Integration of Tropical Disease Screening in Reproductive Health Services at Amplas Community Health Center, North Sumatra
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Abstract
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.
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References
Schierhout, G.Fonn, S.Integration of Primary Health Care Services: A Systematic Literature Review. A classic study of primary health care integration strategies discusses how combining services can improve access to and quality of health care, including reproductive and disease services.
Leon, N., & Xu, H. (2023). Implementation considerations for non-communicable disease-related integration in primary health care: A rapid review of qualitative evidence. BMC Health Services Research 23, 169. This article reviews factors in implementing service integration in primary care that are relevant to the PKM integration strategy in community health centers.
Mait, TO, Rosyidah, R., Sulistyawati, S. (2025). Evaluation of Health Promotion Readiness in the Implementation of the Primary Service Integration Program (ILP) in Community Health Centers. Innovative Research Journal 5(1) 133–140. This study provides an overview of community health center readiness for implementing the primary service integration program, including operational aspects relevant to the developed model.
Budiharsana, MP Integrating reproductive tract infection services into family lanning settings in Indonesia. Guttmacher Institute. This study highlights the integration of reproductive infection services with family planning services in Indonesia, relevant to the context of integrating tropical disease screening with reproductive services.
Aprillita, D., Ingkiriwang, E., Parashakti, RD et al. (2025). Higher Education Institutions & GPSI Soteria Care for Health: Management of the Early Cervical Cancer Screening Program with the Tanjung Priok Community Health Center Towards a Healthy Indonesia 2045. Bhinneka Community Service Journal, 3(4), 751–758. Examples of Community Service articles that integrate reproductive health screening at community health centers can serve as methodological and contextual references.
Irma, Yusuf Sabilu, Harleli, Sitti Farida, & Nur Syawaliyah Zahrah (2023). Efforts to Prevent Tropical Disease Infections Through Counseling on Clean and Healthy Living Behavior in Children. Journal of Community Service: Health, 3(4), 48–58.
This article discusses the prevention of tropical disease infections through the PHBS approach, which is relevant as literature to strengthen the background of tropical infection problems in the community.
Sari, RP, Yunita, J., Kiswanto, K. et al. (2024). Strategy for Increasing Coverage of Non-Communicable Disease Risk Factor Screening in Rokan Hulu Regency in 2024. PREPOTIF: Journal of Public Health, 8(3), 6056–6066. Risk factor screening in relevant primary facilities as an example of a screening coverage evaluation strategy.
Strategies for integrating primary health services in low- and middle-income countries at the point of delivery.Cochrane Database of Systematic Reviews. Systematic reviews assessing the impact of primary care integration strategies on healthcare outcomes across developing country contexts.