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INDONESIA
Berita Kedokteran Masyarakat
Published by Universitas Gadjah Mada
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Nursing Public Health
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 1,528 Documents
 113   114   115   116   117 
Local officials and private sectors' initiative in organizing massive COVID-19 vaccination sessions: Experience from the Ngemplak-1 Health Center of Sleman in herd immunity acceleration programs Susila, Seruni Angreni
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Memberi deskripsi tentang pemberdayaan organisasi dan komunitas lokal serta sektor swasta dalam mengorganisir pelayanan vaksinasi massal di wilayah kerja Puskesmas Ngemplak I, sebagai upaya percepatan Herd Immunity. Content: Puskesmas memiliki peran strategis pemberdayaan sumber daya potensial di wilayah kerja sebagai upaya penanggulangan masalah kesehatan. Pada pandemi COVID-19, vaksinasi merupakan salah satu strategi memberikan perlindungan kepada masyarakat dari dampak berat infeksi COVID-19. Tantangan terberat bagi Puskesmas adalah menjalankan program vaksinasi secara masif bagi masyarakat di wilayah kerja untuk mempercepat Herd Immunity. Bukan perkara mudah mengingat sumber daya Puskesmas yang terbatas sementara Puskesmas harus tetap konsisten menjalankan program rutinnya. Untuk itu, perlu strategi pemberdayaan lintas sektor, agar penyelenggaraan vaksinasi dapat diorganisir oleh aparatur lokal, komunitas lokal, serta sektor swasta, untuk meningkatkan jumlah warga yang dapat divaksin. Sebelum diorganisir bersama lintas sektor, Puskesmas Ngemplak I melaksanakan vaksinasi di gedung Puskesmas dengan kapasitas 400 warga per minggu. Setelah diorganisir bersama lintas sektor, Puskesmas Ngemplak I dapat melaksanakan vaksinasi dengan kapasitas hingga lima kali lipat, bertempat di balai desa di wilayah kerja Puskesmas. Penyelenggaraannya pun mengurangi beban sumber daya manusia dan anggaran Puskesmas, karena setiap desa telah mengorganisir bersama komunitas lokal dan sektor usaha di wilayahnya, untuk merekrut relawan administrasi vaksin, menyediakan sarana prasarana kegiatan, serta menjadi koordinator lapangan saat vaksinasi massal.
How to improve public health centers' service capacity and their accessibility for people living in remote border regions: The case study of Sambas District of West Kalimantan Ika Ardina
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Purpose: To examine service capacity, availability, accessibility, and utilization of public health centers, and explore their improvement options for public health centers in the remote border district of Sambas. Method: This qualitative study used in-depth interviews of local stakeholders, field observation, and documentary reviews. Results: People living in remote border areas have difficulties accessing quality primary health services. It was because of the geographical condition, topography, transportation, communication access, the high level of poverty of the population, knowledge, and various social issues that they were facing. Meanwhile, the availability of human health resources at the public health center was not adequate, and the standard of the minimum staff types was still not fulfilled yet. The limited availability of human health resources is because of the moratorium on health workers. Likewise, the availability of supporting facilities and infrastructure still varies between health facilities. Meanwhile, medical equipment is still not fully fulfilled in primary health facilities. These things affected the quality and level of service. As an effort to overcome development inequality, Indonesia speeds up development in Remote Area Borders and Islands. Specific interventions have been carried out through various programs such as Nusantara Sehat to fill the lack of human health resources. In Sambas District, fulfillment of health services to obtain strategies and policy options related to health services at the remote border regions' health centers was still not optimal. Local governments have not properly fulfilled the availability of facilities and infrastructure for health services at the public health center and its network. The availability of public health center officers at the Remote Area Borders who are not under the duties and needs of fulfilling Health Human Resources in a primary health service. Conclusion: Health services at the remote border regions' health centers were strongly influenced by various factors, especially access and service capacity, which became obstacles to the health service process, more facilities are needed, and the attention of the central and local governments in policy options related to the remote border area health centers.
