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All Journal International Journal of Health Science Jurnal Pengabdian Ilmu Kesehatan
Sodang Sidabutar
Universitas Efarina
Health Professions Public Health Social Sciences

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Community Collective Engagement: Developing a Decision Model to Increase Intention in Early Detection of Cervical Cancer Sodang Sidabutar; Tatin Wahyanto; Yunardi Yunardi; Peterson Yosua Silaen
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6481

Abstract

Early detection of cervical cancer is crucial in reducing mortality from this disease. Despite widespread health education, community participation in screening remains low, primarily due to stigma and social taboos. Aim: This study aims to develop a decision-making model based on women's collective involvement in Posyandu (Integrated Health Post) to increase their intention to undergo early cervical cancer screening. Methods: Using a mixed-methods approach, this study involved 200 respondents from various Posyandus within the Community Health Center coverage area. The model was developed through three stages: Formulation of a basic conceptual framework, Development of a measurement strategy, and Validation through surveys and in-depth interviews. Data analysis was conducted using Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) with the assistance of AMOS software. Results: The results indicate that collective involvement has a significant influence on intention, and the developed model demonstrated good statistical fit. Conclusion: This study contributes to the development of engagement theory in a community context and provides strategic recommendations for improving community well-being through early cervical cancer detection.
Efektivitas Sistem Kewaspadaan Dini dan Respon terhadap Pencegahan Kasus Gigitan Hewan Penular Rabies dengan Pendekatan Epidemiologi di Puskesmas BP Nauli Kota Pematangsiantar Sodang Sidabutar; Lusiana Siagian; Yunardi Yunardi
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 3 (2025): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i3.6208

Abstract

Rabies is a deadly zoonotic disease and remains a public health threat in Indonesia, including in Pematangsiantar City. Although preventable through vaccination and rapid intervention, cases of animal bites transmitting rabies (HPR) continue to increase. The government has implemented an Early Alert and Response System (SKDR) for rapid detection and response, but its effectiveness at the community health center (Puskesmas) level needs to be evaluated. This study aims to analyze the effectiveness of SKDR implementation in preventing and controlling HPR bite cases at the BP Nauli Community Health Center in 2024 using a quantitative descriptive-analytical approach. Data were obtained through observation, interviews, and analysis of SKDR and PEP reports. The results showed that the majority of SKDR reports were complete (92.3%) and there were no reporting disruptions (92.3%). Fisher's exact test showed a significant relationship between SKDR implementation and disruptions in rabies reporting (p = 0.026). In conclusion, an optimal SKDR system improves the effectiveness of rabies reporting and response.
Co-Authors Lusiana Siagian Peterson Yosua Silaen Tatin Wahyanto Yunardi Yunardi