVES, DOMINGGOS Gonsalvez, Dominggos Hamu, Antonia Helena Kapita, Meiyeriance Kapitan, Meiyeriance Kedang, Sabinus Kedang, Sabinus Bunga Ama Kedang, Sabinus Bungaama Kellen, Christina Grasia Lebdawicaksaputri, Kinanthi Litelnoni, Aletha Lius, Selviana Ona Maima, Qrenquar Making, Maria Agustina Mandala, Alin Dhayu Maria Hilaria MMSI Irfan ,S. Kom Mokola, Clarra Styvani Norma Tiku Kambuno Nugroho, Febtian Cendradevi pujiyanti, riny Rindu, Yustinus Ririn Widyastuti, Ririn Roku, Roswita Victoria Rambu Sabinus Bungaama Kedang Sakti Oktaria Batubara Wahyuni, Maria M. D. Wanti Wanti Wulandari, Jessica Putri Yanpitherszon Liunokas Yustinus Rindu