IPINTERNASIONALIPINTERNASIONAL

International Journal of Community Service (IJCS)International Journal of Community Service (IJCS)

Tropical diseases remain important determinants of reproductive health in endemic regions; However, screening for these infections is rarely integrated into reproductive health services at the primary care level. This fragmentation contributes to low early detection and an increased risk of complications among women of reproductive age. This community service program aims to develop and implement an integrated model for tropical disease screening within reproductive health services at Puskesmas Amplas, Medan City. The program employed a pre–post intervention design involving women of reproductive age (15–49 years) selected through stratified random sampling. The intervention included clinical screening, health education, and the strengthening of referral and integrated recording systems. The results demonstrated a significant increase in early detection coverage and participants knowledge, with a substantial proportion of respondents identified as having previously undetected risk factors for tropical diseases. Implementation of the integrated service model also enhanced the capacity of primary healthcare providers in delivering promotional and preventive services. These findings indicate that integrating tropical disease screening into reproductive health services is an effective and scalable approach to strengthening primary healthcare systems in endemic areas and improving community reproductive health outcomes.

This community service project demonstrates that integrating tropical disease screening into reproductive health services at the Amplas Community Health Center in North Sumatra is an effective and feasible approach for primary health care in endemic areas.The developed integrated service model improves the early detection of tropical disease risk factors in women of reproductive age, strengthens the referral system, and enhances the capacity of health workers to provide more comprehensive preventive and promotive services.These findings confirm that tropical diseases are important determinants of reproductive health and have not been optimally addressed owing to service fragmentation.

Penelitian lebih lanjut perlu dilakukan untuk mengeksplorasi efektivitas model integrasi ini dalam berbagai konteks geografis dan demografis di Sumatera Utara, dengan mempertimbangkan perbedaan aksesibilitas layanan kesehatan dan prevalensi penyakit tropis. Selain itu, studi longitudinal diperlukan untuk mengevaluasi dampak jangka panjang dari integrasi skrining penyakit tropis terhadap hasil kesehatan reproduksi, seperti tingkat kesuburan, komplikasi kehamilan, dan kesehatan bayi. Terakhir, penelitian kualitatif dapat dilakukan untuk memahami persepsi dan pengalaman tenaga kesehatan serta pasien terkait implementasi model integrasi ini, guna mengidentifikasi faktor-faktor penghambat dan pendukung keberlanjutan program.

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