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All Journal JIK- JURNAL ILMU KESEHATAN Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks
Fauzi, Falah
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Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Empowering Adolescent Peer Cadres for Tuberculosis Prevention: The “PEKA TB” Initiative at SMPN 31 Padang Masrizal; Widoyo, Ratno; Perwati, Ane Dayu; Fauzi, Falah
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.480-488.2025

Abstract

Tuberculosis (TB) remains a major public health issue, particularly among adolescents in densely populated school environments with poor ventilation. This community service aimed to strengthen TB prevention and control efforts through the establishment and empowerment of “PEKA TB” (Pencegahan dan Penanggulangan Tuberkulosis) cadres at SMPN 31 Padang. The activity employed a pre–post test design with an educational and participatory approach, involving 34 students from grades VIII and IX as peer health cadres. The intervention consisted of interactive lectures, discussions, and simulations on TB transmission, prevention, and the PEKA TB framework (Examine–Educate–Coordinate–Act). Evaluation using structured questionnaires measured knowledge, attitude, and practice before and after the intervention. The results showed significant improvements across all variables, indicating that peer-based education effectively enhanced students’ awareness, attitudes, and preventive behaviors toward TB. The empowerment of adolescent cadres successfully fostered active participation in school health promotion and strengthened collaboration between schools and local health authorities. This initiative demonstrates that student-centered, peer-led education is a sustainable strategy to create a healthy, TB-free school environment.
Determinants of Complete Basic Immunization Achievement in West Sumatra Province (Analysis of SKI 2023) Fauzi, Falah; Gusti, Aria; Pradipta, Yudi; Masrizal, Masrizal
JIK-JURNAL ILMU KESEHATAN Vol 10, No 1 (2026): JIK-APRIL VOLUME 10 NOMOR 1 TAHUN 2026
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v10i1.1548

Abstract

Background: Complete basic immunization (CBI) coverage in West Sumatra Province remains critically low, posing a significant public health challenge. Objective: This study aimed to identify determinants of CBI achievement among children aged 12–23 months in West Sumatra Province using nationally representative data from the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia/SKI 2023).Methods: A cross-sectional study design was employed through secondary data analysis of the SKI 2023 dataset. The analytical sample comprised 609 children aged 12–23 months residing in West Sumatra Province. Variables examined included child characteristics (sex, birth weight), maternal factors (employment status, educational level, gestational age at delivery, KIA book ownership), health service factors (place of delivery, healthcare accessibility), family socioeconomic status, and history of adverse events following immunization (AEFI). Survey-weighted univariate, bivariate (chi-square test), and multivariate (binary logistic regression) analyses were performed. Statistical significance was set at p < 0.05.Results: Among 609 children aged 12–23 months, 87.8% (n = 534) had incomplete immunization status and only 12.2% (n = 75) had received complete basic immunization. The measles-rubella vaccine recorded the lowest coverage at 68.4%. In bivariate analysis, maternal employment (p = 0.045) and KIA book ownership (p = 0.001) were significantly associated with CBI status. In multivariate analysis, only KIA book ownership remained a significant independent determinant: children whose mothers did not own a KIA book were nearly five times more likely to have incomplete immunization (Adjusted OR = 4.86; 95% CI: 1.63–14.47; p = 0.005).Conclusion: KIA book ownership is the primary independent determinant of complete basic immunization achievement in West Sumatra Province. Targeted interventions should prioritize optimizing KIA book utilization, strengthening health education for working mothers, and addressing structural barriers to immunization services.
Co-Authors Aria Gusti Masrizal Masrizal Perwati, Ane Dayu Ratno Widoyo, Ratno Yudi Pradipta