Evaluation of the deworming medication program for school-aged children in the working area of Puskesmas Simpang IV Sipin

Evy Wisudariani; Arnati Wulansari; Ahmad Thohir Hidayat; Zahra Frizki Asty

doi:10.22437/proca.v1i2.50453

Authors

Evy Wisudariani Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jamb
Arnati Wulansari Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi
Ahmad Thohir Hidayat Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi
Zahra Frizki Asty Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Jambi

DOI:

https://doi.org/10.22437/proca.v1i2.50453

Keywords:

Neglected disease; helminth; evaluation; program

Abstract

Background: Neglected Tropical Diseases (NTDs) remain a public health concern in Indonesia. Several prioritized NTDs include filariasis, soil-transmitted helminthiasis (STH), schistosomiasis, leprosy, rabies, and yaws. STH infections are among the neglected tropical diseases posing significant public health problems, particularly in areas with poor sanitation and low health awareness. School-aged children (5-14 years) are especially vulnerable to worm infections including Ascaris lumbricoides, Trichuris trichiura, and Ancylostoma duodenale due to various adverse effects including anemia, malnutrition, stunted growth, and decreased concentration in learning. Methods: A comprehensive evaluation of the deworming program is conducted to determine its effectiveness, identify existing obstacles, and formulate more targeted improvement strategies. The evaluation is based on four building blocks: input, process, output and outcome, using a mixed descriptive approach with questionnaires for interviews and direct observation. Results: The program officer has an educational background in three-year Diploma of Midwifery with 15 years of work experience. Although not officially appointed, field activities are supported by personnel from Environmental Health, Health Promotion, and other Public Health divisions. There is no official technical guideline for implementation; information from the Health Office has only been communicated via WhatsApp messages. Instructional materials are clear, but school cooperation is essential in reminding students and parents to ensure medication is taken. Conclusion: The helminthiasis control program at Puskesmas Simpang IV Sipin has been fairly well-executed according to technical guideline criteria, though specific training should be provided to enhance program manager capacity and performance.

Downloads

Download data is not yet available.

Author Biographies

Evy Wisudariani, Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jamb

Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jamb

Arnati Wulansari, Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Ahmad Thohir Hidayat, Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Departement Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Zahra Frizki Asty, Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Medicine, Faculty of Medicine and Health Sciences, Universitas Jambi

References

[1] dr. Siti Nadia Tarmizi ME. Sejumlah Penyakit Tropis Ini Harus Diwaspadai [Internet]. 2023 Jan [cited 2025 May 23]. Available from: https://kemkes.go.id/id/sejumlah-penyakit-tropis-ini-harus-diwaspadai.

[2] Zubaidi MM, Hariyanto T, Ardiyani VM. Hubungan personal hygiene (cuci tangan menggunakan sabun) dengan kejadian penyakit cacingan pada anak kelas I-VI MI Nahdlatul Wathan (NW) Bimbi Desa Rensing Raya Kec. Sakra Barat Kab. Lombok Timur. Nursing News: Jurnal Ilmiah Keperawatan. 2017;2(3).

[3] Armaijn L, Darmayanti D, Buyung S, Hidayat R. Faktor-Faktor yang Berhubungan dengan Risiko Kecacingan pada Anak Sekolah Dasar di Kota Ternate. Malahayati Nursing Journal. 2023;5(8):2486–98.

[4] Adiwinoto RP, Adnyana IMDM, Soedarsono S, Gustam TYP. From silos to systems: Reimagining zoonotic neglected tropical disease management through the lens of one health. Svāsthya Trends Gen Med Public Health. 2024 Nov. 30;1(3):e61.

[5] Munira SL. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Jakarta: Badan Kebijakan Pembangunan Kesehatan Kementrian Kesehatan RI. 2023;77.

[6] Kompas. Lebih dari 58 Juta Anak Jadi Sasaran Minum Obat Cacing [Internet]. 2023 Aug [cited 2025 May 23].

[7] BRIN. Pengendalian Penyakit Tropis Terabaikan, BRIN Ajak Stakeholder Kolaborasi Riset. 2022 Nov.

[8] Muharika D. Metodologi penelitian evaluasi program. Alfabeta; 2019.

[9] Hajaroh M. Pohon teori evaluasi kebijakan dan program (metode, nilai dan menilai, penggunaan). Foundasia. 2018;9(1).

[10] Harris J., Worrell C., Davis S., Odero K., Mogeni O., Deming M.et al.. Unprogrammed deworming in the kibera slum, nairobi: implications for control of soil-transmitted helminthiases. Plos Neglected Tropical Diseases 2015;9(3):e0003590. https://doi.org/10.1371/journal.pntd.0003590.

[11] Saboyá-Díaz M., Angeles C., Yajahuanca R., Ruíz S., Cabrera R., Morales H.et al.. Associated factors of the co-occurrence of trachoma and soil-transmitted helminthiases in children 1 to 9 years old in rural communities of the amazon basin in loreto department, peru: results from a population-based survey. Plos Neglected Tropical Diseases 2022;16(7):e0010532. https://doi.org/10.1371/journal.pntd.0010532.

[12] Petrosino A., Morgan C., & Boruch R.. Protocol: the effects of k‐12 school enrollment interventions in developing nations. Campbell Systematic Reviews 2010;6(1):1-32. https://doi.org/10.1002/cl2.74.