How can village midwives of the puskesmas work together with village administrator in eliminating malnutrition and preventing stunting: A case study in Tanjung Village, North Lombok Astawan, Wanda Januar
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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How village midwives from puskesmas can become members of the work team of the village head in eliminating malnutrition and preventing stunting: a case study in Tanjung Village, North Lombok How village midwives from puskesmas can become members of the work team of the village head in eliminating malnutrition and preventing stunting: a case study in Tanjung Village, North Lombok Objective: To explore the role of village midwives as the implementing team for village government programs and health centers in developing strategies based on local conditions to reduce malnutrition and prevent stunting. Methods: Qualitative study with in-depth interviews, observation, document review, and journals related to the study of literature. Results: Tanjung Village is one of the villages that is the working area of ​​the Tanjung Health Center, which consists of 12 hamlets with a population of 8,287 people. The sources of income for the people of Tanjung Village are pretty diverse. The livelihoods of the Tanjung Village residents are dominated by 1,759 traders, 1,290 farm/construction workers, 1,149 farmers, 585 casual daily laborers, 450 farmers, and construction workers. Two hundred seventy-six people, 252 entrepreneurs, 170 fishers, 153 civil servants/TNI/POLRI/retirees, 16 craftsmen, ten mechanics, and the rest 2,476 people haven't worked. The implementation of health services for promotive, preventive, and curative efforts at the hamlet level in Tanjung Village is carried out in 12 posyandu in 12 hamlets carried out one time in 1 month. Each posyandu is assisted by five cadres, one village doctor, one nutritionist, and one village midwife. Promotive, preventive, and curative efforts have been made. Meanwhile, the prevalence of malnutrition is still above 30%, which is 34.56% of children under five. This is caused by the village midwife's approach to changing people's behavior for nutritional awareness is still less effective, coordination between implementing integrated stunting prevention programs such as village government and village midwives is still lacking, and adequate village midwife human resources with a reasonably high salary gap and weak government supervision. A village so that the implementation of the program does not run optimally. Conclusion: The program's implementation between the village midwife and the village government has not been well integrated. The need for village midwives to make local-based strategies and village government supervision and rewards to village midwives in program implementation to bring about change in alleviating malnutrition.
ANC in new normal adaptation era: Challenge and opportunity Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This paper aims to describe challenges and opportunities in implementing various ANC models in the new normal adaptation era based on a literature review. Content: COVID-19 pandemic not only increased morbidity and mortality but also affect various sectors, including the health care system in Indonesia. ANC is one of those affected indicated by decreased coverage of K1 and K4. Restrictions on maternal and newborn health services, recommendations to delay ANC visits, feeling worried about getting infected by COVID-19, are several reasons why mothers decide not to do ANC visits. The barrier to access optimal health services may cause health problems. Other countries overcome this by using various models to deliver ANC, such as telehealth, home visits, hybrid model, and scheduled appointment. In developed countries, telehealth offered several classes to improve maternal and fetus health, and mHealth for mental consultations. Home visits are also carried out by considering mother condition and risk management for both mothers and health workers. Hybrid Models which combine telehealth and in-person visits are important for high-risk pregnancy with some considerations such as USG examination, a complete diagnostic examination in early pregnancy, and complications management. Another model has scheduled appointments based on the time agreement by mother and health workers with the standards for preventing COVID-19 transmission, shortening meeting duration, and arranging consultation schedules to avoid queues. In Indonesia, adopting only one model seems not feasible, but a combination of several models can be applied as an alternative. Home visits and schedule appointments have been implemented, but standard general guideline prevention of transmission and standard services must be made properly. Telehealth and Tele counseling can be used for routine visits, but they can’t guarantee the quality of ANC. More consideration is K1 must be done directly followed by the scheduled appointment model, while telehealth and Tele counseling can be complemented. Conclusion: The ANC service system in the new normal era must combine several models to ensure the quality and quantity of ANC visits.
The Roy's adaptation model in a patient with Guillain-Barre Syndrome (GBS): A case report Fithriyyah, Yayu; Haryani, Haryani
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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ABSTRACT Background: Guillain-barré syndrome (GBS) incidence may increase during an infectious disease outbreak or pandemic. Disease progression often has an impact on the patient and family. Objective: presents how Roy Adaptation Model (RAM) can guide nurses to assist and identify patient needs with GBS in a hospital setting. Method: A case report. The RAM assessment uses Russo (2019) through interviews and observation, and the RAM intervention guided by Akram et al. (2019). Results: Patients showed adaptive behavior following RAM intervention in 4 modes. RAM intervention by integrating patient and family to help the patient's cognators coping with recognizing and responding adaptive self-management to stimuli. Conclusion: The RAM guidelines were applicable for nurses to identify realistic and effective interventions for patients diagnosed with GBS involving the family in the hospital setting. Keywords: guillain-barré syndrome; nursing; roy adaptation model; intervention roy adaptation model.
