The Role of the Integrated Development Post in Non-Communicable Disease Risk Factor Screening in Samosir, North Sumatera


Afrina Ferawati Sitohang¹, Adik Wibowo²

 

1)Masters Program in Public Health, Universitas Indonesia

2)Department Health Administration and Policy, Faculty of Public Health,

Universitas Indonesia

 

 ABSTRACT

Background: Non-communicable diseases (NCDs) make the largest contribution to mortality in the majority of developing countries and require concerted, coordinated ac­tion. According to the WHO, without intervention, deaths from NCD are predicted to increase by 15% between 2010 and 2020. Screening people for serious diseases is re­ceiving increasing attention as studies de­­mons­trate the potential benefits of early de­tection and early intervention in preventing mor­bidity and mortality. Screening tests are available for some of the most important NCDs, in­clu­ding car­diovascular disease, type 2 diabetes, and several cancers. The purpose of this study was to determine the role of the integrated development post of non-communicable diseases (IDP of NCD) in the screening of non-com­mu­ni­ca­ble di­sease risk factors in Samosir, North Sumatera.

Subjects and Method: This was an explorative qualitative study conducted at in­te­gra­t­ed development post in Simbolon Purba, Samosir District, North Sumatera. A sam­ple of key informants was selected including: head of non-communicable disease de­­­­par­t­ment in Samosir District, head of public health center, coordinator of in­te­grated development post, cadre of in­te­grated development post and targeted society. The data were collected by in depth-interview, fo­cus group discussion, and observation, with tri­a­ngu­lation technique. The data were described ac­­cor­dingly.

Results: The role of IDP of NCD  has been reviewed from three aspects: input, pro­cess, and output. There was a lack of tools, devices, instruments, equipment, per­sonnel, and­ training for com­­munity health workers and professional health workers. There was a lack of community awa­­reness and reliable fund. The implementation of risk factor scree­n­ing did not fully follow the NCD guidelines. The market coverage was very low (3%), while the reporting recording system was not comprehensive.

Conclusion: The role of IDP of NCD in NCD risk factor screening was still weak and so has to be improved.

Keywords: non-communicable disease, integrated development post, risk factor, screening.

Correspondence: Afrina Ferawati Sitohang. Masters Program in Public Health, Universitas Indonesia.

Email: sito­ha­ng­.afrina81@gmail.com. Mobile: 081375839495.

DOI: https://doi.org/10.26911/theicph.2019.04.15

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