scholarly journals The Empowerment of Integrated Development Post of Non-Communicable Diseases in Efforts to Prevent and Control Non- Communicable Diseases

2016 ◽  
Vol 5 (3) ◽  
pp. 294
Author(s):  
Yandrizal Yandrizal ◽  
Rizanda Machmud ◽  
Melinda Noer ◽  
Hardisman Hardisman ◽  
Afrizal Afrizal ◽  
...  

Non-Communicable disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63 percent) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic respiratory diseases. Prevention and controlling efforts of un-infectious diseases developing in Indonesia is non-communicable disease integrated development post (Pospindu PTM). This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. Public Health Center formed Posbindu PTM has not disseminate yet to all stakeholders. Posbindu PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. There was  connection between coming behavior to Posbindu PTM to preventing behavior of non-communicable disease.Percentage for high blood pressure risk indicated 20-25 percent from all visitors. Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of family welfare development.  Analysis of perception, power and authority found that every stakeholder had authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the Posbindu PTM function.They would play a role after knowing the aim and advantage of the post by motivate the people to do early detection, prevention and control the non-communicable disease. The members were given wide knowledge about  early detection, preventing  and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.

2021 ◽  
Author(s):  
Natalia Oli ◽  
Pranil MS Pradhan ◽  
Reshu A Sagtani ◽  
Archana Shrestha ◽  
Lindsay M. Jaacks ◽  
...  

Abstract BackgroundDespite a high burden, there is limited training available in non-communicable disease research in Nepal. In order to understand research capacity gap in non-communicable diseases in the country, we conducted a needs assessment. We aimed to assess existing research training capacity in academic health institutions of Nepal for the prevention and control of non-communicable diseases, identify gaps in research training in these institutions, and explore the feasibility of developing research training program in Nepal targeting non-communicable diseases and their risk factors. MethodsWe did qualitative and quantitative research and reviewed academic institution curricula review and scientific literature. We conducted 14 Focus Group Discussions with bachelor and Masters level students of public health and community medicine; 25 In-depth Interviews with department heads and faculties, and government stakeholders. We surveyed medical and public health students on their research knowledge and skills development. Further, we reviewed university curricula of bachelors in medicine and public health Masters in community medicine and public health. We also reviewed non-communicable disease related scientific articles authored by Nepali researchers. ResultsWe found that the research methodology component was addressed differently across academic programs. One-third (33.7%) of students expressed lack of skills for analysis and interpretation of data. They felt that there is a wide scope and career-interest in non-communicable diseases research in Nepal. However, specific objectives in the curriculum and practical aspects regarding non-communicable diseases were lacking. Most of the non-communicable diseases research in Nepal are prevalence studies. Most of the studies did not have any financial support. Lack of funding, conflicting priorities with curative services, and inadequate training for advanced research tools were reported as major barriers. Likewise, availability of trained human resources and international funding for non-communicable diseases research were perceived facilitators.ConclusionsNepal must strengthen the whole spectrum of research capacity: epidemiological skills, research management, and fund generation. University curricula should match up with the disease burden and must emphasize on applied practical research projects. Generation of a critical mass of non-communicable disease researchers must go together with improved funding from the government, non-governmental organizations, and external funding organizations.


2016 ◽  
Vol 5 (3) ◽  
pp. 294 ◽  
Author(s):  
Yandrizal Yandrizal ◽  
Rizanda Machmud ◽  
Melinda Noer ◽  
Hardisman Hardisman ◽  
Afrizal Afrizal ◽  
...  

