scholarly journals Revitalization the Integrated Health Service and Promotions Post For Non - Communicable Disease in Boosting Visiting Rates and Blood Glucose Improvement to Diabetic Patient

2017 ◽  
Vol 05 (05) ◽  
pp. 22064-22069
Author(s):  
Walin, Hartati ◽  
Author(s):  
Eka Siti Chasanah ◽  
◽  
Endang Sutisna Sulaeman ◽  
etyo Sri Rahardjo ◽  
◽  
...  

ABSTRACT Background: Health workers (cadre) play role in controlling non-communicable disease by promoting people to participate in any integrated health posts (posbindu) activities. This study aimed to examine factors affecting the performance of community health workers at the integrated non communicable disease health post in Karanganyar, Central Java. Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posbindu) in Karanganyar, Central Java. A sample of 200 cadres was selected by stratified random sampling. The dependent variables were cadre performance. The independent variables were motivation, leadership, social support, skill, and tenure. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Cadre performance increased with high motivation (OR= 6.15; 95% CI= 2.75 to 13.76; p<0.001), good leadership (OR= 2.24; 95% CI= 1.04 to 4.83; p= 0.039), strong social support (OR= 3.62; 95% CI= 1.68 to 7.80; p=0.001), good skill (OR= 5.56; 95% CI= 2.40 to 12.86; p<0.001), had trained (OR= 2.42; 95% CI= 0.91 to 6.42; p= 0.076), and tenure ≥1 year (OR= 5.56; 95% CI= 2.40 to 12.86; p<0.001). Conclusion: Cadre performance increases with high motivation, good leadership, strong social support, good skill, had trained, and tenure ≥1 year. Keywords: cadre performance, non-communicable disease, integrated health post Correspondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281329017587. DOI: https://doi.org/10.26911/the7thicph.04.45


Author(s):  
Riza Firdaus ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Non-Communicable Diseases (NCDs) is the leading cause of death worldwide and a serious threat to health in low and middle income countries. This can be prevented by early detection and monitoring of NCDs risk factors. This study aimed to investigate the contextual effect of the integrated health post on the use of non- communicable disease screening service. Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posbindu) in Kapuas Hulu, West Kalimantan, Indonesia, from August to October 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was the use of NCD screening service. The independent variables were subjective norm, health information, family support, cadre support, health beha-vior, health status, attitude, and intention. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression run on Stata 13. Results: The use of NCD screening service increased with supportive subjective norm (b= o.88; 95% CI= 0.01 to 1.75; p= 0.045), high health information exposure (b= 1.10; 95% CI= 0.18 to 2.02; p= 0.019), strong family support (b= 0.94; 95% CI= 0.05 to 1.83; p= 0.037), strong cadre support (b= 0.87; 95% CI= 0.01 to 1.73; p= 0.047), health behavior (b= 1.39; 95% CI= 0.49 to 2.30; p= 0.002), had NCD (b= 1.30; 95% CI= 0.19 to 2.41; p= 0.021), positive attitude (b= 0.98; 95% CI= 0.12 to 1.84; p= 0.025), and strong intention (b= 1.14; 95% CI= 0.26 to 2.01; p= 0.010). Posbindu had negligible contextual effect on the use of NCD screening service with intra-class correlation (ICC)= 7.1%. Conclusion: The use of NCD screening service increases with supportive subjective norm, high health information exposure, strong family support, strong cadre support, health behavior, had NCD, positive attitude, and strong intention. Posbindu has negligible contextual effect on the use of NCD screening service. Keywords: non-communicable disease, screening service, integrated health post Correspondence: Riza Firdaus. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutarmi 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 08565056311. DOI: https://doi.org/10.26911/the7thicph.04.38


2019 ◽  
Vol 8 (2) ◽  
pp. 246
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Jintana Artsanthia

<p>Due to increasing age, elderly are prone to non-communicable diseases (NCD), such as hypertension (HT) and diabetes mellitus (DM). Easy physical condition monitoring of people with HT and/or DM is by measuring their blood pressure (BP) and/or blood glucose level (BGL) periodically. This study aimed to compare and analyze the differences of BP and BGL among elderly with HT and/or DM in Bangkok and Surabaya. This cross-sectional study involved 100 and 96 elderly with HT and/or DM in communities of Bangkok and Surabaya respectively (n=196). There were three groups of samples which consisted of 60 DM, 68 HT, and 68 DM&amp;HT cases. Instruments used were demography questionnaire, sphygmomanometer, and glucometer. Test of one-way ANOVA, Least Significant Difference (LSD), Kruskal-Wallis, and Mann-Whitney U were used for data analysis (α&lt;.05). There was a significant difference of systolic and diastolic BP found between groups (p=.000 and p=.011 respectively), but no difference found between the groups of HT and DM&amp;HT (p=.657 and p=.330 respectively). There was a significant difference of BGL found between groups (p=.002), but no difference found between the groups of HT and DM (p=.075) and between the groups of DM and DM&amp;HT (p=.066). BP is significantly different between the group of HT and DM in term of systole and diastole, especially in elderly, but BGL is similar. The risk of being HT for elderly with DM is very high. Elderly with DM&amp;HT have high BP and BGL similarly to those with single disease of HT or DM. </p>


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