Integrated Health Screening and Community Empowerment to Address Health Issues and Nutritional Status

https://doi.org/10.53770/amjpm.v6i1.1104

Authors

  • Norma Tiku Kambuno Department of Medical Laboratory Technology, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Simon S. Kleden Department of Nursing, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Michael B. Bhia Department of Medical Laboratory Technology, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Johanes J.P Sadukh Department of Sanitation, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Juni G.L. Sine Department of Nutrition, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Loriana L. Manalor Department of Midwifery, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Nabilah N. Ilma Department of Midwifery, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia
  • Ni Ketut Y. Sari Department of Medical Laboratory Technology, Poltekkes Kemenkes Kupang, Kupang, Nusa Tenggara Timur, Indonesia

Keywords

Portable X-ray Stunting Non-Communicable Diseases Malaria Kualeu Village

Abstract

Kualeu Village, South Central Timor Regency, faces complex health issues with a toddler stunting rate of 56.55% and low coverage of infectious and non-communicable disease (NCD) case detection. This community service program aimed to increase the detection of new disease cases through integrated health screening and to improve the capacity of cadres and mothers in handling stunting and environmental health. The activities were conducted from 21–23 April 2026 using active screening methods, including AI-based portable X-ray technology, NCD screening, training on locally based complementary feeding (MP-ASI) preparation, baby massage techniques, and larval monitoring cadres (jumantik). The targets were 97 students of Anauban Junior High School and 113 residents at the Kualeu Village Office. Portable X-ray screening detected TB symptoms in 3 students (3.09%) and 4 villagers (3.54%). Malnutrition/underweight was identified in 25.77% of students and 17.70% of villagers. NCD screening among adults at the village office revealed high-risk rates: hypertension (23.01%), abnormal random blood glucose (21.24%), and abnormal uric acid (30.09%). All respondents (100%) tested negative for malaria. Educational activities focusing on MP-ASI training, baby massage, and Jumantik training successfully strengthened participants’ knowledge and practical competencies. In conclusion, AI-based portable X-ray technology demonstrates strong effectiveness in enhancing active TB case finding in remote rural areas. The high burden of NCDs and malnutrition underscores the need for integrated follow-up interventions through strengthened primary health services (Posbindu and Posyandu) to support stunting reduction and improve population health outcomes.  

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References

Abbas, U., Masood, K. I., Khan, A., Irfan, M., Saifullah, N., Jamil, B., & Hasan, Z. (2022). Tuberculosis and diabetes mellitus: Relating immune impact of co-morbidity with challenges in disease management in high burden countries. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 29, 100343. https://doi.org/10.1016/j.jctube.2022.100343

Badan Pusat Statistik Kabupaten Timor Tengah Selatan. (2025). Kecamatan Mollo Tengah dalam angka 2025. Badan Pusat Statistik Kabupaten Timor Tengah Selatan.

Boro, R. M. (2017). Assosiation Between Mother Knowledge Related Nutrition and Complementary Feeding Pattern with Nutrition Status of 6 – 24 Months Children. Jurnal Info Kesehatan, 15(2), 317–332.

Du, Y., He, Y., Zhang, H., Shen, F., Guan, L., Xin, H., He, Y., Cao, X., Feng, B., Quan, Z., Liu, J., & Gao, L. (2023). Declining incidence rate of tuberculosis among close contacts in five years post-exposure: a systematic review and meta-analysis. BMC Infectious Diseases, 23(1). https://doi.org/10.1186/s12879-023-08348-z

Fallo, A. R. (2020). Implementasi Kebijakan Pencegahan Stunting Oleh Dinas Pengendalian Penduduk Dan Keluarga Berencana Kabupaten Timor Tengah Selatan Di Kecamatan Kie. GLORY Jurnal Ekonomi Dan Ilmu Sosial, 1(2), 1–21. https://doi.org/https://doi.org/10.35508/glory.v1i2.3365

Fauziyah, N. F., & Putri, A. S. (2023). Low birth weight and chronic energy deficiency in the mother lead to stunting: a case-control study. International Journal of Health Science and Technology, 4(3), 279–284. https://doi.org/10.31101/ijhst.v4i3.2913

