Empowering Health Cadres in the Aftermath of Floods in Support of the SDGs and Asta Cita
Pemberdayaan Kader Kesehatan Pascabencana Banjir Guna Mendukung SDGs dan Astacita
DOI:
https://doi.org/10.51771/jukeshum.v6i2.2234Keywords:
Health workers, primary health care, post-flood recovery, empowerment, community health centersAbstract
The flood disaster in the working area of the Pantai Cermin Tanjung Pura Community Health Center (UPT Pantai Cermin Tanjung Pura) caused an increase in disease cases and disrupted primary health care services. Strengthening the community-based health system through cadre empowerment is a strategy to support the achievement of SDGs No. 3 and Astacita. However, there is no structured program that empirically and measurably tests the effectiveness of cadre empowerment in the recovery of primary health care services after a flood disaster. This study aims to test the effectiveness of the health cadre empowerment program in supporting the recovery of primary health care services after a flood disaster. The study used a quasi-experimental one-group pretest–posttest design on 100 health cadres selected by purposive sampling. Interventions included training in post-flood priority disease screening, home care assistance, and patent-based monitoring, namely A Method to Increase Independence to Detect Health Status and Follow Up on Appropriate Treatment (IDS000004526) and an Integrated System for Telenursing-Based Disease Management (IDS 000007625). Analysis was conducted using a paired samples test. The results showed significant improvements across all dimensions, including early detection knowledge, screening and education implementation, home care implementation, digital monitoring, and case reporting (p<0.001). Therefore, the cadre empowerment program effectively strengthened primary healthcare capacity after the flood disaster. Future research is recommended to use a control design and long-term follow-up to assess the sustainability of the intervention's impacts.
References
Agarwal, S., Sripad, P., Johnson, C., Kirk, K., Bellows, B., Ana, J., … Warren, C. (2019). A conceptual framework for measuring community health workforce performance within primary health care systems. Human Resources for Health, 17. https://doi.org/10.1186/s12960-019-0422-0
Andriyanto, A., Hidayati, R. N., & Ibnu, F. (2020). Cadre Capabilities In Preparation For Prevention Of Infective Diseases When Flood Disaster: Health Promotion Through Support Group. 3, 566–572. https://doi.org/10.35654/ijnhs.v3i1.300
Ariga, Reni Asmara, Ikhsan, E., Ariga, S., Ariga, F. A., Astuti, S. B., Ariga, H. P. S., & Karnodi. (2022). Patent No. IDS000007625. Indonesia.
Ariga, Reni A. (2021). Patent No. IDS000004526. Indonesia.
Badan Pusat Statistik Kabupaten Langkat. (2024). Kecamatan Tanjung Pura Dalam Angka 2024 .
Dræbel, T., Gyawali, B., Ratib, D., Nanfuko, E. K., Nankanjako, R., Raju, E., … Kyanddondo, D. (2025). 281 Working through community health workers: how village health teams in Uganda ensure continuity of care for refugees with hypertension and diabetes. The European Journal of Public Health, 35. https://doi.org/10.1093/eurpub/ckaf180.253
Fatmah, F., Purwana, R., & Bisri, M. (2024). Role of Kader Siaga Bencana in the flood management of selected Kampung Siaga Bencana. Jàmbá : Journal of Disaster Risk Studies, 16. https://doi.org/10.4102/jamba.v16i1.1645
Iyer, A., Bookstein, A., Kim, G., & Po, J. (2025). Community-based solutions for chronic disease management during natural disasters: A systematic review. PLOS Global Public Health, 5(8), e0004997. https://doi.org/10.1371/journal.pgph.0004997
Knowles, M., Crowley, A., Vasan, A., & Kangovi, S. (2023). Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States. Annual Review of Public Health, 44, 363–381. https://doi.org/10.1146/annurev-publhealth-071521-031648
Lamberti-Castronuovo, A., Valente, M., Barone-Adesi, F., Hubloue, I., & Ragazzoni, L. (2022). Primary health care disaster preparedness: A review of the literature and the proposal of a new framework. International Journal of Disaster Risk Reduction. https://doi.org/10.1016/j.ijdrr.2022.103278
Mbola, P., Nkosi, D., & Morakinyo, O. (2024). Disaster management training for environmental health: A narrative literature review. Jàmbá : Journal of Disaster Risk Studies, 16. https://doi.org/10.4102/jamba.v16i1.1706
Mistry, S., Harris, E., & Harris, M. (2021). Community Health Workers as Healthcare Navigators in Primary Care Chronic Disease Management: a Systematic Review. Journal of General Internal Medicine, 36, 2755–2771. https://doi.org/10.1007/s11606-021-06667-y
Novela, V. (2026). Public Health Management Readiness in Controlling the Risk of Infectious Diseases Post-Disaster. Miracle Get Journal. https://doi.org/10.69855/mgj.v3i1.482
Rogers, A., Goore, L., Wamae, J., Starnes, J., Okong’o, S., Okoth, V., & Mudhune, S. (2023). Training and experience outperform literacy and formal education as predictors of community health worker knowledge and performance, results from Rongo sub-county, Kenya. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1120922
Sacks, E., Morrow, M., Story, W., Shelley, K., Shanklin, D., Rahimtoola, M., … Olmen, J. (2019). Beyond the building blocks: integrating community roles into health systems frameworks to achieve health for all. BMJ Global Health, 3. https://doi.org/10.1136/bmjgh-2018-001384
Scott, K., Beckham, S., Gross, M., Pariyo, G., Rao, K., Cometto, G., & Perry, H. (2018). What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers. Human Resources for Health, 16. https://doi.org/10.1186/s12960-018-0304-x
UPT Puskesmas Pantai Cermin. (2024). Profil Kesehatan UPT Puskesmas Pantai Cermin. Langkat.
Utunen, H., Balaciano, G., Arabi, E., Tokar, A., Bhatiasevi, A., & Noyes, J. (2024). Learning interventions and training methods in health emergencies: A scoping review. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0290208
Wallis, K., Mwangale, V., Gebre-Mariam, M., Reid, J., & Jung, J. (2023). Software Tools to Facilitate Community-Based Surveillance: A Scoping Review. Global Health: Science and Practice, 11. https://doi.org/10.9745/ghsp-d-22-00553
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Copyright (c) 2026 Reni Asmara Ariga, Edy Ikhsan, Aldy Safruddin Rambe, Rina Amelia, Puan Maharani, Tiki Anugraini Pasaribu, Fajar Amanah Ariga, Sri Budi Astuti, Selviani Ariga, Hijrah Purnama Sari, Dian Maya Sari, Youlanda Sari, Ghina Faras Syifa, Humam Arkhan, Tetty Wahyuni Panjaitan

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