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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Molecular and Cellular Biomedical Sciences (MCBS) IRJE (Indonesian Research Journal in Education) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Daur Lingkungan MEDIC MEdical Dedication Journal of Medical Studies Neurona
Nyimas Natasha Ayu Shafira
Universitas Jambi, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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KNOWLEDGE TO PRACTICE: ENHANCING POSYANDU CADRES’ COMPETENCE IN METABOLIC SYNDROME SCREENING AND EDUCATION Puspasari, Anggelia; Maharani, Citra; Syauqy, Ahmad; Fitri, Amelia Dwi; Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Kusdiyah, Erny; Delfira, Annissa; Hasmita, Debby; Amatullah, Afifah
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Metabolic syndrome (MS) is a growing public health problem, characterized by central obesity, high blood sugar levels, increased blood pressure, and lipid profile disorders that can increase the risk of cardiovascular disease. This community service activity was carried out to strengthen the competence of Posyandu cadres in the Tahtul Yaman Community Health Center (Puskesmas) work area in Jambi City in conducting early detection and providing education about MS. The program was implemented through three main stages: module development, module-based training, and direct mentoring in the field. The training module was designed by integrating the Health Belief Model (HBM) approach and andragogy principles, so that the learning process was more participatory and oriented towards the cadres' real-life experiences. A total of 15 cadres from nine Posyandus actively participated in this activity. Evaluation was carried out through pre- and post-tests to assess knowledge gains, and the Direct Observation of Procedural Skills (DOPS) method to measure practical skills. The results showed a significant increase in knowledge scores, with the pass rate increasing from 73.33% to 100% after the training. Cadres were able to implement screening procedures according to standards and explain the examination results well. However, the communication-education aspect still needs strengthening to make health messages more easily accepted by the public. Overall, this program has proven effective in increasing the capacity of Posyandu cadres as the frontline of promotive and preventive health services at the community level.
STRENGTHENING HEALTH CADRES THROUGH STRUCTURED TRAINING FOR COMMUNITY-BASED OBESITY SCREENING Maharani, Citra; Puspasari, Anggelia; Syauqy, Ahmad; Fitri, Amelia Dwi; Shafira, Nyimas Natasha Ayu; Perkasa, Tengku Arief Buana; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Obesity is a major risk factors for non-communicable diseases, and its prevalence continues to increase in Indonesia. Community Health Centers, as primary healthcare providers, play a crucial role in obesity prevention through the empowerment of local health cadres. This community service aimed to enhance cadres’ knowledge and skills in early obesity detection. The program was implemented through a structured training consisting of material delivery and hands-on anthropometric measurement sessions, followed by field visits to Posyandu to evaluate cadres’ practical skills in performing anthropometric assessments. A total of 15 Posyandu cadres from the working area of Tahtul Yaman Community Health Center participated in this activity. The results showed a significant increase in knowledge, with median scores rising from 90 (range 50–100) in the pre-test to 100 (range 80–100) in the post-test (p = 0.007). The proportion of cadres achieving the passing score also increased from 53.3% to 100% (p = 0.006). Field observations indicated that most cadres were able to perform anthropometric examinations independently and in accordance with standard procedures. These findings suggest that structured training combined with practical field reinforcement may contribute to improving cadres’ competencies, thereby supporting their role in sustainable, community-based obesity prevention efforts. Keywords: Obesity screening; Health cadres; Anthropometry; Community health center.
Improving The Knowledge and Skills of Posyandu Cadres Regarding Diabetes Mellitus: An Efforts to Strengthen Primary Service Integration at the Tahtul Yaman Community Health Centre, Jambi City Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Maharani, Citra; Fitri, Amelia Dwi; Perkasa, Tengku Arief Buana; Amatullah, Afifah; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

