City Health Officials Research Articles

Local Supports to Break the Cycle: A Description of Intersectional Interventions to Address Adverse Childhood Experiences and Drug Overdose.

Adverse childhood experiences (ACEs), substance use disorders (SUDs), and overdose are interconnected issues impacting individuals and communities at multiple levels of the social ecology and across generations. Few studies describe approaches that intentionally and simultaneously address these issues. This paper examines activities of 15 sites across the country that were designed to simultaneously prevent ACEs, SUD, and overdose. This paper describes the work at the intersection as well as gaps and opportunities. Describing ways to implement intersectional programming may assist other organizations in taking similar steps in their communities. From December 2020 through July 15, 2023, funded sites received technical assistance from the National Association of County and City Health Officials and the Centers for Disease Control and Prevention for 18months to support the implementation, adaptation, and/or expansion of evidence-based programs to address ACEs, SUD, and overdose. Activities were coded to identify intersectional interventions that addressed ACEs, SUD, and overdose. Most of the ACEs prevention strategies and overdose prevention priority areas/guiding principles from which communities could choose were represented. Most activities were implemented with caregivers and families and addressed ACEs through interventions to lessen harm or to promote social norms. Primary prevention and coordination of resources were the most used overdose prevention priority area/guiding principle. It is possible to address the intersection of ACEs, SUD, and overdose on a local level. Opportunities to further address the intersection include incorporating more secondary and tertiary prevention strategies, expanding economic supports, and increasing the work focused on equity.

Training and mentoring of Health Workers and Cadres of Bengkulu City Health Center in Monitoring The Growth and Development of Toddlers with The SDIDTK Application

Monitoring children's growth and development is one of the basic programs implemented by Community health center (Puskesmas) to ensure a healthy life and improve children's welfare. The Bengkulu City Health Office identified limited human resources and a lack of supporting tools as inhibiting factors in achieving SDIDTK service targets. The service was carried out through training on Growth and Development Monitoring with the Android-based SDIDTK Application and field assistance. The training was held on July 24-25, 2024 with 36 participants consisting of 17 health workers, 17 cadres from 17 health centers, and 2 staff from the Family Welfare Division of the Bengkulu City Health Office at the Campus 4 Hall of Bengkulu University. The results of the pre and post-test of the training showed that 94% of participants increased their knowledge. The results of the assessment of skills in using the application showed that 100% of participants were able to do as directed. SDIDTK Kit assistance was delivered to 17 Puskesmas with the signing of the Minutes by the Head of Service implementer and staff of the Health Division of the Bengkulu City Health Office. Field assistance was carried out for 2 weeks after the training in 17 Puskesmas working areas.

Pengaruh Kompetensi Sumber Daya Manusia dan Efektivitas Sistem Informasi Pemerintahan Daerah terhadap Implementasi Anggaran Berbasis Kinerja dengan Komitmen Organisasi sebagai Variabel Moderating (Studi pada UPT Puskemas Dinas Kesehatan Pemerintah Kota Me

This study aims to analyze the influence of human resource (HR) competence and the Regional Government Information System (SIPD) on the implementation of performance-based budgeting at the UPT Puskesmas of the Medan City Health Office. In addition, this study also looks at how organizational commitment moderates the influence of HR competence and SIPD on the implementation of the budget. The method used is a quantitative associative approach with a Likert Scale-based questionnaire instrument. The research sample consisted of 123 respondents including the Head of the Puskesmas, Technical Activity Implementation Officers (PPTK), and Head of Administration (KTU) from 41 UPT Puskesmas in Medan City. The analysis was carried out using the Structural Equation Modeling (SEM) method with the help of SmartPLS.3 software. The results of the study indicate that HR competence and SIPD effectiveness have a significant effect on the implementation of performance-based budgeting. Organizational commitment has also been shown to moderate this influence, strengthening the relationship between HR competence, SIPD effectiveness, and budget implementation. This finding is important for improving budget management in the health sector.