How to improve program generasi berencana (GenRe) during the COVID-19 pandemic in DIY? Nur Intan Kartika Sari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This paper aims to review Program Generasi Berencana (GenRe) and describe the effort to improve it during the COVID-19 Pandemic. Content: Indonesia is the 4th country with the largest population in the world. Sensus Penduduk 2020 recorded Indonesia's population in September 2020 as many as 270.20 million people where the majority of Indonesia's population is dominated by Generation Z (27.94%) and Millennial Generation (25.87%) of the total population in Indonesia. Program GenRe is the policy of the government for resolving the population problem also supporting Indonesian teenagers to be more visionary and useful for the nation. But its implementation experienced various challenges during the COVID-19 pandemic. The number of early marriages due to unwanted pregnancy in DIY had increased during the pandemic. Based on DIY Family Health Data records in 2017 there were 313 cases of unwanted pregnancies, then increased to 809 (2018) and rose to 938 cases (2019). Meanwhile, in 2020, it increased again to 1,009 cases of unwanted pregnancies in DIY, were in Yogyakarta as many as 125, Kulonprogo 131, Bantul 141, Gunungkidul 269, and Sleman 343. Some literature states that Game-Based Learning and Gamification can improve Sexual Health Education Programs to prevent unwanted pregnancy in adolescents. Besides, providing financial support (scholarship) and additional livelihood training and tutorial classes can keep adolescents in school and delay marriage. Of course, it is all also followed by the improvement of human resources managers, the development of Youth Family Development and Teenage/Student Counseling Information Center, improve socialization, and holding periodic program evaluations. Conclusion: There are many suggestions that were given to improve Program GenRe.
Awareness of breast cancer in high-risk women in Yogyakarta Caroline, Cindy; Haryani, Haryani; Aulawi, Khudazi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Background: Breast cancer is the leading cause of death and the most frequently diagnosed in women worldwide. A person who has a mother, sister, or daughter with breast cancer has a twofold risk of developing breast cancer. Public and individual awareness play an essential role in health promotion, early diagnosis, and treatment of breast cancer. Objective: To describe breast cancer awareness among high-risk women in Yogyakarta. Methods: This survey asked 100 breast cancer high-risk women to answer 36-item Breast Cancer Awareness Scale in Indonesian (BCAS-I) questionnaire, from November 2019 to January 2020. Results: The average age of the respondents in this study was 31.38 years (SD = 13.016). Most respondents are high school graduates, are married, do not work, have no income, and have health insurance. Only 56% of respondents have a high level of breast cancer awareness. 62% of respondents in this study know risk factors, and 53% of respondents have high signs of symptoms. And 52% of respondents have low barriers to breast cancer screening. However, respondents who have attitudes towards breast cancer prevention and health behaviors related to breast cancer awareness are still low, 62% and 54%, respectively. Most high-risk women who experience low breast cancer awareness are in the elderly age group (65 years and over), have higher education (high school and college), have no income, and do not work but have health insurance. Conclusion: Most respondents have a high knowledge of risk factors and signs and symptoms and low barriers to breast cancer screening. However, breast cancer prevention attitudes and health behaviors related to breast cancer awareness are still low.
