How Do The Community Health Nurses’ Experience in The Strategies of Non-Communicable Disease (NCD) Promotion and Prevention?

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.

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The Effectiveness of Health Services Delivered by Community Health Workers on Outcomes Related to Non-Communicable Diseases among Elderly People in Rural Areas: A Systematic Review

Iranian Journal of Public Health ◽

10.18502/ijph.v50i6.6408 ◽

2021 ◽

Author(s):

Vita Widyasari ◽

Ferry Fadzlul Rahman ◽

Kuan-Han Lin ◽

Jiun-Yi Wang

Keyword(s):

Systematic Review ◽

Health Services ◽

Community Health ◽

Elderly People ◽

Rural Areas ◽

Health Workers ◽

Intervention Group ◽

Communicable Diseases ◽

The Other ◽

Non Communicable Diseases

Background: The number of elderly and the burden of non-communicable diseases increase with time. Community involvement is expected to be an important prevention agent for their neighbors. This study aimed to determine the effectiveness of health services delivered by community health workers (CHWs) which focus on physiological indices related to non-communicable diseases among elderly people and to explain the health services or interventions carried out by CHWs. Methods: This systematic review was conducted based on the PRISMA guidelines. PubMed, ProQuest Science Database, Scopus, EBSCOhost CINAHL, and Web of Science were taken as the source of databases. Manual search was also conducted for articles published before March 2019 without time restriction. The quality of each study was assessed using Critical Checklist by Joanna Briggs Institute. Results: Of the 3,275 initial studies retrieved, 4 studies were included in qualitative synthesis analysis. Three studies arranged a face-to-face interview, while the other study was conducted over the phone. All the 4 studies were intervention studies. Three of them showed a significant improvement in mean systolic blood pressure for the intervention group compared to the control group. The other study showed a significant improvement in weight loss for the intervention group. Conclusion: Health services delivered by CHWs was beneficial to elderly people in rural areas on some physiological indices. It suggested that health services delivered CHWs could contribute toward secondary prevention programs.

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An Analysis on the Implementation of Posbindu PTM Program at Beringin Raya Community Health Center Bengkulu

Disease Prevention and Public Health Journal ◽

10.12928/dpphj.v15i1.2841 ◽

2020 ◽

Vol 15 (1) ◽

pp. 1

Author(s):

Oktarianita Oktarianita ◽

Nopia Wati ◽

Henni Febriawati ◽

Afriyanto Afriyanto

Keyword(s):

Community Health ◽

Health Center ◽

Community Health Center ◽

Communicable Diseases ◽

Health Post ◽

Non Communicable Diseases ◽

Monitoring Tools ◽

Depth Interview ◽

Integrated Health ◽

Descriptive Approach

Background: The implementation of Integrated Health Post or Pos Binaan Terpadu (Posbindu) Program for Non-Communicable Diseases is an effective and efficient strategy to control risk factor. The low interest in visiting Posbindu was shown from the number of visits that decreased in 2017 (75.4%) and 2018 (64.4%). This study aims to analyze the Integrated Health Post for Non-Communicable Diseases or Pos Binaan Terpadu Penyakit Tidak Menular (Posbindu PTM) program at Beringin Raya Community Health Center in Bengkulu. Method: This study used qualitative and descriptive approach, and was conducted in March-August 2020 using in-depth interview techniques. Results: The implementation of the Posbindu program was in accordance with the Standard Operating Procedures (SOP). Funding for this program came from the Health Operational Assistance. However, it was not sufficient. Posbindu activities were held once a month and used 5 steps system (registration, health interviews, health checks, referrals, and health education). The examination results was only recorded on the visiting book, and they did not have specific monitoring tools. The supervision of the implementation and the evaluation were discussed in the monthly mini workshop. In addition, the facilities and infrastructure were still inadequate. There was a shortage medicine supplies, and the community participation in Posbindu PTM was still low. Conclusion: Posbindu PTM has been implemented according to the SOP, but the overall implementation such as funding, drug procurement, infrastructure, and the number of Posbindu visits is still insufficient.

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Gambaran Epidemiologi Hipertensi di Puskesmas Gamping I

JURNAL NUTRISIA ◽

10.29238/jnutri.v19i1.46 ◽

2017 ◽

Vol 19 (1) ◽

pp. 43-50

Author(s):

Sekti Riyantina ◽

Th Ninuk Sri Hartini ◽

Idi Setiyobroto

Keyword(s):

Population Density ◽

Health Services ◽

Community Health ◽

Health Center ◽

Access To Health Care ◽

Community Health Center ◽

Communicable Diseases ◽

Access To Health Services ◽

Access To Health ◽

Gender Education

Background : Epidemiological transition stems from a change where a decline in the prevalence of communicable diseases and non- communicable diseases (NCDs) have increased. Report in 2011 there was one billion people worldwide suffer from hypertension and in Indonesia the figure reached 31.7%. Objective : The purpose of this study was to determine the epidemiological of hypertension Gamping I Community Health Center and determine the proportion of hypertension according to age, sex, occupation, education, socio-economic, geographic, demographic and access to health services. Method : The research design was a retrospective cohort. This research was conducted in Gamping I Community Health Center in November 2016. Population and sample in this study were all patients with hypertension in Gamping I Community Health Center in 2013, 2014 and 2015. The independent variables in this study were age, gender, education, employment, social, cultural, demographic population density, geographic and ease of access to health services. While the dependent variable is the proportion of hypertension. Data analysis was performed using Chi Square to know know the proportions of age, gender, education, employment, social, economic, population density, geography, access to health services with hypertension in 2013, 2014 and 2015. Result : Based on the analysis proves the young elderly, women, housewife, secondary education, non-poor families, low-lying area, population density and access to health care were likely to have hypertension with percentages respectively 33%, 66.7%, 44.9%, 70.1%, 76.7% , 71.9%, 37.9% and 82.9%. Keywords: Hypertension, Epidemiology