Relationship Factors of Prevention of Leptospirosis Disease Prevention of Rat Rate in Tandang Village, Semarang City

Based on data from the Semarang City Health Office, the highest rat population in Tembalang District in 2019 was in Tandang Village, with 164 rats caught. In addition, in 2018 there were 4 cases of Leptospirosis in Tandang Village and Leptospirosis was the highest infectious disease in Tandang Village, Tembalang District, Semarang City. This study aims to determine the relationship between the behavioral factors of leptospirosis disease prevention on rat density in Tandang Village, Semarang City. This study is a cross sectional study with a total sample of 64 respondents (RW 03 Tandang Village, Semarang City). The results of the analysis showed that the relative density of rats (trap success) in Tandang village was 28.1% and it was categorized as dense (> 7%) and showed that there was no relationship between knowledge of rat density (α = 0.05. P = 0.068), community attitudes. In the prevention of leptospirosis on rat density (α = 0.05. p = 0.07), there was a relationship between leptospirosis prevention behavior and rat density (α = p = 0.00). Conclusion: There is no relationship between knowledge and attitude in the prevention of leptospirosis on rat density. There is a relationship between leptospirosis prevention practices and rat density in Tandang Village, Semarang City.

Food Safety Awareness and Proper Hygiene among Food Vendors

Proper hygiene practices among food vendors are crucial in ensuring food safety and preventing foodborne illnesses. Although food vendors play a critical role in the food supply chain, foodborne illnesses and food contamination can result from inadequate hygiene practices. This study aimed to assess the food safety awareness and hygiene practices of street vendors in Digos City. Eventually, data was collected from 150 randomly selected food vendors, and answered the adopted questionnaire using a 5-point Likert scale. The study used a descriptive-comparative research design to determine the awareness level of food vendors on food safety and proper hygiene. Based on the findings, the level of awareness on food safety is high. It indicates that food safety standards are consistently upheld across food vendors. While, the level of food hygiene among food vendors was described as high, thus, this indicates that the food hygiene among food vendors is well practiced and relatively evident. Findings also revealed that there was a significant difference between food safety awareness and proper hygiene practices among vendors when analyzed by profile. Hence, the study suggests that improving food safety and hygiene standards in Digos City can lead to a reduction in foodborne diseases and overall public health by implementing food safety training for vendors and must undergo regular inspections of city health office.

Analisis Pengaruh Budaya Organisasi dan Keadilan Organisasi Terhadap Organizational Citizenship Behavior (OCB) Dengan Komitmen Organisasional Sebagai Variabel Intervening

This study aims to determine the Analysis of the Influence of Organizational Culture and Organizational Justice on Organizational Citizenship Behavior (OCB) with Organizational Commitment as an Intervening Variable. (Study on Employees of the Mataram City Health Office). This study used primary and secondary data obtained through the distribution of questionnaires to respondents who were employees of the Mataram City Health Office. The population in this study is 76 employees of the Mataram City Health Office. This research is a quantitative research. The analysis method uses Partial Least Squares Structural Equation Modeling (PLS-SEM) using the SmartPLS v.4.0 tool. The results of the study show that Organizational Culture has a significant positive effect on Organizational Citizenship Behavior (OCB), Organizational Justice has a positive and significant effect on Organizational Citizenship Behavior (OCB), Organizational Culture has a positive and significant effect on Organizational Commitment, Organizational Justice has a positive and significant effect on Organizational Commitment, Organizational Commitment has a positive and significant effect on Organizational Citizenship Behavior (OCB), Organizational Culture has a positive and significant effect on Organizational Commitment through Organizational Citizenship Behavior (OCB), Organizational Justice has a positive and significant effect on Organizational Commitment through Organizational Citizenship Behavior (OCB).