Multisectoral household domestic and healthcare waste management in DIY Purwati, Alvi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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PIYUNGAN LANDFILL, DIY The Piyungan Landfill with an area of ​​12.5 hectares is managed by DLHK DIY and accommodates waste from Yogyakarta City, Sleman, and Bantul. Since 2014, the capacity of the Piyungan Landfill is not sufficient to manage the rapidly generated waste. In early 2020, Piyungan TPA receives 560-580 tons of waste every day. At the end of 2020, the capacity of the Piyungan TPA will be increased to 438,000 tons which are expected to last for the next two years. WASTE REDUCTION FROM GENERATING SOURCES Garbage arises from various sources, so cooperation from various parties is needed. DLHK DIY needs to make a “garbage emergency” statement to raise public awareness. Especially for the Waste Sector, DLHK DIY, it is necessary to implement a policy of “only transporting sorted waste” by using a truck to separate each type of waste. The community must sort waste into four types, namely organic, inorganic recyclable, inorganic non-recyclable, and waste from the care of sick people in the household. The Health Office through the Sanitarian Health Center needs to mobilize the community to sort and utilize the existing land to make compost from organic waste. Sanitarians also need to socialize with the community to pack waste from patient care at home in separate containers. Disperindag DIY needs to urge shopping locations not to provide shopping plastic bags for consumers. Disperindag also needs to urge producers to use packaging with similar materials in one product to make it easier to sort waste. Disperindag can also require the recycling industry to use recyclable inorganic waste. PROCESSING OLD WASTE The pile of garbage in the Piyungan TPA needs to be reduced quickly using a large capacity incinerator. DLHK DIY needs to provide funds for the procurement of incinerators or can also open sponsorships from companies in DIY. The Piyungan landfill manager also needs to recruit human resources capable of operating the incinerator. PROCESSING NEW WASTE The Piyungan landfill manager can divide the waste processing area into four, according to the sorting criteria carried out by the community. Organic waste that is not reduced upstream can be processed into large-scale compost that has economic value. Recyclable inorganic waste must be utilized by the recycling industry. Non-recyclable inorganic waste and waste from household patient care are burned with incinerators to destroy pathogens. With complete management, domestic waste problems can be controlled. _______________________________________________________________________________________________________________________________ TPA PIYUNGAN DIY TPA Piyungan seluas 12,5 hektar dikelola oleh DLHK DIY dan menampung sampah dari Kota Yogyakarta, Sleman, dan Bantul. Sejak 2014, kapasitas TPA Piyungan tidak memadai untuk mengelola sampah yang timbul secara pesat. Awal 2020, setiap hari TPA Piyungan mendapat 560-580 ton sampah. Akhir 2020, kapasitas TPA Piyungan ditambah menjadi 438.000 ton yang diharapkan dapat bertahan hingga dua tahun mendatang. REDUKSI SAMPAH DARI SUMBER TIMBULAN Sampah timbul dari berbagai sumber, maka diperlukan kerja sama dari berbagai pihak. DLHK DIY perlu membuat pernyataan “darurat sampah” untuk memunculkan kepedulian masyarakat. Khusus Bidang Persampahan DLHK DIY, perlu mengimplementasikan kebijakan “hanya mengangkut sampah yang sudah dipilah” dengan proses pengangkutan menggunakan truk bersekat untuk memisahkan setiap jenis sampah. Masyarakat harus memilah sampah menjadi empat macam yaitu organik, anorganik recyclable, anorganik non-recyclable, dan sampah dari perawatan orang sakit di rumah tangga. Dinkes melalui Sanitarian puskesmas perlu menggerakkan masyarakat untuk melakukan pemilahan dan memanfaatkan lahan yang ada untuk membuat kompos dari sampah organik. Sanitarian juga perlu menyosialisasikan kepada masyarakat untuk mengemas sampah dari perawatan pasien di rumah dengan wadah tersendiri. Disperindag DIY perlu mengimbau lokasi perbelanjaan agar tidak menyediakan kantong plastik belanja bagi konsumen. Disperindag juga perlu mengimbau produsen agar menggunakan kemasan dengan bahan sejenis pada satu produk agar memudahkan dalam hal pemilahan sampah. Disperindag juga dapat mengharuskan industri daur ulang untuk menggunakan sampah anorganik recyclable. PENGOLAHAN SAMPAH LAMA Tumpukan sampah di TPA Piyungan perlu direduksi dengan cepat menggunakan insinerator berkapasitas besar. DLHK DIY perlu menyediakan dana untuk pengadaan insinerator atau dapat juga membuka sponsorship dari perusahaan-perusahaan yang ada di DIY. Pengelola TPA Piyungan juga perlu merekrut SDM yang mampu mengoperasikan insinerator. PENGOLAHAN SAMPAH BARU Pengelola TPA Piyungan dapat membagi area pengolahan sampah menjadi empat, sesuai dengan kriteria pemilahan yang dilakukan oleh masyarakat. Sampah organik yang tidak tereduksi di hulu, dapat diproses menjadi kompos berskala besar yang memiliki nilai ekonomi. Sampah anorganik recyclable harus dimanfaatkan oleh industri daur ulang. Sampah anorganik non-recyclable dan sampah dari perawatan pasien rumah tangga dibakar dengan insinerator untuk memusnahkan patogen. Dengan pengelolaan yang paripurna, permasalahan sampah domestik dapat dikendalikan.