<span>Non-Communicable </span><span lang="EN-US">disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63%) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic r<span class="shorttext">espiratory diseases</span></span><span class="shorttext"><span>.</span><span lang="EN-US"> Prevention and controlling efforts of un-infectious diseases developing in Indonesia is </span></span><span>non-communicable </span><span lang="EN-US">disease integrated development post (P</span><span>ospindu </span><span lang="EN-US">PTM</span><span>)</span><span lang="EN-US">. This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. <span class="shorttext">P</span><span class="alt-edited">ublic Health Center</span> formed Posbindu PTM has not disseminate yet to all stakeholders</span><span>. </span><span lang="EN-US">P</span><span>osbindu </span><span lang="EN-US">PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. </span><span>T</span><span lang="EN-US">here was  <span class="alt-edited">connection between coming behavior to P</span></span><span class="alt-edited"><span>osbindu</span><span lang="EN-US"> PTM to </span></span><span lang="EN-US">preventing behavior of </span><span>non-communicable</span><span lang="EN-US"> disease.</span><span lang="EN-US">Percentage for high blood pressure risk indicated 20-25% from all visitors. <span class="shorttext">Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of </span>family welfare development.  Analysis of perception, <span class="shorttext">power and authority found that every stakeholder had </span><span class="alt-edited">authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the P</span></span><span class="alt-edited"><span>osbindu</span><span lang="EN-US"> PTM function.</span><span lang="EN-US">They would play a role after knowing the aim and advantage of the post by </span></span><span lang="EN-US">motivate the people to do early det</span><span>e</span><span lang="EN-US">ction, prevention and control the </span><span>non-communicable</span><span lang="EN-US"> disease. The members were given wide knowledge about  early detection, preventing  and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.</span>


2020 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Aryanti Setyaningsih ◽  
Nastitie Cinintya Nurzihan

Abstrak Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja. �Kata kunci: Deteksi Dini; Pendidikan Kesehatan; Pengetahuan; PTM; Remaja�Abstract Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status through measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.�Keywords: Early Detection; Health Education; Knowledge; Non-Communicable Disease; Adolescent


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Ishu Kataria ◽  
Mariam Siddiqui ◽  
Theresa Gillespie ◽  
Michael Goodman ◽  
Preet K. Dhillon ◽  
...  

Abstract Background Non-communicable diseases contribute to 62% of total deaths in India; of concern are the preventable premature deaths, which account for a staggering 48% of mortality. The objective of this study was to establish a consensus research agenda for non-communicable disease prevention and control that has the potential to impact polices, programmes and healthcare delivery in India. Methods To develop a non-communicable disease research agenda, we engaged our community collaborative board and scientific advisory group in a three-step process using two web-based surveys and one in-person meeting. First, the Delphi methodology was used to generate topics. Second, these ideas were deliberated upon during the in-person meeting, leading to the prioritisation of 23 research questions, which were subjected to Strength, Weakness, Opportunities and Threat analysis by the stakeholders using the Snow Card methodology with the scientific advisory group and community collaborative board. This step resulted in the identification of 15 low effort, high impact priority research questions for various health outcomes across research disciplines based on discussion with the larger group to reach consensus. Finally, the second web-based survey resulted in the identification of 15 key priority research questions by all stakeholders as being the most important using a linear mixed effect regression model. Results The final set of 15 priority research questions focused on interventions at the individual, community, systems and policy levels. Research questions focused on identifying interventions that strengthen healthcare systems and healthcare delivery, including models of care and improved access to non-communicable disease screening, diagnosis and treatment, determining the impact of government policies, assessing the effectiveness of prevention programmes (e.g. tobacco, environmental improvements), and testing research tools and resources to monitor non-communicable diseases at the population level. Conclusion To produce the evidence base for selecting and implementing non-communicable disease programmes and policies in India, investments are needed. These investments should be guided by a national research agenda for the prevention and control of non-communicable diseases in India. Our findings could form the backbone of a national research agenda for non-communicable diseases in India that could be refined and then adopted by government agencies, the private sector, non-governmental and community-based organisations.


Author(s):  
Devi Nair ◽  
Krishnanunni Raveendran

Background: The burden of non-communicable diseases increased significantly in India and Kerala carries the highest burden among Indian states. People with chronic non-communicable diseases (NCDs) are particularly vulnerable to socioeconomic inequality due to their long-term expensive health care needs. Provision of health services through public health facilities will reduce the health care expenses and will increase NCD care utilization. This study aimed to assess socioeconomic-factors related to public health service utilization among four major non-communicable disease patients in Pathanmthitta district of Kerala.Methods: A cross-sectional household survey using WHO CSDH frame work conducted among 715 individuals from 3randomely selected panchayaths in Pathanmthitta district, Kerala. Simple frequencies were used to calculate the prevalence of NCDs in the study population. Chi-square test followed by binary logistics regression was applied (using SPSS 21 statistical package) to examine the effects of demographic and socioeconomic variables of NCD respondents on public health utilization.Results: Among 715 household survey respondents 472 (66%) reported as Non-communicable disease (NCD) patient. The majority (60.5%) of NCD respondents reported using government facility for health care irrespective of their socioeconomic status. Chi-square test analysis, ration card status, age, gender, education, occupation, income and economic dependency show significance (p<0.005). Public health utilization was seen to be high in female (OR=7.1, p=0.000), people with lower education (OR=11.5, p≤0.002) and lower income (OR=4.1, p=0.000). Public health facility utilization reported high among partially depended people (OR=39.8, p=0.000).Conclusions: Irrespective of their socioeconomic status NCD patients wants to reduce their financial burden of health care through the utilization of public health facilities. A comprehensive health care financing scheme for chronic NCD patients which is crucial to protect most vulnerable groups.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rita Suhuyini Salifu ◽  
Khumbulani W. Hlongwana

