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Non-Communicable Diseases (NCDs) are the main cause of death in the world (74%), in Southeast Asia (55%) and even in Indonesia (73%). One of the government's efforts to prevent and control PTM is early detection of PTM risk factors through the UKBM program called Posbindu PTM. This research aims to explore in-depth information regarding the implementation of Posbindu PTM at the Madiun Health Center, Madiun Regency. This research was conducted qualitatively with a case study design. In-depth interview data collection techniques were carried out with PJ Posbindu PTM informants, Heads of Health Centers, Health Cadres, Health Services, Heads of Village Financial Affairs, while FGDs were carried out with Posbindu PTM participants in the Madiun Health Center area. Meanwhile, for secondary data, observations were made on facilities and infrastructure and documents reviewed on personnel and funding documents. The research results show components input For Posbindu PTM activities, funds, facilities, infrastructure and SOPs are available. However, the number of community health center officers is still limited and the role of health cadres is less than optimal. In components process, Posbindu PTM activities include risk factor interviews, anthropometric measurements, laboratory examinations, consultations and education or counseling as well as referrals if necessary. However, reporting activities are still not carried out optimally. On components output Problems were found, namely related to fund allocation, lack of community knowledge and lack of socialization by cadres and health center officers and the timing of implementation. Therefore, it is recommended for the health center to increase socialization of Posbindu PTM and carry out activities outside working hours. It is hoped that the Public Health office can ensure that the Posbindu Kit is provided on time, so pay more attention expired date BHP and increase its supervision. Then it is recommended that the village or sub-district government help motivate the community to come and increase the use of ADD for the health sector.
Non Communicable Disease Integrated Service Post (NCDISP) is one of the efforts toprevent and control non-communicable diseases by using, will also change the language.The coverage of the community to NCDISP in 2017 only 12.96% has not reached theexpected target of 30%. This study aims to find out how the implementation of NCDISPactivities in the city of Bogor. The method used is in-depth interviews, Focus GroupDiscussion (FGD), study documents and observations. The research informants consistedof 11 informant interviews and 24 FGD informants. Observations were conducted at 2NCDISP at Mekarwangi Health Center and Cipaku Health Center. The results of researchbased on the aspects of standards and objectives that exist but still for the targetparticipants NCDISP not all information, resources and energy resources cadres are stilllacking, funds come from APBD and BOK funds, facilities are quite adequate yet forpreventive media campaign less, communication aspect between executor of activity hasnot been established but not yet effective especially at disseminating information abouttarget and schedule of activity, executor body aspect for relationship and process whichhave been intertwined but not optimal especially for duties among cadres, and others.good but the attitude and motivation of the cadres are still less actively involved activelyin the activities, the social environment is not optimally the presence of communityfigures at the time of implementation of activities, The amount of funds is enough supportfrom the public assistance, and funds from the local government is quite good with theissuance of SK Mayor. Suggestions need to be refreshed by doing cadres by conductingcomparative studies to the best NCDISP, online training and recruitment of new cadres,reward prizes or selecting best cadres and NCDISP, enhancing education, governmentand private sector cooperation.
Hasil penelitian menunjukkan faktor kebutuhan berperan dalampemanfaatan pelayanan skrining PTM (OR = 2,08; 95% CI: 1,30-3,35). PNSyang membutuhkan skrining PTM mempunyai kecenderungan untukmemanfaatkan pelayanan skrining PTM sebesar dua kali dibandingkan PNSyang tidak membutuhkan setelah dikontrol oleh dukungan teman. Agarcakupan pemanfaatan skrining PTM meningkat perlu dilakukan sosialisasiskrining PTM dan jenis pengukurannya kepada seluruh PNS baik yang bekerjapada Organisasi Perangkat Daerah (OPD) di lingkungan balaikota Depokmaupun di luar lingkungan balaikota Depok.
Kata kunci:Faktor kebutuhan, skrining PTM, pegawai negeri sipil
NCDs screening can reduce the risk of getting NCDs. NCDs screening inBalaikota Depok is the programme which has been provided by the DepokLocal Goverment targeting civil servants of Depok City in the year 2016,however the participation to this program is only 46,3%, and from those whoparticipated in the screening, 75,6% had risk of getting NCDs. This study wasaimed to identify the roles of need factor on utilizing the NCDs screeningprogramme among civil servants in Balaikota Depok. This research is furtheranalysis from the previous study using cross sectional study with total sampleof 350 civil servants. Data were analyzed by using chi square and multiplelogistic regression test.
The result shows that the need factor has a role inutilizing the NCDs screening programme (OR = 2,08; 95% CI: 1,30-3,35).Civil servants who has need factor is twice more likely to engage thescreening programme compare to those who do not have the need factor aftercontrolling variable of friend support. To improve the rate of participation ofNCDs screening, it needs to promote and educate the importance of NCDsscreening and its measurement for all civil servants in Balaikota Depok andothers government institutions in Depok City Local government.
Key words:Need factor, NCDs screening, civil servant.
Background: The existence of Posbindu PTM has become a place for activities to disseminate early detection efforts for type 2 diabetes in the community. The purpose of this study was to investigate the implementation of empowerment Posbindu PTM. Method: This study use a qualitative approach. It was found 11 informants from different backgrounds. Result: The implementation is still not optimal in reaching productive age communities. During in Covid 19 situation, the Posbindu PTM was stopped. Problems encountered in the readiness of input variables are the availability of inadequate human resources and uneven competence of cadres, limited operational funds, inadequate facilities and infrastructure, unavailability of technical instructions for cadres, and lack of support from government and private agencies. Then from the suitability of the process variables ranging from planning, organizing, actuation, control and evaluation still have to be maximized, namely by conducting cross-sectoral collaboration by maximizing the role of each party involved. At the achievement of the output indicator the quantity of Posbindu PTM has been running according to the guidelines, but the indicator coverage of risk factors for DM type 2 and referral coverage has not been achieved in accordance with the targets set by the Department of Health. Conclusion: The empowerment of Posbindu PTM in preventing type 2 DM has not run optimally. It is recommended that all parties involved to collaborate increase their respective roles in empowering Posbindu PTM to prevent DM type 2
