The Roles of Community Health Nurses' in Covid-19 Management in Indonesia: A Qualitative Study.

Background: The majority of Covid-19 cases occur at the community level requiring health services to be available at the primary health care level, which also includes Community Health Nursing (CHN) services. It is important to understand various perspectives of the parties involved, effective solutions, and strategies used by nurses in managing Covid-19 in order to be able to provide these services. The purpose of this study was to explore the community health nurses' (CHNs) roles in the Covid-19 management in Indonesia. Methods: A qualitative method was used to explore the perspective from nurses and health cadres as participants. Data were collected through in-depth phone interviews with 11 participants from December 2020 to February 2021 in Bandung. Data were analyzed manually using thematic analysis. Results: Five themes were extracted in this study, namely providing comprehensive services by CHNs; utilizing technology to bridge the information needs; implementing family nursing care; spreading the wings of health cadres by CHNs; and collaborating as the heart of Covid-19 prevention and management. Conclusion: CHNs should employ health education, empowerment strategies, group processes, and advocacy in adapting to the Covid-19 pandemic situation. The five themes identified in this study can be used by policy makers to develop strategies in optimizing the CHN in Covid-19 pandemic management and the possible challenges of future global pandemics.

Upaya peningkatan pelayanan posyandu citra saat pandemi COVID-19 RW 12 desa Jayaraga Garut

Kegiatan PPM ini dilatarbelakangi oleh kejadian pandemi COVID-19 yang berdampak  kepada pelayanan kesehatan disemua tingkatan termasuk pelayanan kesehatan di Posyandu Citra RT 04 RW 12 Desa Jayaraga Garut. Pelayanan kesehatan di Posyandu ini tidak bisa melaksanakan pelayanan kesehatan setiap bulan. Ibu yang memiliki bayi balita tidak datang ke posyandu walaupun dijinkan untuk membuka pelayanan selama dua bulan. Melihat kondisi tersebut akan berpengaruh terhadap masalah kesehatan masyarakat. Kegiatan ini bertujuan untuk meningkatkan pelayanan kesehatan di Posyandu Citra saat pandemi COVID-19. Metode kegiatan yang dilaksanakan diawali dengan persiapan sosial pelaksanaan dan evaluasi kegiatan. Hasil kegiatan PPM ini adalah tetap melakukan pelayanan kesehatan selama dua bulan dan melakukan kunjungan pada bayi balita yang tidak datang dibulan tersebut melakukan pemeiksaan tekanan darah bagi masyarakat sekitar dan melakukan gerakan kebersihan bersama masyarakat di sekitar lokasi posyandu Citra. Diharapkan dari kegiatan ini dapat meningkatkan peran serta masyarakat dalam bidang kesehatan.Kata Kunci : COVID-19 Peningkatan Pelayanan Posyandu.  This PPM activity was motivated by the COVID-19 pandemic which had an impact on health services at all levels including health services at Posyandu Citra RT 04 RW 12 Desa Jayaraga Garut. Health services at this Posyandu cannot provide health services every month. Mothers who have babies under five do not come to the posyandu even though they are allowed to open the service for two months. Seeing this condition will affect public health problems. This activity aims to improve health services at Posyandu Citra during the COVID-19 pandemic. The method of activities carried out begins with social preparation implementation and evaluation of activities. The results of this PPM activity are continuing to provide health services for two months and making visits to infants who do not come this month conducting blood pressure checks for the surrounding community and conducting hygiene movements with the community around the Posyandu Citra location. It is hoped that this activity can increase community participation in the health sector. Keywords: COVID-19 Service Improvement Posyandu.