Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Analysis Of The Role Of Community Leaders And Public Health Centers In Community Empowerment To Prevent And Control Non-Communicable Diseases In Kampar District 2018
Tuti Restuastuti, Zahtamal Zahtamal, Fifia Chandra, Ridha Restila

Last modified: 2018-08-14

Abstract


Background

The changes in lifestyle and improvement of socioeconomic status of society resulted in changes in patterns of disease in Indonesia. This can be seen from the increasing number of cases of NCD. This phenomenon requires the development of a NCD control model involving multi-sector and multi-program synergies. Parties who contribute strongly in this regard are health workers and community leaders. Both parties are expected to explore and develop the potential and participation of the community maximally.

Materials and methods

This research uses a qualitative approach. Data collection techniques used in-depth interviews, Focus Group Discussion (FGD), and Observation. The study was conducted at Kampar Kiri and Bangkinang Kota by involving health workers and community leaders from 7 local villages.

 

Results

The results of FGDs on community leaders is the majority of villagers have known about non-communicable diseases through health promotion. All villages have also established Pos Pembinaan Terpadu (Posbindu PTM) as a form of prevention of NCD through community empowerment. Support provided by community leaders are to help urge people, make decree (SK) for Posbindu PTM’s cadres, and participate in the activities of Posbindu PTM. Most informants revealed that community participation is very low. The unavailability of medicine when the activities of Posbindu PTM can be one cause. One village has allocated village funds (ADD) to support Posbindu PTM and this greatly affects the performance of cadres as the executor of Posbindu PTM. The results of in-depth interviews with health workers are Public Health Centers/Puskesmas have comitment in NCD prevention. Puskesmas has also help to provide financial support for Posbindu PTM's activities. In addition, it was found that the community's favorite health worker could attract the public interest in participating in Posbindu PTM. Coordination between the Puskesmas and Community Leaders can be delivered through a mini workshop (Lokmin) and village planning and development meetings (Musrenbang).

 

Conclusions

The participation of the community in NCD prevention is still low. The mindset of the community still assumes that every health activity must have the medicine provided. Support of community leaders and health workers are very important.

Keywords : NCD, Posbindu PTM, Community Empowernment