Evaluation of Nutrition Supplementation and Nutrition Education Program in Preventing Malnutrition in Toddlers

Malnutrition in children under five is a serious global health problem, especially in developing countries. In Indonesia, the prevalence of stunting in 2020 reached 31.8%, which is second in Southeast Asia after Timor Leste. However, this figure has decreased to 21.6% in 2022, according to data from the Indonesian Ministry of Health. This study aims to evaluate the effectiveness of nutrition supplementation and nutrition education programs in preventing malnutrition in children under five. This research design is an evaluative design with a cross-sectional approach to obtain an overview at one time of the nutritional status of children under five years of age, program implementation, and results achieved. The input of the number of nutrition workers is lacking, the Puskesmas needs 1 community health worker, the equipment owned is still lacking in the laboratory section and must request procurement from the City or Provincial Health Office and funds for MT distribution are not yet available, the output is not yet on target and the program coverage has not yet reached the set achievement indicators. Suggestions for the Padang City government, especially the Padang City Health to procure facilities and infrastructure that are lacking in puskesmas, while for the Padang Health Center must conduct counseling on the importance of PMT-P so that the MT provided right on target.

Best Practices and Lessons Learned From the Public Health Disability Specialists Program: Addressing the Needs of People With Disabilities During COVID-19.

The Association of State and Territorial Health Officials (ASTHO) and the National Association of County and City Health Officials (NACCHO) applied funding issued by the US Centers for Disease Control and Prevention (CDC) to implement the Public Health Disability Specialists Program, part of a project to address the needs of people with disabilities during the COVID-19 pandemic. Disability specialists (subject matter experts) were embedded within state, territorial, and city/county health departments to help ensure disability inclusion in emergency planning, mitigation, and recovery efforts. To evaluate the success of the Disability Specialists Program in improving emergency response planning, mitigation, and recovery efforts for people with disabilities within participating jurisdictions. Disability specialists worked with their assigned jurisdictions to conduct standardized baseline health department needs assessments to identify existing gaps and inform development and implementation of improvement plans. CDC, ASTHO, and NACCHO implemented a mixed methods framework to evaluate specialists' success. State, territorial, and local health departments across 28 jurisdictions between January 2021 and July 2022. Average number of categories of gaps addressed and qualitative documentation of strategies, barriers, and promising practices. Specialists identified 1010 gaps (approximately 36 per jurisdiction) across eight needs assessment categories, most related to mitigation, recovery, resilience, and sustainability efforts (n=213) and communication (n=193). Specialists addressed an average of three categories of gaps identified; common focus areas included equitable COVID-19 vaccine distribution and accessible communications. Specialists commonly mentioned barriers related to limited health agency capacity (eg, resources) and community mistrust. Promising practices to address barriers included sharing best practices through peer-to-peer networks and building and strengthening partnerships between health departments and the disability community. Embedding disability specialists within state, territorial, and local health departments improved jurisdictional ability to meet evolving public health needs for the entire community, including people with disabilities.

Impact of iron tablet administration and nutritional counseling: Hemoglobin level improvement in anemic pregnant women

Background: According to the 2013 Riskesdas, the prevalence of anemia in Indonesia was 37.1%. Data from the Pariaman City Health Office showed that the prevalence of anemia in 2014 was 43.1%. This study aims to determine the effect of iron (Fe) tablets and nutritional counseling on hemoglobin levels in pregnant women with anemia in the Pariaman City area in 2016. Methods: This study is a quantitative study using a quasi-experimental design. The study population consisted of third-trimester pregnant women with anemia, divided into two groups: the Fe tablet group (n=20) and the Fe tablet plus nutritional counseling group (n=20). Data analysis was performed using univariate and bivariate analysis with the Dependent T-Test statistical test. Findings: The results showed that the average knowledge score in the Fe group was 0.3, while in the Fe plus nutritional counseling group it was 1.4. The average change in knowledge scores between the two groups showed a significant increase (p=0.002). The average attitude score in the Fe group was 2.15, while in the Fe plus nutritional counseling group it was 2.75. The average change in attitude scores between the two groups was not significant (p=0.205). The average action score in the Fe group was 1.050, while in the Fe plus nutritional counseling group it was 2.7. The average change in action scores between the two groups showed a significant increase (p=0.002). The average difference in hemoglobin levels in the Fe group was 0.280, while in the Fe plus nutritional counseling group it was 0.690. The average change in hemoglobin levels between the two groups showed a significant increase (p=0.008). Conclusion: It can be concluded that the provision of Fe supplementation and nutritional counseling results in a higher increase in hemoglobin levels compared to Fe tablets alone. It is hoped that nutritionists in the field will be more active in providing nutritional counseling to pregnant women with anemia to increase their knowledge about anemia. Novelty/Originality of this article: This study proposes an integrated nutritional intervention model combining Fe tablets with a community-based interactive nutritional counselling program. This model can increase the effectiveness of anaemia control programs in pregnant women by combining supplementation and education.

