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Pemberdayaan Kader Sebaya Remaja untuk Pencegahan Tuberkulosis: Inisiatif "PEKA TB" di 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.
Pemberdayaan Kader Posyandu Dalam Mengurangi Stigma Masyarakat Terhadap Penyakit Kusta Di Puskesmas Kinali Kabupaten Pasaman Barat Masrizal, Masrizal; Perwati, Ane Dayu; Fauzi, Falah; Apsari, Elvina; Salsabila, Hanum; Ulfah, Nahdah Arifatil; Fitri, Naila; Afwan, Naulia Fitratul; Osandi, Salsabela Yeni; Jasra, Senisa Afrilla; Nabilla, Zahira Juan
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i4.802

Abstract

Leprosy remains a global health problem with more than 200,000 new cases each year in the world, and Indonesia ranks third highest after India and Brazil. Community stigma against leprosy is still a major obstacle in the elimination of this disease, including in West Pasaman District, West Sumatra, which recorded 11 cases in the 2023-2024 period. The aim of this activity was to improve the knowledge, attitudes, and actions of posyandu cadres in reducing community stigma towards leprosy through health education and socialization. The method used was a pre-test and post-test design involving 40 posyandu cadres. Data were analyzed using the Wilcoxon test to measure changes in knowledge, attitudes, and actions before and after the intervention. Results showed significant improvement in all variables measured: knowledge (p=0.000; mean 4.90 to 6.85), attitude (p=0.014; mean 2.68 to 3.35), and action (p=0.000; mean 2.43 to 3.25). The discussion shows that education on leprosy recognition and stigma reduction is effective in improving the capacity of posyandu cadres as agents of change in the community. In conclusion, this activity not only improved the cadres' individual skills, but also had a real impact on the community through increased acceptance of leprosy survivors. Similar interventions can be replicated in other endemic areas to strengthen the national leprosy elimination program and promote inclusive and stigma-free communities.
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.