Analisys of the Implementation of Non-Communicable Disease Control Programs in Posbindu PTM Puskesmas Rokan IV Koto I Districs Rokan Hulu

2020 ◽  
Vol 6 (2) ◽  
pp. 135-146
Author(s):  
Kholida Hosni ◽  
Dedi Afandi ◽  
Jasrida Yunita ◽  
Doni Jepisah ◽  
Ahmad Hanafi

The implementation of the Non-Communicable Disease Control Program carried out in Posbindu PTM is a concrete manifestation of community participation in implementing early detection, monitoring and early follow-up of Non-Communicable Disease risk factors independently and continuously. Rokan IV Koto I Community Health Center has implemented PTM control in an integrated manner but the scope of Non-Communicable Disease prevention and eradication efforts is still low at 53,9%. The purpose of the study was to determine the implementation of the control program for non-communicable diseases in Posbindu PTM Rokan IV Koto I Community Health Center seen from input indicators and processes of the Non-Communicable Disease Control Program. This type of research is qualitative. 8 informants consisted of midwives midwives in charge of posbindu, mobilizing midwives, monitoring midwives, counselor doctors, recording cadres, Head of Sub-Division of Administration, community leaders, BPJS. The tringulation used is source tringulation, methods and data. The results of the study show that inputs (human resources, incentives, facilities and facilities) have been done well even though the use of Posbindu PTM facilities and equipment is not yet available in every village. The process (identification of potential PTM problems, implementation of activities and program innovations, recording and reporting, early risk follow-up and referral of PTM) has gone well. BASMI PELAKOR 1 innovation was able to increase the coverage of community visits to Posbindu PTM to 57,4% which previously had been in 2018 at 53,92%. Suggestion for Community Health Center to facilitate the formation of partnerships in each village through CSR (Corporate Social Responsibility) to buy their own tools, deliberation with the community to determine the Posbindu PTM schedule that is mutually agreed upon, involve community participation in implementing BASMI PELAKOR. Keywords : Implementaon of PTM Control Program, Input of PTM program implementaon. PTM program implementaon process.

2013 ◽  
Vol 12 (4) ◽  
pp. 4-9 ◽  
Author(s):  
G. Ya. Maslennikova ◽  
R. G. Oganov

Alcohol and the risk of non-communicable disease: control strategies in the Russian Federation.


2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.


2021 ◽  
Vol 2 ◽  
Author(s):  
Ingrid Glurich ◽  
Richard Berg ◽  
Aloksagar Panny ◽  
Neel Shimpi ◽  
Annie Steinmetz ◽  
...  

Introduction: Rates of diabetes/prediabetes continue to increase, with disparity populations disproportionately affected. Previous field trials promoted point-of-care (POC) glycemic screening in dental settings as an additional primary care setting to identify potentially at-risk individuals requiring integrated care intervention. The present study observed outcomes of POC hemoglobin A1c (HbA1c) screening at community health center (CHC) dental clinics (DC) and compliance with longitudinal integrated care management among at-risk patients attending dental appointments.Materials and Methods: POC HbA1c screening utilizing Food and Drug Administration (FDA)-approved instrumentation in DC settings and periodontal evaluation of at-risk dental patients with no prior diagnosis of diabetes/prediabetes and no glycemic testing in the preceding 6 months were undertaken. Screening of patients attending dental appointments from October 24, 2017, through September 24, 2018, was implemented at four Wisconsin CHC-DCs serving populations with a high representation of disparity. Subjects meeting at-risk profiles underwent POC HbA1c screening. Individuals with measures in the diabetic/prediabetic ranges were advised to seek further medical evaluation and were re-contacted after 3 months to document compliance. Longitudinal capture of glycemic measures in electronic health records for up to 2 years was undertaken for a subset (n = 44) of subjects with available clinical, medical, and dental data. Longitudinal glycemic status and frequency of medical and dental access for follow-up care were monitored.Results: Risk assessment identified 224/915 (24.5%) patients who met inclusion criteria following two levels of risk screening, with 127/224 (57%) qualifying for POC HbA1c screening. Among those tested, 62/127 (49%) exhibited hyperglycemic measures: 55 in the prediabetic range and seven in the diabetic range. Moderate-to-severe periodontitis was more prevalent in patients with prediabetes/diabetes than in individuals with measures in the normal range. Participant follow-up compliance at 3 months was 90%. Longitudinal follow-up documented high rates of consistent access (100 and 89%, respectively), to the integrated medical/DC environment over 24 months for individuals with hyperglycemic screening measures.Conclusion: POC glycemic screening revealed elevated HbA1c measures in nearly half of at-risk CHC-DC patients. Strong compliance with integrated medical/dental management over a 24-month interval was observed, documenting good patient receptivity to POC screening in the dental setting and compliance with integrated care follow-up by at-risk patients.


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