Epidemiology of Measles and Rubella in Yogyakarta City 2013-2022

Introduction: Measles and Rubella are still a public health problem in Indonesia, including in Yogyakarta. Extraordinary Measles and Rubella Incidents in the City of Yogyakarta are still being reported. In 2022, there will be 2 cases. Nevertheless, measles and Rubella have a high potential for transmission, death and cause more severe complications. This study aims to determine the trend of measles and Rubella cases in Yogyakarta from 2013-2022. Methods: This study used a descriptive research design. Data on measles and rubella cases were taken from the Yogyakarta City Health Office Case Based Measles Surveillance (CBMS) report for 2013-2022.Results: Measles and Rubella cases tend to decrease in 2018-2021 and increase again in 2022. Of the 2928 suspected measles, the majority were women (50.8%) and aged over 15 years. There were 459 confirmed cases of measles and 468 instances of Rubella. Of the two cases of measles and Rubella, most suffered from children. Conclusion: Laboratory-confirmed incidences of measles and rubella are found in all areas of the subdistrict and are more prevalent in children. Strengthening the body's resistance and immunity to measles-rubella infection must be done to prevent measles-rubella outbreaks with transmission in the school environment. Keywords: Measles, Rubella, Surveillance, Yogyakarta City

Investigating the Role of Local Board of Health Governance on Local Health Department Policymaking Behavior.

This study sought to identify groupings of policymaking behavior among local governmental health departments (LHDs) across the country and assess whether such groupings were associated with the governance activity of their board of health (BOH). We conducted latent class analysis (LCA) to identify possible classes of policymaking behavior among LHDs. Once classes were identified, we used multinomial logistic regression (MLN) to estimate the association between an LHD's policymaking behavior and the governance activity of their BOH. 2019 wave of the National Association of City and County Health Officials (NACCHO) Profile Survey. All LHDs with BOHs in the 2019 NACCHO Profile Survey (n=1003). Within our MLN, our primary outcome of interest was the association between an LHD's policymaking class (the main dependent variable) and the governance activity of its BOH (the main independent variable). Based on our LCA, we determined our sample to be composed of what we characterized as "Limited Policy-Involvement," "Average Policy Involvement," and "Expanded Policy Involvement" LHDs. Those in the Expanded Class were more likely to be involved across all policy areas compared to the Limited and Average class, especially among social determinants of health (SDOH)-related areas. Our MLN estimated that having a BOH active in legal authority was associated with an 86% increased chance that an LHD would be in the "Average Class" compared to the "Limited Class" and having a BOH active in partnership engagement was associated with an 86% more likely chance that an LHD is in the "Expanded Class" compared to the "Average Class." Using nationally representative data on LHD activity, we found distinct groups of policymaking behavior, including a quarter of LHDs that are highly active in traditional and SDOH-related policy areas. We also found that groupings of policymaking behavior, as indicated by class designation, are strongly associated with the BOH's governance activity.

Analysis of Coaching and Supervision Results for Bandung City Hospitals by the Bandung City Health Office in 2024

This study aims to determine the percentage increase in hospital facilities in Bandung from 2023 to May 2024 implemented by the Bandung City Health Office. The research method used is a qualitative method with a descriptive approach. The data collection technique used by researchers is a Focus Group Discussion of the coaching and supervision activities of Bandung City hospitals by the Bandung City Health Office 2024. The results showed that in 2023, the average number of facilities in 43 hospitals was 61.7 while 78.6. So there is an increase in the average value of hospital facilities in Bandung city from 2023 to 2024 this May by 16.93%. In addition, the infrastructure in hospitals from 2023 to 2024 has also increased. In 2023 itself, the average number of hospital infrastructure in Bandung city was 67.5 then increased to 80.9 in May 2024. So there was an increase in the percentage of hospital infrastructure in Bandung from 2023 to May 2024 by 13.4%. Furthermore, regarding medical devices, the increase that occurred in the results of the completeness of medical devices in Bandung city hospitals from 2023 was 12.1%. This can be seen from the average number of medical devices in 2023 Bandung City hospitals of 53.8 and 2024 until this May 65.9 so the implementation of hospital supervision and guidance activities has a significant impact on the process of developing hospital facilities in Bandung City.

