Model Partisipatif Literasi Kesehatan Berbasis Keluarga sebagai Strategi Penguatan Ketahanan Komunitas Pasca Krisis Kesehatan
DOI:
https://doi.org/10.63982/dharmabakti.42nvd157Keywords:
Ketahanan komunitas, Keluarga, Literasi kesehatan, Model partisipatif, Pasca krisis kesehatanAbstract
Krisis kesehatan global dalam dua dekade terakhir menegaskan bahwa ketahanan komunitas tidak hanya ditentukan oleh kapasitas sistem kesehatan formal, tetapi juga oleh kemampuan keluarga dalam memahami, mencegah, dan merespons risiko kesehatan secara mandiri. Rendahnya literasi kesehatan keluarga berkontribusi pada perilaku kesehatan yang reaktif dan melemahnya daya adaptasi sosial pasca krisis, sehingga menuntut intervensi yang lebih berkelanjutan dan berbasis konteks sosial. Kegiatan pengabdian ini bertujuan meningkatkan literasi dan perilaku kesehatan keluarga melalui pengembangan model edukasi partisipatif dan kontekstual sebagai fondasi ketahanan komunitas. Pendekatan yang digunakan adalah mixed-methods dengan desain explanatory sequential, yang mencakup tahapan asesmen kebutuhan, implementasi intervensi literasi kesehatan berbasis keluarga, dan evaluasi dampak jangka menengah. Evaluasi dilakukan melalui pengukuran perubahan literasi dan perilaku kesehatan keluarga serta eksplorasi kualitatif terhadap dinamika partisipasi dan proses perubahan. Hasil menunjukkan peningkatan kapasitas keluarga dalam memahami dan menilai informasi kesehatan, diikuti oleh perubahan perilaku hidup bersih dan sehat yang lebih konsisten dan berkelanjutan. Temuan kualitatif mengungkap bahwa proses partisipatif memperkuat dialog internal keluarga dan mendorong peran keluarga sebagai agen ketahanan di tingkat komunitas. Secara keseluruhan, kegiatan ini memberikan dampak positif terhadap penguatan kapasitas keluarga dan ketahanan komunitas, serta menawarkan model pengabdian berbasis keluarga yang efektif, berpotensi direplikasi, dan relevan untuk pengembangan kebijakan promotif–preventif kesehatan masyarakat di masa depan.
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Adli, I., Widyahening, I., Lazarus, G., Phowira, J., Baihaqi, L. A., Ariffandi, B., Putera, A., Nugraha, D., Gamalliel, N., & Findyartini, A. (2021). Knowledge, attitude, and practice related to the COVID-19 pandemic among undergraduate medical students in Indonesia: A nationwide cross-sectional study. PLoS ONE, 17. https://doi.org/10.1371/journal.pone.0262827
Aryuwat, P., Asp, M., Lövenmark, A., Radabutr, M., & Holmgren, J. (2022). An integrative review of resilience among nursing students in the context of nursing education. Nursing Open, 10, 2793–2818. https://doi.org/10.1002/nop2.1559
Chen, M., Li, J., Chen, C., Zhao, Q., & Huang, H. (2024). The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model. Nursing Open, 11. https://doi.org/10.1002/nop2.70020
Cipta, D., Andoko, D., Theja, A., Utama, A., Hendrik, H., William, D., Reina, N., Handoko, M., Lumbuun, N., Papadakis, S., Anastasiou, F., Cipta, D., Ave, U., William, D., & Handoko, M. (2024). Culturally sensitive patient-centered healthcare: a focus on health behavior modification in low and middle-income nations—insights from Indonesia. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1353037
Copeland, S., Hinrichs-Krapels, S., Fecondo, F., Santizo, E. R., Bal, R., & Comes, T. (2023). A resilience view on health system resilience: a scoping review of empirical studies and reviews. BMC Health Services Research, 23. https://doi.org/10.1186/s12913-023-10022-8
Dwipayanti, N., Lubis, D., & Harjana, N. P. A. (2021). Public Perception and Hand Hygiene Behavior During COVID-19 Pandemic in Indonesia. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.621800
Essel, K., Akselrod, H., Batra, S., Dawes, C., Zaidi, Z., & Deyton, L. (2025). Training socially accountable clinician-citizens: integrating clinical public health education in a medical school curriculum. Medical Education Online, 30. https://doi.org/10.1080/10872981.2025.2469972
Garner, A., & Yogman, M. (2021). Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health. Pediatrics, 148. https://doi.org/10.1542/peds.2021-052582
Jeppesen, E., Schmidt, A. A., Skjødt, C. K., Hybschmann, J., Gjærde, L., Thestrup, J., Hansson, H., & Sørensen, J. (2024). Educational programmes for paediatric healthcare professionals in patient- and family-centred care. A scoping review. European Journal of Pediatrics, 183, 2015–2028. https://doi.org/10.1007/s00431-024-05455-0
Lee, J. H., Lee, H., Kim, J. E., Moon, S., & Nam, E. (2021). Analysis of personal and national factors that influence depression in individuals during the COVID-19 pandemic: a web-based cross-sectional survey. Globalization and Health, 17. https://doi.org/10.1186/s12992-020-00650-8
