Kesiapan Masyarakat dalam Melaksanakan dan Memanfaatkan Posyandu Penyakit Tidak Menular di Desa Cilayung dan Cipacing, Kecamatan Jatinangor

Yulia Sofiatin, Rully M.A. Roesli

Abstract


Abstrak
Pengendalian hipertensi dan penyakit tidak menular (PTM) memerlukan kerja sama pasien karena pilar utama pengendalian PTM adalah pengetahuan penderita dan kepatuhan dalam menjalankan upaya pengendaliannya. Sampai saat ini pemberian edukasi di sarana kesehatan tidak efektif sehingga diperlukan upaya lain seperti kelompok dukungan pasien dan peningkatan kemampuan masyarakat. Pos pelayanan terpadu (posyandu) PTM merupakan salah satu alternatif. Penelitian ini bertujuan menggali kesiapan kader posyandu dan pasien hipertensi mengenai kemungkinan pelaksanaan posyandu khusus PTM. Telah dilakukan diskusi kelompok terarah (DKT) terhadap dua kelompok (kader dan penderita) di Desa Cilayung dan Cipacing serta 1 (satu) sesi wawancara mendalam terhadap Kepala Puskesmas Kecamatan Jatinangor, Sumedang pada Maret–April 2017 dengan tingkat partisipasi peserta cukup baik. Keempat kelompok menyatakan kebutuhan terhadap posyandu PTM dengan aktivitas selain pemantauan tekanan darah dan berat badan yang dibutuhkan adalah penyuluhan mengenai perbaikan gaya hidup dan kepatuhan berobat. Kader Desa Cipacing siap melaksanakan penyuluhan jika telah mendapat pelatihan, tetapi kader Desa Cilayung menginginkan penyuluh dari luar lingkungan mereka. Terdapat kebutuhan kemudahan mendapatkan obat karena pengambilan obat di puskesmas dirasakan membutuhkan biaya transportasi yang cukup tinggi. Dapat disimpulkan bahwa masyarakat dan kader merasakan kebutuhan terhadap posyandu PTM, tetapi kesiapan mereka berbeda-beda.

Abstract
The main pilars of non-communicable diseases (NCDs) management are patient’s awareness, knowledge and compliance. At present, education by health provider in health facilities has been proven to be not effective that other measures such as patient support group and community empowerement are needed. The options is through integrated health post (posyandu) for NCD. The aim of this research was to explore the readiness of the community to run and utilize such post. Four sessions of focus group discussions with two groups of health cadres and two groups of people with high blood pressure in Cilayung and Cipacing villages and 1 (one) session of indepth interview towards the Head of Public Health Center (Puskesmas) at Jatinangor, Sumedang, Indonesia were held on March–April 2017 with high participations. Each group expresses the needs of patient support group and community empowerement through regular integrated health post for NCDs. Schedulled screening and mass education especially for life style modification and drug used are urgent. Health cadres of urban community are ready to lead the activities, while those from rural area ask for formal educators. Drug dispensing at public health center is favourable due to expensive transportation to primary health care. In conclusion, communities in Jatinangor need integrated health post for NCD to assist them to manage their blood pressure and other NCDs although their readinesses were vary.


Keywords


Community readiness; integrated health post; kelompok dukungan; kesiapan masyarakat; NCDs; penyakit tidak menular; posyandu

References


World Health Organization (WHO). A global brief on hypertension: silent killer, global public health crisis. Geneva: WHO Press; 2013.

World Health Organization (WHO). Health in 2015: from MDGs, millennium development goals to SDGs, sustainable development goals. Geneva: WHO Press; 2015.

Sabaté E, penyunting. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2003.

Hotz S, Kaptein AA, Pruitt S, Sanchez Sosa J, Willey C. Defining adherence. Dalam: Sabaté E, penyunting. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2003. hlm. 3–5.

Mendis S, Salas M. Hypertension. Dalam: Sabate E, penyunting. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2003. hlm. 107–14.

Hidayah KAN, Sofiatin Y, Sitorus TDR, Roesli RMA. Management of hypertension in Puskesmas Jatinangor (unpublished). Bandung: FK Unpad; 2017..

Putri HR, Sofiatin Y, Roesli RMA. Gambaran penangkapan edukasi yang diberikan kepada pasien hipertensi di ruang konsultasi Puskesmas Jatinangor. JSK. 2017;2(3):149–55.

Direktorat Pengendalian Penyakit Tidak Menular, Kementerian Kesehatan Republik Indonesia (Kemenkes RI). Petunjuk teknis pos pembinaan terpadu penyakit tidak menular (posbindu PTM). Jakarta: Kemenkes RI; 2012.

Hamzah NKA, Roesli RMA, Sofiatin Y, Sukandar H. Awareness, treatment and control of hypertension in Jatinangor sub-district between March–November 2014. J Hypertens. 2015;33:e34–5.

Putra MRD, Sofiatin Y, Hidayat EM, Sukandar H, Roesli RMA. Correlation between the correct use of drug and the achievement of blood pressure control. J Hypertens. 2015;33:e35.

Mondal P. Rural-urban differences: demographic and socio-cultural characteristics [diunduh 2 Agustus 2017]. Tersedia dari: http://www.yourarticlelibrary.com/difference/rural-urban-differences-demographic-and-socio-cultural-characteristics/39322.

Badan Pusat Statistik Kabupaten Sumedang. Jatinangor dalam angka. Sumedang: Badan Pusat Statistik Kabupaten Sumedang; 2016.

Undang-Undang Republik Indonesia Nomor 26 Tahun 2007 tentang Penataan Ruang.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, dkk. The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Bethesda: US Department of Health and Human Services; 2003.

Indonesian Society of Hypertension (InaSH). Konsensus InaSH. ABC hipertensi: diagnosis dan tata laksana hipertensi. Jakarta: InaSH; 2015.


Refbacks

  • There are currently no refbacks.



pISSN 2301-9123 | eISSN 2460-5441

Visitor since 19 October 2016:

View My Stats

Free counters!

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.