KUALITAS PELAYANAN KESEHATAN PADA PENYINTAS THALASEMIA DI KOTA SUKABUMI

This study aims to determine the quality of health services for Thalassemia survivors in Sukabumi City. This study uses a qualitative research method with a narrative approach. The results of this study indicate that the Quality of Health Services for Thalassemia Survivors in Sukabumi City, especially at Rs. Bhayangkara Setukpa Sukabumi already has the following improvements: 1) Already has a special room for Thalassemia Survivors; 2) The chelation medicine already has various types of iron syrup, tablets, and brewed chelation medicine; 3) Have a special Thalassemia officer. As for when viewed based on the assessment of the dimensions of Reliability (Reliability), Responsiviness (Response/responsiveness), and Empathy (Empathy) health services provided by the apparatus/officers for Thalassemia Survivors are of high quality, but the dimensions of Tangibles (Intangible) and Assurance (Guarantee) are not qualified. or still not optimal, because the quality of health services provided is still not in accordance with the medical standards as outlined in the Regulation of the Minister of Health of the Republic of Indonesia Number 1109/MENKES/PER/VI/2011 concerning Technical Instructions for Guaranteed Thalassemia Treatment Services, especially in facilities and infrastructure. . The Sukabumi City Health Office provides a policy regarding the Health Services for Thalassemia Survivors in Sukabumi City, namely Thalassemia survivors participating in the National Health Insurance for the Healthy Indonesia Card (JKN KIS) do not need to go to the First Level Health Facility (FKTP) again to get referrals, and Thalassemia Sukabumi City has a halfway house as form of local government attention.

Peran Kepolisian Dalam Pelaksanaan Vaksinasi Di Kota Padang Sidempuan

This study aims to determine the role of the Indonesian National Police in implementing the Regulation of the Minister of Health of the Republic of Indonesia Number 10 of 2021 concerning Implementation of Vaccinations in the Context of Mitigating the Covid-19 Pandemic in the City of Padang Sidempuan. This researcher is a field research (Field Research) with a qualitative approach. The primary data sources in this study were the Padang Sidempuan City Police, Padang Sidempuan City Health Office employees, several local residents and secondary data sources were books, laws, articles and several journals. The data collection techniques for this research are observation, interviews and documentation which will then be analyzed using descriptive qualitative analysis techniques. The results of this study indicate that the Police have played an active role in inviting, encouraging and socializing the implementation of vaccinations and increasing public awareness about vaccines so that people are not affected by vaccine issues that are not true. Factors that influence the implementation of vaccinations in the City of Padang sidempuan, namely there are inhibiting factors that the community is still little educated about vaccines and lack of awareness about the importance of health and supporting factors, namely Krepolisian in collaboration with other agencies or institutions such as the Health Service. As for the fiqh siyasa review of the role of the Police in implementing the regulation of the Minister of Health of the Republic of Indonesia that the police are officers who carry out the tasks given by the leader, which in fiqh siyasa this leader is called ulil amri and in the fiqh siyasah rules it states that "Tasroful imamu a'larroiyyati manuwtun bil maslahati" which means, the policy of an imam or government must be based on benefit. So, if the role of the police is related to fiqh siyasa, there will be no deviations so that it does not harm the local community in carrying out the vaccination.

