Optimalisasi Kesehatan Masyarakat Payum Melalui Skrining TBC dan Deteksi Dini PTM di Kabupaten Merauke: Penelitian

Eunike Adonia Laga; Brigita Suni; Mohammad Saljan; Laili Nur Hidayati; Bekti Sukoco; Endah Purwanti; Ade Ragil Wibowo; Siti Asma Kuniyati Laitupa; Devvyta Ferika Sari; Astrida Rakhma; Santa Sihombing

doi:10.31004/jerkin.v4i3.5023

Authors

Eunike Adonia Laga Poltekkes Kemenkes Jayapura
Brigita Suni Poltekkes Kemenkes Jayapura
Mohammad Saljan Poltekkes Kemenkes Jayapura
Laili Nur Hidayati Poltekkes Kemenkes Jayapura
Bekti Sukoco Poltekkes Kemenkes Jayapura
Endah Purwanti Poltekkes Kemenkes Jayapura
Ade Ragil Wibowo Poltekkes Kemenkes Jayapura
Siti Asma Kuniyati Laitupa Poltekkes Kemenkes Jayapura
Devvyta Ferika Sari Poltekkes Kemenkes Jayapura
Astrida Rakhma Poltekkes Kemenkes Jayapura
Santa Sihombing Poltekkes Kemenkes Jayapura

DOI:

https://doi.org/10.31004/jerkin.v4i3.5023

Keywords:

TB Screening, Early Detection of NCDs, Community Service, Community-Based Screening

Abstract

Tuberculosis (TB) and non-communicable diseases (NCDs) such as hypertension and diabetes mellitus remain major public health burdens in remote communities. Samkai Village, Merauke Regency, faces limited access to active health screening, resulting in many undetected cases. This community service aimed to optimize the health status of the Payum community through integrated TB screening and early detection of NCDs. A one-stop community-based health post was implemented, combining sputum smear examination, blood pressure measurement, blood glucose and cholesterol testing, health education, and an active referral system. The activity was conducted in November 2025 involving 65 participants. Of the 25 adequate sputum samples examined, 12 participants (18.5% of total participants) were smear-positive for TB. In addition, 30 participants (46.2%) were identified with hypertension and 3 (4.6%) with dyslipidemia. A total of 45 participants were referred to the primary health center for further management. This program demonstrates that an integrated community-based screening approach is effective in uncovering hidden disease burden and linking communities with formal health services.

References

Penyusunan Referensi yang mengikuti teknik yang standar harus dilakukan secara baku dan American Diabetes Association. (2023). Standards of Medical Care in Diabetes—2023 Abridged for Primary Care Providers. Clinical Diabetes, 41(1), 4-31.

Dinas Kesehatan Kabupaten Merauke. (2024). Profil Kesehatan Kabupaten Merauke Tahun 2023. Merauke: Dinas Kesehatan Kabupaten Merauke.

Kementerian Kesehatan RI. (2018). Laporan Nasional Riskesdas 2018. Jakarta: Kemenkes RI.

Kementerian Kesehatan RI. (2020). Pedoman Nasional Penanggulangan Tuberkulosis. Jakarta: Kemenkes RI.

Kementerian Kesehatan RI. (2023). Profil Kesehatan Indonesia 2022. Jakarta: Kemenkes RI.

Lonnroth, K., et al. (2019). Drivers of tuberculosis epidemics. The Lancet, 393(10181), 181–192.

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078.

Putri, A. R., Nugroho, H. S., & Lestari, W. (2021). Peran kader kesehatan dalam meningkatkan kepatuhan rujukan pasien berbasis komunitas. Jurnal Kesehatan Masyarakat, 16(2), 89–97.

Ulfah, M., & Pratiwi, D. (2020). Determinan Sosial Budaya terhadap Kejadian Tuberkulosis di Wilayah Tertinggal: Studi Literatur. Jurnal Ilmu Kesehatan Masyarakat, 11(2), 145-156. https://doi.org/10.xxxx/jikm.v11i2.xxxxx

World Health Organization. (2020). WHO consolidated guidelines on tuberculosis. Geneva: WHO.

World Health Organization. (2020). Integrated care for tuberculosis and noncommunicable diseases. Geneva: WHO.

World Health Organization. (2023). Global Tuberculosis Report 2023. Geneva: WHO.

Wulandari, A., & Sari, P. K. (2022). Efektivitas Skrining Kesehatan Terpadu dalam Menemukan Kasus Penyakit Tidak Menular di Komunitas. Jurnal Keperawatan Komunitas, 10(1), 23-34.

Yuen, C. M., et al. (2018). Active case finding for tuberculosis: systematic review. PLoS Medicine, 15(9), e1002625.

Yuniarti, T., et al. (2022). Community-based health screening in remote areas. Journal of Community Health, 47(2), 234–242.

Yuen, C. M., et al. (2018). Active case finding for tuberculosis: systematic review and meta-analysis. PLoS Medicine, 15(9), e1002625.