Feldman, C., Theron, A. J., Cholo, M. C., & Anderson, R. (2024). Cigarette Smoking as a Risk Factor for Tuberculosis in Adults: Epidemiology and Aspects of Disease Pathogenesis. Pathogens, 13(2), 151. https://doi.org/10.3390/pathogens13020151

Franco, J. V. A., Bongaerts, B., Metzendorf, M. I., Risso, A., Guo, Y., Peña Silva, L., Boeckmann, M., Schlesinger, S., Damen, J. A. A. G., Richter, B., Baddeley, A., Bastard, M., Carlqvist, A., Garcia-Casal, M. N., Hemmingsen, B., Mavhunga, F., Manne-Goehler, J., & Viney, K. (2024). Undernutrition as a risk factor for tuberculosis disease. Cochrane Database of Systematic Reviews, 2024(6). https://doi.org/10.1002/14651858.CD015890.pub2

Herdiana, H., Prameswari, H. D., Puspadewi, R. T., Fajariyani, S. B., Diptyanusa, A., Theodora, M., Supriyanto, D., & Hawley, W. A. (2025). Shrinking the malaria map in Indonesia: progress of subnational control, elimination, and future strategies. BMC Medicine, 23(1), 512. https://doi.org/10.1186/s12916-025-04355-w

Jareebi, M. A. (2024). The Association Between Smoking Behavior and the Risk of Hypertension: Review of the Observational and Genetic Evidence. Journal of Multidisciplinary Healthcare, 17, 3265–3281. https://doi.org/10.2147/JMDH.S470589

Kambuno, N. T., Kleden, S. S., Seran, A. A., Nur, A., Peni, J. A., & Mirong, I. D. (2025). Integrated Intervention for Stunting and Tuberculosis Screening in Mothers and Children: A Case Study at Kapan Health Center, East Nusa Tenggara. Buletin Penelitian Kesehatan, 53(2), 69–76. https://doi.org/https://doi.org/10.33860/bpk.v53i2.4172

Kambuno, N. T., Susilawati, N. M., Wuan, A. O., Yudhaswara, N. A., Octrisdey, K., Foekh, N. P., & Wawo Aja, Y. K. (2020). Konseling Keluarga Pasien TB dan Pemberdayaan Pemuda Gerakan Anti-TB di Desa Naibonat Kecamatan Kupang Timur Kabupaten Kupang, Nusa Tenggara Timur. Jurnal Pengabdian Kepada Masyarakat, 11(3), 366–372. http://journal.upgris.ac.id/index.php/e-dimas

Keban, C. M. G., Nayoan, C. R., & Liufeto, M. O. L. (2023). Hubungan antara pola pemberian makan dan pemberian ASI eksklusif dengan kejadian stunting tahun 2022 di Kelurahan Fatukbot, Nusa Tenggara Timur. Jurnal Cakrawala Promkes, 5(1), 51–57. https://doi.org/10.12928/promkes.v5i1.6873

Keven, J. B., Katusele, M., Vinit, R., Rodríguez-Rodríguez, D., Hetzel, M. W., Robinson, L. J., Laman, M., Karl, S., & Walker, E. D. (2022). Vector composition, abundance, biting patterns and malaria transmission intensity in Madang, Papua New Guinea: assessment after 7 years of an LLIN-based malaria control programme. Malaria Journal, 21(1), 7. https://doi.org/10.1186/s12936-021-04030-4

Krishnan, S., Wu, X., Kim, S., McIntire, K., Naini, L., Hughes, M. D., Dawson, R., Mave, V., Gaikwad, S., Sanchez, J., Mendoza-Ticona, A., Gonzales, P., Comins, K., Shenje, J., Fontain, S. N., Omozoarhe, A., Mohapi, L., Lalloo, U. G., Garcia Ferreira, A. C., … Gupta, A. (2023). 1-Year Incidence of Tuberculosis Infection and Disease Among Household Contacts of Rifampin- and Multidrug-Resistant Tuberculosis. Clinical Infectious Diseases, 77(6), 892–900. https://doi.org/10.1093/cid/ciad301