Overdose prevention activities led by local public health departments, 2019–2023

BackgroundDrug overdose deaths in the United States increased to historic levels in recent years, with provisional estimates indicating more than 111,000 deaths in the 12 months ending July 2023. In 2019, the Centers for Disease Control and Prevention’s Division of Overdose Prevention in collaboration with the National Association of City and County Health Officials, funded local health departments (LHDs) to work on overdose prevention activities. This paper aims to: 1) describe the overdose prevention activities that LHDs implemented during the four eighteen-month funding cycles; 2) identify programmatic successes and areas of opportunity for LHDs to consider when implementing future overdose prevention activities; and to 3) inform policy considerations and future overdose prevention programming at the local level.MethodsWe used programmatic data to identify overdose prevention activities implemented by 45 LHDs. Activities were double-coded according to the social-ecological model and the U.S. Department of Health and Human Services Overdose Prevention Strategies and Guiding Principles. We analyzed final codes to identify distribution and overlap of the Strategies and Guiding Principles across the social ecological model co-occurrences.ResultsApproximately 55.9% (n=123) of the 220 overdose prevention activities that were coded took place at the community level, 32.3% (n=71) at the individual level, 8.6% (n=19) at the relationship level, and 3.2% (n=7) at the policy level. Most of the activities were coded as coordination, collaboration, and integration (n=52, 23.6%), harm reduction (n=51, 23.1%), data and evidence (n=47, 21.4%) or reducing stigma (n=24, 10.9%). Few activities were related to primary prevention (n=14, 6.4%), equity (n=14, 6.4%), recovery support (n=11, 5.0%), and evidence-based treatment (n=7, 3.2%).ConclusionsLocalities have primarily implemented activities focused on the community and individual levels, with most of these centered around coordination, collaboration, and integration; harm reduction; or data and evidence. This study identified gaps in overdose prevention for LHDs related to treatment and health equity and that more interventions should be implemented at the relationship and policy levels. Continuing these efforts is important as LHDs explore opportunities to enhance and expand their work in various strategy areas across the social ecology. Findings from this study may be used to inform localities as they design and implement future overdose prevention activities.

Implementation of ODF (Open Defecation Free) Program in Warudoyong Sub-district, Sukabumi City

This study aims to examine how the implementation of the open defecation free (ODF) program in Warudoyong Sub-district, Sukabumi City. The Open Defection Free (ODF) program is a government program that aims to change hygienic and sanitary behavior through community empowerment so that the community independently improves good health status. The urgency of this research is due to the lack of public awareness of the importance of hygiene and health. In Warudoyong Sub-district, Sukabumi City, there are still people in two villages who practice open defecation. Based on data from the Sukabumi City Health Office, from 2019 to 2022 there was no decrease in open defecation rates in Nyomplong Village and Warudoyong Village. The research method used a descriptive qualitative method with a snowball sampling technique and the number of respondents was six informants. The result of this research is that the ODF program in Warudoyong Sub-district, Sukabumi City has not been running optimally, due to the lack of public awareness about the importance of the ODF program and limited land for the construction of communal septic tanks. Therefore, the recommendation for this research is the need for community roles and cooperation to improve facilities for the construction of communal septic tanks so that people can improve the quality of clean and healthy living, and increase socialization media by utilizing social media to provide information about the benefits of the ODF program to increase knowledge for the community.

Not Only How Much But How: The Importance Of Diversifying Funding Streams In A Reimagined Public Health System.

Revenue diversification may be a synergistic strategy for transforming public health, yet few national or trend data are available. This study quantified and identified patterns in revenue diversification in public health before and during the COVID-19 pandemic. We used National Association of County and City Health Officials' National Profile of Local Health Departments study data for 2013, 2016, 2019, and 2022 to calculate a yearly diversification index for local health departments. Respondents' revenue portfolios changed fairly little between 2016 and 2022. Compared with less-diversified local health departments, well-diversified departments reported a balanced portfolio with local, state, federal, and clinical sources of revenue and higher per capita revenues. Less-diversified local health departments relied heavily on local sources and saw lower revenues. The COVID-19 period exacerbated these differences, with less-diversified departments seeing little revenue growth from 2019 to 2022. Revenue portfolios are an underexamined aspect of the public health system, and this study suggests that some organizations may be under financial strain by not having diverse revenue portfolios. Practitioners have ways of enhancing diversification, and policy attention is needed to incentivize and support revenue diversification to enhance the financial resilience and sustainability of local health departments.

