LOKAKARYA LINTAS SEKTOR BIDANG KESEHATAN TW III TINGKAT KECAMATAN BABAKAN CIPARAY TAHUN 2026

Key wellness & public-health strategies mentioned (from the workshop)

Cross-sector, integrated health approach

• Coordinate cooperation across sectors (health, education, environmental/regional apparatus, community) to improve service quality in Babakan Ciparay.
• Build a shared commitment among stakeholders (e.g., UPTD Puskesmas, sub-district/village leaders, DPRD representatives, KUA/religious leaders, PKK/Posyandu cadres, schools, and others).
• Use a “domino effect / burning house” framing:
  • Don’t only react after problems worsen (e.g., after stunting or dengue cases occur).
  • Prevent early by identifying risk factors and acting upstream.

Stunting / nutrition prevention (upstream focus)

• Treat stunting as a nutritional + environmental + life-stage issue—not only a child’s height problem.
• Start prevention earlier than toddler age:
  • Focus on adolescents, prospective brides/grooms, and the “first 1000 days” (from conception until age 2).
• Improve PMT (supplementary feeding) programs:
  • Nutrition support should be sufficient and consistent (e.g., consecutive months), not once-a-month only.
  • Ensure help is targeted to children who truly need intervention, and account for comorbidities (e.g., TB can prevent weight gain even if food is provided).
• Address broader drivers:
  • House suitability and toilet/sanitation access (proposed: improve homes and ensure toilets).
  • Clean water quality and safe sanitation to prevent diarrhea/infection that worsen nutrition.
  • Parenting patterns and barriers linked to family poverty.

Dengue prevention (3M + environmental management over “fogging-only”)

• Fogging (“pogging”) is not a solution by itself—only short-term.
• Prioritize:
  • PSN/3M: clean up water-holding containers, eliminate mosquito breeding sites, and manage surroundings.
• Strengthen surveillance and rapid action:
  • When a patient is identified, report immediately so community/environmental actions can be triggered quickly.
• Guidance for household actions:
  • Clean and manage items that can become mosquito breeding nests (e.g., dispensers/containers that become dirty or are not monitored).

TB (tuberculosis) prevention & treatment adherence

• TB is curable if medicine is taken regularly.
• Cadre role:
  • Refer anyone with suspicious symptoms (e.g., cough > ~2 weeks) promptly to the Puskesmas.
• Strengthen a “3T”-style approach (as described):
  • Testing/screening, tracing, and treatment.
• Household contact management:
  • Conduct integrated CKG + TB activities so household contacts can be assessed.
  • Provide TPT (tuberculosis preventive therapy) to eligible asymptomatic contacts to break transmission.

HIV/AIDS & STI risk awareness + VCT intent

• Mentioned:
  • Existing HIV positive cases and STI cases.
• Emphasis:
  • Concern that HIV risk affects housewives/pregnant women.
• Plan for VCT (voluntary counseling and testing):
  • Voluntary, not forced.

Immunization & deworming

• Immunization gaps were discussed, including the note that some vaccines (e.g., HPV) are free and should be utilized.
• HPV is described as preventing future serious disease (uterine cancer context).
• Deworming:
  • Administer deworming to school-age children; coverage reported as high.

UHC access (health financing support)

• UHC access described as not based solely on deciles.
• Mechanism:
  • Obtain a poverty/inability certificate from the sub-district/village, then UHC can be accessed with required documents (e.g., Bandung ID card).

Posyandu cadre strengthening (“eyes and ears”)

• Posyandu/PKK cadres described as the frontline for early detection and monitoring:
  • Track nutrition, sanitation, and household health risks.
  • Report findings to the sub-district/health center so interventions happen quickly.
• Improve performance using data & continuous evaluation, not only event outputs.

Mental wellness / ODGJ care mention

• The environmental health officer discussed SPM achievements, including service coverage for people with severe mental disorders (ODGJ), while noting there are still people who need care.

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Productivity / implementation tips (operational improvements)

• Shift from output-only reporting to outcome-focused indicators, measuring impact (e.g., recovery and sustained prevention), not just attendance.
• Use risk mapping and targeted accompaniment:
  • Identify high-risk categories and provide specific, measurable interventions.
• Recalibrate success indicators:
  • Ensure upstream milestones first (anemia intervention for young women, premarital checks, early dropout risk detection, pregnant-women special interventions, early child marriage prevention).
• Improve data accuracy:
  • Avoid reporting “numbers only”; verify real conditions in the field.

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Presenters / sources mentioned

• Mr. Deni Nursani (Bandung City DPRD, PKS faction)
• Mr. Edi (Head of Babakan Ciparay District / sub-district leadership as referenced)
• Dr. Muhammad Ali Mamora (Head of UPTD Puskesmas Sukaji; referenced in multiple segments)
• Mr. Asep Apepudin (MUI Babakan Ciparay District representative; prayer/du’a facilitator)
• Reziani Legiawati (EJ) (Environmental Health Officer, Puskesmas Sukaji)
• Rahmat Suhendar (Ustaz Rahmat / Pak Dewan / URAS) (Chair of URAS Ustaz Rahmat Suhendar; moderator/questioner)
• Heri (CO of Penang/?? Commission of Bandung City, assigned to Babakan Ciparay District—as stated in subtitles)
• Buita (presenter/questioner from a Puskesmas; TB-related integrated activity discussion)
• H. Dede Nursani (mentioned in a Q&A segment)
• Heri / Kang Cahya / Kang Heri (mentioned as attendees/leaders; exact roles partially unclear due to subtitle errors)
• MUI, KUA, Danramil, Polsek / “Ramin Police Chief” / TRI-related officials (referenced as part of the cross-sector team)

Note: An optional extraction was suggested for implied workflows (e.g., stunting workflow, dengue 3M workflow, TB contact workflow).