Ku, C. C., MacPherson, P., Khundi, M. E., Nzawa Soko, R. H., Feasey, H. R. A., Nliwasa, M., Horton, K. C., Corbett, E. L., & Dodd, P. J. (2021). Durations of asymptomatic, symptomatic, and care-seeking phases of tuberculosis disease with a Bayesian analysis of prevalence survey and notification data. BMC Medicine, 19(1), 298. https://doi.org/10.1186/s12916-021-02128-9

Nalinya, S., Musoke, D., & Deane, K. (2022). Malaria prevention interventions beyond long-lasting insecticidal nets and indoor residual spraying in low- and middle-income countries: a scoping review. Malaria Journal, 21(1), 31. https://doi.org/10.1186/s12936-022-04052-6

Picauly, I., & Toy, S. M. (2013). Analisis Determinan Dan Pengaruh Stunting Terhadap Prestasi Belajar Anak Sekolah Di Kupang Dan Sumba Timur, Ntt. Jurnal Gizi Dan Pangan, 8(1), 55. https://doi.org/10.25182/jgp.2013.8.1.55-62

Pujiyanti, R., Irfan, I., Handayani, F., Kleden, S. S., Kambuno, N. T., Hilaria, M., & Eziefule, O. M. (2025). Associations Between Community Health Worker Capacity and Stunting Reduction Efforts in South Central Timor, Indonesia. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(1), 123–133. https://doi.org/10.56338/mppki.v8i12.8635

Rahmalina, S., & Darmawan, E. S. (2026). Analysis of Coverage of Tuberculosis Prevention Therapy (TPT): Literature Review. Journal of Indonesian Health Policy and Administration, 11(1), 40–47. https://doi.org/10.7454/ihpa.v11i1.1149

Sari, N. K. Y., Tangkelangi, M., Djuma, A. W., Tiku Kambuno, N., Rantesalu, A., Novicadlitha, Y., Fernanda Bessie, M., Teknologi Laboratorium Medis, P., & Kemenkes Kupang, P. (2025). Edukasi Dini Etika Batuk Sebagai Upaya Pencegahan Penularan TB Pada Anak Di SD Inpres RSS Oesapa. Jompa Abdi: Jurnal Pengabdian Masyarakat, 4(4), 370–376. https://jurnal.jomparnd.com/index.php/jpabdi

Tsirimiagkou, C., Karatzi, K., Argyris, A., Chalkidou, F., Tzelefa, V., Sfikakis, P. P., Yannakoulia, M., & Protogerou, A. D. (2021). Levels of dietary sodium intake: diverging associations with arterial stiffness and atheromatosis. Hellenic Journal of Cardiology, 62(6), 439–446. https://doi.org/https://doi.org/10.1016/j.hjc.2021.02.005

Uhlig, T., Karoliussen, L. F., Sexton, J., Provan, S. A., Kvien, T. K., Haavardsholm, E. A., & Hammer, H. B. (2023). Course and predictors of work productivity in gout — results from the NOR-Gout longitudinal 2-year treat-to-target study. Rheumatology (United Kingdom), 62(12), 3886–3892. https://doi.org/10.1093/rheumatology/kead124

Vo, L. N. Q., Codlin, A., Ngo, T. D., Dao, T. P., Dong, T. T. T., Mo, H. T. L., Forse, R., Nguyen, T. T., Cung, C. Van, Nguyen, H. B., Nguyen, N. V., Nguyen, V. Van, Tran, N. T., Nguyen, G. H., Qin, Z. Z., & Creswell, J. (2021). Early evaluation of an ultra-portable x-ray system for tuberculosis active case finding. Tropical Medicine and Infectious Disease, 6(3), 163. https://doi.org/10.3390/TROPICALMED6030163

World Health Organization. (2025). Global Tuberculosis Report 2025. Geneva: World Health Organization.

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Published

2026-08-31

How to Cite

Kambuno, N. T., Kleden, S. S., Bhia, M. B., Sadukh, J. J. ., Sine, J. G. ., Manalor, L. L. ., Ilma, N. N. ., & Sari, N. K. Y. (2026). Integrated Health Screening and Community Empowerment to Address Health Issues and Nutritional Status . Ahmar Metakarya: Jurnal Pengabdian Masyarakat, 6(1), 143–153. https://doi.org/10.53770/amjpm.v6i1.1104

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Vol. 6 No. 1 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat

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