Upaya Pencegahan dan Pengendalian Leptospirosis Melalui Penyuluhan Kepada Kader Kesehatan dan Perangkat Desa di Wilayah Kerja Puskesmas K, Kabupaten Tangerang, Provinsi Banten Tahun 2026

Abstract

Leptospirosis is a zoonotic disease that remains a public health concern in Indonesia, particularly in areas with inadequate environmental sanitation, high rodent populations, and a risk of flooding. Based on the results of a community diagnosis program conducted in the working area of K Primary Health Center, Tangerang Regency, involving 30 respondents, leptospirosis was identified as a priority health problem due to the increasing number of cases, limited community knowledge, and the presence of various environmental and behavioral risk factors. This community service program aimed to improve the knowledge and capacity of community health volunteers and village officials in preventing and controlling leptospirosis. The methods included health problem identification, priority setting using the Urgency, Seriousness, and Growth (USG) and Delphi methods, the Blum Paradigm to analyze contributing factors, and the 5 Whys and Fishbone Diagram to identify the root causes of the problem. Based on the root cause analysis, the intervention program was planned, monitored, and evaluated using a Log Frame, Plan of Action (POA), timeline, Plan-Do-Check-Act (PDCA), and systems approach. The effectiveness of the health education provided to 28 community health volunteers and village officials throughout K Subdistrict was assessed using pretest and posttest evaluations. The mean score increased from 8.7 on the pretest to 9.7 on the posttest. In the medium term, this intervention is expected not only to further improve the knowledge and capacity of community health volunteers but also to strengthen village commitment to leptospirosis prevention and control within their respective communities. This approach is expected to strengthen health promotion, early detection, and community empowerment in leptospirosis prevention and control in the working area of K Primary Health Center, as well as serve as a consideration for the development of future community-based health programs.