Mapping for Tracking Sexually Transmitted Infections by Subdistricts in Surabaya, Indonesia

The 2014 shutdown localization of prostitution in Surabaya City, East Java Province, Indonesia, has given rise to an illegal prostitution industry, resulting in the spread of uncontrolled sexually transmitted infections (STIs). Mapping needs to be done to track the spread of the disease. This study used secondary data on STIs in 2020 from the Surabaya City Health Office. By using biplot analysis, this study sought to offer a detailed understanding of the distribution and dynamics of STI cases in different parts of Surabaya. The early-stage syphilis was found in Tegalsari and Krembangan Subdistricts; then, gonorrheal urethritis was found in Tandes, Karang Pilang, and Pabean Cantian Subdistricts. Meanwhile, gonorrhea was typically found in Tandes, Gunung Anyar, Sawahan, and Karang Pilang Subdistricts. On the other hand, Tegalsari, Krembangan, and Pabean Cantian Subdistricts also had cases of advanced syphilis. This study enables relevant parties, specifically the Surabaya City Health Office, to monitor the method's rapid spread and respond to each case according to the predominant type of STI.

Evaluation of internship program Kampus Merdeka in the community-based total sanitation facilitator field at community health center Dr. Soetomo

The MSIB Kampus Merdeka program is a program that plays a role in bridging and securing the availability of quality talent for national industries that need alternative solutions to obtain talent that meets the qualifications and fits the culture of the organization so that they can make a real contribution over a long period. However, in the implementation of the internship program by the Surabaya City Health Office partners in the field of Community-Based Total Sanitation facilitators, there are still discrepancies in several components. The purpose of this study is to evaluate the Merdeka Campus Internship program at the Surabaya City Health Office for the Community-Based Total Sanitation Facilitator field. This research is a type of evaluative research with a qualitative descriptive approach using the CIPP Model (Context, Input, Process, Product). Data was obtained through interviews and observations. Data analysis techniques by presenting data in the form of descriptions and verified by concluding. The results of the evaluation based on 4 components show that the content component is not yet appropriate in terms of background and program objectives, the input component is still lacking in human resources and the use of facilities and infrastructure, the process component is in accordance with the specified operating hours and the evaluation of activities carried out is not optimal, the product component is still largely developed due to the limited role of student interns. This study concludes that there are still elements in several components that are evaluated that are still not in accordance with the program plan.

Communication Strategy for Handling Cases of Stunting and Bad Nutrition Through The 2023 Stunting Free Program (Bessan) in Cipocok District, Serang City

Cases of stunting and malnutrition that children suffer from or have the potential to have negative consequences for the future of the younger generation. There are 91 cases in Cipocok Jaya District spread across 8 villages. This occurs due to various factors including poverty, low education, lack of knowledge regarding good nutritional intake for children. A strategy is needed to communicate intensively with communities with stunted and malnourished children so that they can get out of this situation. This research uses a qualitative approach through observation and interview data collection. The research results show that the communication strategy in handling stunting and malnutrition through the Stunting Free 2023 (Bessan) program in Cipocok Jaya District, Serang City uses a communication strategy approach which includes getting to know the audience, compiling messages, determining methods and selection and use of media which has been effective. The communication strategy to get to know the audience is carried out through surveys and data collection, identifying indicators of sufferers and potential stunting. The second strategy determines the micro-scale goal of reducing stunting sufferers, the macro-scale of stunting cases at zero, where this treatment accommodates community self-help. The next communication strategy is to develop messages so that people's lifestyle behavior becomes healthy by conveying the importance of nutritious food intake for children. Methods for determining the methods used are socialization and counseling, accommodating community self-help through healthy exercise activities, regular recitations, and Gowes Lur events. This series of activities is a collaborative innovation in Cipocok Jaya District which involves stackholders starting from the Serang City Health Office, Serang City DP3AKB, KUA, as well as cadres from both posyandu cadres and PKK Community Institution cadres. Research findings show the importance of consistent mentoring or accompanying posyandu cadres and PKK community organizations as an important instrument for a sustainable communication strategy in efforts to reduce stunting and malnutrition rates.