ABSTRACT Diabetes mellitus (DM) is a significant public health challenge, with a rapidly increasing burden in Indonesia. Community health cadres (kader) are crucial for community-level prevention, yet many possess limited knowledge regarding DM management and prevention. This community engagement program aimed to enhance the knowledge, attitudes, and practices (KAP) of health cadres within the Tahtul Yaman Primary Health Center area in Jambi City, focusing on diabetes prevention and control. This program utilized a participatory action research approach involving 15 active community health cadres. The intervention, conducted between August and September 2025, consisted of structured training modules, interactive lectures, Focus Group Discussions (FGDs), skill-based simulations (including glucometer use), and the distribution of educational toolkits. A pre-test/post-test design was used to evaluate changes in knowledge, with data analyzed using the Wilcoxon signed-rank test. Qualitative data were gathered through reflection sessions and one-month post-training field observations. Participants showed a statistically significant improvement in knowledge regarding diabetes prevention and management. The median knowledge score increased from 60 (IQR 40–80) at pre-test to 80 (IQR 40–90) at post-test (p = 0.009). Qualitative findings revealed positive shifts in cadres’ attitudes and increased self-efficacy in communicating health information. Key themes identified included knowledge empowerment and enhanced readiness for community engagement. Follow-up observations confirmed that cadres successfully applied their new skills, such as conducting risk screenings and health education, during community Posyandu ILP sessions. A structured, participatory, and context-sensitive training program effectively enhanced the knowledge, attitudes, and practical skills of community health cadres in DM prevention. Empowering cadres through continuous mentorship and integrating such programs into local health systems offers a sustainable and scalable strategy to strengthen community resilience and advance chronic disease management. Keywords: Diabetes melitus, community health cadres, health education empowerment, non-communicable diseases primary health care. ABSTRAK Diabetes mellitus (DM) merupakan tantangan kesehatan masyarakat yang signifikan, dengan beban yang meningkat pesat di Indonesia. Kader kesehatan masyarakat (kader) memegang peran penting dalam pencegahan di tingkat masyarakat, namun banyak yang memiliki keterbatasan pengetahuan mengenai manajemen dan pencegahan DM. Program keterlibatan masyarakat ini bertujuan meningkatkan pengetahuan, sikap, dan praktik (KAP) kader kesehatan di wilayah Puskesmas Tahtul Yaman, Kota Jambi, dengan fokus pada pencegahan dan pengendalian diabetes. Program ini menggunakan pendekatan penelitian tindakan partisipatif yang melibatkan 15 kader aktif. Intervensi, yang dilaksanakan antara Agustus dan September 2025, meliputi modul pelatihan terstruktur, ceramah interaktif, Diskusi Kelompok Terfokus (FGD), simulasi berbasis keterampilan (termasuk penggunaan glukometer), serta pendistribusian paket alat edukasi. Desain pre-test/post-test digunakan untuk mengevaluasi perubahan pengetahuan, dengan analisis data menggunakan uji Wilcoxon tanda berpasangan. Data kualitatif dikumpulkan melalui sesi refleksi dan observasi lapangan satu bulan pasca-pelatihan. Peserta menunjukkan peningkatan pengetahuan yang signifikan secara statistik; skor median pengetahuan meningkat dari 60 (IQR 40–80) pada pre-test menjadi 80 (IQR 40–90) pada post-test (p = 0.009). Temuan kualitatif mengungkapkan perubahan sikap yang positif dan peningkatan efikasi diri kader dalam menyampaikan informasi kesehatan. Tema kunci yang muncul meliputi pemberdayaan pengetahuan dan kesiapan yang meningkat untuk keterlibatan masyarakat. Observasi tindak lanjut mengonfirmasi bahwa kader berhasil menerapkan keterampilan baru, seperti melakukan skrining risiko dan penyuluhan kesehatan, selama sesi Posyandu ILP di masyarakat. Program pelatihan yang terstruktur, partisipatif, dan sensitif terhadap konteks secara efektif meningkatkan pengetahuan, sikap, dan keterampilan praktis kader kesehatan masyarakat dalam pencegahan DM. Memberdayakan kader melalui pendampingan berkelanjutan dan mengintegrasikan program semacam ini ke dalam sistem kesehatan lokal menawarkan strategi yang berkelanjutan dan dapat diskalakan untuk memperkuat ketahanan komunitas dan memajukan pengelolaan penyakit kronis Kata kunci: Diabetes melitus, kader kesehatan masyarakat, pemberdayaan pendidikan kesehatan, pelayanan kesehatan primer untuk penyakit tidak menular
Co-Authors Abdul Haris Agnesia Feronika Panggabean Ahmad Syauqy Albashir Feriohadi Amatullah, Afifah Amelda Mutia Sabrini Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Anati Purwakanthi Anati Purwakanthi, Anati Anggelia Puspasari Annissa Delfira Anwar Jusuf Arif, Cut Wulan Armaidi Darmawan Aryanti, Nindya ATTIYA ISTARINI Ave Olivia Rahman Bulqis, Ratu Citra Maharani Citra Maharani De Jonge, Laury P.J.W.M. Dhea Assyifa Effendi, Ian Ekaputri, Tia Wida Elfiani Erny Kusdiyah Esa Indah Ayu, Esa Indah Faila Sufa Fairuz Quzwain Fauzan, Randy Fenny Febrianty Firmansyah Firmansyah Gading, Patrick William Haifa Nida Firdausa Hanina Harahap, Asro Hayani Hasmita, Debby Hasna Dewi Herlambang Herlambang Herlambang HERLAMBANG HERLAMBANG Herlambang Herlambang Huntari Harahap Irlianissa, Mutiara Iskandar, Mirna Marhami JMJ, Jurnal Lipinwati ., Lipinwati Lisa, Mei Nabila, Risa Nindya Aryanty Nofrans Eka Saputra, Nofrans Eka Nur Id'ys Nuriyah, Nuriyah Oktari, Intan Patrick William Gading Putri Sari Wulandari Putri, Loli Melatina Putri, Nadhilah Aulia Raudhoh, Siti Rina Nofri Enis Rina Nofrienis Rita Halim Rita Halim Sabar Hutabarat Salsabila, Amalya Sari, Anggia Rohdila Setyawati Budiningsih Shabrina Nadilah Zahra Sholahuddin Tumanggor Siti Hediaty Sri Mulyani Suhaimi, Novadian Suprapti Suprapti Suryati Suryati Susan Tarawifa Syatria Esa Putra Tarawifa, Susan Tengku Arief Buana Perkasa Tia Wida Ekaputri Virginsia, Sonya Vivekanantharasa, Raveenthiran Wahyu Indah Dewi Aurora Zulkhair Ali