OPTIMIZING CHILDREN'S HEALTHCARE SERVICES THROUGH MASS CIRCUMCISION FOR ORPHANS, BASED ON SOCIAL CONCERN
DOI:
https://doi.org/10.59485/ek8m3042Keywords:
Orphans, Health Education, Mass Circumcision, Integrated Services, Pain ScaleAbstract
Inclusive health services for vulnerable children, including orphans, are essential to promoting health equity. This community service activity aimed to optimize child health services through a socially oriented mass circumcision program. The activity was conducted on August 26, 2026, at Kodim 0809/Kediri, involving 51 orphaned children, through collaboration with Kodim 0809/Kediri, Panti Asuhan Kodim 0809/Kediri, and Panti Asuhan Aisyiyah. The integrated approach included basic health screening, aseptic circumcision, post-procedure wound-care education, and pain monitoring using the Wong-Baker FACES Pain Rating Scale. Most participants were aged 9–10 years (60.78%), with a mean body weight of 34.92 kg. During local anesthetic injection, 60.78% of participants reported moderate pain (score 4), while 39.22% reported mild pain (score 2). After circumcision, 66.67% reported no pain (score 0), 29.41% reported mild pain (score 2), and 3.92% reported moderate pain (score 4); the latter received oral analgesics. Overall, the mean pain score decreased from 3.22 during anesthesia to 0.75 after circumcision. These findings support the implementation of integrated health screening, circumcision, pain monitoring, and health education in community-based services.
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