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Impact of nursing interventions on the implementation of primary health care policies: A Systematic Review Azza, Awatiful; A. Sasarari, Zusana; Komariah Sambas, Etty; Muzfah, A. Wardah
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 3 (2025): Jurnal Edukasi Ilmiah Kesehatan
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i3.144

Abstract

Introduction: Primary health care (PHC) is recognized as the foundation of equitable and sustainable health systems. Nursing interventions are essential in translating PHC principles into effective practice. However, limited synthesized evidence exists on the effectiveness of nursing-led initiatives within PHC policy frameworks. This review aimed to evaluate the impact of nursing interventions on the implementation of PHC policies, with the hypothesis that structured nursing interventions enhance health outcomes, policy adherence, and community engagement. Methods: Following the PRISMA guidelines, a systematic search was conducted across PubMed, CINAHL, Scopus, and Cochrane Library for studies published between 2010 and 2025. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs assessing nursing-led interventions in PHC settings. Two reviewers independently performed data extraction and quality appraisal. Due to methodological heterogeneity, a narrative synthesis was employed. Results: A total of studies demonstrated that nursing interventions such as health education, chronic disease management, maternal-child health support, and community empowerment significantly improved service accessibility, patient satisfaction, and adherence to PHC policy objectives. Moreover, community-based nursing initiatives strengthened preventive care delivery and promoted equity in service utilization. Conclusion: The findings confirm that nurses are pivotal in operationalizing PHC policies. Strengthening nursing capacity through training, policy integration, and resource allocation can accelerate progress toward universal health coverage. Further research is needed to establish standardized evaluation frameworks and measure long-term policy impacts of nursing interventions in PHC systems.
Clinical pharmacists’ education on nutritional supplements for community-based stunting prevention Muzfah, A. Wardah; Cahya Mulat, Trimaya; Arda, Darmi; Kurni Menga, Maria
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 1 (2026): Jurnal Pengabdian Masyarakat Edukasi Indonesia
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i1.171

Abstract

Stunting remains a significant public health issue in Indonesia, closely linked to chronic undernutrition and micronutrient deficiencies during the first 1,000 days of life. Limited community knowledge regarding the rational use of nutritional supplements and micronutrients contributes to inappropriate practices that reduce the effectiveness of stunting prevention programs. This community service program aimed to improve community knowledge and awareness of appropriate nutritional supplement use through pharmacist-led education. The program was conducted using a structured, participatory approach consisting of situational analysis, educational material development, community education implementation, monitoring and evaluation, and follow-up activities. Clinical pharmacists delivered educational sessions through interactive lectures and discussions involving mothers, caregivers, and community health volunteers. Program evaluation was conducted using pre- and post-education assessments to measure changes in knowledge related to the roles of micronutrients, correct dosage and administration, safety considerations, and the complementary role of supplements in balanced nutrition. The results showed a clear improvement in participants’ knowledge across all assessed indicators following the intervention. Participants demonstrated a better understanding of the importance of micronutrients for child growth, appropriate supplement use, and safety aspects, as well as increased awareness that supplements should support, rather than replace, balanced diets. These findings suggest that pharmacist-led community education is an effective strategy for strengthening stunting prevention efforts through the rational use of nutritional supplements.
Empowering Health Cadres in Reproductive Health Education through a Community Midwifery Approach Samsinar, Samsinar; Aris Tyarini, Indrawat; Gustini, Gustini; Muzfah, A. Wardah; Martha Paseno, Matilda
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 2 (2026): Jurnal Pengabdian Masyarakat Edukasi Indonesia
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i2.372

Abstract

Introduction: Reproductive health remains a significant public health concern, particularly in communities with limited access to accurate information and services. Health cadres play a strategic role in delivering community-based education; however, their capacity in reproductive health education is often inadequate. This program aimed to empower health cadres in reproductive health education through a community midwifery approach. Methods: A community service program was conducted using a participatory approach with a one-group pretest–posttest design. A total of 25 health cadres participated in structured training sessions facilitated by midwives. The intervention included lectures, group discussions, role-playing, and case-based learning covering adolescent reproductive health, family planning, and prevention of sexually transmitted infections. Data were collected using structured questionnaires and analyzed using descriptive statistics and paired t-tests. Results: The findings showed a significant improvement in knowledge scores, increasing from a pretest mean of 55% to a posttest mean of 82%, indicating a 27% increase. In addition, cadres demonstrated improved communication and counseling skills during simulation sessions. The involvement of midwives contributed to a deeper understanding and the practical application of reproductive health education. Conclusion: The community midwifery approach is effective in improving the knowledge and skills of health cadres in reproductive health education. This model has the potential to strengthen community-based health promotion and should be considered for broader implementation.