Integrated service post quality improvement to tackle stunting during the COVID-19 pandemic: Lessons learned from Ngemplak-1 Health Center Utami Putri Kinayungan
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines health system strengthening through integrated service post quality improvement to tackle stunting during the COVID-19 pandemic at the Ngemplak-1 Health Center. Content: The COVID-19 pandemic is thought to increase the prevalence of stunting because many families have lost their income so that the toddlers from underprivileged families are unable to access nutritious food. Furthermore, limited access to health facilities during pandemics can reduce stunting detection and delay interventions. The proposed program initiative is improving the integrated service post through community nutrition package components. The first component is to improve the skills of cadres in growth monitoring. Many cadres make mistakes in measuring weight and height. The second component is to improve the capacity of cadres to provide nutrition education and feedback by nutritionists. The third component is improvement team formation. The fourth component is the delivery of protein source packages for stunted toddlers, short and below the red line from underprivileged families. The fifth is to cooperate with the Department of Animal Husbandry and Fisheries to create mini animal husbandry or pond for each integrated service post. The stakeholders of husbandry and fisheries are parents of toddlers who come from underprivileged families or parents who lost their income due to the COVID-19 pandemic. All fundings for these components are taken from the APBDes based on the Permenkeu 61/PMK.07/2019, village funds to support the implementation of integrated stunting prevention intervention activities. The challenge of that component is the commitment of cadres, nutritionists, community midwives, and village government. Improving the skills of cadres as the front line and cross-sector collaboration could be an effective strategy to tackle stunting through community-based interventions.
Maximizing health cadres' role as Puskesmas partners in the new-normal: Pangkalpinang City syamsinar
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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This research describes how community empowerment and health cadres reduce malnutrition during the COVID-19 pandemic in Melintang Health Center's working area in Pangkalpinang City, Bangka Belitung Islands Province. Integrated Service Post (Posyandu) is a community-based health effort to empower and provide health services in accelerating the reduction of maternal and infant mortality. There are 18 Posyandu located in 8 villages with 90 health cadres in Melintang Health Center's working area. Posyandu helps to detect malnutrition in the community by health cadres, the elected community members who are willing, able, and have the time to carry out Posyandu's activities. Health cadres work voluntarily and partners with Puskesmas in the maternal and child health (MCH) program. They monitor toddlers' growth, fill and interpret the healthy card, give vitamin A, select raw materials and prepare healthy and nutritious MP-ASI in Posyandu. They also provide information, remind mothers to come to the Posyandu, and fill out reports, even though most health cadres do not have adequate knowledge and insight regarding health. Posyandu in the working area of ​​the Melintang Health Center runs monthly. In one Posyandu, there are five health cadres and three Puskemas officers. They are health promotion officers who provide counseling, midwives who vaccine, and nutrition officers who monitor the nutritional status of children under five from Puskesmas. In the early pandemic, community visits to the posyandu have decreased. During the adaptation period of the new-normal habit, there is a high demand for health cadres to invite community members back to be active in posyandu activities by visiting residents' homes or informing through mosques. Given the government's high expectations for the success of the health program by involving the health cadres, it is necessary to pay attention to the recruitment system for health cadres. What are