Empowerment of Community Health Volunteers in the Prevention and Management of Non-Communicable Diseases (NCDs) through the Utilization of Tanaman Obat Keluarga (TOGA) in Lempuing and Nusa Indah Subdistricts, Bengkulu City
Article Sidebar
Diabetes Mellitus,
Family Medicinal Plants,
Hypertension,
Non-Communicable Diseases
Main Article Content
Anditha Ratnadhiyani
Dwi Wulandari
Rahma Annisa
Erni Buston
Dina Anggraini
Abstract
Background: The rising prevalence of non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, poses a significant public health challenge in Bengkulu City, especially in Lempuing and Nusa Indah subdistricts. Community empowerment is a strategic approach to strengthen promotive and preventive health efforts. The utilization of Tanaman Obat Keluarga (TOGA) was introduced as an innovative, culturally appropriate, and practical method aligned with Gerakan Masyarakat Hidup Sehat (GERMAS).
Aims: This program aims to enhance the knowledge and skills of community health volunteers in preventing and managing NCDs, establish TOGA demonstration gardens managed by volunteers, and develop a replicable community empowerment model.
Methods: A participatory approach was applied through cross-sectoral coordination with primary health centers and local government. Educational modules and media were developed, followed by training sessions for community health volunteers using lectures, discussions, and hands-on practice. Continuous mentoring supported the management of TOGA gardens. Program evaluation was conducted using pre-test and post-test to assess changes in volunteers’ knowledge and observations to monitor implementation.
Results: The program was successfully implemented. Educational modules were developed, and training activities led to an average increase of 30% in volunteers’ knowledge scores. Two TOGA demonstration gardens were established and actively managed by volunteers. Educational media were utilized during Pos Pelayanan Terpadu (posyandu) services by community health centers and Pemberdayaan Kesehatan Keluarga (PKK) activities at Lempuing and Nusa Indah subdistricts.
Conclusion: The program effectively improved the capacity of community health volunteers and promoted community participation in family-based NCD prevention and management. The TOGA-based empowerment model demonstrates strong potential for replication as a promotive and preventive strategy for NCD control.
Downloads
Article Details
Copyright (c) 2026 Anditha Ratnadhiyani, Dwi Wulandari, Rahma Annisa, Erni Buston, Dina Anggraini
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Adiyasa, M., & Meiyanti, M. (2021). Pemanfaatan obat tradisional di Indonesia: distribusi dan faktor demografis yang berpengaruh. Jurnal Biomedika dan Kesehatan, 4, 130–138. https://doi.org/10.18051/JBiomedKes.2021.v4.130-138
Balfas, R. F., Mainassy, M. C., Rejeki, D. S., & Nurhidayati, L. G. (2025). Utilization of Herbal Medicines as Alternative Hypertension Therapy: A Review of Effectiveness and Safety Rifqi. International Journal of Health Sciences (IJHS), 3(4), 657–666. https://doi.org/10.59585/ijhs.v3i4.887
Beaglehole, R., Bonita, R., Horton, R., Adams, C., Alleyne, G., Asaria, P., Baugh, V., Bekedam, H., Billo, N., Casswell, S., Cecchini, M., Colagiuri, R., Colagiuri, S., Collins, T., Ebrahim, S., Engelgau, M., Galea, G., Gaziano, T., Geneau, R., … Watt, J. (2021). Priority actions for the non-communicable disease crisis. Lancet (London, England), 377(9775), 1438–1447. https://doi.org/10.1016/S0140-6736(11)60393-0
Febriyanti, R. M., Saefullah, K., Susanti, R. D., & Lestari, K. (2024). Knowledge, attitude, and utilization of traditional medicine within the plural medical system in West Java, Indonesia. BMC Complementary Medicine and Therapies, 7, 1–13. https://doi.org/10.1186/s12906-024-04368-7
Febyanesti, A. R., Widjanarko, B., & Shaluhiyah, Z. (2025). Traditional Medicinal Plants for the Prevention and Treatment of Hypertension : A Literature Review. JMPF, 14(4), 250–260. https://doi.org/10.22146/jmpf.89076
Francis, N. S., Lim, Y. M., Mat, S., & Loganathan, A. (2024). Effectiveness of herbs taken concurrently with antihypertensive drugs in managing hypertension and lipid outcomes. A systematic review and meta-analysis. Complementary Therapies in Medicine, 83, 103058. https://doi.org/10.1016/j.ctim.2024.103058