Abstract Objectives To explore the mechanisms of collaboration between the stakeholders, including National Tuberculosis Control Program (NTP) and the Non-Communicable Disease Control and Prevention Program (NCDCP) at the national, regional, and local (health facility) levels of the health care system in Ghana. This is one of the objectives in a study on the “Barriers and Facilitators to the Implementation of the Collaborative Framework for the Care and Control of Tuberculosis and Diabetes in Ghana” Results The data analysis revealed 4 key themes. These were (1) Increased support for communicable diseases (CDs) compared to stagnant support for non-communicable diseases (NCDs), (2) Donor support, (3) Poor collaboration between NTP and NCDCP, and (4) Low Tuberculosis-Diabetes Mellitus (TB-DM) case detection.


2019 ◽  
Vol 34 (4) ◽  
Author(s):  
Amy Moran-Thomas

Long-accepted models of causality cast diseases into the binary of either “contagious” or “non-communicable,” typically with institutional resources focused primarily on interrupting infectious disease transmission. But in southern Belize, as in much of the world today, epidemic diabetes has become a leading cause of death and a notorious contributor to organ failure and amputated limbs. This ethnographic essay follows caregivers’ and families’ work to survive in-between public health categories, and asks what responses a bifurcated model of infectious versus non-communicable disease structures or incapacitates in practice. It proposes an alternative focus on diabetes as a “para-communicable” condition—materially transmitted as bodies and ecologies intimately shape each other over time, with unequal and compounding effects for historically situated groups of people. The article closes by querying how communicability relates to community, and why it matters to reframe narratives about contributing causalities in relation to struggles for treatment access.


2018 ◽  
pp. 15
Author(s):  
Rieski Prihastuti ◽  
Trisno Agung Wibowo ◽  
Misinem Misinem

Purpose: Non-communicable diseases are leading cause of the global death, especially from cardiovascular disease, cancers, chronic obstructive pulmonary disease, and diabetes. Prevention and primary detection of non-communicable disease in Indonesia were done through integrated community-based intervention called ‘Posbindu PTM’. Implementation of ‘Posbindu PTM’ needed to be evaluated to determine each component in the non-communicable disease surveillance systems. Methods: This study was descriptive. Respondent were programmer in district health office and programmer in 24 primary health care in Wonosobo. Surveillance system evaluation that used was programs evaluation based on WHO (structure, main function, support function and quality of surveillance system). Results: The weakness of ‘Posbindu PTM’ in Wonosobo were lack of knowledge in the regulation, networking, collaborating, risk factor detecting and reporting; not availability of technical guidebook; low training participant; low monitoring and evaluation activity; also complex reporting system. There was 84% ‘Posbindu PTM’ that had not reported on time and 87,50 % programmer had not done the analysis, interpretation, and dissemination. This was related to the completeness of the report caused too many data that needed to be collected and affect the timeliness of the report. Conclusion: Strengthening ‘Posbindu PTM’ should be done in the reporting system aspect, especially in the timeliness and analysis of the report. Monthly reminder and refreshing in reporting system were done to improve the reporting system aspect.


2020 ◽  
Vol 114 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Frank Baiden

Abstract Primary healthcare (PHC) meets the needs of people's health throughout their lives and empowers individuals and communities to oversee their own health. Most of the community-based activities currently undertaken in PHC in sub-Saharan Africa (SSA) address child and maternal health. Non-communicable diseases are now major causes of morbidity and premature mortality in SSA. In this paper, I propose the formal integration of community-based, non-communicable disease prevention and early detection into PHC activities. I offer practical suggestions on how this can be achieved to ensure a continuum of care.


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