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The Role of Health Workers in Realizing Community Independence to Prevent Non-Communicable Diseases in Campurejo Community Health Center, Kediri City

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v8i1.art.p113-120 ◽

2021 ◽

Vol 8 (1) ◽

pp. 113-120

Author(s):

Is Fadhillah ◽

Evita Widyawati ◽

Nurita Nilasari

Keyword(s):

Health Center ◽

Health Workers ◽

Community Health Center ◽

Communicable Diseases ◽

Public Understanding ◽

Social Phenomena ◽

Non Communicable Diseases ◽

Social Construction Theory ◽

Grand Design

This study aimed to determine the understanding of health care towards social phenomena related to the dominance of non-communicable diseases which were increased in the community and to identify what efforts were made by health workers in preventing non-communicable diseases. The long-term goal of this study was to control the risk factors for PTM in Indonesia, especially in Campurejo Health Center, Mojoroto District, Kediri City. This study used a qualitative method with 72 populations and 10 samples. The data was collected through purposive sampling and in-depth interviews. The study informants were health workers from Kediri city health office, health workers at the Campurejo Health Center, community leaders and health cadres. The data analysis used interactive qualitative methods (Milles and Hebberman) and the instrument was recorder. The results of the study showed the concept of objectivation in opposing the flow of public understanding of PTM could be seen from the results of the socialization conducted by health workers. This new fact could be seen from one of the efforts of health workers in disseminating PTM in society. Other forms of socialization that were still general in nature could be seen in a variety of activity formats, for example: early detection, health promotion, counseling, mobile Posbindu, and door to door systems. The five micro activities were derived from the grand design of socialization in the perspective of social construction theory as a form of externalization by health workers.

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Quality of health services during the pandemic COVID-19 (Descriptive study at the Pontap community health center in Palopo City)

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211206 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1578

Author(s):

Adam Badwi ◽

Periyenti Ba'ru

Keyword(s):

Health Services ◽

Community Health ◽

Health Center ◽

Quantitative Research ◽

Health Workers ◽

Community Health Center ◽

Public Health Services ◽

Good Communication ◽

The One

Background: During the COVID-19 pandemic that has hit the world including the Indonesia since March 2020, it may not reduce the quality of public health services at the Community Health Center for visiting people on the one hand, however, on the other hand, it is still necessary to prioritize the safety of patients and health workers. Health services at the Community Health Center during the Covid-19 Pandemic will be very different from the situation before COVID-19.Methods: The research was conducted using quantitative research with a descriptive approach which was carried out at the Pontap Community Health Center, Palopo City for 3 months, namely September to November 2020.The population in this study were all patients who visited the Pontap Community Health Center in Palopo City at the time of the study with a sample of 130 people who were determined using purposive sampling technique.Results: The results of the study showed the reliability of health workers in the good category was 93.8%, the health worker assurance in the good category was 90.0%, tangibles displayed by health workers was more in the good category, namely 88.5%, empathy for health workers was 93.8%, good responsiveness of 90.0%.Conclusions: So it is concluded to provide recommendations, namely for health workers to maintain professionalism at work, especially during the COVID-19 pandemic and increase their attention to patients in terms of building good communication between health workers and the public.

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Factor Affecting the Utilization of Family Planning Program Services

Journal La Medihealtico ◽

10.37899/journallamedihealtico.v2i2.315 ◽

2021 ◽

Vol 2 (2) ◽

pp. 41-50

Author(s):

Melda Andriani ◽

Megawati Megawati ◽

Asriwati Asriwati ◽

Lucia Lastiur

Keyword(s):

Family Planning ◽

Community Health ◽

Health Center ◽

Mixed Methods Research ◽

Quantitative Methods ◽

Family Planning Program ◽

Health Workers ◽

Community Health Center ◽

Planning Program

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.

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Knowledge, Behaviour and Utilization of Integrated Health Services Post in Working Area Ratu Agung Community Health Center Bengkulu

Jurnal Sains Kesehatan ◽

10.37638/jsk.25.1.27-35 ◽

2020 ◽

Vol 25 (1) ◽

pp. 27-35

Author(s):

Santoso Ujang Effendi ◽

Buyung Keraman ◽

Edo Darmasyah Putra

Keyword(s):

Health Services ◽

Community Health ◽

Health Center ◽

Community Health Center ◽

Primary Data ◽

Under Five ◽

Under Five Children ◽

Integrated Health ◽

Knowledge And Attitude ◽

Integrated Health Services

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of Integrated Health Services Post by mothers of under five children in working area Ratu Agung Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of this study were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were 84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were 44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five children can understand the importance of Integrated Health Services Post and can visit regularly every month. Keywords : attitude, knowledge, utilization of integrated health services post

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Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

Jurnal Manajemen Kesehatan Indonesia ◽

10.14710/jmki.7.1.2019.1-8 ◽

2019 ◽

Vol 7 (1) ◽

pp. 1-8

Author(s):

Andy Asmara

Keyword(s):

Community Health ◽

Health Center ◽

Community Health Centers ◽

Health Workers ◽

Perinatal Care ◽

Community Health Center ◽

Community Empowerment ◽

District Health ◽

Soft Skill ◽

Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill.

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