Handayani, S., Malik, A., Mufidah, N. I., Waris, R., Syarif, R. A., & Wahyudi, D. P. (2022). Ethnopharmacy Study of Herbal Medicine as Antihypertension in Simbang District. Jurnal Fitofarmaka Indonesia, 9(3), 7–12. https://doi.org/10.33096/jffi.v9i3.914
Indraloka, A. B., Saputra, I. G., & Muazizah, S. (2025). Empowerment of Family Welfare Community Through Education Program on Sustainable TOGA ( Tanaman Obat Keluarga ). GSCE: Global Sustainability and Community Engagement, 01(02), 68–74. https://doi.org/10.62568/gsce.v1i2.230
Karamina, H., Supriyadi, S., Yasin, D., Kamhar, M., & Astuti, F. (2020). Pemanfaatan dan Penanaman Tanaman Obat Keluarga (TOGA) Menuju Keluarga Sehat Pada Ibu Pemberdayaan Kesejahteraan Keluarga (PKK). JIPEMAS: Jurnal Inovasi Hasil Pengabdian Masyarakat, 3, 120. https://doi.org/10.33474/jipemas.v3i2.6416
Kausar, F., Yusuf Amin, K. M., Bashir, S., Parvez, A., & Ahmad, P. (2021). Concept of ʻIhtiraqʼ in Unani Medicine – A correlation with oxidative stress, and future prospects. Journal of Ethnopharmacology, 265, 113269. https://doi.org/10.1016/j.jep.2020.113269
Kuba, S. R., Nusawakan, A. W., & Putra, K. P. (2021). Upaya Promotif Preventif Dan Pengendalian Hipertensi Oleh Puskesmas Tegalrejo Kota Salatiga. Jurnal Ilmiah Ilmu Kesehatan, 8487(2), 208–222. https://doi.org/10.33366/JC.V9I2.1442
Laverack, G. (2004). Health Promotion Practice: Power and Empowerment. https://doi.org/10.4135/9781446215258
Malkani, N., Sohail, M. I., Ijaz, F., Naeem, A., Mumtaz, S., & Saeed, Z. (2022). Berberis aristata reduces vancomycin-induced nephrotoxicity by down-regulation of cell proliferation markers. Journal of Herbal Medicine, 31, 100540. https://doi.org/10.1016/j.hermed.2022.100540
Mardiana, N., & Subaidah, W. (2022). Sosialisasi penanaman dan pemanfaatan tanaman obat keluarga (TOGA). INDRA: Jurnal Pengabdian Kepada Masyarakat, 3, 31–34. https://doi.org/10.29303/indra.v3i2.161
Mayor, S. (2020). Targeted screening in routine primary care detects lung cancer in 2% of high risk patients, study finds. BMJ, 368, m823. https://doi.org/10.1136/bmj.m823
Nurbaeti, I. A., Dolifah, D., & Hoedaya, A. P. (2023). Pengetahuan Keluarga Terhadap Pemanfaatan Tanaman Obat Keluarga (Toga) Untuk Meningkatkan Kesehatan Fisik Lansia Di Desa Cipancar Kecamatan Sumedang Selatan. JURNAL KESEHATAN TAMBUSAI, 4, 295–299. https://doi.org/10.31004/jkt.v4i2.13811
Nutbeam, D., & Lloyd, J. E. (2021). Understanding and Responding to Health Literacy as a Social Determinant of Health. Annual Review of Public Health, 42(1), 159-173. https://doi.org/10.1146/annurev-publhealth-090419-102529
Perry, H. B., Chowdhury, M., Were, M., LeBan, K., Crigler, L., Lewin, S., Musoke, D., Kok, M., Scott, K., Ballard, M., & Hodgins, S. (2021). Community health workers at the dawn of a new era: 11. CHWs leading the way to “Health for All”. Health Research Policy and Systems, 19(Suppl 3), 111. https://doi.org/10.1186/s12961-021-00755-5
Puspitasari, I., Nurfiana, G., Sari, F., & Indrayati, A. (2021). Pemanfaatan Tanaman Obat Keluarga (TOGA) sebagai Alternatif Pengobatan Mandiri. Jurnal Warta LPM, 24(3). https://doi.org/10.23917/warta.v24i3.11111
Rahmayanti, E., & Hargono, A. (2017). Implementasi Surveilans Faktor Risiko Penyakit Tidak Menular Berbasis Posbindu Berdasarkan Atribut Surveilans. Jurnal Berkala Epidemiologi, September, 276–285. https://doi.org/10.20473/jbe.v5i3.2017
Rocha, D. G., & Alexandre Weiss, V. P. (2019). The convergences between the Sustainable Development Goals and national agendas: the Brazilian case. Health Promotion International, 34(Supplement_1), i46–i55. https://doi.org/10.1093/heapro/daz010
Sari, N., & Andjasmara, T. C. (2023). Jurnal Bina Desa Penanaman Tanaman Obat Keluarga ( TOGA ) untuk Mewujudkan Masyarakat Sehat Pendahuluan. Jurnal Bina Desa Volume, 5(1), 124–128. https://doi.org/10.15294/jbd.v5i1.41484
Sari, P., Martawinarti, R. N., & Mutmainnah, M. (2024). Tumbuhan Herbal Untuk Tekanan Darah Tinggi (Hipertensi): Literature Review Herbal Medicine for Hypertension: Literature Review. BIOSPECIS, 17(July), 37–42. https://doi.org/10.22437/biospecies.v17i2.36362
Sari, S. M., Rasyid, T. A., Keperawatan, P. S., Tinggi, S., Kesehatan, I., & Tuah, H. (2019). Pemanfaatan Tanaman Obat Keluarga (Toga) Pada Masyarakat. Jurnal Pengabdian Kepada Masyarakat, 3, 1–7. https://doi.org/10.31849/DINAMISIA.V3I2.2833
Suwarno, I., Jeong, M., Kumareswaran, K., Ching, D., & Au, T. (2022). Community Empowerment Through Tanaman Obat Keluarga (TOGA). Jurnal Pengabdian Dan Pemberdayaan Masyarakat Indonesia, 2(7), 276–284. https://doi.org/10.59247/jppmi.v2i7.115