the abilities a cadre must have to carry out the assigned tasks? How is the cadres' performance these days? Also, there must be appropriate incentives to expect maximized and accountable work results. Objective: Mendeskripsikan bagaimana pemberdayaan masyarakat dan peran masyarakat (kader kesehatan) berpartisispasi di masa pandemi dalam menurunkan masalah malnutrisi yang ada di wilayah kerja Puskesmas Melintang Kota Pangkalpinang Provinsi Kepulauan Bangka Belitung sebagai bentuk pelayanan kesehatan dasar yang bertujuan untuk mengatasi masalah malnutrisi, dimana dalam jangka pendek malnutrisi pada awal kehidupan menyebabkan kematian, namun apabila bayi itu hidup survive maka akan terjadi gangguan disepanjang siklus hidupnya seperti skor kognitif yang rendah, dewasa yang tidak prodiktif, penghasilan yang rendah hingga penyakit degenerative yang menahun. Content: Malnutrisi merupakan masalah kesehatan masyarakat yang krusial dan menjadi beban secara global. Di Masa pandemi banyak kegiatan pelayanan kesehatan seperti posyandu yang sempat terhentikan namun sekarang kegiatan tersebut sudah aktif kembali sejak tahun 2020 tentunya dengan protokol kesehatan yang ketat. Puskesmas Melintang terletak dipusat kota Pangkalpinang dan menjadi salah satu pilihan bagi masyarakat untuk mendapatkan pelayanan kesehatan dasar. Pos Pelayanan Terpadu (Posyandu) adalah salah satu bentuk upaya kesehatan bersumber daya masyarakat yang dikelola dan diselenggarakan dari, oleh, untuk dan bersama masyarakat dalam penyelenggaraan pembangunan kesehatan. Fungsi Posyandu adalah untuk memberdayakan masyarakat dan memberikan kemudahan kepada masyarakat dalam memperoleh pelayanan kesehatan dasar guna mempercepat penurunan angka kematian ibu dan bayi. Penyelenggaraan Posyandu dilakukan oleh kader yang merupakan anggota masyarakat yang dipilih, bersedia, mampu dan memiliki waktu untuk melakukan kegiatan posyandu tersebut. Di wilayah kerja Puskesmas Melintang sendiri memiliki 18 posyandu yang terletak di 8 tiap kelurahan dengan jumlah kader kesehatan sebanyak 90 orang. Selain Puskesmas, Posyandu merupakan sarana kesehatan yang penting bagi masyarakat dan merupakan salah satu bentuk pemberdayaan masyarakat dimana salah satu tujuannya adalah membantu mengatasi masalah malnutrisi sehingga lebih cepat terdeteksi oleh petugas kesehatan yang ada wilayah kerja Puskesmas Melintang Kota Pangkalpinang. Kader bekerja secara sukarela dan diharapkan dapat menjadi mitra bagi Puskesmas dalam program KIA. Namun seperti yang kita ketahui sebagian besar kader kesehatan tidaklah memiliki pengetahuan dan wawasan yang baik terkait kesehatan, sementara mereka dituntut menjalankan perannya seperti pemantauan pertumbuhan balita, pengisian dan interpretasi KMS, pemberian vitamin A, pemilihan bahan baku dan penyiapan MP-ASI yang higienis dan bergizi, keterampilan memberikan informasi, mengingatkan kepada Ibu-Ibu untuk datang ke Posyandu sesuai dengan jadwalnya dan pengisisn laporan. Di Wilayah kerja Puskesmas Melintang sendiri kegiatan Posyandu dilakukan satu kali dalam sebulan, dimana 1 posyandu terdiri dari 5 orang kader kesehatan yang tentunya didampingi juga oleh petugas Puskesmas yang terdiri dari petugas promosi kesehtan yang bertugas memberikan penyuluhan, bidan yang melakukan vaksinasi dan petugas gizi yang melakukan pemantauan status gizi balita. Dimasa pandemi kunjungan masyarakat terhadap posyandu mengalami penurunan dan dimasa adaptasi kebiasaan baru ini peran kader sangat dituntut agar bisa mengajak kembali warga masyarakat untuk aktif dalam kegiatan posyandu tersebut dengan cara mendatangi rumah warga atau menginformasikan melalui masjid-masjid. Mengingat tingginya harapan pemerintah terhadap keberhasilan program kesehatan dengan melibatkan partisipasi kader kesehatan yang tidak hanya terlibat namun harus maksimal dalam bekerja maka perlu diperhatikan bagaimana sistem rekrutmen kader kesehatannya?kemampuan apa saja yang harus dimiliki oleh seorang kader untuk menjalankan tugas yang dibebankan? Bagaimanakah kinerja dan kemampuan kader saat ini di lapangan? Dan tentunya harus dengan insentif yang sesuai sehingga hasil kerja yang diharapkan bisa maksimal dan dapat dipertanggungjawabkan.

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