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Service Strengthening Strategy Primary Through Engagement Health Cadres in The Community

Journal of Creativity Student · Vol. 8 No. 2 (2025) · pp. 144–151

DOI
10.15294/jcs.v8i2.25621
ISSN
2502-1958, 2962-603X
Published
2025-07-28
Publisher
Universitas Negeri Semarang
Language
eng

Abstract

Background: Strengthening primary and community health systems is crucial in improving population health, particularly in developing countries. Various studies have emphasized the importance of healthcare workers, such as physicians, physical therapists, and community health workers (CHWs), in promoting equitable and effective health service delivery. This study aims to analyze the roles, challenges, and innovations in developing primary and community health systems in resource-limited settings. Methods: This study employed a narrative literature review approach using peer-reviewed articles published between 2015 and 2023. Data sources included PubMed, Scopus, and ScienceDirect. Keywords used were “primary care,” “community health workers,” “health system strengthening,” and “developing countries.” Thematic analysis was conducted to identify patterns, innovations, and policy implications. Results: The review found that CHWs significantly contribute to cost-effective care and improved service coverage in underserved areas. Innovations such as insurance administration-free models and participatory research-based interventions in South Africa were effective in enhancing decision-making among CHWs. Additionally, interventions for non-communicable diseases (e.g., hypertension, diabetes) and pediatric oncology in Sub-Saharan Africa demonstrated the need for tailored health strategies. In the education sector, the integration of mental health and research ethics training for healthcare workers in South Africa and Uganda reinforced the importance of investing in human resources for health. Conclusion: The findings underscore the importance of empowering healthcare workers, implementing innovative service delivery models, and enhancing health education systems. Strengthening public health systems requires collaborative policy efforts and sustained investment to promote health equity and resilience, especially in low-resource settings.

Keywords

Collaboration network of the authors

40 authors · 127 co-authorship links · showing the 40 most connected

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • State University of Semarang
  • Diponegoro University
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Oktia Woro Kasmini HandayaniAffiliation unknown6
Dina Nur Anggraini NingrumAffiliation unknown6
Ari YuniastutiState University of Semarang6
Nur SiyamAffiliation unknown4
Yuni WijayantiAffiliation unknown4
Eko FaridaAffiliation unknown4
Casmuti CasmutiAffiliation unknown4
Mahalul AzamAffiliation unknown3
Evi WidowatiAffiliation unknown3
Chatila MaharaniAffiliation unknown3
Hanif Pandu SuhitoAffiliation unknown3
Muhamad Zakki SaefurrohimAffiliation unknown3
Sri Ratna RahayuAffiliation unknown3
Irwan BudionoAffiliation unknown3
Wandah WibawantoAffiliation unknown2
Natalia Desy PutriningtyasAffiliation unknown2
Margareta RahayuningsihAffiliation unknown2
Russiska RussiskaAffiliation unknown2
Nadia SyukriaAffiliation unknown2
Habibah Yulia RestiAffiliation unknown2
Salsabila Kinaya PraninditaAffiliation unknown2
Siti Harnina BintariAffiliation unknown2
Fitri IndrawatiAffiliation unknown2
Selvia Mayka SyahputriAffiliation unknown1
Karima Jafina Azka AnjaliAffiliation unknown1
Agus RiyantoDiponegoro University1
Devita Uzlah SibaraniAffiliation unknown1
Ika UtamiAffiliation unknown1
Tri Septa AnggrainiAffiliation unknown1
Arum SiwiendrayantiState University of Semarang1
Siti Ainun NadhirohAffiliation unknown1
Eka Radiyani OktaviaAffiliation unknown1
Fatehah Rahma AgustinAffiliation unknown1
Nandito Mapian MagaiAffiliation unknown1
Sigit Ambar WidyawatiAffiliation unknown1
Ni'mal MunaAffiliation unknown1
Mirnawati MirnawatiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/jcs/oai, first harvested 6 Nov 2026, last seen 6 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Service Strengthening Strategy Primary Through Engagement Health Cadres in The Community</dc:title>
	<dc:creator xml:lang="en">Subhi, Imam </dc:creator>
	<dc:creator xml:lang="en">Cahyati, Widya Hary </dc:creator>
	<dc:creator xml:lang="en">Zainafree, Intan </dc:creator>
	<dc:subject xml:lang="en">primary care, community health workers, health system, developing countries, public health</dc:subject>
	<dc:description xml:lang="en">Background: Strengthening primary and community health systems is crucial in improving population health, particularly in developing countries. Various studies have emphasized the importance of healthcare workers, such as physicians, physical therapists, and community health workers (CHWs), in promoting equitable and effective health service delivery. This study aims to analyze the roles, challenges, and innovations in developing primary and community health systems in resource-limited settings. Methods: This study employed a narrative literature review approach using peer-reviewed articles published between 2015 and 2023. Data sources included PubMed, Scopus, and ScienceDirect. Keywords used were “primary care,” “community health workers,” “health system strengthening,” and “developing countries.” Thematic analysis was conducted to identify patterns, innovations, and policy implications. Results: The review found that CHWs significantly contribute to cost-effective care and improved service coverage in underserved areas. Innovations such as insurance administration-free models and participatory research-based interventions in South Africa were effective in enhancing decision-making among CHWs. Additionally, interventions for non-communicable diseases (e.g., hypertension, diabetes) and pediatric oncology in Sub-Saharan Africa demonstrated the need for tailored health strategies. In the education sector, the integration of mental health and research ethics training for healthcare workers in South Africa and Uganda reinforced the importance of investing in human resources for health. Conclusion: The findings underscore the importance of empowering healthcare workers, implementing innovative service delivery models, and enhancing health education systems. Strengthening public health systems requires collaborative policy efforts and sustained investment to promote health equity and resilience, especially in low-resource settings.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang</dc:publisher>
	<dc:date>2025-07-28</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
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	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/jcs/article/view/25621</dc:identifier>
	<dc:identifier>10.15294/jcs.v8i2.25621</dc:identifier>
	<dc:source xml:lang="en">Journal of Creativity Student; Vol. 8 No. 2 (2025); 144-151</dc:source>
	<dc:source>2502-1958</dc:source>
	<dc:source>2962-603X</dc:source>
	<dc:source>10.15294/jcs.v8i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/jcs/article/view/25621/5277</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Journal of Creativity Student</dc:rights>
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