Li, H., Wu, Y., Bai, Z., Xu, X., Su, D., Chen, J., He, R., & Sun, J. (2023). The Association Between Family Health and Frailty With the Mediation Role of Health Literacy and Health Behavior Among Older Adults in China: Nationwide Cross-Sectional Study. JMIR Public Health and Surveillance, 9, 1–17. https://doi.org/10.2196/44486
Nugroho, D. C. A., Sulistiawan, D., Arifa, R. F., Gayatri, M., Puspitasari, M., & Prabowo, F. W. (2021). eHealth Literacy and Self-care Behavior during the Coronavirus Disease-19 Pandemic among Youths: A Path Analysis. Open Access Macedonian Journal of Medical Sciences. https://doi.org/10.3889/oamjms.2021.6664
Pacut, A., Duplaga, M., Więcek, S., Murzyn, I., Gronowicz, G., Krzesiek, E., Stalony, N., & Kowalska-Duplaga, K. (2025). The relationship between stress, anxiety, and health literacy in parents of children with chronic gastroenterological diseases: a multi-center cross-sectional study. BMC Public Health, 25. https://doi.org/10.1186/s12889-025-24329-0
Quattlebaum, M., Wilson, D., Simmons, T., & Martin, P. (2024). Systematic review of family-based interventions integrating cultural and family resilience components to improve Black adolescent health outcomes. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine. https://doi.org/10.1093/abm/kaae079
Rawat, A., Hsu, K., Ameha, A., Pun, A., Hassen, K., Simen-Kapeu, A., Rafique, N., Oulare, M., Karlstrom, J., Hussain, S., & Rasanathan, K. (2024). Learning From Countries on Measuring and Defining Community-Based Resilience in Health Systems: Voices From Nepal, Sierra Leone, Liberia, and Ethiopia. International Journal of Health Policy and Management, 13. https://doi.org/10.34172/ijhpm.7996
Simmons, T., Quattlebaum, M., Martin, P., & Wilson, D. (2024). Strength-based strategies for addressing racial stressors in African American families: lessons learned from developing the LEADS health promotion intervention. Journal of Behavioral Medicine, 47, 951–964. https://doi.org/10.1007/s10865-024-00509-y
Son, H., & Han, G. (2023). Development and evaluation of a tailored mHealth parenting program for multicultural families: a three-arm cluster randomized controlled trial. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1182310
Sørensen, K., Levin-Zamir, D., Duong, T., Okan, O., Brasil, V., & Nutbeam, D. (2021). Building health literacy system capacity: a framework for health literate systems. Health Promotion International, 36. https://doi.org/10.1093/heapro/daab153
Tetlow, S., Wallace, C., Thomas, M., Filipponi, T., Pontin, D., & Livingstone, A. (2024). A systematic review of the use of the concept family resilience in interventions with families with children and young people. Public Health Nursing. https://doi.org/10.1111/phn.13287
Tonekaboni, F. Q., Pashaeypoor, S., Haghani, S., & Nikpeyma, N. (2025). The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial. BMC Nursing, 24. https://doi.org/10.1186/s12912-025-03083-z
Truppa, C., Yaacoub, S., Valente, M., Celentano, G., Ragazzoni, L., & Saulnier, D. (2024). Health systems resilience in fragile and conflict-affected settings: a systematic scoping review. Conflict and Health, 18. https://doi.org/10.1186/s13031-023-00560-7
Urban, T., & Yokota, K. (2025). Program development and evaluation of a health equity education for undergraduate medical students in Japan: a pre–post study design. Medical Education Online, 30. https://doi.org/10.1080/10872981.2025.2535411
Van Kessel, G., Milanese, S., Dizon, J., De Vries, D., MacGregor, H., Abramowitz, S., Enria, L., Burtscher, D., Yeoh, E., Thomas, B., Kwang, R., De Almeida, J. R., & Gobat, N. (2025). Community resilience to health emergencies: a scoping review. BMJ Global Health, 10. https://doi.org/10.1136/bmjgh-2024-016963
Witter, S., Thomas, S., Topp, S., Barasa, E., Chopra, M., Cobos, D., Blanchet, K., Teddy, G., Atun, R., & Ager, A. (2023). Health system resilience: a critical review and reconceptualisation. The Lancet. Global Health, 11 9. https://doi.org/10.1016/s2214-109x(23)00279-6
Zaidman, E., Scott, K., Hahn, D., Bennett, P., & Caldwell, P. (2022). Impact of parental health literacy on the health outcomes of children with chronic disease globally: A systematic review. Journal of Paediatrics and Child Health, 59. https://doi.org/10.1111/jpc.16297
Zanobini, P., Del Riccio, M., Lorini, C., & Bonaccorsi, G. (2024). Empowering Sustainable Healthcare: The Role of Health Literacy. Sustainability. https://doi.org/10.3390/su16103964
Zhu, L., Wang, J., Pan, Z., Zhang, W., Tang, J., Yan, H., Shen, F., & Shen, Y. (2025). Effectiveness of a Family-Based Self-Management Intervention for Type 2 Diabetes Patients Receiving Family Doctor Contract Services: A Community-Based Randomized Controlled Trial. Journal of Primary Care & Community Health, 16. https://doi.org/10.1177/21501319251330384









